Chen Nan got up directly and came to Union Hospital.
The patient's ward is not in the cardiology department, but in the VIP ward of the special needs department.
When Chen Nan arrived, there were many people at the door.
Chen Nan's arrival did not attract much attention.
After Lai Zaiwen received Chen Nan, he whispered in his ear: "Don't talk nonsense!"
"The people here are more...complex."
Chen Nan nodded without saying a word and followed Lai Zaiwen in.
The VIP ward is a suite, with a living room outside and a ward inside. But in the living room at this time, a group of experts in white coats were discussing the patient's condition.
"The electrocardiogram is normal!"
"Coronary angiography was also done, but... not many abnormal signals were found."
"Well, could it be caused by the intercostal nerves?"
"The possibility of pleurisy needs to be ruled out!"
"When will the physiological and biochemical test results come out?"
Several big guys were just sitting around the table, discussing the condition crazily, while standing beside them were a group of people in suits and ties.
Among them were some black men in military uniforms.
Lai Zaiwen had already revealed the news to Chen Nan just now.
This was a group of envoys from Cuba, and Chen Nan suddenly looked solemn.
At this moment, Lai Zaiwen said to a man in his early sixties with gray hair on the side: "Leader, this is Chen Nan!"
The other party glanced at Chen Nan and took the initiative to shake hands:
"Comrade Chen Nan, hello!"
"Visitors are friends of us Chinese people."
"I hope you can work hard to save the other person."
Chen Nan nodded: "Don't worry, leader, I will definitely do my best."
However, Chen Nan's guarantee did not reassure the leader.
In other words... he probably never had expectations for Chen Nan.
Although Lai Zaiwen recommended it ceremoniously, but... when the other party saw Chen Nan and found out that he was just a young man in his twenties, he felt quite disappointed.
However, Ji Baoqiong's self-cultivation made him respect everyone who participated in this rescue.
"Mr. Lai, please take Dr. Chen in to have a look!"
After Ji Baoqiong finished speaking, he communicated with the Cuban staff on the side.
"Don't worry, everyone! Don't worry, General Xitu, too."
"We will definitely go all out to treat Mr. Arcata."
"I believe that China's medical level is trustworthy."
"Take a rest here."
The simultaneous interpreter quickly conveyed Ji Baoqiong's words to a man in military uniform opposite.
Xitu nodded, his face solemn, and he had no other mood at this time.
The one who fell ill was a very important think tank around him.
Arcata has been with him for more than 20 years, giving him advice and proposing many effective measures and plans, which has made Cuba develop very well now!
Why......
Who would have thought that this time when I brought him to China, Mr. Akatu would suddenly become seriously ill, which made Xitu feel heavy in his heart.
...
At this time, Chen Nan followed Lai Zaiwen into the ward.
After coming in, I saw many old people in front of the bed discussing and diagnosing with solemn faces.
Among them are Zhang Bolin, Shen Yuyuan, and Lu Pingren.
Yu Mei was not suitable to appear on such an occasion and was not invited.
Beside Zhang Bolin, Chen Nan was surprised to find that it was Mr. Gao Wenshengao, a national expert in the field of cardiology!
This old man is known as the father of modern cardiology in China and has participated in the writing of the textbook "Cardiology" six times in a row.
His existence is the pillar and pillar of China Cardiology Department!
Elder Gao is here too!
"It is difficult to find the cause of the disease with current routine medical examinations."
"I feel that the patient does not have an organic disease. According to the people around the patient, his condition is actually not a day or two."
"It's just that after this long trip, my body has not recovered, and I am older, which led to this situation."
"I looked at electrocardiograms, cardiac color ultrasound, and coronary angiography, but I didn't find any obvious organic changes in the heart at all."
"Myocardial ischemia was not even seen!"
"So, I don't feel like it's a heart problem now."
"I now highly suspect that it is caused by the pleura and nerves."
Gao Wenshen's words seem to give an inference.
However, another old man on the side shook his head: "No, it's not pleurisy. I did an examination and found no signs of it at all."
"It's still a matter of nerves!"
"However, taking painkillers still cannot effectively relieve the symptoms, which is a bit strange."
"I think there are some masters of traditional Chinese medicine, let's take a look!"
When the other party said this, Gao Wenshen nodded and said:
"Well, Berlin, please take a look. You just finished the diagnosis. What is the cause?"
