The human body is actually a huge group of companies.

Tissue and organs are subsidiaries under the super-strong group called "Human Body", while cells are just an extremely ordinary small department.

In order to maintain the vitality of the entire group company, not only employees, but even the department is laid off and transferred. Every day, a large number of new employees are recruited to form small departments to serve the group, and a large number of useless old departments are abandoned and thousands of employees are dismissed.

New employees need to go through layers of screening or even training.

Losers with unqualified abilities must be eliminated as soon as possible. At the same time, the group company also has regular immune spot checks to prevent certain anti-social dangerous elements who cause cancer and infection from working.

Once discovered, clean immediately.

In comparison, dismissing old employees is not easy.

As a huge group company, it is impossible to open the door and kick employees in the butt, and then sweep people out casually. After leaving, the company's senior management has to sign a minimum pension system with these old employees, and sometimes they have to give some other benefits, otherwise these old employees will hold up the banner of resistance and stay in the company and stay with them.

Red blood cells in the blood are a typical example.

After an average of 120 days of work, the entire red blood cell department will be decomposed.

There is a working group in this department called hemoglobin, and the largest number in the hemoglobin group is the main metabolite of a porphyrin compound, bilirubin.

When facing unemployment, bilirubin will naturally not let it go. The fat-soluble personality makes them incompatible with the liquids that are separated in the kidneys.

For this reason, the group company has issued retirement and pension clauses that meet bilirubin's demands. Before each bilirubin leaves, you can go to the liver to receive a portion of gamma protein or z protein as resignation compensation.

Only after receiving subsidies for gamma or z proteins can bilirubin leave with peace of mind.

The group company lying in the second bed of the prison has serious problems. The liver responsible for comforting the work and the kidneys arranged for resignation have been severely hit by foreign drugs and both are paralyzed.

The liver went on strike and could not distribute resignation compensation. The kidneys closed, blocking the path for old employees to leave.

This has caused a large number of old employees to be piled up in the company, among which creatinine, urea and bilirubin are the most active people. In particular, bilirubin will quickly disperse under the skin and sclera, showing its special "glory" and jaundice.

As experts who turned to group companies for internal regulation, the doctors received condolences for liver and kidney protection and wanted to sit down and have a good talk with the liver and kidneys. However, the progress of things was not going smoothly, and the negotiations over several hours ended in vain, and even reached a point where they almost fell apart.

At this time, we should not only be limited to internal adjustments.

In order to keep the group company from falling, tough external intervention is inevitable, just like using large doses of drugs to curb the impact of external infections.

The principles of hemodialysis and external liver that Qi Jing mentioned are the same. They use a large-scale screening mechanism to bypass the liver and kidneys, screen out those old employees who have been fired and forcibly take them away.

Of course, external intervention requires a lot of financial support.

Both artificial liver and hemodialysis in vitro require their own special adsorption rods. Hemodialysis is cheap, while artificial livers are much more expensive to absorb bilirubin.

"That's what money?"

"Well, the first time it's really expensive, it costs more than 10,000 yuan." Qi Jing said, "It's a bit cheaper when you use it the second time, about 8,000-9,000 yuan, and the third time it will drop to 7,000 yuan. That's the price."

"Then, that medical insurance..."

Listening to these exaggerated numbers, Zhang Xiang's voice was very light and heavy, and he still had a trace of fantasy in his heart. But as soon as he said the two words, what he saw was Qi Jing's slightly shaking head.

In 2004, the average housing price in Danyang was only more than 1,000 per square meter. This treatment cost is indeed not cheap, and it is definitely not possible to obtain medical insurance.

It is really because the material of adsorbent bilirubin adsorbent is too expensive and the manufacturing process is not complete. The cost of using it once is real. After more than ten years, the process level of medical devices gradually increases, and the cost of artificial liver can be reduced.

