This doctor has a system

Chapter 397 462. Let her earn money to support me in the future
"You" Li Youliang was happy but also a little surprised.

"I think you are quite interesting." Chu Yuxun said, "I feel very relaxed getting along with you."

But it’s not easy for me to get along with you, Li Youliang thought, I always choke on your words.

But now it seems that he spent so much effort in vain.

"Don't think too much, just hold my hand." Chu Yuxun emphasized, "This is an affirmation of your efforts for so many days."

"You can think of it as a reward."

"Thank you, Teacher Chu, for your affirmation." Li Youliang said, "I will definitely work harder in the future."
-
"I heard that you are in love?" Director Qiang asked, "It seems that the man is not from our hospital."

"We are still getting along, and our relationship has not been officially confirmed yet." Chu Yuxun said to her uncle, "But he is indeed not from our hospital."

"They held hands and said they were not sure about the relationship." Director Qiang snorted, "I can't tell, you are quite a scumbag."

Chu Yuxun.

"He's less interesting than me." Chu Yuxun said with disdain, "Also, don't you think he looks old? Even the young ones are bald."

"We can write articles together." He said, "You are a doctor and I am also a doctor. We are two swords together!"

Chu Yuxun didn't want to say it. In fact, she didn't know. She hadn't even opened her mouth to ask.

"Aren't there a few more?" Director Qiang asked curiously, "I heard that Xiao Dong from the anesthesiology department is quite miniscule."

"A few of them think I'm not interesting," Chu Yuxun said, "We stopped contacting them a long time ago."

He said that he couldn't live without Chu Yuxun. His biggest wish in this life was to get along with Chu Yuxun day and night, as a husband and a wife.

"Don't worry about who I listen to." Director Qiang said, "Tell me first where the man is from? What is his family situation like?"

"Didn't I introduce you to several young talents from our hospital? Why, you can't catch them all?"

"No, who did you listen to?" she asked. As her uncle, he was always busy with his feet on the ground, so it was rare for him to pay so much attention to her.

"Are you Li Youliang?" the visitor asked rudely.

"Then you can do this!" Director Qiang frowned, "You should inquire about the situation first and then take a look."

Xiao Dong, who works in the anesthesiology department, also has very low emotional intelligence. He confessed his feelings to Chu Yuxun not long after they met.

"Actually, I think you two are quite suitable." Director Qiang said matter-of-factly, "You're not very popular in the hospital anyway."

Gao Feng went to Academician Bao's house for dinner today. Li Youliang, who had nothing to do, was strolling in the square in front of the ward building when a mature-looking elder brother came over.

"I am." Li Youliang was stunned for a moment, "You are?"

"Brother, I don't even know who you are, how can I tell you this?" He asked tentatively, "Are you from Yu Xun?"

Seeing that the other party was so unfriendly, Li Youliang was shocked. The person in front of him was either his competitor or a family member of Chu Yuxun.

If you don’t know anything and just get involved with others, it’s okay if you succeed, but if you don’t, the consequences will be bad.

Chu Yuxun.

"You don't have to worry about who I am." The visitor was Xiao Dong from the anesthesiology department. "Are you pursuing Chu Yuxun?"

"I'm Dong Yu from the Department of Anesthesiology of Xiehe Union Medical College." Dong Yu was very unhappy, "Who told you to scream in the rain?"

It turned out to be a competitor. Li You felt relieved and it was easy to handle.

"It turns out to be Dr. Dong." He laughed, "Yu Xun and I are indeed talking. I wonder if you have any advice?"

"Stop talking nonsense!" Dong Yu was furious, "You guys obviously haven't confirmed your relationship yet, Yu Xun said it herself."

Last night he specifically asked Chu Yuxun, and the other party said this: The relationship has not been confirmed yet, but I think it will develop very quickly if it continues like this.

Dr. Dong was anxious. He specially adjusted his shift today and prepared to have a good talk with Li Youliang.

"I hope you have some self-awareness." Dong Yu said to Li Youliang seriously, "You are not worthy of someone as outstanding as Yu Xun."

He asked someone about it and found out that Li Youliang's character seemed to be a secretary, following Academician Bao's doctoral student every day.

What future can such a person have? ! I don’t know what their Yu Xun likes about this guy.

