MTL - Doctor’s Life Simulator-Chapter 360 Top awards: research projects with potential for the Nobel Prize in Medicine
The Doctor's Life Simulator Chapter 360 Top Awards: Research Projects for the Potential of the Nobel Prize in Medicine
In the next few days, as Pfizer's new drug entered the Huaguo market, the share price of Ming's Pharmaceutical Group continued to fall.
Ming Dong and the members of the board of directors are both devastated by Pfizer's suppression. Ming Dong can only bite the bullet and join the board members to prepare a plan to invest in the company's stock repurchase, in order to give shareholders and market confidence.
In addition, Ming Dong is also starting from the company's business and R&D projects to see if he can find a breakthrough.
Originally, Director Ming wanted to bet on the research and development projects of Qin Lang's laboratory and Qin's Pharmaceutical Company, but after being described, ridiculed and slandered by the report of the Muddy Water Agency, the market did not see the team and project of Qin Lang as a young doctor at all. any confidence.
Dong Ming was also helpless, and the project of new anti-tumor drugs, which had high hopes, had not made much progress recently. Instead, Qin Lang was working on a mysterious new drug project. In this regard, Dong Ming was also somewhat helpless.
However, Ming Dong did not pin all his hopes on Qin Lang, and this should not have been the pressure and responsibility that a young man like Qin Lang should bear.
After so many years of strong winds and waves, Ming Dong couldn't pin his hopes on a little guy like Qin Lang. She began to mobilize her various relationships to save Ming's Pharmaceutical Group.
Time flies.
As expected, Pfizer's new drug successfully entered the Chinese market.
For a smoker's market as big as China, there are naturally many people who buy and try smoking cessation drugs.
After all, the treatment period of this smoking cessation medicine is only 12 weeks, a box of medicine is only tens of dollars, and a whole course of treatment is only thousands of dollars.
Sure enough, as soon as the new drug was launched, many smokers, or the family members of smokers, went to buy it.
The sales of the entire smoking cessation drug are very gratifying, and the more it is like this, the more stark contrast between Pfizer's spring breeze and Ming's pharmaceutical group's decline.
While Ming's Pharmaceutical Group was in trouble, the stock price continued to fall, and the cash flow was at a disadvantage, Qin Lang was as stable as a mountain, and carried out his daily work at his own pace.
In the laboratory, the smoking cessation drug developed by Qin Lang has also come to an end, and will soon be able to enter the approval stage, but Qin Lang is not in a hurry.
What he needs to do now is to collect cases among Pfizer's patients and to grasp the fatal side effects of Pfizer's new drugs.
After all, there is no basis in the air. It took some time for Pfizer's smoking cessation drugs to enter the market. However, there should be some patients who have had side effects.
Therefore, Qin Lang started to get in touch with the real-power director and vice president who had deep friendship before.
In Hecheng, Second City Hospital, Military Hospital, Magic Capital, Huashan Hospital, Ninth People's Hospital, Ruijin Hospital, Zijingang First Hospital in Hangzhou, Union Hospital in Imperial Capital, and Cardiovascular Center of Harbin Medical University Second Hospital Although the internal medicine department did not understand Qin Lang's intentions, they all started to pay attention to and provide case information for Qin Lang according to his admission requirements.
The Cardiovascular Department and Psychiatry Department of the City First Hospital also received a notice to treat some patients with special symptoms for Qin Lang.
The patients treated by Qin Lang involved: depression, anxiety, suicidal tendencies, myocardial infarction, angina pectoris, cardiovascular diseases, etc. The patient was a smoker before, and recently took a new smoking cessation drug from Pfizer in the United States.
Regarding Qin Lang's admission criteria, Director Zhu of Cardiovascular Medicine is confused. Of course, he knows the origin and relationship between Qin Lang and Ming's Pharmaceutical Group, and he is also aware of the previous news conference of Pfizer. In the report, he maliciously slandered and slandered Qin Lang.
Director Zhu also had some guesses in his heart, but he didn't like Qin Lang's behavior, and he didn't pay much attention to it.
After all, that is Pfizer in the United States, and it is a new drug approved by the FDA. Qin Lang is just a small shrimp in front of Pfizer, an aircraft carrier in the pharmaceutical field.
Even in another way of thinking, in Director Zhu's opinion, Qin Lang's setbacks in the pharmaceutical field are not necessarily all bad things. On the contrary, it helps Qin Lang to devote all his energy to the operating room. It is a stage for geniuses like Qin Lang.
...
...
Xie Fei, 40 years old this year, is a structural designer of a construction company in Hecheng.
Over the years, the design world has become more and more convoluted. The design fee has not been long for decades, and the design cycle is indeed getting shorter and shorter. In two weeks or even a week, a set of architectural construction drawings must be issued.
