SWNOVELXO I can see the status bar
Chapter 1050 D+6 day (9) (Addition 04 for the leader "Yiwu Big Tail")
Chapter 1050 D+6 day (9) (Addition 04 for the leader "Yiwu Big Tail")
This chapter is Chapter 4 of adding updates for the leader "Yiwu Big Tail". After this chapter, there are two more chapters waiting to be updated.
It is very difficult to explain the triple therapy of tocilizumab, CRRT and gamma globulin to a layman.But fortunately, Liu Pingchuan was sitting across from him.
An excellent neurosurgery doctor always has a better understanding of internal medicine and immune-related treatment options than ordinary people who don't know anything.
Sun Lien is very clear that the purpose of Liu Pingchuan's question is to use this kind of treatment for critically ill patients admitted to He'an Hospital. Maybe he plans to get on the bus before paying for the fare, otherwise he would not have put a doctor between The most normal academic communication is as troublesome as a riddleman posing a question.
"Anyway, there is nothing special about this treatment plan. At its root, it is just changing the hormone therapy we used to use to a more effective and targeted IL-6 receptor inhibitor." Sun Lien used For half an hour, he carefully explained to Liu Pingchuan the various details and precautions of this triple therapy, and finally concluded, "It is not a specific antiviral drug itself, nor can it help patients with severe inflammatory storms. , Patients with systemic multiple organ damage miraculously recovered. To put it bluntly, this is just a new immunosuppressive regimen.”
"You've said it several times before." Liu Pingchuan nodded. As the only doctor in charge of the treatment group in the country who is currently applying this triple therapy and has achieved certain results, Sun Lien's experience deserves his great attention. "The risk of this treatment plan is quite small."
"If it is used as an immunosuppressive plan, at most it is an over-the-range drug." Sun Lien very much agrees with this judgment, "But on the one hand, immunosuppression and on the other hand gamma globulin, this treatment plan is a bit inconsistent. At the beginning After we put forward this plan, it will be reviewed by the higher authorities, mainly because of this.”
CRRT is currently one of the main treatments for patients with acute renal impairment, and it can also provide doctors with a channel to efficiently regulate water metabolism and load in patients when it is applied to patients with pneumonia infected by the new coronavirus.Gamma globulin can strengthen the patient's immune system. In the case of patients infected with the new coronavirus, such a treatment plan can shorten the time for the patient to produce IgG antibodies to a certain extent.These two methods are actually no problem, and they are often used by doctors in the actual treatment of the battle against the new coronavirus.But the use of tocilizumab... this goes beyond the category of "over-the-range medication".
Because the country has made it clear that the cost of treating the new coronavirus will be borne by medical insurance and government financial allocations, Sun Lien dared to "open his mind" and use this expensive monoclonal antibody drug to treat patients with immune storms. Most of the patients with immune storms in the past did not There is no need for such a precise suppression plan, so there is really no precedent for such a treatment plan.
Therefore, if such a treatment plan is to be promoted, it must be determined that the benefits of such a treatment plan outweigh the potential risks for patients.
"Dean Liu, I think this is the case..." Sun Lien thought and thought, and felt that he still needed to remind Liu Pingchuan, "I will submit another application to my superiors later, and the Department of Critical Care Medicine of He'an Hospital Also included in this experimental treatment group." He looked at Liu Pingchuan and said seriously, "I understand your thoughts, but the application of such a treatment plan must pass the relevant ethical review and regulatory review. Expand my The size of the experimental group, this speed should be faster than your re-application speed."
"I can only answer this question if you say it." Liu Pingchuan looked at Sun Lien with a look of relief and said, "If you don't mention this, I can't directly mention this matter to you."
Looking at the vice president in front of him who was recognized by the Fourth Central Hospital as "good at scientific research and teaching", Sun Lien felt for the first time that this old fox might be hiding much deeper than everyone else.
·
·
·
When Sun Lien returned to the hotel, it was already seven o'clock in the evening.He ate two self-packaged buns a day today, and now he feels that his stomach is numb to the point of being hungry—it’s not that he’s not hungry at all, but that his stomach continues to be hungry, and this The status has not disappeared.
Tired and hungry, this was the only feeling Sun Lien felt when he returned to the hotel.This kind of fatigue is not the same as the week when I just got the status bar.At that time, the fatigue was mainly due to physical fatigue caused by lack of sleep, but this time the fatigue was not only physical, but also mental.
Liu Pingchuan is a well-hidden old fox.This is something that makes Sun Li'en especially gratified—it's easy to talk to smart people.If Liu Pingchuan was as hardheaded as the current ECMO director Dr. Jiang Yanming in his group, it would be more difficult to communicate than to fight.
If Dean Liu and Deputy Director Jiang had the same personality, Sun Lien felt that he would probably have to lie directly in He'an Hospital.
After returning to the hotel, Sun Li'en dragged his extremely tired legs and wobbled to the restaurant to prepare for dinner.He now desperately needs fat and carbohydrates for energy.In this weather, if he could have a bowl of Ningyuan's chicken soup and rice, he would be able to cry happily.
