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1104 Genius
1104 Genius
People will become stupid because they stay up late. This is not a "good faith rumor" used by the elderly to scare children.This is the conclusion drawn from medical practice and research.
Last year's Science published such a research report. The research team confirmed for the first time through EEG and MRI that when a person is in a sleep state, the neurons in the brain will be synchronously shut down for a short time, thereby reducing brain damage. internal blood supply needs.And the cerebrospinal fluid is fully active when the blood supply is reduced.
The researchers hypothesize this unique change—the synchronized shutting down of neurons reduces the brain's need for oxygen and other nutrients, and this reduced blood supply provides enough room and pressure differential for the CSF to move.
As a colorless and transparent liquid distributed in the ventricle and subarachnoid space, the physiological function of cerebrospinal fluid is not only to support and buffer the impact on the brain and spinal cord, but also to remove metabolites and inflammatory exudates.When the brain actively reduces the demand for blood supply to guide the active activity of cerebrospinal fluid, the role of this physiological activity is obviously aimed at "clearing metabolites".
The research group's research objective was Alzheimer's disease, but this did not affect the value of this biological trait they found.
Sleep aids CSF activity, and CSF activity aids in the removal of metabolites.This constitutes a logical inference-the biggest effect of sleep on the brain is to remove metabolites through cerebrospinal fluid activity.
Although the strength of this inference is worrying, the arguments used to support Zhu Minhua are still sufficient-staying up late really makes people stupid, at least it may increase the probability of suffering from Alzheimer's disease in the future.
"Didn't stay up late, really." Yuan Ping'an acted honestly like a frightened mouse in front of his teacher, "I just haven't slept well lately..."
"If you don't sleep well, you can tell the doctors in Shennei." Sun Li'en ruthlessly pierced Yuan Pingan's excuse, "When I first arrived in Yunhe, I also suffered from insomnia every day, and then I started to take sleeping pills. "
Yuan Pingan glanced at Sun Li'en, then sighed, "I wish I could be as heartless as you."
·
·
·
Yuan Ping'an was under a lot of pressure.
At the time of SARS, Yuan Ping'an was still in junior high school.People in the capital were panicked that year, but for Yuan Ping'an, he had little impression or memory of the epidemic. During the MERS period, he had already attended university, but due to the good domestic defense measures, the disease has never spread in China.
For Yuan Ping'an, the coronavirus is something that only exists in books.
This time, he and Sun Lien and other colleagues had a simple idea before coming to Yunhe. He felt that Yunhe's biggest problem at present is actually too many patients.With medical resources depleted, many patients simply cannot receive treatment.As long as the medical team arrives and there are enough people to start treating patients, Yunhe's condition will improve soon.
After working in the red zone for a week, Yuan Ping'an couldn't bear it anymore.
The epidemic situation can not be seen at a glance, the epidemic prevention materials are insufficient, and there are also shortages of medical equipment and drugs.The mortality rate of critically ill patients is high, and rescue measures and treatment measures are of little use to these critically ill patients—and even have the opposite effect.
The patient's blood oxygen was low, and doctors risked infection for intubation.As a result, as soon as the ventilation tube was inserted, the patient's heart stopped suddenly.
This is too emotional.After rescuing three such patients in a row, Yuan Ping'an even questioned his behavior.Had the patient not been intubated, would the patient not have died so soon?
Yuan Ping'an has extremely high demands on himself.A graduate of the nation's top medical school, he's a neurosurgery-turned-emergency-department prince who never thought he'd encounter situations in his day-to-day work that he couldn't do anything about.
Of course Sun Li'en is a great genius, and Yuan Ping'an knows this well.But even Sun Lien needs to help provide data and analysis by himself in many cases.Yuan Ping'an always felt that the cooperation between himself and Sun Li'en was quite good, as long as we all got together, no matter how troublesome the disease was, they could at least do something about it.
But the novel coronavirus epidemic completely broke his spirit.Sun Lien still maintains his usual "high fighting spirit", and he put forward one treatment plan and one treatment principle after another.Most of these treatments have achieved good results.
But Yuan Ping'an felt that he could not keep up.
