Chapter 325: Stabilizing the Condition
Next.
Half past eight in the morning.
Zhao Heng came to the hospital early, last night's supper, it can really be said to be an adventure, Zhao Heng and Uncle Luo Ji chatted about speculation, and they have already made an appointment to meet next time.
Next time, the two will meet in Luo Ji's studio, and the uncle will teach Zhao Heng how to shoot videos.
In this way, it is very wonderful that Zhao Heng has an inexplicable New Year's friend.
In the office, the morning meeting is underway, and Wang Tao, who is on night duty, is handing over work with Zhao Heng, Li Yang and Liu Meng.
Now the division of labor in the ward is very clear, Wang Tao, Li Yang and Liu Meng, one person is responsible for the night shift, the other person is responsible for the day shift in the ward, and then there is another person who is responsible for receiving transferred patients.
As for Zhao Heng, he can finally make time now.
The database of anesthesia assistants and the development of siRNA micelles of nanomaterials all take a lot of time.
Now that he finally has an experienced clinician to share his work, in the future, he only needs to play in patients that Liu Meng and Li Yang can't handle or judge.
The reason why I had to transfer doctors from the emergency department was because I shared the clinical work at hand.
However, Zhao Heng is not ready to expand the ward anymore, and when he is too busy in the future, he can just transfer two more doctors and nurses over.
"Let's start the shift, Dr. Wang, you can tell me about the night shift first."
Zhao Heng sat at the top of the desk, looked at Wang Tao and the nurse Tian Zhen, and said slowly.
In the past, when I was interning in the hospital department, every time I encountered the handover meeting of the department, Zhao Heng stood behind the teacher and listened to the whole process.
If you change to someone else, you have to work hard for at least ten or even twenty years to get to such a position.
"The situation of the night shift is basically stable, that is, Ma Xiaochen's symptoms of headache and nausea are obvious now, but they have been controlled with medication."
Wang Tao said slowly.
As soon as Wang Tao's words came out, the faces of the people present were a little solemn.
The symptoms of glioma are related to the degree of tumor malignancy, the patient's age, location, growth rate and other factors, and the most common symptoms include increased intracranial pressure, neurological dysfunction and seizures.
Patients may experience headaches, nausea, vomiting, seizures, psychiatric symptoms, speech disorders, movement disorders, paresthesias, decreased vision, visual field defects, personality changes, memory loss, etc.
Therefore, once the patient has symptoms such as headache and nausea, it means that the process of tumor development is very rapid, and the condition is not optimistic.
"The preparation of carbon nanotubes and the loading of drugs, with the current progress, will take at least three days, and in these three days, Ma Xiaochen's condition must be stabilized. After the ward rounds, please ask Director Liu of the Department of Brain Surgery to come over and discuss the treatment plan together. ”
Zhao Heng said to Liu Meng, Li Yang and Wang Tao.
Liu Ziang is a master of brain surgery, to be honest, some of Zhao Heng's treatment experience in brain surgery now comes from Liu Ziang.
This is equivalent to the difference between genuine and pirated, although Zhao Heng has mastered 99% of Liu Ziang's experience, but the remaining 1% is personal inspiration and talent.
"Okay."
Liu Meng and Li Yang nodded, since entering the ward, compared with their previous lives in the emergency department, the work in the ward is not much easier, and with Zhao Heng's words, the patients they come into contact with are basically incurable diseases, which is still very beneficial to the improvement of the two people.
This is the advantage of following the right person, even if being a doctor is a very technical job, but with an experienced senior doctor, the improvement can still be very rapid.
Although Zhao Heng is young now, technically speaking, he is no longer on par with the chief doctors in other departments.
Even in terms of the breadth of professionalism and knowledge, Zhao Heng is stronger than the directors of those departments.
"Ma Xiaochen, this patient is a bit special, I think you also know who his parents are, although it is said that for us doctors, all patients and family members should be treated equally, but in practice, I think you still have to pay more attention, if you are not completely sure, try not to say it."
Zhao Heng instructed the two again.
Although when they came yesterday, Ma Jianteng and Liu Qing were very polite to Zhao Heng, but Zhao Heng knew this politeness only because Zhao Heng was the attending doctor of the couple's children.
