I really don't want to be a doctor
Chapter 487 There is no mine at home!
Chapter 487 There is no mine at home!
This time in the hospital, the patient needs another chemotherapy after recurrence.
Jing Xiaoran opened the diagnosis and treatment plan, and saw the chemotherapy regimen given by the medical oncologist: epirubicin, fluorouracil, calcium folinate and cisplatin (ECF-L) combined chemotherapy regimen.
This chemotherapy regimen is mainly used for advanced gastric cancer that is unresectable or recurrent after surgery, and it fully complies with the recommendations in international guidelines.
"The diagnosis and treatment of this patient are very standardized." Jing Xiaoran glanced at Jin Miao, "What do you mean by showing me her medical records?"
Jin Miao sighed and said, "Yes, although the chemotherapy regimen is very standardized, the patient's condition has not been significantly relieved after several chemotherapy regimens. On the contrary, she just received the ECF-L chemotherapy regimen, and then Severe bone marrow suppression occurred, and all three lines of blood cells in the blood routine were reduced. The doctor in charge has already said that this ECF-L chemotherapy regimen can no longer be used.”
Bone marrow suppression usually refers to the decline in the activity of hematopoietic cell precursors in the bone marrow of the human body, which inhibits the operation of normal hematopoietic cells, resulting in the inhibition of the division speed of stem cells in the blood cells.
Most of the causes of bone marrow suppression are side effects caused by chemotherapy drugs, and bone marrow suppression caused by chemotherapy occurs.
"Jin Zi, I didn't expect you to have some research into medicine." Jing Xiaoran smiled, "It's quite logical."
He casually opened the patient's test report. By comparing the blood routine before and after chemotherapy, the patient did indeed suffer from severe bone marrow suppression.
If you ignore this side effect and continue chemotherapy, severe anemia, infection, and even sudden death may occur at any time.
"Hey, Xiao Ran, stop teasing me." Jin Miao said, "I let you see this patient just to ask you what you think about this disease?"
Jing Xiaoran frowned slightly, lowered his head in thought.
Since Jin Miao asked him to see this patient, he definitely wasn't idle.
This ECF-L chemotherapy regimen is already a relatively conventional chemotherapy method. Since the conventional methods all lead to bone marrow suppression, the remaining chemotherapy regimens are even worse.
"Jin Zi, what do you mean, you want this patient to enter our immune checkpoint inhibitor experimental group?" Jing Xiaoran looked up at Jin Miao.
This is the only explanation for now.
"Could it be, can't it?" Jin Miao asked doubtfully.
"It's not impossible." Jing Xiaoran shook his head, "It's just that our laboratory has suspended the recruitment of experimental patients a long time ago."
"Can't you add one more?" Jin Miao asked.
"Who is this person?" Jing Xiaoran asked, "Looking at his age, he is similar to us. Could it be your little lover?"
Jin Miao shook his head with a very serious expression, and said, "Xiao Ran, she is a very good friend of mine. I have consulted many doctors, and so far, there is no good treatment plan. But the doctor in charge said that if the immune system can be used With checkpoint inhibitors, there may be a chance.”
Usually Jin Miao is used to being a fool, it is rare to see him serious once.
"Jin Zi, you need to know that immune checkpoint inhibitors are just a drug in the process of experimentation." Jing Xiaoran said, "Many accidents may occur during the treatment process, and there is no effective drug for gastric cancer. Data to prove it. To put it bluntly, if this medicine is used, it is a dead horse treating a living horse as a doctor."
Jin Miao's eyes lit up, "Xiao Ran, you mean you can let her join the clinical experiment?"
Jing Xiaoran nodded, and said: "You said that, I will definitely fight for it for you. Tomorrow, I will communicate with Teacher Zhu Xianqing to see if I can temporarily transfer some experimental drugs."
"Great!" A smile appeared on Jin Miao's face, "Mr. Zhu, I remember, I will go to your laboratory to contact him when the time comes."
Jing Xiaoran put down the medical records in his hand, looked at Jin Miao, "I've come to the department, why don't you take me to see the patients?"
The expression on Jin Miao's face froze, and then he laughed and said, "No need, you...you don't know each other, so it's meaningless to meet you."
"Really don't know?" Jing Xiaoran leaned in front of Jin Miao.
"Really." Jin Miao nodded quickly, "Since the matter is settled, let's go."
Jing Xiaoran shrugged, "Then let's go."
Putting down the medical records in their hands, Jing Xiaoran and Jin Miao left the cancer hospital.
Although Jin Miao didn't want to say it, it was very easy to know the patient's information.
First of all, we already know that she is in this department and the specific clinical data, and then she will receive clinical drug treatment from the Shenzhou Laboratory.
Jing Xiaoran could know the identity of the patient after a little inquiring, but he really didn't know what Jin Miao was hiding.
Walking out of the cancer hospital, Jing Xiaoran got into Jin Miao's car.
"Thank you, Xiao Ran." Jin Miao said softly.
"Our relationship, are you still talking about this?" Jing Xiaoran smiled and put on his seat belt.
