The road to the rise of great doctors

Chapter 26 Keep Learning
Liu Dong was a little embarrassed.

"I've seen it but haven't actually done a review, so I don't know if it can be completed, but I really want to take on this task."

"It doesn't matter. I have published two articles and recently wrote a new one. By searching the literature, even if it cannot be published in the end, I have gained an understanding of the frontiers of the disease, which is worthwhile."

That night, Liu Dong heard Li Xiao mention her scientific research work. He also heard his teacher talk about similar things at school, so of course he understood what she meant.However, he looked at her and said, "Do you trust me?"

"Ah?" Li Xiao felt a little puzzled, and said, "We are friends, and there is no conflict of interest."

What else could Liu Dong say, and he sighed deeply.Suddenly I felt a little funny.

He remembered the last time he was studying in the house. The girl came back from doing experiments very late. She still patiently thought about it, endured her drowsiness, and told him stories about scientific research in a soft voice, as well as the work and life of graduate students.

Suddenly a warm current surged in my heart, so I nodded and said, "Then write an article."

Instead, Li Xiao was stunned.Although she was full of confidence before and felt that he would definitely agree if she spoke up, but thinking of the inner struggle of writing an article for the first time, she didn't expect Liu Dong to agree so easily?
"Really?"

"Ah."

"You are willing to obey my command?"

Liu Dong nodded.

Li Xiao became happy and immediately walked back, saying, "No more shopping then. Let's go back and read the literature."

Liu Dong felt that he couldn't keep up with her rhythm and said, "Now? Do you want to give me a time schedule first?"

Li Xiao said happily: "Hey, I forgot. I'll give it to you before going to bed at night."

The way back was completely different from when she came here, and there was no silence at all, because...Liu Dong kept asking her various questions about publishing articles.

Li Xiao was a little confused. Now he was in article writing mode?

When he got downstairs, Liu Dong ended his questions and said with emotion: "It sounds easy, but when it comes to actually doing it, without your detailed explanation, it might have taken me three or four times as long to understand it clearly."

After hearing Liu Dong's words, Li Xiao felt that the dry mouth he just said was worth it.

After returning to the room, Liu Dong lowered his head and looked at his watch: "It's too late today, so I won't bother you anymore. I probably know the steps for writing a review. You can give me the schedule later. I'll check the literature first, and then tidy."

Li Xiao saw that it was close to ten o'clock, nodded, and said: "Let's meet here on Sunday morning to discuss what you found. Is it enough to write?" Li Xiao asked for his opinion, " If you think you can't finish it, you can delay it later."

Although Liu Dong felt that it was not possible to make a good estimate, he seemed to be able to make a judgment. After thinking about it, he said, "Yes."

"Good night then." Li Xiao waved to him and walked into his room.

"Goodbye." Liu Dong waited for Li Xiao to enter, then turned and returned to the room.

After returning to the room and closing the door, Li Xiao couldn't help but curl up the corners of his mouth.

Liu Dong returned to the room, found a blank notebook, and drew a schematic diagram of the surgery he performed today on it.For some vague memory places, I first blanked them out and wrote a few notes next to them.

Then, I took out the surgery manual and supplemented the schematic diagram.
After reviewing the operation, I recorded the key points and precautions of the operation. I should make a little progress next time.

I looked at the time and found that it was just 11 o'clock, and there was still one hour before 12 o'clock.

So, Liu Dong took out his laptop, opened pubmed, and entered the keywords "renal cell carcinoma" and "kidney cancer". He first looked at the review type, but there were not many of them.Then I read the clinical research, found the literature, opened a new web page, and logged in through the school library link to download.

After Liu Dong downloaded it, he started to read it carefully starting from epidemiology.

According to the data of the United States in the past 30 years, the incidence of kidney cancer has shown an increasing trend year by year in the first 10 years, with an average annual increase of 2.42%; however, the growth rate has slowed down in the past 10 years, showing a high plateau. curve.

The increase in the incidence of kidney cancer in the first 10 years or so is related to the increase in the incidence of localized kidney cancer. Looking at the analysis in the article, it is mainly due to the improvement in diagnosis level.

