This doctor has a system

Chapter 241 229. Kala-azar

"Then you have to hurry up. The child is in terrible pain and his life is at stake." The eldest sister said.

"I know, you go ahead." Wang Shi'e nodded.

Ma Liang on the side was dumbfounded, "Shi'e, what are you talking about? What kid, isn't it a dog?"

"The dog is the eldest sister's child." Wang Shi'e explained, "The dog has feelings after being raised for a long time."

"Are you really going to perform surgery on a dog?" Ma Liang asked next.

"Part-time job, didn't I buy a house recently? It's a bit stressful."

"Then we can't perform surgery on dogs?" Wang Liang was still emotionally unable to accept it.

We are doctors in a large tertiary hospital, and you work part-time at a pet clinic?Are you still shameless?

"You know a lot about der." Wang Shi'e said, "It's more profitable to perform surgeries on pets than on people. Just for the eldest sister's dog, I finished it in more than 20 minutes."

"The operation fee was 5000 yuan, and I got 3000 yuan."

"The key is there is no risk yet."

"Did you know that the emergency registration fee at the pet hospital is 500 at night?"

"If it weren't for the establishment here, I would really want to resign. I can make much more money part-time than in the hospital."

His words shocked Dr. Ma Liang, "What the hell, a dog's life is more valuable than a human's life. What a world."

Wang Shi'e turned around and called the owner of the pet shop, "Old Huang, are you mentally ill? Who asked the eldest sister to come to the hospital to find me?"

"The impact is very bad, do you know?"

"I was wronged." Boss Huang of the pet shop yelled, "She went there by herself. She said that she had seen you in the emergency room before and that you had given her husband stitches."

"is it?"

"It's absolutely true. If you don't believe it, you can ask eldest sister yourself later."

Ma Liang was a little distracted while eating. For the first time, he had doubts about his professional value.

"You probably won't be able to make a lot of money as a doctor unless you become the director of a department." Li Youliang said, "There's nothing you can do about it. Ordinary people don't like to see rich doctors."

"No, you can go to my company and work in pharmaceuticals with Jiaran. You have a master's degree, so you must have good skills." Gao Feng comforted, "It's much better than working in a hospital."

"Forget it." Ma Liang thought for a long time, "Our director thinks highly of me. Maybe one day I will be his successor."

Looking at this situation, Dr. Ma Liang was fully fed by the pie drawn by Dong Zhida, the director of the emergency department.

Several people had a good drink, during which Hu Jiaran talked about the laboratory, and Li Youliang was very dissatisfied with the distribution company.

"It's too much. This company has made a lot of profits from us. How could they have the courage to do this?"

To be honest, Gao Feng couldn't figure it out. These raw materials were not particularly valuable. The price they purchased was much higher than the market price. If this distribution company could continue to operate, it would be an exaggeration to say that it would make a lot of money. , but there must be a net profit of more than 100 million yuan in a year.

There is absolutely no technical content in this matter. You only need to control the standards when purchasing, and you can easily get more than 100 million a year. This is what most people want to do.

This delivery company is having a blast.

"If you can't, leave this job to your own people." Gao Feng picked up a piece of chicken. The local chicken in this restaurant is very tender and doesn't have that earthy smell. It has a special fragrance in the mouth and is full of juice. It overflows and tastes delicious.

"To whom?" Li Youliang asked.

"Is your brother okay?"

"He can't do it. His academic qualifications are there. He can't do this kind of work." Li Youliang was a little regretful. This job seemed very simple, but it involved the proportioning and transportation of some professional experimental raw materials, which required a certain amount of professional knowledge. Li Zhengcai graduated from junior high school and could only do some rough work.

"Give it to Qi Nannan." Hu Jiaran said.

"That little guy?" Li Youliang looked at Hu Jiaran with a strange look. You kid is so good at this.

"What do you mean?" Hu Jiaran couldn't resist his gaze, "Even though he is short and fat, he is a very reliable person. As long as he can make money, he is very active."

"Is that okay? The business is simple, but you must register a company." Gao Feng said, "As a girl who has just entered society, how can she do it?"

