medical road with you

Chapter 98 Microbiology Laboratory
Since the introduction of laboratory tests, Lu Ping feels that it is much easier to see a doctor. She does not advocate the abuse of tests, but she has to admit that the diagnosis and treatment of modern hospitals are indeed inseparable from these tests.

Take a common cold as an example. At first glance, the symptoms are similar, all of which are sore throat, cough and expectoration, and fever in severe cases.

However, there are many causes of colds, such as viruses, bacteria, mycoplasma, chlamydia, and sometimes mixed infections.

There are many types of viruses and bacteria. For different viruses and bacteria, choosing targeted drugs will have a better therapeutic effect.

Therefore, it is necessary to check the blood routine to distinguish between viruses and bacteria, and bacterial culture and drug sensitivity tests can also be done for different bacteria.

Of course, it is the best choice to do drug susceptibility test, and the drug with the best therapeutic effect can be selected in a targeted manner.

However, it takes one to two weeks to get the results of a drug susceptibility test. At this time, the patient may have already recovered, and he is not willing to ask the patient to treat him a week later.

Therefore, the clinical treatment of colds is actually quite confusing, especially now that broad-spectrum antibiotics are so common, once a cold occurs, both doctors and patients themselves will choose broad-spectrum antibiotics.

If it works, forget it, if it doesn't work, replace it with another one.

Therefore, a cold is the most common disease in the world, but it is the most difficult disease to treat.

In textbooks, there is only one page about colds, the most common disease in the world, and only a few pages in the prologue.

Lu Ping almost memorized the content on that side of the paper. Faced with various cold patients, he hoped to have some targeted treatment, but it has not been successful.

Today, among the cases recorded by Lu Ping, the column of symptoms occupies more and more area.

Lu Ping has always hoped that just based on the symptoms alone, he can roughly judge which type of pathogen infection the patient is infected with.

The first is a runny nose. If there is a lot of nasal discharge and it is clear water, it is usually a viral infection.If it is yellow purulent nasal discharge, it is usually a bacterial infection.

Followed by cough, if there are no other symptoms, just a simple dry cough, usually mycoplasma infection, the preferred macrolide antibiotics, such as erythromycin, azithromycin.

There is also coughing up sputum, different bacterial infections have different properties of sputum, more special Pseudomonas aeruginosa infection, yellow-green thick sputum.

Finally, there are systemic symptoms, such as fever, weakness of limbs, etc. If there are no local symptoms, the main manifestations are all symptoms, usually a highly toxic virus infection, such as influenza virus.

After watching the cold for more than half a year, the above is the rule summed up by Lu Ping.

But not enough, far from enough, Lu Ping felt that the rules summarized were too vague, too general, and too imprecise.

Lu Ping took a C++ course when she was in college, and she knew a little about software programming. One of her favorite features in programming is that one is one, and two is two. You can’t go wrong at all, and if you make a wrong program, there will be problems.

Although these laws are not expected to be as accurate as the software, at least they can be controlled within one-to-five accuracy.

Moreover, the most important thing is that Lu Ping cannot guarantee that the rules he summed up are correct, because there is no gold standard for comparison.

In the field of diagnosing infections, the gold standard for bacterial diagnosis is bacterial culture, while the gold standard for viral diagnosis is virus isolation.

For each patient, Lu Ping can only roughly guess what kind of pathogenic source he is infected with, and then try to use the medicine. Well, it may be the effect of the medicine, or it may be the patient's own immunity, so everything is guesswork , everything is very inaccurate, which is not in line with Lu Ping's usual rigorous scientific research attitude.

Seeing that the cause of disease column in his case record was empty, Lu Ping couldn't help muttering: "It would be great if we could detect what the cause of disease is."

"Do you want to build a microbiology lab?"

A few meters away, Tianhai's voice was not loud, but his words still startled Lu Ping.

Is he the roundworm in her stomach? Why does she just say a word casually, and he knows what she wants in the end.

Indeed, Tianhai is now the roundworm in Lu Ping's stomach.

After listening to Lu Ping all day long, Tianhai now has a general understanding of the pathogenesis of infectious diseases, and also knows what diagnostic methods and treatment methods are available.

Therefore, as soon as Lu Ping mentioned the source of the disease, Tianhai thought of the microbiology laboratory.

"Do you know how much it costs to build a microbiology laboratory?" Lu Ping asked Tianhai with his head tilted.

The sky poster smiled: "I don't know, but as long as you want, I will build it for you."

Lu Ping: "Do you know what the main purpose of the microbiology laboratory is?"

Tianhai: "I know that diagnosis and scientific research have little effect on treatment."

Lu Ping: "What are we driving?"

Tianhai: "Clinic."

Lu Ping: "What does the clinic mainly do?"

