Doctor Chen, Don't Be a Coward! Chapter 302

  Chapter 302 Chance

  ChinJapan Friendship Hospital.

neurosurgery.

  Duan Youguang, who is known as the leader of the domestic nerve knife, sat in the office with a dignified expression, and in the huge office, there were a group of experts from Xiehe, Tiantan and other hospitals.

   At this time, everyone is discussing about an operation tomorrow.

  Surgical treatment of secondary parkinsonism.

  Parkinson's surgery has been developed for decades.

  As early as 1947, after Spiegel et al first used stereotaxic surgery to destroy the globus pallidus in the treatment of Parkinson's disease and achieved good results, Parkinson's surgery gradually entered the mainstream society.

  However, there are still many problems in the development of this kind of surgery.

  The first and most important problem is that the scope of treatment is very narrow.

What does that mean?

  Parkinson's disease can be treated surgically, but the indications for surgical treatment must be strictly controlled. Surgical treatment may be considered for patients who are effective in early drug treatment but significantly diminished in long-term treatment or have severe symptom fluctuations or dyskinesias.

  However, surgery is absolutely contraindicated for patients with secondary Parkinson syndrome and Parkinson plus syndrome.

This is the first point!

  The second point is that the treatment effect after surgery is mediocre.

  Although destroying the globus pallidum inside the brain can achieve good results, it still cannot be cured. After surgery, drug treatment needs to be continued, but the dosage can be reduced.

   Gradually, over the years, Parkinson's surgery has become somewhat questionable.

  Since you can't cure this disease, why bother to destroy a tissue in the brain?

   Isn't this superfluous?

   Therefore, the status of Parkinson's surgery in the neurosurgery circle has been minimal in recent years.

   Even, in recent years, with the development of pharmaceutical science, those foreign capitals have begun to put forward the theory that Parkinson's surgery is useless.

   After all, drug treatment is king!

   A good business with huge profits.

  Never underestimate the ambition of capitalists. Any disease, in the eyes of some people, will definitely become a business.

  For example, Parkinson's disease, which is a lifelong disease, requires lifelong treatment once the disease occurs, and drug treatment is still the most important method at present.

  With the development of medicine, people's understanding of Parkinson's is deepening, new drugs for treating Parkinson's are emerging, and many new drug targets and new treatment methods are becoming more and more prominent.

   So much so that the current drugs have reached the genetic level.

  Is there any disease that can make capital happier than such a disease that takes medicine for life?

  The reason why the directors of the ChinJapan Friendship Hospital, Temple of Heaven, Xuanwu, and ChinJapan Friendship Hospital gathered in the office was because of one thing.

  The superior gave an order to the Neurosurgery Association and the National Neurosurgery Treatment Research Center last year.

   Within two years, the treatment effect of Parkinson's should be improved by one level.

  Whether it is drug treatment or surgical treatment!

   As long as we can successfully produce it in China and serve patients better, that will be fine!

   This plan is called the "PD3Y" plan.

  It means that within three years, the curative effect of Parkinson's treatment should be improved to a higher level.

  At that time, those who participated in the PD3Y project were basically at the academician level.

  In addition to the Neurosurgery Research Center, there are also a number of institutions such as the Institute of Neurology Drugs.

  The reason for everything is that there was a big controversy during the negotiation between the internationally renowned pharmaceutical company Tans Biotech and the domestic drug administration, medical insurance and other departments.

  The biggest controversy is nothing more than two points, the first is the price dispute, and the second is the issue of patents.

  Tansi Biotech requested my country's Food and Drug Administration to crack down on counterfeit drugs, and rejected the request to build a domestic factory.

  Based on these two points, they couldn't reach an agreement, so the other party just slapped their **** and left.

   Rejected the request for the drug to enter China!

   All of a sudden, the higher-ups got angry.

  This is the plan for PD3Y.

   And at this time...

  The plan has lasted for nearly two years.

  Duan Youguang and others gathered in the office to discuss this matter.

  Their neurosurgery team spent two years and finally found a surgical plan.

  Compared with the original surgery, this solution is much ahead!

  They discovered a new strategy, which is to destroy the ventrolateral nucleus of the thalamus.

  Destroying here, compared to destroying the globus pallidus, can produce better curative effect on symptoms such as tremors.