In this society, wealth can bring too many things to a person.
Hearing Zhao Heng's words, Liu Meng and Li Yang nodded again, although Zhao Heng is younger than them, he is still relatively mature in terms of receiving people and things, they were worried about Zhao Heng before, because he is young, he will be more idealistic in the handling of some things.
Soon the morning meeting ended, and after the morning meeting, Zhao Heng took three doctors to the ward for rounds.
When he came to Ma Xiaochen's hospital bed, Zhao Heng saw that Ma Xiaochen's face was pale, and his spirit did not look very good.
This is also normal, because glioma is a malignant tumor that consumes a very large amount of money on the human body.
In addition, glioma is a tumor of the brain, which can cause some symptoms such as headache and vomiting, so it is very difficult for patients with advanced glioma to eat and digest.
Because there is no food and digestion, then the body can only consume its own stored nutrients, which can lead to extreme weight loss in patients with glioma in the later stages.
Seeing Zhao Heng coming over and sitting next to the hospital bed, Liu Qing stood up, and she asked Zhao Heng with some eagerness: "Doctor Zhao, can the treatment plan be determined?" ”
Just yesterday, some of her partners and acquaintances persuaded her to take her son abroad for medical treatment.
In the eyes of these people, there is simply no doctor in the country who can cure her son.
Liu Qing rejected this kind of suggestion, if she could cure her son abroad, she would not have come back with the child, you must know that they were treated at the Mayo Clinic, which is known as the best hospital in the world.
"Wait a minute, Director Liu from the Department of Brain Surgery will come over, and we will work out a treatment plan together at that time."
Zhao Heng said slowly.
"Dr. Zhao, what about the new nanomaterials that you mentioned earlier that can be used in therapy?"
Liu Qing asked again.
"The development of siRNA micelles will take some time, and at present, carbon nanotubes can be loaded with drugs to stabilize the disease. For the therapeutic use of carbon nanotubes, we still have experience on our side. ”
Zhao Heng explained and said, in the advanced stage of glioma, the possibility of success of the operation is very slim, Zhao Heng dared to say that at present, in any hospital in the world, it is impossible for any doctor to have better treatment for Ma Xiaochen.
The doctor is not a god, and the treatment of the patient is still limited by the actual conditions.
"Doctor Zhao, I'm sorry for you."
Hearing Zhao Heng's words, Liu Qing's heart settled down a lot, nodded and said.
Liu Qing knows that professional things should be done by professional people, and if it is a layman, it is best not to point fingers at professional people.
This is because he deeply understands this, so in the treatment of his son, Liu Qing will not exert any external pressure on Zhao Heng.
Of course, to invest in Zhao Heng's project, Liu Qing did this thing more hiddenly.
At the same time, she also knew that Zhao Heng would soon find out that the investment was from his husband's company, but this kind of thing was tacitly accepted, and there was no need to say it in the open.
As mentioned earlier, doctors are not gods or saints, but also need to eat, drink, and work hard for three meals a day, food, clothing, shelter and transportation.
Maybe some people choose to be doctors because of lofty ideals, but for Zhao Heng, at the beginning, his original intention of choosing to study medicine and become a doctor was only because of the good treatment of doctors, the relatively high social status, and the stability.
After checking the room, Zhao Heng returned to the office with three doctors.
As soon as he returned to the office, Liu Meng said with some sighs: "I didn't expect the richest man's wife to be so kind, I thought it would be the kind of chaebol wife who was played on TV." ”
"This is not in the country of kimchi, where is there a chaebol lady in our country."
Hearing this, Li Yang couldn't help but shake his head and said.
Dongfang Hospital was originally the top tertiary hospital in the country, and there are many political and business celebrities who see patients here, but there are relatively few people who can remember Ma Jianteng and his wife in terms of status.
So for the doctors at the Oriental Hospital, celebrities or something, they don't feel it at all.
"Ma Jianteng wants to be a chaebol, but I'm afraid he doesn't have this opportunity."
Liu Meng said again.
"Okay, let's not discuss whether people should be chaebols, we must pay attention to Ma Xiaochen's condition at any time in the past few days, and after the carbon nanotubes come out, Ma Xiaochen's condition can really be stabilized."
