Since 1981 Health School

After the negotiation with the Mayo team ended and everyone returned to the office, Lao Guo was a little confused:

"I'm talking about Chen Qi, there are so many good things from the Mayo Clinic, why do you want a reproduction medical center? What's the use of this thing?"

Although Principal Li was a little confused, he believed in Chen Qi's vision and knew that there must be a reason for him to do this:

"Chen Qi, do you think our country's infertility discipline will have great potential in the future?"

Chen Qi thought to himself, I really don’t know the statistics in 1990, but if we look at the statistics in 2020, 3% of the people in the country suffer from infertility, and the total population has reached 50 million.

Even if there were not 50 million people in 1990, or not everyone could afford to see a doctor, if we cut it in half and there were 20 million people, would this patient base be large enough?

If we fold it in half again, if 1 million people come to the Yue Traditional Chinese Medicine Hospital every year to treat infertility or come for prenatal diagnosis of fetal malformations, then the Yue Traditional Chinese Medicine Hospital will definitely make a lot of money.

Not only can you make money, because it involves genetics and genetics, which are exciting subjects in the future and an absolute academic gold mine.

Moreover, Chen Qi knows that as the economy develops better and better in the future and people have money in their pockets, they will naturally do everything possible to have children of their own.

Even if one of the father or mother is defective, if you borrow XX sperm or XX egg, you can still give birth to a child who is nominally your own. How many families can this benefit?

The total cost of an in vitro fertilization is about 30,000 to 100,000, and the profit is considerable. It is a good business that is both good and profitable.

Chen Qi looked at the two elders and said seriously:

"Principal Li, Uncle Guo, you really shouldn't look down on the infertility department. Oh no, in the future it should have a prestigious name called Reproduction Medical Center. This business is definitely a gold mine and can definitely make a lot of money.

And don’t underestimate infertility. This thing is definitely a high-tech industry. For example, some women have underlying diseases that are not suitable for pregnancy, such as congenital heart disease, lung disease, pernicious anemia, etc. The mother may have children in her lifetime. die.

But the couple has a strong desire to have a child, what do you think they should do? Now the doctor can only say sorry, but if IVF is successful and the seeds are planted into the uterus of another woman, the child born will still be the biological child of that couple. "

Lao Guo's eyes widened: "Isn't this just borrowing money to give birth to a child? This is okay."

Yes, Chen Qi is talking about surrogacy.

Many countries are cracking down on surrogacy because it involves many medical and ethical issues.

But Chen Qi's point of view is that everything has pros and cons, and there is no need to beat him to death with a stick.

If the donors of sperm and eggs are a legal couple but cannot get pregnant due to various reasons, what's wrong with finding a female surrogate?

As long as the surrogate woman is voluntary, it is fine and it is reasonable to receive appropriate remuneration. After all, she rented out her own uterus.

Even if you go to an agency to rent a house, you still have to pay rent, right?

Mandating a ban on surrogacy would mean watching people lose their children and grandchildren. Is this in line with medical ethics?

Feminists will say that surrogacy is dirty, shameless, and extremely harmful to women's bodies. Just look at those poor surrogate women in Eastern Europe and South Asia.

Chen Qi feels that this is not comprehensive. For couples who are unable to have children due to various reasons, they must find a surrogate mother. This couple must not be short of money, at least they must be middle-class!

In order for their biological child to grow up healthily and live safely for 9 months and 7 days, they will definitely do whatever it takes.

During the 10 months of pregnancy, surrogate girls must have been provided with good wine, good food, and nutritious health products. How could they be allowed to starve from eating bran-pharyngeal vegetables?

For Eastern European or South Asian women who have no money to eat, this is a blessing rather than a suffering.

Does having more children mean suffering?

There is no evidence from evidence-based medicine that women who have only one child have a longer life expectancy than women who have multiple children.

If having more children is a devastation to women, then developed countries give high subsidies to women who have more children to encourage them to have more children. Does this mean that it is harming women's health?

Strictly ban surrogacy, which means that poor South Asian women lose their financial resources.

If a woman cannot rent out her XX palace, in order to survive and have food to eat, she will sell her own, ahem. .

People are starving to death, why do they still care about their health?

Poor and lowly women are miserable.

Principal Li also clicked his tongue when he heard the example of borrowing a child's womb:

"This is indeed high technology, but we don't seem to pay much attention to surrogacy and in vitro fertilization in China, right? As for the reproduction medical center you mentioned, there is currently no such thing in the country. Is this really possible?"

Chen Qi laughed loudly after hearing this:

"Two gentlemen, just because others haven't done it, we should be the first to eat the crab. Only then can we get the thickest dividends and eat the biggest piece of cake. If everyone else has done it, what's the point of following suit? mean?"

Lao Guo heard it right and said to Principal Li with a smile:

"What Chen Qi has done is really unprecedented. You said that he is a good surgeon who first engaged in endoscopy, then burns and plastic surgery, and now he wants to do infertility. He is taking an unconventional path."