"What I mean is that in the future, our company's purchasing department will handle the materials aspect. Manager Zhao has said this before." Hu Jiaran explained, "But we can let Qi Nannan handle the laboratory aspect."

This sounded more reliable, so Gao Feng asked Hu Jiaran to communicate with Zhao Xingye and deal with the matter as soon as possible to avoid delaying the progress of the experiment.

Zhao Xingye was very concerned about this matter. Hu Jiaran had previously signed an agreement with the distribution company himself. He complained about it, but he couldn't get angry.Because the company's internal regulations were not yet complete at that time, he could not spare any time to deal with this matter.

Now that all departments are relatively complete, the people below have to get them moving. It's not enough to just get paid and not work.

Doing it yourself saves much more money than outsourcing. These are costs that can be avoided. Manager Zhao is very concerned about this.

As for Qi Nannan being responsible for connecting with the laboratory, he didn't have any objections. A little fat girl with no wealth, she just thought it was to ease the relationship between him and Hu Jiaran.

"Mr. Hu, how can I repay you?" Qi Nannan smiled in front of Hu Jiaran, but her waist was inexplicably soft and she couldn't stand straight.

"You seem to have nothing to repay me with." Hu Jiaran thought for a moment, "If not, just kowtow to me."

"Is it that simple?" Qi Nannan suddenly felt relieved, "Mr. Hu, I'll give you ten kowtows!"

"That's enough!" Hu Jiaran kicked her out. At such a young age, she gave up her integrity just for money. It was so heartbreaking.
-
“Because there are so many auxiliary gadgets developed now.”

"But as the saying goes, men and women are not tired when working together, and you can get twice the result with half the effort by competing with the opposite sex."

"Furthermore, playing basketball is a confrontational sport. The opposite sex can help us secrete more dopamine, making confrontation more pleasurable."

"After all, everyone has the power to make their own choices, and this is also the freedom granted to every citizen by the law."

"As long as you can get what you want in the process, there is nothing wrong with it." "But I suggest that you try to maintain a dominant position as the offensive side with the ball, so that even if you speak out, you will not be criticized and it will be more respectable. .”

Hu Jiaran, who just came in, heard everything. He finally understood the meaning of playing ball today.

Damn it, these bitches don’t call me every time they say this!

He quickly found a seat and sat down.

In fact, most men are very pure and only want three things in their lives: 1. Make money, 2. Drink with their buddies, 3. This woman is so beautiful.

Some readers belong to a minority, and they have slightly different ideas: 1. This woman is so beautiful, 2. Have a drink with her, 3. Let her earn some money.

nice!
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Provincial Medical Respiratory Ward

This is a thin male patient with a sallow complexion, listlessness, and a low voice.

"I have been having a fever for a month." The family members also felt a little weak. "We have been to several hospitals, but they can't be cured."

Zhou Gaojin originally had a good life. He was a staff member of the local science and technology bureau, and he was very good at fishing all day long. At the age of 35, he already had a big beer belly.

How to say that sentence: The villain originally lived on the edge of the city in Z state, with a house and fields at home, and a life of endless joy. Who knew that the disease was so insidious, and knowing this situation, he actually came to plot against it.
"I lost 1 kilograms in one month." Zhou Gaojin said sickly, his beer belly almost bulging.

Forced to lose weight successfully.

Starting from January ago, Zhou Gaojin began to have symptoms of fever.At first he thought he had a cold, so he insisted on drinking more hot water, resting and taking antipyretics.

But it didn't seem to have much effect. The fever persisted, reaching a peak of 39.7°C, and the body temperature was soaring.

Ling Rong thought he had the flu, so he was tested for influenza A and B, and the results showed no abnormalities.Then he did blood culture and other screening for various viruses and bacteria, and the results were all negative.

During this period, his family members accompanied him to many hospitals and underwent blood tests, enhanced CT, color ultrasound and other examinations. The doctor also used antibiotics for him, but he still had a persistent high fever, and the cause of the disease has never been found.

"I didn't believe that a fever could burn people to death before, but this time I believe it a little bit." Zhou Gaojin was submissive after being treated by an unknown disease.

"Weird fever: Zhou Gaojin has been having fever for a month. His body has been hollowed out. It's time to save him. You can get 1 skill points for completing the task, and 20 skill points will be deducted for failure." The system released the task.