As the core force in the project, Xie Fei will be responsible for the design of the structural drawings. If the progress is normal, it would be recognized, but often, there will always be various adjustments in the early stage of the owner and the plan, one draft, two drafts , third draft, kill without revision, final draft, final draft second draft... back to the first draft...
In short, in this kind of high-intensity work, Xie Fei basically needs to work overtime three or four days a week. In order to maintain his spirit and inspiration, Xie Fei often smokes a few cigarettes between overtime at night.
Since entering the industry, Xie Fei can really be regarded as an old smoker, and it was nothing at all, but during his physical examination last year, he found a few small ground glass-like nodules in his lungs. Therefore, Xie Fei's wife took Divorce was a threat, and finally this old smoker made up his mind to quit smoking.
It's just, how easy is it to quit smoking after so long.
It was also a very coincidence that when Xie Fei repeatedly failed to quit smoking, a new drug from Pfizer in the United States was launched.
With the aura of Pfizer, and the approval and certification of the FDA in the United States, Xie Fei, of course, had a lot of trust in this, and he also bought a course of drugs for the first time.
These days, Xie Fei has been taking the medicine on time. Not to mention, the effect of this smoking cessation medicine is very significant.
Recently, he has basically been able to do not smoke.
At the same time, in order to maintain his body, Xie Fei also intentionally reduced his workload and the length of overtime work. These days, he has also maintained sufficient sleep.
It stands to reason that his body should develop in the direction of a virtuous circle.
I just don't know why these days, Xie Fei often has chest pain and chest tightness, and even sometimes has difficulty breathing.
Xie Fei took advantage of the fact that he was fine today, so he hung up an expert number from the Department of Respiratory Medicine of the First Hospital of Hecheng City.
Xie Fei guessed that it might be the nodules in his lungs that had new changes, causing his chest pain and chest tightness.
It's just that Xie Fei didn't understand, he was about to quit smoking completely. Recently, he also slept on time and rarely worked overtime. It stands to reason that his health should be getting better and better.
After Xie Fei came to the first hospital of the city, he waited in line for a long time, and then he got the number of Director Qing, an expert in the Department of Respiratory Medicine.
Director Qing is a very senior respiratory medicine specialist in Hecheng, especially good at the diagnosis and treatment of pneumonia, respiratory failure and other respiratory diseases.
Director Qing is also the deputy director of the Internal Medicine Teaching and Research Office of the First Hospital of the City. He graduated from the Department of Clinical Medicine of the University of Zijingang. In recent years, he has published many papers at or above the provincial level.
It is also very respected in the first hospital of the city. His expert number is even more difficult to get.
After Xie Fei walked into the consultation room, he saw Director Qing greet him to sit down and asked:
"what's the situation?"
Xie Fei quickly explained his situation: "Director Xie, half a year ago, I had a physical examination and a chest film, saying that there were a few small nodules in my lungs, but the situation was not serious at the time, so I took a picture of my chest. Ask me to check again in half a year. I don't know what's going on these days, but there will always be a burst of chest tightness, chest pain, and sometimes I can't breathe. "
Listening to Xie Fei's words, Director Qing frowned, but according to his experience, it should not be like this if it is just a simple respiratory disease.
After all, Director Qing is experienced and thought of a possibility, but further examination is needed:
"How long have you had chest pain or chest tightness?"
"A few times, the attack lasted for twenty minutes, but it was not serious, and it would be fine after a while."
Listening to Xie Fei's remarks, Director Qing conducted further physical examinations and consultations, and then checked again.
"Heaven Comes"
Director Qing's face became serious: "I think your problem may not be caused by the nodules in the lungs, but may be a cardiovascular problem. In this way, I am now contacting Director Zhu of the Department of Cardiovascular Medicine, and I want to talk to Zhu. The director does a joint consultation."
After all, if his inferences are correct, the patient's condition is very dangerous and life-threatening if not diagnosed sooner.
In the Cardiovascular Department's office, Director Zhu received a call from Director Qing, and of course he was ready to rush over as soon as possible.
It happened that Qin Lang was also there. Director Zhu thought about it and called Qin Lang together. In some fields, Qin Lang's diagnostic ability is very powerful.
Might be able to play a key role. Qin Lang's current status is very special, and Director Zhu respects Qin Lang from the bottom of his heart.
The two soon came to the consultation room of the Department of Respiratory Medicine. When they saw Director Qing, Director Zhu didn't say much nonsense, and asked straight to the point:
"Director Qing, show me the patient's specific information and situation. What's your current judgment?"
Director Qing and Director Zhu are also old partners, and the two often have joint consultations and discussions for some patients.
Director Qing had heard a little about the young man beside him, but he didn't communicate much with Qin Lang. He still believed in Director Zhu, who had cooperated for many years, and was cautious about Qin Lang, who was in the limelight.
