Doctor Chen, Don't Be a Coward! Chapter 443

  Chapter 443 It costs millions to succeed!

  Hepatic encephalopathy…

   After Chen Nan was silent for a while, he also began to think about countermeasures in his mind.

  Acute onset of viral hepatitis E, leading to acute liver failure...

  He looked at the woman on the bed, who also had liver failure, and also had a high possibility of causing hepatic encephalopathy.

   It can even be considered that it's just that the time has not yet come.

  Early intervention treatment may have a good effect, but...no one can guarantee it.

  However, once hepatic encephalopathy occurs, the difficulty of treatment is relatively high!

  So, the most important thing at present is to find a starting point.

  Western medicine is obviously difficult to solve the problem from the root.

   Of course, this is not black western medicine, or what is the view on western medicine.

  Because modern medicine is a developing discipline, focusing on details and every indicator, its appearance represents the process of disease occurrence and development.

  As for liver failure, hepatic encephalopathy, and hepatitis E, there is currently no effective treatment plan, and the understanding is not clear.

  So in this case, if you want to solve the problem, you cannot rely on western medicine!

   Of course, modern medicine is not without advantages. On the contrary, Western medicine is much better than traditional Chinese medicine in terms of maintaining vital signs and ensuring the basic survival of patients.

  Chinese medicine can only rely on luck...

   This is really not an exaggeration.

  Chinese medicine is not a panacea.

  Chinese medicine also has its great shortcomings, that is, insufficient quantification, and there are some problems in innovation and development, expansion of production capacity, and finding successful experiences.

  So, this time, regarding the treatment of "hepatitis E virus acute hepatitis", Chen Nan still decided to choose the method of integrating traditional Chinese and Western medicine.

   This is also in line with the main theme.

  If you let go of your thinking, there are actually more ways to do it.

  Want to treat patients, nothing more than from the macro and micro aspects.

  The macro perspective of Chinese medicine, rich experience, even has unique advantages!

   Even, the explanation of liver failure and hepatic encephalopathy in traditional Chinese medicine is better than that of modern medicine.

   For example, the term hepatic encephalopathy.

  After the occurrence of hepatic encephalopathy, the early symptoms are not coma, but personality changes, such as anxiety, depression, active mania, and then disturbance of consciousness, which is often misdiagnosed as a mental patient.

But…

  In the field of modern medicine, why does the liver have mental illness?

  In fact, it is difficult to form an intuitive connection between the two.

   Even, the most characteristic neurological sign of hepatic encephalopathy, which has early diagnostic significance is flapping asterixis.

  This...how can it be explained clearly?

   Of course, indecision, neuroscience.

  Hepatic encephalopathy is currently considered to be a syndrome of central nervous system dysfunction based on metabolic disorders.

but…

  Chinese medicine believes that the liver stores the soul, and the liver governs wind.

  So, liver disease can induce soul movement, leading to a series of cognitive impairment and personality changes.

  Where the liver wind moves internally, there will also be a symbolic movement representing "internal wind" such as flapping wing tremor.

   This is well explained!

  Chen Nan is sometimes unbelievable about the wisdom of the ancients, as well as his understanding of the human body and diseases.

  How did the ancients discover such a powerful subject?

   This has always been the doubt in the hearts of researchers of ancient medical literature, traditional Chinese medicine and ancient culture.

  The Yellow Emperor's Canon of Internal Medicine appeared two thousand years ago. From what angle did he discover it?

  After thinking about these things, Chen Nan still made a decision.

Try it!

   After all, the patient is already like this now, and he was sent here obviously hoping to get some treatment.

   To put it bluntly, it is really a dead horse as a living horse doctor.

   Don't feel bad about these words.

  Because in clinical practice, many diseases are like this.

  Hepatic encephalopathy, as a disease with a high risk factor, is also the same!

  In the early stage of hepatic encephalopathy, its main manifestations are some behavioral disorders and mental retardation. Through active liver protection to reduce blood ammonia, enema and other treatments, the blood ammonia can be reduced and recovery can be achieved.

