After examination, Zhang’s mother most likely ruled out tuberculosis. It should be common infections such as streptococci and mycoplasma. This is a common disease among middle-aged and elderly people. It just takes a long time and the condition is more serious. As long as sufficient antibiotics are used,
You can recover quickly, but under the backward medical conditions in ancient times, you may die if you are not careful.
"Then let's admit her to the hospital." Lin Motian signed a note on the medical record to admit her to the hospital. Because Zhang's mother is "self-pay", as usual, she has to pay first before she can be hospitalized. Naturally, Zhang Jiayu cannot pay the money, so she can only
Lin Motian was specially approved to admit him to the hospital for arrears.
"You have to settle the hospitalization fee, otherwise Deng Bojun will start talking nonsense to me again after seeing it..."
"What? He's here too?"
"What do you mean, he's here too," Lin Motian said with a wry smile. "Since the end of the plague war, Section Chief Deng has been stationed at the Provincial and Hong Kong General Hospital for a long time, offering a variety of diagnostic and treatment services... Holy shit! Every day is going strong.
It’s gold.”
Zhang Xiao chuckled a few times. Although Deng Bojun built the Provincial and Hong Kong General Hospital essentially to draw money for the health department, it has to be said that chemical companies also made a lot of money from it. Now the pharmaceutical factory is a state-owned enterprise under the Planning Institute.
It is one of the enterprises with the highest gross profit margin. If the upstream industry was not yet complete and required a large amount of investment, resulting in high prices for some raw materials, "one" could have been removed.
Zhang Xiao's dinner in the evening was held in the high-end restaurant of the guest house on the top floor of the Great World - the chefs here were all deployed from merchants and restaurants, and after some guidance from Liu Xiang, the dishes they cooked were particularly appealing to the seniors. The seniors
When you come to Guangzhou, you must have dinner here.
The guests of this dinner banquet are the veterans of Guangzhou Health Clinic. In addition to Lin Motian, Fu Qiliang and Deng Bojun from the Provincial and Hong Kong General Hospital, the guests are Zheng Mingjiang who is visiting this time.
Of course, it’s a good idea to have someone treat you. After three rounds of drinks, several people at the dinner table commented on the dishes and then naturally started talking about work. I can’t do without my profession.
"Dr. Lin, I looked at the medical records and prescriptions this afternoon, and there's something I don't understand." Zheng Mingjiang put down the sparkling water in his hand, "Why are you so frugal with your medicines? I feel like it's a bit too frugal. Although our Senate is poor.
, but you are not so poor as this, I see why you are not even willing to use sulfonamides and oxytetracycline, let alone penicillin and streptomycin. Even if it is to prevent drug resistance, there is no need to be so stingy."
Lin Motian let out a long sigh: "Hey, you are in Lingao and you don't know the difficulties outside. As the saying goes, you don't have to worry if you have food at home. Now you will know when you go to the medicine library. Many medicines don't even have a 24-hour basic reserve. No. And the stock is out of stock every three days. Is it okay if I don’t use it urgently?” He smiled bitterly, “I have a headache as soon as I get back to my desk before get off work, and every day I get a note from the senior, asking for such and such medicine... Yes, it’s useless for you to look up at the sky at 45 degrees. That’s what you are talking about!” Lin Motian said to Zhang Xiao, “About this batch of notes, you are good people and we are bad people. How many people have paid and are lining up outside? All the patients waiting in line for medication were delayed!”
Zhang Xiao had no choice but to pour him wine with a smile on his face.
"So now I am telling doctors to use antibiotics with caution, especially penicillin and streptomycin, which are out of stock every three days. I am afraid that patients with serious infections may not be able to use them. Now even oxytetracycline is used.
Not on."
Lin Motian poured himself a glass of wine and continued to vent his complaints: "The person Liu San saved before was named Yu Qing. He was a good candidate to study medicine. He was also on the front line during the plague period and participated in the epidemic prevention. I originally wanted to wait for the epidemic.
I’ll focus on training after it’s over, hey…”
He felt a touch of sadness, "It's a pity that he was infected on the front line and could not be saved. You know, as long as I have a box of streptomycin, I can save his life! Even if it is tetracycline or oxytetracycline, but
I didn’t even have a box! All I had was sulfa!”
Zhang Xiao felt strange and said: "Before the plague, I was doing small-scale research on streptomycin. Previously, due to the annual planning of the Planning Institute, I had been promoting the penicillin project, but after the plague, I urgently switched to tetracycline and streptomycin.
Project. However, oxytetracycline is a variety that was put into production a long time ago, so it’s not like there isn’t even a box of it.”
Lin Motian thought for a while, "Is that for the frontline troops? After all, fighting costs money and supplies."
Fu Qiliang explained: "I have been working as a field doctor on the front line before. The war on the front line is tight, so I should all be transferred to the Fubo Army."
"The Senate has always been short of all kinds of supplies. We are always stretched to make ends meet, and we always have to piece together things. And didn't you say before that the production capacity of streptomycin is only a few tenths of a ton..." Lin Motian said.
"Oh, my Dean Lin, let me tell you a little bit about our family background." When it comes to pharmaceutical production capacity, Zhang Xiao is not only Men'erqing, he is simply Men'erqing's home. "Our pharmaceutical factory is put into production.
