Together

Qin Su went to the venue after lunch, Xing Wenfei begged him to rest in the villa for a while, Qin Su sternly refused him.

No matter how disturbed and wronged Xing Wenfei was, Qin Su no longer wanted to let him go.

Xing Wenfei saw that he didn't want to be alone with him, so he had to follow him to the venue hotel.

Qin Su went to Zhou Xun's room to look for him, and Xing Wenfei followed.

After entering the room, Xing Wenfei saw that it was a big bed room, and immediately gave Qin Su a meaningful look.

Qin Su didn't want to pay attention to his eyes at all.

Zhou Xun didn't have the habit of taking a nap. He used a laptop to handle his work in the bedroom. After greeting the two of them, he asked Qin Su to come to his side to help him see a moving picture in the PPT.

When Qin Su walked over, he accidentally bumped into the corner of the desk, and immediately frowned in pain.

Xing Wenfei quickly walked over, "Are you okay?"

Qin Su's body was very uncomfortable. Compared with the pain of being injured, he felt that his symptoms were more like weakness after excessive indulgence.

Qin Su blocked Xing Wenfei away depressedly, and said, "I'm fine."

Now Zhou Xun also saw Qin Su's problem. He saw that Qin Su didn't come in the morning, and thought it was because he didn't see any topics he wanted to hear in the morning, so he wanted to come in the afternoon, so that he could stay with Xiaowen for a while in the morning. Come on, he should be really unwell.

Zhou Xun took a few more glances at Xing Wenfei and Qin Su, and he knew roughly what the problem was.He stood up and said to Xing Wenfei: "Xiaowen, why don't you go and buy Qin Su a cup of hot cocoa. Hot cocoa can replenish energy and warm your stomach."

Both Xing Wenfei and Qin Su looked at Zhou Xun in surprise, and Zhou Xun asked suspiciously, "Qin Su, you don't like sweet drinks, do you?"

Qin Su just doesn't eat too much spicy food. Although he is not addicted to sweets, he doesn't reject them. He said, "It's okay. But, will drinking hot cocoa really help?"

Zhou Xun didn't know how to answer. After thinking about it, he said, "It should be. Ningning can drink."

Xing Wenfei saw that Qin Su was very uncomfortable, so if he had any remedies, he would naturally use them. At this time, it is not easy to pretend to be someone else, so he had to do it himself.

Fortunately, there are desserts in the downstairs restaurant, but they don’t sell hot cocoa, but they have raw materials. After buying a lot of desserts from his family, Xing Wenfei asked their chef to cook a cup of hot cocoa. When the hot cocoa is ready, He just brought hot cocoa and a whole bunch of desserts to take to the room.

After Xing Wenfei left the room, Zhou Xun was no longer as cautious as before, let Qin Su sit on the only chair in the room, stood beside him, and said, "Qin Su, I don't think you should be too laissez-faire It’s Xiaowen. Xiaowen is young, full of energy, and can make a lot of troubles. If you feel that you don’t like it or don’t adapt to it, you’d better not let him go because you’re worried that you won’t let Xiaowen have fun. Cooperate with him in everything, it’s good for you I am in poor health. I think that when two people are together, it is best for them to live out their lives on the basis of mutual understanding, otherwise, they will definitely have conflicts in the future. It is okay to have conflicts, as long as the problems can be resolved But I'm worried that your body won't be able to bear it. Although I'm gay myself, as a medical practitioner, I still feel that anal sex is not in line with the structure of the human body."

Qin Su knew that it was useless to hide his ears and steal the bell. With Zhou Xun's experience, he must be able to judge his own problems at a glance.

Although embarrassed, he had to admit that Zhou Xun was right.

Qin Su raised her hand and rubbed her forehead, not knowing what to say for a while.

Zhou Xun sighed and said, "Can you hold on this afternoon, otherwise, I can tell you about your work."

How could this be so, Qin Su rejected his kindness, "It's nothing."

When Zhou Xun told the truth just now, he was impulsive. Seeing Qin Su's embarrassment at this time, he himself became embarrassed. He walked to the side and sat on the sofa in embarrassment. After a long silence, he said: "I'm sorry just now. Ah, I was talking too fast, talking nonsense."

