The seal on the Qingfeng Pharmaceutical Factory was personally torn off by officials from the region and the pharmaceutical company's deputy general manager, Cai Hongjun. To emphasize the seriousness of the matter, a notice was posted at the factory gate:
The region's decision to reopen the Qingfeng branch of Yuezhou Pharmaceutical Company.
Chen Qiaogu was in tears in the crowd. No one knew how much pressure she was under. Even with Chen Xia's repeated assurances, she was still pessimistic and felt that the factory was completely doomed.
But asking her to go back to be a substitute teacher and earn 19 yuan a month would make her feel discouraged. How could she possibly go back?
Now that Qingfeng Pharmaceutical Factory has resumed production, she is still the manager of the factory. Nothing has changed. She feels so refreshed, and the haze of many days has been dispelled overnight.
The news that Qingfeng Pharmaceutical Factory resumed production swept through Qingfeng Village like a tornado. The more than 50 employees were all overjoyed, and even brought their families with them to clean the factory.
This news also disappointed the villagers of other villages who wanted to watch the fun. How could the closure be over after only two weeks? If they ran into the villagers of Qingfeng Village on the road next time, they would be very proud of it again.
The happiest person was Regional Commissioner Han. As long as the pharmaceutical factory resumed production, the pressure on him from the provincial leaders would be much less.
He has been extremely anxious during this period. Even his backers directly criticized him for blindly exaggerating the matter and being caught making excuses. He left a very bad impression on the provincial leaders.
This made him live in fear all the time, and he no longer had the confidence and vigor he once had.
Shorthand Li Bingquan won a great victory. In fact, he did nothing but watched the other party jump up and down, and watched the other party suffer a loss.
The balance in officialdom is often a balance of gains and losses. Commissioner Han's prestige has been hit, and his Li Shorthand's prestige has naturally increased.
The cadres below have all realized that it is correct to follow someone's pace, so that they will not make mistakes and can keep their official hats.
However, the happiest person must be Chen Xia. After this incident, he has realized the influence of "Sanliu Weitai" and knows that he will not be easily suppressed in the future.
Then he can make money with confidence. The profit of nearly 200,000 yuan a month is enough to satisfy his appetite.
Of course, more money is not necessarily better. We still have to insist on purchasing precious Chinese medicinal materials, continue to cook the books, and continue to make a fortune in silence.
But he was not happy for many days, because he was in trouble these days because the emergency department received a patient who was in big trouble.
Du Guobiao, director of the emergency department, Qiu Fangjue, director of the first surgery department, and Xuan Yongda, director of the gastroenterology department, were standing in front of the patient, and Chen Xia was giving a report.
"The patient, a 31-year-old male who works at the district government, came to the emergency room on the night of May 18th because of three days of abdominal distension and cessation of bowel movements and flatulence.
The patient felt obvious abdominal distension after binge eating 3 days ago, which was paroxysmal, accompanied by cessation of flatulence and defecation, loss of appetite, no nausea, vomiting, chills or fever, no chest tightness or shortness of breath, no frequent, urgent or painful urination, and no gross hematuria.
After arriving at the emergency room, we gave him symptomatic treatment, but it was ineffective. Abdominal ultrasound revealed suspected right ureteral stones, so we decided to admit him for abdominal pain and right ureteral stones."
Physical examination that night: T 37.9℃, BP 120/80.
The patient was conscious and soft, with no obvious jaundice of the skin and sclera. The whole abdomen was slightly tense, with mild tenderness in the upper and middle abdomen and no rebound pain. The liver and spleen were not below the ribs, with mild percussion pain in the right kidney area, negative shifting dullness, grade V muscle strength in the limbs, and no pathological reflexes were elicited.
On the evening of the 17th, a routine blood test showed: white blood cell count 11.99, blood amylase 94.
On the 18th, I checked my liver function: A1C 657, A1C 812, and total bilirubin 9.
The liver function was frighteningly high. It was because of this indicator that Chen Xia couldn't wait to invite several directors to come for a consultation.
Qiu Fangjue asked, "What medicines did you take after being admitted to the hospital?"
Chen Xia flipped through the medication records and replied, "I used intravenous penicillin to fight the infection, and then used Tylosin, coenzyme A, and other auxiliary treatments."
Du Guobiao asked, "What's happening with the patient now? Call us all over."
Chen Xia quickly said:
"This patient is so strange. He keeps complaining of persistent upper abdominal pain, but two ultrasounds showed no obvious abnormalities in his solid organs, yet his liver function is so high. Come on, directors, it's up to you now."
After listening to Chen Xia's report, Xuan Yongda said:
"Abdominal distension for three days with cessation of bowel movements and flatulence sounds like acute intestinal obstruction, but ultrasound does not support this diagnosis. Mesenteric artery embolism should be considered. In addition, elevated blood amylase levels suggest pancreatitis."
Qiu Fangjue also felt strange:
"If you're talking about urinary tract stones, there wouldn't be persistent upper abdominal pain. If the patient has upper abdominal pain, abnormal liver function, and fever, we should still consider the possibility of hepatitis."
Chen Xia rolled his eyes. He just wasn't sure, so he asked these directors to come over, but they still gave him a lot of seemingly plausible diagnoses.
All in all, it is still the lack of necessary auxiliary examinations in this era. For example, if there is an enhanced CT scan, it can be immediately determined whether it is pancreatitis. Now we can only guess based on limited experience.
Several doctors were still racking their brains, but the patient over there refused to give in. He lay in bed groaning, "Doctor, this medicine you're giving me isn't working. Why is it getting worse and worse?"
Du Guobiao quickly comforted:
"Don't worry, don't worry. There are so many doctors here to help you. We have to find out the cause before we can treat it. By the way, did you take any medicine before you were admitted to the hospital?"
The patient's wife recalled: "I went to get some Chinese medicine, and then I had a fever again, so I took a few paracetamol pills."
The three directors conducted a physical examination and concluded, "Well, the patient is generally in good condition and in good spirits. So what should we do? Continue with anti-infection and analgesic treatment."
As the director of the emergency department, Du Guobiao was a little reluctant to take over this patient. The emergency department was most afraid of patients with unclear diagnosis.
"Come on, come on. One of you is the director of internal medicine and the other is the director of surgery. Who can take over? We need to transfer the bed right away."
Director Qiu and Xuan Zhuting shook their heads repeatedly. "No, no, no, the diagnosis is unclear. It's better to keep the patient in the emergency department's observation room. It will be convenient for consultation later."
Actually, both of them have some selfish motives.
Although the patient was diagnosed with "right ureteral stones", his liver function was so high and he also had abdominal pain and bloating. Surgeons could perform the operation, but asking them to treat internal medicine diseases was like a soldier embroidering, only halfway through the whole process, so they didn't want this patient.
Xuan Yongda from the Internal Medicine Department was even more reluctant. He thought, "The patient's liver function is abnormal. A liver-protecting injection will suffice. This isn't just a stone. The surgery department should handle it. Shouldn't an internal medicine doctor perform the surgery?" He thought, "Then transferring the patient to another department would require a lot of paperwork. What a hassle!"
Neither the internal medicine department nor the surgery department will admit patients, so the emergency department is really in trouble this time.
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