After that, the annual production capacity of sulfadiazine is 20 tons. I designed it! Plus other miscellaneous sulfonamide varieties, 30 tons a year is no problem. Streptomycin is a little less, about 500 to 600 kilograms a year. Tetracycline is essentially oxytetracycline.
Upgrading the production line and changing the additive composition during the fermentation process can also produce chlortetracycline. Oxytetracycline and chlortetracycline are drugs shared by humans and animals, and the output has increased. Only the penicillin project has made way for streptomycin, but I
It was put into production before I left, and it is no problem to produce one ton a year. I have collected the four major varieties of soil, four, green and chain that were used the most after the founding of the People's Republic of China. Although due to raw material and equipment problems, the output has fluctuated.
, has been unable to operate at full capacity stably. But at the worst, it can maintain at least 50% of production capacity, so you will not be so stretched!"
Deng Bojun cast an approving look at Zhang Xiao and made a small calculation in his mind. "Sulfonamides can basically be used freely. After the four major antibiotics are put into use, our Provincial and Hong Kong General Hospital will be a beacon for mankind. All that money...
…”
"Your production capacity hasn't been increased yet. Besides, these hundreds of kilograms and one or two tons are not enough to fill the gap between teeth." Lin Motian and Fu Qiliang both thought the same way.
"A few tenths of a ton is a lot. If you think about it, 1 million units of penicillin is only 0.6 grams, and streptomycin is only 1 gram." Zheng Mingjiang reminded.
Zhang Xiao said: "Let me tell you two, in 1943, the US imperialism only had an annual production capacity of one ton of penicillin, which was enough to consume the entire Far East Allied Forces at that time. Compared with the size of the Far East Allied Forces in World War II, the Fubo Army was simply a small shrimp. You guys
Don’t stick to the old habit of always giving out millions or tens of millions of units of antibiotics at a time. During World War II, one injection was worth 100,000 units. Now we generally produce 10,000 units.”
He then went through the accounts for them. There are two prices for the drugs shipped by the pharmaceutical factory. One is the "internal allocation price". The price is approved by the Planning Institute and allocated to various hospitals and clinics under the health department, mainly for supply.
Public medical use for naturalized civilian workers, military personnel and their families; the other is "commercial wholesale price", which is purchased by state-owned pharmaceutical companies as general agents and then wholesaled. The customers are mainly large private companies such as Runshitang and Chenliji.
Pharmacies. In addition, public medical institutions such as the Provincial and Hong Kong General Hospital also purchase some drugs from this channel for self-paid outpatient services.
"At present, about one-third of the pharmaceutical factory's production capacity is through internal allocation channels, and two-thirds is through commercial wholesale channels. I don't know the specific purchase volume of your provincial and Hong Kong General Hospital, but the absolute number is absolutely indispensable. Because
Your sales customer list in the pharmaceutical company is ranked second, and your sales ranking in our factory's allocation channel is fifth, second only to Lianqin, Nongken, Nanyang Company and Lingao General Hospital."
"There is a problem here." Zheng Mingjiang concluded. Everyone's eyes immediately fell on Deng Bojun.
Seeing everyone's doubtful expressions, Deng Bojun hurriedly argued: "What do you think I'm doing?! There are accounts for the import and export of medicines. How much is purchased through which channel and how much is shipped out? There are tickets and accounts for every link. You will know after checking."
"
"I also think it is unlikely that the problem lies with us. The status of the medicines entering the warehouse is reported to me every day. There are also settlement documents. Although I don't read every copy, I do random inspections regularly. And I also trust Lao Deng
——The Provincial and Hong Kong General Hospital... In short, I think the problem should be in other aspects."
Lin Motian gave Deng Bojun a platform, so it was hard for everyone to go further in this area.
"What you said makes me think of one thing." Fu Qiliang said: "Some time ago, there was a Hearthstone Powder on the market. It is said to be the ancestral secret recipe of a certain mountain man. It specializes in treating all kinds of redness, swelling, heat and pain, let alone
It doesn't matter what kind of wounds are caused by swords. Even if there is another plague, the medicine will cure the disease. I originally thought it was a charlatan's talk, but I heard that the effect is indeed good. It is rare that Chinese patent medicine can effectively fight infection. I also think
I thought about getting a sample to test the ingredients, but then I was too busy and gave it up. It may not be easy now."
Zhang Xiao said: "Zhang Jiayu also bought two tablets of oxytetracycline from a certain wandering doctor at a high price of one tael of silver."
Zheng Mingjiang took out a small notebook and wrote down the matter, "I took the time to check it out. Since I encountered it, there is no reason to return empty-handed."
"Director Zheng, I support you! Investigate it carefully! It's time to deal with these idiots a long time ago! It's my fault!" Zhang Xiao thought of the prizes he had lost before, and was so angry that he even spoke in Sichuan dialect, "You still have
Do you remember that the Government Affairs Council organized a video editing competition for the elders two years ago? I didn't have time to do it, but everyone else was very enthusiastic. I thought that since you are all busy, the medical department must have a representative, so
I helped the medical department edit a short film "Medical Career in the Senate"..."
"Yes, yes, I know. You even won the second prize. You are the light of our health clinic." Deng Bojun praised.
"What kind of light does the hygiene department have? It's really 'light'!" Zhang Xiao complained.