Chapter 1071 Fourth Uncle
The rabies patient at the Nandu Affiliated Hospital is still in a coma, but this is an active and controlled coma, that is, hibernation therapy, which can stop the brain from working and prevent the hypoxia caused by complications from affecting brain cells. It is like actively freezing a piece of fresh meat in the refrigerator to avoid the damage caused by high temperature weather.
After a few days of treatment, the antibody titer of rabies virus has not changed much, but Yang Ping is not in a hurry now, and can only wait patiently for the disease to turn around. His new plan can only protect the brain from damage, and the human body's own immune system must be relied on to deal with rabies virus.
For this patient, the leader of the National Health Commission called Professor Su almost every day to understand the patient's condition. Although he knew that the final outcome would not change, he still hoped that there would be a miracle. Once this young scientist had an accident, an important national defense project would be delayed. The leader was also confused about why he had this incurable disease.
Without vaccination, once rabies attacks, the mortality rate is 100%. The leader is also a medical expert and understands this truth very well.
But when they heard that Yang Ping was using a new method for treatment, the eyes of the leader of the Health Commission lit up again. This young man was a seed player in everyone's mind. He had a new method, which meant that there was still a glimmer of hope for this patient.
The leader of the Health Commission was immediately happy: "Lao Su, if you really save the patient, I will give you a great credit. In the future, when you come to me to do things, you will get a green light all the way. Of course, you must do what I can do and it does not violate the principles."
Lao Su also seized this rare opportunity: "You said it, don't deny it when the time comes."
This leader and Professor Su are good friends and have a very good relationship, so the two of them also chatted more easily.
In fact, Professor Su knew very well that there would be no risk in using new methods for this kind of case from any angle, so he strongly encouraged Yang Ping to use it. There is no need to worry about a case with a 100% mortality rate. Since there is a glimmer of hope, just go all out.
To put it bluntly, you have made a contribution if you save the patient, and there is nothing wrong with not saving the patient, because it is the same if you don't use the new method.
The leader of the Health Commission had just finished the call, and then the call from Director Liu of 301 came. Director Liu knew that Yang Ping was leading the treatment now, so there was nothing to say. If he couldn't do it, then no one could. Director Liu also sent experts, but it was just a formality to show an attitude. With Yang Ping there, who would dare to give guidance.
The leaders of both sides had just finished the call, and Professor Su's phone was hot. The leaders of the General Logistics Department and the Science and Technology Commission all called, and one of the leaders was Su Laosi from his family.
Because this young scientist was so important, Su Laosi decided to go down and see it in person, and by the way, see his nephew-in-law. He had never seen him even though his second brother had said so much.
Su Qinghe had heard of this nephew-in-law many times, but he had never seen him. This time he happened to meet him.
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Yang Ping would participate in the daily treatment summary meeting. Not only the experts from the First Affiliated Hospital of Nandu Hospital participated, but also several other experts from other hospitals would participate through video networking, including Union Hospital, 301, West China, etc.
Now to sum up, the doctor had no problem in diagnosis, and discovered the disease very early.
Let's review this patient now. The patient's name is Chang Qirui, 39 years old, male. On the second day after the patient went home to visit his family, he occasionally had numbness and tingling in his right hand. At that time, he did not pay attention to it, thinking that it was just a cervical spondylosis attack, and took a diclofenac sodium analgesic. On the third day, double vision appeared in front of his eyes, and on the fourth day, he felt dizzy, nauseous and vomited. At this time, the patient found something wrong and immediately told his companions about his discomfort.
There was a health doctor accompanying him, but he was a general practitioner. He immediately arranged for Professor Chang to come to the emergency department of Nandu Affiliated Hospital No. 1 for treatment. At that time, the entire diagnosis and treatment process was arranged by Professor Su himself. The emergency department of the Affiliated Hospital No. 1 immediately gave him a magnetic resonance imaging examination and found no abnormalities. On the day of the consultation, the patient's condition worsened: he suddenly had a high fever and could not move the right half of his body.
This is a big deal, so the patient was immediately arranged to be hospitalized. Where should he stay? At that time, in order to facilitate treatment, the patient was directly arranged to enter the ICU. The first neurologist who consulted was Director Qi of the Department of Neurology. During the consultation, he found that the patient had tremors and flaccid paralysis on the right side of his body. He immediately did routine cerebrospinal fluid and biochemistry tests on the patient, which showed that he was infected with a certain virus, but all the virus test results were indeed negative.
