Chapter 72: The Two Old Men Debate the Doctor

"Yo, Professor Tang, you are superior, live in a single room. Old Man Mei made a joke about Old Tang.

"There's no way, I'm not used to living in the big ward, and there are no two-person or three-person rooms. Old Tang smiled, "You think the single room is comfortable, it's too lonely, and there is no one to talk to." ”

"Then, this is the nanny I found for you, the big star Zhao Wei. Old man Mei said.

"I'm a big star. Zhao Wei smiled, "Zhao Wei, from Chongqing." ”

"Oh, good, good. Old Tang smiled, "I didn't expect that I would be old and find a big star to be a nanny, this life is enough." ”

"Do you usually cook spicy?" asked Old Tang.

"It depends on what your taste is. Zhao Wei said, "Light can also be done." ”

"I'm from Wenzhou, I don't know if the food in Wenzhou will be cooked. Old Tang asked.

Before Zhao Wei could answer, Old Man Mei replied on his behalf, "Xiao Zhao doesn't know how to cook any dishes, even if he can't cook, it's easy to learn, isn't it? Besides, you don't have many Wenzhou dishes at all." ”

Zhao Wei heard Lao Tang say that he was from Wenzhou, her heart moved, and she remembered Kang Shuncheng again.

"It's okay, I can learn. Zhao Wei said, "Try to satisfy you." ”

"What are Xiao Zhao's requirements for salary?" asked Old Tang.

"I haven't done this before. Zhao Wei said, "You can do it." ”

"He's a real person. Old Tang said, "I used to ask for 3,000 yuan a month." But there are more things and more complicated. The house costs a little more, 4,500 yuan a month. I wonder if you're willing to do it?"

"As long as you, Professor Tang, can afford it. Zhao Wei said with a smile, "We are a bitter child from the countryside, what can't we do." ”

"The mouth can still speak. Professor Tang praised.

Zhao Wei didn't answer, just smiled slightly, and accepted Professor Tang's praise.

"Who else is in the family?" asked Professor Tang.

"There's no one left in my mother's house. Zhao Wei said, "I married in Yichang." My husband is also in the hospital, and it is in the gastroenterology department on the 24th floor. ”

"Oh, gastroenterology, and Lao Mei in a ward. Professor Tang said, "Hepatitis B too?"

"Ahh Zhao Wei didn't know why.

"Hepatitis B. Professor Tang muttered.

Could it be that this old guy dislikes hepatitis B? It turned out that Yuan Man told Zhao Wei how unpopular hepatitis B was, and Zhao Wei didn't believe it, but now it seems to be.

"Old Tang, could it be that you are also prejudiced against hepatitis B?" said Lao Mei dissatisfied.

"I'm a professor in medical school, would I be biased against hepatitis B?" said Professor Tang with a laugh.

"That's also Ha, you are an expert in liver disease, how can you be biased against hepatitis B. Old man Mei said.

"That Director Jiang is still my student. Professor Tang laughed loudly, "If I am biased against hepatitis B, can I teach a director who treats liver disease?"

"I said, Professor Tang, you have spent so much money from the state, why can't you find a cure for hepatitis B?" said Old Man Mei teasingly.

"Don't be sarcastic about us health workers, we are also actively researching the latest treatments for hepatitis B. "Unfortunately, the global rate of successful hepatitis B cure is only 5%. At present, the main use of antiviral drugs to counteract the replication of the hepatitis B virus and the use of interferon. ”

"Then why can't hepatitis B be cured?" asked Old Man Mei.

"The reason why hepatitis B is difficult to treat is mainly related to the four characteristics of the hepatitis B virus. These four characteristics are hepatophilic, panophilic, variable, and non-lethal. Professor May said.

"What do you mean?" said the old man, "I don't understand, explain." ”

"Hepatotropic refers to the fact that after the hepatitis B virus infects the human body, it can not only replicate and multiply in the liver cells with the blood, but also directly bind to the liver cell membrane through the hepatitis B virus receptor on the liver cell membrane. Professor Tang said.

"What you mean is that the DNA of the hepatitis B virus and the DNA of liver cells are combined, and you have me, and I have you, so that the DNA of the hepatitis B virus cannot be recognized. Old man Mei said his understanding.

"Yes. Professor Tang said approvingly, "The old college students are really different, and their understanding is outstanding." ”

"Where, where, continue. Old man Mei said.

"Pantropism means that hepatitis B virus can not only invade liver tissue, but also enter other organs or tissues of the human body, and can even infect tissues that lymphocytes cannot reach, such as surrounding blood mononuclear cells, spleen, bone marrow, small intestine, pancreas, adrenal glands, **, ovaries, etc., which greatly increases the difficulty of hepatitis B treatment. Professor Tang explained the second reason why hepatitis B is refractory.

In this way, the hepatitis B virus does not act solely on the human liver, but travels throughout the body like cancer cells. Old man Mei said.

