Doctor’s Life Simulator

In Pfizer's Zhejiang office, Wan Feng, the head of Zhejiang Province, was in the office, reading a document that was provided by the eyeliner previously placed in Ming's Pharmaceutical Group. It was filmed secretly.

For a group of this level, of course, they will do a lot of work in the dark, collect intelligence on the opponent, study the strategic direction of the opponent, and take various means, either overt or covert.

Before, Qin Lang and Ming Dong severely offended him on the ICR mouse inbred line incident.

President Wen Yunqi of the First Affiliated Hospital of Zijingang University, even for Qin Lang, directly rejected the exchange and cooperation intention of the person in charge of Pfizer Huaguo District.

Therefore, this time Wanfeng prepared to punish Mingshi Pharmaceutical Group. Looking at the various materials in hand, Wanfeng was also a little surprised:

"I didn't expect this Mingshi Pharmaceutical Group to have such a big ambition to invest in the research and development of new drugs in the field of smoking cessation drugs."

As the head of Pfizer's Zhejiang Province, Wanfeng has a deep understanding of the entire pharmaceutical market, and has also conducted research and analysis in the field of smoking cessation drugs.

Huaguo is a huge potential market for smoking cessation products. It is estimated that about 17% of the smokers in mainland China, that is, about 60 million people, want to quit smoking. If they spend 500 yuan each to quit smoking, then the size of the smoking cessation market will be reduced. reached 300 billion yuan.

The market share of smoking cessation drugs outside China is also an astonishing figure, which is undoubtedly a huge market.

At present, the products on the market are mainly nicotine chewing gum and chewing gum from GlaxoSmithKline.

Looking at the research and development direction of Mingshi Pharmaceutical Group, Wanfeng was also surprised:

"Ming Dong is really ambitious, aiming at the field of smoking cessation drugs that do not contain nicotine. If she is really successful in research and development, the market value of Ming's Pharmaceutical Group will at least double, which is a big deal!"

Wanfeng took a sip of espresso, and then looked through the follow-up materials, especially the extremely precious experimental data, which he admired:

"It's just a pity that the size of Ming's Pharmaceutical Group is still too small, and its research and development capabilities are not worthy of your ambitions. It seems that it has entered a bottleneck. This new drug should be handed over to me Pfizer!"

Wanfeng organized the stack of papers and prepared to submit it to Wu Yaoming, the head of Huaguo District. With these basic data and research and development directions, I believe that with the absolute dominance of Pfizer's aircraft carrier in the pharmaceutical field, it will definitely be able to take the lead. Ming's Pharmaceutical Group launches nicotine-free smoking cessation medicine!

Moreover, with the in-depth cooperation between Pfizer and the US FDA, it will be able to pass the approval at the first time, and then enter the Chinese market will be a matter of course.

With Pfizer's relationship network, it is definitely able to open up a larger market than Ming's Pharmaceutical Group. Wanfeng is very experienced and has handled various relationships between the government, hospitals, communities and their pharmaceutical companies with ease.

"This time, I really want to thank Director Ming for giving me such a big gift."

Wanfeng has begun to imagine the brilliant prospect of proposing and developing the smoking cessation drug market by itself.

...

...

In the next few days, Qin Lang entered the state of salted fish again. Besides, Director Wen Yunqi was busy and disappeared, and even Director Huang suddenly disappeared for two days.

"Doctor Zhong, why haven't you seen Director Huang these two days?"

Qin Lang asked in confusion.

Zhong Zhuzhi admired Qin Lang very much now. Hearing Qin Lang's question, he quickly stopped what he was doing and explained:

"It's like this, recently there was an exchange activity between our hospital and the imperial capital. Director Huang went to the hospital for a few days, and he should be back in two days, and I heard that this time, there are other people who came back with Director Huang. *The expert, Professor Yang Guoshu."

"Yang Guoshu?"

Qin Lang is not very familiar with it, but he still knows about the ***, also known as the General Hospital of the Chinese People's Liberation Army, the Imperial Capital ***, the PLA Medical College, and the PLA ***.

It has a great background, especially its cardiovascular medicine major, and its comprehensive strength ranks second in the country.

It was rare to see Qin Lang looking at him puzzled, Zhong Zhuzhi took a sip of tea, cleared his throat, and said:

"Professor Yang Guoshu, in our field of cardiovascular medicine, is a senior figure in China. Professor Yang is a German doctor of medicine and a doctoral supervisor. He has studied in Western Europe twice, and is a member of the Standing Committee and Secretary of the Cardiovascular Branch of the Chinese Medical Association. ; Member of the Standing Committee of the Imperial Capital Branch of Huaguo Medical Association; editorial board member and deputy head of the editorial review team of the Chinese Journal of Internal Medicine; editorial board member of the Chinese Journal of Arrhythmia; editorial board member of the Chinese Journal of Geriatric Cardiovascular and Cerebrovascular Diseases, etc.