After the two communicated for a while, Director Zhu also had some eyebrows, and also understood the reason why Director Qing had called him over in such a hurry.
"You suspect that the patient may have cardiovascular problems and may have myocardial infarction?"
Director Qing nodded, but of course it's just a rough guess:
"I suspect the patient may have acute coronary syndrome!"
The so-called acute coronary syndrome, including various conditions, such as various myocardial infarction, unstable angina.
For this kind of symptoms, Director Zhu is of course very experienced, and the diagnosis method is also very clear, that is, the gold standard recognized by the medical field: coronary angiography.
Coronary angiography is to send a catheter to the aorta through the femoral femoral artery or other peripheral arteries. By injecting a contrast agent to develop the coronary arteries, the location, degree and scope of coronary obstructive lesions can be more clearly displayed.
Through angiography, the doctor can directly see whether the coronary artery is unobstructed, or has plaque, or is narrowed and calcified, or whether the blood flow is not good, and the clarity is high.
After confirming the diagnosis plan, Director Qing and Director Zhu arranged angiography for the patient as soon as possible.
For coronary angiography, as a top leader in the cardiovascular field, of course, he is already proficient in the simulation world.
However, in the simulated world, Qin Lang knew that coronary angiography still has limitations. It is still very accurate for ordinary ST-segment elevation myocardial infarction, and the missed diagnosis rate is very small.
However, it has limitations for non-ST-segment elevation myocardial infarction and is often missed.
And the best way, in the simulated world, Qin Lang has mastered another more accurate auxiliary method, that is, adding dynamic electrocardiogram examination.
The continuous recording of electrocardiograms is used to capture the dynamic changes of coronary blood flow. However, this method requires extremely high experience of the observing physician, which is difficult for general chief physicians to do and think of.
However, at this stage, Qin Lang still remains calm. After all, the patient's condition is not yet clear, and it may be diagnosed directly according to Director Zhu's diagnosis.
After all, the probability of patients with non-ST-segment elevation myocardial infarction is still very small, and routine myocardial infarction is sufficient according to Director Zhu's examination.
Soon, several people began to perform coronary angiography on the patient. Director Zhu personally performed the operation, Director Qing took care of it, and Qin Lang humbly learned and followed.
For Qin Lang's modesty, waiting to learn, Director Qing slightly recognized it.
Soon, under the auspices of Director Zhu, coronary angiography was started, the patient was placed on the DSA bed, the right groin area and right forearm were disinfected with strong iodine, and sterile sheets were laid.
Under local anesthesia with 2% lidocaine, Director Zhu used the Seldinger method to puncture the right radial artery, placed a 6F arterial sheath, injected a mixture of lidocaine, verapamil, and nitroglycerin, and sent it into a 5FTIG angiography catheter. Coronary coronary angiography.
Looking at Director Zhu's operation, Director Qing nodded slightly, as expected of the mainstay of the Cardiovascular Department of the First City Hospital.
Qin Lang on the side also recognized it. Director Zhu's operation, although incomparable to his own, was indeed top-notch in the city's first hospital.
Since coronary angiography is the projection of blood vessels on a two-dimensional plane, it cannot fully and three-dimensionally show the true structure of blood vessels, and can only be judged by the experience and level of the chief surgeon.
Coronary angiography scanning takes a very long time~www.novelbuddy.com~ But even such a detailed examination is still due to the defects of its own technology, so after Director Zhu completed the whole operation, the real cause of the patient was still not found.
"The patient's coronary blood flow decreased by less than 40%, and there was no arrhythmia and ischemic symptoms, and no lesions were detected..."
Director Zhu looked at Director Qing helplessly:
"According to the current test results, the patient may not be a myocardial infarction. Maybe it is really a lung nodule problem?"
Hearing Director Zhu's result, Director Qing was also a little surprised, and then he began to doubt whether it was really a false alarm.
However, it is also correct to think about it. The patient has obviously recovered a good routine, and now he has quit smoking for a period of time, and the quality of sleep is much better. Should not, but trigger myocardial infarction.
"That seems to be only possible, and the patient's lungs should be checked again."
When Director Qing and Director Zhu decided to change directions, Qin Lang's voice sounded:
[Ding, the new task, through the auxiliary means of continuously recording the electrocardiogram, to diagnose the real condition of the patient. At the same time, through this case, we can find the real cause of the disease and start the first step to fight back against Pfizer. Mission reward: 1.1 life simulation points. 】
[Ding, inspire a long-term mission, completely defeat Pfizer's conspiracy, and launch his own smoking cessation drug. Save Ming's Pharmaceutical Group, and at the same time, enter the Forbes 30-year-old elite list. Task reward: 1. Open a research project with the potential of the Nobel Prize in Medicine]
PS: Thanks for the 100 coin reward of Anxiang Shuying, thank you! +Bookmark+
