Doctor: start with the heart

New Patient at Chapter 124 Research Center

The next day.

nine in the morning.

Research center meeting room.

In the meeting room at the moment, Zhao Xu, Sun Chang, and five other members of the medical team were there. Tian Jinzhong, as the supervisor, also attended the regular meeting.

Although the research center belongs to the First Affiliated Hospital in name, it is actually a semi-independent institution with both clinical and scientific research functions, and can mobilize the resources of the Ministry and the First Affiliated Hospital at any time.

It can be said that such a great platform is the dream of all young doctors with ideals and goals.

"Director, can we start?"

Tian Jinzhong asked Zhao Xu and said that the specifications of the research center are here. Although there are still few people, there are still necessary procedures.

As for Tian Jinzhong, he will report the situation of the patients to be treated by the next research center at the meeting, which has been screened by both the Ministry and the hospital.

"Well, let's get started."

Zhao Xu nodded, and said in a deep voice, from an ordinary resident doctor to the actual manager of a national research center, Zhao Xu is adapting well now.

In life, you always have to experience new roles.

"Next, let me talk about the new patients that the center will receive next."

After finishing speaking, Tian Jinzhong pressed the remote control of the projector in his hand, and a picture was projected.

Everyone saw that in the picture was a boy who looked about ten years old.

"This patient was sent by the Hangzhou Red Cross General Hospital. He is suffering from glioblastoma, and it is at an advanced stage."

"I have sent the patient's specific situation to everyone's notebook."

After Tian Jinzhong finished speaking briefly, he looked at Zhao Xu, who gave him a positive look.

"Glioma?!"

Lu Chen exclaimed.

This glioma, also known as glioma, referred to as glioma.

It is a tumor that occurs in the neuroectoderm, so it is also called neuroectodermal tumor or neuroepithelial tumor.

It originates from interstitial cells, namely glia, ependyma, choroid plexus epithelium, and nerve parenchymal cells (neurons).

Clinically, once this kind of tumor develops to an advanced stage, it usually invades the brain. In the brain, the glial tissue formed by the glial tumor cells is mixed with the brain tissue. It can be said that the operation is extremely difficult. A nerve cell tumor with a very high fatality rate.

"Yes, and the glial tumor cells have infiltrated the brain tissue."

Zhao Xu nodded and said in a deep voice.

The glial tumor cells mentioned here infiltrate into the brain tissue. To put it bluntly, there is a broccoli growing in the middle of the tofu. If the operation is performed, it is necessary to remove all the broccoli growing in the tofu, but it cannot be injured. Brain tissue, the difficulty can be imagined.

"The infiltrated part of the brain is the brainstem?"

Sun Chang had already read the information on the laptop at this time, and said with a frown.

"Yeah, so it's an unprecedented challenge."

Zhao Xu nodded.

"If it is said to infiltrate other parts of the brain, such as language or motor function areas, be careful when performing surgery, even if you accidentally damage part of the brain tissue, then at most the patient will lose part of the function. But in the case of the brainstem, once the operation Anything wrong, and the patient dies instantly."

Sun Chang said very solemnly.

You know, the function of the brain stem is mainly to maintain the life of the individual.

A series of important physiological functions, including heartbeat, breathing, and digestion, are all related to the brainstem.

It can be said that the brainstem is the general center for maintaining the vital signs of the human body. If there is a slight problem here, the patient will die immediately.

"It's not just the patient's own condition that is difficult, but the patient's family members also need our special attention this time."

"About this point, Director Tian, ​​please tell me."

Zhao Xu said slowly.

When he said this, all the doctors present were a little surprised. Although he joined the research center and had not worked with Zhao Xu for a long time, the team members knew very well that Zhao Xu was not the kind who would treat patients differently because of their family background and wealth. people.

Even if he said that, it meant that the patient's family was really extraordinary, or that the influence was so great that even people like Zhao Xu had to pay attention to it.

Thinking of this, the team members were very curious.

"Okay, I didn't write this point in the information sent to you. This is a relatively sensitive matter, so I will explain it."

After a pause, Tian Jinzhong said again: "The patient's father, I believe everyone has heard that once I say it, he is the richest man in China - He Yun!"