This made Director Qi a little embarrassed. In order to integrate the strength of the First Affiliated Hospital, Professor Su immediately arranged for Director Yuan of the Infectious Diseases Department to consult urgently. When Director Yuan came, the patient's mouth was already bubbling.
Because of the popularization of rabies vaccines, the number of cases of rabies is actually very small every year. Now there are only more than 100 cases per year. If more than 100 cases are spread across China, there are only a few cases in one province, which can be said to be very few.
But the First Affiliated Hospital is the First Affiliated Hospital. After thinking for a while, Director Yuan of the Infectious Diseases Department immediately realized that something was wrong: extremely atypical neurological symptoms, drooling, fever, viral infection.
So a disease popped up in his mind - rabies. He immediately contacted the patient's family and asked if the patient had been bitten by dogs, cats and other animals.
The family members were also confused at the time, but his wife said that she had heard the patient mention that he was bitten by a wild dog when he and his roommates went hiking when he just graduated. The injury was not serious at the time, just a few teeth marks on the skin, so they did not take it seriously and did not get vaccinated.
After hearing this medical history, Director Yuan was almost certain that the patient had rabies.
Soon, the Laboratory Department of the First Affiliated Hospital found rabies virus antibodies in the patient's cerebrospinal fluid and blood, and rabies was confirmed.
In fact, following this line of sight, the diagnosis was very timely without any delay, and the treatment was also very timely. As soon as he arrived at Annex 1, he was admitted to the ICU for symptomatic treatment.
Rabies scares doctors because of its 100% mortality rate. Its incubation period can be as short as a week or as long as ten years. When the disease occurs, patients will be extremely excited, sometimes violent, and have specific hydrophobia.
Director Yuan of the Department of Infectious Diseases reviewed the patient's diagnosis and treatment process. There were no problems. Now it is how to treat.
How to treat it is now introduced by Yang Ping. Everyone is still very familiar with Yang Ping. In the medical field, it is now a legendary demigod. Anyway, it is becoming more and more popular, especially among young doctors. It is like talking about anime.
Looking at the experts at the table, Yang Ping also said very truthfully: "The method I proposed is neither a random thought nor a novelty, but has a sufficient theoretical basis. Since the cause of death from rabies is damage to the nervous system, Cause, why can't we seize this point and protect the nervous system through drugs to put the brain into a low-energy state? This can effectively reduce the occurrence of rabies complications in the brain and reduce damage to the nervous system. At the same time, the patient's immune system continues to operate. If during this period, the patient's immune system can produce enough anti-rabies antibodies, It can eliminate the virus, that is, let the patient fake death to engage in an immune race that deceives the virus.”
"The target of the rabies virus is the brain. This is usually the case. When the rabies virus invades the human body, the immune system fights bravely against it. After fighting, the virus decapitates the brain, the general, and the war is naturally lost. In fact, if The general will not be beheaded so quickly. It is still possible for the immune system to eliminate the virus, so we come up with a strategy to hide the general as soon as the war starts. Come, announce that the general has died in battle, so the virus that is good at beheading is no longer available. It can only continue to fight against the immune system. As long as enough time is given, the immune system may eliminate the rabies virus. The immune system could not before. The main reason for eradicating the rabies virus is that there is not enough time, or even if we gain the upper hand, the general will always be beheaded in the end and have to declare failure. "
It is easy to understand in this way, and the meeting does not seem so rigid. Since it is a new plan, everyone discusses it in a relaxed manner.
Director Yuan has also been thinking about this method these days. It is indeed very creative, but the theory is directly used without animal experiments and clinical experiments. However, this is also a special case. Since it is a 100% mortality rate, that is To use new methods is to strive for breakthroughs, and the worst thing is to maintain the status quo - 100% mortality rate.
If my previous support for Yang Ping was due to Professor Su's face and Yang Ping's reputation, now after thinking about it for a few days, I am convinced. Regardless of whether this method is effective or not, at least it has made a breakthrough in theory. It has not been in the original circle. Swirling around.
The original method definitely won't work, but nothing new has come out, so we can only remain conservative for the time being. If it works, it won't have a 100% mortality rate. In fact, the original method has no method.
