I really don't want to be a doctor

Chapter 50 New Oral Anticoagulants

Medicine has never been a single discipline.

She includes life sciences and humanities.

Life is the most mysterious thing. In the microscopic world, it is full of uncertainties.

Humanities are the simplest things. In the real world, what she needs is mutual trust between doctors and patients.

What happened next to "Yangyang" didn't seem to cause any waves. Meng Kexin never appeared in the second heart surgery ward again, and the same was true for the nurse who had a miscarriage.

On the third day after the operation, Xiaoxiao took off the monitor without any complications.

On the sixth day after the operation, Xiaoxiao's wound had completely healed (no stitches needed for surgical intervention), and Li Qiuyu allowed Xiaoxiao to leave the hospital the next day.

On the morning of the seventh day after surgery, this was Li Qiuyu's last round of the ward.

In this day and age, online ticket sales are not yet popular.Early in the morning, Jing's father went to the hospital's train ticket window to buy tickets.

Li Qiuyu walked into Ward No. 6, still followed by the two interns.

"The heart murmur has been significantly reduced." Li Qiuyu retracted the stethoscope. "The echocardiogram showed that the pulmonary artery pressure is at a normal high value, and it should recover slowly in the future."

Ventricular septal defect, if left untreated for a long time, will lead to pulmonary hypertension, and finally form cor pulmonale, causing respiratory failure and heart failure.

Jing Xiaoran nodded with a smile: "Thank you, Dr. Li."

"Xiaoxiao, remember to take the medicine on time after discharge from the hospital. This medicine must be taken for six months." Li Qiuyu held a small medicine bottle in his hand.

"Okay, thank you Uncle Li." Xiaoxiao pouted her rosy mouth, "Do I have to take this medicine for six months?"

"Well, it must be eaten for six months." Li Qiuyu smiled and patted Xiaoxiao's head, "But if you have bleeding after brushing your teeth, or have bruises or bruises on your body, you should tell your brother in time."

"Okay." Xiaoxiao pulled her little head together, taking medicine was the last thing she liked.

Li Qiuyu turned to Jing Xiaoran and said: "The occluder is a foreign body, and the foreign body is easy to form blood clots in the body, so you have to take anticoagulant medicine - warfarin for six months."

"At the same time, pay attention to whether there are symptoms of bleeding, such as bleeding gums, bleeding points on the skin and mucous membranes."

"In addition, in the first month after being discharged from the hospital, Xiaoxiao was taken to the local hospital every week for blood coagulation tests."

Warfarin is a coumarin anticoagulant that acts against vitamin K in the body.It can inhibit the synthesis of coagulation factors Ⅱ, Ⅶ, Ⅸ and Ⅹ involved in vitamin K in the liver.

The dose-response (international normalized ratio) relationship of warfarin is highly variable and influenced by many factors, thus requiring close monitoring of the INR (international normalized ratio).

Jing Xiaoran heard the words and said casually: "Why not use Xarelto? Taking warfarin to test INR is a bit troublesome. I have to go to the hospital every week to collect blood and measure blood coagulation. Taking Xarelto does not need to test INR."

"What kind of medicine are you talking about?" Li Qiuyu poked his head towards Jing Xiaoran, his face was full of puzzlement.

"Xarelto, a new oral anticoagulant!"

After Jing Xiaoran finished speaking, he regretted it.

The so-called "new" oral anticoagulants are for the medical community ten years later.

Now, the Xarelto drug is definitely not on the market, and it has not even started research and development.

Li Qiuyu shook his head and said, "I never said that there is such a drug. The hospital has been using warfarin. Are there still anticoagulant drugs that don't need INR monitoring?"

As he said that, Li Qiuyu looked back at the two interns of the medical university, "Have you heard of it?"

Both interns shook their heads: "I haven't heard of it."

"Ahem..." Jing Xiaoran cleared his throat, and then said seriously, "This is the latest anticoagulant drug developed abroad, and it probably hasn't been marketed in China yet."

