This doctor has a system

Chapter 330 401. No matter how small a mosquito is, it is still meat! do not you know?

“Are their factory prices low?”

"The current price is 600 yuan per piece. If you want to buy in large quantities, the price can be negotiated." The marketing manager replied.

"600 yuan?" Shama Piris was stunned. "Fuck! Fuck!"

"What are they doing? This behavior is simply deliberately destroying the market!"

"This is obviously malicious and unfair competition!"

"I finally understand why foreigners don't like you Chinese people. Everyone is eating in the same pot, and some of you just stood up and took the pot away!"

"Shameless!"

The marketing manager felt embarrassed after hearing his words, but wanted to laugh a little.

"Mr. Piris, don't be angry, this test kit is not our main business anyway." He advised, "This is only a small part of our income."

"Do you understand?" Shama Piris looked at him dissatisfied and said, "There is an old saying in China that no matter how small a mosquito is, it is still meat! Don't you know?"

Okay, you can do whatever you want. I didn't say anything. The marketing manager quickly shut his mouth.

"Contact the other party and see if we can establish a price alliance together." Shama Piris thought for a while and said, "Everyone comes out to do things, and they must also want to make money. There is no need to engage in such a price war, right?"

"I think it's unrealistic." Someone said, "Their selling prices are lower than our ex-factory prices. It's impossible for us to compete with them in China. As long as the other party is not stupid, they will not form any price alliance with us. "

Killing them directly is obviously the best option.

"Then let's talk to them about patent licensing." Shama Piris soon had a new idea, "Grant us the patent rights except for the Chinese market. It's a big deal that we don't want the Chinese market anymore."

This proposal is quite reliable. The marketing manager’s eyes lit up and he said, yes, if you can’t beat it, then join.

They are doing well in the domestic market, but we can make a huge splash in the foreign market.

After all, Fengxin Technology is just a newly established company, and they will definitely not be able to play with the foreign ecosystem at present. This is the advantage of BiDi Medical, a large multinational medical company.

As the general manager of Fengxin Technology, Zhao Xingye decisively accepted the olive branch offered by BiDi Medical.

"Of course you can authorize it, but we need to have a good discussion about the price." He pulled Manager Jia from the marketing department of BiDi Medical to have a drink.

"They foreigners don't know it, and you, as a Chinese, don't know it? We are a developing country!"

"The scientific research environment is poor. We need money but no money, and we need people and no one. It is not easy to produce results." Zhao Xingye said that he just wanted to wipe his tears when he got emotional, but found that they did not come out, so he had to wipe his mouth.

"Manager Jia, sometimes we have to be consistent with the outside world."

Manager Jia of BiDi Medical first burped and then burped.

"Manager Zhao, although you are right, the price you ask is too high." He bargained, "As you know, this is a relatively niche product, and its annual shipment volume is not large. "

"If you charge the licensing fee, it will be equivalent to our work being in vain."

"Tell me, is this possible? Have you ever seen someone working at their own expense?"

I've seen it before. My boss is spending more than 2000 million on this research at his own expense, Zhao Xingye thought to himself.

"Hahaha." He laughed, "If you ask for a high price, you can pay back the money. This is a fine tradition left by our ancestors. If you think it's too high, Manager Jia, you can also tell us what you think."

Then Manager Jia took advantage of the wine to say a number.

"I see you are kind and kind." Zhao Xingye said speechlessly, "Have you bargained so hard?!"

The two had two more drinks over the next few days and eventually signed a licensing contract.

"Why are you so happy today?" Zhao Xingye's wife felt strange when her husband entered the house with a smile on his face.

He had been looking gloomy some time ago, and when he got home he said that his boss was spending money indiscriminately.

The wife feels very baffled. It is natural for the boss to spend his own company's money and it is none of your business.

"Not only did I not lose money this time, I also made a lot of money." He said to his wife excitedly, "I have considered this issue of foreign markets before, and I was just about to contact several multinational medical companies, but someone approached me directly. Come to the door."

"Now that the contracts have been signed, today is a great harvest! We have to celebrate!"

"Okay." The wife was very happy, "I'm going to take a shower."

"No, you misunderstood." Zhao Xingye felt numb all over, "I meant going out to eat."

"You can eat food, but you have to eat other things too." His wife rolled her eyes at him, "But I'm in a good mood today, you can choose the order."

After thinking about it, Manager Zhao decided to go out to eat first. After all, he is no longer a young man. When he first fell in love, he, Zhao, was a cannibal.