"He Yun? Director Tian, ​​are you talking about He Yun who created the Internet financial system?"

Lu Chen exclaimed.

"If it's him, it's really tricky. As far as I know, in the rich list released this year, his personal wealth has exceeded 2000 billion, not to mention his influence in the Internet field."

Sun Chang also frowned and said, if it is possible, she does not want the newly established center to receive such patients. If it is not done well, the research center will be greatly negatively affected.

"Director Tian, ​​did He Yun find the research center directly through the channel of the Ministry?"

Zhao Xu also asked with a frown.

"Yes, director. He Yun has funded a large medical treatment project for the Ministry this year, and established a medical fund for advanced tumors. The investment this year alone has exceeded [-] million."

Tian Jinzhong also said helplessly, this is also a task given by the Ministry, this is a big circle, and anyone in it will inevitably be affected.

"Over [-] million? The handwriting is really not small."

Zhao Xu said slowly.

"Director, why don't I go to the ministry and refuse?"

Seeing Zhao Xu frowning, Tian Jinzhong said tentatively.

"No, for the sake of my son, I set up a fund for the treatment of cancer patients. This is a qualified father."

Zhao Xu said in a calm tone.

If this Heyun directly spends money on hospitals or research centers, then Zhao Xu will definitely have a bad impression of him.

But Zhao Xu couldn't find anything wrong with spending money to set up a fund dedicated to treating and helping patients with advanced cancer.

Moreover, once the fund is established, it will operate for a long time. From the doctor's point of view, having such a fund in China will be of great help to many patients.

It can only be said that, as the richest man, He Yun still has a big structure.

As for the many rumors about He Yun, in Zhao Xu's view, the rumors were just rumors, and had nothing to do with healing.

"The treatment of advanced glioblastoma is a difficult problem worldwide. If you have any ideas, you can share them and discuss them."

Zhao Xu said slowly.

The research center is a team. Before that, he was the pioneer in stem cell therapy, so he was the leader from treatment to surgery.

As a team, all team members should give full play to their roles, which is much better than Zhao Xu fighting alone.

"For this patient, the most difficult thing is that the infiltration of neurotumor cells is the brainstem. If there is a slight accident in the removal operation, even if the operation is successful, the patient will die within a short time after the operation."

The first person to speak was Xu Minghang from the neurosurgery department. He wore glasses and had regular facial features.

After the establishment of the research center, he keenly felt the broad prospects of the research center, and immediately applied to join.

"Then, can we use a method to replace the role of the brainstem, and take the brainstem out as a surgical unit. In this way, the difficulty of the operation will be greatly reduced."

Lu Chen thought for a while and said, she is from the Department of Cardiac Surgery. She said this because she introduced the surgical ideas of Cardiac Surgery and extracorporeal circulation.

"You said that this is difficult to achieve. The brainstem controls the heartbeat and breathing. Under the current technical conditions, it is simply impossible to complete the external support of breathing and blood circulation at the same time."

Sun Chang shook his head and said.

All three of them put forward their opinions, but there was still no better way, and the other three doctors in the group didn't say anything more.

"Perhaps we can cultivate phagocytic cells targeting glial tumor cells in the patient's body through cell cultivation, and then inject them into the patient's brain through nanotubes as carriers. In this way, when the glial tumor cells are phagocytosed, Just do an operation to clear out the phagocytes you've grown."

Zhao Xu thought for a while and said.

Directed cultivation of functional cells + targeted delivery of nanotubes, plus a cleaning operation, this is his treatment idea.

"Will the phagocytes cultivated in a targeted manner affect normal brain tissue?"

Sun Chang thought for a while and said.

She understood what Zhao Xu said was a cutting-edge targeted therapy in the current medical field, but Zhao Xu thought further.

The development of a targeted drug against glial tumor cells requires the investment of billions of dollars and the efforts of hundreds or even thousands of researchers for several years or even decades.

This is not something that a research center with only a seven-member medical team can do in a short period of time, but it is possible to guide the differentiation of cells with specific functions in a short period of time.

After all, in previous cases, the research center had already completed work including differentiation and cultivation of complete right hand tissue and spinal cord nerve cells.