However, if a patient with advanced hepatic encephalopathy suffers from severe coma and disturbance of consciousness, at this time, the risk will be greater and the mortality rate will be relatively high, and if there are other causes such as gastrointestinal bleeding, hepatic encephalopathy will be caused Further aggravation, and make the patient die rapidly.

  So, it really is like this.

  Even after the mother and son were sent here, the informed consent had already been signed.

  It is a blessing in misfortune that they can be sent back from India.

  The woman on the bed looked excited, nervous, excited, and a little dazed.

  Chen Nan just glanced at it, then said to Pan Yanhong:

   "Her treatment, remember to keep up with..."

   "I estimate that the early symptoms of hepatic encephalopathy may appear as early as tomorrow."

   "Take care in time."

  Pan Yanhong froze for a moment, then nodded quickly: "Okay, Dean."

  Chen Nan then said to the woman: "Your son's condition is more dangerous now, and he is in a coma in the late stage of hepatic encephalopathy."

   "We will treat him, but don't expect too much."

  The woman nodded quickly when she heard the sound: "Okay, okay...Thank you, Professor Chen!"

   "I believe you..."

"please…"

  The woman's voice trembled a little. She never imagined that...a trip would cause such serious troubles, and even lead to...such a tragedy.

   After Chen Nan took Pan Yanhong to the side of the child, the ECG monitor was next to him. Chen Nan glanced at it and couldn't help but sigh.

  He walked up to the boy and stretched out his hand to feel his pulse.

  pulse condition...

  Chen Nan frowned instantly.

  The patient's pulse condition is loud, but difficult.

  The left hand is more than big enough, but the unobstructed flow is blocked and extremely difficult.

   And the right hand...

  The right hand is extremely weak, heavy and astringent, rootless!

  Chen Nan hesitated for a while, and directly opened the opponent's mouth, but at this time... Chen Nan saw the root of the tongue turned inward, which seemed to be sunken.

  The tongue coating is yellow and thick, with a bad smell!

  It smells a bit like a rotten apple.

   This is actually the so-called liver stink.

  The appearance of liver odor is due to liver failure, a characteristic odor emitted by the metabolic intermediates of sulfur-containing amino acids in the body (such as methyl mercaptan, ethanethiol, and dimethyl sulfide, etc.) through the lungs or through the skin.

   It is not obvious when it is far away, but it is very obvious when it is close.

  Chen Nan hesitated, stood up directly, and said to Pan Yanhong, "Let's go!"

  Pan Yanhong was taken aback, and followed Chen Nan out of the ward.

   "Dean Chen, is there... a chance?"

  After Pan Yanhong finished speaking, she fell silent.

  Because hepatic encephalopathy has reached this point, the mortality rate is as high as about 70%.

   Such a situation is obviously... the extreme danger, death may come at any time.

  I have been the director for so many years, can I not understand this?

  She just felt that the child was too young, hey...it's really a pity to leave like this.

   At this time, Chen Nan suddenly smiled and nodded: "There is still a chance."

"Come with me!"

  Pan Yanhong's eyes lit up immediately, and she walked out.

  Qin Shiming, Di Ao and the others were waiting outside. When they saw Chen Nan and the others coming out, they hurried over.

   "Dean Chen, how are you doing?"

  Qin Shiming asked anxiously.

  Chen Nan said: "The situation is serious, and I can't guarantee it. I can only say...it depends on the situation."

   "I don't dare to say anything else."

  Hearing Chen Nan's words, Qin Shiming couldn't help but sighed.

yes!

  In this case, the world medical circle has set up various organizations and institutions to study it, but they can't do anything about it. Chen Nan... No matter how powerful he is, it is reasonable.

   This is the normal reaction...

   It's just that I seem to be used to the miracles brought by Chen Nan, and ignore this point.

  Thinking of this, Qin Shiming laughed at himself and shook his head.

  The translator on the side relayed Chen Nan's words.

  Dior and India's Deputy Minister Galava also sighed.

   "Dean Chen, let's not bother you for now."

