godfather of surgery

Chapter 881 K Factor

"Even hospitals of our level and doctors of our level still have to go out for outpatient services in their country. Ordinary people can see the country's top doctors for just a few tens of yuan, and even if they wait for dozens of days, they think it's Very irritating stuff.”

Wow!

The audience was unanimously surprised because the United States implements a triage system. Unless emergency patients can go directly to the hospital emergency room for treatment, non-emergency patients cannot see a specialist directly. They face their own family doctor. Family doctors are not family doctors who provide exclusive services in the true sense. They can be understood as community clinic doctors at the lowest level who directly face patients.

In the United States, ordinary people have a disease. If it is a disease other than emergency, they can only go to their family doctor first. The family doctor will first diagnose and treat the patient. If the family doctor thinks that the disease requires going to a higher-level hospital, he will write a referral. Send a letter to the higher-level hospital associated with you. After receiving the letter, the higher-level hospital will decide whether to accept the patient for treatment in their hospital.

After such exchanges of letters, it often takes several weeks or months to get a definite answer. After the hospital decides to accept the patient, it starts scheduling appointments for the patient. There is no such thing as on-site registration in the United States. All non-emergency patients You can only rely on this triage system to make an appointment. Patients without an appointment cannot touch the hospital door.

If during this process, the doctor at the higher-level hospital sneezes slightly, or the family doctor is careless and the disease description is unclear, the correspondence will be repeated several times, and the time consumed will naturally double.

If the two people communicating are very serious and responsible, and the efficiency is good, the patient's condition really needs to go to a higher-level hospital for diagnosis and treatment, and the lucky patient finally gets an appointment, and this is just the beginning.

What follows is a long wait, waiting to see a specialist for consultation. Waiting for a few weeks is considered quick, waiting for several months is normal, and it is not strange to wait for New Year's Eve.

In short, be patient. Many patients have recovered from their diseases or died while waiting.

In this model, the patient does not have any choice in the entire process. That is, the patient has no idea about the quality of the doctor he has made an appointment with, and can only accept the passive arrangement of the hospital.

A few months later, the patient finally sees his specialist. If it is a surgical disease, the doctor usually has three options after seeing it. The first option is: the condition is not serious, go back for observation temporarily, pay attention to the rules of life, and treat it appropriately. Increase physical activity. The second option requires surgery, and then the surgery schedule begins. The surgery schedule often takes a few months at the earliest, and is normal even after a few years. The third method is to contact a higher-level hospital. If this is the case, the previous process will be repeated, which is a long process.

If things were better in the United States, wealthy people would not have to go through such trouble and go through such mass procedures, because they or their insurance companies could pay millions of dollars in medical bills to go to top hospitals and go through VIP procedures, but most People who are not rich can only rely on public health insurance and go through this ordinary process.

There is no free medical care in the United States, nor is there universal health insurance, and many people do not have health insurance.

If you are in a welfare state like Canada with universal free medical care, no matter whether you are rich or poor, you must go through this long medical treatment process.

Just like Americans think that China still has pigtails and bound feet, most people in China actually have illusions about the European and American medical systems.

So they were very surprised when they heard that Chinese people could see specialists directly at a very small cost.

After listening to Robert's speech, the doctors at the Hospital for Special Surgery in New York, USA, refreshed their understanding of China and began to yearn for China.

Except for a few doctors who have been to China, most doctors' impressions of China remain fixed and false. Now Robert tells them about the real China. The huge contrast between the real China and the China in their minds makes them have a different impression of China. An infinite sense of mystery.

In fact, many Americans have never been abroad in their lives. They think that the United States represents the world. In addition, their school education lacks world history and certain geographical knowledge, which leads to many Americans having a biased perception of the outside world. Especially for China.

This forced American doctors to re-understand China. They found that their previous perceptions were all wrong and outdated. Many doctors even wanted to come to China to see what China is like.

Especially the old doctor in the pathology department, who has never been to China before, and his understanding of Chinese people is still limited to men's braids and women's feet. This is so outrageous.

The doctor decided to take his wife on a trip to China after retirement to see the beautiful country that Robert talked about.