Zhang Xiang's family is definitely not a rich family. He lives in an old-fashioned building less than 20 square meters. The salary for two people is only less than 3,000 yuan per month. The most important thing is that the savings that are not rich have been used up after a day of hard work. Many of them are expenses that cannot be paid for medical insurance.

But even in such an environment, Zhang Xiang didn't hesitate much.

Seeing his right hand stretching out with his two documents, Qi Jing made the decision, which was also the decision he had agreed with Wang Ting before.

In Zhang Xiang's eyes, he is a family member, and the only patients he has to face is his wife. But in the eyes of Qi Jing, Wang Ting and Neijiu doctors, Zhang Xiang has long been considered among the patients. The two are only in their 40s, and the possibility of Hiv infection is as high as 90%, but Zhang Xiang has not yet fallen ill.

If all the money is spent on his wife, if Zhang Xiang gets sick later, he has no money to use it...

Since the other party had plans to treat it, Qi Jing had to explain it clearly. He suddenly took back the treatment sheet he was about to hand over, and at the same time took out another test sheet from his white coat's pocket: "Old Zhang, let's do this test before treatment."

"Another check?"

Zhang Xiang thought there were any restrictions on treatment, but after seeing the examination items, he became surprised: "Doctor, didn't she get pneumonia before? How did she change..."

The name column of the checklist reads his wife's name, and the Hiv antibody item is enclosed below, and the next one is marked "st!". Zhang Xiang did not immediately think of the infection route, but just felt a little strange: Why is this disease related to this infectious disease again?

"Lao Zhang, your wife's number of cd4t cells has decreased, but cd8t cells are rising." Qi Jing explained at this time, "This shows that something is specifically attacking her cd4t cells."

"Yes, I know." Zhang Xiang nodded, "Didn't you just mentioned a lot of possibilities?"

Qi Jing sighed and said the key factors: "One of those possibilities is a viral infection."

Even if Zhang Xiang was slow to react due to fatigue, he could still hear some of the smell from this sentence. Speaking of this, the cause and the examination form were closely linked: the doctor suspected that it was a HV virus infection.

As a middle school English teacher, he naturally knew what Hiv was abbreviation.

Because publicity has been strengthened in recent years, the contagious route of this disease has also been widely spread. After living with my wife for so many years, she has never had blood transfusions, and her mother has lived well, and the possibility of blood transmission and mother-to-child transmission is 0.

There is only one way left.

Zhang Xiang naturally knew that he was innocent, so the source of the virus was self-evident.

After thinking twice, Zhang Xiang felt more and more uncomfortable as he thought about it. He felt that a stone was stuffed into his chest, which was blocked. His hand holding the checklist was also trembling slightly because of the excitement of the sympathetic nerves. Gradually, there was anger in his stomach constantly rising and rushing straight to his forehead...

He looked up at Qi Jing, his eyes redder: "Are you sure?"

Qi Jing hesitated for a moment and replied, "Any 80% or 90%."

Zhang Xiang swallowed his saliva and quickly withdrew his gaze and didn't know where to look. He found that he knew his wife not as good as the doctor in front of him. What happened over the years?

What happened...

However, it doesn't make sense to know what happened now...

Zhang Xiang took two deep breaths, tried his best to control his trembling right hand and reached into his pocket, took out his wallet and asked Qi Jing: "I used a lot of money today, where is the ATM machine in the hospital?"

Qi Jing explained: "This inspection is fine, not too expensive."

"I'm talking about treatment." Zhang Xiang slowly stood up, holding the wall with one hand, picking up the checklist with the other hand and re-reading the line of letters, and then asked, "How much did you say just now, artificial liver cost? Ten thousand? Or twenty thousand?"

"Actually, it's not yet time for a complete outbreak, and ordinary supportive treatment can last for a while." Qi Jing thought he didn't expect this layer, so he suggested, "I wrote an expedited test on the examination sheet. The artificial liver can be completely delayed until the examination results come out before applying."

