This port is located on the south shore of Lake Ontario. It is an industrial city on the shore of Lake Ontario in western New York State, and is also the third largest city in New York State.
This city is known as the "World Image Center" and the "Flour City". When spring comes, flowers bloom, so it is also known as the "Flower City".
After everyone arrived, they were warmly entertained by the staff of the pharmaceutical company.
Chen Nan also enjoyed a handful of capitalist "corruption."
Have to say!
The United States is the country with the most complete pharmaceutical industry in the world, and medicine has become inseparable.
Doctors are also chief engineers of medicines.
Medicines are also inseparable from the track of doctors.
This time, ten Chinese representative experts came to attend the World Oncology Medicine Conference.
The entire journey was driven by luxury cars, settled in high-end hotels and restaurants, and received various gifts from pharmaceutical companies.
For these pharmaceutical companies, this amount of money...is nothing at all.
Even these public relations fees are also included in the cost of drug production and sales of pharmaceutical companies.
The staff of these pharmaceutical companies followed everyone throughout the process, mingled with the medical staff, and chatted and laughed with the experts from the Cancer Society, without any hesitation.
Chen Nan also met an oncologist from the UK, Tilson.
This man named Tilson is only forty-five years old, but he is already a professor in the field of oncology at Oxford University School of Medicine.
Participated in and published many papers!
The reason why he has a close relationship with Chen Nan is that Tilson read Professor James Hacken's article.
He was also full of curiosity about Chen Nan, and Tilson was far more curious about Chinese medicine than anyone else.
Originally, the people attending the new drug launch conference this time were all Western medicine practitioners. Even Yuan Chaomin, Yang Fupeng and others knew very little about traditional Chinese medicine.
But Tilson and Chen Nan chatted happily.
"After my great-grandfather came back from China, he highly praised traditional Chinese medicine and even translated books on basic traditional Chinese medicine."
"I have been studying for several years and have a very deep feeling. Traditional Chinese medicine is definitely a magical medicine. It can accurately judge the human body without using examination instruments!"
"By the way, I heard that Chinese doctors of traditional Chinese medicine know Kung Fu."
"Professor Chen, do you know kung fu?"
Chen Nan had some respect for Tierson at first, but after two days of getting along with him, he found that he was really a talkative person.
"No, it's all rumors, there's no point in it!"
As he spoke, Chen Nan used a little force with his two fingers to break the claws of the big lobster, and then started eating.
As expected of a coastal city, this big lobster tastes really good, and the price in the United States is not cheap. The only regret is that the pliers are a bit hard, and you need help from the staff to open it.
Chen Nan said while eating: "There is no such thing as Chinese Kung Fu, it's all a lie."
Tilson looked down at the lobster on the plate and was dumbfounded!
This...are you so fooling people?
You can open these giant shrimp claws with two fingers, and you still say you don’t have Chinese Kung Fu?
Tilson stared at Chen Nan dumbfounded and was speechless for a long time.
"You...you lied!"
Chen Nan shrugged: "I am simply strong."
Tiersen smiled awkwardly but politely, and couldn't help but say: mmp!
When Chen Nan came to attend the meeting this time, he thought he was here to enjoy it.
No wonder all the doctors in the hospital want to come abroad to attend conferences. This damn thing is really naked corruption!
I have been here for two or three days, visiting, drinking parties, sightseeing, high-end hotels...
Is this guy on vacation?
It’s in vain that I prepared so much information carefully and carefully.
It seems now...
What a waste!
At this time, people from the pharmaceutical company came over to toast.
The other party was very enthusiastic and did not have much prejudice against Chen Nan and other people from China.
Speaking of which, these multinational pharmaceutical companies do not have much prejudice against China.
Because everyone knows very well that Chen Nan and others who can attend the world's new cancer drug conference are all guests. They have a strong say and can even affect whether their drugs can be launched in China.
There are endless small gifts and local products, such as precious red wine and Hermès silk scarves.
Chen Nan suddenly felt a little emotional, damn, it was really too much to test them with this.
Chen Nan suddenly felt that this was not a meeting at all, but a party to corrupt their pure hearts.
Tiersen saw Chen Nan's mood and said with a smile: "Professor Chen, do you dislike getting along with pharmaceutical companies?"
Chen Nan smiled: "No."
"I'm just a little uncomfortable with it."
"After all, in our country, everyone is more tactful."
