Chapter 443: It Costs Millions to Achieve Success!
Chapter 443: Spend millions and finally succeed!
Author: holding a ruler in hand
Chapter 443: Spend millions and finally succeed!
Hepatic encephalopathy...
After Chen Nan was silent for a moment, he began to think about countermeasures in his mind.
Acute exacerbation of hepatitis E virus, leading to acute liver failure...
He looked at the woman on the bed. She also had liver failure and was also very likely to have hepatic encephalopathy.
You can even think that it’s just that the time has not come yet.
Early intervention and treatment may have good results, but... no one can guarantee it.
However, once hepatic encephalopathy occurs, it is more difficult to treat!
Therefore, the most important thing at the moment is to find a starting point.
It is obviously difficult for Western medicine to solve the problem from its root cause.
Of course, this is not about black Western medicine or any views on Western medicine.
Because modern medicine is a developing discipline, focusing on details and every indicator, its emergence represents the process of disease development.
As for liver failure, hepatic encephalopathy, and hepatitis E, there is currently a lack of an effective treatment plan, and the understanding is not clear.
So in this case, if you want to solve the problem, relying on Western medicine is not enough!
Of course, modern medicine is not without its advantages. On the contrary, Western medicine is much better than traditional Chinese medicine in maintaining vital signs and ensuring the basic survival of patients.
Chinese medicine can only rely on luck...
This is really not an exaggeration.
Chinese medicine is not a panacea.
Traditional Chinese medicine also has its big shortcomings, that is, insufficient quantification, and there are some problems in innovative development, expanding production capacity, and finding successful experiences.
Therefore, this time, regarding the treatment of "type E virus acute hepatitis", Chen Nan decided to choose the combination of traditional Chinese and Western medicine.
This is also in line with the main theme.
When you open up your mind, there are actually more ways to do it.
If you want to treat patients, you have to look at both macro and micro aspects.
Traditional Chinese medicine has a macro perspective, rich experience, and even unique advantages!
In fact, traditional Chinese medicine’s explanation of liver failure and hepatic encephalopathy is easier to understand than modern medicine.
Take for example the term hepatic encephalopathy.
After the occurrence of hepatic encephalopathy, the early symptoms are not coma, but personality changes, such as anxiety, depression, active mania, and then consciousness disorder, which is often misdiagnosed as a mental patient.
But……
In the field of modern medicine, why does the liver suffer from mental illness?
In fact, it is difficult to intuitively connect the two.
Even the most characteristic neurological sign of hepatic encephalopathy, which has early diagnostic significance, is asterixis.
How can this... be explained clearly?
Of course, indecision, neuroscience.
Hepatic encephalopathy has always been considered to be a syndrome of central nervous system dysfunction based on metabolic disorders.
but……
Traditional Chinese medicine believes that the liver stores the soul and controls wind.
Therefore, liver disease can induce soul disturbance, leading to a series of cognitive impairment and personality changes.
When liver wind moves internally, there will also be signs of "internal wind" such as flapping tremor.
This is well explained!
Sometimes Chen Nan is unbelievable about the wisdom of the ancients and their understanding of the human body and diseases.
How did the ancients discover such awesome subjects?
This has always been a doubt in the hearts of researchers in ancient medical literature, traditional Chinese medicine, and ancient culture.
The Yellow Emperor's Inner Canon appeared two thousand years ago. From what angle could he discover this?
After thinking about this clearly, Chen Nan made a decision.
Try it!
After all, the patient is in this condition now, and he is sent here obviously hoping to get some treatment.
To put it bluntly, it’s really like treating a dead horse as a living horse.
Don't feel uncomfortable saying this.
Because in clinical practice, many diseases are like this.
Hepatic encephalopathy is a disease with a high risk factor, and the same is true!
In the early stage of hepatic encephalopathy, its main manifestations are some behavioral disorders, mental retardation and intellectual disability. Through active liver protection, reducing blood ammonia, enema and other treatments, the blood ammonia can be reduced, and recovery can be achieved.
However, if a patient with late-stage hepatic encephalopathy suffers from severe coma and disturbance of consciousness, the risk will be greater at this time, and the mortality rate will be higher. Moreover, if there are other triggers such as gastrointestinal bleeding, hepatic encephalopathy will occur.
It worsens further and causes the patient to die quickly.
So, that's really it.
Even after the mother and son were sent here, the informed consent form had already been signed.
It was a blessing among misfortunes that they could be sent back from India.
The woman on the bed now looked excited, nervous, excited, and a little confused.
Chen Nan just glanced at it and said to Pan Yanhong on the side:
"Remember to keep up with her treatment..."
"I estimate that early symptoms of hepatic encephalopathy may appear as early as tomorrow."
"Prevent and treat it in time."
Pan Yanhong was stunned for a moment, then nodded quickly: "Okay, Dean."