"Really?" Li Qiuyu repeated Jing Xiaoran's words, "The latest foreign anticoagulant drugs? Don't need to monitor INR?"

Jing Xiaoran nodded heavily: "That's right!"

"Okay, I'll find out later." Li Qiuyu stared at Jing Xiaoran and said with a smile, "But now our hospital only has warfarin, so we have no choice but to trouble."

"It's okay, warfarin is pretty good too, it's cheap." Jing Xiaoran rubbed the back of his head.

A gleam flashed in Li Qiuyu's eyes, warfarin is indeed very cheap.

But his tone obviously compared warfarin with that new oral anticoagulant, that is to say, Jing Xiaoran not only knew the existence of that new oral anticoagulant, but also knew its exact price.

But Li Qiuyu is sure that there is absolutely no such medicine on the market, whether in China or Europe and the United States!

Could it be that this medicine was invented by Jing Xiaoran?
But he didn't need to make up such a lie, and he said it so realistically.

Why is it?

Is this boy really just a medical student from a second school?
Li Qiuyu also remembered that when he met Jing Xiaoran for the first time, he casually mentioned a new surgical interventional closure for the treatment of ventricular septal defect.

"Xiao Ran, I remember you once said that you are from Ning'an Medical College?" Li Qiuyu asked suddenly, "How old are you now?"

Jing Xiaoran didn't want to discuss this issue, after all, he forged it.And Xiaoxiao was still on the spot, and she had to "bribe" her later to seal the little girl's mouth.

But Li Qiuyu asked this question, so he couldn't help but answer.

"Ning'an Medical College, freshman."

"Which specialty? Clinical?"

"Ah."

"Although it is a second-class medical school, it has also produced many famous doctors. Do you know who the most famous alumnus of your school is?" Li Qiuyu said.

Of course Jing Xiaoran knew, after all, it was his undergraduate alma mater in his previous life.

"Wu Qiming, a graduate of Ning'an Medical College in 86, is now a member of the American Academy of Medical Sciences."

"Well, yes, he is my senior brother." Li Qiuyu slandered inwardly, could it be that Jing Xiaoran is really from Ning'an Medical College?

"What? Are you brothers?"

It was the first time Jing Xiaoran knew about the relationship between the two big men, both of them had a legendary life.

The legend of Li Qiuyu will not be repeated.

Wu Qiming, on the other hand, graduated from two medical schools, was admitted to a key domestic medical university as a graduate student, and then went abroad to study for a doctorate. He published many top-level papers along the way, and finally became an American citizen and became a member of the American Academy of Medical Sciences.He has been invited to give lectures at his alma mater many times, and Jing Xiaoran was fortunate enough to listen to a lecture given by Academician Wu Qiming in his previous life.

"Doctor Li, you are from the Department of Cardiac Surgery, but I remember that Academician Wu Qiming seems to have graduated from the School of Pharmacy, right?"

Jing Xiaoran's implication is how could two completely different professions be involved together.

An intriguing smile appeared on Li Qiuyu's face: "Brother Wu Qiming's main research field is cardiovascular pharmacology, and I am a cardiovascular surgeon. I have worked in the same laboratory as him in foreign countries."

Jing Xiaoran suddenly realized, but then he also wondered why Li Qiuyu suddenly mentioned this to him, and his smile combined with his delicate face always felt weird...

"No! Cardiovascular Pharmacology!"

Jing Xiaoran suddenly realized that Wu Qiming's research field was cardiovascular pharmacology, so as fellow seniors, Li Qiuyu must also have a good understanding of cardiovascular pharmacology, and would not be ignorant of the latest developments in anticoagulant drugs.

"Looking at Li Qiuyu's eyes, this person probably knows that he is lying." Jing Xiaoran smiled bitterly in his heart, these words that were often used in the previous life are used to saying, and they will always blurt out inadvertently.

　Thank you for the reward students.

　　I am really miserable, thank you for going to other authors to help me recommend.

　　Because the update is relatively fast, the water test has not yet come.

　　
　
(End of this chapter)