This doctor has a system

Chapter 463 526. You can’t do this!
"As you know, China is a developing country." Li Youliang said, "It is very, very difficult for our company."

"What do you mean?" Marion Ian had an ominous premonition, why would this sell so badly?

"You have to pay more." Li Youliang said.

"Mr. Li, this is not appropriate." Marion Ian was slightly dissatisfied. "Based on the previous contract, we have cooperated very happily. How can the price suddenly increase at this time?"

"It's not sudden." Li Youliang said with a smile, "We have communicated with your company before."

But at that time, it was still a long time before the contract expired, so it was basically just a small tease.

"The price can't go up anymore, the profit is actually very low." Marion Ian said solemnly, "The company only sells so many test kits, and the profit is not enough to pay the staff."

"You are really kidding." Li Youliang took out his computer, opened Becton Dickinson's homepage in front of him, and then clicked on the business column.

"Look, the price is written on it."

"Hahaha" Marion Ian laughed awkwardly, "This data is not true, it is all written in vain, not that much is true"

What nonsense. If the project doesn't make money, this guy will never take the initiative to contact him. Li Youliang doesn't believe what he says. These foreigners have more eyes than his toes.

"It's easy to talk." Li Youliang hugged the other party and said, "Mr. Ian, please help me organize the academic exchange activities. This is very important."

Marion Ian was silent, he was shocked by the other party's unprofessionalism.

Damn it, I saw the wrong person, Li Youliang was very embarrassed.

"You know, we have to create some confidence among investors from time to time."

"That's a pity. BD will re-evaluate the need to cooperate with you." Marion Ian said.

Aren’t the bottom lines drawn out little by little and tested?
He has already found a more professional negotiation team and is waiting for a big fight.

"That's outrageous!" Marion Ian shouted immediately, "You can't do this!"

"I see that your company has also developed new detection reagents and kits for other uses based on the detection principles authorized by us. It seems that it will make another huge sum of money!"

Then, with Li Youliang's stunned expression, he raised a finger.

Marion Ian only felt that there were thousands of horses galloping, and the bottom line the company gave him was 1000 million. Since the other party offered 700 million, it stands to reason that the task was completed perfectly.

He winked at the other person.

The latter made an OK gesture, which was very Chinese-style.

"Go on." Marion Ian did not argue.

"Mr. Ian, I regret it. I want 800 million US dollars a year!"

"No..." Marion Ian said, "These news are all written by those people sitting in the office."

"How about we each talk about our bottom line and then average it out?" Li Youliang suggested, "This saves the most time."

Li Youliang described what happened, and Gao Feng was a little worried.

But I always feel a little uncomfortable.

"Mr. Ian, I'm busy and I don't want to play tricks with you here." Li Youliang saw that the other party was still sitting here drinking tea after making harsh words. He immediately knew that this person was just bluffing.

"You're right," Marion Ian agreed.

"Mr. Ian, what are you still hesitating about?" Li Youliang asked strangely. The foreigner's face across from him turned white and green, and he didn't know what he was thinking.

"This is impossible! How could you go back on your word!" Mr. Marion Ian was very angry. "Chinese people have always been about trustworthiness. Please don't smear your image in my heart."

"The $100 million price increase is of great use. After all, signing a contract consumes a lot of energy." Li Youliang said, "Half of it can be used."

"Do you think it's appropriate?" Li Youliang said, "Have you decided?"

"You must leave it to others. There are still certain risks in such things." He felt that it was not necessary to do this.
"Don't worry, I have contacted Manager Zhao. He will hire a special team in New York to take charge of this matter." Li Youliang dispelled Gao Feng's worries, "Even if something goes wrong with Mr. Ian, it will definitely be solved." It doesn’t involve me.”

"The price must rise. We suffered a big loss before." Li Youliang stared at him and said, "This is the premise for us to continue talking."

"Sorry that BD cannot agree to the high price of 1000 million US dollars per year. I think 900 million US dollars per year is a suitable price!" Mr. Marion Ian said righteously.