  So, everyone quickly started related research work.

nowadays!

  After a lot of animal experiments, they are about to usher in the first human surgery.

  The ChinJapan Friendship Hospital is the pilot of this operation.

   Therefore, several people are a little nervous.

   At this time, Li Huapeng from the Temple of Heaven couldn't help but sigh:

   "This operation is quite difficult."

   "However... I don't know what the real final effect will be."

   "Moreover, there is still a problem, and it is also the last problem. Although we have done relatively successful experiments on animals, there is a big gap between the human body and animals after all."

   "When doing animal experiments, we use local anesthesia to get better results, but... if we use humans, I still feel a little nervous."

  After Li Huapeng finished speaking, several people nodded their heads one after another, their faces solemn.

   This is indeed a very big question!

   After all, it is a craniotomy and local anesthesia is used, is it okay?

  But...the operation must be carried out with the cooperation of the patient, and general anesthesia has no such effect at all.

  Surgery belongs to stereotaxic surgery, which needs to find the target and then destroy it.

  The search for the destroyed area, the degree of destruction, and many things require the help of the patient.

  In the process of making lesion, they need to pay close attention to and observe the patient's response and clinical effect, which is very important to strive for satisfactory curative effect and prevent complications.

   Moreover, it is best not to use or use less sedative drugs during the operation to keep the patient highly awake and cooperative.

  If the symptoms are not relieved or complications occur, it means that there is a deviation in positioning, and the damage should be stopped immediately.

  The operation should also be terminated for patients who are confused and unable to cooperate during the operation.

   Therefore, for all the above, the patient must be required to stay awake and cooperate.

   Observe and coordinate to complete the operation together.

  But...it's a local anesthesia operation.

  The amount of anesthesia is reduced, can the patient cooperate?

  The pain has already made people collapse, let alone cooperate.

  The amount of anesthesia is too much, and the patient is even more unable to cooperate.

  The whole person is in a daze, what kind of cooperation?

  The trembling hand fell asleep, what a fart!

  So, the smooth progress of this operation depends on the anesthesia.

   But this point has become the key to the operation!

  After thinking for a while, Duan Youguang suddenly smiled: "Everyone, don't worry too much!"

   "After all, we have been doing animal experiments for so long."

   “Even the monkey, we've done it many times.”

   "The effect is remarkable."

   "I don't think it's a big problem. After all, the instinctive reaction of animals and the instinctive reaction of humans are much worse in animals."

  Li Huapeng also smiled: "Yes, everyone, don't be discouraged."

   "It's a good thing after all."

   "Today, what we have to do is to recharge our batteries and get ready."

  The director of Xiehe smiled:

"Too!"

   "After all, we didn't make much publicity about this surgery."

  "If it doesn't work, we can still find other ways, just treat it as an attempt."

   "There is no risk of surgery."

   "Don't worry, everyone."

Ok…

  The original meeting this time became a meeting of mutual comfort and encouragement.

   Duan Youguang also couldn't laugh or cry.

   This is what the doctor called... always comforting?

   But, let's be honest… there are so many ups and downs on this road to success that you really need to find someone to comfort and encourage each other.

  While speaking, Duan Youguang got up and said with a smile: "Everyone go back first."

   "There is something to talk about in the group."

   "Keep in touch at all times."

   "I send you off."

  Everyone stood up with a smile, and walked outside one after another.

   At this time, Chen Nan followed Luo Qiping to the conference room on the tenth floor.

  Today is equivalent to Chen Nan's official arrival.

  In the large conference room, there were many people, and all the chief physicians from various departments gathered.

  Nine departments and more than 20 floors of wards, nearly a hundred people came.

  Luo Qiping showed enough importance to Chen Nan.

  After he went back last night, he collected some information about Chen Nan. After learning about it, Luo Qiping suddenly fell silent.

  This Chen Nan is really not simple!

   Moreover, his growth experience gave him a different development path than other Chinese medicine practitioners.

  Perhaps for most people, the training path of a Chinese medicine should graduate with a master's degree, enter a specialized department of a Chinese medicine hospital, and then start to develop, but Chen Nan's approach is not orthodox in the orthodox view.

  However, Luo Qiping's perspective is completely different from others.