"At the same time, Professor Yang Guoshu has also published several sets of monographs: "Hypertension Today", "Prevention and Treatment of Arrhythmia", "Myocarditis and Cardiomyopathy", "Hypotension and Shock", "Hypertension Prevention and Treatment"."

"Professor Yang has written 102 papers, of which 23 have been published abroad, and his representative works include "Ischemic Myocardial Protection and Metabolism", "Left Bundle Branch Deformity of the Heart and Left Bundle Branch Block", etc. The proposed "membrane motion" "Theory" and "all functional changes have a material basis" have been cited by scholars at home and abroad. He also has deep knowledge in the diagnosis and treatment of hypertensive Takayasu arteritis, cardiomyopathy, arrhythmia, coronary heart disease and vascular disease. "

After listening to Zhu Zhizhi's admiring introduction, Qin Lang was filled with respect, and he was indeed a senior man. Only in the First Affiliated Hospital of Zijingang University can he see such senior seniors come to study. comminicate.

In such a comparison, the First Hospital of Hecheng City really has a long way to go.

Zhong Zhuzhi saw Qin Lang's absent-mindedness, and he was very satisfied with this kind of genius learning tyrant being taught by him obediently.

While Zhuge Zhong was chatting with Qin Lang, a resident hurried towards him.

"Dr. Zhong, just now the department admitted a child with corrective transposition of the great arteries. The situation is very complicated. Director Qian asked you to come over and have a consultation together to design a surgical plan."

The resident also smiled at Qin Lang, who was beside him, and nodded his head. After all, Qin Lang's position in the department is very special, and being able to befriend Qin Lang is always more pros than cons.

"Corrected transposition of the great arteries?"

Hearing the resident doctor's words, Dr. Zhong's face became serious. He hadn't encountered this disease for a long time.

In the First Affiliated Hospital of Zijingang University, it is always like this. You never know how complicated patients you will encounter in the next moment.

The so-called corrected transposition of the great arteries is a complex congenital heart disease. The anatomical left ventricle is used as the right ventricle, but the anatomical right ventricle has to bear heavier systemic pressure.

For such cases, traditional surgical treatment only corrects intracardiac malformations. The right ventricle is still used as a systemic blood pump after dissection and cannot bear the pressure load of the systemic circulation, and the prognosis is very poor.

The medical community has been looking for alternatives, but there has not been much progress.

[Ding, new task, come up with a genius-like improvement plan! Mission reward: 1.1 life simulation points, 2, non-nicotine-free smoking cessation drug: bupropion: drug research and development laboratory simulation permission. 】

Looking at this reward, Qin Lang was also a little surprised that the research and development authority for smoking cessation drugs was released. It's just that it's of no use to him now.

The priority must be the development of new anti-tumor drugs.

However, Qin Lang is still ready to complete this task first and then:

"Dr. Zhong, can I also participate in this consultation? I have a little research on ventricular correction surgery, maybe it can help."

In principle, a young doctor of Qin Lang's age is not qualified to participate in such a difficult surgical consultation, but after all, Qin Lang is not someone else, and Chief Zhong can't ask for it, so he agreed without thinking.

As for the resident doctor, there is a kind of honeyed admiration for Qin Lang: "Let's go, Doctor Qin, why don't you go see the patient with me first, sort out the information, and prepare for the pre-consultation matters."

The resident doctor looked at Dr. Zhong again: "Doctor Zhong, then I will prepare the case data before the consultation with Dr. Qin, and we will have a round in the consultation room in a while."

"Can."

Soon, the resident doctor brought Qin Lang to the ward.

The patient was still a child, with a very fair complexion and looked frail, but he was lying on the hospital bed well-behaved and sensible. When he saw Qin Lang and the resident doctor, he politely smiled and said hello.

Qin Lang immediately began to diagnose. Under the master-level ventricular correction surgery series, he quickly developed a diagnosis and treatment idea:

Patient: Fan Xiaodou, male, 6 years old

Symptoms: Corrected transposition of the great arteries...

Treatment idea: adopt the nationally pioneered "one-and-a-half" ventricular correction strategy that he mastered in the simulation world, namely performing Rastelli+half Mustard+bidirectional Glenn surgery at the same time.

A complex and difficult surgical plan was formed in Qin Lang's mind one day.

The resident doctor and the nurse obtained the latest indicators and information. Seeing Qin Lang, who was stunned, the resident doctor pursed his lips, but did not urge him.

