Duan Youguang, who is known as the top neurosurgeon in the country, is sitting in the office with a solemn expression. In the huge office, there are many doctors from Xiehe Hospital, Tiantan Hospital and other hospitals.
At this time, everyone is discussing about an operation tomorrow.
Surgical treatment of secondary Parkinson's syndrome.
Parkinson's surgery has been developed for decades.
As early as 1947, Spiegel et al. first used stereotactic surgery to destroy the globus pallidus to treat Parkinson's disease and achieved good results. Parkinson's surgery gradually entered the mainstream society.
However, with the development of this type of surgery, there are still many problems.
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. For those who are effective in early drug treatment, but whose long-term treatment effect is significantly reduced or who have severe symptom fluctuations or dyskinesias, surgical treatment may be considered.
However, surgery is absolutely contraindicated for patients with secondary Parkinson's syndrome and Parkinson's superimposed syndrome.
This is the first point!
The second point is that the treatment effect after surgery is average.
Although destroying the globus pallidus inside the brain can achieve good results, it still cannot be cured. Drug treatment needs to be continued after surgery, but the dosage can be reduced.
Gradually, over the years, Parkinson's surgery has become a somewhat questionable surgery.
Since you can't cure this disease, why bother spending so much effort to destroy a tissue in the brain?
Isn't this unnecessary?
Therefore, the status of Parkinson's surgery in neurosurgery circles has been minimal in recent years.
Even in recent years, with the development of pharmaceutical science, foreign capital has begun to put forward the futility theory of Parkinson's surgery.
After all, drug treatment is king!
A good and profitable business.
Never underestimate the ambition of capitalists. Any disease will definitely become a business in the eyes of some people.
Take Parkinson's disease, for example, which is a lifelong disease. Once you become ill, you need lifelong treatment, and drug treatment is still the most important method at present.
With the development of medicine, mankind's understanding of Parkinson's disease continues to deepen, new Parkinson's treatment drugs continue to emerge, and many new drug targets and new treatment methods are becoming increasingly prominent.
As a result, current drugs have reached the genetic level.
What other disease can make capital happier than a disease that requires lifelong medication?
…
The directors of China-Japan Friendship Hospital, Tiantan, Xuanwu, China-Japan Friendship Hospital, etc. gathered in the office because of one thing.
Last year, superiors issued an order to the Association of Neurosurgery and the National Neurosurgical Treatment and Research Center.
It is necessary to improve the treatment effect of Parkinson's disease by one level within two years.
Whether it is drug treatment or surgical treatment!
As long as we can successfully produce it domestically and better serve patients, that will be fine!
This plan is called the "PD3Y" plan.
This means that within three years, the therapeutic effect of Parkinson's disease will be improved to a higher level.
At that time, those who participated in the PD3Y program were basically at the academician level.
In addition to the Neurosurgery Research Center, there is also the Institute of Neurological Medicine... and many other institutions.
The reason for all this is that there was a huge controversy during the negotiations between the internationally renowned pharmaceutical company Tans Biotech and the domestic Food and Drug Administration, medical insurance and other departments.
The biggest disputes are nothing more than two points. The first is the price dispute, and the second is the patent issue.
Tans Biotechnology asked my country’s Food and Drug Administration to crack down on counterfeit drugs and rejected the request to build a domestic factory.
Since we couldn't reach an agreement on these two points, the other party just slapped us on the back and left.
Rejected the request for drugs to enter China!
All of a sudden, the boss got angry.
This is where PD3Y’s plan came into being.
And at this time...
The planning has been going on for nearly two years now.
Duan Youguang and others gathered in the office to discuss this very matter.
Their neurosurgery team spent two years finally finding a surgical solution.
This solution is much better than the original surgery!
They found a new solution, which is to destroy the ventrolateral nucleus of the thalamus.
Destroying this area can have a better effect on symptoms such as tremors than destroying the globus pallidus.
As a result, everyone quickly started relevant research work.
nowadays!
After extensive animal experiments, they are about to perform the first human surgery.
The China-Japan Friendship Hospital is the pilot site for this surgery.
Therefore, several people were a little nervous.
At this time, Li Huapeng of the Temple of Heaven couldn't help but sigh:
"This surgery is quite difficult."
"But... I'm not sure what the real final effect will be."
"Furthermore, there is another problem, and it is also the last problem. Although our animal experiments are relatively successful, there is a big gap between human beings and animals after all."
"When doing animal experiments, we use local anesthesia to achieve better results, but...if we use humans, I still feel a little uneasy."
After Li Huapeng finished speaking, several people nodded one after another with solemn expressions.
This is indeed a big problem!
After all, it is a craniotomy, so is it okay to use local anesthesia?
However...the operation must be carried out with the cooperation of the patient, and general anesthesia has no such effect at all.