Qin Su was even more embarrassed. Knowing that Zhou Xun had good intentions, of course it was inconvenient to burden him psychologically, so she explained: "I know you have good intentions. I understand. It may be... In fact, before I was exposed to HIV, there were nearly three Yue didn't meet Xiaowen because he was too busy, he was busy, and I was busy too, but it was more likely that we didn't have the kind of thought of being together at the time, after all, you see, we are in different places , I am much older than him, and our work also made it inconvenient for us to be together...At that time, I thought about it and let it go, I don't need to maintain this close relationship anymore...After that, you also know, I am out I had already rejected Xiaowen because of the HIV exposure, but he..." Qin Su smiled and looked at Zhou Xun: "It may be the first time he has a sense of responsibility. After all, something happened to me. At that time Leaving me is so heartless."

Zhou Xun thought that when he first met Xiaowen, it was at Qin Su's house. At that time, Xiaowen and Qin Su did not have any tacit understanding, and even had a little estrangement. Maybe it was because the two were actually breaking up?However, when they met Qin Su and Xiaowen again later, they became much closer, as if they were falling in love.

Zhou Xun asked: "I think you two have a good relationship now, do you want to break up?"

Qin Su said: "No. It may be that the previous HIV exposure made us both feel that each other is pretty good, and we have a lot of time to spend together, so we have already settled for a lifelong relationship."

His right hand unconsciously touched the ring on the ring finger of his left hand. Zhou Xun saw that both he and Xiaowen were wearing rings, and at first glance they were the same two, presumably they were engagement rings.

Zhou Xun: "I think the literati are pretty good, and you get along very well together, which is pretty good."

Qin Su nodded: "Yes. I don't think I will ever meet someone more suitable than Xiaowen. The HIV exposure this time can be regarded as a blessing in disguise."

Zhou Xun sighed: "You and Xiaowen actually belong to the same kind of people, that is, you are very warm and polite to others on the outside, but you are lonely on the inside. Unless you really understand each other and then like each other, otherwise, it should be difficult to get along with another person. Be together."

Qin Su didn't think much about this matter before, but now she heard Zhou Xun talking about it, and after thinking about it, she thought it made sense.

Qin Su said: "Probably, otherwise I wouldn't be single all the time."

Zhou Xun looked at his watch, more than ten minutes had passed, "Xiaowen hasn't come back yet."

Qin Su chatted with Zhou Xun for a while, and felt that his mood and body were much better, so he said: "After all, this is a hotel area. It may be difficult for him to find a shop that sells hot cocoa. I'll tell him to come back."

Zhou Xun: "Just let him buy it. You should learn to let him take care of you more."

Qin Su was very embarrassed, he was the older one, and he should have taken care of Xing Wenfei more, but in fact, when the two got along, it was Xing Wenfei who paid more in life and was the one who took care of him.

Looking at his expression, Zhou Xun knew that Qin Su was not the kind of person who would accept the care of his lover calmly, so he said, "Xiaowen is younger and has a lot of experience anyway, so what's wrong with asking him to pay more and take care of you? Falling in love is similar to investing. Although both parties have to give and be grateful to each other to make the relationship better, but in it, giving often brings more satisfaction than gain. Especially for people like Xiaowen, I am used to being cared for and flattered by others, so the more someone asks him to give, the more satisfied and happy he will be, especially if he likes you so much. So, why not do it. You should Give Xiaowen more opportunities to take care of you."

Qin Su: "..." I didn't expect Zhou Xun, who is good at research, to be a love consultant.

Qin Su said: "I don't know if Xiaowen knows this theory?"

Zhou Xun said: "He is so smart, how could he not know? I think it is a very happy thing to take care of the person I like and make him rely on me. Spiritual satisfaction is very important in the relationship between two people."

Qin Su stared at Zhou Xun's laptop screen on the table, and said, "You know a lot."

Zhou Xun was a little uncomfortable, and said: "Zhou Ning's personality is a little sensitive, and sometimes I worry that my carelessness will make him sad. If he doesn't talk about it, and I don't know it, I will read some psychology about getting along and love. It feels very practical. If you want to read it, I can send you a list of books. However, I think Xiaowen needs to read it more. You see, he made you feel so uncomfortable afterwards, I really don’t know how to be considerate.”