The meaning of this sentence is obvious.

When there is still a high mortality rate after treatment, considering the patient's HV test results and possible sources, it is normal for Zhang Xiang to give up treatment. However, this man gave a completely opposite answer. Although his voice was weak, it is not difficult to judge from the tone that he had made a decision.

"No need." Zhang Xiang said, "Let's talk about it after treatment."

Qi Jing has seen bloody scenes in the emergency room, the instinctive reactions of humans after being cuckolded, and has also seen the most extreme reversal plot. He has always been calm in treating such patients and will never make easy judgments without 100% evidence.

So he had already prepared for this conversation.

The expected collapse scene has not come now, and the family's reaction exceeded expectations. The original argument that persuaded Zhang Xiang to continue treatment had to be replaced. As a doctor who is a qualified and responsible for himself, Qi Jing must now sprinkle salt on Zhang Xiang's wound and inform him of the worst possible outcome of treatment prognosis:

"Old Zhang, if it is really HV, considering the value of the CD4T cell and her liver and kidney function, it will be difficult for your wife to pass the next level even if she passes this level." Qi Jing paused and then said the key point, "I'm afraid the interval is only a few days."

Zhang Xiang nodded: "I know."

"If it's really Hiv, I suggest you give up treatment." Qi Jing said, "The result of treatment is that both people and money are gone, so you must consider it clearly."

"I know."

"If it's really Hiv, you're likely to get infected..."

"Stop talking! I know everything!" Zhang Xiang interrupted him directly, and pressed his inner anger with his teeth tightly grinding.

"Okay." Qi Jing is just a doctor, only responsible for explaining various risks, and fully respects the family's decision in the treatment choice. "The first cost of artificial liver is about 14,000 yuan. If the first use effect is good, we will consider continuing to use it."

"I see......"

Zhang Xiang nodded, the volume that had just been lifted quickly fell back, and the voice was so soft that even Qi Jing, who was sitting next to him, almost heard clearly: "Where is there a bank outside the hospital door, right?"

“There is an ATM machine, and it’s very convenient to withdraw money.”

"That's good." Zhang Xiang calmed down in the empty hall, then slowly turned around and walked out of the emergency gate.

......

Although the order stated that the expedited test still took some time. During this period, Zhang Xiang paid the first artificial liver and hemodialysis fee. Including the previous expenses, nearly 20,000 yuan was used on the first day alone.

The artificial liver and hemodialysis in vitro have obvious effects. After half an hour on the machine, several important indicators of liver and kidney function were reduced. Under the action of preventive antibiotics, the patient also withstood the side effects and no longer had any infection.

The patient has passed this level.

But for Zhang Xiang, it was just the beginning.

At 7 a.m., the laboratory released the preliminary test results of HV: positive.

Although there is a possibility that the HV test is false positive for non-CDC tests, the patient's CD4T cells decreased and the number of CD8T cells was normal, so it was basically possible to diagnose HV. Finally, under Qi Jing's persuasion, Zhang Xiang called himself an emergency number and tested HV once.

After the blood was drawn, he sat in the emergency hall. It was not until 9 a.m. that the patient's family members came to the hospital and Zhang Xiang recovered a little.

"Xiangzi, how is Aqin?" An old lady in her 70s came to Zhang Xiang with a cane and asked.

"Mom, sit down quickly." Zhang Xiang took her to the seat beside him and then said, "I resisted the infection yesterday afternoon and had another dialysis in the evening. Now the situation has temporarily stabilized."

"It's stable."

“Just stable…”

After a while of talking, the old lady was still a little worried: "Then, is that considered out of danger?"

"Not yet." Zhang Xiang shook his head, "I'm too ill and don't get better so quickly."

The old lady sighed for a long time, took a bag from her son and stuffed it into Zhang Xiang's arms: "Mom, I don't have much money, you can take all these to treat Aqin."
To be continued...