This doctor has a system

Chapter 616, Section 678: Perfect Data

After returning to his department, Gao Feng turned on his computer and entered the keywords "Boldt; hydroxyethyl starch" into the website.

Soon, a large number of articles were listed.

Professor Boldt has published many articles on hydroxyethyl starch.

As a leading expert in the field of global anesthetic fluid therapy, he almost single-handedly elevated hydroxyethyl starch to a legendary status.

Since the 1990s, Professor Boldt has been conducting research in Germany on the use of hydroxyethyl starch for fluid resuscitation in various medical settings. These studies have almost always yielded results supporting the use of hydroxyethyl starch, and the research data have consistently shown that hydroxyethyl starch is effective, has few adverse reactions, and is cost-effective.

In his papers, hydroxyethyl starch is often recommended as the first choice for fluid resuscitation.

Supported by these research findings, European hospitals are using hydroxyethyl starch extensively as a resuscitation solution, and hospitals in the United States are also gradually accepting this new product.

Medical staff in various departments can always find this drug in different guidelines.

When Gao Feng was doing his postgraduate studies, he was rotating through the gastroenterology department. There was a patient with acute gastrointestinal bleeding and shock. The on-call doctor's first reaction was to yell:

Call the ICU immediately!!

Hang the hydroxyethyl starch on it for him!!!
Even in Gao Feng's subconscious, this drug was the first-line choice for fluid resuscitation in emergency situations.

But this article seems a bit strange no matter how you look at it.

"What would you like to drink? Black tea or green tea?" Li Youliang asked.

"Or an ice-cold Sprite?"

"Okay." Gao Feng was feeling confused and needed a refreshing change of pace.

After taking a few sips, Gao Feng turned his attention back to the article titled: "The Effects of Human Serum Albumin Solution on Functional Function."

"Youliang, what's your opinion on whether an article has a problem?"

“This touches on a blind spot in my knowledge.” Li Youliang was taken aback.

"However, I do have some experience in how to publish a problematic article."

"You said."

"It's fake."

"Tell me more about it." Gao Feng became interested. He had written all his papers during his graduate studies himself and had never been exposed to these unorthodox methods.

"The simplest way is to tamper with the data, modifying, deleting, or adding to the original data to make it conform to the expected result."

Or it could be selective reporting, only reporting data that meets expectations while ignoring or concealing unfavorable data.

A more direct approach is to falsify data sources, directly fabricating experimental subjects or data sources.

There are also those who reuse data, using the same data repeatedly in different studies to create the illusion of new data.

It can also tamper with images, cropping, splicing, and adjusting colors to beautify experimental results.

"Many people online take on this kind of job; they make a good amount of money from photoshopping one image!"

"The least technically demanding method is simply copying and pasting, directly copying other people's text into your own paper. However, this is less common now, as it's too easy to get caught."

"Oh, right, you can also add your name to the listing."

"It means secretly listing someone as an author without their consent, or fabricating author information."

"So many varieties?" Gao Feng asked in surprise.

"People will do anything to get promoted and secure projects," Li Youliang said with a smile. Many of these methods are common knowledge in the industry, and everyone knows it.

"No one cares?"

“Who cares about that?” Li Youliang said. “Many magazines now have clearly marked prices, specifically for professional title evaluation.”

"Isn't this a bad idea? Could it affect clinical choices and potentially harm patients?" Gao Feng asked with some concern.

“Impossible!” Li Youliang said decisively. “Even the authors themselves wouldn’t glance at those articles.”

Their mission is to advance their professional titles; how could they possibly affect clinical practice and thus harm patients?
"Unless the person publishing the article is a big name in the industry, or it's included in the guidelines!"

Hearing this, Gao Feng was startled. Professor Boldt was clearly a leading expert in the field of anesthesia, and hydroxyethyl starch had been included in various guidelines multiple times. "Bring me my paper, pen, and laptop!" Gao Feng said to Li Youliang, who, seeing his serious expression, quickly complied.

An hour passed quickly, and Li Youliang noticed that his boss's expression was getting increasingly grim.

"What's wrong?" he asked softly.

"There is a problem with this data."

"What's the problem? It doesn't match the result?"

"No." Gao Feng picked up his pen again and scribbled a few more times.

"This data is perfect."

There are no perfect people in this world. Take Gao Feng, for example. He is handsome and rich now, but he has lost all his worries.

Similarly, there shouldn't be perfect data in the world, unless it's fabricated.

"The standard deviation is very small, and the result is very significant, which is clearly abnormal!"

Moreover, the therapeutic effects of hydroxyethyl starch in this study were truly astonishing and almost miraculous.

The postoperative acid-base balance was near perfect, far exceeding what can be achieved in normal, excellent clinical studies.

Thinking of this, he picked up his phone and dialed the number.

"What advice do you have, Director Gao?" Director Hu of the Anesthesiology Department asked cheerfully.

"Director Hu, what do you think of the drug hydroxyethyl starch?" Gao Feng asked. Director Hu of the Anesthesiology Department is the longest-serving anesthesiologist at the Provincial Hospital. He retired seven years ago, but the hospital has been forcibly rehiring him.

"Shijia, I don't want to be rehired. I've done this job my whole life, I've had enough." - Director Hu.

"Old Hu, a few new people have just joined the department, and someone needs to mentor them," said Shang Shijia, the department head. "You'll have to endure a few more years of hard work."

"Who can't bring this? Director Ma, Director Wang, there are a whole bunch of people here." Director Hu sensed something was wrong. "I still want to live a few more years."

"Mr. Hu, you've done the best job leading him," Director Shang said to him with a smile.

"I already told you in advance, I won't rehire you!"

"Director Hu, this doesn't have a leader's signature," said Xu, the HR officer, to him. "There's no way I can process it for you."

Does this procedure exist?

"Yes," said Officer Xu.

Others don't have it, but you do.

"I don't want to be rehired; I'm already 60!"

“So what if you’re 60? 60 is the prime of your life.” The leader said to him gently, “Besides, you sit in the operating room every day, sheltered from the wind and rain. With your physical condition, I think you can work for at least another 10 years.”

"You might as well just tell me to die in the hospital," Director Hu said, dissatisfied.

"I'm not in good health; I have many ailments. I often feel dizzy. I have high blood pressure."

The leader wasn't angry at all. He said that he could retire completely if he wanted, but considering his age and poor health, he definitely needed someone to take care of him. So the leader decided to let his son, who worked in orthopedics, go back to take care of him full-time.

"The department doesn't need another deputy director like him. Your health is the most important thing."

Director Hu stormed out of the leadership office, cursing and swearing, and returned to his department where he unleashed another tirade.

There's nothing you can do. If you're the head of a department, the new leadership might not want you after you retire.

But as a key member of the department, he was usually obedient, but now that he's retired, he wants to run away?
What a fuss!

"Hydroxyethyl starch?" Director Hu.

"Yes, your anesthesiology department must use it quite a lot, right?" Gao Feng asked. "How do you feel about the clinical results?"

“I don’t think it’s good,” Director Hu replied. “I don’t like using this medicine.”

(End of this chapter)