godfather of surgery

Chapter 996 Confidence is Power
"Professor, Dr. Wen has suffered a great blow this time. Should we go see him and give him some humanitarian comfort?"

Song Zimo saw Wen Ruzheng several times. This guy had a very dull expression and it seemed that the stimulation was really great.

"Don't worry. How could a man who dares to run naked be defeated so easily? Every blow will only make him stronger. In a few days, he will be alive and kicking again."

Yang Ping knew Wen Ruzheng's character. He was very strong-willed in his professional knowledge and had a rare kind of pride. In fact, academic pride is not a bad thing. Pride is the super self-esteem and confidence in one's academic level. Wen Ruzheng is actually an indestructible cockroach. It is estimated that after encountering this incident, he will work harder. He has Yang Ping as a sparring partner and he never admits defeat. Sooner or later, he will become a world-class pathologist.

This is just like playing chess. The sparring partner is a world-class chess player. With perseverance, as time goes by, you will naturally become a world-class player yourself.

"Don't worry about Wen Ruzheng. Get the medical records of patients with Castleman disease in the Department of Oncology. This case is rare. Let's learn from it." Yang Ping didn't plan to waste too much time on Wen Ruzheng. If he could run naked, he would definitely not jump off a building.

Song Zimo picked out Fu Xiaotao's medical records, and everyone started studying around the computer. This kind of impromptu small lecture using fragmented time is very useful, and little by little it adds up to a lot, and in fact more knowledge can be learned than from lectures at fixed times every week.

In order to facilitate these impromptu lessons, a large high-definition computer screen is set up in the doctor's office so that everyone does not tire their eyes from looking at the computer.

The medical records were retrieved and everyone started to look at them around the computer screens. Some people, in order to be lazy, took out iFlytek's special tools for taking meeting minutes so as to avoid the trouble of taking notes with a pen.

Fu Xiaotao began to receive treatment with cetuximab. The therapeutic mechanism of this drug is based on the pathogenesis model of interleukin 6. Yang Ping has never treated such patients in reality, and there are not many literatures about this disease, so it is difficult to predict the therapeutic effect of this drug. If the pathogenesis model of interleukin 6 is correct, then cetuximab should have a therapeutic effect. Whether it is effective or not will become clear after a period of time.

"He relied on large doses of glucocorticoids to relieve symptoms several times. Hormones are used when there is no other treatment for many diseases. Hormones are really the panacea for us doctors." A resident trainee lamented that in the entire medical history, he felt that the most eye-catching thing was hormones. The words "high-dose hormones" had appeared many times, and they were effective every time.

The impromptu lectures are not like formal lectures. Everyone can communicate very easily in any way. At the end, Yang Ping or Song Zimo will give a summary and then explain the case systematically.

"You may not know this, but many doctors in clinics have become miracle doctors by using hormones. If hormones can be used flexibly, they can cure many diseases." Another intern was also very interested in hormones.

"My nephew had an acute upper respiratory tract infection and had a fever. I asked someone at the Provincial Children's Hospital to get him an appointment with a specialist. The specialist said there was no need to reduce the fever, and that he should go home and drink more water, and that he would get better on his own in a few days. My aunt said what a bullshit expert it was, and that if he couldn't reduce the fever, then he wouldn't. She also said there was no need to reduce the fever. She took the child to a very famous clinic, and the doctor gave him an IV drip, and his fever went down immediately. The child slept well at night, and didn't cry or make a fuss. My aunt said that the doctor was very capable. Later, I went to that clinic to learn from him, thinking I'd met some folk master, but I secretly went to the pharmacy and took a look. All they gave the child was hormones, the cheapest dexamethasone sodium phosphate injection, and there was a long line of people waiting for infusions at the clinic." Another graduate student joined the discussion on hormones.

The discussion of Castleman disease started with hormones. It seemed that everyone was very interested in hormones, and everyone had their own opinions.

"My grandmother has rheumatoid arthritis and she refuses to take western medicine. Through someone's introduction, she found a herbal doctor who has inherited her family's tradition of treatment for her rheumatoid arthritis. He used a kind of Chinese medicine powder. It is said that in order to keep the secret recipe confidential, the Chinese medicine was ground into powder. As she ate it, all the hormonal symptoms such as obesity and moon face appeared. My uncle and aunt told me that the treatment was very effective. Not only did the pain ease, but her complexion also became rosy. She has also gained a lot of weight recently. I thought it was strange, so I got some of the powder to do a drug chemistry analysis, and found that it contained a lot of glucocorticoids. The doctor advertised the powder, which costs two thousand yuan per course of treatment, as pure Chinese medicine." A doctor also shared his experience of low hormone levels with everyone.