Hearing this, Zhang Bolin sighed: "Actually, many diseases do not have symptoms at this stage before they develop into organic lesions."
"However, no abnormalities can be found using routine inspections."
"I just made a diagnosis and found that the patient's pulse is very strange. Two inches are heavy and slumped, and the pulse is high and tight."
"This is a special pulse condition. A deep pulse means that the disease is deep and not located in Qi, but the pulse is strong and tight. This just illustrates the struggle between good and evil."
"Look, there are traces of blood on the patient's chest area. This is not common."
"Also, look, there is a purple blood vein in the crook of the leg."
"This disease obviously cannot be treated according to conventional diagnosis and treatment methods."
"Actually, Chinese medicine has a special nickname for this thing, called Sha syndrome!"
As soon as these words came out, Gao Wenshen and the old man beside him frowned slightly: "Sha disease?"
“Never heard of that before!”
"What disease is that?"
In fact, doctors will not reject Chinese medicine or Western medicine after they have truly grown to a certain level.
These masters of Western medicine also know very well that the so-called Western medicine is modern medicine, and modern medicine is based on the development of modern science and has achieved its current situation.
But!
Science, after all, needs to develop and requires a process of continuous understanding of diseases.
The concepts that may be considered correct now may be completely overturned in a hundred years, no, it may only take ten or twenty years.
Because the understanding is different.
When it is difficult for them to take another step forward, they start to study traditional Chinese medicine, hoping to draw parallels.
Naturally, they are no strangers to Chinese medicine.
As the most complete existing empirical medicine with thousands of years of history, they have so much to gain.
However, Gao Wenshen thought he had learned both Chinese and Western knowledge, but he didn’t know what Sha syndrome was!
Shen Yuyuan and Lu Pingren on the side nodded slightly.
When it comes to Sha syndrome, they have done a lot of research.
During this period of time, it was because my student Chen Nan was studying this issue, and he did an in-depth study of it.
They have also seen some of Chen Nan's experience summaries, but... this is a complete subject after all.
As for Xin Tong Sha, they had never encountered a similar case before, and they did not dare to act casually.
Another reason is because...the black man lying on the bed has a very sensitive identity.
sometimes!
Some rescue operations that are mixed with political tasks are often very stressful. Every doctor involved in the treatment carries the future on his back, and even everyone's hands and feet are tied during treatment.
Why?
Because it is really difficult for them to let go completely.
Never say that everyone is equal. In the face of life, everyone is equal...
To put it bluntly, the lives of these people...even Shen Yuyuan and Lu Pingren do not dare to let go of treatment at will.
Being cured, yes, it is indeed a credit, and it will be a great thing for your future.
but!
It would be embarrassing if it couldn't be cured.
Even if they don't give you any shoes, many people will remember you for a lifetime.
This is like a bad deed that will follow you for the rest of your life.
So sometimes, the success rate of treatment for ordinary people is higher than that of "special people".
The expert in the field of thoracic surgery who was with Gao Wenshen on the side asked curiously: "Is Sha syndrome very rare?"
Zhang Bolin shook his head and explained: "Sha syndrome is actually not uncommon."
"In other words, Sha syndrome is too common and too common. There are more than 40 types of Sha syndrome in traditional Chinese medicine alone, and there are more than a thousand types of Western medicine diseases related to Sha syndrome."
"So, can you say he is rare?"
"Obviously it can't be done!"
Gao Wenshen frowned: "What Berlin said, actually if you think about it carefully, I have seen some symptoms similar to Mr. Arcata's."
"But, to be honest...it is impossible to diagnose accurately."
"But, having said that, Berlin, why are there so few professional books about this type of sha?"
Zhang Bolin smiled bitterly: "It's because this disease is so broad that no one recognizes it and thinks it is not a professional disease."
"Every system is involved in Sha."
"Why......"
"This is a historical issue."
"Many medical celebrities in the professional field even avoid talking about this topic."
"In fact, in modern times, there is a saying that Sha disease is caused by miasma. Modern medicine considers it to be a malaria parasite disease."
"But, obviously, it's not that simple."
"Because many patients with Sha syndrome have no obvious signs of malaria parasites in their bodies, let alone malaria."
"This should be said to be a manifestation of a type of disease."