Li Youliang looked at his sparse and pitiful hair and saw his serious expression, and almost laughed.

"At least I'm handsomer than you."

"Superficial!" Dr. Dong was furious, "Who do you think Yu Xun is? She never looks at appearance!"

"Besides, how much more handsome can you be than me???"

"At least I have more hair." Li Youliang said cheerfully, "How old are you? Why are you bald?"

"Is it hereditary?"

"You" Dong Yu was very angry, his voice was trembling a little, "What kind of job do you do? You hang around behind other people all day long, you're not just a street kid, are you?"

He began to start from other aspects, trying to make Li Youliang know how to retreat.

"Do you have strong financial strength?"

"Can you afford a house in the capital?"

Is it possible that this guy is still a rich second generation? Li Youliang pondered for a moment, "Don't talk about me first, are you very financially strong?"

"I'm a doctor in the Department of Anesthesiology of Union Medical College." Dong Yu said proudly, "How many hospitals in the country have better treatment than ours!"

"That's it." Li Youliang pretended to be shocked, "Then I will continue to be with Yu Xun."

"Let her earn money to support me in the future."

"You" Dong Yu has never seen such a shameless man, "Shameless! You!" Watching him leave angrily, Li Youliang felt extremely happy. This competitor did not pose much of a threat at first glance.

However, he still had to speed up the progress and get Chu Yuxun's hand as soon as possible. He originally thought that he could sit back and relax, but now it seems that it is not foolproof.

But yes, although Chu Yuxun's personality and emotional intelligence are different from others, she is beautiful after all, and her legs are so long. Some people like this.
-
"Gao Feng, are you still used to it here in the capital?" Academician Bao asked with concern, "The food may not be very different from yours."

The food culture in H Nan is mainly based on pasta, such as braised noodles, steamed buns, etc., but it seems to be richer here in Beijing. There are too many people coming here from all over the world, resulting in a wide variety of food in the capital.

"They are all very good." Gao Feng replied, "There are several Zzhou braised noodles near the hospital. I feel that the taste is no different from those at home."

The two chatted about other things, and the mistress quickly served the dishes, including four dishes and one soup, steamed sea bass, crab roe tofu, braised cabbage hearts, scrambled eggs with tomatoes, and spicy and sour tripe soup.

Different from what Gao Feng imagined, Academician Bao is so old, but his taste is not bland, and there is chili pepper in every dish.

"There is a consultation in the afternoon, you can go with me."

The patient is not at Union Medical College. This is a multi-hospital consultation organized by Kyungseong University Cancer Hospital. The patient's background must be very high, otherwise Academician Bao would not go there in person.

"It is a refractory large B-cell lymphoma." Academician Bao mentioned, "The treatment effect is very poor, the patient estimates."

Large B-cell lymphoma is the most common type of non-Hodgkin lymphoma, accounting for approximately 25% to 50% of all non-Hodgkin lymphomas.

The patient's tumorous large B lymphocytes grow diffusely, with painless tumors appearing in the neck or abdomen as the main manifestation. If the gastrointestinal tract, central nervous system and other parts of the body are involved, corresponding symptoms may occur, such as gastrointestinal tract involvement. , loss of appetite, abdominal distension, abdominal pain, etc. may occur.

Fortunately, about half of patients can survive long-term disease-free after treatment.

But this patient was obviously unlucky. Her treatment effect was very poor after taking the medicine, and she was classified as refractory. The current situation is not optimistic.

The patient's first symptom was painless progressive lymph node enlargement. She did not pay attention to it at first because the lymph nodes in the patient's neck and armpits would increase significantly every time she was infected and caught a cold.

So I just took some antibiotics at first, but this time the situation seemed different from before. The swollen lymph nodes did not shrink as before, but became larger and larger. The same situation also appeared in other parts of the body. .

Soon after admission, he was diagnosed with large B-cell lymphoma at Kyungseong University Cancer Hospital.

The doctor in charge applied the R-CHOP regimen to the patient, which is rituximab + cyclophosphamide + doxorubicin + vincristine + prednisone. This regimen can achieve a higher complete remission (CR) and 5-year survival. The rate reaches 50%-70%, which means that 50%-70% of patients can achieve long-term survival and can be considered cured and can return to normal work and life.

