This doctor has a system

Chapter 22 22. An Ordinary Night Shift
Pharmaceuticals are not the same as seeing a doctor. The development of a drug is not that simple.

The process of drug development from scratch to final listing mainly includes two parts:

1. Preclinical research, including confirmation of drug targets, synthesis of compounds, screening of active compounds, evaluation of pharmacological effects, safety and toxicity, absorption, distribution, metabolism and excretion of drugs, and formulation development.

2. Clinical research, including clinical phase I, clinical phase II, and clinical phase III.

There are fewer and fewer new drugs that can pass all phase 3 clinical evaluations and go on the market every year. If everything goes well, a new drug will cost hundreds of millions of dollars on average.

How can a small pharmaceutical company have such a large amount of money.

But once the drug is successfully marketed, the rewards are amazing.There is a term in the industry called "blockbuster", which refers to a drug with annual sales of more than $10 billion.

An extreme example is Lipitor, a lipid-lowering drug that has passed patent protection by Pfizer, whose global sales in 2010 were US$101.33 billion.

Gao Feng still has self-knowledge, even relying on the system, it is impossible for him to complete the research and development of a drug by himself.

Let's talk about it later when we have our own team.

Director Li carefully looked at the chest CT of the patient with Staphylococcus aureus pneumonia, "You don't have any major problems, just change it to oral and take it for a few days. Now you can be discharged from the hospital."

The patient's family gave another burst of words of thanks, and insisted on asking the department staff out for a meal. Director Li waved his hand, how could he have time to eat? He just wants to go home after work now.

This was Gao Feng's first night shift in the provincial hospital, and he arrived at the department on time at 05:30 in the afternoon.Everyone checked the house together, and before leaving, Hu Jiaran ran over to wish him good luck.

Just after 7 o'clock, the nurse called him, "Doctor Gao, go and see bed 56, the patient will say that he has a little chest tightness."

Gao Feng came to bed 56 with a stethoscope in hand. Bed 56 was a 39-year-old middle-aged woman with a space-occupying left lung. She was considering lung cancer. She just had a bronchoscopy at noon today.

The patient felt a little uncomfortable since the afternoon, and the family members also felt that the patient's breath was a little rough, which made him feel a little tight in the chest.

The nurse has already inhaled oxygen for the patient, and the oxygen saturation is not bad, indicating that the body's hypoxia is not obvious.The measured blood pressure and blood sugar were also within the normal range.

"Come on, sit up straight, I'll listen." Gao Feng took out his stethoscope.

Auscultation found that the patient's left lung breath sounds disappeared, and the right lung breath sounds were clear.

This is obviously not right, the diameter of the patient's left lung is less than 2 cm, so it is not impossible to hear the breath sound.

Reminiscent of the fact that the patient just had a bronchoscopy today, including biopsy and blind examination, could it be a pneumothorax?

"Doctor Gao's diagnosis is correct. Add 0.5 to skill points." The system's voice rang.

"It's really stingy." Gao Feng found that when he rediagnosed the diseases he had mastered in the past, he got very few skill points, sometimes even none.

"This is a pneumothorax!" Gao Feng explained to the patient and his family members, "The next step is to perform closed chest drainage to drain the air out."

The patient was a little nervous, and the family members were a little anxious, "Is the problem serious?"

"Let's have a treatment first, it shouldn't be a big problem." Gao Feng comforted him, asked the patient to take a wheelchair to take an emergency chest X-ray, and at the same time called the second-line doctor.

"Pneumothorax? Are you sure?" The second-line doctor arrived soon.There is only one second-line doctor in the 4th floor ward of the Respiratory Department. This second-line doctor is on another floor, and Gao Feng does not know him.

"Are you Gao Feng?" The second-line doctor talked to him enthusiastically, "My name is Qi Xinglei, can you do a chest puncture later? I have to go to the cardiology department for consultation."

Qi Xinglei is a doctor under Director Shen's group. He heard Li Huizhen say Gao Feng, and the original words were "very capable, much better than me!"

"No problem." Gao Feng said to him: "Mr. Qi, go and do your work. If there is any problem, I will contact you."

Soon the patient came up, with a large pneumothorax on the left side, and the lung tissue was compressed by about 80%.

When pneumothorax occurs in young people, the symptoms are sometimes mild because young people have lung reserves.Elderly people can't. If the lung tissue is compressed by 80%, then there will definitely be obvious symptoms of dyspnea at that time.

After explaining the precautions to the patient, Gao Feng successfully completed the closed thoracic drainage, and bubbles could be seen overflowing from the drainage bottle.

There is a dull feeling.

Just after returning to the office and taking a sip of water, the phone rang, and it was Qi Xinglei calling. "Gao Feng, are you done with the chest piercing?"

"Just finished."

"It's like this, here comes a patient with a foreign body in the trachea, choked peanuts, the leader attaches great importance to it." Qi Xinglei said with a deliberate tone.

"It took half an hour for Liang Congyue to come here. I'm not very skilled in picking up foreign objects. Why don't we go and have a look together?"

Qi Xinglei was a little embarrassed, he is a provincial doctor after graduating from a Ph.D., and the bronchoscopy room has not been systematically rotated yet.

Peanuts are relatively smooth and are not easy to pinch compared to other foreign objects.

This patient seems to be highly valued by the leaders. It is said that President Qin and Vice President Guo came here together.In case things don't go well, Qi Xinglei is afraid that he won't be able to explain.

"Actually, there's no need for this patient to come over at night. It will be the same tomorrow, so don't worry."

That being said, the patient is not a professional medical staff after all, and he must be scared if he choked on a peanut suddenly.

District Chief Liu felt that he was very unlucky recently, and the city suddenly wanted to allocate a piece of land from him to build a branch of the Provincial People's Hospital.

Is the Provincial People's Hospital high?high!

Do you support the construction of a branch of the Provincial People's Hospital?Of course I support it!
But can it not be built here, can it be built in the next door area? !

But it was useless for him to object to this matter. He found the old leader, and the old leader enlightened him: If the hospital is built, the medical care in your district will follow. This is all soft power.

You are right, but at that time, I guess I would have already transferred.District Chief Liu felt that he always did things that the predecessors planted trees and the descendants enjoyed the shade. Back then
Tonight, the leader of the hospital invited him to dinner. District Chief Liu thought about it and agreed. After all, everything was settled, and he didn't want to be a villain.

After three rounds of wine and five flavors of food, the atmosphere gradually became warmer.

Vice President Guo offered a toast to District Chief Liu again, "District Chief Liu, I need you to take care of me in the future."

In terms of rank alone, Vice President Guo is higher than District Chief Liu, but rights are not calculated that way.

District Chief Liu said a few polite words, drank it in one gulp, picked up a few peanuts, and choked on one.
Everyone drove to the hospital together in the car.

The bronchoscopy room was very deserted at night, and the long corridor was dark, Qi Xinglei hurriedly turned on the light, and then a doctor from the anesthesiology department also arrived.

"Really, I'm still waiting for the operation." The fat anesthesiologist complained, "What's the matter? I didn't make it clear on the phone."

As we all know, anesthesiologists have no human rights.

(End of this chapter)