Tilson couldn't help but smile and said: "Chinese people are relatively reserved."
"But in fact, you may not understand that the development of pharmaceutical companies is inseparable from doctors."
"The proactive participation of doctors is also critical feedback for pharmaceutical companies."
"Because every year pharmaceutical companies need to prepare a high amount of public relations expenses, and the purpose of this expense is to use it for legal purposes."
"The United States imposes relatively heavy fines on pharmaceutical companies, so... in order to prevent this kind of large-scale destruction from happening, they have always maintained close contact with the hospital to prevent the situation from getting worse."
"Of course, there are exceptions to everything."
"Actually, what pharmaceutical companies do is not bad. Their research on new drugs also promotes the development of medicine. Even...in the United States, the contribution of pharmaceutical companies is far greater than the role of hospitals in promoting the health industry!"
"After all, for enterprises, innovation is the lifeline and the foundation of corporate profitability."
"Of course, capital's pursuit of profit is unavoidable. When it comes to drugs, they will maximize the ability of their scientific research to continue to generate value, and for this... they will do so at any cost."
"You should learn to look at them objectively!"
Chen Nan listened to Tiersen's words and nodded without denying it.
In fact it is!
The United States is a country built on capital.
The railways were laid by Vanderbilt, the buildings were built by capitalists, and the development of oil was also driven by capital...
If capital wants to develop, it must better allow consumers to enjoy convenience.
Chen Nan suddenly felt relieved.
In contrast, China is much more reserved.
Chen Nan is not biased. Different systems give rise to different industrial structures and different social and interpersonal rules.
After lunch, there will be a more important visit in the afternoon.
That's heading to the conference room at the Mayo Clinic.
All of them will be invited to visit the Mayo Clinic and treatment process.
Chen Nan is no exception.
But the bad part is...
Tilson said excitedly: "It is really a wonderful thing to be able to share the afternoon visit with Professor Chen!"
"Professor Chen, could you use your skills to help me open this shrimp shell?"
Chen Nan rolled his eyes and continued eating.
And this time!
Dane and Balsha were also having dinner at the venue, but... neither of them expected that Chen Nan would come.
Dan En's expression was a little subtle, with indescribable emotions. To be honest... he still had some expectations for Chen Nan.
but!
But Balsa was different. He didn't like Chen Nan at all, a man who had frustrated him repeatedly.
"Damn Chen Nan has no qualifications to participate in such a meeting!"
"Why should you invite him?"
Balsa couldn't help but complain to Dane.
Dane was also curious, because as Balsa said, if you want to participate in such a meeting, especially Chinese oncologists, you need a strong academic reputation.
But... Chen Nan doesn't seem to have it at all.
On the side, Balsa's friend also glanced at Chen Nan curiously.
I have to say that Chen Nan is very conspicuous.
Because he is young.
The youngest person present was in his forties. While Westerners are already somewhat mature, Easterners are relatively more youthful.
This made the 26-year-old Chen Nan somewhat conspicuous in the crowd.
“What if someone’s last name is Pfizer?”
This sentence made Balsa suddenly speechless.
Indeed, this origin is very important in both East and West.
This sentence caused several people around the dinner table to smile.
At this time, he continued: "But... to be honest, it is not recommended to participate in this way."
"It's easy to be embarrassed."
"After all, such academic conferences are too professional and can easily make people unable to get off the stage."
This person’s name is Aruna, who is also an oncologist in New York and works closely with Balsa.
Aruna's words seemed to wake up Balsha, making his eyes light up.
yes!
Making a fool of yourself at such a meeting is an extremely embarrassing thing.
Balsa has been repeatedly attacked by Chen Nan. This time, he has no plans to let Chen Nan go.
The day after tomorrow is when the real meeting begins.
If he doesn't take action, he will have no chance.
but……
This afternoon, he and Chen Nan were in a group to attend the cardiology department at the Mayo Clinic.
Balsa suddenly had a special idea in his mind.
…
…
The afternoon time will come soon.
The teams of Chen Nan, Yang Fupeng and others were also split up and went to visit the Mayo Clinic in small groups.
This time Dane came over to say hello to Chen Nan.
"Hello, Professor Chen, do you still remember me? Dane! Dane from Mayo."
Chen Nan smiled and nodded: "Hello, Professor Dane."
"You Mayo are doing really well."
Dane nodded and smiled, feeling a little more proud inside.
