Doctor Chen, Don’t Be a Coward!

   Chapter 60 Can TCM try it?

   "There are so many people in this world.

   Live in me, flying youth.

  …”

   I heard a burst of lyrics.

  Perhaps, this is the world.

   is 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...

   is a mortal, living in this complicated world.

   Be prepared to be washed by the tide.

   Rather than being dominated, it is better to stand up.

  …

  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 it.

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

   Oh, it's a pharmaceutical agent.

   That's alright.

  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 formulate the next work goals.

   Chief Physician Zhou Shuwei was writing 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.

Everything around    looks ordinary, but it is not pleasing to the eye.

   But this is the real medical system.

  One carries responsibility, ideals, and morality.

   is also full of pornography, profiteering, and rights.

   is 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.

   is such a place, some people laugh and cry.

   There were also people who cried and cried, but laughed.

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

   Yes, it is straw.

  …

  …

afternoon.

  The 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 Li Mengsan's treatment plan.

  Li Hongying stood aside and waited patiently.

   After a long time…

   Jia Fumin sighed:

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

   "Director, Director Li, that's how it is."

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

   "Mainly still the model of PPI + bismuth + 2 antibiotics."

   "But... the point is, the old man is now too resistant to drugs."

   "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 Court at that time, it was also difficult to achieve a 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 and prevent it from causing more serious damage to the gastric mucosa."

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

   "It takes a lot of patience!"

   “Also, eradication is difficult, almost unrealistic.”

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

   "Generally speaking, 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 in the fourth hospital of the province also mentioned this question."

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

   "Besides, work was busy at that time, and 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."

   "Regularly check the value of Helicobacter pylori and see the effect of treatment."

   Li Hongying was a little disappointed when she heard the sound.

   But... so what?

   Mi Lei said: "However, this time, your family members will try their best to cooperate."

   "It is 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."

   "Isn't there really a good way?"

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

  Mi Lei heard the sound and smiled bitterly:

   "Director Li, we are well aware of your concerns."

   "But... foreign developed countries have better control of Helicobacter pylori 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, our cognitive scope 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!"

   for a while.

   Several people fell silent.

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

  Long time…

   Li Hongying asked in a mysterious 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 also thank the big brother Chu Liufufeng for the 5000 reward. Sincerely, thank you for your support.

   Today's three shifts, and will be added from time to time in the future, I just hope everyone has a good time watching.

  To be honest, it’s not that writing is unpleasant.

   It's a new book period, time is limited, sorry everyone.

After    is on the shelves, it can really explode!

   (end of this chapter)