I randomly have a new job every week

"500 is just the basic service. Every time you add an item, you have to add an extra fee, and you have to pay for each posture. And with my physique, there will be unlimited extra minutes in the end. If you don't have tens of thousands of yuan a night, you can't afford it at all."

"Lin Yi, just bullshit with me!" Liang Ruoxu said:

"I didn't mess around with you, what can I do to relieve it?"

"Drink more hot water."

"I don't want to hear this!" Liang Ruoxu said: "If a scumbag gives me the same advice as a straight man, then I'd rather not."

"Drink less cold water."

"you!"

"Sir, I want to ask you the way. We want to register for pediatrics. Where do we go?"

While the two were talking, a young couple ran in from outside.

Lin Yi glanced at the speaker, the young couple should be a little older than him, but they looked much older than him.

Moreover, their dark skin and plain clothes seemed to come from the county below.

In addition, in the arms of the woman, there is also a baby.

Lin Yi could judge that it should be not long after birth, not long after the full moon.

"The doctors are off work at this point, and they usually register in the morning, so you can come early tomorrow." Lin Yi said.

"Ah? Can't hang up?"

The woman stomped anxiously, "What should I do now? Are all hospitals registered in the morning? We want to see a doctor now, so don't we think so?"

"All hospitals register in the morning, not in the afternoon."

Lin Yi looked at the woman and said, "Is the child sick? I'm the director of the Cardiac Surgery Department of Huashan Hospital. I can do a simple examination for the child. If it's not serious, you can come back tomorrow."

Today's young people love their children far more than before.

If the child feels a little uncomfortable, he will be in a hurry, as if the sky is falling.

This kind of thing happened to Lin Yi almost every day when he was on duty in the emergency department.

So he wanted to vaccinate the young couple and reassure them first.

Knowing Lin Yi's identity, the couple felt as if they had seen a savior, and the woman's tears also fell at this time.

"We both came from the county below. After giving birth and confinement, I handed over the child to my mother-in-law in my hometown, and then my husband and I went to Zhonghai to work and earn money."

"But this morning, my mother-in-law called me and said that the child in our family can't move his hands and feet, and the child of the neighbor Wang's second child has just been one month old, and his hands and feet can move freely. Then we both hurried back and found That’s right, I just drove here.”

"Doctor, please do me a favor and show us, is it serious or not? Is it lack of nutrition?"

Hearing the woman's description, Lin Yi's expression became serious.

Liang Ruoxu on the side also noticed this, Lin Yi rarely looked so solemn.

"Come on, you hold the baby, let me take a brief look first."

Because Lin Yi has clinical experience in general practice, pediatrics is no problem for him.

"Good good..."

The woman responded and opened the swaddle, revealing the child's arms and legs.

Lin Yi grabbed one of the arms and gently lifted it up. After letting go, the arm fell into a free fall and then fell back.

Lin Yi repeated this action again, but the result was still the same.

Later, Lin Yi did the same experiment on the two legs and the other arm, and found that the result was still the same.

"Don't worry, I'll take you to the emergency room and do a specific examination first."

Seeing Lin Yi's serious expression, the couple became even more nervous.

"Doctor, what kind of disease is this? Don't scare us."

"Don't worry, the environment here is not very good. My examination may be wrong. I will find a professional pediatrician and check it for you again."

Because he has general practice clinical experience in his mind, no one in Huashan Hospital is more authoritative than Lin Yi.

The reason why he said this was that he wanted to further confirm his conjecture with the help of the inspection of the instrument.

"Okay, I'll trouble you then."

"fine."

Lin Yi looked at Liang Ruoxu, "I'll deal with the matter in front of me, you go back first."

"Let's go together, anyway, I have nothing to do at night."

"also."

Lin Yi took the mobile phone and dialed the number of the director of pediatrics.

"Brother Wang, who is on duty in your pediatric department tonight?"

"I'm on duty. I just came back from the house inspection."

"I met a patient at the door. The situation is a little anxious. I will take them to you."

"Come on, I'm in the office."

After hanging up the phone, Lin Yi took the couple and Liang Ruoxu to the third inpatient department, and knocked on the door of the office.

Sitting in the office is a middle-aged man, about 40 years old, with greasy hair and a big belly, a typical image of a greasy middle-aged man.

The man's name is Wang Dawei, and he is the chief physician of the Department of Pediatrics.

A few days ago, his father had a heart stent, which was performed by Lin Yi, so the relationship between the two is very good.

Seeing Lin Yi bring someone in, Wang Dawei buttoned up his white coat.

"What symptoms does the child have?"

"It's been two months, my limbs are weak and I can't move."

Hearing Lin Yi's simple description, Wang Dawei's expression changed, as if he had realized something.

"Hold the baby to the crib, and I'll check him."

The child's mother put the child on the crib. Although she was crying all the time, she couldn't care about other things now.

A few minutes later, Wang Dawei made a preliminary inspection and found that the situation was the same as what Lin Yi said.

"Director Lin, you wait here for a while, I will arrange a basic examination for the child to see what's going on."

"it is good."

Wang Dawei walked out of the office together with the child's parents.

Lin Yi sat on the sofa with a serious face, unconsciously picked up the cigarette on the desk, and silently lit one.

Liang Ruoxu looked surprised, it was the first time he saw Lin Yi smoking.