He began to have sleepless nights, tossing and turning.After the insomnia started, Yuan Ping'an even began to fear the night.He knew he needed a good rest so he could have the strength to tackle at least four hours of work the next day.He also knew that he had to sleep well to maintain a useful mind.But he just couldn't sleep well.
As long as he was lying on the bed, Yuan Pingan began to think about the Sun Lien he saw.There is no doubt that Sun Lien must bear much more pressure than himself.But Sun Lien can still maintain a flexible mind under extremely high pressure, and even has spare energy to relieve the pressure for everyone together with Hu Jia.
To put it bluntly, Yuan Ping'an's current mental state mainly comes from doubts and unwillingness to self-position.Sun Li'en is indeed very good, but he shouldn't be too bad.
If Sun Li'en just left him farther and farther away, then why would he continue to stay in Ningyuan?
Sun Li'en was amused by Yuan Ping'an's words, and he patted his chest proudly, "Man, you have to be a little careless to survive this day." He pointed at Zhu Minhua and said seriously, "Otherwise, you think that Why did Teacher Zhu insist on letting you come to the Fourth Hospital?"
"In order to make me a qualified emergency doctor." Yuan Ping'an replied, Zhu Minhua said this to himself at the beginning.
"Then you are not qualified at all now." Sun Li'en said to Yuan Ping'an seriously, "When it's time to let go, let it go."
In fact, Sun Li'en has no qualifications to educate Yuan Ping'an like this - he may have more things that he can't let go of than Yuan Ping'an.
Dean Wu Youqian's criticisms of him back then still echo in Sun Lien's ears. The old man's education has indeed benefited Sun Lien a lot.
"Because life is extremely precious, and because our strength is insignificant, every diagnosis and treatment must be done with all the knowledge and ability without reservation. Every time we try our best, so that we will not be pitiful after failure Xi asked himself, 'Did I do something wrong'." Sun Lien said to Yuan Ping'an, "If you want to have a clear conscience, you must first do your best."
Yuan Pingan just wanted to say something, but suddenly fell silent again.
Seeing Yuan Ping'an's appearance, Zhu Minhua coughed lightly and said to Sun Li'en, "You go to the ICU first, Lao Liu's condition is fine now. You just go there for me to see if there is anything that needs to be adjusted—I Chat with Xiao Yuan, and we'll pass later."
Seeing Sun Li'en walking away, Zhu Minhua suddenly said to Yuan Ping'an, "Actually, you are worried that you will be left too far by him, right?"
Yuan Ping'an suddenly raised his head, looked at Zhu Minhua in disbelief, and remained silent for a long time.
"Why do you look at me like that?" Zhu Minhua was amused by Yuan Pingan's actions, "Don't look at me like this, the bridge I have traveled is longer than the road you have traveled. Experience is not only used to treat people, I can also see where your kid's brain is wrong."
·
·
·
Zhu Minhua was too familiar with this feeling and expression.This expression also appeared on his face when he successfully graduated and entered the co-worker.
At that time, Zhu Minhua was the same as Yuan Ping'an. At the postgraduate stage, Zhu Minhua was developing in the direction of neurosurgery.He wholeheartedly wants to be an excellent neurosurgeon and help his patients overcome the disease and turn the crisis into safety.
Most importantly, Liu Pingchuan's talent in neurosurgery is undoubtedly revealed.The professors all spoke highly of Liu Pingchuan, thinking that he should be able to become the next pillar of neurosurgery at Tongxie Hospital.
Although Tongxie Medical College is the best medical school in the country, Tongxie Hospital is also the best comprehensive tertiary hospital.But in the specialty of neurosurgery, Tongxie has never been the best one.
The Capital Medical College is the hospital with the strongest neurosurgery. Within the capital, Tongxie's neurosurgery can barely rank fifth.
How can the old professors of Tongxie Hospital bear this grievance.The arrogance of being No. [-] in the world is simmering in their chests, which makes them more and more strict in the cultivation and training of students.
Both Liu Pingchuan and Zhu Minhua were "focused attention" objects.Liu Pingchuan has a talent for neurosurgery, while Zhu Minhua has made great progress after being criticized, and is also regarded by the professors as a "creative material" who desperately tries to make a small difference.
