This doctor has a system

Chapter 405 470. I am still pure and pure, right?

"Yes, the patient doesn't seem to have any symptoms of tuberculosis, right?" someone said.

Zhou Feng did not have the typical symptoms of tuberculosis such as low-grade fever in the afternoon and night sweats.

After listening to everyone talking so much, Gao Feng felt dizzy. Overall, he didn't gain much.

During previous medical visits, some doctors also considered the possibility of bone tuberculosis, but no evidence was found. Zhou Feng once took anti-tuberculosis drugs experimentally for a month, but there was no sign of improvement.

Moreover, when he took oral anti-tuberculosis drugs, he suffered severe liver function damage, so other doctors did not allow him to continue anti-tuberculosis treatment.

Gao Feng was very hesitant because he also felt that there was a high possibility of bone tuberculosis at the moment.

"Can you do a biopsy?" He communicated with the orthopedic doctor, "Cut off a piece of this bone."

"Is this appropriate?" The orthopedic doctor was stunned for a moment.

"What's inappropriate about this?" Gao Feng glanced at him doubtfully, "I talked to the family and they agreed."

"I changed my mind. Now it's still double the price." He said, "I'll give you the extra double price."

"Brother, I will stop accepting specimens now and have them put on the machine when I get back." The young man changed his mind quickly, "I will notify you as soon as I have the results!"

“And it’s certainly unrealistic to have a dedicated person responsible for it, but don’t worry, we will ensure the accuracy of the results.”

"No problem." Li Youliang picked up the specimen and left.

"The main ones are tuberculosis and tumors. Check in these two directions." He told Li Youliang, "Communicate well with the inspection company and ask them to appoint a dedicated person to be responsible and do it more carefully."

In fact, Zhou Feng had done a bone biopsy before. He did a bone marrow puncture at that time, and the result was negative, so Gao Feng thought about asking an orthopedic surgeon to do a large bone biopsy.

In short, in one sentence: it’s very troublesome and costs a lot of money.

After discussion, Gao Feng decided to start from the lesion on Zhou Feng's lumbar spine and remove a complete piece of bone.

"It's not about money."

Hey, this guy is quite principled. Li Youliang glanced at him sideways.

"This is inappropriate! Brother!" The young man collecting the specimens was stunned.

This discovery made Gao Feng very excited, which showed that the diagnosis of bone tuberculosis was established.

This is why he communicated with the patient’s family about bone biopsy.

"No, it's really not about money. Our laboratory is very busy and we have manpower."

Li Youliang also raised his hands in approval, which surprised Gao Feng.

But the diagnosis was finally made clear, and the patient's parents were quite happy. They only had one child, Zhou Feng, and their son was everything to them.

Despite donations from caring companies, the high cost of several surgeries was still unbearable for Zhou Feng's parents. Fortunately, after his condition stabilized, he only needed to take medication and rehabilitation on time, which was particularly good news for them.

"I have to take special responsibility, and I have to get the results as soon as possible." Li Youliang said, "I will pay double the price."

For patients like Zhou Feng who have been ill for a long time, anti-tuberculosis drugs can be injected locally to increase the drug concentration to kill the Mycobacterium tuberculosis bacilli. After you are in better health, you can also undergo surgical osteotomy to correct deformity, arthroplasty to improve joint function, spinal internal fixation to enhance spinal stability, etc.

Because Gao Feng has checked everything he could think of on the patient in the past few days, but unfortunately he didn't find any valuable information.

"If you need anything, please ask." He gave Gao Feng a business card.

"Do it well for me. If anything goes wrong, I can take care of you." Li Youliang gave the other party a tap to prevent him from going back to do any tricks.

Again, in this world, money can solve 80% of things, as long as you grasp the key points.

But here comes the problem. The patient had received anti-tuberculosis treatment before, but no obvious effect was seen at the beginning. How should this be explained?
"It should be that the course of treatment is too short." A director of the Department of Infectious Diseases thought about it and said, "The treatment cycle for bone tuberculosis is long and the onset of effect is slow."

Chu Yuxun felt that what she was doing here was not very satisfactory.

Soon, the test results came out. Human Mycobacterium tuberculosis was found in Zhou Feng's bone specimens.

After spending so long in the capital, Gao Feng was tired of staying around. He talked to Academician Bao and decided to go back to Z State to stay for a while.

