The most enlightened doctor

After dinner, Zhang Bai left.

Yu Zhiming didn't go back to the bedroom. He took out the latest internal medicine journal and sat on the sofa in the living room to read it. He also answered a few questions from Qing Ning and Xiao Xue from time to time.

Zeng Yan also came over and asked, "Uncle, at the end of the year, you must have won many honors from the hospital, right?"

"Have you been awarded a special honor?"

Yu Zhiming chuckled and said: "According to the practice of Huashan Hospital, the various evaluations will not be announced until March after the new year."

He said casually: "This honor is just like a floating cloud to me. I don't have any special expectations."

Xiaoxue said in a coquettish voice: "Zeng Yan, our uncle no longer needs to prove himself with honors and commendations."

“Patient recognition is the greatest compliment.”

At this time, Qing Ning handed the phone to Yu Zhiming.

Yu Zhiming glanced at the content on the screen.

This is entertainment news. It is said that a talented young actor named Lin Min has announced that he will suspend work to fight cancer with all his strength.

"Are you a fan of his? As you know, I don't have any special treatment for cancer."

Qing Ning reminded: "Zhi Ming, have you forgotten?"

"More than three months ago, a character in a TV series kept coughing. You must have said that this person had a serious problem with his lungs."

"Is this this guy?"

Yu Zhiming looked at the photos on the entertainment news again, and saw a handsome guy with clear features.

But he really had no impression at all.

Qing Ning nodded and said, "That's him."

"His condition must have worsened or his body could no longer hold on, so he had to suspend work and announce his condition."

Qing Ning added: "As a film and television actor, he should be able to receive 1.2 million injections of anti-cancer treatment, right?"

Yu Zhiming explained: "You are talking about the kind of CAR-T cell therapy. Although it has a fairly good efficacy, its scope of indications is still limited."

The so-called 1.2 million injection is an anti-cancer miracle drug. It is not a medicine, but a personalized and customized cellular immunotherapy.

It is referred to as CAR-T therapy, which is chimeric antigen receptor T cell therapy.

This treatment method requires immune T cells to be extracted from the patient.

Then, genetic engineering technology is used to modify the T cells so that they are equipped with tumor chimeric antigen receptors, or CARs, that specifically recognize cancer cells.

In layman's terms, it is like a missile equipped with a high-precision navigator, so that T cells can efficiently identify tumor cells in the patient's body and attack them.

These modified CAR-T cells are then cultured in large quantities in the laboratory.

Afterwards, the expanded "boosted" immune T cells are infused back into the patient's body.

Once these cells encounter tumor cells expressing corresponding antigens in the patient's body, they will be activated and re-amplified, killing cancer cells crazily through the immune killing mechanism, thereby achieving the effect of curing or relieving the tumor.

Yu Zhiming then introduced to Qing Ning and Zeng Yan: "This treatment method has a good therapeutic effect on patients with blood system diseases, including leukemia, lymphoma and multiple myeloma."

"For solid cancers, the effect is very limited."

Zeng Yan suddenly interjected: "Brother-in-law, if you can detect tumors and cancerous tissues, is it possible to remove all the tumors and cancerous tissues in the patient's body through surgery?"

"Then use CAR-T cell therapy to eliminate cancer cells wandering around the body. Can this completely cure the cancer and prevent recurrence?"

this……

Yu Zhiming reached out and touched Zeng Yan's head, and said with a smile: "You are a little too simple in your thinking."

"Except for most early-stage cancers, many cancers develop into intermediate and advanced stages. To remove all tumors is equivalent to removing the entire organ."

"The treatment becomes organ transplantation."

"After organ transplantation, in order to reduce organ rejection, the body's immunity needs to be lowered, so it is no longer suitable to use CAR-T cell therapy, which will attack the transplanted organ."

Yu Zhiming thought for a moment and said in deep thought: "For middle-to-late stage gastric cancer, intestinal cancer, esophageal cancer, bone cancer and other cancers, you can try this compound treatment method."

"It's just that this requires the patient to have a relatively resistant body."

“The most important thing is that patients have to have money.”

Qing Ning suddenly thought of something and asked with a lively voice: "Zhi Ming, even if cancer metastasizes, as long as the metastasized cancerous tissue is removed without affecting the basic functions of the original organ, is it possible to cure it?"

Yu Zhiming thought for a while, nodded slightly and said, "I can only say that it is theoretically possible."

"Generally speaking, when cancer metastasizes, the patient's body is riddled with holes, and generally cannot withstand such a major surgery."

Qing Ning said softly: "As long as there is hope of success, the patient will take the risk and give it a try. It is better than waiting to die."

She asked again with gleaming eyes: "Zhiming, you know a lot about the physical condition of the eleven terminal cancer patients in Ning'an Hospital."

"Does any of them want to take the risk?"

Yu Zhiming warned sternly: "Qing Ning, don't tempt them, they can't stand the temptation."

"This treatment method is equivalent to rolling a dice. You can only succeed if you roll 666."

"The possibility of success is too small."

Qing Ning showed her small white teeth and said with a smile: "I know that when a master throws dice, the probability of throwing a leopard is quite high."

"Zhi Ming, you are a super expert."

