The most enlightened doctor
Chapter 614 March doesn’t know the taste of meat
After seven o'clock on Saturday morning the next day, Yu Xiangwan, Yu Zhiming, Qing Ning, Xiaoxue and Zeng Yan were sitting around the dining table and were about to have breakfast when the doorbell suddenly rang.
The uninvited guest is Gu Qingran.
Seeing that this guy's eyes were bloodshot, Yu Zhiming couldn't help but ask, "You didn't sleep all night, did you?"
Gu Qingran smiled and said: "The content of last night's phone call made me so excited that I contacted Academician Zhang Yuanchao and several oncology experts from the hospital for a video conference overnight."
"The more we discuss, the more excited we become, and we all agree that the treatment method you proposed for middle- and late-stage cancer has great feasibility."
"I was so excited that I didn't feel sleepy at all. I couldn't wait to rush over. I want to talk to you in detail."
Speaking of this, Gu Qingran glanced at the steaming dumplings on the table, touched his belly, and asked without politeness: "Do you have many dumplings?"
"hungry!"
Qing Ning gave up her plate and said, "Brother, you can eat my plate first."
"There are still dumplings in the refrigerator, I'll cook them again..."
Gu Qingran washed his hands and sat down next to Yu Zhiming. He first drank two mouthfuls of seaweed and egg drop soup made with dumpling soup, and then ate three dumplings in succession.
“Delicious! Comfortable!”
Gu Qingran praised and turned to look at Yu Zhiming.
"Academician Zhang and the others said that through your amazing detection skills, all the cancerous tissues in the patient's body can be marked and completely removed."
"Then using CAR-T cell therapy to completely eliminate cancer cells everywhere in the body, it is indeed more likely to completely cure cancer."
Yu Zhiming poured cold water on him and said, "There is a greater possibility that the patient just belched."
“Patients with mid- to advanced-stage cancer are already weak and may not be able to meet the surgical targets.”
"Even if you can barely survive major surgery to remove cancerous organs and tissues, your body is basically in a dying state."
"CAR-T cell therapy has serious side effects on the body, and patients will most likely not survive it."
CAR-T cell immunotherapy is more effective, but it has many toxic and dangerous side effects.
A common side effect is cytokine release syndrome.
Cytokine release syndrome refers to the large amount of cytokines released during the interaction between immune cells and tumor cells, and the cytokines trigger a cellular chain reaction.
The most common is an excessive inflammatory response.
It often manifests as high fever, hypotension, shock, etc., with an incidence rate of more than 60% to 70%.
Side effects also include neurotoxicity.
It may cause many problems in the nervous system, often manifested as cerebral edema, increased intracranial pressure, epilepsy, altered state of consciousness, etc.
Overseas, there have been reports from time to time of patients dying due to neurotoxicity caused by CAR-T treatment.
This treatment method may also cause breathing difficulties, which may lead to multiple organ dysfunction and failure in severe cases...
Such numerous and serious side effects are a big challenge to healthy people, not to mention mid- and late-stage cancer patients who have undergone major surgery.
There are too many life and death hurdles that need to be overcome.
This is also an important reason why Yu Zhiming is not optimistic about this treatment method and is not interested in it.
Gu Qingran smiled and said with pride: "Zhi Ming, if it were a week ago, I would definitely agree with your point of view. The risk is indeed too high, and there is little hope of success in the end."
"But now..."
Gu Qingran said with a mysterious face: "Zhi Ming, don't forget, we have a trump card that can allow patients to survive the side effects of CAR-T cell immunotherapy."
Speaking of this, he also raised his eyebrows at Yu Zhiming.
"What's the trump card?"
Confused Yu Zhiming asked, but suddenly, he woke up.
"Ginseng life-sustaining pills?"
Yu Zhiming asked eagerly: "Have you done the test? What is the actual effect?"
Gu Qingran swallowed a dumpling, took another sip of seaweed and egg drop soup, and said slowly: "Speaking of this, people have to marvel at the mystery and magic of traditional Chinese medicine."
"Let's put it this way, the pharmaceutical laboratory of Ning'an Medicine conducted an analysis of the pharmaceutical ingredients and medicinal properties of the Ginseng Xuansheng Pill."
"The conclusion is bland and unremarkable."
"We took out another pill and gave it to a seriously ill and dying person who was in a coma."
"The man regained consciousness quickly."
"It has been three days now, and that man is not only still alive, but his mind is still quite clear."
"As for the efficacy of ginseng life-sustaining pills, as Dr. Wang said, its life-sustaining power is real."
This made Yu Zhiming let out a long sigh and sighed: "The medicine produced by Dr. Wang is indeed a miracle medicine with extraordinary effects."
"With the support of this miracle drug, the possibility of patients surviving the most severe days of CAR-T cell immunotherapy side effects should be greatly improved."
"only……"
Yu Zhiming thought of something else and said, "Doctor Wang said that it is extremely difficult to prepare this kind of medicine."
“Wild ginseng that is more than fifty years old is very difficult to find in the world. One tree is used less than one.”
Gu Qingran chuckled and said: "You can still buy ginseng for a lot of money. It is quite rare in our country now, but there should be some on the peninsula."
He boasted again: "Anyway, these ginseng life-sustaining pills, Zhiming, you don't have to worry, there will definitely be a steady supply."
Gu Qingran paused for a moment and stared into Yu Zhiming's eyes.
"Zhi Ming, do you want to do it?"
Yu Zhiming pondered and said: "If you have a suitable patient, you can take the risk and try it."