Chen Nan then said to the woman: "Your son's condition is more dangerous now. He is in a coma in the late stage of hepatic encephalopathy."
"We will treat you, but don't have high expectations yet."
The woman heard the voice and nodded quickly: "Okay, okay...Thank you, Professor Chen!"
"I believe you..."
"please……"
The woman's voice was trembling. She never imagined that... a trip would cause such serious trouble, or even lead to... such a tragedy.
…
After Chen Nan brought Pan Yanhong to the child's side, the ECG monitor was right next to it. Chen Nan took a look and couldn't help but sigh.
He walked up to the boy, stretched out his hand and began to feel for his pulse.
Pulse...
Chen Nan frowned instantly.
The patient's pulse was strong but difficult.
The left hand is more than powerful, but its smoothness is blocked and extremely difficult.
And the right hand...
But my right hand is extremely weak, heavy, stringy, and rootless!
Chen Nan hesitated and opened the other person's mouth directly. But at this time... Chen Nan saw that the base of the tongue was tilted inwards, as if it was invading.
The tongue coating is yellow and thick, with a foul smell!
It smells a bit like rotten apples.
This is actually what is called liver odor.
The occurrence of liver odor is due to liver failure and a characteristic odor caused by intermediate products of sulfur-containing amino acid metabolism in the body (such as methyl mercaptan, ethyl mercaptan and dimethyl sulfide, etc.) exhaled through the lungs or emitted through the skin.
It's not obvious when you're far away, but it's very obvious when you're close.
Chen Nan hesitated, then stood up and said to Pan Yanhong: "Let's go!"
Pan Yanhong was stunned and followed Chen Nan out of the ward.
"Dean Chen, is there... any chance?"
After Pan Yanhong finished speaking, she fell silent first.
Because hepatic encephalopathy has reached this stage, the mortality rate is as high as about 70%.
Such a situation is obviously... extremely dangerous, and death may come at any time.
I have been a director for so many years, how can I not understand this?
She just felt that the child was too young, hey...it was such a pity that he left like this.
At this time, Chen Nan suddenly smiled and nodded: "There is still a chance."
"Come with me!"
Pan Yanhong's eyes suddenly lit up and she walked out.
Qin Shiming, Dio and others were waiting outside. When they saw Chen Nan and others coming out, they quickly walked over.
"Dean Chen, how are you doing?"
Qin Shiming asked anxiously.
Chen Nan said: "The situation is quite serious. I can't guarantee it. I can only say...it depends on the situation."
"I don't dare to say anything else."
Hearing Chen Nan's words, Qin Shiming couldn't help but sigh.
yes!
The world's medical circles have established various organizations and institutions to study this situation, but they have no solution. Chen Nan... no matter how powerful he is, it is reasonable.
This is a normal reaction...
It's just that I seem to be used to the miracles brought by Chen Nan, and I have ignored this.
Thinking of this, Qin Shiming laughed at himself and shook his head.
The translator on the side relayed what Chen Nan said.
Dior and Deputy Minister of India Jharawa also sighed.
"Dean Chen, let's not disturb you for now."
"You guys treat me first, we still have a lot of things to deal with here."
"However, we sincerely invite you to join the World Health Organization Hepatitis E Research Group."
Chen Nan nodded: "Yes, I agree!"
After sending these people away, Qin Shiming stayed.
"Dean Chen, are you sure about this matter?"
Chen Nan smiled: "No!"
"But whether you are sure or not, you have to do it."
When Qin Shiming heard this, he nodded: "That's true."
"By the way, there is something I want to tell you, now that you have joined this research group."
"There are some things that I still need to tell you."
"The higher ups value you very much and are very protective of you. They don't want you to go to India, Thailand and other places in person. They are worried that you may encounter some dangers."
"After all, you are the country's most valuable asset."
"You are still young, and your future is also limitless. We don't even dare to think about what the future will be like."
"If you want to do this research, do it locally."
"We can fly the patient over and let you do it."
"But you must remember, you can't go!"
"This is the result of our discussion."
Chen Nan shook his head, sighed, and said with a smile: "Director Qin, you know, this is impossible."
"We are neighboring countries with other countries, and everyone understands the truth that our lips are broken and our teeth are cold."
"Besides, if I don't go and you transport the patients, there must be no danger?"
"Someone has to go!"
"Moreover, this is not necessarily a bad thing. I believe that this is an opportunity that can save the international status of Chinese medicine, improve our domestic national self-confidence, and influence the development of our next generation's medicine."
"I'm still going."
"I cannot let the people of our country lose their support when they encounter such dangers."
"So, you don't need to persuade me."
"Besides, this disease is fecal-oral transmission, and the transmission intensity is not that severe. If the protection is good, it won't be a big problem."