Time is like a butcher's knife, no matter what, it will always cut you something.

At Hannuo Medical, Mr. Ding has fallen into troubles about happiness.

I originally thought it would be a one-time deal, but Fengxin Technology said they would continue production in the future and let them keep the production line.

Fengxin Technology has no choice. After all, it is a small and micro company, and its current business is already large enough. It is impossible for them to build a separate production line for this detection kit in the short term.

Zhao Xingye has recruited a few people to set up a department to take charge of this matter. At present, the main customers of testing kits are still large testing companies, which are relatively simple to maintain. Otherwise, Gao Feng is afraid of trouble, so he would rather This thing was passed on to someone else.

"This is a long-term project." Li Youliang said when reporting to Gao Feng, "Don't be afraid of trouble, we don't have to worry about it anyway."

"This business does not require many people, and the profits earned are not large. Depending on the situation in the future, we can find someone to take responsibility."

"Besides, you don't have a younger sister. She can be stuffed here for some exercise after graduation."

Gao Feng felt that what he said made sense, and it was indeed the case. If the trouble was caused by his subordinates, it would have nothing to do with Gao Feng.

My younger sister, Gao Zhenzhen, has been in college for a few years. With her temperament, she can definitely be troubled, but she definitely can't get involved in the company's main business. It's better to get some of these marginal businesses for her to practice, so she doesn't have to worry about anything going wrong.

Gao Zhenzhen was showing off in class at this time.

"It's too difficult, I didn't remember it at all." She said to the roommate next to her in a slight panic. "Today's exam?" Her roommate was even more confused than she was, "What's going on? Why didn't you notify me in advance? I didn't even bring a pen!"

The middle-aged teacher on the stage had a look of despair. He had clearly warned him repeatedly during the last class that there were too many college students skipping classes now.

"Although this is an elective course, it is also a compulsory subject!" he emphasized, "Stop arguing here and write for me with a pen!"

"Although I am unprepared, after all, I usually come to class on time. We have the foundation." Gao Zhenzhen took a deep breath and said, "No matter what, let's give it a try this time."

"Damn it, how come this elective course has become a compulsory subject?" The roommate was very anxious, "No matter what, let's take a gamble this time."

Since this exam is all multiple-choice questions, the results will be announced on the spot.

Gao Zhenzhen passed the test with 64 points, and her roommate scored 57 points. The make-up test was already a success.

According to the law of conservation of energy, the smile will not disappear, it just moves from the roommate's side to Gao Zhenzhen's face.

"I know that hard study will definitely pay off." Gao Zhenzhen was very happy. In her eyes, a score of 64 is the same as a score of 100. College students who lie flat usually have this virtue.

With a score of 60 in the high school exam, I don’t deserve to eat. I’ll do two more test papers later.

Got a score of 60 in the college exam, passed? ! ! I am simply a genius. I will prepare two portions of braised chicken and rice later!

Although a personal score of 64 is gratifying, my roommate's score of 57 is even more pleasing.

Just as she was taking her half-dead roommate to go out to eat to celebrate, her phone suddenly vibrated. Gao Zhenzhen picked it up and took a look: Your bank card with account number 6XXXXXXXXXXXX has received 50000 yuan, and the current balance is 88003.5 yuan.

I can’t spend it all, I can’t spend it all! Gao Zhenzhen immediately fell into the trouble of happiness.

The Department of General Medicine admitted a rather special middle-aged male patient.

It's special because the patient was transferred from the dermatology department.

The patient was 34 years old. He went to the dermatology department with the main complaint of "body rash for 5 days and low back pain for half a day." He was treated there for 5 days, but the condition did not improve, so he was transferred to a general practice.

"Isn't it appropriate to treat patients with us?" Bu Zhengyang was quite puzzled. Although they are general practitioners, they rarely treat allergic diseases like this.

The patient developed papules on the trunk and neck 5 days ago, with a diameter of about 3-5 mm, similar in color to the surrounding skin, accompanied by itching, and gradually developed to the whole body; accompanied by unformed stools, increased frequency, 3-5 times/day, and denied melena.

Checked at the outpatient clinic: IgE quantitative 2000IU/mL, allergic to house dust mites, dust mites, and dog dander. No improvement was seen after anti-allergic treatment with fexofenadine hydrochloride and compound glycyrrhizin.

I had sudden low back pain half a day ago, which gradually worsened, without nausea, vomiting, fever, or diarrhea.