Yu Zhiming glanced at her sideways and said, "I can only know the number of dice in the dice cup, but I can't throw a leopard."

Seeing that this guy was about to speak, Yu Zhiming stopped him: "Don't talk about it. The investment is huge, but the chance of success is too small. It's not worth the risk."

Qing Ning pursed her lips and stopped talking about this topic.

She has a clear understanding of some of Yu Zhiming's ideas.

For example, when a person reaches a certain age, he or she should accept the laws of nature and die calmly, and should not undergo excessive treatment.

Also, this guy disagrees even more with the fact that ordinary people spend all their wealth just for the so-called slim chance of survival.

Of course, except for wealthy and willful families.

Therefore, Yu Zhiming did not pay due attention to this method of treating middle- and late-stage cancers with disproportionate input and output.

But Qing Ning knows one thing clearly. For a drowning person, no matter how small the straw is, he will desperately grab it.

However, Yu Zhiming is not active at all.

Qing Ning secretly thought that this is the sequelae of making too much money.

If Yu Zhiming still has a strong enough desire for money, he will definitely be interested in trying this treatment method that can make a lot of money from the rich...

Qing Ning puffed up her cheeks slightly, used a small fork to fork several pieces of fruit one after another and stuffed them into Yu Zhiming's mouth.

Yu Zhiming, whose mouth was full of fruit, saw Qing Ning fork another strawberry and put it to his mouth.

Yu Zhiming chewed hard, swallowed the fruit in his mouth, and looked at Qing Ning funny.

"Do you want to hold me to death?"

Qing Ning hummed twice, put the strawberry into her mouth, and chewed it slowly.

At this moment, an originally hazy idea gradually became clear in her mind.

After swallowing the strawberry in her mouth, Qing Ning showed an excited expression and roared: "Zhi Ming, I have found the differentiated development direction of Ning'an Hospital."

"What is the development direction?" Yu Zhiming asked curiously.

Qing Ning said hey: "With your great help, Ning'an's confinement center and reproductive center, which were already famous, have now reached a higher level."

"I know that more and more pregnant women and infertile women from surrounding provinces and cities come to Ning'an Hospital for help."

After a pause, Qing Ning turned around and said, "I also know that my brother also hopes to improve Ning'an's domestic reputation by providing health care treatment for terminal cancer patients."

"It's just that due to your time and energy Zhiming, as well as Ning'an's medical funding restrictions, we can only treat ten or twenty late-stage cancer patients in a year."

“If the number of patients cannot increase, the impact will be limited.”

Qing Ning met Yu Zhiming's gaze and said with a bright face: "Zhiming, the health care treatment for patients with advanced cancer only delays some time and has only that kind of impact. However, the cure of patients with intermediate and advanced cancer can have a huge impact." sensation."

Speaking of this, Qing Ning, whose thinking became clearer, said quickly: "Zhi Ming, I know, the conditions are quite harsh."

"The type of cancer is limited, and the site and extent of cancer metastasis must also be limited. The patient's body must be more resistant."

"The most important thing is that the patient must have money, a lot of money."

"But with so many cancer patients across the country, we can always select dozens of those who meet the criteria, right?"

"As long as Ning'an successfully treats 10 or 20 people every year, its reputation will spread throughout the country."

Qing Ning took Yu Zhiming's arm again and said delicately: "Zhiming, this won't increase your workload much, will it?"

Xiaoxue and Zeng Yan on the side, watching Qing Ning's coquettish appearance, suppressed their expressions and tried hard not to laugh.

Yu Zhiming rolled his eyelids and said: "Of course it will increase my workload. I need deep interventional surgery to mark the range of cancerous tissue that needs to be removed."

Qing Ning rolled her eyes, shook Yu Zhiming's arm, and said with a high sugar content: "Then let my brother make proper arrangements without increasing your working hours. How about that?"

"Zhiming, we are all a family. Ning'an Hospital has fully developed, and it is also your strong backing, isn't it?"

She gave Yu Zhiming some ecstasy soup again.

"Zhiming, you brought new life through the confinement center and reproductive center in Ning'an, and saved lives through the treatment of middle- and late-stage cancer. What a great merit."

Yu Zhiming smiled and said, "Qing Ning, you didn't pay much attention to the affairs of Ning'an Hospital before. Why are you so concerned today?"

Qing Ning chuckled and said, "I am also a member of the Gu family, and my brother is the director of Ning'an Hospital."

"I'm an adult now. Under your influence, I can't be ignorant all the time. I have to make some serious contributions, right?"

Qing Ning cooed again: "So, when you and Zeng Yan were talking about cancer treatment, I suddenly had an idea."

Yu Zhiming pinched the bridge of Qing Ning's nose.

"I just talked about the treatment of middle- and late-stage cancer on paper, but it's incredibly difficult to actually do it."

"But we can study the feasibility first."

"Zhiming, do you agree?" Qing Ning looked surprised.

Yu Zhiming nodded gently.

Qing Ning jumped up and yelled: "I'll call my brother right now."

At this time, Yu Xiangwan, who had been busy in the kitchen, came to the living room carrying the mixed dough and prepared stuffing.

"Kick off the dumplings and get off the noodles."

"Zeng Yan will go home tomorrow and there will be no more dumplings at home. Let's make dumplings together tonight..."

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