When Qin Shiming heard the sound, he looked at Chen Nan solemnly and didn't speak for a long time.
…
…
On the same day, Chen Nan began to conduct trial treatment on the little boy.
But the effect is average.
Chen Nan is actually ready for this.
However, I don’t dare to use medicine casually.
He decided to conservatively conduct a series of simulated space experiments on the patient before using medicine.
And this time!
Outside the world, the mortality rate caused by hepatitis E virus is gradually increasing in India and Thailand.
Many national institutions have joined in the support process.
Many countries have begun to provide support to areas hardest hit by the disease and have established temporary treatment hospitals.
And Huaxia is no exception!
The American Hepatitis Representative Team was personally led by the President of the American Society for Research on Liver Diseases.
After arriving, significant curative effects were achieved on the third day.
At the very least...the mortality rate has been reduced a lot.
In fact, the spread of hepatitis E is largely due to hygiene habits.
After all, water, diet, and basic hygiene are the easiest ways to spread intestinally transmitted diseases.
If you want to avoid it, it depends on the general environment.
As the death toll continued to increase, panic began to spread at this time.
At this time, Chen Nan still made no move.
He is still worried about this 11-year-old patient.
After many attempts, Chen Nan got nothing!
This may be his biggest challenge ever.
With a lot of past experience, I can’t even start!
What to do?
At this time, the patient's mother also developed hepatic encephalopathy, had obvious cognitive impairment, and became emotionally agitated.
Open defecation began to occur.
This has also become a vicious cycle in the infected area.
When hepatitis E causes hepatic encephalopathy, these countries and regions have very poor sanitary conditions.
The water source problem cannot be guaranteed.
Hepatic encephalopathy will cause patients to lose their etiquette, justice and shame. Initially, it may be limited to some "informal" behaviors, such as scribbling, spraying water, spitting, throwing paper scraps, cigarette butts, groping around, and defecating everywhere. Tables and chairs in the room are moved and placed randomly and other meaningless actions.
This will aggravate the spread of the disease and form a vicious cycle.
Chen Nan knows very well that if this problem cannot be solved in the China-Japan Friendship Hospital, a national hospital of this level.
So what if you leave for India in person?
After all, the China-Japan Friendship Hospital has the world's top medical equipment and professional team.
But unfortunately, in this case, I still have no way to overcome this disease.
If you now go to India or Thailand, a disease-prone area.
Can we solve the comprehensive problems of external facilities, poor sanitary environment, and insufficient medical equipment?
Many times, it does not mean that if you go early, it will be useful, but if you go late, it will be bad.
Chen Nan must find a breakthrough in these two typical patients. This is the key to his departure.
But...
So far, Chen Nan’s treatment methods are still limited!
Symptomatic treatment, the effect is average.
According to the past experience of traditional Chinese medicine, although there is no word "liver failure", there are many similar symptoms.
Such as acute jaundice, plague jaundice, epidemic jaundice, blood syndrome, bloating, etc.
However, after Chen Nan tried various treatment options, none of them worked!
That doesn't mean there isn't any way.
It's just that the effect was far from Chen Nan's expectation.
Therefore, continuing to repeat clinical virtual space simulations will not have much effect. Chen Nan can only quit again and again, and then study again and again.
It stands to reason...
This kind of pulse condition is nothing more than excessive dampness and heat, or it may develop to a certain stage and become excessive heat and poison, or it may cause phlegm to obscure the orifices, or heat may enter the pericardium...
However, these plans did not have very good results.
Therefore, in this case, Chen Nan's thinking began to fall into a deadlock.
How to break the situation has become the key!
…
But at this time!
The Chinese delegation has also begun planning to settle in.
At this time, the American treatment center established by Jarvis, the liver disease expert of the American Medical Association, had achieved very good results.
The treatment of early-stage patients seems to be under certain control.
However, the most important issue of this disease is its mortality rate.
If it is ordinary hepatitis, it can be treated gradually.
then!
Many Chinese people living in India, Thailand and other countries began to seek help from China at this moment.
Today, with the explosion of the Internet, news like this has quickly become a hot topic.
Many people went online and started spreading and forwarding it.
"Save our compatriots!"
"Please ask the national team to take action..."
"I hope the motherland can help..."
"When will the medical version of Wolf Warrior appear?"
…
There are more and more similar sounds at this time.
Even these sounds have entered the ears of many key people.
In China, the convening work has come to an end, and now the only thing missing is the leader!
However, at this time...
American Treatment Center, an article by Jarvis was published in The Lancet.
This article mainly studies the treatment situation during this period and the disease characteristics of this type of viral hepatitis E.
And they gave direct guidance.
Soon, once Jarvis's article was published, it instantly detonated the medical circle.
The world was once again amazed by this "American Action".
This article by Jarvis played a very important role in early treatment and prevention and control.
