After examination, Mrs. Zhang ruled out tuberculosis with a high probability. It should be common infections such as streptococcus and mycoplasma. This is a common disease among middle-aged and elderly people. It just took a long time and the condition was relatively serious. As long as a sufficient amount of antibiotics are used, you can recover quickly. However, under the backward medical conditions in ancient times, you may end up dead if you are not careful.
"Then 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-paying”, as usual she has to pay before she can be hospitalized. Naturally, Zhang Jiayu couldn't pay the money, so Lin Motian could only approve the arrears and send him to the hospital.
"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?"
"He's here anyway," 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 hard. Gold.”
Zhang Xiao laughed a few times. Although Deng Bojun built the Provincial and Hong Kong General Hospital essentially to draw money for health clinics, it has to be said that chemical companies also made a lot of money from it. Now the pharmaceutical factory has one of the highest gross profit margins among the state-owned enterprises under the Planning Institute. 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 eliminated.
Zhang Xiao's dinner in the evening was held in the high-end restaurant of the guest house on the top floor of the big 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. When the elders come to Guangzhou, they must have dinner here.
The person being invited to this dinner party is the veteran 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 the best thing 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? It feels like it's a bit overly frugal. Although our Senate is poor , But it’s not that poor. I see how 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 in Lingao don't know the difficulties outside. As the old saying goes, you don't have to worry if you have food at home. Now you can see if 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 a certain 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 the good guys and we are the bad guys. How many people have paid to queue up outside? The patients who were waiting in line to take medicine were all 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 for anything. 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, which I designed! With the addition of other miscellaneous sulfonamide varieties, 30 tons a year is no problem. Streptomycin is a little less, and there are 500 or 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. 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 most used 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 stably at full production capacity. 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 is simply 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, 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 of 100,000 units was a big deal. Now we generally produce 10,000 units.”
He then compiled the accounts for them. There are two prices for the drugs shipped from 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 the public medical use of naturalized civilian workers, military personnel and their families; the other is the "commercial wholesale price", which is provided by the state-owned pharmaceutical company Purchase as a general agent and then wholesale. The customers are mainly large private pharmacies such as Runshitang and Chenliji. 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 pharmaceutical factory 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 doubts, 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 a check." "
"I also think it's 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. ——This Provincial and Hong Kong General Hospital was... In short, I think the problem should be in other aspects."
Lin Motian gave Deng Bojun a platform, so it was difficult for everyone to go further in this aspect.
"What you said reminds me of one thing." Fu Qiliang said: "Some time ago, there was a Hearthstone Powder on the market. It is claimed 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, it will be cured by the medicine. 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 simple 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. Now that I have 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! 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 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 about it. 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"..."
"Yeah, I know. You even won the second prize. You are the light of our health department." Deng Bojun praised.
"What kind of light does the hygiene department have? It's really 'light'!" Zhang Xiao was full of complaints.