Dr. Zhao Wenbo said angrily: "Traditional Chinese medicine has been given a bad name by these charlatans, who are doing a business that is not what it seems."

"That's right!" Li Guodong agreed. The two of them were in rare agreement on the issue of traditional Chinese medicine.

"Real Chinese medicine practitioners are very low-key and never do anything to cheat or deceive people. They silently guard the traditional medicine of the motherland. However, these charlatans are using the banner of Chinese medicine to cheat people everywhere. Several old professors at Nandu University of Chinese Medicine are very good. They each have their own specialties. One old professor is very good at treating children's cough. My daughter had a cough for more than a year and had seen many western doctors without any effect. Finally, she went to this old professor and recovered after two weeks of Chinese medicine. Now there is no recurrence. Therefore, Chinese medicine depends entirely on the person. There are people who are truly proficient in Chinese medicine, but they are few." A graduate student shared his experience.

"Your daughter?" Everyone turned to look at him. Isn't he a third-year graduate student?
"Oh, I got married in my first year of graduate school. My daughter is three years old now. Now as long as one's age meets the marriage requirements, one can get a marriage certificate during undergraduate studies." The graduate student had to explain to everyone in the face of strange looks. Before this, he had never revealed that he was married and had children.

In fact, in this kind of small class, people sometimes go off topic, but it doesn’t matter, they will naturally return to the main topic after a while, so Yang Ping will not stop them and try his best to create a relaxed and free learning atmosphere for everyone.

"If Castleman's disease is monocentric, can it be treated surgically, and with good results?"

"Yes, its biggest clinical manifestation is the enlargement of lymph nodes. If it is a unicentric type, involving one lymph node or lymph nodes in one area, direct surgical removal of these lymph nodes will be sufficient."

"But it's not just the lymph nodes that are affected. It also affects the liver, kidneys and other internal organs. Look, isn't this patient already suffering from liver and kidney dysfunction? Even if the lymph nodes are removed, it won't solve other problems."

"Most cases of single-center type will not cause liver and kidney dysfunction, but multi-center type often causes liver and kidney dysfunction, and even liver and kidney failure. This is why single-center type surgery is better for treatment."

"Multi-center cases cannot be treated with surgery, so they can only be treated with cetuximab first. If that doesn't work, then chemotherapy can be used. There are many combinations of chemotherapy that can be used."

There is no pressure and communication is very free. It doesn't matter whether you say something right or wrong, and no one will laugh at you, so even the most timid doctor can say a few words at this time.
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It was a foregone conclusion that Wen Ruzheng was running naked because he was not willing to give up. After the news spread in the hospital, everyone couldn't wait to see Dr. Wen running naked. When Director Zhao from the Medical Department received the news, he almost swore, he was very anxious.

The last time he ran naked, he was only wearing a pair of shorts. As a result, people complained to the health authorities. Director Zhao forcefully suppressed the matter. Now he is doing it again, and this time it is an upgraded version of being naked.

The doctors and doctors of Sanbo Hospital were running naked around the hospital. Now that the Internet is well developed, once this immoral thing is spread out, it is bound to cause adverse social impact. Director Zhao thought that he must talk to Wen Ruzheng and make sure to cancel the running naked thing. Why do they do such a messy thing?

After much difficulty, Wen Ruzheng was invited to the office of the Medical Department. Director Zhao was ready to give Wen Ruzheng a thorough advice. He looked at Wen Ruzheng and said, "Xiao Wen, there are rumors in the hospital that you are going to run naked, a real naked run. I think this is a rumor, so I asked you to find out the situation. Once it is confirmed to be a rumor, I will definitely punish the person who spread the rumor. Who is Dr. Wen? He is a highly educated scholar. How could he do such a shameless thing? Don't worry, I will definitely not allow the hospital to spread rumors like this."

"Director Zhao, it's not a rumor. It's true. I was the one who spread it." Wen Ruzheng was very honest and didn't evade the question. Director Zhao stared at Wen Ruzheng and said, "It's not a rumor? Really? I know you are kind and want to protect the person who spread the rumor. Well, the person who spread the rumor probably just wanted to have fun and didn't have any serious intentions, so I won't pursue it. I absolutely don't believe that you would do something as immoral as streaking."

"Didn't we run there last time? It's nothing. There are still nude beaches where men and women can live together in foreign countries." Wen Ruzheng disagreed.