"Where are the previous test results? Let me take a look." Gao Feng said.

Family members came over holding a thick stack of information.

"So many?" Dong Qianqian expressed surprise.

"Every time I go to a new hospital, I have to check it again." Zhou Gaojin said with a wry smile, "The blood test makes me want to die."

Gao Feng and Dong Qianqian looked at all the inspection indicators and found no clue.

The patient's C-reactive protein was slightly elevated, and the blood routine showed no abnormalities. The liver function test showed that the transaminase was slightly above the normal value, and everything else was within the normal range.

The last blood test showed that Zhou Gaojin's total protein and albumin were slightly low, indicating that his recent nutritional status was not good.

This is normal. He used to go out and have a drink with friends, but now he has a fever every day and has no appetite at all.

"It doesn't feel like an ordinary infection," Dong Qianqian said.

This is a standard nonsense. If it were an ordinary infection, Zhou Gaojin would not come to the Provincial People's Hospital.

"He has taken several antibiotics. If it is a bacterial infection, there is no reason why it cannot be controlled." Gao Feng held his chin and said, "It may be a fever caused by a special pathogen."

"Then what to do next?" Dong Qianqian asked.

"Check the second-generation metagenomic sequencing." Gao Feng said. The patient's condition is quite bad. If it continues, he may have other problems.

Metagenomic next-generation sequencing is a high-throughput sequencing technology for the DNA content of pathogenic bacteria. It can accurately diagnose pathogenic microorganisms and detect rare pathogenic pathogens in special flora and difficult cases. It has the advantages of high speed and can be used in Reliable conclusions can be drawn within 24-48 hours.

"It's a bit expensive." Dong Qianqian told Zhou Gaojin.

"How expensive is it?"

"If you check everything, it will cost more than 1."

"Check, check it for me quickly!" Zhou Gaojin was very positive. He had no choice but to bear the fever. He was the only son in their family. If he died, the family would be gone.

"Let me tell you first, this inspection is not omnipotent." Dong Qianqian vaccinated him in advance. "If the problem cannot be found, then we have to change the direction and check again."

"You doctors just like to say depressing words." The family members were slightly dissatisfied, "You can't hope for good things."

"No, that's what I mean." Dong Qianqian explained, "Medicine is more complicated. I can't give you too high expectations, otherwise it will be easy for you to argue in the future."

Some patients spend a lot of money without finding out the problem, and tend to vent their anger on the doctor in charge. Dong Qianqian has experienced this before, and now she speaks and acts much more calmly.

However, Zhou Gaojin was obviously lucky. The day after receiving the test, the sequencing results showed that Leishmania was present in his peripheral blood.

This is a small species of flagellate that commonly infects wild animals, domestic dogs, and humans.

Leishmania can be divided into two stages: promastigote and amastigote. The former parasitizes in the digestive tract of sand flies, and the latter parasitizes in the mononuclear macrophages of humans and vertebrates.It is transmitted through the blood-sucking sandflies and causes leishmaniasis, causing fever, anemia, splenomegaly, and nosebleeds in infected people.

There are four main types of Leishmania that can cause human diseases, namely Leishmania donovani, Leishmania tropicalis, Leishmania mexicana, and Leishmania braziliensis.

With the results of metagenomic second-generation sequencing, the next diagnosis will have a clear direction.After careful search by the pathology department, laboratory department and microbiology laboratory, Lidu bodies were finally found in the bone marrow.

Zhou Gaojin was diagnosed with "Kala-azar".

Kala-azar, also known as visceral leishmaniasis, is transmitted through sandfly bites. Its main clinical features are long-term irregular fever, enlargement of the spleen and liver, anemia, weight loss, and increased pancytopenia.

In addition, skin pigmentation may occur on the face, hands, feet, and abdomen.Kala-azar is named after the fever and skin pigmentation.The disease has been basically eliminated in my country's main endemic areas. In 2019, the incidence rate of kala-azar in China was only 0.0108/10.

　It's too late to update. Sorry, my family members are having a fever recently and they are also drunk.

　　
　
(End of this chapter)