"Not only this matter, but also Xiaomei's. I heard that her mother's condition is now very stable." Jin Miao said.
Jing Xiaoran waved his hand, rolled the car window, looked at the scenery passing by outside the car, and said: "That is also their own desire to survive and strong willpower. You have only seen successful cases, and there are many more in the experiment. After the patient has applied the immune checkpoint inhibitor, there is no obvious effect."
Jin Miao nodded slightly, and said: "Tumor is a disease that has a lot to do with mentality. If you have a calm mind, maybe the effect of drug treatment will be better. On the contrary, if there is too much ideological pressure, even the earliest tumors will be more effective. , may also kill people.”
Jing Xiaoran looked at Jin Miao with a smile.
"Jin Zi, I didn't expect you to not only study tumor drugs, but also study psychology recently?"
"It's just a feeling." Jin Miao said, "Xiao Ran, where are you going, I'll see you off."
"Go back to the lab."
"it is good."
The car drove slowly through several streets, and finally stopped at the gate of Shenzhou Laboratory.
After getting out of the car, Jin Miao suddenly asked, "Xiao Ran, how is the project progress of your pharmaceutical factory?"
"It will be completed within two months." Jing Xiaoran said, "Why do you ask this suddenly?"
"It's nothing." Jin Miao followed behind Jing Xiaoran, "I see that you are running both a laboratory and a pharmaceutical factory, and I always feel that something is missing."
"What's missing?" Jing Xiaoran looked back at Jin Miao.
"Hospital, you still need a hospital." Jin Miao thought for a while and said, "The laboratory develops drugs, the pharmaceutical factory produces drugs, and the hospital promotes and publicizes them. Isn't this a complete industrial chain? A complete medical group, I have already thought of a name for you, it will be called Shenzhou Medical Group."
Jing Xiaoran paused, smiled, and then continued to walk.
"You can open a hospital if you want, right? Now this pharmaceutical factory has spent more than half of my efforts. If I build another hospital, I will be so busy."
Jin Miao said: "Xiao Ran, you see that you are thinking wrong. You run a hospital, you are the management, not a small doctor or a small nurse. No matter how busy you are, where can you be so busy? Look at Jin Jing now, It has developed to all parts of the country, and I am not the same as before, busy when I should be busy, and wandering around when I should be free."
The two walked into the Shenzhou laboratory while talking.
"Even if it's as you said, I don't need to worry too much, but there must be this condition." Jing Xiaoran said angrily, "I don't have a mine at home, so I really can't afford to open a hospital."
(End of this chapter)
This time in the hospital, the patient needs another chemotherapy after recurrence.
Jing Xiaoran opened the diagnosis and treatment plan, and saw the chemotherapy regimen given by the medical oncologist: epirubicin, fluorouracil, calcium folinate and cisplatin (ECF-L) combined chemotherapy regimen.
This chemotherapy regimen is mainly used for advanced gastric cancer that is unresectable or recurrent after surgery, and it fully complies with the recommendations in international guidelines.
"The diagnosis and treatment of this patient are very standardized." Jing Xiaoran glanced at Jin Miao, "What do you mean by showing me her medical records?"
Jin Miao sighed and said, "Yes, although the chemotherapy regimen is very standardized, the patient's condition has not been significantly relieved after several chemotherapy regimens. On the contrary, she just received the ECF-L chemotherapy regimen, and then Severe bone marrow suppression occurred, and all three lines of blood cells in the blood routine were reduced. The doctor in charge has already said that this ECF-L chemotherapy regimen can no longer be used.”
Bone marrow suppression usually refers to the decline in the activity of hematopoietic cell precursors in the bone marrow of the human body, which inhibits the operation of normal hematopoietic cells, resulting in the inhibition of the division speed of stem cells in the blood cells.
Most of the causes of bone marrow suppression are side effects caused by chemotherapy drugs, and bone marrow suppression caused by chemotherapy occurs.
"Jin Zi, I didn't expect you to have some research into medicine." Jing Xiaoran smiled, "It's quite logical."
He casually opened the patient's test report. By comparing the blood routine before and after chemotherapy, the patient did indeed suffer from severe bone marrow suppression.
If you ignore this side effect and continue chemotherapy, severe anemia, infection, and even sudden death may occur at any time.
"Hey, Xiao Ran, stop teasing me." Jin Miao said, "I let you see this patient just to ask you what you think about this disease?"
Jing Xiaoran frowned slightly, lowered his head in thought.
Since Jin Miao asked him to see this patient, he definitely wasn't idle.
This ECF-L chemotherapy regimen is already a relatively conventional chemotherapy method. Since the conventional methods all lead to bone marrow suppression, the remaining chemotherapy regimens are even worse.
"Jin Zi, what do you mean, you want this patient to enter our immune checkpoint inhibitor experimental group?" Jing Xiaoran looked up at Jin Miao.
This is the only explanation for now.
"Could it be, can't it?" Jin Miao asked doubtfully.
