medical treatment

Chapter 312 Doctor Yu, I Was Wrong

From a private room in the restaurant on the third floor of the Grand Hotel, Yu Zhiming, He Yingjun, Ding Ye and others were able to steal half a day's leisure, accompanied by delicious food, talking high-spirited and high-spirited.

They talked about the rectification movement that the hospital is currently carrying out, triggered by the arrest of Lu Pengyu in the ENT Department.

He Yingjun, who was the most well-informed, told them that the rectification movement was quite effective.

Those who were reported and exposed, plus those who took the initiative to confess their problems, and those who have been verified by the hospital to have serious problems, have exceeded ten people.

This made the hospital leaders quite angry, and they were going to have the discipline inspection department of the Health Commission intervene to conduct an in-depth investigation.

"The tree is big and has dead branches. With so many people in our hospital, it's normal for some crooked melons to crack dates."

Ding Ye sighed, and couldn't help but ask: "However, taking the initiative to let the higher-level discipline inspection department intervene, is this self-exposed family scandal?"

He Yingjun sighed softly, and said, "Our rectification movement has made a lot of noise, so we can't hide it."

"It's better to be more open and take the initiative to let the superior discipline inspection intervene."

Speaking of this, He Yingjun laughed again: "Yesterday, a shocking incident broke out in our medical system, which is enough to keep our hospital away from the center of discussion."

"Secretary He, what a big melon?" The beautiful doctor at the side hurriedly asked.

He Yingjun said mysteriously that this matter has been spread among the upper echelons of the medical circle, but it is still in the confidential stage.

"To put it simply, a rich guy has severe heart failure and has been waiting for a heart transplant without success."

"That guy wasn't willing to wait for death, and that started a chain of events."

He Yingjun also revealed: "A certain heart transplant expert from the No. [-] Hospital in the city has been taken away by the police for investigation."

This news made several young doctors exclaim again and again.

"It turned out to be Shiyi, one of the four major hospitals?! No way? How did they get involved in such an incident?"

"Back then, I almost entered the first city!"

He Yingjun said meaningfully again: "Let me tell you again, that guy with heart failure died due to the sequelae caused by heart failure on the day the case was exposed."

"It's such a coincidence that he died. It's hard to say whether he died in despair, voluntarily, or had to die."

This was the first time Yu Zhiming had heard of this news.

However, he guessed that it might not be a conspiracy theory, and the possibility of dying from fright was quite high.

After all, in the terminal stage of heart failure, the body is already at the end of its strength. Under the stimulation of the Dongchuang incident, it is normal to be unable to survive.

Ding Ye asked excitedly: "Once such a case occurs in the city, the leadership will definitely have a big earthquake, right?"

He Yingjun nodded and said, "We must bear the responsibility for poor leadership. It's a pity, the development of Shiyi in the past few years is quite good."

"One case can ruin all efforts."

Ding Ye asked casually: "Secretary He, is it possible for the leaders of our hospital to be transferred?"

He Yingjun shook his head and said, "It's extremely unlikely, we just completed the adjustment of leading cadres last month..."

They chatted wildly while eating at the table, and they unconsciously turned the topic to making a lot of money.

Zhang Pei, a handsome guy from the Department of Hematology, sighed and said, "Money is life, and this is the naked reality."

"Last Thursday, a 12-year-old boy we admitted passed away because of ineffective treatment for leukemia."

"The ten-year-old girl who was in the same ward as him was treated with CAR-T, and her condition was brought under control."

Ding Ye raised his eyebrows and asked in surprise, "CAR-T treatment? The one with 120 million injections?"

Zhang Pei nodded and said, "The price is really fucking expensive, but if the symptoms are right, the treatment effect is really good."

This so-called CAR-T treatment is known as the anti-cancer magic drug, but because of the high price of 120 million injections, it has been hyped on the Internet for a while.

Yu Zhiming also knows this kind of treatment method.

He also knows that the hype on the Internet is actually driven by relevant interest groups.

To be precise, the 120 million injections are not medicines, but a personalized and customized cellular immunotherapy.

It is referred to as CAR-T therapy for short, that is, chimeric antigen receptor T cell therapy.

This treatment method needs to first extract immune T cells from the patient.

Then, using genetic engineering technology, T cells are modified to equip them 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.

Then, these modified CAR-T cells were 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 meet the tumor cells expressing the corresponding antigens in the patient's body, they will be activated and re-expanded, and the immune killing mechanism will be used to crazily kill cancer cells, so as to achieve the effect of curing or alleviating the tumor.

Although this CAR-T cell therapy has a strong curative effect, the range of indications it has obtained is still limited.

This treatment method has a good therapeutic effect on patients with blood system diseases, including leukemia, lymphoma and multiple myeloma.

However, the therapeutic effect on solid tumors, such as gastric cancer, liver cancer, and intestinal cancer, is quite limited.

Also, not all patients receiving CAR-T therapy can completely achieve cancer cure.

There are still a large number of patients who receive this therapy, facing the risk of relapse after treatment remission.

In addition, this treatment method, in addition to being expensive, has many and dangerous side effects, mainly including cytokine release syndrome, neurotoxicity, tumor lysis syndrome and so on.