At this time, Zhang Bolin suddenly saw Lai Zaiwen walking in with Chen Nan, and immediately pointed at Chen Nan and said, "Look!"
"The real master is here!"
"This is the earliest, most systematic, and most focused person on Sha disease in our country."
"Elder Gao, Elder Ning, let me introduce you two."
"This is Chen Nan. Although he is young, he is indeed a disciple of Mr. Shen and Mr. Lu."
"Moreover, his professional level is not low at all."
After hearing Zhang Bolin's introduction, Gao Wenshen and Ning Biao couldn't help but look at it curiously.
Such a young guy?
Isn’t it important that experience in practicing Chinese medicine is important?
Lu Pingren said at this time: "Wen Shen, Ning Biao, don't underestimate Xiao Chen because of your age!"
"His level will definitely surpass mine in less than ten years!"
After saying this, Gao Wenshen and Ning Biao immediately opened their eyes in disbelief.
Shen Yuyuan nodded: "Well, that's true!"
"Xiao Chen, let me introduce you."
"This is the founder of the field of cardiology in our country, Mr. Gao Wenshengao."
"This is a knife for thoracic surgical diseases, Mr. Ning Piao Ning."
Chen Nan respectfully asked questions one after another: "How are you, Mr. Gao? How are you, Mr. Ning!"
Gao Wenshen and Ning Biao nodded.
Zhang Bolin said directly: "Xiao Chen, since you are here, come and see if the patient has Sha syndrome."
Chen Nan did not give a diagnosis rashly, but moved forward.
After walking to the patient's side, he placed his hand on the patient's wrist and felt it carefully.
Then!
He stood up straight, looked at the patient's chest, and then opened his mouth. The tongue had been retracted and could not be seen clearly, but the dark purple tongue could be vaguely seen.
Chen Nan asked again: "What is the patient's condition and what are his specific symptoms?"
Gao Wenshen handed the medical record in his hand to Chen Nan: "Read it yourself."
Taking the medical record, Chen Nan read it carefully.
The patient had suffered from intermittent chest pain for more than ten years.
Have a long history of smoking and drinking.
No history of heart disease or hypertension.
The most recent pain was when I fainted and fell to the ground this morning during a visit.
The main complaint was still chest pain, which was excruciatingly painful for a while, but then got better and eased a bit.
This attack lasted too long, and finally I couldn't bear it anymore and fainted on the ground.
During the attack, there is foaming at the mouth and phlegm and saliva.
Last night, when I was suffering from jet lag, I stayed up all night, feeling upset and feeling depressed.
After Chen Nan made careful diagnosis and treatment, instead of being anxious, she breathed a sigh of relief.
The situation is not serious!
Several people on the side suddenly became curious when they saw Chen Nan heaving a sigh of relief and relaxing his eyebrows.
However, because Chen Nan is still undergoing treatment, it is inconvenient for everyone to disturb him.
At this time, Chen Nan slowly left Arcata's side and walked among several people.
Zhang Bolin quickly asked: "Xiao Chen, is it Sha syndrome?"
Chen Nan nodded: "Yeah! Yes, no doubt."
"The tendons of Sha are all showing up, it's obviously Sha."
Hearing Chen Nan's confirmation, Zhang Bolin frowned slightly: "Then...can it be cured?"
Chen Nan nodded: "It's not a big problem!"
As soon as these words came out, several people looked at Chen Nan in surprise.
The patient has been hospitalized and is still unconscious, confused, unable to speak, and frowning. Obviously, the situation is not serious!
Is this... Chen Nan so confident?
Lu Pingren looked at Chen Nan and said with a stern face: "Xiao Chen... don't dare to say such nonsense!"
"We are all our own people, so it doesn't matter."
"If you let the leaders outside hear this."
"This is a military order!"
When Chen Nan saw Master Lu defending himself, his heart suddenly warmed up, but he smiled and said:
"Master Lu, I understand."
"but......"
"The patient's condition is really not serious."
"According to my summary and understanding of Sha syndrome, this is a disease caused by Qi."
"This means that it is not difficult to treat!"
"If the Sha poison is in the blood, and it's heartache Sha, it means it may damage the internal organs and the heart, and the situation will be serious, and... maybe there won't be much time."
"The patient's condition is typical of Sha poisoning and heart attack, which belongs to Qi."