"Professor Yang, I have been thinking about it for so many days, and what you said does make sense. In the words of you young people, it is indeed very imaginative. Although I have not done any experiments, I think there is a certain success rate." Director Yuan He's not flattering, he's telling the truth.
Director Luo of the ICU said: "I think so. Some things can be judged theoretically. Even without experiments, we are somewhat sure. I just listened to Professor Yang's explanation. I didn't understand it at first. Is there any new method for treating this kind of disease? I just thought of it on the spur of the moment. But after listening to it, I felt quite touched. It is true that some things can be understood without experimentation. This new method has really given me insights. In fact, we have always done this for many things, regardless of whether the effect is good or not, without reflecting on it. Even come up with some ways to improve the effect.”
What everyone is telling the truth is that most of our work is usually repetitive, and we rarely think about innovation. After all, innovation comes with a price, and it is difficult for people without a certain degree of curiosity to have the motivation to innovate.
During the discussion, a doctoral student came in and said that the latest virus antibody titer had increased.
Increased? That was a turning point in the disease, which meant that the immune system had a great chance of eliminating the rabies virus. Yang Ping felt a little more confident.
At this meeting, not only senior experts participated in the discussion, but also gave young doctors the opportunity to participate in the discussion. Everyone felt a sense of intimacy when they saw Yang Ping, and they were bold when speaking. After all, they are all young people, and these doctors will all He treats him as one of his own.
After the meeting, Yang Ping was about to go home. Professor Su immediately called and told Yang Ping to go to his office as soon as possible.
Why are you going to the office? My father-in-law is not too busy today. I have brought him a lunch box and asked me to go there to eat. My father-in-law will not leave me to eat every time in the future. Yang Ping was walking to Professor Su's office muttering.
Seeing several guards in military uniforms in the corridor, he reported his name, and the guards immediately took him to Professor Su's office.
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Yang Ping was confused as to why there were still guards guarding Professor Su's office.
After knocking on the door and going in, he saw a majestic man in military uniform sitting inside. He looked very similar to his father-in-law. The flowers on his shoulders were of general rank.
"Why don't you come in quickly and call Uncle Fourth!"
"Fourth uncle!"
Yang Ping shouted quickly.
The general stood up and patted Yang Ping on the shoulder: "You are Yang Ping. You heard his voice before you saw him. You are very famous."
Yang Ping didn't even know how to reply.
"He's just a silly boy who only knows how to giggle and doesn't sit down and chat with his fourth uncle." Professor Su said lovingly.
Fourth uncle? Where is the fourth uncle? Oh, Yang Ping remembered. Of the four brothers of Professor Su, this fourth uncle has never been seen before. The other three were seen at Su Nanchen’s birthday party. I just heard from Xiao Su that this fourth uncle was here. force.
"He performed operations on several of my old leaders. He is very famous." Su Qinghe smiled heartily.
Yang Ping blushed, and Professor Su said: "Young people only know how to perform surgeries and can't speak. Don't mind, fourth child."
"Second brother, you have such vicious eyes. This young man is not an ordinary person. He is the youngest expert in the health care team. Several of my old leaders are full of praise for him. I finally met him in person today."
"Professor Yang!"
"Call me Xiao Yang!"
"Look, you are so humble. My old leader always calls you Professor Yang, and I call you Xiao Yang. If you meet the old leader one day, you will definitely be criticized." Su Qinghe joked.
"You can call him Xiao Yang among your family members." Professor Su said with a smile.
Su Qinghe thought for a while and said: "Okay, Xiao Yang, Professor Chang Qirui is now in charge of a very important project. Once something happens to him, the success of this project is likely to be delayed for 5-10 years. We did not expect that there would be an unexpected incident." For this kind of thing, I just heard your dad say that rabies has a 100% mortality rate. This is a fact that cannot be changed. But I heard that you are using a new method to treat it. Please tell me what you think about it. I'm sure, I can tell you a little bit, I just want to understand the situation."
"Because this method has never been used before, it's hard to say, but judging from the current changes in the condition, there is still hope, and it will not be said to be 100% fatal." Yang Ping replied.
The latest test report just now shows that the rabies virus antibody titer has increased, which means that there is a certain success rate, which is quite high.
PS: I'm a bit busy today, so I may not have revised it carefully. If there are any problems, I'll revise it tomorrow. Thank you!