   "Let's treat first, we still have a lot of things to deal with."

   "However, we sincerely invite you to join the WHO Hepatitis E Research Group."

  Chen Nan nodded: "Yes, I agree!"

   After sending these people away, Qin Shiming stayed.

   "Dean Chen, what happened this time... are you sure?"

  Chen Nan smiled: "No!"

   "However, if you are sure, you have to do it."

  Qin Shiming nodded when he heard it: "That's true."

   "By the way, there is something I want to tell you, since you have joined this research team."

   "Some things still need to be told to you."

   "The higher authorities value and protect you very much. They don't want you to go to India, Thailand and other areas in person, worrying that you will encounter some dangers."

   "After all, you are the country's most valuable asset."

   "You are still young, and the future is also limitless. We don't even dare to think about what the future will look like."

   "If you want to do this research, do it locally."

   “We can fly patients over and let you do it.”

   "But, you must remember, you can't go!"

   "This is the result of our discussion."

  Chen Nan shook his head, sighed, and said with a smile: "Director Qin, you know, this is impossible."

  "We are neighbors with other countries, and everyone understands the truth that our lips are dead and our teeth are cold."

   "Besides, if I don't go, if you transport the patients, there must be no danger?"

   "Someone needs to go!"

   "Moreover, this is not necessarily a bad thing. I believe that this is a time that can save our international status of Chinese medicine, improve our domestic national self-confidence, and affect the development of our next generation of medicine."

   "I'm still going."

   "I can't let the people of our country lose their support when they encounter such danger."

   "So, you don't have to persuade me."

   "Besides, this disease is fecal-oral transmission, and the transmission is not so strong. If the protection is good, the problem is not big."

  Hearing the sound, Qin Shiming glanced at Chen Nan solemnly, and did not speak for a long time.

   On the same day, Chen Nan began to treat the little boy tentatively.

   But the effect is average.

  Chen Nan was actually well prepared for this.

  However, he did not dare to take medicine casually.

  He still decided to conservatively conduct a series of simulated space attempts on the patient before taking medication.

   And at this time!

  In the outside world, the death rate caused by hepatitis E virus in India and Thailand is gradually increasing.

  And many national agencies have joined the support process.

  Many countries began to support the hardest hit areas and established temporary treatment hospitals.

   And China is no exception!

  The American Hepatitis Representative Team was personally led by the president of the American Society for the Study of Liver Diseases.

  After arriving, significant curative effect was achieved on the third day.

  At the very least...the death rate has dropped a lot.

  Actually, the transmission of hepatitis E is largely due to hygiene habits.

   After all, water, diet, and basic sanitation are the easiest ways to transmit intestinal diseases.

  Want to avoid, especially depends on the environment.

   While the death toll continued to increase, panic also began to spread at this time.

  Chen Nan still didn't move at this time.

  He is still worrying about the 11-year-old patient.

  After many attempts, Chen Nan got nothing!

   This may be the biggest challenge he has ever faced.

  A lot of previous experience, I don't even have a way to start!

   What should I do?

   At this time, the patient's mother also developed hepatic encephalopathy, with obvious cognitive impairment and emotional agitation.

  The situation of defecating indiscriminately began to appear.

   This has also become a vicious circle in the infected area.

  When hepatitis E causes hepatic encephalopathy, because these countries and regions have very general sanitation conditions.

  The problem of water source cannot be guaranteed.

However, hepatic encephalopathy will cause patients to lose their sense of propriety, righteousness, and shame. At first, they may be limited to some "informal" behaviors, such as scribbling, watering, spitting, throwing paper scraps, cigarette butts, groping, and defecation indiscriminately. Tables and chairs in the room are randomly dragged and placed and other meaningless actions.

  This will aggravate the spread of the disease and form a vicious circle.

   Chen Nan is very clear that if this problem cannot be solved in a national hospital of this level, such as the ChinJapan Friendship Hospital.

  So what if I went to India myself?

   After all, ChinJapan Friendship Hospital has the world's top medical equipment and professional team.