"That's why the pain sometimes stops, the phlegm and saliva are blocked, and the person becomes comatose and depressed!"
"This is because the pathogenic factors of the disease are in the qi, and the characteristics of Sha poison are mixed with fire evil and damp evil, which travel through the pericardial meridian. Once the Sha poison breaks out, it is easy to block the pericardial meridians and form symptoms of conflict between good and evil, thus blinding the light orifices and causing
coma."
“The patient’s pulse condition can actually be reflected!”
"The patient's two inches are sinking and falling, and the feet are wide and tight. Why is this? The heart, liver and kidneys in the left hand, and the lungs and spleen in the right hand are diseased. The heart and lungs are sinking and lying, but the liver, kidneys and spleen are the real areas of conflict.
"
"Shen and Fu, we cannot believe that the pathogenic factor is in the Guanchi area according to conventional diagnosis and treatment, but because the Sha poison blocks the heart and lung qi, causing qi and blood to be blocked throughout the body."
"The lungs are connected to hundreds of meridians, and the heart is the official organ of the monarch, with blood flowing throughout the body!"
"At this time, the patient suffered from Sha poisoning, which blocked Qi and blood, leading to this situation."
"But after all, it's still Qi, not blood."
"So, it's not very difficult to treat it."
Chen Nan's words made everyone present couldn't help but close their eyes and think.
but!
The more they thought about it, the more relaxed their expressions became. After all... the patient's condition seemed to be explained clearly.
but......
Zhang Bolin, Shen Yuyuan and others suddenly thought of something, but their expressions suddenly became more solemn!
Because they thought of something terrible.
Is Chen Nan's research on Sha disease really so smooth and progressing so fast?
Suddenly, Zhang Bolin raised his head and looked at Chen Nan: "Xiao Chen, has your research on Sha syndrome reached this point?"
Chen Nan smiled: "This is the latest progress."
"It's not particularly fast either!"
"However, I have to say that I should thank Mr. Arcata. I have never encountered heartache."
"It is rare in the first place, so many things are in the stage of reasoning and experimentation."
"But after seeing the patient today, I can confirm my judgment that Sha syndrome should start from the dialectics of qi and blood."
When Zhang Bolin and others heard Chen Nan's words, they couldn't help but look at each other. In each other's eyes, everyone saw one thing: hope!
However, there is also a kind of fear.
It is a kind of fearful feeling like the waves behind the Yangtze River beating the waves in front.
After seeing Chen Nan, they all had to sigh that they were getting old...
How old is Chen Nancai?
Why!
However, this is not a bad thing.
Lu Pingren looked at Chen Nan again: "Are you sure?"
Chen Nan nodded: "Yes!"
Lu Pingren smiled: "Don't be nervous, if something happens, there is a teacher, and the teacher will take care of it!"
While talking, Lu Pingren patted Chen Nan on the shoulder and walked out.
Not long after!
Several people from outside suddenly came in.
Everyone looked at Chen Nan with wide eyes, a little surprised.
Ji Baoqiong obviously found it difficult to believe that these masters of traditional Chinese medicine actually believed in Chen Nan?!
Can he really cure Arcata?
Ji Baoqiong is obviously a little unbelievable!
He then glanced at Gao Wenshen, Zhang Bolin and others, and saw that they nodded one after another. At this time, he had to believe Chen Nan.
So, Ji Baoqiong said to Xitu on the side:
"General Xitu, this is Chen Nan."
"He can cure Mr. Arcata."
Xitu quickly shook hands with Chen Nan, and the translator quickly said:
"Please, Doctor Chen, General Xitu hopes that you will do your best to treat Mr. Arcata."
Chen Nan nodded: "I will go all out!"
"However, please tell General Xitu that the patient's condition is not serious, so he can rest assured."
"It won't take long for the patient to wake up and the symptoms will be relieved."
After Chen Nan finished speaking, he took out a box of needles from his body and handed it to several Xiehe directors who followed him.
"Please help me disinfect it."
Xin Nei Ke Meng Youfu was slightly startled, he... was he being treated as a nurse?
However, he couldn't help having random thoughts at this time.
He quickly got up and went to help Chen Nan disinfect.
However, after leaving, Meng Youfu felt a little unwilling.
Thinking of what Chen Nan said just now, he felt that this young man was a little too arrogant!