However, Zhu Minhua himself has never regarded "progress" as his own advantages and strengths.He was under a lot of pressure, to the point where it was almost impossible to encourage himself to persevere with "he Liu Pingchuan can do it, why can't I do it".
People are indeed different.Zhu Minhua came to this conclusion after suffering from insomnia for almost a week.
There are tens of thousands of things in the world, and there are correspondingly countless ways to solve problems.Zhu Minhua clearly realized that he would never be like Liu Pingchuan, staring at everyone under the shadowless lamp.He is not such a person.
But that doesn't mean his past eight years have been wasted time.As long as he still has this will, he can still become a doctor like Liu Pingchuan.It's just that the division of labor is different. Doctors who are fighting in other fields—for example, the emergency department that has just been established in the hospital seem to be good.
"'Don't forget your original intention, keep your mission in mind', these eight words are not only for you to learn party history." Zhu Minhua said seriously to Yuan Ping'an after telling his own story, "Genius like Sun Lien is not normal. This kind of talent who works hard and studies is the most common. The birth of a genius can promote the progress of the entire industry and discipline for several years or even ten years, but without ordinary people like us, the birth of a genius has no meaning.”
Yuan Ping'an's expression changed, and he asked in a low voice, "But I..."
"It's too normal not to be reconciled." Zhu Minhua smiled and rubbed Yuan Ping'an's head, "Everyone has one nose and two ears, so why is he better than me?"
Yuan Pingan nodded.
"Because people are different. Sun Lien's genius may be reflected in his diagnostic talent, or in his solid basic skills." Zhu Minhua said seriously, "But you also have your own genius. You can't just because of him Sun Li'en performed well, so you take your genius as something not worth mentioning?"
"You are the most suitable doctor for emergency diagnosis I have ever seen, even more suitable than Sun Lien. He is good at rare diseases, but he may not be much better than you in judging common diseases." Zhu Minhua patted Yuan Ping An's shoulders said, "Running on the same runway as others, you will always face countless people's competition. But as long as you find the path you are good at, find your own runway, you will be the one who leads the way .”
Genius is naturally enviable, but genius is not born.
From Zhu Minhua's point of view, everyone can be a genius - as long as they find their own path and run unswervingly on this path, a genius is born.
·
·
·
Sun Lien, identified as a "diagnostic genius" by Zhu Minhua, is in the office outside the ICU, carefully reading the prescriptions written by the intensive care physicians for President Liu Lianzhi.
Liu Lianzhi's current situation is not bad.Sun Lien could see the inside of the ward through the monitor—Liu Lianzhi was half leaning on the bed, holding the phone in his hand.
Although still relying on ECMO to maintain blood oxygen levels, at least Liu Lianzhi's vital signs are still stable.When he first entered the office, Sun Lien heard Liu Lianzhi joking with his colleagues in the office in a hoarse voice through the walkie-talkie, "If I go to the East Lake now, I can swim from the east to the west without even breathing!"
Liu Lianzhi's mentality is not bad, and this is inseparable from the careful care of his wife. The head nurse of the ICU is Liu Lianzhi's wife, and the two haven't been able to see each other since Yunhe closed the city.Now suddenly being able to get along day and night in the hospital again, I don't know what Dean Liu feels like.
I hope he can feel more comfortable... Sun Lien raised his eyebrows, he saw the habit traces of several doctors in Liu Lianzhi's treatment plan, roughly counting, there are at least seven or eight doctors in this treatment plan contributed their strength.
Also for liver protection treatment, some doctors like to use polyene phosphatidylcholine, some doctors like to use diisopropylamine dichloroacetate, and some doctors will consider giving some ribonucleic acid for injection to assist.
Sun Lien's habit is more...violent and direct.He may consider polyene phosphatidylcholine as adjuvant medication, but the main treatment method is definitely to replace it with an artificial liver.Anyway, the equipment is available now, and even Academician Li, the inventor of the artificial liver system, is in Yunhe himself.There is little hesitation about treatment options, just use the best.
The second correction is being written, should we be able to catch up?
