This doctor has a system

Chapter 216 214. If it weren’t for money, I would jump up and fuck you

"How is the doctor you want to dig now?"

"It went very smoothly." Hu Jiaran said with a smile on his face, "The company he works for seems to be in a slump, so I didn't bother much."

As the project progressed, Hu Jiaran felt more and more strenuous. Although he had a bachelor's degree, although he had been supplementing his knowledge in drug development, he still had no formal studies, and he didn't understand some things at all. Not to mention far-sighted.

Highly educated and high-level talents with professional backgrounds are the mainstay in the development process of original research drugs.

Now, every step forward in the experimental process always encounters some difficulties. He talked to Professor Pan in the school, and he was suggested to recruit several PhDs in pharmacology, biochemistry or molecular biology.

"Old Gong, what are you doing?" Lu Yingtao's face was heavy.

"What can you do! Pack up your things and leave the job, change jobs! Go to work in a new company." Gong Fanshun glared at him, "Are you blind?"

"Can I not go to work?"

"You support me?"

"I'll support you!" Lu Yingtao said loudly with a firm face.

The aunt who was sweeping the floor outside was taken aback, good guy!In the real version, she carried her back to the mountain, she didn't even sweep the floor, her ears were pressed against the wall, there was no way, she was getting old, and the aunt's hearing was not very good.

"You support your uncle's der!" Gong Fanshun exploded, "I've been working with you for four years, and I've lost all my pants!"

Worked for four years!Pants all gone? ! !My mother!The aunt in the corner was very excited. She has been sweeping the floor for several years, and today I finally caught a big news.

"You still have the nerve to talk about supporting me!" Gong Fanshun was angry.

"Do you have a dime on your card?"

"Persevere." Lu Yingtao whispered, "I will try to get some business this month."

"roll!"

"Lao Gong, I can't live without you."

This man is quite affectionate, and the aunt feels a little distressed.

"Don't be so pushy. If you have nothing to do, go ahead and play." Gong Fanshun was too lazy to pay attention to him.

"Old Gong, you are too unfeeling." Lu Yingtao rambled on a lot, "You don't care about our relationship for many years."

These two backs are probably going to be broken, the aunt in the corner thought to herself.

"No, you can cancel the company and let's go and forget it together." Gong Fanshun said, "No one can bear to lose money here every day."

He and Lu Yingtao are graduate students + PhD classmates. After graduation, the two worked in the south for a while, earning a good income, and living a chic life.

Lu Yingtao's heart is higher than the sky, and he also likes to make troubles. After investigation, he found that the application prospect of PCR test market is very good, and he has an idea in his heart.

Gong Fanshun is his partner. The two opened an inspection company supported by PCR technology in Ludao. The initial benefits were not bad. Originally, they thought they would be young models in the clubhouse, but the result was something he didn't expect.

In the past two years, more and more inspection companies have been opened, and the business volume is not as good as before. Especially after some big companies have entered the market, these small companies can't get jobs at all, and they have been losing money recently.

Gong Fanshun felt that the situation was not right, he entrusted a professional company to do a market survey, and found that the best outcome now is to close the door immediately, and if it drags on, the pants might even be lost.

Lu Yingtao was also silent. In fact, he also knew that the company would not be able to recover, but he always had a chance in his heart. After all, it was his own hard work, and it took a psychological process to give up.

"Listen to me, close the company." Gong Fanshun persuaded, "Let's go earn money from capitalists."

He is very confident in his and Lu Yingtao's abilities, he can't do a 123 wherever he goes, why bother here.

The next day

"Really!" Aunt Sweeper was very sure, "Boss Lu has that kind of relationship with that Gong!"

"Isn't it?" The people around were shocked.

"He is a buddy, don't talk nonsense." Someone said.

"What buddy, what do you know!" The aunt said disdainfully, "I heard everything yesterday."

"It's been four years! One person's pants are gone, and he's still crying that he can't live without the other person. What a crime!"

"But fortunately, the two men finally reconciled and said they would fight together."

"It can't be true. Why is Mr. Lu always single?"

"Don't Gong Fanshun have a girlfriend?"

"Divided." Someone who knew the matter said, he was from the company next door and had dinner with Gong Fanshun before.

"Buy one get one free?" Hu Jiaran was startled, "Even the boss is here???"

"I can't do it anymore." Lu Yingtao was a little embarrassed.

"It's fine if you can't continue, it's fine if you can't continue!" Hu Jiaran was very happy.

Are you speaking human language?Lu Yingtao was numb.

If it weren't for money, I would jump up and fuck you.

"No, that's not what I meant." Hu Jiaran reacted immediately, "I mean that it is fate that you can come to our company."

"Do you have a place to live? Do you have any family members?" "You are staying in a hotel now." Lu Yingtao replied. As for family members, he does not have one. Gong Fanshun originally had one, but because of the company's busy schedule, he did not have one. .

The 3 people chatted about the issue of remuneration. This Hu Jiaran had communicated with Zhao Xingye and Li Youliang. The initial salary should not be too high, and the emotions of the old employees should be taken care of.

"Half a month of trial work, as long as you pass, the company will send you a settling allowance of 30 yuan. This has to be kept secret from other people." Hu Jiaran stated the salary directly. They are a laboratory. It is different from ordinary companies, there are not so many twists and turns, you have to do as much work as you get, and it is useless to say that it is groundbreaking if you can't produce results.

Gong Fanshun and Lu Yingtao were very satisfied, which was not much different from their expectations. They originally thought that the treatment in State Z would be lower than that in the coastal areas.

"Wang Liang!" Hu Jiaran shouted, "Hurry up, call some people to help the two doctors bring their luggage back to our staff dormitory."