There is a chain of contempt in the medical community.

Just like plastic surgery is at the end of the contempt chain in the surgical system, infertility is also at the end of the contempt chain in the internal medicine or gynecology system.

High-end doctors deal with tumors, cancers, livers, and hearts. You deal with sperm and eggs all day long, and you hang around a group of old ladies every day. It doesn't sound good to you.

Therefore, in the 1980s and 1990s, or earlier, not only doctors did not pay attention to infertility, but also ordinary people did not pay attention to infertility.

This lack of attention does not mean that ordinary people do not value their own children, but that ordinary people will not seek help from the hospital when encountering infertility after marriage.

One must be poor. In the past, they didn’t even have enough to eat. They earned some work points every day. How could they get the money to treat diseases? I can't even go to the next county without a letter of introduction.

So what do a couple do when they can’t have a baby?

Either I secretly worship Guanyin Bodhisattva at home every day, or I go to the old miracle doctor in the village to get some Chinese medicine, but I never thought of going to the hospital for treatment.

Just like in "Love in the Courtyard", Yi Zhonghai, Yi Ma, Xu Damao and Lou Xiao'e were unable to have children, but they did not go to the hospital for examination or treatment.

They are still the working class in the capital, not to mention the farmers.

The second is that medical care is too backward.

In vitro fertilization technology has begun abroad, but there is no trace of it in China. It was not until 1988 that there was an official successful case at Peking University Third Hospital.

It is not easy to succeed in this case. Peking University Third Hospital has failed countless times before, and finally succeeded in such a case.

Therefore, in the late 1980s and early 1990s, in vitro fertilization did not become mainstream medical treatment in China.

Those with money and power would rather go to Japan or Hong Kong to do IVF, but the success rate in China is really too low.

In vitro fertilization technology is not as simple as everyone thinks. They think that it only needs to extract the father’s XX sperm and the mother’s XX eggs, combine them and then put them into the uterus.

There are 5 difficulties to overcome here.

The first difficulty is to be the donor of XX sperm. Is the quality of my father’s XX sperm up to standard?

If it is natural conception, the requirements for normal male XX fluid are very high.

For example, the amount of XX liquid is \u003e1.5ml, the liquefaction time is \u003c30 minutes, the pH value is \u003e7.2, the forward movement of XX essence energy is \u003e32%, the total activity is \u003e40%, the concentration is \u003e15 million/ml, and each piupiupiu should be \u003e20 million. individual, normal form ≥ 4%.

These conditions are indispensable for men, so when your parents get married, in addition to running first, your father also works very hard.

The second difficulty comes from the mother's problem of ovulation induction, and mothers should also work hard.

During the process of ovulation induction, many women will have poor response to ovulation induction. In some cases, the number of retrieved eggs will be low, and even the uterus will be over-stimulated, causing great harm to the body.

(The process of retrieving XX eggs is very painful)

Moreover, as women age, their ovarian reserve function declines, making it more difficult to retrieve eggs.

In addition, surgeries such as nest cyst removal and nest electrocoagulation may also damage the structure of the nest and damage the function of the nest. These will lead to poor response to the nest during ovulation promotion, resulting in fewer or even no eggs being retrieved. to the egg situation.

Secondly, it is difficult to retrieve XX eggs. The main reason is that the female ovary nest does not function well and does not respond to the drugs that stimulate ovulation, or the response is very poor, so that the XX nest cannot produce a sufficient number of mature XX eggs.

If the mother cannot provide normal mature XX eggs, then it will be useless no matter how powerful the father is, and IVF will still not be possible.

The third difficulty is that even if the father’s sperm and the mother’s eggs are successfully retrieved, they are still normal, mature, and can be used.

During in vitro fertilization, about 20 to 30% of patients will face union failure.

For example, the XX sperm cannot enter the XX egg normally. It is also possible that when the XX sperm enters the oocyte, the oocyte fails to activate, causing the fertilized egg to fail to divide.

If the sperm XX egg does not combine, it will naturally not form an embryo. If it does not cleave, it is also not a qualified embryo. The end result is that there are no embryos that can be transplanted, not even seeds. What kind of land are you planting?

The fourth difficulty lies in whether embryo culture can be successful.

Embryo cultivation is to simulate the maternal environment and cultivate the fertilized eggs into early embryos or blastocysts in vitro. The success or failure of this process depends on the quality of the fertilized eggs and the laboratory environment.

If the fertilized egg itself has defects and cannot continue to grow and develop normally, or if there is no environment suitable for the growth of the embryo, it will also be difficult for the fertilized egg to grow healthily outside the body.

This is equivalent to the process of cultivating rice seeds and germinating the seeds by old farmers.

Old farmers often choose the plumpest rice (there are several embryos, choose the best embryo), and then germinate the seeds by soaking, draining, and then keeping them warm (embryo culture)

If the seeds germinate successfully, they can be planted in the fields (XX Palace). If the germination work is not done well and the seeds do not germinate, let alone farming, they will starve to death this year.