   But, in this case, I have no way to overcome this disease.

  If you go to a high-incidence area in India or Thailand now.

  In the external facilities first, the sanitation environment is poor, and the medical equipment is not complete, etc., can it be solved?

  Many times, it doesn't mean that if you go early, it will be useful, but if you go late, it will be bad.

  Chen Nan had to find a breakthrough in these two typical patients. This was the key to his departure.

  But it happens...

   So far, Chen Nan's treatment methods are still limited!

   Symptomatic treatment, the effect is general.

  According to the past experience of Chinese medicine, although there is no such word as "liver failure", there are many similar symptoms.

  Such as acute yellow, plague yellow, epidemic yellow, blood syndrome, swelling, etc.

  But after Chen Nan used various treatment plans successively, none of them worked!

   It cannot be said that there is no way.

   It's just that the effect is far from what Chen Nan expected.

   Therefore, continuing to repeat clinical virtual space simulations did not have much effect. Chen Nan could only quit again and again, and then research again and again.

   It stands to reason...

  This kind of pulse condition is nothing more than excessive dampness and heat, or it develops to a certain stage and becomes flaming heat and toxin, or phlegm is turbid, or heat enters the pericardium...

   But these programs did not play a very good effect.

   Therefore, in this case, Chen Nan's thinking began to fall into a deadlock.

   How to break the game has become the key!

   But at this time!

  The Huaxia delegation has also started planning to settle in.

   At this time, the American Medical Center set up by Jarvis, the liver disease leader of the American Association of Physicians, has already achieved very good results.

  For the treatment of early patients, it seems to be under certain control.

  However, the most important thing about this disease is the mortality rate.

  If it is common hepatitis, it can be cured slowly.

  So!

  Many Chinese people living in India, Thailand and other countries, at this moment, began to ask for help in China.

  In today's Internet explosion, such news quickly became a hot topic.

  Many people went online and started spreading and reposting.

   "Save your fellow man!"

   "Ask the national team to make a move..."

   "I hope the motherland can help..."

   "When will the medical version of Wolf Warrior appear?"

   There are more and more similar voices at this time.

   Even these voices reached the ears of many key people.

  In China, the convening work has also come to an end, and now the only thing missing is the leader!

  However, this time...

  American Medical Center, Jarvis published an article on The Lancet.

  This article is mainly about the treatment situation during this period, as well as the research on the disease characteristics of this hepatitis E virus.

   And they even gave a direct guide.

   Soon, as soon as Jarvis's article was published, it instantly detonated the medical circle.

  The world once again marveled at this "American action".

  Jarvis's article played a very important role in early treatment and prevention and control.

   But at this time!

  Jarvis was interviewed by reporters, and after speaking a classic media language, he said something like this:

   "I'm actually looking forward to Huaxia's performance, but unfortunately, it seems that they haven't arrived yet."

   "However, I believe that they will come. Huaxia has the most passionate group of doctors in the world, and their medical ethics are beyond doubt."

   "But I'm curious, who is Huaxia taking the lead this time?"

"Also, I don't know what kind of effect Chinese medicine will play in this work, but these few international conferences have allowed us to see the role of Chinese medicine. I am very curious as a separate medicine Disciplines have a mature system, can they play their due role?"

   "This time, in fact, it is also a touchstone for Chinese medicine. Whether Chinese medicine has the strength to stand alone, these are not based on propaganda, but on actual actions."

   "Professor Chen Nan, will you come?"

   "To be honest, I'm curious and looking forward to it."

   What Jarvis said obviously sent an invitation letter to Chen Nan.

   Even, this invitation letter, to be precise, is more like a challenge letter.

  This is Jarvis in the field of modern liver disease research in the United States, questioning Chinese medicine and Chen Nan.

   This kind of questioning soon played a big role in public opinion.

  After more than a year, Chen Nan's enthusiasm in various fields and his reliance on traditional Chinese medicine technology have played a very good role in promoting and developing many diseases.

   In addition, this time Chen Nan ascended to the top of the World Association of Otolaryngologists, which made him famous both inside and outside.