"This can only be a balanced choice surgery."

Zhao Xu thought about it, sighed and said.

In this world, there is no perfect treatment, especially for the brain, the most mysterious organ in the human body.

The mystery of the brain, although the current science has carried out some cutting-edge explorations, but the knowledge is very limited.

"In fact, the fact that the patient can be sent here means that he has already been sentenced to death in other hospitals. It can be said that there is no hope of cure at all. As for the problem that may cause brain sequelae, it can only be left to the patient's family to decide .”

Sun Chang said slowly that what she said also had some elements to comfort Zhao Xu. She knew that Zhao Xu was a person who pursued perfection.

But as a doctor, what I see the most is flaws and regrets. This is a professional characteristic, and to a certain extent, it is also the true meaning of life.

"Then please come together to formulate a treatment plan. I will do the work on cell induction. Dr. Sun and Dr. Xu will complete the formulation of the follow-up surgery plan and the assessment of brain sequelae. Other members, complete That leaves the rest of the work.”

Zhao Xu looked at the doctors present and said in a deep voice.

The preliminary results of the discussion were already in place, and Zhao Xu made a simple work assignment, which also fully considered the areas in which the team members are good at.

Take Xu Minghang for example, he came from the neurosurgery department, and he must be more professional than other doctors in the assessment of brain sequelae.

"Yes."

When the team members heard Zhao Xu's arrangement, they responded in unison, cheered up, and quickly got into shape.

Those who can join this group are all the elites of the First Affiliated Academy, but limited by their qualifications and other reasons, they can only develop step by step.

Now this group has given everyone a chance to leapfrog and improve. Everyone is an elite, so naturally they are very good at seizing the opportunity.

Difficult surgeries, abundant medical resources, and attention from all sides are the reasons that attract these elites to join the research center.

The team members quickly got into work and left the conference room.

Only Tian Jinzhong stayed.

"Director Tian, ​​is there anything else?"

Seeing Tian Jinzhong stay behind, Zhao Xu couldn't help asking.

Looking at Tian Jinzhong's solemn expression, Zhao Xu knew that there must be something to say. It was inconvenient for Tian Jinzhong to say it in front of everyone just now, so he could only tell him.

This is not surprising, after all, the patient to be treated is the son of the richest man and Yun.

"Director, He Yun will come to the research center for a preliminary inspection later."

Tian Jinzhong said slowly.

"It's enough to inspect your reception, is there anything else?"

Zhao Xu said indifferently.

When the research center was established, Zhao Xu once mentioned to the hospital and the department that all external work would be done by professionals, and he would only focus on medical work.

"Director, He Yun made it clear that he wants to meet with you."

Tian Jinzhong said carefully that he knew that Zhao Xu didn't like to spend his time on these things. Since the establishment of the research center, there has been an endless stream of people from major hospitals across the country who have come to investigate. Almost all of these people are received by him.

Zhao Xu received only a few hospitals with professional counterparts.

Tian Jinzhong also understood Zhao Xu's approach. After all, he knew that Zhao Xu's goal was to lead the advancement of medical care, not to become a technocrat who spent his time receiving people and things all day long.

"There is no need to meet now. After the patient is sent, as the attending doctor, we will naturally meet at that time."

Before this kind of person was sent, he came to test and measure things first. Zhao Xu was not very cold.

What about the richest man? If pure wealth can prevent disease, He Yun would not have to set up a fund and send his son to the center for treatment through the ministry.

"Director, why don't we meet, the Ministry still attaches great importance to this matter."

Tian Jinzhong said cautiously again, for fear that this matter would arouse Zhao Xu's disgust.

Although Zhao Xu was a genius, he was still young. Tian Jinzhong knew the temperament of young people very well.

"You arrange it. The meeting is kept to a small scale, and there is no need to publicize it."

Seeing Tian Jinzhong's embarrassed face, Zhao Xu thought for a while and said that although he is not interested in the richest man, it is not possible to meet the patient's family members in advance.

"Okay, I'll arrange this."

Hearing that Zhao Xu agreed, Tian Jinzhong breathed a sigh of relief and said quickly.

(End of this chapter)