Many people are curious about the new doctorate. There is a serious brain drain in the province. There is no way to deal with them. If you can beat you by three blocks in Beijing, Shanghai, Guangzhou, Shenzhen and coastal cities, what do you use to play with them?
"Why did you come to our place?" Wang Liang asked, "Isn't the treatment better along the coast?"

"It's all the same, it's so good." Gong Fanshun replied later, "Brother, are you working overtime?"

"add."

"How many days are added to January?"

"Between 28-31 days." Wang Liang replied, "It depends on how many days there are in the month."

Gong Fanshun and Lu Yingtao looked calm.

"No, why are you two so calm?" Wang Liang was startled.

"We used to work overtime every day." Gong Fanshun laughed.

"I have a feeling that I've come to the right place." Lu Yingtao's eyes brightened.

"Penghui, I'm under a lot of pressure." Yi Zhonglun pulled Yue Penghui into the room, "Do you know that the company has two doctors?"

"I know." Yue Penghui also looked worried. It is definitely a good thing that the company is getting better and better, but only if they are also a member of the company.

"It may be that our progress is a bit slow." He said, "And our educational background is generally low. There are some things that need to be actively pushed forward during the experiment. This is the current weakness of our group."

"The reflux of N-ethyl-N-isopropyl-propan-2-amine and 2-pentanol has been unable to be done, and there may be reasons for this." Yi Zhonglun said, "That Dr. Gong, a Ph.D. This is the relevant topic at the time.”

"How do you know?" Yue Penghui was a little surprised.

"I copied his for my graduation thesis." Yi Zhonglun said.

"There is a patient." Dong Qianqian called, "I can't help it anymore, come and take a look."

"Director Pan, watch carefully, I'll go to the ward." Gao Feng hurriedly left the bronchoscopy room.

The patient, a 29-year-old female, came to see a doctor on her own because of cough, sputum production and dyspnea for 3 days.

Five days ago, the patient developed cough and sputum after being exposed to the rain, accompanied by fever, with a maximum body temperature of 5°C. He went to a nearby clinic and was diagnosed with bacterial pneumonia.After infusion of clindamycin and Qingkailing injection, the body temperature dropped to normal soon.

However, the symptoms of coughing were obviously aggravated, accompanied by mild dyspnea, and he could not lie down.The patient rushed to the local county hospital and had a chest CT examination, which indeed revealed mild pneumonia and no abnormalities in the electrocardiogram. The doctor suggested that she go to the clinic to continue taking medication.

"There is no mistake in the diagnosis. It may be that the time of medication is still short and the inflammation has not been controlled." The doctor at the county hospital told her, "Take another two days and see."

The patient stayed up all night due to a severe cough, and went to the clinic for an infusion early the next morning. The doctor in the clinic was endorsed by the doctor at the county hospital, and his confidence was greatly increased. He quickly prescribed clindamycin and Qingkailing to the patient.

Half an hour later, the patient's dyspnea symptoms worsened significantly. Her husband was very worried and took her directly to the Provincial People's Hospital for treatment.

The patient was acutely ill, with obvious wheezing, normal body temperature, fast respiratory rate of 35 times/min, normal blood pressure, and oxygen saturation of 95% under oxygen inhalation.

Gao Feng carefully looked at the patient's blood draw results. The blood picture was on the high side, the inflammatory indicators C-reactive protein and procalcitonin were both above normal values, the blood gas analysis showed no abnormalities, and there were no obvious abnormalities in liver and kidney function and cardiac enzymes.

The cardiac color Doppler ultrasound also showed that there was only a small amount of tricuspid valve regurgitation, which would not cause chest tightness.

Combined with chest CT, the diagnosis of pneumonia is not wrong, but pneumonia obviously cannot explain the patient's current condition.

He picked up the stethoscope and listened. The patient's left lung could hear crackles, the heart rate was normal, there were no abnormal pathological murmurs, the abdomen was soft, no tenderness and rebound tenderness, and bowel sounds were normal.

"At first I thought it was a drug allergy." Dong Qianqian said, "But after taking methylprednisolone and doxofylline, her symptoms still haven't been relieved."

Methylprednisolone sodium succinate is a type of glucocorticoid and is widely used in drug allergies, bronchial asthma, COPD, rheumatic diseases, etc.

Doxofylline belongs to xanthine derivatives and is mainly used for bronchial asthma, asthmatic chronic bronchitis and other dyspnea caused by bronchospasm.

Gao Feng also felt very strange, the test result was obviously mild pneumonia, why did the patient wheeze so much?
"The Bourne Bourne: Sang Hui is in a panic right now. The sudden dyspnea makes her a little confused. Please help her make a clear diagnosis in time. You can get 20 skill points for completing the task, and 50 skill points will be deducted if you fail." The system jumped at this time. come out.

Gao Feng was determined. It seems that the diagnosis is not uncommon, otherwise the punishment would not be so severe.He has already grasped some of the rules of the system. For common diseases, especially those related to the respiratory system, more skill points are generally deducted for mission failure.

He thought for a while and felt he had some direction.

The patient had no symptoms of dyspnea before, but the discomfort only appeared after the infusion of clindamycin and Qingkailing injection in the clinic.

Moist rales can be heard in the left lung of the patient, but the inflammation site on the chest CT is in the lower right lung, and the inflammation range is very small.

"Do you have the doctor's phone number?" Gao Feng asked.

"Did there be wet rales in the lungs at that time?" The doctor at the clinic was confused, "I don't know, I didn't listen carefully." He was holding a stethoscope as a show at the time, and patients liked him like this.

"I didn't listen either." The doctor from the county hospital said on the phone, "Auscultation is not as good as CT."

high wind
　Asking for a monthly ticket, the end of the month, very urgent.

　　
　
(End of this chapter)