  He saw another thing from Chen Nan.

  The reason why ancient Chinese medicine is powerful is that it stands from a different angle from others.

  Start from the overall, dialectical as a whole.

  Chen Nan, on the other hand, has such an advantage. The Chinese medicine department of the Western Hospital is bound to have all kinds of patients.

  Similarly, Chen Nan also has a natural advantage: "combination of Chinese and Western medicine."

  First of all, I majored in integrated Chinese and Western medicine. After graduation, I went to the Department of Traditional Chinese Medicine of the Western Hospital. In the environment of the Western Hospital, it is almost impossible for Chinese medicine to develop!

  Chen Nan broke out in such an environment.

  Established the integrated traditional Chinese and Western medicine ward, and the actual person in charge of the 12-story building.

  Cooperated with Jin Provincial Orthopedic Hospital, and is a second-level external professor. The dean Lao Tian favors him very much.

   During the training period in the capital, he also obtained the external qualification of Dongzhimen Hospital, and created the fire needle combined surgery, which won the honor of international awards.

  Internal medicine?

   Not to mention!

  Chen Nan's reputation in the hospital can be known by just asking, and how old is he?

  26 years old, no... At the age of 25, he successfully obtained the subject pilot recognized by the above, and initiated the research on Sha syndrome. In June, all major Chinese medicines in Shanxi Province initiated the research on Sha syndrome.

  Pediatric massage and massage are even more outstanding!

   Legendary levels!

  The field of gynecology is even more remarkable. When Chen Nan was in the province for women and children last year, his plan of promoting blood circulation and removing blood stasis to prevent miscarriage was approved by the old man.

   Internal and external women and children, acupuncture and massage, he really takes them all!

  Looking at Chen Nan's resume, Luo Qiping was really silent.

  These things are Chen Nan's real achievements in the source city.

  When he was only 25 years old, he became the vice president of the Jin Provincial Association of Traditional Chinese Medicine Physicians. After he came to power, he took drastic measures to rectify the atmosphere, and judged medical troubles rigorously and seriously.

   Isn't this kind of person just what I need?

  Last night, Luo Qiping was so excited that he lost sleep.

  He used to have a 70% grudge against Chen Nan, but at this time, he no longer has the slightest complaint!

  Perhaps, Chen Nan doesn't have any outstanding achievements now, and his qualifications are still low.

but!

  People's grades are actually in the medical records, not issued by the state or department.

  This kind of result is more convincing!

  Now, when people come here, Luo Qiping even seems to have seen a treasure coming.

  Because Chen Nan's previous ability has not been transformed into achievements, this means that Chen Nan's skills are very mature, and after arriving, they can be transformed into achievements immediately...

   It won't be long before Chen Nan will be able to gain a firm foothold here.

  In the future, it may really be impossible for me to compare.

  Thinking of this... Luo Qiping even became a little excited.

  Although the integrated traditional Chinese and Western medicine ward is the key project of the hospital, but... You must know that the most powerful thing in the ChinJapan Friendship Hospital is Western medicine!

  Two buildings, this is the real card.

   Moreover, Luo Qiping is not even the vice president of the hospital.

   It is conceivable that the integrated traditional Chinese and Western medicine ward seems to be a signboard, but in fact... only he knows how it will develop.

  He hoped that after Chen Nan's arrival, the hospital could show its strength.

  During the speech, Luo Qiping glanced at the crowd: "Everyone come together!"

   "I called everyone to a meeting today, and there is only one thing."

   "That is to welcome the arrival of the deputy director of our integrated traditional Chinese and Western medicine ward, Director Chen Nan Chen!"

  After speaking, Luo Qiping took the lead in applauding.

  The group of people from the orthopedics department yesterday also began to applaud excitedly.

  Chen Nan also walked forward at this time, his face was calm and calm.

  In the audience, many people looked dignified, didn't say a word, and gave some applause more or less, although it was perfunctory, there were some.

but…

  In the crowd, some people still looked at Chen Nan without changing their expression, and they didn't even applaud.

  Looking at this scene, Chen Nan smiled without expressing much expression.

   And soon!

  A series of bad reviews came one after another.