  Chen Nan's fame will naturally attract the attention of many people.

  "World Journal of Infectious Disease Medicine" completely excerpted Jarvis's words, and said at the end:

   "The core of medicine lies not in hype, but in the battlefield of competition with diseases. I look forward to Professor Chen Nan's participation!"

   At the same time, although Chen Nan hadn't spoken yet.

  The World Health Organization, the head of the Infectious Disease Research Center, Dior made a statement.

   "Professor Chen Nan will join the WHO Hepatitis E Research Group."

  After this voice appeared, the hype in public opinion became even more intense.

but…

  Why hasn't Chen Nan appeared now? !

   And at this moment!

  The Huaxia Physician Association also held an emergency meeting internally.

  Xia Zhongyan personally took the lead in organizing the meeting.

  The Huaxia Physician Association has never been afraid of any danger in this regard. Perhaps they are very good at civil war.

  However, when they encountered problems, they never flinched.

  Zhu Dongliang is the leader in the field of liver disease in the Chinese Medical Doctor Association.

  He said directly: "I will take the lead!"

   "Go in person!"

   "Professor Chen Nan represents the direction of integration of traditional Chinese and Western medicine and the direction of traditional Chinese medicine."

   "And I represent the field of liver disease in Western medicine in China."

   "I have to go."

  "We can't let us be looked down upon by crooked nuts."

   "And, our countrymen, have waited long enough."

   "I have to go!"

  Zhu Dongliang is a leader born in the 1970s in the field of modern infectious disease medicine and liver disease research in China. He has also participated in many rescue work, and these experiences have become his most precious wealth.

   This time, he also did not refuse.

   But at this time, many people suddenly said:

   "Hmph, then Chen Nan was very loud, but now he has become a coward, nothing more than fear!"

   "Such a person can become a commissioner consultant in the Health and Medical Commission. Why don't we have such a person in Western medicine?!"

   "Besides, so many of us have worked hard, President Zhu, if you ask me, you are blocking Chen Nan's gun, and he doesn't even appreciate it."

   "If you want me to say, we can also fight for our interests."

  Zhu Dongliang frowned. Although he didn't like this kind of internal struggle and style, he didn't speak, because he knew that this was actually the voice of many people.

  Master Xia Zhongyan coughed when he heard the sound.

  He knew that these voices were for himself.

Why…

  In Chinese medical circles, or in other words, from ancient times to the present, it has been said very clearly that there is no first place in literature.

  Scholarship is light...

  He knew that there were also many people inside who were not convinced by Chen Nan.

  Xia Zhongyan couldn't help shaking his head, and stopped the topic this time:

   "Okay, President Zhu, you won't go in vain this time, I will report to the superiors."

   In this way, the topic finally stopped.

   And the next day!

  When the news came that Zhu Dongliang personally led the team to India, he was immediately praised on the Internet.

  The domestic media will naturally not give up the report of "winning the country" this time.

  One time...

  The news of Zhu Dongliang quickly caused an uproar in the country.

  And Chen Nan...

  No news at this time.

  At this time, Chen Nan has gone through many researches.

  He suddenly found out!

  My starting point this time was already wrong.

  This time, the illness may not be able to use the previous thinking mode to think about.

   Instead, some new dialectics should emerge!

for example…

   "Poison!"

   It cannot be viewed simply from the perspective of damp heat and detoxification.

   Repeated treatment mistakes made Chen Nan realize that "poison" is not an end point.

  It is the product of the development of the disease to a certain stage.

   And he will continue to develop and evolve.

for example…

   "Damp poison", "Blood poison", "Stagnation poison", "Blood poison"...

etc!

  These effects will be better if medication is used during the dialectical period.

  The effect of internal medicine is not bad.

  It is the case that the liver metabolism of the human body has already occurred problems.

   A new form of treatment may be needed.

   After spending nearly a million praises, Chen Nan finally got a generous reward!

at this time…

  Chen Nan silently began to select soldiers and generals, and went to India.

  (end of this chapter)

Chapter end