"What's inappropriate?" Li Youliang looked at him strangely and said, "Isn't it a good thing for you and me to handle the matter quickly?"

"Although the value generated by this business is not worth mentioning in the face of the huge size of BD Company," Li Youliang said with a smile, "the more profitable businesses, the better."

"How about 800 million US dollars a year?" Li Youliang said.

"you"

"What you said makes perfect sense." Marion Ian agreed.

"Mr. Li's negotiation skills are so superb, I admire him very much." Marion Ian said before leaving, "I hope to cooperate with you in other aspects."

"That's not appropriate," Marion Ian disagreed.

"The price is going to go up anyway." No more pretending, I showed my cards.

How can someone yell at someone to reveal their bottom line when they meet for the first time? Is that still called the bottom line?

"That 700 million cannot be less." Li Youliang followed the path of good deeds.

oh! He understands, this guy wants a kickback.

"I object!" cried Mr. Marion Ian, furious at being so humiliated.

"We might as well be more honest." He said, "We are all workers, so we can go back and do business."

It is even less likely to involve the boss.

It must be said that BD's work efficiency is very high. The academic exchange meeting was held in the largest academic lecture hall of New York Medical College, which can accommodate 500 people at the same time.

"According to what you said, there are three games in total, and the interval between each game is 5 days." Gao Feng said to Professor Needham Burton, "I will focus on the principles, mechanisms, and current results of PD-1. Cut in."

"Well, BD Company invited many famous scholars for you, which saved me a lot of favors." Professor Needham Burton smiled, and he realized that he had underestimated the ability of the young man in front of him.

BD has held similar academic exchanges at New York Medical College before, but the host of that time was extraordinary.

The courtesy that Gao Feng received was much better than last time, which shocked Professor Needham Burton and made him even more delighted.

Who doesn’t like a capable scholar with moneymaking abilities? "Let's go to the hospital today." Professor Needham Burton led Gao Feng to his place of work.

"Professor, you are here." A handsome blond man in a white coat walked up, "There is a patient that you need to take a look at."

"Tori, my junior doctor." Professor Needham Burton introduced to Gao Feng, "This is Professor Gao Feng."

"Hello, Professor Gao Feng." The young man named Torre was stunned for a moment and then hurriedly said hello to Gao Feng.

"You look younger than me," he said.

Gao Feng didn't answer.

The next patient to be seen is a 26-year-old young woman named Austin Mullin, who comes from a small village in New York: Greenwich Village.

Occupation is supermarket salesperson.

Because she became a wife too early and had little activity, her original height of 1 meters made her weigh as much as 7 kilograms.

Austin Mullin's husband also works at the supermarket as a loader. Their lives are stressful and making money is not easy, but they are happy and comfortable.

Although they have been married for two years, the two have always chosen contraception and have not had children.

After eating one day, Mu Lin suddenly developed palpitations and bursts of pain in her right upper abdomen, which became more obvious after activities.

Considering that the food she ate in summer was too complex, she didn't take it too seriously at first and just took some symptomatic medicine.

As a result, the symptoms not only did not subside the next day, but worsened.

She quickly made an appointment with a doctor at a clinic near her home, and luckily, she received a reply the next day. The doctor's physical examination showed tenderness in the right upper abdomen and weakly positive Murphy's sign.

"You just have ordinary cholecystitis. Don't worry too much." The clinic doctor said confidently, "Your symptoms are very typical. I can prescribe you some oral medicine first. Of course, if you are really worried, go for an abdominal CT."

Mu Lin was timid and decided to do an abdominal CT scan.

But she soon gave up the idea. Abdominal CT examination in a private hospital was quite expensive, and she did not purchase medical insurance.

The prices at public hospitals are much lower, but on the phone, the nurse told her that even if she made an appointment now, it would take at least two weeks.

After two weeks, the day lilies would have gone cold, Mulin thought, so she followed the clinic doctor's advice and took oral medication.

But five days later, her symptoms not only did not subside, but she developed paroxysmal coughs.