The popularization of imaging technologies such as ultrasound and computed tomography has allowed tumors to be discovered earlier.

Now we can see that the application of ultrasound and computed tomography is very common. These are commonplace now, but they were rare at that time.The improvement of diagnostic technology has played a very important role in the discovery of early renal cancer.

Liu Dong couldn't help but think of someone asking a question on a social networking site: "If Western medicine doesn't perform examinations, can't we treat the disease? Can we see a doctor without examinations?"

When Liu Dong saw it, he felt that this person's questions were very poor.

These examinations of Western medicine are not only beneficial to doctors, but are used by doctors to help diagnose and make treatment decisions.It is beneficial to both doctors and patients. In the case of kidney cancer, it has actually helped to increase the detection rate of early cancer, making timely treatment a reality in the early stages of the disease. It has given the opportunity to treat late-stage diseases that are difficult to treat. It also allows some surgeries that originally required incision and exploration to identify the problem without exploration, reducing the number of surgeries or making the surgeries more targeted.
But the person who asked that question hoped that it would be best not to conduct inspections and not use those equipments.

Liu Dong shook his head, unable to understand the idea of ​​"self-defeating martial arts", whether the proposal was for attention or stupidity.

Continue reading the literature.

Both localized RCC and overall RCC incidences have stabilized in recent years.

The incidence rates of locally advanced and metastatic renal cancer have remained stable in the first 10 years or in the last 10 years.

This is enough to show that the upgrading of examination methods has improved the diagnosis rate of early diseases, allowing patients to be discovered, diagnosed and treated early.As for late-stage diseases, the symptoms are basically very obvious, and it is difficult to solve them through diagnosis. The solution still depends on innovation in treatment.

However, this is the data of the beautiful country!The equipment innovation in our country is delayed even further than this, so I heard doctors say, "It seems that the incidence of kidney cancer has been increasing and getting younger in recent years." Perhaps we can use the data from the first 10 years of the United States to explain the incidence of kidney cancer in our country. Finally caught up with the beautiful country in the field of diagnosis, and what changes will it bring after that.

Maybe it was because it was not discovered in time and was only discovered at a late stage.

Fortunately, now our material life has improved, we have money, the hospital equipment has been updated, and the community can provide free annual ultrasound examinations to the elderly.

Continuing to look at the data from the United States, the overall mortality rate of kidney cancer was on a curve that first increased, then plateaued, and then declined in the first 10 years.This is also consistent with the mortality rate of early-stage kidney cancer. The mortality rate of late-stage kidney cancer also increased first, but at a slightly lower rate, and then declined.

The mortality rate of early localized renal cancer may be due to the high detection rate and the consequences of a rising tide.The more we discover, the more we die.However, the reduction in mortality should be attributed to the improvement of anesthesia technology and the improvement of understanding of anatomical structures, which has led to great progress in surgical technology.Especially in recent years, the application of laparoscopic technology has reduced major bleeding.These are crucial and directly affect the safety of patients during surgery.

The mortality rate of advanced kidney cancer has also decreased in recent years. This has little to do with surgery and should be attributed to the advancement of drugs.

When our country is making decisions, we can partially refer to the data of Beautiful Country.However, data from our own country are also available, but the performance may be somewhat delayed.

Each place conducts its own epidemiological investigation to make decisions on the overall population. This is the reason.

Liu Dong was deeply attracted. In addition to surgery, drugs are also powerful weapons against diseases.Comprehensive decision-making based on various treatment methods according to the specific conditions of the patient may be the main theme of the future.

When he heard the alarm ringing, he was awakened from the literature and said: "No wonder teachers often say that we should maintain a lifelong learning mentality, read more literature, and keep learning."

Liu Dong decided to go to bed before early morning. He thought that Zhu Guoliang would be on duty tomorrow and it would be time to join him on duty.
He didn't know if there would be an emergency tomorrow. He remembered that near the hospital, there seemed to be more people drinking beer and eating skewers.Maybe he can use his new skills too...

(End of this chapter)