But at this time!
When Jarvis was interviewed by reporters, after speaking a classic media language, he said this:
"I'm actually looking forward to China's performance, but unfortunately, it seems they haven't arrived yet."
"But, I believe they will come. China has the most passionate doctors in the world, and their medical ethics is unquestionable."
"But I'm curious, who will take the lead in China this time?"
"Also, I don't know much about Chinese medicine as to what effect Chinese medicine will have in this work. However, these international conferences have allowed us to see the role of Chinese medicine. I am very curious as a separate medicine.
Disciplines have mature systems, but can they play their due role?"
"This time, in fact, it is also a litmus test for Chinese medicine. Whether Chinese medicine has the ability to take on its own role is not determined by propaganda, but by actual actions."
"Professor Chen Nan, will you come?"
"To be honest, I am very curious and looking forward to it."
Jarvis's words were obviously an invitation letter to Chen Nan.
In fact, this invitation letter is, to be precise, more like a challenge letter.
This is Jarvis, who is in the field of modern liver disease research in the United States, questioning traditional Chinese medicine and Chen Nan.
This kind of doubt soon played a big role in public opinion.
Over the past year or so, Chen Nan's popularity in various fields and his reliance on traditional Chinese medicine technology have played a very good role in promoting and developing many diseases.
In addition, this time Chen Nan reached the top of the World Association of Otolaryngology Physicians, which made him even more famous both internally and externally.
Chen Nan's fame will naturally attract the attention of many people.
"World Medical Journal of Infectious Diseases" completely excerpted Jarvis's words and said at the end:
"The core of medicine does not lie in hype, but in the battlefield of competition with diseases. I look forward to Professor Chen Nan's participation!"
At the same time, although Chen Nan has not spoken yet.
The head of the World Health Organization and the Center for Infectious Disease Research, Dio, made a statement.
"Professor Chen Nan will join the World Health Organization's Hepatitis E Research Group."
After this voice appeared, the public opinion hype became even more intense.
but……
Why hasn’t Chen Nan shown up yet?!
And just at this time!
The Chinese Medical Doctor Association also held an emergency meeting internally.
Xia Zhongyan personally took the lead in organizing the meeting.
The Chinese Medical Doctor Association has never been afraid of any danger in this regard. Perhaps they are very good at civil war.
However, when they encountered problems, they never flinched.
Zhu Dongliang is a leader in the field of liver disease at the Chinese Medical Doctor Association.
He said directly: "I will take the lead!"
"Go there in person!"
"Professor Chen Nan represents the direction of integrating traditional Chinese and Western medicine and the direction of traditional Chinese medicine."
"And I represent the field of liver disease in China with Western medicine."
"I have to go."
"We can't let ourselves be looked down upon by Waiguoren."
"And our compatriots have been waiting for a long time."
"I have to go!"
Zhu Dongliang is a leader born in the 1970s in the field of modern infectious disease medicine and liver disease research in China. He has also participated in many rescue operations, and these experiences have become his most valuable asset.
This time, he also did not refuse.
But at this time, many people suddenly said:
"Hmph, then Chen Nan, the clamor was very powerful, but now he has become a coward. It's just because he is afraid!"
"A person like this can become a consultant at the National Health Commission. Why don't we have such people in Western medicine?!"
"Besides, so many of us have worked hard. President Zhu, if you ask me, you are blocking Chen Nan's gun, and he doesn't even appreciate it."
"Let me tell you, we can also strive for some benefits."
Zhu Dongliang frowned. Although he didn't like such internal struggle and style, he didn't say anything because he knew that this was actually the voice of many people.
When old man Xia Zhongyan heard the sound, he coughed.
He knew that these voices were meant for him.
Why……
In the Chinese medical circle, or rather from ancient times to the present, it has been made very clear that there is no best scholar.
Literary men look down upon each other...
He knew that there were many people inside who were not convinced by Chen Nan.
Xia Zhongyan couldn't help but shook his head and stopped the topic this time:
"Okay, President Zhu, you won't go in vain this time. I will report it to the superiors."
At this point, the topic finally stopped.
And the next day!
After the news came that Zhu Dongliang personally led the team to India, the Internet was immediately praised.
Domestic media will naturally not give up on this report of "bringing glory to the country".
For a while...
The news about Zhu Dongliang quickly caused an uproar in the country.
And Chen Nan...
No news at this time.
At this time, Chen Nan didn't know how many times he had gone through research.
He suddenly discovered it!
My starting point this time was already wrong.
This time's illness may not be thought of in the same way as before.
Instead, some new dialectics should emerge!
for example……
"Toxicity!"
We cannot simply look at it from the perspective of dampness and heat transforming into poison.
Repeated treatment errors made Chen Nan realize that "poison" is not an end point.
It is the product of the disease developing to a certain stage.