刚查了血常规提示：白细胞计数 19.3x10^9/L，嗜酸粒百分数 64.2%，嗜酸粒细胞绝对数 12.39x10^9/L；

CT plain scan: thickening of the rectal wall with peripheral exudation; blurred mesentery; fuzzy omentum exudation in the right upper abdominal wall, a small amount of exudation on the dorsal side of the left kidney; a small amount of ascites, possibly peritonitis; a small amount of pleural effusion on the left side.

The patient looked helpless at the moment, and his back hurt so much that he couldn't straighten up.

"The eosinophils are so high?" Gao Feng happened to be in the department, and this patient caught his attention. "Isn't it eosinophilic gastroenteritis?"

Bu Zhengyang inquired carefully and found out that the patient was in good health and had a long history of vomiting, 20 cigarettes/day for 12 years; he drank moderately, often drinking liquor, 150ml/day for 15 years.

His vital signs are currently stable. She was clear and clear, with scratches and scabs visible on her skin, no fresh rash, no cyanosis on her lips, no palpable enlargement of superficial lymph nodes throughout her body, no murmurs in her heart rate, clear respiratory sounds in both lungs, and no wet or dry rales.

The abdomen was flat and soft, with no abdominal tenderness, no abdominal mass, the liver and spleen were not under the ribs, negative Murphy's sign, negative shifting dullness, normal bowel sounds, and no edema in both lower limbs.

"Do you smoke so much?"

"I've quit smoking. I haven't smoked since having my daughter." The patient said with a smile. It seemed that he liked his daughter very much.

Gao Feng conducted a careful physical examination of the patient and found no valuable signs.

"Let me complete the examination on him first." Bu Zhengyang said.

"Yeah." Gao Feng was noncommittal, but he always felt that the patient's condition was a bit strange.

According to the patient's confession, he had never had a rash all over his body in the past, he did not have pets at home, and he did not eat any special or unclean food during the period before the onset of the disease.

There is absolutely no trigger for the onset of the disease, which is a situation that doctors least like to see.

In addition, a significant increase in eosinophils is also an obvious abnormality.

First of all, normal mature white blood cells in the human body are divided into five categories, mainly including neutrophils, eosinophils, basophils, lymphocytes and monocytes.

Eosinophils are a component of white blood cells. Like other granulocytes, they are derived from hematopoietic stem cells in the bone marrow. They have the function of killing bacteria and parasites, and are also an extremely important substance in the process of immune responses and allergic reactions.

Therefore, high eosinophils are mostly seen in some allergic diseases, such as bronchial asthma, urticaria, drug allergies, and Henoch-Schonlein purpura.

The second is parasitic infections, such as schistosomiasis, ascariasis and hookworm.

The third is the case of certain skin diseases, such as eczema, exfoliative dermatitis, pemphigus and psoriasis.

The fourth is certain blood system diseases, such as chronic myeloid leukemia, multiple myeloma, eosinophilic leukemia, lymphoma and eosinophilic granuloma. Even some malignant tumors are accompanied by an increase in eosinophils.

Based on the patient's current condition, many diseases can be ruled out, such as bronchial asthma. He did not hear wheezing in his lungs and had no clinical manifestations of asthma.

Drug allergy is obviously not related, and the patient had no history of taking drugs before the onset of the disease.

As for urticaria, eczema, exfoliative dermatitis, pemphigus and psoriasis, it is not the same. After all, a preliminary investigation has been carried out at the dermatology department and anti-allergic drugs have been used for several days. If it is the above-mentioned diseases, before The medicine should be able to control the situation or partially improve it.

Parasitic infection does not seem to be considered much. The patient usually lives a regular diet. He has not been out of Z state in the past six months and has no hobby of eating sashimi or other raw foods.

Bu Zhengyang thought for a while and decided to focus the examination on diseases of the blood system and immune system.

Gao Feng initially considered this too.

However, the results of the examination disappointed everyone. There were no abnormalities in the bone marrow routine + biopsy + chromosome + MPN gene. There were no obvious abnormalities in the antinuclear antibody spectrum, autoimmune liver series, and rheumatoid factor.

However, there are several abnormalities in immunoglobulins: IgA 2.04g/L, IgG 15.5g/L↑, IgM 7.87g/L↑, and IgG4>490g/L↑, but this does not indicate the specific disease.

"Is there anything wrong with chest and abdominal CT?" Gao Feng asked.

(End of this chapter)