After resting at home for two days, Sun Lien received a call from Mei Ying. Li Yuhan's test results were released, and both she and her mother had heterogeneous mutations in m.3243A>G. In other words, the nucleotide 3243 of the mitochondrial genome of the two people changed from A to G.

The most common type of genetic mutation in mitochondrial encephalomyopathy. In the past, 80% of MELAS patients had M.3243A>G heterogeneous mutations, and about 10% had M.3271T>C heterogeneous mutations. Both Li and her mother had the M.3243A>G mutation, which may explain why Li Yuhan developed the disease earlier and more severely than her mother. Studies have shown that after the mutation is inherited from generation to generation, the mutated mtDNA will gradually increase, and the phenomenon of early inheritance will occur. Because Li Yuhan's parents did not provide the doctor with a history of myocarditis and the early death of a daughter, and the treating physician did not pay much attention to it, it led to three consecutive misdiagnoses.

"I have already talked to Li Yuhan's parents about the misdiagnosis. On the phone, Mei Ying's voice sounded a little helpless, "However, they still plan to file a complaint with the Health Commission." ”

"This is also people's rights......" Sun Lien was also a little helpless when he listened. To be sure, the first three misdiagnoses were not all the doctor's fault. Although mitochondrial encephalomyopathy is the most common maternal genetic disease, neurologists have been able to diagnose only 200 cases of genetic disease that have been reported in China and abroad in the last decade without adequate medical history provided by the patient's family, and this case is atypical...... It's still too difficult. "But at least from my point of view, I don't think the doctors in front of me made any mistakes. ”

"My mouth is almost worn out, but unfortunately people don't listen to me. Mei Ying muttered a few more words, and then asked, "When will you return to Ningyuan?"

"Hu Jia and I are on leave until next Tuesday, but we feel like we've been staying at home for the holidays...... On the contrary, I am a little unaccustomed. Sun Lien said a little embarrassed, "I have already called our director, and we will go to Ningyuan the day after tomorrow, and the extra vacation will be moved to spring break." ”

"The day after tomorrow?" Mei Ying suddenly became happy, "That's great, let's go together then." ”

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Mei Ying went to the Fourth Central Hospital of Ningyuan City to discuss cooperation between the hospital.

With only the investment of Zhongfu family, at least only the first phase of Zhongfu's investment, Zhongfu Hospital will never become what Mei Ying originally envisioned. Behind any well-known tertiary general hospital is the result of billions or even tens of billions of continuous investment, more than ten years or even decades of continuous development.

A private company that had never done business in the medical industry suddenly started buying a hospital. If you don't plan to follow the example of the Putian hospital, you plan to start medical services in a down-to-earth manner. Then there has to be a strong reinforcement.

Public hospitals can be backed by universities, and they can start to cooperate with other research institutes or even foreign institutions. But private hospitals don't have such good resources, and if they want to develop, they have to use some other means.

For example, in cooperation with a public hospital.

This public hospital is better the kind of hospital that is too busy with its own business to take care of, and patients from surrounding cities and even neighboring provinces will choose it. In this way, the other party does not have to worry about diluting its own business volume after reaching a cooperation agreement. At the same time, this public hospital also needs to have a relatively strong training system, so that it can continue to provide talents for Zhongfu Hospital and fill the medical system supported by the existing backbone.

Finally, it's better for this public hospital to have no other branches and campuses – so there is no need to worry about other branches competing with Zhongfu Hospital for resources.

At present, in the entire Song'an Province, only the Fourth Central Hospital of Ningyuan meets this series of conditions. And what makes Mei Ying happiest is that Sun Lien can still speak in front of Dean Song.

Of course, Sun Lien naturally couldn't influence Dean Song. But he was able to convey to Mei Ying the attitude of seeking cooperation, and in a more natural way.

Sun Lien didn't take this matter very seriously. Although Dean Song is usually quite cool, he is still a dean who is very good at talking and willing to communicate with grassroots doctors.

According to Mei Ying's plan, she will first go to Ningyuan Medical College to visit her former teachers and classmates, and the process will take about three days. On the fourth day, she went to the Fourth Courtyard again to talk to Dean Song about cooperation. And Sun Lien needed to inform Dean Song about relevant matters on the first day of returning to the Fourth Academy.

returned to the Fourth Hospital, Sun Lien did not start any work at all in the morning - according to the arrangement of the hospital, he, Liu Tangchun and Hu Jia, as employees of the Fourth Hospital of the medical team, had to accept the commendation first.

Yes, Liu Tangchun is also back. Liu Tangchun, who said goodbye to the four deans for a year, like Sun Lien and Hu Jia, was itchy all over his body after staying at home for three days. So, after receiving a call from Sun Lien, he resolutely prepared to return to work early.

"Lien, you should be mentally prepared. While seated in the auditorium, Liu Tangchun whispered to his students, "Hu Jia's time in Africa is about the same as mine, and she has the possibility of being promoted." You've been there for less than three months, though...... It's a little harder to get promoted. ”

"Do I still have a chance to be promoted?" Sun Lien asked with a wry smile, "I am still a regular training now, at most, I have a medical certificate and can practice independently." Where can I find a promotion opportunity......" He paused and asked with a smile, "Otherwise, Mr. Liu, you will give me a credit and let me graduate without a thesis?"

"Do you still have to worry about the paper?" Liu Tangchun laughed twice, "Chen Wen's case report will be released next month, a case report in New England, not to mention a master's graduate, this thing is enough for you to eat to the vice high school." ”

The thesis is a threshold that all doctors can't get around. A dissertation is required for graduate students and a dissertation for doctoral graduation. According to the size of the SCI partition and impact factor, schools and institutions in different regions have different requirements.

Taking Ningyuan Medical College as an example, graduation from a master's degree generally requires two Chinese cores. The requirements for master's degree are stricter, requiring one article with three districts or more. If the three regions cannot be published, then there are two SCI papers with more than four regions, and the total impact factor is greater than three points.

And one of Sun Lien's case reports can be made in New England. What is this concept? Zone 1 article, impact factor 70.67 points.

If this bunch of impact factors can be split, Sun Lien's article alone will be enough to save 23 scholars from the boundless sea of suffering. Anyway, Liu Tangchun himself has never published a district article, and now his name is about to appear in the corresponding author column and be published in the new issue of New England...... To tell the truth, Comrade Liu's heart is mixed.

The commendation meeting came to an end quickly, and the main reason was that the four institutes under the leadership of Dean Song were not very in the mood to commend them. If you have this time, you might as well go and see a few more patients. However, Sun Lien still heard two amazing news from Dean Song.

Liu Tangchun was promoted to vice president, presiding over and leading the work of the emergency department and the diagnostic center. Dean Song announced the personnel changes of the "superior research decision" on the stage expressionlessly, "Sun Lien is the deputy head of the diagnosis team of the comprehensive diagnosis center. ”