Mayo is indeed a brand that many people are proud of. As one of the top medical institutions in the world, Mayo is a private non-profit hospital.
The largest income is based on donations.
Every year, many businesses, companies, or wealthy individuals make large-scale donations to the Mayo Clinic.
Nowadays, with such a scale, it is indeed not easy.
"If Professor Chen has time, I can take you to visit after the meeting."
Dane took the initiative to shake hands with a smile.
Chen Nan also nodded.
At this time, Chen Nan and Tiersen followed the guide and kept watching the introduction.
The world's most advanced CT examination equipment uses the latest digital technology to accurately photograph lesions.
There are also color ultrasound images that are similar to bionic three-dimensional construction.
This is a rapid blood testing instrument that can analyze and process blood samples in a very short time.
And that multi-arm surgical robot!
Bionic human bone 3D printing technology...
…
etc!
It can be said that everyone's visit was spent in awe.
It has the most advanced medical technology and equipment in the world.
Even Tilson, who had his eyes set high above his head, couldn't help but marvel!
"This Mayo Clinic is indeed one of the top medical institutions in the world!"
“It’s really an eye-opener!”
Everyone around him couldn't help but sigh.
Only Chen Nan, although stunning, did not have the envy of others.
Tilson couldn't help but ask:
"Professor Chen, don't you feel shocked?"
"Don't you feel anything about the examination instruments and various advanced treatment methods here?"
"Don't you want to work here?"
Chen Nan was stunned for a moment and then asked: "I am a Chinese medicine doctor, okay?"
"These tests... don't seem to have much effect on me, right?"
These words left Tierson speechless.
However, Chen Nan's words attracted the attention of many people around him.
Balsa couldn't help but smile and said: "Can it be diagnosed by relying on your metal, wood, water, fire, and earth?"
"Oh! No...and that pulse!"
"Does Professor Chen think that this latest inspection instrument is not as good as your hand?"
Balsa clearly wanted to sow discord.
At this time, everyone has arrived at the place we want to visit today, the Cardiovascular Department.
After hearing what Balsa said, even the department's chief expert, Mr. Wright, became a little more curious.
Everyone looked at Chen Nan, wanting to know how he would react when faced with such a question.
And this time!
Chen Nan glanced at Balsa and suddenly smiled: "Haha, Mr. Balsa's memory is really not very good."
"Have you forgotten who saved your father half a month ago?"
"Or...have you forgotten that these hands are better than your pet-ct?"
"hehe!"
"Sorry, Mr. Balsa may be forgetful."
Chen Nan doesn't have the habit of being spoiled by others.
And he is also a person who often has negative comments about himself.
Obviously, these words are very effective!
Balsa's face turned red immediately and he was speechless for a long time.
"It's just a coincidence!"
Balsa couldn't help but quibble.
Chen Nan smiled: "It seems that you don't want this coincidence to happen, do you?"
"I really feel sorry for old Mr. Delenn!"
"It turns out that his son did not want old Delen to be successfully treated."
As he spoke, Chen Nan shrugged.
These words are definitely a blow to the general for Balsha!
He was left speechless for a long time!
Everyone around was somewhat curious by Chen Nan's words.
Obviously, Chen Nan has changed everyone's impression of the Chinese.
It seems that in the eyes of most people, Chinese experts are modest, low-key and unassuming.
But Chen Nan is very flamboyant!
Without any tact, Balsa was completely defeated.
Professor Wright couldn't help but smile when he saw this.
"alright!"
“We are all top experts from all over the world.”
"Our office is conducting a case discussion. If you are interested, you can go and take a look."
Dr. Wright's words immediately relaxed the scene.
However, everyone around him still looked at Chen Nan with interest.
Especially Dane and Aruna.
Aruna quickly asked: "Dane, what happened?"
"You see Balsa is in a very bad mood."
Dane didn't hide anything, and gave a rough explanation.
Balsha walked over at this time, with a bit of anger on his face.
"What a fucking bastard!"
"I won't let him go!"
"I will let him know that relying on connections to enter this circle does not prove that he has such ability!"
When Dane saw how angry Balsa was, he couldn't help but said: "Balsha, he is your father's savior."
"Why do you need to be serious with him?"
When Balsa heard this, he became even more angry: "Dane!"
"You...you..."
"You are my friend, okay?"
"How can you speak for him?"
"Besides, do you think he is qualified to stand here?"