Among them, cytokine storm is often manifested as high fever, hypotension, shock, etc., and the incidence rate exceeds 60% to 70%.

Nervous system toxicity is mostly manifested as cerebral edema, increased intracranial pressure, epilepsy, and altered state of consciousness. The mechanism of its occurrence is still unclear.

From time to time abroad, there are reports of patients dying of neurotoxicity caused by CAR-T therapy...

"Doctor Yu..."

Yu Zhiming looked at Zhang Pei who was speaking, and heard him say sincerely: "We are all looking forward to the early breakthrough of the very early stage cancer project you lead."

"If a screening method for very early cancer can be developed, it will be a great boon for patients."

"This is equivalent to the cancer being conquered."

Yu Zhiming smiled softly and said, "I am also looking forward to this day coming sooner..."

In the ensuing chat, someone cautiously mentioned the welfare physical examination, excluding the young doctors.

In addition, many family members of doctors are in other places, so it is very inconvenient to come to Huashan Hospital for physical examination.

He Yingjun said lightly: "According to the current statistics of the number of people undergoing medical examinations, it will take one and a half years."

"The number of people undergoing physical examination cannot be increased."

After a short pause, he continued to remind: "As for those whose parents are away from home, just find a way to overcome it."

"Anyway, the person who is on the line for the medical examination has not yet arrived. No matter what the reason is, I will not make up for it."

"You may not know how many enterprises, institutions, and government departments came to contact Dr. Yu for a physical examination, but they were finally blocked by the hospital leaders."

He Yingjun took a sip of tea and said slowly, "Everyone should cherish this opportunity for physical examination."

"The next time I ask Dr. Yu to help, it will definitely not be so easy."

Everyone here knows that the next time you ask Yu Zhiming to make a move, it may require a lot of favors.

Moreover, it is not necessarily necessary to move.

Furthermore, the physical examination is not once and for all, it is best to have a physical examination every year.

It is conceivable that in the next few decades, for the sake of the health of himself and his family, as long as Yu Zhiming is still able to work, he will definitely be the first favorite of Huashan Hospital.

Whoever dares to disrespect Yu Zhiming will surely be attacked by the whole court.

At that moment, everyone sitting here looking at Yu Zhiming became much more eager...

Near noon, Yu Zhiming settled nearly [-] yuan, and the group left the restaurant after lunch.

When they took the elevator, they unexpectedly ran into Director He and a friend of the other party.

Director He reeked of alcohol, his complexion turned yellow, and he snorted softly in his nose. He stood on the other side of the elevator with his friend, and ignored Yu Zhiming and the others.

Ding Ye rolled his eyes and said in a loud voice: "Doctor Yu, two people from the commercial filming team came to you for a checkup because of stomach pains. What disease did they find out?"

Zhang Pei cooperated and said: "I know, I heard that one is gallstones and the other is pancreatitis."

Ding Ye continued: "Aside from gallstones and pancreas inflammation, what are the diseases that are mistaken for stomach pain?"

Zhang Pei glanced at Director He, and found that his right hand had unconsciously touched the upper left abdomen.

Noticing that this guy's face was a little yellowish, Zhang Pei said in a frightened way: "There is also a tumor in the left lobe of the liver."

"This tumor in the left lobe of the liver, that is, liver cancer, is often mistaken for stomach pain when it occurs."

"In addition to its typical symptoms like stomach pain, fullness in the upper abdomen, and physical fatigue, the most notable one is jaundice."

"It's a yellowish complexion."

Ding Ye looked at Director He and said pointedly: "Someone's complexion is so yellow that it's not normal."

Between the words, the elevator reached the first floor.

Yu Zhiming noticed that Director He was looking at his own face with an ugly expression against the mirror-like wall of the elevator. He suppressed a smile and got out of the elevator first.

He waited for Ding Ye, Zhang Pei and the others to follow, and said softly, "There's no need to scare him. Although his complexion is yellowish, it's not at the level of jaundice."

Ding Ye snorted softly, "He bullied us in acting, so naturally we can scare him in medicine."

"For someone like him, who drinks alcohol and stays up late, his liver will definitely not be much better..."

A few of them walked back to the hospital talking and laughing.

Ten minutes later, just as they were about to return to the hospital, they were caught up by Director He.

"Doctor Yu..."

Director He said embarrassingly, "I was wrong this morning. I was picky. I apologize to you."

"Next time I shoot, I will definitely correct my attitude and direct the performance seriously and responsibly. Please give me a chance to correct it."

Ding Ye teased, "What you want most is to want Dr. Yu to give you a physical examination, right?"

Director He smiled awkwardly, and said, "Doctor Yu, my child is only over one year old, and he just learned to call him Dad."

"me……"

Director He blushed from holding back, and suddenly gave Yu Zhiming a ninety-degree bow.

"Doctor Yu, I was wrong."

"My son is still young, he can't live without me."

It is said that men have gold under their knees, seeing a middle-aged man who can't afford to bow to him, Yu Zhiming felt a little bit embarrassed.

He asked Director He to get up, took him to the hospital, and gave him a simple physical examination.

Liver, not a big problem, some alcoholic liver.

Stomach, does have an inflammation problem.

But the culprit that caused his similar stomachache was myocardial ischemia...

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(End of this chapter)