Tianhai: "He sees a doctor."

Lu Ping: "Then why do you still think about building a microbiology laboratory?"

Adding some routine examinations to assist treatment and diagnosis, Lu Ping can still understand that larger clinics will also be equipped, but microbiology laboratories?
Lu Ping had never heard of a clinic and a microbiology laboratory!
Just like a small store, it sells ice cream, tobacco and alcohol, daily necessities, rice, oil and salt, which are very common. If it sells some common household appliances, such as kettles and induction cookers, it is still within the acceptable range, but if one day you What a thrill to see it selling atomic bombs!
Tianhai: "Because you want it!"

Lu Ping:. . .

Chi Na stood aside and couldn't stand it anymore: "I said you two are enough. Fortunately, I'm married. If I were single, I would have been fed to death by the dog food you two gave me."

Tianhai:. . .

Chi Na is a realistic person, and she cares more about the actual situation. There is a question she wanted to ask a long time ago: "Jiang Tianhai, let me ask you, is our clinic making a profit or a loss?"

Although a lot of inspection equipment has been added, the clinic still opens at 08:30 in the morning and closes at 05:30 in the evening. Sometimes there are too many patients, and Tianhai will limit the number, and only issue [-] numbers a day. If it exceeds, wait until tomorrow come again.

Tianhai is in charge of money, with so many patients every day, plus the rent of the new store, the salary of the inspector, and the wear and tear of the equipment, Chi Na doubts whether the clinic can still make a profit.

Now, Tianhai gives Chi Na a salary of about [-] yuan a month, which is already higher than her salary in pediatrics, but she doesn't want the money to be purely subsidized by Tianhai and Lu Ping, even though they are not short of money.

Tianhai opened his bookkeeping system and glanced at it: "Last month's profit was [-]."

Afraid that Chi Na would not know how this profit was calculated, Tianhai added: "This profit is after deducting the rent, nurses' and examiner's wages."

The net profit was [-], [-] was given to Chi Na, and the couple got [-]. This account, Chi Na can still accept.

"But we have a maximum of 40 patients per day, and if there are fewer than [-] patients, how can we make a profit."

"You can come and have a look!"

Tianhai opened the detailed account records, and Lu Ping and Chi Na came over to look at them.

Tianhai's accounting is very detailed, every day's income, every day's expenditure, and the details of every day's income are accurate to every inspection, every drug, and every injection fee.

There are not only detailed records, but also summaries and statistics, which are made into fan charts.

Chi Na looked at the fan-shaped chart of total income, and couldn't help but said: "The income from laboratory inspections is actually the first. I don't usually spend too much on inspections!"

Not only Chi Na didn't drive indiscriminately, but Lu Ping certainly didn't either. Even so, the income from the inspection still took the first place.

However, Tianhai understood the reasoning very well: "Our examination fee is much lower than that of the surrounding large hospitals, and many people come here for our examination."

People nowadays believe that there are more and more examinations when they see a doctor. There are many patients who do not think it is necessary to have an examination, but the patients themselves ask for an examination. The improvement is closely related to the improvement of living standards.

But to go to a big hospital for an examination, the registration fee is expensive, and you have to wait in line for a long time, and the examination fee is also expensive.

It is much more convenient to come to the clinic, it is fast and cheap. If it is not a serious illness, everyone will definitely choose the cheap and convenient one.

"It was unintentional." Lu Ping said with a smile: "At that time, I only wanted to add these devices for better diagnosis. I didn't expect to increase income."

Chi Na curled her lips and said, "No wonder hospitals, no matter how big or small, are desperately adding equipment. These things are like money printing machines when used well!"

"However," Chi Na still doesn't agree with the addition of a microbiological laboratory: "Blood routine, blood lipids, biochemical tests, etc., people who know a little bit know it, and are willing to do it. It's a physical examination, but they have to go. Doing bacterial culture or drug susceptibility tests, not to mention expensive, does not directly help their treatment, and few people are likely to be willing to do it. I am afraid that I will lose a lot of money to build such a laboratory."

Chi Na's analysis made sense, and Lu Ping nodded in agreement.

Tianhai looked at Lu Ping, and only asked, "Lu Ping, I saw a patient who got sick. You know he was infected by microorganisms. Do you want to find out which microorganisms caused the disease?"

Lu Ping hesitated and didn't answer.

Tianhai asked: "Don't think about money, you only think about one thing, do you want to know the truth?"

In this world, the vast majority of people pursue fame, profit, and material enjoyment, but there are a small number of people who pursue the truth of this world. In the process of pursuing truth, they obtain real happiness. These people A true science enthusiast.

There are not many such people, and Lu Ping is one of them.

"Think!" Seeing the encouragement in Tianhai's eyes, Lu Ping replied honestly.