They have no doubts about the surgical skills of Chinese doctors, but they have not noticed this before. There are more than one billion people in China, and the number of surgeons is relatively small. Therefore, the number of surgeries performed by surgeons is staggering. In a large number of surgeries, With training, it is easy to produce top surgeons.

Robert's speech made many doctors have some kind of fantasy about China and full of mysterious yearning for China.

These doctors felt mysterious about China not only because of Robert's speech, but also because of Robert's medical skills that improved dramatically after he returned from China.

Especially for multi-ligament rupture surgeries on shoulder joints and knee joints, Robert was unable to do anything before, but now Robert can face it calmly. He has done a lot of such surgeries since his return, and his postoperative recovery has been very good.

Currently, only Robert can do this kind of surgery in North America, which is very remarkable. Robert's skills were very high in the past, but he was not so exaggerated.

This red-nosed man who usually wears a Tang suit and holds a folding fan in his hand regardless of the weather has become a mystery. His superb surgical skills are like magic.

"Mr. Robert, I would like to know, do Chinese doctors usually dress like you when they go to work?"

A doctor asked curiously.

Because Robert was wearing a Tang suit at this time, and the folding fan in his hand was sometimes opened and sometimes closed. His movements were extremely skillful and he had a special demeanor.

"No, ordinary doctors cannot dress like this, nor will they dress like this. They only dress like this when doctors with very high skills and so-called miracle doctors appear on TV programs. This is the dress of miracle doctors invited by health programs on TV. ." Robert explained his outfit.

In fact, Robert learned this outfit from television. When he was studying at Sanbo Hospital in China, he would often see the "miracle doctor" dressed like this talking when he turned on the TV. Robert felt that this outfit was very Chinese, so he wore it. China bought more than a dozen sets and changed them after bringing them back to the United States.

Especially when he is sitting in his own clinic, this outfit is standard.

"Is the miracle doctor the most powerful doctor?" a doctor asked.

Robert nodded: "Yes! They have fair hair and rosy faces. They often accept invitations from TV programs to popularize medical science to the public during prime time, and many TV stations have such programs."

That's it!

Several doctors, such as Brother Rong from the Department of Joint Surgery, are already thinking about buying a set of clothes like this and a paper fan like this.

Because a TV station in New York invited him to participate in a health program to tell elderly viewers how to protect their knee joints.

If he could wear such a magical suit, the effect of the show would be very good. He decided on the spot to borrow a "Chinese miracle doctor costume" from Robert.

"How many big characters do you think there are on your fan?" Brother Rong asked. Robert said proudly: "These are four Chinese characters - great doctor's sincerity!"

so cool!

The doctors thought the folding fan was cool, and the words on the fan were even cooler, although they didn't know what they meant.

"Everyone, my speech will continue next week. Welcome everyone. See you next week."

Robert had a graceful demeanor and swung his folding fan, folding it up instantly.
-

Sanbo Hospital.

Yang Ping accompanied Xiao Su around the hospital after get off work. They went to the club of Sanbo Hotel together. This club is an entertainment place for hospital employees. There are many entertainment and sports venues here, such as table tennis, badminton, tennis, Indoor basketball court, billiards, yoga room, gym and more.

As the pregnancy age increases, Xiao Su can only jog now, and is no longer suitable for strenuous jumping sports. For example, playing tennis is not suitable now. Xiao Su occasionally has itchy hands, and Yang Ping accompanies her to play a few games. The ball just moves the Qi and blood throughout the body.

This time is when the club is busy, and many people gather in the venue where wrestling and other games are usually played.

Yang Ping took a look and saw that they were all familiar faces. Basically all the old experts from Sanbo Hospital were present. It turned out that Professor Zhang was training Tai Chi Push Hands. The battle of the century between him and Nandu Affiliated Su was going to start at the end of this month.

Yang Ping and Xiao Su stopped and watched Professor Zhang's training. Xiao Su couldn't help but sweat for her grandfather.

Professor Zhang's training is not just for fun, but a real comprehensive training. He not only hired a full-time Tai Chi coach for training, but also hired a physical fitness coach to specialize in strength, endurance and flexibility training.