(End of this chapter)
People will become stupid because they stay up late. This is not a "good faith rumor" used by the elderly to scare children.This is the conclusion drawn from medical practice and research.
Last year's Science published such a research report. The research team confirmed for the first time through EEG and MRI that when a person is in a sleep state, the neurons in the brain will be synchronously shut down for a short time, thereby reducing brain damage. internal blood supply needs.And the cerebrospinal fluid is fully active when the blood supply is reduced.
The researchers hypothesize this unique change—the synchronized shutting down of neurons reduces the brain's need for oxygen and other nutrients, and this reduced blood supply provides enough room and pressure differential for the CSF to move.
As a colorless and transparent liquid distributed in the ventricle and subarachnoid space, the physiological function of cerebrospinal fluid is not only to support and buffer the impact on the brain and spinal cord, but also to remove metabolites and inflammatory exudates.When the brain actively reduces the demand for blood supply to guide the active activity of cerebrospinal fluid, the role of this physiological activity is obviously aimed at "clearing metabolites".
The research group's research objective was Alzheimer's disease, but this did not affect the value of this biological trait they found.
Sleep aids CSF activity, and CSF activity aids in the removal of metabolites.This constitutes a logical inference-the biggest effect of sleep on the brain is to remove metabolites through cerebrospinal fluid activity.
Although the strength of this inference is worrying, the arguments used to support Zhu Minhua are still sufficient-staying up late really makes people stupid, at least it may increase the probability of suffering from Alzheimer's disease in the future.
"Didn't stay up late, really." Yuan Ping'an acted honestly like a frightened mouse in front of his teacher, "I just haven't slept well lately..."
"If you don't sleep well, you can tell the doctors in Shennei." Sun Li'en ruthlessly pierced Yuan Pingan's excuse, "When I first arrived in Yunhe, I also suffered from insomnia every day, and then I started to take sleeping pills. "
Yuan Pingan glanced at Sun Li'en, then sighed, "I wish I could be as heartless as you."
·
·
·
Yuan Ping'an was under a lot of pressure.
At the time of SARS, Yuan Ping'an was still in junior high school.People in the capital were panicked that year, but for Yuan Ping'an, he had little impression or memory of the epidemic. During the MERS period, he had already attended university, but due to the good domestic defense measures, the disease has never spread in China.
For Yuan Ping'an, the coronavirus is something that only exists in books.
This time, he and Sun Lien and other colleagues had a simple idea before coming to Yunhe. He felt that Yunhe's biggest problem at present is actually too many patients.With medical resources depleted, many patients simply cannot receive treatment.As long as the medical team arrives and there are enough people to start treating patients, Yunhe's condition will improve soon.
After working in the red zone for a week, Yuan Ping'an couldn't bear it anymore.
The epidemic situation can not be seen at a glance, the epidemic prevention materials are insufficient, and there are also shortages of medical equipment and drugs.The mortality rate of critically ill patients is high, and rescue measures and treatment measures are of little use to these critically ill patients—and even have the opposite effect.
The patient's blood oxygen was low, and doctors risked infection for intubation.As a result, as soon as the ventilation tube was inserted, the patient's heart stopped suddenly.
This is too emotional.After rescuing three such patients in a row, Yuan Ping'an even questioned his behavior.Had the patient not been intubated, would the patient not have died so soon?
Yuan Ping'an has extremely high demands on himself.A graduate of the nation's top medical school, he's a neurosurgery-turned-emergency-department prince who never thought he'd encounter situations in his day-to-day work that he couldn't do anything about.
Of course Sun Li'en is a great genius, and Yuan Ping'an knows this well.But even Sun Lien needs to help provide data and analysis by himself in many cases.Yuan Ping'an always felt that the cooperation between himself and Sun Li'en was quite good, as long as we all got together, no matter how troublesome the disease was, they could at least do something about it.
But the novel coronavirus epidemic completely broke his spirit.Sun Lien still maintains his usual "high fighting spirit", and he put forward one treatment plan and one treatment principle after another.Most of these treatments have achieved good results.
But Yuan Ping'an felt that he could not keep up.