Just two days ago, Mu Lin suddenly coughed up a mouthful of blood. This startled her husband and he quickly took her to see a doctor again.

"You need to go to the hospital for a check-up," the doctor at the clinic said, "and at least do a chest CT."

Just when Mu Lin and her husband were very anxious, good news came. Mu Lin's brother got an offer from New York Medical College Hospital.

This younger brother has always been the pride of the family, and Mu Lin's financial difficulties are also related to the former. After all, the cost of training a doctor is too high. According to statistics, the average educational debt of American medical school graduates is about $206.

70% of medical school graduates have debt.

But successfully entering the New York Medical College Hospital undoubtedly shows that Mulin's brother's hard life is over. As long as he doesn't make any big mistakes, he can become a wealthy middle class step by step.

After learning about his sister's condition, Mu Lin's brother was very anxious. He suspected that his sister had lung cancer and hurriedly called her to come to the hospital for treatment.

As for the cost, the bank will be responsible for the time being. As a licensed doctor with a formal job, brother Mu Lin is a high-quality loan customer of the bank.

The results of the chest CT came out quickly: left pleural effusion and atelectasis.

This surprised Dr. Torre, who was in charge, because the amount of fluid effusion was relatively large and it was relatively rare for such a young patient.

"The possibility of lung cancer does exist, and of course it may also be the rare tuberculous pleurisy." Dr. Torre said to Mulin's brother, "We need to extract some effusion for testing."

See if you can find tumor cells in it, or if the acid-fast test is positive.

As a doctor with excellent academic performance and professional training, brother Mu Lin obviously knows that this is the best choice at the moment.

"However, about 600 ml of light red pleural effusion was extracted, and the test showed that it was exudate, and no obvious tumor cells were shed." Dr. Torre reported to Professor Needham Burton, "Anti-acid is also negative."

"That's it." Professor Needham Burton looked at the patient's chest CT carefully, "It's quite strange."

Generally speaking, in the absence of a history of trauma, bloody pleural effusion is more common in tumors. Of course, this is not absolute.

"Send it for another examination." Professor Needham Burton suggested. "If it is not found yet, you can consider thoracoscopy."

Finding tumor cells in pleural effusion is inherently a probabilistic matter, and sometimes multiple examinations are needed to gain results.

It's like fishing in a pond. If you cast a net and don't find it, you can't say there are no fish.

But if you cast the net several times and still find nothing, the probability of finding fish is relatively small.

Thoracoscopy is more crude, that is, directly draining the water in the pond, and then rummaging through the mud, so that the possibility of missing fish is even smaller.

"What do you think, Gao?" Professor Needham Burton suddenly remembered that Gao Feng was also a respiratory doctor, and turned around and asked.

"Well, I suggest doing a pulmonary artery CTA." Gao Feng said.

"Pulmonary artery CTA?" Dr. Torre behind him was stunned for a moment.

"Gao, do you suspect pulmonary embolism?" Professor Needham Burton reacted immediately, "Torre, is the patient's D-2 polymer high?"

"A little higher than normal." Dr. Torre replied quickly.

"Then make one." Professor Needham Burton said.

Pulmonary embolism can lead to hemoptysis and bloody pleural effusion. Professor Needham Burton has actually thought of this, but this probability is much lower than lung cancer.

But now that Gao Feng had expressed his opinion, he thought it would be better to check it out.

Under Torre's coordination, the results of Mullin's pulmonary artery CTA came out quickly: bilateral pulmonary embolism!
"This." Professor Needham Burton smacked his lips, "Gao, how did you find out?"

"The density of this area is not uniform. I felt that it should be an embolism." Gao Feng pointed to the previous chest CT film and said, "Of course, after all, it is just a plain scan, so there is no way to give a definite answer."

It is really difficult to identify pulmonary embolism through chest CT scan.

"Your imaging attainments are somewhat beyond my expectation." Professor Needham Burton praised, but he didn't see anything just now.

(End of this chapter)