After all, it would be best if Dr. Qin could make some suggestions, and it would be normal if he didn't have any ideas.

Soon, with the efforts of the resident, the preparation of all the pre-consultation materials was quickly completed, and Qin Lang also straightened his thoughts.

"Doctor Qin, is there anything else you want to know? If it's okay, let's go to the consultation room now."

The resident doctor asked Qin Lang's opinion very politely.

The nurse on the side and the patient on the side were slightly surprised. The much older resident doctor in front of Qin Lang seemed to be reporting to the director and asking for instructions.

"As expected of Doctor Qin."

Seeing the picture of the resident doctor leading the way to the consultation room with Qin Lang's permission, the nurse was slightly absent-minded.

In the consultation room, Director Zhong and Deputy Director Qian have arrived. After the resident doctor entered, he directly handed the prepared materials to Deputy Director Qian, and started to turn on the projection to report the general situation of the patient to Director Zhong and Deputy Director Qian. .

After finishing speaking, the resident doctor sat down and listened quietly to the opinions of Deputy Director Qian and Chief Zhong. After all, he was no longer able to talk about such a complex disease.

Deputy Director Qian looked at Dr. Zhong, ready to listen to his opinion first: "Doctor Zhong, what are your thoughts?"

Zhong Zhuzhi took the information and looked at it carefully before slowly saying:

"Speaking of which, the patient's condition is very clear. The traditional surgical treatment method is also very simple, which is to correct intracardiac deformities. However, after this traditional operation, the right ventricle is still used as a systemic blood pump and cannot bear the pressure of the systemic circulation. The load will not last long after the operation. It can only be said that the lifespan of some patients should be prolonged as much as possible.”

Hearing Dr. Zhong's statement, Deputy Director Qian and the resident doctors were silent for a while. Indeed, so far, there is still no effective and stable method for this disease. The only thing that can be done is to prolong the survival time of patients as much as possible. .

"Speaking of which, I have seen President Wen perform single ventricle correction before, that is, the patient loses the right ventricle that supports the pulmonary circulation, but after such treatment, the patient's circulatory system pattern is similar to the characteristics of reptile arteries, although Life has been maintained, but there are many short- and long-term complications after the operation, and the cardiac function and quality of life are also unsatisfactory."

Deputy Director Qian also took over the words of Chief Zhong, and said helplessly, knowing that there are many complications in the operation, but it has been the best plan so far. Medicine is like this. To move forward a small step, sometimes it is necessary to The doctor verified it with one life.

"Then do single ventricle correction?"

Zhong Zhuzhi sighed, there was no other way.

Deputy Director Qian looked at the documents again, frowned, and after thinking about it, he had no idea. He suddenly raised his head and looked at Qin Lang, a young man whom even Director Wen and Director Huang admired, and asked: "Doctor Qin, do you have any ideas?"

"Yes, Doctor Qin, I think you were thinking about something just now?"

The resident doctor also looked at Qin Lang. For some reason, he had some expectations in his heart.

Qin Lang didn't speak. He took a marker on the table, stood up, turned over a document in his hand, and began to draw on the white paper on the back.

Seeing Qin Lang's strokes, Deputy Director Qian, Dr. Zhong, and the resident doctor were all a little puzzled, but they didn't interrupt and quietly watched Qin Lang's brushstrokes.

After a while, a heart appeared on the paper. Qin Lang began to draw the anatomical structure in great detail~www.readwn.com~ and then an aorta appeared on the paper. It has to be said that under the artist's aesthetics, Qin Lang's painting skills are very good, and he is very familiar with the anatomy of the heart.

Qin Lang drew the aorta and left ventricle on paper, and then constructed a tunnel on it.

Looking at Qin Lang's picture, Deputy Director Qian's eyesight was astonishing, and he blurted out, "Rastelli?"

Zhong Zhuzhi, who was on the side, also suddenly realized, but, I don't understand, why Qin Lang painted this.

Qin Lang did not respond, and still described it on the white paper. Because this surgical plan is very complicated, some detailed operations are difficult to describe in words, so Qin Lang simply used the entire surgical plan to illustrate the operation. form manifested.

"The blood atrium of the inferior vena cava...this is...the pericardium leading to the right ventricle..."

Looking at Qin Lang's diagram, Deputy Director Qian already had a beating heart in his mind, and under Qin Lang's operation, he was constantly rectified.

Soon, on paper, Qin Lang accurately drew a superior vena cava, and then completed the right artery very cleanly and connected it.

"This is..."

Deputy Director Qian stood up and stared at Qin Lang's diagram.