Dane was also speechless. He was just stating a fact.
He shook his head and followed everyone into the room.
At this time, after Wright entered the office, he clapped his hands to everyone: "Patients in bed 23, case discussion can now begin!"
"Everyone who comes to visit is an expert from all over the world. If you have any opinions, you can put them forward."
"Our philosophy at the Mayo Clinic is to brainstorm ideas and speak freely during our case discussions."
"Okay, let's get started!"
Everyone found a place to sit down one after another.
Obviously, today's case discussion was also arranged in advance.
After Chen Nan found a seat and sat down, Tilson gave him a thumbs up:
"Professor Chen, you are amazing!"
"This Barsha is the chief surgeon at NewYork-Presbyterian Hospital."
"He's well-known throughout New York State."
Chen Nan said lightly: "Does it have anything to do with me?"
Tiersen was dumbfounded when he saw Chen Nan's calm look.
This guy...couldn't he have other expressions?
He always has such a bland expression.
Soon, the case discussion began.
"The patient, female, 63 years old, was sent to the emergency department because of "abdominal pain and fatigue." She had a history of hypertension and was treated with calcium ion antagonists. The patient had no fever, and no obvious positive signs were found in abdominal physical examination."
"The last time we were admitted to hospital was a month ago. After we were admitted for routine examination, we found that the routine blood test showed: white blood cells 6.7×10/L, no signs of infection, and a color ultrasound revealed pericardial effusion!"
"Abdominal CT revealed that the descending aortic dissection extended into the abdominal aorta to the distal end of the right common iliac artery (Stanford B type), with the false lumen perfusing the celiac trunk and the true lumen perfusing the superior mesenteric artery, inferior mesenteric artery and renal artery.
Chest CT showed: right upper pulmonary artery pulmonary embolism, left pleural effusion and a small amount of pericardial effusion.
Through thoracentesis, 600ml of bloody pleural effusion was removed. Then he underwent percutaneous angioplasty and successfully implanted an inferior vena cava filter."
"As a result, the patient went to the hospital again due to severe dyspnea and left chest pain. When admitted, the patient's heart rate was 120 beats/min and his body temperature was 38°C. The blood routine showed that the white blood cells were 5.3×10/L and the CRP was elevated (9 mg/dL).
Echocardiography showed massive pericardial effusion and mild aortic regurgitation."
“One day later, a chest vascular CT scan showed pericardial effusion, diffuse aortic dilatation (maximum anteroposterior diameter of 45 mm), diffuse thickening of the thoracic aortic wall, and aortic dissection (Stanford type B).
You can see the patient's imaging examination results, and we have further improved the cardiac MRI.
Subsequently, the patient's dyspnea symptoms worsened, cardiac tamponade was considered, and emergency pericardiocentesis and drainage treatment was performed."
The patient's imaging data was quickly projected on the large screen.
"The patient was hospitalized twice and developed recurrence of pericardial effusion. Laboratory examination of the pericardial fluid showed a small number of white blood cells and many red blood cells, and the bacterial culture results were negative.
Multiple pericardial tissue biopsies were taken, and pathological analysis showed non-specific fibrosis, accompanied by mild chronic inflammatory cell infiltration. No suspicious malignant tumors were found, and there were no specific inflammatory lesions."
"The main reason now is that we can't find the cause of the patient's pericardial effusion!"
Professor Wright also began to say to the image data:
"That's right!"
"The current patient's situation is very special, with recurrent episodes of pericardial effusion."
"However, the patient's cause has never been found."
"Even after investigating various suspicious circumstances, we still could not find the cause of the patient's pericardial effusion."
"So... here, the issue we focus on is what is the cause of the patient's pericardial effusion?"
soon!
Everyone fell into a crazy discussion.
At this time, everyone who came to visit did not hesitate at all and began to raise their hands to speak.
Balsa obviously felt that he had lost his authority in the chat with Chen Nan just now, and this time, he started to behave crazily.
"Right now, I think there's a reason to prioritize infectiousness."
"The infection is characterized by recurring attacks, and the patient does not have systemic diseases, such as connective tissue, allergies, metabolic diseases, and major heart diseases."
"Furthermore, judging from the situation, I think infectious pericardial effusion is more suspicious."
"Although the patient has no changes in white blood cells,... many infectious diseases, such as parasitic infections, may not necessarily be corrected for infection."