"Okay, then let's build a microbiology laboratory!" Tianhai's eyes were shining with unconcealable excitement.

Pfft, Chi Na rolled her eyes, and couldn't help but spit out: "Jiang Tianhai, if you have something to say, you can just say that Jiang Tianhai is rich and I want to spoil my wife, so I can save my words."

Tianhai:. . .

In the past, Chi Na and Tianhai didn't have many opportunities to talk, but now that they are working together, they have many opportunities to talk.

Chi Na always likes to complain, but she was even more rude to Tianhai. Because of Lu Ping's face, Tianhai was embarrassed to go to him, but if he didn't go to him, he felt uncomfortable. The kind of person who could kill the other party with a single knife , but the feeling of not being able to shoot because of the presence of NPCs is worse than constipation.

Therefore, every time Chi Na complained to Tian Hai, Tian Hai's face would become very exciting.

Seeing Tianhai suppressed his excitement again, Lu Ping couldn't help but burst out laughing.

Chi Na glared at Lu Ping: "You are still laughing, with the speed of your prodigal family and the virtue of your husband doting on you, even if you have a tree that can form gold knots, your family fortune will be ruined by you and your wife sooner or later." .”

Lu Ping laughed even more happily. . .

After laughing, Lu Ping went on to get down to business: "But where is the microbiology laboratory?"

"There is still some open space in the inspection room, but microorganisms will contaminate other things, so a separate room is required, and there are special requirements for airtightness."

Before Lu Ping finished speaking, Tianhai glanced at the store next door with a smile.

Lu Ping understood for two seconds: "Don't tell me that you also rented the store on the left side of the outpatient clinic."

"no!"

"Oh." Lu Ping felt a little better in his heart: "It's not too bad, otherwise you would be too..."

What a shame, Lu Ping is still looking for an adjective.

Tian Haiyun said calmly: "I rented out the whole street!"

Lu Ping:. . .

She was wrong, how could she not have a long memory, how could she have forgotten that the man in front of her was from a wealthy family.

It's really poverty that limits people's imagination, Lu Ping has increased his knowledge today.

Chi Na, who was also poor, twitched her mouth, turned around, and walked away.

She is saying with her actions: She, a poor person, cannot understand the world of the rich, so if she doesn't say anything, she won't say anything!

**
The laboratory began to be renovated intensively, and acquaintances came to visit again, this time it was not Wang Lei, but Song Zixiang.

It's been a long time, and Wang Lei hasn't come to the clinic for a stroll.

After touching the high-quality decoration materials, Song Zixiang couldn't help but said, "Are you building a clinic, or a research institute?"

Tianhai continued to lower his head to settle accounts: "It's not that exaggerated, it's just that Pingping wants a microbiology laboratory, so I'll build one for her."

"It's just a mere?" Song Zixiang, who has always been soft-spoken, couldn't resist complaining: "Millions of things are just a mere thing in your mouth."

"Not a few million." Speaking of this, Tianhai couldn't help but smile triumphantly: "It only cost 198 million."

"It's only 198 million?" Song Zixiang doesn't know much about this, but he can roughly estimate the price: "You can't just find a third-rate brand manufacturer, can you trust the quality?"

Tianhai was even more proud: "It's not a third-rate brand, it's Semen."

"Semen? A top brand!" Song Zixiang suddenly felt that he couldn't understand the world: "What on earth are you selling, that people can give you such a low price?"

Tianhai clasped his fingers and knocked on the table: "Skills, this is called negotiation skills, do you understand?"

"Hehe!" It was rare to see Tianhai's real appearance, Zixiang smiled: "Unexpectedly, Mr. Jiang, who was once the eldest son of Tianbao Group and grew up with a golden spoon in his mouth, would actually bargain with others!"

Tianhai turned his head to look at Zixiang, with a look of contempt on his face: "Have you read too many brain-dead romance novels?"

"What?" Zixiang couldn't keep up with Tianhai's train of thought.

"Only in brain-dead romance novels, the domineering CEO would spend millions of dollars to buy something without haggling, just to make the heroine happy. In real life, which one of the successful businessmen is not diligent and thrifty? Good at bargaining."

Zixiang shook his head helplessly: "Okay, okay, I understand, Jiang is always a successful businessman with brains and skills, okay."

Only then was Tianhai satisfied, and he lowered his head and continued to settle the score.

Just kidding, but judging by Tianhai's current posture, Anping Clinic is destined to be an ordinary clinic, Zixiang couldn't help but think a little further.

"Tianhai, I heard that you rented out the whole street."

"Yes."

Song Zixiang's eyes became serious: "From the beginning, you wanted to build a private scientific research base for Lu Ping."

(End of this chapter)