"It's not impossible." Jing Xiaoran shook his head, "It's just that our laboratory has suspended the recruitment of experimental patients a long time ago."
"Can't you add one more?" Jin Miao asked.
"Who is this person?" Jing Xiaoran asked, "Looking at his age, he is similar to us. Could it be your little lover?"
Jin Miao shook his head with a very serious expression, and said, "Xiao Ran, she is a very good friend of mine. I have consulted many doctors, and so far, there is no good treatment plan. But the doctor in charge said that if the immune system can be used With checkpoint inhibitors, there may be a chance.”
Usually Jin Miao is used to being a fool, it is rare to see him serious once.
"Jin Zi, you need to know that immune checkpoint inhibitors are just a drug in the process of experimentation." Jing Xiaoran said, "Many accidents may occur during the treatment process, and there is no effective drug for gastric cancer. Data to prove it. To put it bluntly, if this medicine is used, it is a dead horse treating a living horse as a doctor."
Jin Miao's eyes lit up, "Xiao Ran, you mean you can let her join the clinical experiment?"
Jing Xiaoran nodded, and said: "You said that, I will definitely fight for it for you. Tomorrow, I will communicate with Teacher Zhu Xianqing to see if I can temporarily transfer some experimental drugs."
"Great!" A smile appeared on Jin Miao's face, "Mr. Zhu, I remember, I will go to your laboratory to contact him when the time comes."
Jing Xiaoran put down the medical records in his hand, looked at Jin Miao, "I've come to the department, why don't you take me to see the patients?"
The expression on Jin Miao's face froze, and then he laughed and said, "No need, you...you don't know each other, so it's meaningless to meet you."
"Really don't know?" Jing Xiaoran leaned in front of Jin Miao.
"Really." Jin Miao nodded quickly, "Since the matter is settled, let's go."
Jing Xiaoran shrugged, "Then let's go."
Putting down the medical records in their hands, Jing Xiaoran and Jin Miao left the cancer hospital.
Although Jin Miao didn't want to say it, it was very easy to know the patient's information.
First of all, we already know that she is in this department and the specific clinical data, and then she will receive clinical drug treatment from the Shenzhou Laboratory.
Jing Xiaoran could know the identity of the patient after a little inquiring, but he really didn't know what Jin Miao was hiding.
Walking out of the cancer hospital, Jing Xiaoran got into Jin Miao's car.
"Thank you, Xiao Ran." Jin Miao said softly.
"Our relationship, are you still talking about this?" Jing Xiaoran smiled and put on his seat belt.
"Not only this matter, but also Xiaomei's. I heard that her mother's condition is now very stable." Jin Miao said.
Jing Xiaoran waved his hand, rolled the car window, looked at the scenery passing by outside the car, and said: "That is also their own desire to survive and strong willpower. You have only seen successful cases, and there are many more in the experiment. After the patient has applied the immune checkpoint inhibitor, there is no obvious effect."
Jin Miao nodded slightly, and said: "Tumor is a disease that has a lot to do with mentality. If you have a calm mind, maybe the effect of drug treatment will be better. On the contrary, if there is too much ideological pressure, even the earliest tumors will be more effective. , may also kill people.”
Jing Xiaoran looked at Jin Miao with a smile.
"Jin Zi, I didn't expect you to not only study tumor drugs, but also study psychology recently?"
"It's just a feeling." Jin Miao said, "Xiao Ran, where are you going, I'll see you off."
"Go back to the lab."
"it is good."
The car drove slowly through several streets, and finally stopped at the gate of Shenzhou Laboratory.
After getting out of the car, Jin Miao suddenly asked, "Xiao Ran, how is the project progress of your pharmaceutical factory?"
"It will be completed within two months." Jing Xiaoran said, "Why do you ask this suddenly?"
"It's nothing." Jin Miao followed behind Jing Xiaoran, "I see that you are running both a laboratory and a pharmaceutical factory, and I always feel that something is missing."
"What's missing?" Jing Xiaoran looked back at Jin Miao.
"Hospital, you still need a hospital." Jin Miao thought for a while and said, "The laboratory develops drugs, the pharmaceutical factory produces drugs, and the hospital promotes and publicizes them. Isn't this a complete industrial chain? A complete medical group, I have already thought of a name for you, it will be called Shenzhou Medical Group."
Jing Xiaoran paused, smiled, and then continued to walk.
"You can open a hospital if you want, right? Now this pharmaceutical factory has spent more than half of my efforts. If I build another hospital, I will be so busy."
Jin Miao said: "Xiao Ran, you see that you are thinking wrong. You run a hospital, you are the management, not a small doctor or a small nurse. No matter how busy you are, where can you be so busy? Look at Jin Jing now, It has developed to all parts of the country, and I am not the same as before, busy when I should be busy, and wandering around when I should be free."
The two walked into the Shenzhou laboratory while talking.
"Even if it's as you said, I don't need to worry too much, but there must be this condition." Jing Xiaoran said angrily, "I don't have a mine at home, so I really can't afford to open a hospital."
(End of this chapter)
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