He actually said...it's not a big problem?!
What do you mean?
Are you questioning our strength?
However, Meng Youfu is not stupid. His teacher, Mr. Gao Wenshen, has already agreed. What qualifications does he have to refute?
As the director of the Department of Cardiology at Union Medical College and a nationally renowned expert in cardiology, Meng Youfu is naturally very aware of the limitations of modern medicine.
Many diseases cannot be discovered through examination, but Chinese medicine does have miraculous effects.
And when I am blessed, I will not leave.
Chen Nan began to prescribe.
"Three-leng, Wo-shu, radish seeds, white mustard seeds, and Yanhusuo each cost one penny;
Eight points each of Citrus aurantium, green bark, and black root, seven points of safflower, and four points of Cyperus rotunda.
Three-edge 8 points, Peng Shu 8 points, Bu Zi 8 points, White Mustard Seed 8 points;
Safflower scores 7 points and Cyperus cyperus 4 points.”
The number of grams of medicine was not large, but there were many types. There were nearly twenty Chinese medicines. After they were prescribed, they were handed to Lu Pingren.
"Master Lu, for this kind of patient whose Sha poison affects the heart and belongs to Qi, it is necessary to use Qi-moving medicines to break through the fierce Sha poison and blood stasis that blocks Qi."
“The effect is remarkable!”
Lu Pingren nodded, and after reading it, he said to Chen Nan, "You are the attending physician, you don't need to care what we think."
Zhang Bolin looked at the recipe and looked at Chen Nan curiously: "What recipe is this?"
Chen Nan: “Wiyao Shunqi Decoction!”
"Relying on the Qi-breaking products such as Wu Yao San Leng Wo Shu can achieve miraculous effects."
After Zhang Bolin read it, he nodded: "Yes."
Zhang Bolin handed it to the nurse, and Chen Nan gave a few words: "Chinese medicine can be used without decoction, but... after boiling it with hot water, freeze it for a while, and wait until the medicine is completely cool before giving it to the patient."
Xitu on the side couldn't help but asked curiously: "Wait a minute."
"Doctor Chen, this... this Akata is still unconscious. Can he take medicine?"
This is also the doubt of others.
At this time, Chen Nan smiled and comforted: "Mr. Xitu, it won't take long for the patient to wake up!"
Chen Nan's confident look surprised everyone on the sidelines.
Even Liang Jingru can’t compare to such courage, right?
How long does it take for the patient to wake up?
Even Ji Baoqiong's scalp was numb.
This Chen Nan...this guy is really young!
Don't do anything bad!
Don't say this nonsense...
However, Chen Nan had already spoken out at this time, and he couldn't stop him even if he wanted to!
I could only look at Chen Nan helplessly.
at this time!
Not long after, Meng Youfu came back and brought Chen Nan's needles.
At this time, Chen Nan took out a pack of filiform needles and started pricking the patient with filiform needles. The Laojiu needles were kept aside for later use.
There are two methods for Chen Nan’s acupuncture point selection!
The first one is filiform acupuncture analgesia, selecting some pain-relieving acupoints and Ashi point.
The second one is to use filiform acupuncture combined with the method of promoting qi, and only select acupuncture points that promote qi and activate blood circulation.
Then!
Wait until Chen Nan gets the acupuncture.
He took out the beryllium needle and pricked a vein in the crook of the patient's arm.
After piercing, Chen Nan did not cut open!
Because...even if it is cut open, there will be no Sha poisonous blood.
The patient is suffering from Sha poisoning, which belongs to Qi. The beryllium needle is inserted to release the Qi caused by Sha poisoning.
Of course, this gas is not breathing gas, so... you can't see the gas coming out.
Chinese medicine has a different understanding of Qi.
Therefore, piercing also needs to be in place.
Not long after!
With blood oozing out, Xitu on the side was a little worried.
Ji Baoqiong was even more nervous.
This kid...
You can't mess around!
but......
Just after Chen Nan stabbed back and forth twenty times, he suddenly stopped what he was doing and handed the needle aside.
Meng Youfu consciously took the needle, but...even why he took the initiative, he couldn't figure it out!
If Zhao Jianyong were here, he would definitely pat Lao Meng on the shoulder seriously and say: "This will form a habit!"
Meng Youfu took the needle and handed it to the nurse for disinfection.