During this period, the male patient introduced by Academician Bao also successfully underwent CAR-T treatment, and the subsequent test results made him very satisfied.

"Follow me back." Li Youliang said with a smile, "She will resign next month and is going through the process now."

"What about your girlfriend?"

"I'm too good, so everyone doesn't like me very much." She said to Li Youliang, "As the old saying goes, anything good in the forest will be destroyed by the wind."

The removed bones were divided into two parts, one part was sent to the pathology department, and the other part was sent to Gao Feng.

"No way, our company has always been very strict about quality control." The young man quickly assured, "Besides, you have a younger brother here to watch over you."

If the cause is still not found, it may not be easy to deal with next time.

After regular anti-tuberculosis treatment, Zhou Feng's condition improved significantly. The first thing he felt was the pain all over his body. Subsequently, he underwent spinal internal fixation and was able to walk slowly with crutches on his own.

Zhou Feng was pushed into the operating room early the next morning. This operation was relatively simple for the orthopedic surgeon. It only took more than half an hour for him to be sent to the recovery room.

"Three times the price, hurry up and do it!"

"Is your request too high?" The young man who came to collect the specimens from the inspection company looked embarrassed.

"Well, there are too many capable people in the capital, so I can't give you any guarantee." The patient said to Gao Feng before leaving the hospital, "But I can still get involved in some aspects."

Results as soon as possible? Is there a dedicated person in charge?
"We treat every specimen equally." He said to Li Youliang sternly, "The order in which the results are issued must be based on the order of submission time."

"I think it has something to do with our low emotional intelligence." Li Youliang replied with a smile.

"What do you mean?" Chu Yuxun looked at him dissatisfied, "We are in the same group now. Can you agree with me when you speak?"

"Definitely next time." Li Youliang said quickly.

Director Qiang was very puzzled by his niece's resignation.

"Don't you know how difficult it is for you to come in?"

"I don't know. Isn't it easy for me to come in?" Chu Yuxun.

Director Qiang

That's why I have wasted so many things to keep in touch with others. Director Qiang thought to himself, my niece is very good, but there are so many good people, so why should it be you.

"Is it easy for you to find a job there?" he asked worriedly.

"It's easy to find. Youliang has arranged everything for me." Chu Yuxun said.

After all, she was born in Xhe, and her resume was also very good-looking. Even if no one applied for it, entering the provincial hospital would be a piece of cake for Zhang Fei.

"I think your decision is wrong." Director Qiang thought for a moment and said, "You haven't confirmed your relationship yet, how can you go back to your hometown with someone?"

"It's very inappropriate!"

"The relationship has been established." Chu Yuxun's face turned a little red when she said this.

"Eh?" Director Qiang gave her a disgusted look, "How long has it been since they got together?"

"This Xiao Li is very capable!"

Chu Yuxun didn't know what to say. In fact, she took the initiative.

That night, the two of them went to dinner and a movie together. It was already 11: when they came back, and she had forgotten her key in the department. It really wasn't intentional, she's not that kind of person.

"It's not far, it's quick to take a taxi." Li Youliang said and took her downstairs. Going to the hospital went smoothly, but she couldn't get a taxi when she came back.

The taxis on the roadside are very magical. Either there are passengers in them, or they don't stop at all.

The two waited for more than 10 minutes to no avail.

"How about I go sleep at your place for the night." Chu Yuxun said. Li Youliang lives next to Xiehe, a few minutes' walk away.

Of course this is possible, Li Youliang picked her up and left.

The two simply washed themselves up and then lay on the bed. Chu Yuxun was still a little nervous at the time, and to be honest, she felt a little regretful.

This guy doesn't think I'm a casual person, right? Are you going to do something to me?

Li Youliang obviously didn't have such thoughts. He learned from the side that Chu Yuxun had always been single.

After waiting for more than 10 minutes, Chu Yuxun couldn't lie still because the person next to him really didn't move at all.

This makes her very unacceptable. A woman's mind is very complicated. Sometimes she is afraid that you will mess around, and she is even more afraid that you will not come.

"Are you sleepy?" she asked.

"It's okay." Li Youliang was sleepy, but a little unable to sleep and excited.

He had never slept in the same bed with such a young and beautiful girl since he was a child. He smelled the fragrance of Chu Yuxun and felt a little distracted, but he didn't dare to do anything.