Qin Su saw that Zhou Xun had misunderstood Xing Wenfei a lot on this point, and he didn't want others to misunderstand Xing Wenfei, so he suppressed his embarrassment and explained: "Actually, it's not Xiaowen's problem, because I was exposed to HIV before. We haven't seen each other for more than half a year...so...uh..."

Qin Su blushed, Zhou Xun was afraid that what he said would embarrass him even more, so he quickly changed the topic to talk about work.

When Xing Wenfei returned to the room, the two had already exposed the embarrassment just now.

Qin Su took the cup of hot cocoa and drank it, and indeed felt the warmth and strong sweetness, and felt much better after drinking it.

As for the other desserts other than hot cocoa, Xing Wenfei only tasted a little, but he didn't think it was too tasty, so he put it aside.

In the afternoon, when Qin Su and Zhou Xun went to the conference hall, Xing Wenfei also followed, and sat in a corner by the side, listening to the experts on the stage talk about their research results.

After Qin Su and the staff confirmed the time of his speech, he listened carefully to the work reports of other colleagues until he came to the stage to make a report.

Director Jiang mainly reports on the work of the laboratory in the previous year. This kind of report does not contain any cutting-edge things, but the work of the laboratory can be analyzed in detail, and there will be a lot of experience and lessons. Indeed, through this kind of communication, other Colleagues use experience to achieve the goal of common improvement.

The temperature here is very high, Qin Su wore a white shirt and black trousers, fair skin and black eyes, handsome face, gentle and calm temperament, very attractive.

He first said that this is reporting work on behalf of colleagues, please correct me from colleagues and leaders present.

Qin Su has been working in this field for a long time, so she is familiar with the research results in this field, and even simple work reports are extremely vivid and in-depth.

Speaking of the middle part, Director Jiang listed in the PPT the results of the antibody detection products of several companies used by the laboratory in the previous year, and through another IGRA experiment (γ-interferon release test analysis technology ), molecular detection, general bacteria collection smear and culture, and even compared the clinical diagnosis results of patients. For this reason, clinicians almost no longer accept the results of antibody tests as a last resort when nothing else is really available.

Not only that, but the WHO no longer recommends antibody products. In this case, what should the hospital do? Should it continue to prescribe this checklist to patients, or should it not be prescribed anymore?Or selectively open?

Although antibody testing is a very cheap method compared to other tests, it is a waste of money for patients to prescribe this order to patients when so many products on the market cannot achieve the expected results.

Of course, Qin Su has seen this PPT several times before, and of course knows that talking about this kind of content is designed to offend people.It is likely that many of the sponsors of this conference are selling such products.

When he said this, colleagues in other hospitals who encountered similar problems naturally felt the same. Suddenly, many people spoke in the originally extremely quiet venue.

Qin Su represents a very high-level hospital, and many other hospitals will use them as a benchmark. If they question the product, other hospitals will definitely question it, which will make it difficult to sell such products.

The staff of the interested company were very anxious, and someone hurriedly asked the organizer's staff to remind Qin Su not to talk about this part of the content, but none of the organizer's staff was willing to do such an offending thing, so the company's staff The technology hastened to use another microphone to explain that the sensitivity and specificity of this method have been improving, and this method can be used for detection. Moreover, some views of the WHO are not suitable for China's national conditions. After all, most Chinese patients are poor and have no medical conditions at all. It costs hundreds of thousands of dollars to do γ-interferon release experiments. In the absence of etiological evidence, using this method is both cheap and effective.And remind Qin Su that the hospital he works in has a lot of influence, so he should not say such words that mislead other colleagues.

The ones who directly stood up to confront Qin Su were the company's technicians. In fact, most of the colleagues in the industry knew about this problem, but they didn't have a high enough influential position, and they didn't have the kind of director Jiang who was not afraid to speak up when he had something to say. With the mentality of offending people, no one will ask this question.

Xing Wenfei was not clear about this kind of technical issue, and he was very upset when people from related companies directly attacked Qin Su at the meeting.