And he wanted to see what Chen Nan would do next!
at this time!
Chen Nan also stopped his operation and stood there quietly, waiting for the patient to wake up.
Several people around looked at Chen Nan.
The room was a little quiet.
Many people feel uneasy in their hearts.
For example... Lu Pingren, Shen Yuyuan, Ji Baoqiong and others.
Even the old man, Hei Xitu, had a look of anxiety on his face at this time. This was because his skin color was too dark, making it difficult to distinguish!
I don’t know how long it has been!
"call......"
As an attractive voice sounded, everyone looked to go out, only to find that Arcata slowly opened her eyes.
This scene!
Everyone around was shocked.
Are you really awake?!
"woke up!"
"Really woke up!"
I don't know who screamed in surprise, but everyone reacted.
Xitu stepped forward quickly: "Mr. Arcata, are you feeling better?"
Akata opened her eyes, looked at Xitu beside the bed, and slowly breathed a sigh of relief: "Mr. Xitu, I... I'm sorry!"
"I'm causing trouble for you!"
"Mr. Ji, I'm really sorry."
"Hey... I've caused trouble for everyone."
Ji Baoqiong's face looked very good at this time, and his excitement was beyond words. He said happily:
"Mr. Arcata, just be okay!"
"Can't say it's troublesome!"
After finishing speaking, Ji Baoqiong glanced at Chen Nan excitedly, his eyes full of joy.
This guy! He has some brushes!
Lu Pingren and the other old guys finally breathed a sigh of relief at this time.
Lu Pingren just made a guarantee!
If this can't be cured, it would be really...too embarrassing.
At this time, the patient's traditional Chinese medicine also came, after taking it cold.
Chen Nan warned: "Four doses of traditional Chinese medicine have been prescribed. During this period, you should lie down and rest. Don't be tired."
"Avoid wind and cold, eat properly, and feel free."
The translator was stunned for a moment, looked at Chen Nan, and suddenly didn't know how to translate.
Can you speak without using classical Chinese?
However, it took me a moment to react before I finally came to my senses and started translating.
Xitu held Chen Nan's hand excitedly: "Dr. Chen Nan, thank you so much!"
“When you travel to Cuba, be sure to call me!”
Chen Nan smiled, nodded and shook hands.
Afterwards, everyone gave their time to the visiting Cuban team, and several people left the ward.
After coming out, Ji Baoqiong looked at Chen Nan with a smile:
"This time, you have done a great job!"
Chen Nan smiled slightly: "The leader is polite, this is my responsibility."
Ji Baoqiong smiled: "Well done, young man!"
"If you need anything, you can contact me."
"By the way, what a strange treatment technique. What is this subject called?"
Chen Nan smiled awkwardly: "This is called Sha syndrome!"
"But... it's not a separate discipline."
at this time!
Lai Zaiwen immediately came over and said a few words in Ji Baoqiong's ear.
Ji Baoqiong's face looked slightly dull for a moment.
Then he looked at Zhang Bolin, Gao Wenshen and others on the side and asked:
"Do you think Sha syndrome has the ability to establish a discipline?"
Several people looked at each other, and their expressions suddenly changed!
These words...
This is not a random question.
...
...
Chen Nan arrived at the venue before three o'clock in the afternoon.
At this time, the candidate director's speech was being given in the venue.
After Chen Nan found his seat, he sat down.
Li Guangming, Tao Gongshu and others on the side looked at Chen Nan and couldn't help but ask: "Xiao Chen, are you ready?"
"To be honest! It's a lot of pressure!"
"You saw the few people just now. They are very senior, and their current research is also receiving a lot of attention."
"You are too young to have an advantage!"
Chen Nan smiled and said nothing. He was waiting for news!
I was the last one to take the stage to speak.
No rush!
Time passes minute by minute.
Seeing that five o'clock was coming and Chen Nan was about to go on stage, at this time, he felt a little more nervous and uneasy.
No news yet?
Just when the penultimate episode was about to end, Chen Nan's phone vibrated.
He took out his cell phone!
It’s a file forwarded by Lai Zaiwen!
"Pilot!"
After Chen Nan saw these two words, he suddenly became excited.
Got it!
I got the Sha syndrome trial! This is the official red-headed document!
At this time, as the host's voice sounded, Chen Nan stood up and put the draft paper directly on the table, no more!