Doctor: It's reasonable to perform surgery on yourself.

“Now until the clinical trials of Qixing Tablets are completed, it will be difficult for us to develop new consumers because Daxia is promoting the side effects of liver calming.

“And existing patients have become compliant with Liver Serum…

“If they want to take treatment drugs, they can either choose Liver Tranx, which costs 61 yuan, or take generic drugs, which cost 1,500 yuan. There is no other choice!

"Therefore, we can definitely raise the price to 100, or even 300 or 500. As long as it is much lower than generic drugs, our sales volume will not decline too seriously, but our profits will eventually double!"

These words made everyone wake up from a dream.

The executives discussed among themselves.

But Yulis directly rejected it, saying: "You don't know the true situation of the Liver Peace Group..."

Everyone looked over with confusion.

Ullis explained: "There is no difference to us between sixty-one yuan and one hundred yuan. But what you don't know is that many patients with liver disease don't even have money to buy a whole box of medicine!

"A large part of our sales of Gan An Ning is sold one by one. For these patients, a dollar increase in price is a sky-high price.

"So you think adjusting to 100 yuan won't seriously affect sales? Impossible."

"..."

"Can't afford sixty-one yuan?"

"It is true that a large portion of Hepatic Anxiety consumers are extremely price sensitive."

"Julis is right."

Many executives nodded in approval.

Felican sneered and said: "So what, we chose sixty-one yuan as the final price before, taking into account the need for long-term development and attracting new consumers in the sinking market for a long time, but what we have to do now is to squeeze out the liver tranquility." The final value!

“No matter how high the price is, as long as it is lower than generic drugs, patients who are accustomed to taking Gan Ning will have no choice but to accept it!

"It's like the old saying in Daxia. It's easy to go from frugality to luxury, but it's hard to go from luxury to frugality. They can get used to the devastation and torture of liver cancer, but when they take Gan Ning and get used to the curative effect of taking the medicine, they can go back again Endure the pain of liver cancer?”

The conference room fell into a long silence.

Many executives lowered their heads in deep thought and exchanged opinions with each other.

Finally, unity was reached in the second hour of the meeting.

Felican's plan received a majority of votes and successfully passed high-level review.

A few days later, the production line of Liver Anning began to adjust. The active ingredients of a single pill were reduced by one-third, and the dosage of a single pill was increased from one pill to two pills.

At the same time, the price of Gan Ting Ning also began to rise, and finally settled at ninety-nine yuan.

…

…

Late March.

In the public office of the emergency department, Xu Qiu, Wang Ping, He Hai and others were sitting at the conference table, with rows of doctors sitting behind them. There was also a doctor in the corner of the conference table who was repeating the medical records of patients who had been handed over early.

"...Deng Ling, a 45-year-old female from bed ten, was admitted to the hospital at 10:20 with the diagnosis of 'pelvic inflammatory disease' due to lumbosacral pain and increased vaginal secretions. Her body temperature was 36.9°C and her pulse was 74 beats/min. , breathing 21 times/min, blood pressure 11Hg..."

"Bed 13, Wang Renwei, male, transferred to hospital due to chronic gastritis..."

"..."

"Two key patients were admitted to the hospital yesterday."

At this point, everyone became more focused, and Xu Qiu, Wang Ping and others also looked over.

Ordinary patients can be easily solved by other doctors in the department. As directors, they only need to control the general direction.

But key patients require more attention from director-level doctors.

The voice of the doctor who took over the shift was also a little louder and said:

"Twenty-one bed, male, four-year-old child. The main reason was 'fever with abdominal pain for half a month after ventriculoperitoneal shunt surgery, and weak mental reaction for two days'. Physical examination showed weak neurological reaction, pupil diameter 4mm, slow light reflex, neck The resistance was positive, Klinefelter's sign was positive, and a left ventriculoperitoneal shunt was performed for hydrocephalus one year ago. Two months ago, the child went to the hospital for headache and found that the shunt tube was blocked, so a right ventriculoperitoneal shunt was performed...

"Blood routine showed CRP 77mg/L, white blood cells 21.76×10∧9/L, subcutaneous reservoir cerebrospinal fluid: white blood cells 827×10∧6/L, protein 1201mg/L, head CT: ventricle dilatation, parenchyma was obviously compressed, The paraventricular white matter was slightly reduced. He was diagnosed with ventriculoperitoneal shunt infection, ependymitis, and hydrocephalus. Meping + Vangu anti-infection was performed. Neurosurgery was performed to remove the abdominal end of the ventriculoperitoneal shunt and perform external drainage of the lateral ventricle... "

This is a very typical case of ventriculoperitoneal shunt infection.

Of course, exactly what type of bacterial infection it is is still open to debate.

Everyone's eyes fell on Xu Qiu.

Xu Qiu looked at it carefully for a moment.

He has performed ventriculoperitoneal shunts many times, and shunt infection is the most common complication, but none of his patients have experienced it.

But with master-level experience, he has a deep understanding of the various risks involved.

Based on this child's performance, Proteus mirabilis is the most likely cause.

Xu Qiu thought for a while and said: "Do a smear of the subcutaneous reservoir cerebrospinal fluid and external drainage cerebrospinal fluid. In addition, the treatment plan is changed to ceftriaxone combined with vancomycin."

Yunmei, who was in charge of the child, quickly wrote it down.

Then, the morning shift doctor's face straightened and he said in a more serious tone: "Another key patient is in bed 32. Her condition is very complicated."

Hearing this, everyone perked up.

The doctor on duty said:

"The patient's name is Xie Yunshi, 36 years old. The patient's family complained: The patient seemed to have bilateral lower limb edema over the past year, which was corrected at the local community hospital and diagnosed as chronic liver failure. After multiple treatments, there was no relief. After further examination, A total of five different types of diseases were discovered..."

She took a deep breath and said: "Including chronic liver failure, alcoholic cirrhosis, and decompensated liver cirrhosis. There are also severe anemia, thrombocytopenia, leukopenia, and chronic heart failure...

"The community hospital finally provided symptomatic treatment measures such as blood transfusion, liver protection, platelet elevation, leukocyte elevation, diuresis, and albumin transfusion. The edema was eliminated on the same day, but he was admitted again three days later. The community hospital could not handle it, so he was transferred to our hospital... "

Upon hearing Xie Yunshi's situation, the doctors present frowned.

chaos.

My first impression when I saw this medical record was that it was too messy.

There are diseases in various systems, and they are not minor illnesses. Symptomatic treatments are not effective, which means that the community hospital has not determined the real cause.

Moreover, the medical records provided by the lower-level hospitals did not contain any suggestive information.

Everything can only be explored by the clinical emergency department.

Faced with such a complicated patient, Xu Qiu didn't stand up and said, "Let's go to the ward rounds."

…

Arriving in the ward, Xu Qiu ignored the previous diagnosis and conducted a more detailed examination again.

This check didn't matter, the emergency doctor who came to observe was dumbfounded!

——

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