Director Zhao was furious: "Didn't you wear a pair of shorts last time? This time, you are really not making any compromises. Tell me the truth, are you naked?"

Wen Ruzheng nodded: "It is agreed in the bet that you cannot wear underwear. I cannot go back on my word. Reputation is a person's--"

"Don't talk nonsense to me - bet? Who are you betting with? It's not Professor Yang again, is it?" Director Zhao remembered that the last time was because of Yang Ping.

Wen Ruzheng nodded helplessly: "Who else besides him?"

"Well, I will talk to Professor Yang and ask him to cancel the bet. We are all colleagues, so I'm sure he won't take it seriously. It might just be a joke." Director Zhao felt that he had found the key point to persuade him to back off.

Wen Ruzheng immediately said, "Don't tell anyone. I still have my dignity to protect."

"Do you still have any shame?" Director Zhao was directly confused by Wen Ruzheng.

Wen Ruzheng sighed again: "Yes, if you cancel the bet, then I will definitely be in a situation where I break my promise. Where can I put my face?"

Director Zhao was completely confused, as if running naked was not shameful.

"I'm telling you, Wen Ruzheng, if you really force yourself to run naked this time, I will definitely punish you, maybe even fire you." Director Zhao was so angry that he revealed his trump card.

Wen Ruzheng didn't seem to be afraid at all: "It's not that serious, it's just running. The way of dressing for running is a bit radical."
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Yang Ping took time out to visit Fu Xiaotao in the Department of Oncology. In fact, if it was a special case, Yang Ping would usually make a return visit after the consultation. Moreover, Director Jiang specifically called Yang Ping to tell him that Fu Xiaotao wanted to see Yang Ping.

The treatment with cetuximab has only been going on for a few days, so the effectiveness is not yet clear. Fu Xiaotao actually wanted to see Yang Ping for a simple reason. Since Yang Ping's consultation, Fu Xiaotao has checked Yang Ping's information and asked the oncologist about it. It would have been better if he hadn't checked. After the check, Fu Xiaotao's confidence increased greatly, and he felt that there was a good chance that his disease would be cured.

And every time he went for a check-up, he would always see Luo Jin's picture magazine. Luo Jin's experience was even more desperate than his, but he overcame fate time and time again and moved towards success.

"My appetite has improved a lot these days, Professor Yang. Thank you very much," said Fu Xiaotao's mother.

In fact, the patient's mental state is very important. A good mental state plays a very good auxiliary role in the treatment of the disease. Fu Xiaotao used to be disheartened and had a broken jar mentality, but now it is completely different. He firmly believes that he can get better, and this hope has become a powerful force.

In the past, he lay in the ward doing nothing, with a mentality of waiting to die. Now he goes to the hospital downstairs to jog a few laps every day, and he feels much better.

"Professor Yang, you said that cetuximab will not be effective after using it for a period of time?" Fu Xiaotao asked excitedly.

Yang Ping's answer was more objective: "It's hard to say, but even if the effect is not good, we can still think of other ways, such as chemotherapy. Chemotherapy is developing very fast now, and there are many options available."

Fu Xiaotao nodded: "Well, is Luo Jin the spokesperson for your hospital's Sports Medicine Center?"

"Yes!" Yang Ping didn't know what he meant by mentioning Luo Jin.

Fu Xiaotao said: "Luo Jin had a serious knee injury before, and it seemed that the doctor had sentenced his career to death. Later, after surgery, he returned to the court after arduous rehabilitation training, and is now doing very well playing in Europe."

"Yes, so sometimes we shouldn't give up so early. The same goes for your disease. It's far from the time to give up. Cetuximab treatment is just the beginning." Yang Ping couldn't help feeling sad when he heard him mention Luo Jin. Luo Jin still has a tumor in his head, and he has given up treatment because he is unwilling to give up football. For him, he would rather die than live without football.

"Did you perform the surgery on Luo Jin? I heard from the doctor in the MRI examination room that you were the surgeon behind his surgery." Fu Xiaotao really wanted to confirm this.

Yang Ping nodded: "Yes, I performed the surgery on him at the time, and we became friends later. He promoted our hospital for free."

"I understand, Professor Yang. I will actively cooperate with the doctor's treatment. No matter what the effect is, I will not give up." Fu Xiaotao not only decided to take good treatment, but also decided to pick up books and start self-study, striving to graduate from graduate school smoothly and study for a doctorate in the future.

If Luo Jin can persist like that, why can't I?