He began to have sleepless nights, tossing and turning.After the insomnia started, Yuan Ping'an even began to fear the night.He knew he needed a good rest so he could have the strength to tackle at least four hours of work the next day.He also knew that he had to sleep well to maintain a useful mind.But he just couldn't sleep well.
As long as he was lying on the bed, Yuan Pingan began to think about the Sun Lien he saw.There is no doubt that Sun Lien must bear much more pressure than himself.But Sun Lien can still maintain a flexible mind under extremely high pressure, and even has spare energy to relieve the pressure for everyone together with Hu Jia.
To put it bluntly, Yuan Ping'an's current mental state mainly comes from doubts and unwillingness to self-position.Sun Li'en is indeed very good, but he shouldn't be too bad.
If Sun Li'en just left him farther and farther away, then why would he continue to stay in Ningyuan?
Sun Li'en was amused by Yuan Ping'an's words, and he patted his chest proudly, "Man, you have to be a little careless to survive this day." He pointed at Zhu Minhua and said seriously, "Otherwise, you think that Why did Teacher Zhu insist on letting you come to the Fourth Hospital?"
"In order to make me a qualified emergency doctor." Yuan Ping'an replied, Zhu Minhua said this to himself at the beginning.
"Then you are not qualified at all now." Sun Li'en said to Yuan Ping'an seriously, "When it's time to let go, let it go."
In fact, Sun Li'en has no qualifications to educate Yuan Ping'an like this - he may have more things that he can't let go of than Yuan Ping'an.
Dean Wu Youqian's criticisms of him back then still echo in Sun Lien's ears. The old man's education has indeed benefited Sun Lien a lot.
"Because life is extremely precious, and because our strength is insignificant, every diagnosis and treatment must be done with all the knowledge and ability without reservation. Every time we try our best, so that we will not be pitiful after failure Xi asked himself, 'Did I do something wrong'." Sun Lien said to Yuan Ping'an, "If you want to have a clear conscience, you must first do your best."
Yuan Pingan just wanted to say something, but suddenly fell silent again.
Seeing Yuan Ping'an's appearance, Zhu Minhua coughed lightly and said to Sun Li'en, "You go to the ICU first, Lao Liu's condition is fine now. You just go there for me to see if there is anything that needs to be adjusted—I Chat with Xiao Yuan, and we'll pass later."
Seeing Sun Li'en walking away, Zhu Minhua suddenly said to Yuan Ping'an, "Actually, you are worried that you will be left too far by him, right?"
Yuan Ping'an suddenly raised his head, looked at Zhu Minhua in disbelief, and remained silent for a long time.
"Why do you look at me like that?" Zhu Minhua was amused by Yuan Pingan's actions, "Don't look at me like this, the bridge I have traveled is longer than the road you have traveled. Experience is not only used to treat people, I can also see where your kid's brain is wrong."
·
·
·
Zhu Minhua was too familiar with this feeling and expression.This expression also appeared on his face when he successfully graduated and entered the co-worker.
At that time, Zhu Minhua was the same as Yuan Ping'an. At the postgraduate stage, Zhu Minhua was developing in the direction of neurosurgery.He wholeheartedly wants to be an excellent neurosurgeon and help his patients overcome the disease and turn the crisis into safety.
Most importantly, Liu Pingchuan's talent in neurosurgery is undoubtedly revealed.The professors all spoke highly of Liu Pingchuan, thinking that he should be able to become the next pillar of neurosurgery at Tongxie Hospital.
Although Tongxie Medical College is the best medical school in the country, Tongxie Hospital is also the best comprehensive tertiary hospital.But in the specialty of neurosurgery, Tongxie has never been the best one.
The Capital Medical College is the hospital with the strongest neurosurgery. Within the capital, Tongxie's neurosurgery can barely rank fifth.
How can the old professors of Tongxie Hospital bear this grievance.The arrogance of being No. [-] in the world is simmering in their chests, which makes them more and more strict in the cultivation and training of students.
Both Liu Pingchuan and Zhu Minhua were "focused attention" objects.Liu Pingchuan has a talent for neurosurgery, while Zhu Minhua has made great progress after being criticized, and is also regarded by the professors as a "creative material" who desperately tries to make a small difference.