Now he and his coach are doing push hands training on thickened mats. The push hands competition is very fierce and it is not a show at all.

The mat was originally not so thick, so Dean Xia asked the club manager to change it urgently. Dean Xia was afraid that Professor Zhang would break his bones again after falling. Since he could not stop the battle, he could only find ways to avoid damage as much as possible.

Yang Ping counted these old experts. In addition to the members of the expert team of Sanbo Hospital, there were also some experts who had retired and re-employed from Sanbo Hospital. They were all very excited, as if this was no longer a matter of Professor Zhang alone, but Sanbo Hospital and Nandu. The battle with Fuyi is a duel involving honor.

This group of old people are more warlike than the young people at this time.

Under Professor Zhang's promotion, many old experts now play Tai Chi Push Hands. They work in groups of two and take turns pushing on the mat in a decent and serious manner.

''I heard from my dad that my grandpa has also hired a coach to intensify his training at the staff home of the First Annex, and he is also training muscles and strength in the gym. My dad can't persuade him at all. I heard that there will be a duel here at the end of this month. After finishing here, I have to go and add another dozen. "

"This is divided into two venues: home and guest. It looks quite formal."

"It seems that you will have to take time to be their field doctor then."

"I heard that Professor Zhang has even prepared crutches and wheelchairs."

Cruel enough! These old experts.

There were a few old experts resting aside, sitting on cushions in the corner. Everyone was holding a mobile phone and playing games at first sight.

In the past, Professor Zhang Zongshun often played games with Fatty Zhang Lin, Xiaowu and the others, but Zhang Lin, Xiaowu and the others were busy compiling books, and Fatty was busy falling in love, so no one paid attention to Professor Zhang. There was no other way, so Professor Zhang had to train these old friends. Come out, now everyone is a veteran.

"Su BuTong's lower body is very stable, but his waist is not as sharp as yours. You have to try your best to use up his waist. When you fight with him, try to compare with his waist strength."

An old expert who also knows Tai Chi Push Hands has been watching Professor Zhang’s training and gave Professor Zhang some advice.

Su Butong once had a lumbar compression fracture and later recovered through conservative treatment. However, after all, the waist is a relatively weak point and can easily cause strain due to excessive force or force for too long.

"Well, I have been doing strengthening exercises on my waist during this period." Professor Zhang was well prepared.

"Let's have barbecue and drink beer together in the evening."

Professor Zhang shouted during the intermission after completing the training, and the old experts responded immediately.
-

When Yang Ping was free in the evening, he entered the system space laboratory again.

Through the second phase of experiments, Yang Ping discovered a new substance that appeared around dead cancer cells, which Yang Ping tentatively named K factor.

Yang Ping highly suspected that this K factor was what initiated tumor cell apoptosis. So, in order to verify this problem, he decided to purify the K factor, conduct structural analysis of the purified K factor, and then add it to the tumor cells. internal environment to see if it can reproduce the process of killing tumor cells.

But now that all the cells in the tumor cell bank have died, Yang Ping has no choice but to use the reserved tumor cells. The tumor cells extracted from Sisi's body at that time were stored in several parts by Yang Ping. If he had not had the reserves at that time, he would have to take out the tumors again now. Cells, tumor cells at different stages will have a compromised effect on the experiment.

The source of these tumor cells is the specimen extracted at the same time. As an experimental specimen, there is very little deviation, so the experimental effect will be better.

What is the structure of factor K? Is it an initiating factor for apoptosis? If so, how does it participate in gene regulation and initiate the apoptosis program? The process is very complicated.

Yang Ping followed this idea and continued the experiment. His intuition told him that he seemed to have found some way to kill cancer cells.

PS: The previous chapters talked about the surgical treatment of "penguin disease". The surgery was real. The prototype of the surgery was the innovative surgery performed by Professor Chen Jianliang, director of the Department of Neurosurgery at the Eighth Affiliated Hospital of Sun Yat-sen University. The case reports at the time showed that the surgery was very effective. Did it happen later? It is not known after a large number of surgeries.

(End of this chapter)