The seal of Qingfeng Pharmaceutical Factory was torn off by cadres from the region and deputy general manager of the pharmaceutical company. In order to show his solemnity, he also posted an announcement at the factory gate:

Regional decision on reopening the Qingfeng branch of Yuezhou Pharmaceutical Company.

Chen Qiaogu was full of tears in the crowd. No one knew how much pressure she was. Even with Chen Xia's repeated guarantees before, she was still pessimistic and felt that the factory was completely ruined.

But if she wanted her to go back to be a substitute teacher, she would earn 19 yuan a month, and she was so sad that she could go back?

Now that Qingfeng Pharmaceutical Factory has resumed production, she is still the manager of this pharmaceutical factory. Everything has not changed. I feel so happy that I feel, and the haze for many days has been removed.

The news that Qingfeng Pharmaceutical Factory resumed production was like a tornado in Qingfeng Village. More than 50 employees were happy, and even the factory cleaning was carried with their families.

This news also disappointed the villagers of other villages around who wanted to watch the fun. How did it take only half a month to shut down? Later, when they met the villagers of Qingfeng Village on the road, they were going to be awesome again.

The happiest thing is the regional Korean specialist. As long as the pharmaceutical factory resumes production, the pressure he puts in is much less for the provincial leaders.

During this period, he was already in a state of great anxiety. Even the backer behind him criticized him directly, blindly expanded, and was caught as a small debater. He had a bad impression of the director.

This made him spend all the time in fear, no longer as full of energy as before.

Li Bingquan's shorthand score was a complete victory. In fact, he did nothing, just watched the other party jump up and down, and then watched the other party suffer a secret loss.

The balance of the officialdom often rises, and Commissioner South Korea's prestige has been hit, so his prestige of Li Shorthand is naturally higher.

All the cadres below have realized that it is right to follow who is right, and will not make mistakes, and can keep the black hat.

However, the happiest thing is Chen Xia. After this storm, he has realized the influence of "Sanliuweitai" and knows that he will not be easily suppressed in the future.

Then you can make money with confidence, and the profit of nearly 200,000 yuan a month is enough to satisfy his appetite.

Of course, the more money the better. We should insist on purchasing precious Chinese medicinal materials, continue to make fake accounts, and continue to keep silent and make a fortune.

But he was not happy for a few days, and he had been sitting in wax these days because the emergency department received a patient and was in big trouble.

The three of them were standing in front of the patient, including Du Guobiao, director of the Department of Foreign Affairs, Qiu Fangjue, director of the Department of Gastroenterology, Xuan Yongda, and Chen Xia were making a report.

"The patient, 31 years old, worked in the district government, stopped visiting the emergency room on the night of May 18 due to abdominal distension for three days and was accompanied by defecation.

The patient felt obvious abdominal distension after overeating 3 days ago, with paroxysmal, accompanied by cessation of exhaustion and bowel movements, decreased appetite, no nausea, vomiting, fearless chills and fever, chest tightness and shortness of breath, frequent urination and urgency to urinate, and no hematuria in the naked eye.

After coming to the emergency department, we gave symptomatic treatment, which was not effective. The ultrasound of the abdominal examination showed that the right ureteral stone was suspected, so we called abdominal pain and waited for examination, and the right ureteral stone was admitted."

Physical examination that night: T 37.9℃, BP 120/80.

Clear consciousness, soft spirit, no obvious yellowing of the skin and sclera, slightly nervous throughout the abdomen, mild tenderness in the middle and upper abdomen, no relapse pain, less than the liver and spleen under the ribs, mild percussion pain in the right kidney area, negative mobility voice, V-level muscle strength of the limbs, and pathological reflexes were not elicited.

Blood test routine on the evening of the 17th: 11.99 leukocytes, 94 blood amylase.

Liver function checked on the 18th: Gu Bing 657, Gu Cert 812, total bilirubin 9."

The liver function is so high that Chen Xia couldn't wait to invite several directors to consult for the consultation because she saw this indicator.

Qiu Fangjue asked: "What medicines were used after admission?"

Chen Xia reviewed the medication records and replied: "It is to use penicillin to fight the infection intravenously, and then use hepatotaro, coenzyme A and other auxiliary treatment."

Du Guobiao asked: "What happened to the patients now? Call us all over."

Chen Xia quickly said:

"This patient is so strange. He kept saying that the upper abdomen was constantly swelling and pain, but after two ultrasounds, they showed that there were no obvious abnormal signs of the substantial organs, but the liver function was so high. Come on, dear directors, let's see you next."

After listening to Chen Xia’s report, Xuan Yongda said:

"Abdominal bloating for 3 days with defecation and exhaust stop sounds like acute intestinal obstruction, but ultrasound examination does not support this diagnosis, so the problem of mesenteric artery embolism needs to be considered. In addition, the increase in blood amylase and pancreatitis cannot be ruled out."

Qiu Fangjue also found it strange:

"If you want to say that urinary tract stones will not cause continuous swelling and pain in the upper abdomen. The patient has upper abdominal pain, liver function abnormality, and fever, or should I consider whether hepatitis will be combined?"

Chen Xia rolled his eyes and said that he was not sure about it, so he invited these directors to come over, but in the end he gave a lot of specious diagnosis.

After all, it is still the lack of necessary auxiliary examinations in this era, such as whether it is pancreatitis. If there is an enhanced CT, it will be immediately clear. Now we can only guess based on limited experience.

Several doctors were still racking their brains. The patient over there stopped agreeing and lay on the bed and hummed, "Doctor, you can't continue to use this medicine. Why are you getting more and more uncomfortable?"

Du Guobiao quickly comforted:

"Don't be anxious. Don't be anxious. Isn't this that so many doctors have come to help you see the doctor? You have to find out the cause before you can treat it symptomatically. By the way, did you take any medicine before you were admitted to the hospital?"

The patient's wife recalled and said, "I went to grab a few pairs of Chinese medicine at that time, but later I had a fever and took a few tablets of paracetamol."

The three major directors had physical examinations again. OK, anyway, the patient is generally in good condition and is in good spirits. What should I do? Continue to treat anti-infection and pain relief.

As the director of the emergency department, Du Guobiao is a little unwilling to take over this patient. What the emergency department fears most is the patient's diagnosis.

"Come on, you are the director of internal medicine and the director of surgery. Who will take over? Let's transfer the bed immediately."

Director Qiu and Master Xuan shook their heads repeatedly: "No, no, it's better to put this diagnosis in the emergency department observation room. It's convenient to consult at that time."

Actually, these two are a bit selfish.

Although the patient was diagnosed with "right ureteral stone", his liver function was so high and he had abdominal pain and bloating. The surgical dog could use a knife to make them see internal medicine like an embroidery in a soldier. Only half of the orifices were passed through, so he didn't want this patient.

Xuan Yongda, an internal medicine doctor, doesn't want it even more. The patient has abnormal liver function, so he can just put some liver protection needles on it. Isn't this a stone? The surgery should take over. Should the internal medicine doctors go for surgery? Then the transfer department will have to write a bunch of medical records, which is troublesome.
Chapter completed!