"Is the child's condition not very good?"

"Although I haven't diagnosed it, I feel that it is close to ten. It should be SMA, also called spinal muscular atrophy."

###Chapter 531: We can't be too selfish###

Liang Ruoxu didn't understand clinical medicine, but he also realized the seriousness of the problem.

"Should it be a rare disease? With China's medical level, can it be cured?"

"It's a rare disease, and it can be cured."

"That's good." Liang Ruoxu said: "Although the child is a little small, as long as it can be cured, the problem is not big."

"Although it can be cured, it cannot be cured."

"Huh? What do you mean?"

"The medicine for treating SMA costs 70 pieces. Even for the mildest symptoms, at least four medicines are needed to recover." Lin Yi looked at Liang Ruoxu, "How do you ask them to treat it?"

Liang Ruoxu was stunned, and his expression became silent.

When they met just now, the couple introduced their identities.

They came to work in Zhonghai from the county seat.

According to the current standard, the two of them work hard without eating or drinking, and they can earn 20 yuan a year, which is already the limit.

It takes three and a half years without eating or drinking, and you are still struggling to make money before you can get one.

If treated according to the mildest symptoms, it will take at least 14 years.

Even if they can persist, the children may not be able to persist.

As Lin Yi said, this disease can be cured, but it cannot be cured.

"If you are really diagnosed, will you choose to help them?" Liang Ruoxu asked.

"will not."

Lin Yi shook his head, "I am a human being, not a god. In China, there are even rarer diseases than SMA. Do I have to help every one of them? Even if I have such an idea, I can't help it. "

"I understand what you mean." Liang Ruoxu said, "Do you want me to call for fundraising and help them?"

"No." Lin Yi looked at Liang Ruoxu and said:

"You are a magistrate, and you know your own position better than me. Sometimes people must be cold-blooded, otherwise the order of the world will be messed up."

About half an hour later, Sun Dawei walked in from the outside.

"How's the situation?" Lin Yi asked.

"I only did a preliminary examination. I took the results and had a simple video consultation with several other directors. It was basically decided that it was SMA, spinal muscular atrophy." Sun Dawei said:

"When the doctors from other departments come tomorrow, let them do a comprehensive examination, and the diagnosis will be completely confirmed."

"What are you going to do with this disease?"

Sun Dawei shrugged his shoulders, "I can't help it. After the diagnosis is complete, I will let them go back. The Nocinogen Sodium for SMA costs 70 sticks, and it has not been included in the medical insurance. With their conditions, they must not be able to afford it." Yes, there is not much we can do, hey, poor boy."

"Okay." Lin Yi said:

"Let's just do our best, there are many things that can't be helped."

"Isn't that right?" Sun Dawei said, "I just sent away a patient like this half a year ago, and now another one comes in, and it can't be cured at all."

Lin Yi nodded, "Then let's deal with it in a conventional way, I'll go first."

"Okay, let's go out and have a drink."

"it is good."

Leaving the office, the two walked towards the parking lot.

"Why is this medicine so expensive?" Liang Ruoxu said:

"Did it monopolize the market like Pfizer?"

"It is true that they have a monopoly, but they are different from Pfizer, they are completely different in nature." Lin Yi said:

"Pfizer's Bulopin, there are many drugs of the same type on the market, but the effect is not as good as theirs. In addition, this is a standing drug for the cardiovascular system, which needs to be taken every day, so the research and development costs are shared among the general public. The patients actually didn't have much money, so at that time, I dared to blatantly bargain with them."

"But the treatment of SMA is different. As far as I know, the average time to develop this rare drug is about 13 years. How to consider the capital factor, the cost may be as high as 18 billion US dollars, and most importantly , Even if you put in the cost of time and money, you may not be able to succeed."

"From the selection of targets to the screening of lead compounds, to the 123 phase of clinical optimization, and then to the final application for listing, after more than ten years, the final success rate is less than 4%. If there is any problem in any link, it will be fatal. All of the investment is in vain.”

"And 13 years, 18 billion US dollars, is only for the successful drug research. Before that, there must have been countless failures, and these failed products also cost money, which is why it is so expensive, and the treatment It’s a rare disease, so it’s naturally expensive.”

Although Liang Ruoxu was an outsider who came here by air, after listening to Lin Yi's explanation, he completely understood what was going on.

There is nothing wrong with pharmaceutical companies. Compared with a fresh life, the figure of 70 is not expensive, but this cold weight is not something everyone can bear.

"There are still many rare diseases in the world, and the drugs for treatment are more expensive."

"Indeed, it's also a medicine for treating SMA, and there's also 1500 million pieces of Zogensma. The original price of Nocinogen Sodium was 87 yuan, but now it's dropped to 70 yuan. It's already been negotiated," Lin Yi said. :

"In addition, the drug for LPLD is sold for $121 million, the drug for UCD is $79, the drug for Pompe disease is $62, and the drug for hyperammonemia is $58..."

"There are countless rare diseases, and the cost of their treatment is astronomical for ordinary people. We cannot accuse pharmaceutical companies of profit-seeking. That would be too selfish."

"Huh~~~" Liang Ruoxu took a deep breath, "But for us, this is always a problem."

"That's right." Lin Yi shrugged, with a calm expression, as if he was used to facing such things, and said: