This doctor has a system

Chapter 21 21. The branch of pharmacy opens

It takes 3 working days for the pathological results to come out, followed by an annoying wait.

The girlfriend of the patient surnamed Cui also came to the hospital. It could be seen that her lower abdomen had bulged, and the woman's eyes were red.

Director Li called Gao Feng, and the county hospital below wanted to transfer a patient, and asked Gao Feng to issue a hospital certificate for him to be hospitalized.

The patient is a man in his 50s. One week ago, he suddenly had chills and high fever. His body temperature was 1°C at home.Simultaneously there is muscle and arthralgia all over the body, and listlessness.

After 1 week of treatment in the local county hospital, the patient felt that his condition was better, but he still had fever and phlegm. A chest CT scan showed multiple cavities in the lungs.

The doctor at the county hospital dared not neglect, "You should go to a big hospital. The medicine in a big hospital is better, and the effect of importing is better!"

The family members were also very active, and they were referred by the 120 car.

The patient looked solemn, and when he saw Gao Feng bringing Qi Nannan and the three of them over, he immediately sat up straight.

The family members hurriedly handed over the chest CT and the examination and test results from the county hospital to Gao Feng.

The patient also underwent a bronchoscopy at the county hospital, and the culture of the lavage fluid revealed Staphylococcus aureus.

Gao Feng took a closer look at the chest CT. There were multiple pulmonary consolidations, thickened airway walls, tree-in-bud sign, necrosis, cavities, and lung air sacs. Level 5 image reading skills are a bit overkill here.

"There is nothing wrong with your diagnosis. The doctor at the county hospital is right in the direction of medication."

The patient obviously breathed a sigh of relief, "I also feel that it is going in a good direction, but the doctor at the county hospital said that this CT looks heavier than before."

The family members also chattered, "The medicine in the county hospital is definitely not as good as the medicine in the provincial hospital. Let's come here!"

Gao Feng called Director Li back, "Director Li, the patient's diagnosis is fine. The county hospital uses vancomycin. I think it's because the course of treatment is too short. Should we continue to use this drug or what?"

Director Li was silent for a while, "It's better to change the medicine, the patients who are transferred have higher expectations, let's not mess it up, use Swan!"

Swan, also known as Linezolid Injection, is a synthetic oxazolidinone antibiotic, mainly used to treat infections caused by Gram-positive (G+) cocci.Developed by Pfizer Pharmaceutical Co., Ltd., it was listed in my country in 2007.

As a veritable rich and handsome antibiotic, the cost of this medicine is almost 3000 yuan a day.

Cheng Song went to communicate with the patient's family members, "Use it, let us use it now!" The family members did not hesitate at all.

Three days passed quickly, and the pathology results of the man surnamed Cui came out. Without any luck, the pathology report clearly stated lung adenocarcinoma.

The woman holding the report could not stop crying, and the patient's brother was smoking one cigarette after another.

Li Huizhen suggested another EGFR gene test to see if there is a gene mutation. If there is a target, you can take targeted drugs, which can prolong the patient's survival cycle.

The patient's elder brother is very concerned about the cost. The patient has two children, and the family house must not be sold anymore.

What can I do with my current girlfriend, who is still pregnant.

Li Huizhen also felt that her head was too big. Money in the hospital was not considered money, and lack of money meant that many treatments could not be carried out.

Hu Jiaran thought of that rich elder brother again, it would be great if the financial conditions of these two people could be combined.

The patient's elder brother finally decided to follow Li Huizhen's advice and wanted to prolong his younger brother's life cycle as much as possible.

He also talked frankly with his brother's girlfriend, "The current situation is like this, you should beat the child, and I will give you some money when the time comes." After speaking, he ran away as if fleeing.

A woman's cry came from behind.

The results of genetic testing were very good, suggesting that there was a mutation in exon 19, and there were many targeted drugs to choose from.

Li Huizhen contacted several manufacturers, and the patient's situation made her feel compassionate. A young man in charge of gefitinib (a first-generation targeted drug) said that he could apply for channel assistance for this patient.

"Don't worry, I won't let you do it for nothing." Li Huizhen even made some private promises to the young man.

"Huizhen, you can't do this, it's inappropriate." Director Li persuaded Li Huizhen earnestly, "Keep a sense of distance from the patient, and don't be influenced by your own emotions. You are prone to problems like this."

After taking the targeted drug orally for 10 days, the patient's symptoms were greatly relieved, the frequency of coughing was significantly reduced, and he no longer felt chest tightness under normal activities.Chest CT was re-examined, and the lesions on the lungs were significantly reduced.

"It's amazing!" Qi Nannan and three people expressed their amazement.

It's a pity that drug resistance will appear in the future, and Gao Feng still feels a little heavy in his heart.

"You have received the heartfelt gratitude from Cui Yongtian's family, and your skill points will be increased by 1." The system's voice sounded.

The patient with staphylococcus aureus infection has also improved significantly. He has no fever since the second day of admission, and now the amount of sputum is also significantly reduced.Gao Feng asked him to go for a chest CT scan this afternoon.

At noon, everyone went to eat together. The place we chose this time is called Chongqing Chuan Chuan Xiang, which was chosen by Qi Nannan.

I have to say that girls like to eat these things, such as skewers, Oden, hot pot, fried cold noodles, and fried sixties.

However, the skewers here are delicious, and the bottom of the pot seems to have been prepared with great effort.The environment inside is also good, very clean.

Gao Feng wrote it down, "When you have a girlfriend in the future, you can bring her here."

Back in the dormitory, Li Wenbin was chatting with Wang Xuanxuan, and the two laughed.Seeing Gao Feng came back, Wang Xuanxuan asked Gao Feng for confirmation: "Brother Feng, I heard that you are going to stay in the provincial hospital."

There is no impenetrable wall in the world, and Director Zhao didn't keep this matter a secret from anyone.

"I haven't been notified of the interview yet." Gao Feng didn't say anything dead.

"When the result comes out, let's rub it!" Li Wenbin was happy for Gao Feng.

At around 3:[-] in the afternoon, the patient with Staphylococcus aureus pneumonia came back after the CT scan.

Gao Feng adjusted the chest CT, "The absorption is good, and they should all be discharged from the hospital. Let Director Li and Teacher Li take another look tomorrow."

"Look, let me tell you, the level of a big hospital is high, and the imported medicine is still good!" The family members and patients are very satisfied.

In the field of medical forewords, there is indeed a big gap between domestic and foreign countries, which is far greater than the gap in the field of electronic information technology.

Due to the huge investment in pharmaceutical research and development, the long time span, and high risk (a lot of money has been invested, many of them have not been listed in the market after several years), many pharmaceutical companies in our country are discouraged.

This is also an important reason why Chinese people are superstitious about imported drugs, and I am afraid it will not change in the short term.

"It's a pity that the system doesn't have this function. Otherwise, we can make a few medicines and earn licensing fees from foreigners." Gao Feng regretted for a while.

"Doctor Gao, do you need to increase the branch of pharmacy? You need to deduct 50 skill points, and your skill points are not enough." The system's voice rang.

"What?" Gao Feng yelled in surprise, can this still be the case?
　Hehe

　　
　
(End of this chapter)