However, Zhu Minhua himself has never regarded "progress" as his own advantages and strengths.He was under a lot of pressure, to the point where it was almost impossible to encourage himself to persevere with "he Liu Pingchuan can do it, why can't I do it".
People are indeed different.Zhu Minhua came to this conclusion after suffering from insomnia for almost a week.
There are tens of thousands of things in the world, and there are correspondingly countless ways to solve problems.Zhu Minhua clearly realized that he would never be like Liu Pingchuan, staring at everyone under the shadowless lamp.He is not such a person.
But that doesn't mean his past eight years have been wasted time.As long as he still has this will, he can still become a doctor like Liu Pingchuan.It's just that the division of labor is different. Doctors who are fighting in other fields—for example, the emergency department that has just been established in the hospital seem to be good.
"'Don't forget your original intention, keep your mission in mind', these eight words are not only for you to learn party history." Zhu Minhua said seriously to Yuan Ping'an after telling his own story, "Genius like Sun Lien is not normal. This kind of talent who works hard and studies is the most common. The birth of a genius can promote the progress of the entire industry and discipline for several years or even ten years, but without ordinary people like us, the birth of a genius has no meaning.”
Yuan Ping'an's expression changed, and he asked in a low voice, "But I..."
"It's too normal not to be reconciled." Zhu Minhua smiled and rubbed Yuan Ping'an's head, "Everyone has one nose and two ears, so why is he better than me?"
Yuan Pingan nodded.
"Because people are different. Sun Lien's genius may be reflected in his diagnostic talent, or in his solid basic skills." Zhu Minhua said seriously, "But you also have your own genius. You can't just because of him Sun Li'en performed well, so you take your genius as something not worth mentioning?"
"You are the most suitable doctor for emergency diagnosis I have ever seen, even more suitable than Sun Lien. He is good at rare diseases, but he may not be much better than you in judging common diseases." Zhu Minhua patted Yuan Ping An's shoulders said, "Running on the same runway as others, you will always face countless people's competition. But as long as you find the path you are good at, find your own runway, you will be the one who leads the way .”
Genius is naturally enviable, but genius is not born.
From Zhu Minhua's point of view, everyone can be a genius - as long as they find their own path and run unswervingly on this path, a genius is born.
·
·
·
Sun Lien, identified as a "diagnostic genius" by Zhu Minhua, is in the office outside the ICU, carefully reading the prescriptions written by the intensive care physicians for President Liu Lianzhi.
Liu Lianzhi's current situation is not bad.Sun Lien could see the inside of the ward through the monitor—Liu Lianzhi was half leaning on the bed, holding the phone in his hand.
Although still relying on ECMO to maintain blood oxygen levels, at least Liu Lianzhi's vital signs are still stable.When he first entered the office, Sun Lien heard Liu Lianzhi joking with his colleagues in the office in a hoarse voice through the walkie-talkie, "If I go to the East Lake now, I can swim from the east to the west without even breathing!"
Liu Lianzhi's mentality is not bad, and this is inseparable from the careful care of his wife. The head nurse of the ICU is Liu Lianzhi's wife, and the two haven't been able to see each other since Yunhe closed the city.Now suddenly being able to get along day and night in the hospital again, I don't know what Dean Liu feels like.
I hope he can feel more comfortable... Sun Lien raised his eyebrows, he saw the habit traces of several doctors in Liu Lianzhi's treatment plan, roughly counting, there are at least seven or eight doctors in this treatment plan contributed their strength.
Also for liver protection treatment, some doctors like to use polyene phosphatidylcholine, some doctors like to use diisopropylamine dichloroacetate, and some doctors will consider giving some ribonucleic acid for injection to assist.
Sun Lien's habit is more...violent and direct.He may consider polyene phosphatidylcholine as adjuvant medication, but the main treatment method is definitely to replace it with an artificial liver.Anyway, the equipment is available now, and even Academician Li, the inventor of the artificial liver system, is in Yunhe himself.There is little hesitation about treatment options, just use the best.
The second correction is being written, should we be able to catch up?
(End of this chapter)
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