Doctor Chen, Don't Be a Coward!

China-Japan Friendship Hospital.

neurosurgery.

Duan Youguang, known as the leader of domestic neurosurgery, 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 stereotactic surgery to destroy the globus pallidum 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 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's syndrome and Parkinson's plus syndrome.

This is the first point!

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

Although destroying the globus pallidum inside the brain can achieve a good effect, 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.

Why go to such lengths to destroy a tissue in the brain when you can't cure the disease?

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 the kingly way!

A very profitable business.

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.

As a result, the current drugs have reached the genetic level.

What other disease can make capital happier than such a disease that takes medicine for life?

...

As for the China-Japan Friendship Hospital, Temple of Heaven, Xuanwu, and China-Japan Friendship Hospital, the reason why the directors of several hospitals gathered in the office was because of one thing.

Last year, the superior gave an order to the Neurosurgery Association and the National Neurosurgery Therapy Research Center.

It is necessary to improve the treatment effect of Parkinson's by a level within two years.

Whether it is drug treatment Ye Hao, or surgical treatment worth mentioning!

As long as we can successfully produce it in our country and serve patients better, that's 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 many institutions such as the Institute of Neurology Drugs... and so on.

The reason for everything is that there was a lot of 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.

Tans Biotech asked my country's Food and Drug Administration to crack down on counterfeit drugs, and rejected the request to build a factory in China.

Based on the fact that these two points could not be reached, the other party actually slapped his ass and left.

Rejected the request for drugs to enter Huaxia!

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

This is the plan for PD3Y.

And at this time...

The plan has been going on for nearly two years now.

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

Their neurosurgery team, after spending two years, finally found a surgical plan.

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

They discovered a new scheme, which involves destroying the ventrolateral nucleus of the thalamus.

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

As a result, everyone quickly launched related research work.

nowadays!

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

The China-Japan Friendship Hospital is the pilot site for 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 surgery is quite difficult."

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

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

"When doing animal experiments, it would be better if we use local anesthesia, but...if we use humans, I'm still a little nervous."

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

This is indeed a big question!

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

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 requires finding the target and then destroying it.

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

During the process of making lesions, they need to pay close attention to and observe the patient's response and clinical effect, which is very important for achieving satisfactory curative effect and preventing 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 this operation together.

But...it was a local anesthesia operation.

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

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

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

The whole person was in a daze, what did you say to cooperate?

The trembling hand fell asleep, what a fart!

Therefore, whether this operation can be carried out smoothly depends on the anesthesia.

But this point has become the key to the operation!

After a moment of contemplation, Duan Youguang suddenly smiled: "Everyone, don't worry too much!"

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

"Even monkeys, 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 human beings are more serious than 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 on the side smiled:

"Too!"

"After all, we didn't publicize this surgery."

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

"There's no risk in surgery."

"Everyone, don't worry."

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 doctors call... often 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 talking, Duan Youguang got up and said with a smile: "Everyone go back first."

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

"Keep communicating at all times."

"I'll see you off."

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

...

...

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

Today is equivalent to Chen Nan's official arrival at the post.

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

Nearly a hundred people came to the 20-storey wards in nine departments.

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 immediately fell silent.

This Chen Nan is really not simple!

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

Perhaps for most people, a training path of 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.

Starting 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, the major is the integration of traditional 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!

And Chen Nan, in such an environment, broke out unexpectedly.

The actual person in charge of the 12-story building has set up a ward for integrated traditional Chinese and Western medicine.

He cooperates 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 acupuncture combined with 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 approved 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 massage are even more unique!

The legendary level!

In the field of gynecology, it is even more remarkable. When Chen Nan was in the province of women and children last year, the plan of using the method of promoting blood circulation and removing blood stasis to protect the fetus 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 taking office, he took drastic measures to rectify the atmosphere and judged medical troubles rigorously and seriously.

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

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

He had a 70% grudge against Chen Nan at first, but now, he no longer has the slightest complaint!

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

but!

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

This result is more convincing!

But now, when people came here, Luo Qiping even seemed to see a treasure coming.

Because Chen Nan's previous ability has not been transformed into achievements, which 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 is sure 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 a key project of the hospital, but...you must know that the most powerful thing in the China-Japan 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 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.

While speaking, 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 our deputy director of the integrated traditional Chinese and Western medicine ward, Director Chen Nan Chen!"

After speaking, Luo Qiping took the lead in applauding.

And the group of people in the orthopedics department yesterday also began to applaud excitedly.

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

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

but……

In the crowd, there were still people looking at Chen Nan without changing their expressions, and they didn't even applaud.

Chen Nan looked at this scene and smiled without expressing much expression.

And soon!

A series of bad reviews followed.

【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, the rewards came all at once.

So why should he be angry?

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

Luo Qiping glanced at Chen Nan, a little surprised.

This Chen Nan...

Not even angry?

Seeing 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 curiously at Chen Nan who was smiling happily.

A little surprised!

This kid is not stupid, is he?

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 Chinese Medicine Physicians in every province in our country."

"It's also the director of our National Association of Chinese Medicine 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 different than other wards. I am in charge of surgery now. 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'm not doubting 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 had no bad words for such a director who was so enthusiastic about him.

This is another bad review!

It turns out that you are Shao Zizhen!

It is said that a dog that can bark does not bite. Chen Nan was relieved to see Shao Zizhen like this.

It seems to be 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 already knew this!

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 talents like Director Chen to lead 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 even more curiously, a little more curiously.

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 matters.

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 ward rounds will be adjusted."

"Let Director Chen participate in the big rounds!"

"All internal medicine departments of traditional Chinese medicine, all departments."

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

What Luo Qiping said was not a discussion at all, but a direct decision!

...

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

Headache!