Gu Qingran asked: "How is Meng Fan?"
Meng Fan? !
He is one of eleven terminal cancer patients receiving rehabilitation treatment at Ning'an Hospital.
I am 47 years old this year. My cancer in situ is gastric cancer. I had surgery to remove half of my stomach three years ago.
Metastatic tumors are now found in the lungs and liver.
Because it was discovered relatively early, the lung and liver cancers were relatively well controlled. Meng Fan's overall physical condition was maintained quite well, and he could still move freely.
Yu Zhiming recalled Meng Fan's situation, nodded slightly and said: "It is indeed a suitable experimental subject."
Gu Qingran said excitedly: "What about the surgery tomorrow?"
Yu Zhiming was shocked and shouted: "Are you crazy? Are you in such a hurry? This is a human life, not a child's play."
Gu Qingran ate another dumpling and said slowly, "Zhi Ming, I'm not in a hurry, nor am I kidding."
"Meng Fan's physical condition is that the cancer is getting worse every day. The sooner he has surgery, the better, right?"
"His surgery is not difficult and does not require special preparations such as surgical plan discussions and drills."
"It takes about a month to fully recover after the operation, and then CAR-T cell immunotherapy will be carried out."
"One more thing, you will go back to your hometown next Thursday, which is tomorrow's Sunday. You have enough free time."
When Yu Zhiming heard his explanation, he couldn't help but feel that it made sense.
In fact, if the entire treatment process is broken down, there are no technical restrictions on each key point of treatment.
Gu Qingran said in a deep voice: "I know a lot about Meng Fan. There is a high probability that he will agree to our treatment plan and take the risk."
"Also, starting experimental treatment tomorrow is also a proposal that Academician Zhang and the others agree with."
"Meng Fan and the others really can't afford to delay."
Yu Zhiming thought for a moment, nodded slightly and said: "Since it is your joint proposal, let's implement it according to this."
"Academician Zhang and his colleagues are countless times more experienced and knowledgeable than I am in tumor treatment."
"If they think it's okay, then it's not a big problem..."
Next, Yu Zhiming and Gu Qingran discussed some more about tomorrow's surgery.
After the two of them talked, Gu Qingran also finished his plate of dumplings, and then drank half the bowl of soup in one gulp.
"It's time for me to go back to the hospital and get ready."
Qing Ning persuaded worriedly: "Brother, you haven't slept all night. Let's rest for a few hours. Don't be too tired."
Gu Qingran laughed and said: "Qing Ning, I'm energetic now, I won't have any problem if I can hold on for another night."
Speaking of this, he suddenly burped.
Gu Qingran thought about it and chuckled: "It turns out it's stuffed with green onions and beef. It tastes really good."
These words made Xiaoxue and Zeng Yan sitting there speechless.
You finished a plate of dumplings and only found out what the fillings were by burping.
Do you swallow all the dumplings you eat?
But Yu Zhiming sighed softly: "In ancient times, there was a man who didn't know the taste of meat in March. Now there is an ancient dean who eats dumplings but doesn't know the filling."
When Xiaoxue and Zeng Yan heard this, their eyes immediately changed when they looked at Gu Qingran.
Full of admiration.
Gu Qingran laughed and said: "I've passed it, I've passed it. I don't dare to compete with the ancients. I'm just distracted for the moment."
He looked at Xiaoxue and Zeng Yan again and said, "Study hard. If you don't mind it after you graduate, Xiaoxue can come to work in an investment company in Ning'an."
"Zeng Yan will come to Ning'an Hospital."
Zeng Yan quickly expressed her position: "After I graduate, I will definitely work with my uncle."
Gu Qingran said with a smile: "There is no difference between coming to our Ning'an Hospital and staying with your uncle."
He stood up again and said: "I really should go..."
After sending Gu Qingran away, Yu Zhiming also finished his breakfast in a hurry.
At this time, it was almost eight o'clock in the morning.
Several people were busy and went out together.
Afterwards, Qing Ning drove Yu Zhiming to the central building of the hospital in a bed cart, and then drove Xiaoxue and Zeng Yan out of the hospital to Binhai Airport.
Yu Zhiming came to the central office and found that in addition to Zhou Mo, there was also a handsome, short-haired woman in her early thirties waiting for him.
"Hello, Dr. Yu, I am Chen Qian!"
The sassy woman introduced herself, and then continued: "From today on, I will take over from Dr. Pu Shaoyan of the Health Bureau to assist you in conducting physical examinations for the personnel organized by the Health Bureau."
Yu Zhiming nodded and said, "Hello, Dr. Chen!"
He added: "You can actually come here at noon with the leading cadres participating in the physical examination. You don't have to come over early in the morning to specifically tell me."
Chen Qian smiled and said: "The main reason is that I can't wait to see you, Dr. Yu, as soon as possible."
The next moment, she turned to say: "Dr. Yu, some of the fifty people undergoing physical examination this afternoon were specially selected by the relevant departments."
"Doctor Yu, please be more careful in your examination."
Yu Zhiming frowned and said displeasedly: "You don't need to remind me about this."
"I inspected everyone very carefully and never neglected anything."
Chen Qian quickly explained: "Dr. Yu, please forgive my inappropriate expression. I did not question that your examination was not detailed enough."
"It's just what happened last time..."
Hearing this, Yu Zhiming immediately woke up.
That three hundred thousand reward.
The woman in front of me is from the special department.
Yu Zhiming suddenly said: "I understand, you are referring to that aspect of meticulousness..."
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