After all, Qin Su is a person who has experienced a lot of ups and downs. Of course, he doesn't care much about the people in the company directly contradicting himself like this. The hosting experts invited by the organizer can't understand people who disturb the order of the venue, so they immediately asked everyone to be quiet. Please Qin Su Su continued.

Qin Su turned to the next PPT, which contained another part of the content, so he rewound the PPT to the page that made the company selling products upset and indignant, and Shi Shiran said: "As just now A teacher said that when no etiological evidence can be found to diagnose tuberculosis, antibody detection is very cheap compared to the expensive interferon-γ release test. The hospital should give patients the opportunity to choose this detection method, which may be what we use. The product cannot meet our expectations, so we really can’t get good results and feedback. Other peers may have better results. In addition, our laboratory has also studied how to improve the sensitivity and specificity of antibody detection worldwide Now, there are laboratories using the method of detecting antibodies to obtain results that are almost the same as those of interferon-γ release experiments. Our laboratory has just cooperated with the United States in this regard, and it has indeed achieved very good results. However, because of the need to fly Time-mass spectrometry equipment, so counting the money of the equipment, is more expensive than doing gamma-interferon release experiments, and it is only in the research stage now. But it also proves that antibody detection is not without ways to improve sensitivity and specificity, compared with Instead of making these unnecessary discussions, I should focus more on how to improve product quality."

Qin Su's words were considered very kindly for the manufacturer. After he finished all the content, he stepped off the stage and walked to the aisle next to him. The person in charge of the manufacturer had already come to him and said, "Professor Qin, what are you doing here?" It’s really inappropriate to talk about this kind of content in front of many colleagues.”

Qin Su was a little angry, and said: "We do testing and report for patients. All the experimental results are controlled, and we are not afraid of anyone to check."

The other party was embarrassed and angry, and had nothing to say for a while.

The author has something to say: I found one thing. In other big articles, those young people born in the 95s and 00s have already been called "brothers", but our teacher Qin born in the 80s is still called "little brother". The name "Susu", haha.

Someone asked for a popularization of the professional vocabulary in this chapter.

What Mr. Qin is talking about here cannot be popularized by science, because popular science will inevitably involve more professional content. It is not a professional book, and it is impossible to explain the content clearly.And even if you write that professional book, you need several years of basic knowledge of professional background to understand this professional book.

So, I will just say the general idea.

Mycobacterium tuberculosis, as a pathogen, will cause an immune response after entering the human body. The immune response is divided into cellular immunity and humoral immunity.Humoral immunity is what most people know as the immunity that produces antibodies.Cellular immunity is more complicated.

Tuberculosis is cellular immunity, so it can make people produce very few antibodies, so few that it can be detected with antibodies, the sensitivity and specificity are very low (sensitivity is the resolution to detect it when there is such a thing; specificity is If it's not this kind of thing, we can't detect it during inspection).

In other words, it is not very good to use antibody detection.

This does not work, not only because of the manufacturer's reagent problem, but more because of the principle problem just mentioned.

So the first paragraph of Professor Qin's speech is that many manufacturers' reagents were used for this test, and the conclusion: the results are not good.Since the result is not good, will the patient still have to spend this wronged money in the future?

The second paragraph: Respect for the reagent manufacturers.It's not a manufacturer's problem, it's a principle problem.However, there is still a solution, but you manufacturers haven't developed it yet.

I won't talk about this solution here because it's still pending.

I don’t know if everyone understands this explanation?

(As mentioned in the article, what the manufacturer’s technicians said is also completely correct. When you go to the hospital to check for tuberculosis, the doctor prescribes an antibody test. Don’t question this test because of my article. Because this test is really a Comprehensive examination. The blood test is better than it because it is too expensive, and patients may not be able to bear the cost, or it is too expensive, and the hospital may not have that test. Professor Qin’s hospital does not use antibody tests because the hospital is too expensive. Well, other expensive tests can be done. Other hospitals may not be able to do it)

**

I will not explain the other detection methods mentioned in it.

Everyone just needs to know that Professor Qin is more powerful, and there is no need to understand his words.