Zhao Heng interrupted the chat between the two and said slowly.
This kind of behavior of discussing others behind his back, Zhao Heng felt that it was not good at all.
Although he didn't know how many people were talking about him behind Ma Jianteng, Zhao Heng still felt that this kind of behavior of talking about people behind his back was probably not good.
"Can this siRNA colloidal beam be studied so quickly?"
Liu Meng asked with some doubts, although she is not a professional in scientific research, but she also knows that a new nanomaterial is not so easy to be developed.
"If it is developed from scratch, it will naturally not be able to be studied so quickly, after all, siRNA colloidal beam is a new nanomaterial, but Professor Li Hongwei's laboratory has been engaged in nanotherapy research, so it has a certain foundation."
Zhao Heng explained.
If he hadn't had such a basis, he wouldn't have made such a proposal.
"And because of the previous patients infected with Fuchonia infection, we have experience in treating with carbon nanotubes, and carbon nanotubes loaded with drugs can well stabilize Ma Xiaochen's condition."
After a pause, Zhao Heng said again.
As soon as he said this, Liu Meng and Li Yang understood.
Zhao Heng's practices don't look like young people at all, they are very mature and steady, and they are far-reaching.
While several people were chatting, Liu Ziang came in from outside the office.
"Director Liu."
Seeing Liu Ziang coming in, Liu Meng and Li Yang hurriedly said hello to Liu Ziang.
After all, Liu Ziang is a master of brain surgery, but now he is the deputy director, but it won't be long before he becomes the director.
In the face of such heavyweights, Liu Meng and Li Yang still have to show the respect they deserve.
"Hmm."
Liu Ziang nodded to Liu Meng and Li Yang, his face was very kind, which was completely different from his usual cold style.
Liu Ziang and Zhao Heng have a good relationship, and Liu Meng and Li Yang are doctors under Zhao Heng, so Liu Ziang has such a good attitude towards Liu Meng and Li Yang.
Otherwise, if it was someone else, Liu Ziang would not have looked at this kind of resident doctor.
"Junior brother, I heard that you are going to work with Professor Li Hongwei to develop a new nanomaterial siRNA colloidal beam, right?"
Liu Ziang asked Zhao Heng.
In Liu Ziang's eyes, Zhao Heng has always taken an unusual path, either there is no movement, and if there is movement, it is the kind of satellite that is released.
"Well, the difficulty in the treatment of glioma is that it is difficult for the drug to cross the blood-brain barrier, and siRNA, a nanomaterial, can easily pass through the blood-brain barrier and reach the lesion. At the moment, the patient's condition is not possible with surgery at all, and this is the only effective treatment I can think of. ”
Zhao Heng nodded and said.
In the entire East Hospital, he and Liu Ziang are the most compatible, and the two can understand each other's thoughts the most.
In this, there is a part of the relationship between Zhao Heng who integrates Liu Ziang's experience, and part of it is because the personalities of the two people are very similar.
Although Zhao Heng is not as cold as Liu Ziang shows, he is actually the same in his bones, and he is a very proud person.
"In the case of glioma, this is indeed the case, and even in the early stage, the difficulty of surgery is very great, if you succeed in this method, then you have created a new field of treatment for glioma."
For glioma, Liu Ziang, who is a brain surgeon, is naturally very familiar.
Although glioma can be treated with surgery, even if it is Liu Ziang, the success rate of this kind of surgery is very low.
To use a more figurative metaphor for glioma, it is like a cauliflower growing in the middle of tofu.
If you do surgery, you have to peel this cauliflower completely from the tofu without hurting the tofu at all, which is difficult to imagine.
"Even if it could open up a whole new therapeutic field, it would be too difficult to generalize. Okay, let's not talk about this, senior, Ma Xiaochen's situation is still not optimistic, the most important thing at present is to stabilize his condition, you have the most experience in this area. ”
Zhao Heng said to Liu Ziang.
"You're catching me again."
Liu Ziang smiled and said.
Seeing Zhao Heng and Liu Ziang talking and laughing, Liu Meng and Li Yang were very envious in their hearts.