Chicken soup and rice is a snack with a long history in Ningyuan.Just by listening to the name, you can roughly guess the main components of this kind of food-chicken soup and rice.
For chicken soup, you need to choose Lakeside Chicken, a local specialty in Ningyuan.Generally speaking, old hens with rich fat are selected for cooking chicken soup, so that the stewed soup will have a thick layer of chicken oil floating on it, which is full of fragrance.But when making chicken soup and rice, the lakeside chickens used are all roosters.And it must be a big rooster that has been raised for more than two years.This chicken has a low fat content, but the taste of the chicken is extremely delicious.The chicken soup used for stewing usually has to be seasoned with ham and pork belly to enhance the freshness, which is considered complete.
With the progress of the times, everyone's life is getting better and better, and the chicken soup for chicken soup is becoming more and more particular.The last time Sun Lien and Hu Jia went to eat together, the chicken soup and rice had evolved to include fish maw, diced sea cucumber and hand-peeled river prawns.
In Hu Jia's words, the current Chicken Soup and Rice has basically evolved to the point where the low-end version of Buddha Tiaoqiang is served with rice.And if this trend continues, it may be renamed "Little Buddha Jumping the Wall" and other names that are extremely offensive to Fujianese.
And the practice of rice is also very particular.The rice in chicken soup and rice is particular about cooking until it is sandwiched with raw meat, removed and controlled to dry out, and quickly fried to make the outer layer fluffy.The fluffy and crispy shell has a hard core inside.Once soaked in boiling hot soup, this hard core becomes a source of flexibility and sweetness.The fluffy rice shell can absorb the soup, and the unique taste can make people who have never eaten chicken soup even addicted to chewing rice grains.
The elevator from the first floor to the second floor only ran for a dozen seconds, and Sun Lien was already salivating from the chicken soup in his mind.The stomach that was numb from hunger suddenly began to let out a long series of shouts that could be interpreted as "I want to eat chicken soup and rice!".
When this epidemic is over, I must eat chicken soup and rice for a week!Sun Li'en was ruthless in his heart, and then walked into the restaurant, ready to use some big fat meat to provide himself with some calories quickly and efficiently.
"Director Sun, you came just in time." Professor Li Chengping saw Sun Lien walking into the restaurant with the aura of a starving ghost reincarnated at a glance. He quickly waved to Sun Lien, then pointed to the small black clay pot in front of him and said , "Today there is chicken soup and rice, and it's very authentic! You hurry up and get a copy—I'm afraid you won't be able to eat it later!"
(End of this chapter)
This chapter is Chapter 4 of adding updates for the leader "Yiwu Big Tail". After this chapter, there are two more chapters waiting to be updated.
It is very difficult to explain the triple therapy of tocilizumab, CRRT and gamma globulin to a layman.But fortunately, Liu Pingchuan was sitting across from him.
An excellent neurosurgery doctor always has a better understanding of internal medicine and immune-related treatment options than ordinary people who don't know anything.
Sun Lien is very clear that the purpose of Liu Pingchuan's question is to use this kind of treatment for critically ill patients admitted to He'an Hospital. Maybe he plans to get on the bus before paying for the fare, otherwise he would not have put a doctor between The most normal academic communication is as troublesome as a riddleman posing a question.
"Anyway, there is nothing special about this treatment plan. At its root, it is just changing the hormone therapy we used to use to a more effective and targeted IL-6 receptor inhibitor." Sun Lien used For half an hour, he carefully explained to Liu Pingchuan the various details and precautions of this triple therapy, and finally concluded, "It is not a specific antiviral drug itself, nor can it help patients with severe inflammatory storms. , Patients with systemic multiple organ damage miraculously recovered. To put it bluntly, this is just a new immunosuppressive regimen.”
"You've said it several times before." Liu Pingchuan nodded. As the only doctor in charge of the treatment group in the country who is currently applying this triple therapy and has achieved certain results, Sun Lien's experience deserves his great attention. "The risk of this treatment plan is quite small."
"If it is used as an immunosuppressive plan, at most it is an over-the-range drug." Sun Lien very much agrees with this judgment, "But on the one hand, immunosuppression and on the other hand gamma globulin, this treatment plan is a bit inconsistent. At the beginning After we put forward this plan, it will be reviewed by the higher authorities, mainly because of this.”
CRRT is currently one of the main treatments for patients with acute renal impairment, and it can also provide doctors with a channel to efficiently regulate water metabolism and load in patients when it is applied to patients with pneumonia infected by the new coronavirus.Gamma globulin can strengthen the patient's immune system. In the case of patients infected with the new coronavirus, such a treatment plan can shorten the time for the patient to produce IgG antibodies to a certain extent.These two methods are actually no problem, and they are often used by doctors in the actual treatment of the battle against the new coronavirus.But the use of tocilizumab... this goes beyond the category of "over-the-range medication".