The surgery is a stereotaxic surgery, which requires finding the target and then destroying it.
The search for the destroyed area, the degree of destruction, and many other things require the help of patients.
During the process of making damaged lesions, they need to pay close attention to and observe the patient's reaction and clinical effects, which is crucial to achieving satisfactory efficacy and preventing complications.
Moreover, it is best to use less or no sedative drugs during the operation to keep the patient highly alert and cooperative.
If the symptoms are not relieved or complications occur, it means the positioning is wrong and the damage should be stopped immediately.
For patients who become confused and unable to cooperate during the operation, the operation should also be terminated.
Therefore, in all of the above, the patient must remain awake and cooperate.
Observe and coordinate to complete this operation together.
But... this is 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 more anesthesia is used, the less likely the patient will be to cooperate.
Everyone is in a daze. What do you mean by cooperation?
The hands that were shaking fell asleep, and they were so uncooperative!
Therefore, whether this operation can be carried out smoothly depends on anesthesia.
But this point has become the key to the operation!
After Duan Youguang thought for a moment, he suddenly smiled: "Don't worry too much, everyone!"
"After all, we have been doing animal experiments for so long."
"Even with monkeys, we've done it many times."
"The effect is remarkable."
"I don't think it's a big problem. After all, animals' instinctive reactions are even worse than humans' instinctive reactions."
Li Huapeng also smiled: "Yes, don't be discouraged."
"This is a good thing after all."
"Today, what we have to do is to recharge our batteries and prepare ourselves."
The director of Xiehe on the side smiled:
"Too!"
"After all, we didn't make any big publicity about this surgery."
"If it doesn't succeed, we can still find other ways, just treat it as an attempt."
"The surgery has no risks."
"Everyone, don't worry."
Um……
What was originally a meeting turned into a meeting of mutual comfort and encouragement.
Duan Youguang also couldn't laugh or cry.
This is what doctors call...constant comfort?
But, to be honest... there are too many difficulties and obstacles on this road to success, and you really need to find some people to comfort and encourage each other.
While talking, Duan Youguang stood up and said with a smile: "Everyone, please go back first."
"If you have anything to say, please tell me in the group."
“Always stay in communication.”
"I'll see you off."
Everyone stood up with a smile and walked outside.
…
…
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 at work.
There were many people in the large conference room, including all the chief physicians from various departments.
There are nearly a hundred people in nine departments and twenty floors of wards.
Luo Qiping showed enough importance to Chen Nan.
After he went back last night, he collected some information about Chen Nan. After understanding this, Luo Qiping suddenly 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, the training path for a traditional Chinese medicine practitioner should be to graduate with a master's degree and a Ph.D., enter a certain specialty department of a traditional Chinese medicine hospital, and then start to develop. However, Chen Nan's approach is unorthodox in the eyes of orthodoxy.
However, Luo Qiping's perspective is fundamentally different from others.
He saw something else from Chen Nan.
The reason why ancient Chinese medicine is so powerful is that its perspective is different from other people's.
Start from the overall perspective and be dialectical as a whole.
And Chen Nan has just such an advantage. The Traditional Chinese Medicine Department of the Western Hospital is bound to have patients of all kinds.
Similarly, Chen Nan also has a natural advantage: "integration of traditional Chinese and Western medicine."
First of all, my major is the integration of traditional Chinese and Western medicine. After graduation, I went to the Traditional Chinese Medicine Department of a Western Hospital. In the environment of a Western Hospital, it is almost impossible for Traditional Chinese Medicine to develop!
But Chen Nan managed to break out in such an environment.
An integrated traditional Chinese and Western medicine ward was established, with the actual person in charge on the 12th floor.
He cooperates with Jin Provincial Orthopedic Hospital and is a second-level external professor. Dean Lao Tian favors him very much.
During his training in the capital, he also obtained the external qualification of Dongzhimen Hospital, and pioneered the combined fire-needle surgery, which won him 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?
At the age of 26, no... at the age of 25, he successfully obtained the subject pilot program recognized by the above and initiated research on Sha syndrome. In June, all major traditional Chinese medicine schools in Shanxi Province initiated research on Sha syndrome.
And pediatric massage and massage are even better!
Excellent level of reputation!
In the field of gynecology, it is even more remarkable. When Chen Nan went to the Provincial Maternity and Children's Hospital last year, she used the method of activating blood circulation and removing blood stasis to protect the fetus, which was approved by the old man.
He really took care of both internal and external women and children, acupuncture and massage!
Looking at Chen Nan's resume, Luo Qiping was really silent.
These things are Chen Nan's solid achievements in Yuancheng 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 made great efforts to rectify the atmosphere and judge medical troubles rigorously and conscientiously.
Isn't this kind of person exactly what I need?
Last night, Luo Qiping was so excited that he almost lost sleep.