In a word - without experience, I don’t know how to start.

When Chu Yunxun was talking to him, there were two villains fighting in his heart.

"Touch her!" said the little black figure.

"No, we are gentlemen." The little white man said.

"You listen to me, just go up and touch her or kiss her." The little black man said.

"Calm down, she can't run away. She will definitely be our food in the future. The time is not ripe yet." The white villain said.

Then the two villains started fighting in their minds.

Just when the white villain was about to be beaten to death, Chu Yunxun spoke again.

"Don't you like me?" she asked, "Why are you lying there without moving?"

Li Youliang was stunned for a moment, then sat up.

"Then I move?"

Soon there was a blushing sound in the room, and it became quiet again after 2 minutes.

"Is it over?" Chu Yunxun looked at Li Youliang blankly and said, "You"

"You're pretty quick at work."

Li Youliang blushed on the spot.

"No, it was my first time and I couldn't control it." He quickly explained, "Wait a moment, let me slow down."

"Soon." He emphasized.

"Actually, I'm not in a hurry. If it doesn't work, forget it." Chu Yunxun said insincerely, her heart was very complicated.

It was also her first time.

But there was no blood just now
What is this?

Theoretically speaking, I am still innocent, right?
Fortunately, Li Youliang adjusted quickly and became obviously normal this time.

Chu Yuxun finally breathed a sigh of relief. It was really fatal just now.

The two struggled four times in one night, and both parties were very satisfied with each other.

Love may be complex or simple, but it is actually just something between a man and a woman.

If that aspect is very harmonious, then as long as the two of them encounter any major changes, there will generally be no major problems.

But if there is no lubrication in this regard, there is a high probability that conflicts will arise in the future.

Seeing his niece make a decision, Director Qiang had no choice. He had already communicated with Chu Yunxun's parents, who also had nothing to do with their daughter.

"When you marry a chicken, follow the chicken. When you marry a dog, follow the dog."

The weather in Z state is similar to that in Beijing, and the dust is just as heavy.

Gao Feng came back and stayed for a few days and felt that his whole body had relaxed a lot. People still feel comfortable living in their own familiar places.

The Department of General Medicine is currently running smoothly, the department is full, and its development is booming.

He went to the department and checked around the rooms. Overall, the patients were relatively stable, and people who were not under him did not dare to admit too many seriously ill patients.

Besides, there are so many medical departments in the province, and serious patients can be admitted anywhere, and they don’t show up as general medical departments.

"Director Gao, you're back." Dong Qianqian came over, "I thought you were too happy to be in the capital."

"Why don't you miss Shu?" Gao Feng said to her with a smile, "It's quite busy over there."

"I know, you are amazing." Dong Qianqian looked at him with admiration, "The CAR-T treatment has become popular abroad recently, and I also saw your article in Nature."

"It's not bad." Gao Feng smiled. Anyway, it felt good to be complimented.

This is also where he feels that Provincial Medical University is better than X. People here praise people more directly, while X and others tend to be more reserved.

"how are you doing recently?"

"I'll pay it back. Work is just like that." Dong Qianqian quickly replied, "That's it."

"Tell me, what's going on between us?" Gao Feng motioned for her to sit down.

"Sister Huizhen has had some problems recently." Dong Qianqian said to him, "She was beaten by the patient's family a few days ago."

"What?" Gao Feng was stunned. As far as he knew, Li Huizhen was a very patient and careful doctor who communicated well between doctors and patients. It was very rare that she also had a certain degree of sympathy.

How could he be beaten by his family members?

"Please tell me in detail what happened." Gao Feng motioned for her to continue. Strictly speaking, Li Huizhen was still his teacher.

The cause of the matter is simple, that is, the patient died.

He is a 48-year-old male patient with lung adenocarcinoma. He was previously diagnosed at the local central hospital.

Since it was a tumor and he was relatively young, his family took it very seriously and came to the provincial hospital specially.

The patient had pleural effusion, so Li Huizhen put a chest tube in him to drain the fluid, and at the same time, he took tumor tissue for genetic testing.

While waiting for the genetic test results, the patient also underwent chemotherapy. The regimen was pemetrexed disodium + cisplatin, which is also the most commonly used first-line chemotherapy regimen for lung adenocarcinoma.

(End of this chapter)