"Yes. "That's why it's domineering." ”

"The third reason for variability is that the hepatitis B virus can mutate. Old man Mei said, "I am as the name suggests." ”

"Yes. The third reason why hepatitis B virus is refractory to treatment is that the virus is variable. "The hepatitis B virus mutates easily and can mutate spontaneously or in drug treatment. After the virus mutates, it not only changes the pathogenicity of the human body, but also seriously affects the diagnosis, treatment and prognosis of hepatitis B. ”

"So we have a karma for patients with hepatitis B. Old man Mei said, "I can only take medicine every day and wait for death." ”

"Don't be pessimistic. Professor Tang said, "There are drugs that can control the replication of the virus." ”

"What's the use. Old man Mei said, "Doesn't the hepatitis B virus have an unkillable character? ”

"Yes, the inlethality of the hepatitis B virus is the fourth reason why hepatitis B is refractory. Professor Tang said, "After the hepatitis B virus enters the human liver cells, it can form the original replication template of the hepatitis B virus under the action of cellular enzymes - covalently closed circular gene. ”

"Since it can't be cured, why do you need to take medicine?" said Old Man Mei, "The annual cost of medicine is also a large amount. ”

"Take medicine, at least you can resist the replication template of the hepatitis B virus. "If you don't take the medicine, you will wait for the hepatitis B virus to replicate unscrupulously, and eventually lead to liver cirrhosis and liver cancer." ”

"Do you want to resist the replication of the hepatitis B virus, or do you want to get cirrhosis?" Professor Tang asked, "It's a personal choice." ”

"Is it difficult to eliminate the hepatitis B virus?" asked Old Man Mei.

"I can eliminate it. But not now. Professor Tang said.

"What do you mean by that?" asked Old Man Mei.

"China's greatest experience and contribution to the fight against hepatitis B is the hepatitis B vaccination project. The first dose of hepatitis B vaccine after birth has a coverage rate of 90% in China, which is a remarkable achievement. In 2015, the China Foundation for Hepatitis Prevention and Control launched the 'Zero Mother-to-Child Transmission of Hepatitis B' Project. "In other words, all newborns have been vaccinated against the hepatitis B virus, and the possibility of contracting the hepatitis B virus can basically be said to be zero." ”

"Oh. I get it. Old man Mei smiled, "When our group of people infected with the hepatitis B virus die, the hepatitis B virus will naturally become extinct." Isn't that right?"

Professor Tang nodded and said helplessly, "Your understanding is correct, and the basic facts are so. But as a state, the relevant departments, and our medical front, we cannot say the same. This is a very sad and helpless reality. ”

"But 10 per cent of the new population is still not covered. Old man Mei said, "I hope the country will pay close attention and not miss this 10%, otherwise the achievements will be wasted." ”

"Yes, what you are worried about, the state must have noticed. "The situation will get better." It's just that the current batch of patients infected with the hepatitis B virus really feel very guilty in our hearts. ”

"In that case, why doesn't the state subsidize people with chronic diseases like hepatitis B?" asked Old Man Mei rather resentfully.

"Some provinces and cities are implementing it. "The state has not yet launched such a project. ”

"In terms of transmission routes, HIV and HBV are the same. The same is true in terms of the discrimination received. Why does the state have a 'four frees and one care' policy for AIDS patients, and only ignore hepatitis B patients?" asked the old man Mei.

In response to Old Man Mei's question, Professor Tang gave this answer, "Regarding the treatment of AIDS, there is a misunderstanding, that is, all AIDS treatment is free, but in fact, it is not. Treatment of AIDS is divided into two parts. The first is to treat opportunistic infections, that is, fever, cough, diarrhea and other symptoms, common pneumonia, sepsis, fungal infections, etc., which require hospitalization and need to pay for themselves. The second is the cost of antiviral treatment, which is free. But basically, every follow-up visit requires a blood test to see if there are any drug toxicity, side effects, or whatever. The cost of each time is about 100 to 200 yuan, and you have to pay for this yourself. ”

"But his antiviral drug is free, but the antiviral drug for hepatitis B is self-paying, and the national medical insurance does not reimburse it. I just don't understand this difference, why is there such a difference?" asked Old Man Mei.

"This is a policy at the national level, and we don't know much about it. Professor Tang said, "It will get better gradually." After all, there are as many as 120 million hepatitis B virus carriers in China, including hepatitis B patients. It is impossible for the State not to attach importance to this issue. It may also be the huge medical expenses brought about by the huge population, which makes it difficult for the country to bear it for the time being. That's all I can understand for now. ”

The two old men were spitting and arguing there, and Zhao Wei couldn't understand those professional terms. But she understood one thing, hepatitis B cannot be cured, and Yuan Man can only live like this for the rest of his life. The burden on her shoulders suddenly became heavier, and the road of life became bumpy and rugged.