He originally had a lot of grudge against Chen Nan, but at this time, he no longer had any complaints!
Perhaps Chen Nan doesn't have any outstanding achievements now and his qualifications are still relatively low.
but!
A person's grades are actually recorded in the medical records, not issued by the state or department.
This kind of result is even more convincing!
But now, when people came here, Luo Qiping even seemed to have seen the arrival of a treasure.
Because Chen Nan's previous abilities have not been converted into achievements, this means that Chen Nan's skills are very mature, and after arriving, they can be converted into results immediately...
It won't take long for Chen Nan to gain a firm foothold here.
In the future, I may really not be able to compare with you.
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, you must know that the most powerful thing about the China-Japan Friendship Hospital is its Western medicine!
Two buildings, this is a 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 sign, but in fact... only he himself knows how it will develop.
He hoped that after Chen Nan's arrival, the hospital could show its due strength.
While speaking, Luo Qiping glanced at everyone: "Everyone is here!"
"We've called everyone to a meeting today. There's only one thing to do."
"That is to welcome the arrival of Director Chen Nanchen, the deputy director of our Integrated Traditional Chinese and Western Medicine Ward!"
After finishing speaking, Luo Qiping took the lead in applauding.
Yesterday, the group of people in the orthopedics department also started to applaud excitedly.
Chen Nan also walked forward at this time, his face was calm and unfazed.
However, many people in the audience looked solemn and said nothing. They gave more or less applause, although it was perfunctory, but it was there.
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 much expression.
And soon!
A series of bad reviews came one after another.
[Ding! Congratulations, you have received a negative review from Shao Zizhen. The negative review level is: Intermediate! Reward: Ankle Surgery (Proficient Level)]
[Ding! Congratulations, you received a negative review from Bu Haiyang...]
…
With the arrival of a series of negative reviews and rewards, Chen Nan suddenly laughed.
This... is indeed a big hospital!
People are also enthusiastic, and lo and behold, the rewards came all at once.
So, why is he angry?
The people here are great, there are many bad reviews, the rewards are rich, and they can talk... He really likes it here, okay?
Luo Qiping glanced at Chen Nan, a little surprised.
This Chen Nan...
Not even angry?
Looking at the sparse applause from the audience, besides orthopedics, many people did not welcome Chen Nan's arrival!
Even the people in the audience looked at Chen Nan who was smiling happily with some curiosity.
Somewhat surprised!
Is this kid going to be stupid?
This...don'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 provincial Chinese Medicine Physicians Association in China."
"He is also a director of our National Association of Traditional Chinese Medicine Physicians!"
“The level is still very good.”
"Director Chen, although you are young, but...you must not underestimate him."
"Next, I am 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 the surgery department. In the coming days, Director Chen will focus on the internal medicine department."
As soon as these words came out, there was a lot of heated discussion in the audience.
No one expected that Luo Qiping would start making arrangements so directly?
Hello everyone, you haven’t agreed yet, okay?
At this time, suddenly a man stood up.
"Director Luo, I have a question. The current staffing and work progress of our department are very stable. There is no need for another director at the moment."
"Of course, I don't doubt Director Chen's ability, but because our department really doesn't need personnel changes now."
"So... I'm sorry!"
Shao Zizhen was really quick to talk. He stood up first and expressed his thoughts directly.
Everyone immediately looked at Chen Nan, wanting to see his embarrassment.
pity!
When everyone looked at Chen Nan, they found that the other person was very calm and not nervous at all.
Chen Nan naturally had nothing bad to say about 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 barking dog will not bite. Chen Nan was relieved when he saw that Shao Zizhen looked like this.
It seems like a bad remark, but in fact... it's actually easier to get along with this kind of person.
It may be the most difficult thing to do if you don't really speak.
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 has known this for a long time!
But... after seeing everyone, he became a little more worried about Chen Nan's work.
And at this moment, a man suddenly 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 take the lead for us."
As soon as these words came out, everyone around was dumbfounded.
Everyone looked at Lu Zhilin curiously, but they didn't expect... such a scene to happen.
Even Luo Qiping was a little surprised!
Chen Nan looked at the other party curiously, a little more curious.
This operation left Luo Qiping at a loss as to what to do.
He looked at Lu Zhilin and then at Chen Nan, asking about the matter.
Chen Nan smiled and said, "Thank you, Director Lu, for your kind invitation."
Then he nodded to Luo Qiping, and Luo Qiping also understood Chen Nan's thoughts.
"Um!"
"Okay, let Director Chen go to the oncology department."
"However, since Director Chen wants to coordinate the internal medicine team,... from now on, everyone's ward rounds dates will be adjusted."
"Let Director Chen participate in the ward rounds!"
"All departments of Traditional Chinese Medicine and Internal Medicine."
"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: Sorry, I’m a little short today, it’s a bit of a personal matter, I can’t help it... ugh!