【Ding! Congratulations, you have received a negative review from Shao Zizhen, and the rating of the negative review is: Intermediate! Obtain reward: Ankle surgery (proficient level)]

【Ding! Congratulations, you have received a bad review from Bu Haiyang...]

  With the arrival of a series of bad reviews and rewards, Chen Nan suddenly laughed.

  This...is a big hospital!

  People are also enthusiastic, you see, all the rewards came at once.

   So, what reason does he have to be angry?

  The people here are amazing, there are many negative reviews, the rewards are also rich, and they can talk... He really likes this place, okay?

  Luo Qiping glanced at Chen Nan, a little surprised.

  This Chen Nan...

   Not angry?

  Looking at the sparse applause from the audience, besides the orthopedics department, many people did not welcome Chen Nan's arrival very much!

  Even everyone in the audience looked at Chen Nan who was smiling happily.

   A little surprised!

  This kid, isn't he stupid?

  This... Didn't you see that no one welcomes you?

  Luo Qiping said with a smile:

   "You may not know much about Director Chen. He is the youngest vice president of the Association of Traditional Chinese Medicine Physicians in every province in our country."

   "He is also a director of our National Association of Chinese Physicians!"

   "The level is still very good."

   "Director Chen, although you are young, but...don't underestimate him."

   "Next, I'm going to arrange Director Chen's future work."

   "The integrated traditional Chinese and Western medicine ward is no better than other wards. I am now in charge of surgery. In the days to come, Director Chen will focus on internal medicine."

  As soon as this remark came out, heated discussions continued in the audience.

   Everyone didn't expect that Luo Qiping would start making arrangements so directly?

  Hello everyone, have you agreed yet?

   At this time, suddenly a person stood up.

   "Director Luo, I have a question. The current staffing and work development of our department are very stable. At present, there is no need for another director."

   "Of course, I don't doubt Director Chen's ability, but because our department really doesn't need personnel changes now."

   "So... sorry!"

   This Shao Zi was really quick to speak, he stood up first, and directly expressed his thoughts.

   Everyone looked at Chen Nan instantly, wanting to see his embarrassment.

pity!

  When everyone looked at Chen Nan, they found that the other party was very calm and not nervous at all.

  Chen Nan naturally has no bad words for such a director who is so enthusiastic about him.

  This is another bad review!

  It turns out that you are Shao Zizhen!

   It is said that barking dogs do not bite people, Chen Nan was relieved to see Shao Zizhen like this.

  It may seem like a bad word, but in fact... this kind of person is easier to get along with.

   Those who really don't speak may be the most difficult.

  With Shao Zizhen at the beginning, several directors also stood up one after another.

   "Director Luo, Director Chen, I'm really sorry, our department doesn't really need it..."

  Luo Qiping knew this a long time ago!

  But... after seeing everyone, he was a little more worried about the development of Chen Nan's work.

   And at this moment, suddenly a person stood up.

   "Director Luo, Director Chen."

   "Let me introduce myself. I am Lu Zhilin from the Department of Medical Oncology. I welcome Director Chen to our department during this time."

   "Our department needs a talent like Director Chen to take the lead for us."

  As soon as these words came out, everyone around was dumbfounded.

  Everyone looked at Lu Zhilin curiously, but unexpectedly...such a scene happened.

  Even Luo Qiping was a little surprised!

  Chen Nan looked at the other party more curiously, a little more curious.

   This operation, on the contrary, left Luo Qiping at a loss as to what to do.

  He looked at Lu Zhilin, then at Chen Nan, asking about something.

  Chen Nan smiled and said, "Thank you Director Lu for your kind invitation."

   Then he nodded to Luo Qiping, and Luo Qiping also understood what Chen Nan was thinking.

"Ok!"

   "Okay, let Director Chen go to the oncology department."

   "However, since Director Chen wants to coordinate the internal medicine team, so... from now on, everyone's rounds will be adjusted."

   "Let Director Chen participate in the big rounds!"

   "Every internal medicine department of traditional Chinese medicine, all departments."

   "Let's discuss it among ourselves and look at the time issue."

   Luo Qiping's words were not a discussion at all, but a direct decision!

  ps: I'm sorry, I'm a little short today, I have a personal matter, I can't help it... hey!

Headache!

  (end of this chapter)

Chapter end