Doctor Chen, Don't Be a Coward!

"There are so many people in this world.

Live in me, flying youth.

 …”

A burst of lyrics came to my ears.

Maybe this is the world.

It's so complicated.

Some people are greedy for power, some people love money, some people admire sex, and some people seek fame.

Some people are ordinary, some people are unwilling, some people choose to swallow their voices, some people are showing off their power, and some people can only cry in the middle of the night...

This is a mortal, living in this complicated world.

Be prepared to be washed by the waves.

Rather than being dominated, it is better to puff out your chest.

...

Chen Nan took a taxi, and after taking He Duankang into the car, he stopped and stood there for a long time.

Not because the sun is warm.

...

After returning to the hospital, it was half past one.

He did not go back to the duty room to rest.

Because there is a single bunk bed inside.

The doctor on duty may be off.

Chen Nan didn't want to disturb either.

Go back to the doctor's office, lie down on the table for a while and take a nap, that's all.

However, someone in the office was looking at the computer furtively.

Oh, it's pharmacy.

That's fine.

Chen Nan ignored it.

After get off work every day, representatives of various pharmaceutical companies will come to the ward to check the medicines to see how much is sold today, how much is in stock, who prescribes more medicines, and who prescribes less medicines.

Then set the next step of the work goals.

Chief physician Zhou Shuwei was writing the medical records, but... a woman was rubbing her shoulders while saying some heart-warming words.

Chen Nan sighed, turned a blind eye and returned to his workstation. After tidying up, he lay down and fell asleep.

All around, it looks ordinary, but it is so unpleasant to the eye.

But this is the real medical system.

One carries responsibility, ideals, and morals.

And full of pornography, profiteering, and rights.

It is also mixed with all kinds of favors, money, and transactions.

The place!

Some people wander left and right, and some people do not forget their original intentions.

Some people are behind bars. Some people clean themselves.

Some people are reluctant to think about Shu. There are also people who move forward.

It is such a place where some people laugh and cry.

Some people cried and cried, but laughed.

It is also such a place that is the last straw for people's lives.

Yes, it's straw.

...

...

afternoon.

Department of Gastroenterology, Yuancheng People's Hospital.

Inside the doctor's office.

Mi Lei and Jia Fumin, the deputy chief physician in charge of Li Mengsan, are formulating a treatment plan for Li Mengsan.

Li Hongying stood aside and waited patiently.

After a long time...

Jia Fumin sighed:

"Hey... the situation is a bit complicated."

"Director, Director Li, it's like this."

"In the current guidelines, the main treatment plan for Helicobacter pylori infection in China is still the classic quadruple therapy."

"It's mainly still the model of PPI + bismuth + 2 antibiotics."

"But... the key is that the old man is now too resistant."

"In the current domestic consensus, 7 kinds of antibiotic combination bismuth quadruple combination regimens have been carried out, and in the last test, the patient's resistance to amoxicillin, tetracycline ... and other drugs is too strong!"

"Obviously, the last time was in 2021, when gastric cancer treatment was performed."

"According to the results given by the Fourth Provincial People's Court at that time, it was also difficult to achieve the final effect of a complete cure."

"So, my plan is... while protecting the quality of life of the old man to the greatest extent, reduce the value of Helicobacter pylori to prevent it from causing more serious damage to the gastric mucosa."

"However... this requires long-term medication to maintain."

"It takes a lot of patience!"

"Also, eradication is difficult and almost unrealistic."

Hearing the sound, Mi Lei frowned, looking at the previous discharge medical records, he also had a headache:

"In general, testing negative for H. pylori four weeks or one month after the end of H. pylori eradication therapy is called eradication."

"But it seems... the chance of recurrence of the old man is a bit high!"

Li Hongying quickly asked, "What should I do?"

Jia Fumin shook his head: "Director Li, don't be nervous."

"At least half of the world's population is infected with Helicobacter pylori, and we are the country with the largest number of infections. According to the latest report, the infection rate is as high as 59%, which means that there may be seven or eight billion people infected in China."

"And the misuse of antibiotics is the main reason why drug resistance is also on the rise."

"Especially the elderly."

Li Hongying nodded: "Well, the doctor from the Fourth Provincial Hospital also mentioned this issue."

"When my dad was young, he had stomach problems and got older."

"Also, at that time, the work was busy and the meals were irregular."

"Those amoxicillin, metronidazole, tetracycline at home...these have never stopped!"

"Does this matter a lot?"

Mi Lei smiled bitterly: "These antibiotics are mainly for the treatment of Helicobacter pylori, old man... but they are really used up!"

"Try treatment to see the situation and then talk about it!"

Jia Fumin also nodded: "Well, now it seems that this is the only way."

"Check the value of Helicobacter pylori regularly and see the effect of treatment."

When Li Hongying heard the sound, her expression was inevitably a little disappointed.

But... how can it be?

Mi Lei said: "However, this time, your family members will try to cooperate as much as possible."

"It's better for the old man to quit smoking and drinking, because smoking may also lead to treatment failure."

Li Hongying nodded: "Well..."

After a while, she asked curiously, "Director Mi, Director Jia."

"Is there really no good way?"

"For example...is there any abroad?"

Mi Lei heard the sound and smiled bitterly:

"Director Li, we are very clear about your concerns."

"But...foreign developed countries control Helicobacter pylori better than us, and some of their treatments are also similar."

"After all, antibiotic resistance was proposed and controlled many years ago, and how long has it been in China?"

"Many times, it's not that we have limited medical means, but because of historical reasons, the cognitive scope created is limited."

"And this perception is the main reason for our gap."

Mi Lei has to admit that the understanding of modern science at home and abroad is really a lot worse.

This is a process that cannot be changed overnight.

Mi Lei continued: "Therefore, for patients with strong drug resistance, high recurrence rate, and high treatment failure rate, there is currently no good method."

"So, it's basically such a plan, Director Li, make your own decision!"

a time.

Several people fell silent.

Mi Lei and Jia Fumin both stared at Li Hongying, waiting for the other party to make a choice.

a long time……

Li Hongying asked in a strange way: "Director Mi, Director Jia, can Chinese medicine try it?!"

...

ps: Thank you brother for the reward of the fifth master who wants to vomit, thank you brother.

I would also like to thank the boss Chu Liufufeng for his 5000 reward. Sincerely, thank you for your support.

Today is the third update, and it will be added from time to time in the future. I just hope everyone will have a good time watching it.

To be honest, it's not that writing is slow.

But during the new book period, time is limited, sorry everyone.

After it is on the shelves, it can really explode!