Because the country has made it clear that the cost of treating the new coronavirus will be borne by medical insurance and government financial allocations, Sun Lien dared to "open his mind" and use this expensive monoclonal antibody drug to treat patients with immune storms. Most of the patients with immune storms in the past did not There is no need for such a precise suppression plan, so there is really no precedent for such a treatment plan.
Therefore, if such a treatment plan is to be promoted, it must be determined that the benefits of such a treatment plan outweigh the potential risks for patients.
"Dean Liu, I think this is the case..." Sun Lien thought and thought, and felt that he still needed to remind Liu Pingchuan, "I will submit another application to my superiors later, and the Department of Critical Care Medicine of He'an Hospital Also included in this experimental treatment group." He looked at Liu Pingchuan and said seriously, "I understand your thoughts, but the application of such a treatment plan must pass the relevant ethical review and regulatory review. Expand my The size of the experimental group, this speed should be faster than your re-application speed."
"I can only answer this question if you say it." Liu Pingchuan looked at Sun Lien with a look of relief and said, "If you don't mention this, I can't directly mention this matter to you."
Looking at the vice president in front of him who was recognized by the Fourth Central Hospital as "good at scientific research and teaching", Sun Lien felt for the first time that this old fox might be hiding much deeper than everyone else.
·
·
·
When Sun Lien returned to the hotel, it was already seven o'clock in the evening.He ate two self-packaged buns a day today, and now he feels that his stomach is numb to the point of being hungry—it’s not that he’s not hungry at all, but that his stomach continues to be hungry, and this The status has not disappeared.
Tired and hungry, this was the only feeling Sun Lien felt when he returned to the hotel.This kind of fatigue is not the same as the week when I just got the status bar.At that time, the fatigue was mainly due to physical fatigue caused by lack of sleep, but this time the fatigue was not only physical, but also mental.
Liu Pingchuan is a well-hidden old fox.This is something that makes Sun Li'en especially gratified—it's easy to talk to smart people.If Liu Pingchuan was as hardheaded as the current ECMO director Dr. Jiang Yanming in his group, it would be more difficult to communicate than to fight.
If Dean Liu and Deputy Director Jiang had the same personality, Sun Lien felt that he would probably have to lie directly in He'an Hospital.
After returning to the hotel, Sun Li'en dragged his extremely tired legs and wobbled to the restaurant to prepare for dinner.He now desperately needs fat and carbohydrates for energy.In this weather, if he could have a bowl of Ningyuan's chicken soup and rice, he would be able to cry happily.
Chicken soup and rice is a snack with a long history in Ningyuan.Just by listening to the name, you can roughly guess the main components of this kind of food-chicken soup and rice.
For chicken soup, you need to choose Lakeside Chicken, a local specialty in Ningyuan.Generally speaking, old hens with rich fat are selected for cooking chicken soup, so that the stewed soup will have a thick layer of chicken oil floating on it, which is full of fragrance.But when making chicken soup and rice, the lakeside chickens used are all roosters.And it must be a big rooster that has been raised for more than two years.This chicken has a low fat content, but the taste of the chicken is extremely delicious.The chicken soup used for stewing usually has to be seasoned with ham and pork belly to enhance the freshness, which is considered complete.
With the progress of the times, everyone's life is getting better and better, and the chicken soup for chicken soup is becoming more and more particular.The last time Sun Lien and Hu Jia went to eat together, the chicken soup and rice had evolved to include fish maw, diced sea cucumber and hand-peeled river prawns.
In Hu Jia's words, the current Chicken Soup and Rice has basically evolved to the point where the low-end version of Buddha Tiaoqiang is served with rice.And if this trend continues, it may be renamed "Little Buddha Jumping the Wall" and other names that are extremely offensive to Fujianese.
And the practice of rice is also very particular.The rice in chicken soup and rice is particular about cooking until it is sandwiched with raw meat, removed and controlled to dry out, and quickly fried to make the outer layer fluffy.The fluffy and crispy shell has a hard core inside.Once soaked in boiling hot soup, this hard core becomes a source of flexibility and sweetness.The fluffy rice shell can absorb the soup, and the unique taste can make people who have never eaten chicken soup even addicted to chewing rice grains.
The elevator from the first floor to the second floor only ran for a dozen seconds, and Sun Lien was already salivating from the chicken soup in his mind.The stomach that was numb from hunger suddenly began to let out a long series of shouts that could be interpreted as "I want to eat chicken soup and rice!".
When this epidemic is over, I must eat chicken soup and rice for a week!Sun Li'en was ruthless in his heart, and then walked into the restaurant, ready to use some big fat meat to provide himself with some calories quickly and efficiently.
"Director Sun, you came just in time." Professor Li Chengping saw Sun Lien walking into the restaurant with the aura of a starving ghost reincarnated at a glance. He quickly waved to Sun Lien, then pointed to the small black clay pot in front of him and said , "Today there is chicken soup and rice, and it's very authentic! You hurry up and get a copy—I'm afraid you won't be able to eat it later!"
(End of this chapter)
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