Unfortunately for the patient, her condition did not improve significantly after taking the medication, and she soon developed relapsed and refractory large B-cell lymphoma.

Doctors are now at a loss. Currently, the most mainstream solution is chemotherapy. Some Western countries are currently developing immunotherapy, such as antibody drug conjugates and bispecific antibody therapy, but they are still in the research and development stage. It hasn't reached the stage of clinical trials yet.

"It's a pity that you are not very old." Academician Bao sighed.

In the afternoon, Gao Feng also saw the patient. The patient was a 34-year-old woman, lying weakly on the bed with an indifferent expression.

"Ayun, the experts are here to see you." The patient's mother touched her head, "If you have anything to say, please tell the experts."

Ran Manyun didn't want to talk at the moment, but he didn't want to make his mother sad, so he cheered up.

"I'm okay," she said.

Ran Manyun knew her situation very well and she had decided to give up treatment. A child who was also engaged in blood cancer in the United States told others about her situation. After asking in detail, the other party said that there was currently no good treatment.

There is no good way at home, and there is no good way abroad, so she can only lie down and wait for death.

Gao Feng is here to make soy sauce. The purpose of Academician Bao bringing him here is very simple, which is to show off his face in front of everyone, which will most likely be used in the future.

"I'll take you to say hello to Lao Gao and Lao Ma in a while. You'll need it later if you go further."

Gao Feng greeted several expert leaders respectfully.

"You are Gao Feng." Academician Gao looked him up and down, "I know you, the youngest Yangtze River Scholar."

"Old Bao has accepted a good student." Academician Ma said with a hint of envy, "I saw those articles you published. They are really formidable!"

He was talking about the lung cancer series recently published in Nature. The last article has been reviewed and approved and is just short of being published.

This has caused a great sensation in the academic circles at home and abroad. Just because the corresponding author is Academician Bao, everyone can accept it psychologically.

But everyone familiar with the matter knows what happened, and Gao Feng is the real instigator.

Everyone looked at Gao Feng with fierce eyes. It is no longer possible to treat a doctor well these days. You need to have a scientific research mindset to get ahead.

Scientific research and clinical practice are sometimes not contradictory. Which one is better, an experienced clinician or a doctor who is good at scientific research?
It's really hard to say, but in the long run, doctors who can do scientific research will obviously be better.

The development of medicine is inseparable from such people, and experienced doctors are certainly indispensable. This is what most patients need. But only with new discoveries and new breakthroughs can medicine progress.

Take hepatitis C, for example. In the past, it was a chronic disease, and patients needed to take antiviral drugs for a long time.

But after the advent of sofosbuvir and velpatasvir tablets, hepatitis C was cured.

The active substances in the drug, sofosbuvir and velpatasvir, block two proteins necessary for the hepatitis C virus to multiply. By blocking these proteins, the hepatitis C virus is prevented from multiplying and infecting new cells, allowing for complete cure.

This is the breakthrough brought about by scientific research.

"The patient's heart is still relatively strong." The doctor in charge said to the experts who came. "Now he can calmly accept his condition."

But the family members couldn't accept it and strongly asked the doctors to think of another solution, so today's multi-hospital consultation took place.

"You guys have nothing to do here, what good ideas can we have?" An old expert frowned and said, "No one can do anything here."

"If you can't, try the second-line treatment plan." Someone mentioned, "Let's treat a dead horse as a living horse doctor."

"If you ask me, it's better not to bother. Palliative care is also a good option." said an expert whose name was written in the preface of Internal Medicine. "Why let the patient suffer that anymore."

"Yes." Many people think he is right. Sometimes, active treatment may not be a good thing, but can only bring pain to the patient.

Gao Feng has also experienced this recently. Some elderly patients are in coma and will soon go to see God, but their families insist on active treatment.

The old man's body was covered with tubes and he suffered half-conscious pain for a long time. The end result was still the same, but his children seemed to feel that they were being filial and often said that now they could finally have a clear conscience.

The main thing is that the patients are lying there and can't get up, otherwise they will be slapped with big-eared melon seeds. I have a clear conscience for holding your mother in my mouth!
However, this patient is so young and it is said that he has just been married. It must be difficult for his family to accept it, which is also expected.

(End of this chapter)