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Chapter 757 Active preparation (4000 chapters please subscribe)
The ethics review committee of the Fourth Hospital has not been this busy for a long time.

Most of the review committee members agreed to use arginine vasopressin for experimental treatment, but none of the related procedures can be avoided—or rather, because Tang Min is a minor, her review procedures have become more complicated than normal. complex.

In addition to the review process that the committee itself needs to pass, this set of procedures also needs to be reported to the higher-level Health and Health Commission and even the Civil Affairs Bureau for filing.The status of minors is very special - in order to protect the rights and interests of minors, in principle, medical institutions are not allowed to conduct experimental treatments on minors.

Experimental treatment itself has two outcomes: "experimental success" and "experimental failure".In general, patients have more or less effective treatment options.However, the results of experimental treatments are not yet clear, and patients receiving experimental treatments may face risks including "the treatment is ineffective" or even "the treatment has played a negative role".

This status quo determines that patients themselves need to bear a considerable part of the risk.An adult without mental problems has the civil capacity to discern and weigh the risks and benefits he faces.However, minors are legally regarded as individuals without or with partial capacity for conduct.They need a guardian to exercise their rights.But... the choice made by the guardian of the minor may not be the most suitable, at least not necessarily the most in line with the rights of the ward.

Because of such ethical risks, minors should not receive experimental treatments in principle.However, the reality is always more complicated than the prescribed situation.

Specific to Tang Min's situation, after confirming the diagnosis, accepting the experimental treatment plan proposed by Sun Li'en and others became Tang Min's only hope.

Either accept an experimental treatment plan and see what the result is; or...you can only watch Tang Min die from irreversible interstitial cell edema.Of course, the experts of the ethics committee can clearly distinguish the difference - no matter whether this experimental treatment plan is effective or not, the negative impact on Tang Min is completely acceptable.

Therefore, Tang Min's permission to accept the experimental treatment plan passed the ethics committee smoothly.In order to obtain permission from other institutions and carry out treatment as soon as possible, the Fourth Hospital specially dispatched several hospital staff to stay in the relevant departments throughout the whole process, urging them to complete the review and filing as soon as possible.

While the relevant departments of the Fourth Hospital are promoting the improvement of the process, the doctors in the comprehensive diagnosis center are also carrying out exercises intensely.Internal medicine treatment generally has relatively loose requirements on the treatment process of doctors - hang a bottle of water after hanging it.But Tang Min's disease requires doctors to turn this "relaxation" into a precise process.This is completely different from the usual treatment process in internal medicine. To get used to this treatment plan...it will take quite a long time of training and practice.

In order to complete the exercises, Sun Lien and the others borrowed a dummy from the academy.Then a platform was set up on the table in the small conference room, and the doctors who were confirmed to participate in the treatment wore hand-washing clothes and started the simulation training.

Those in charge of directing and evaluating the treatment were Xu Yourong from Shenwai and Wang Guonan from Puwai.These two surgeons are familiar enough with the whole process of surgical treatment, and they are more than enough to guide physicians like Sun Lien.

The rehearsal had been going on for two days, but the overall results were still not satisfactory to Xu Yourong and Wang Guonan.Physicians are prone to all kinds of problems after wearing hand washing clothes.From aseptic operation habits to teamwork, from treatment sequence to station exchange... Xu Yourong's voice was a little sore from shouting these two days, but the progress of the exercise was still not satisfactory to her.

"Sun Lien has already said to stop maintaining blood sugar!" Today's exercise got stuck in the process of withdrawing hypertonic glucose for the fourth time.Xu Yourong roared in a tone close to a growl, "Stop maintaining blood sugar, and exchange places with Yuan Ping'an after pulling out the needle...is it difficult?!"

Dr. Ma Yongfang looked a little embarrassed, she didn't say anything, she just lowered her head and said nothing.As the deputy chief physician, Dr. Ma usually outspokenly criticizes other attending physicians and residents in the Department of Endocrinology.But... Being criticized by others is really a new and uncomfortable thing for her.

"Let's take a break first." Sun Lien also noticed this change in the atmosphere at the scene.He took off the mask on his face, then walked towards Xu Yourong who was at the side, "Doctor Xu, let's have a chat."

"Let me declare first that this matter is not for discussion." Xu Yourong and Sun Lien walked to an empty corner outside the door, and then she rushed to speak before Sun Lien, "Since you asked me to guide the exercise, you have to follow my instructions." standard."

Sun Li'en took off his surgical cap, and then asked in a daze, "What are you discussing...?" The reason why he called Xu Yourong to come out was simple, just to ease the atmosphere in the small conference room a little.

This is a medical treatment program that requires surgical procedures.It was a little girl's only hope of survival.Moreover, it is still a treatment plan without any precedents for reference, relying solely on scientific research results and in vitro research protocols.

There are too many unreliable and unpredictable processes in the whole treatment process.In this process, doctors can minimize the unreliable content, and only the treatment process is it.Therefore, Sun Lien didn't feel that Xu Yourong might be asking too much - if the training was not carried out according to the supernatural standard, then the training would be meaningless.

He was just a little worried about the atmosphere in the treatment group, and worried that Dr. Ma Yongfang might not be able to handle it if this continued.

Although Dr. Ma Yongfang's progress was unsatisfactory, he was still a young deputy high school, and he had already completed two days of training.If she suddenly quit, then Sun Lien would not be able to find a young deputy chief physician of endocrinology in the fourth hospital who could be like her.Even if one is lucky enough to find such a candidate, he or she will definitely be two days behind Ma Yongfang in terms of training content.

Now everyone is racing against time to practice, isn't it to complete the preparation work as soon as possible, and to start treatment immediately after the relevant permission is issued?

"I just want to make a small suggestion." Sun Lien said after shaking the sweat from his hair, "Dr. Ma has been working in internal medicine for so many years, and it is difficult to adapt to the supernatural way of working. If possible , I think it’s better not to adopt such an emotional expression.”

"You think I'm happy?" Xu Yourong responded in a rare emotional tone, "I've never seen such a stupid person. How could he be so stumbling even if he changed positions? Today she has been pushed behind her." The line tripped three times!"

In order to prevent Dr. Ma Yongfang from hearing and causing embarrassment, Sun Lien and Xu Yourong didn't speak too loudly.But even so, the two still attracted attention, "What are you talking about? Why does it sound like arguing?"

Sun Li'en turned his head and saw that the fat white man Chen Tianyang was drinking tea from a thermos cup, while drinking, he was also looking at the two of them curiously.

After Sun Li'en and Xu Yourong quickly exchanged glances, Xu Yourong coughed lightly, and then said to Chen Tianyang, "Mr. Chen, you should bring a thousand if not eight hundred for the surgical students?"

"That's right." Chen Tianyang nodded very sincerely, "Having taught students for so many years, at least one or two hundred undergraduate students have attended my class a year, and the combination of postgraduate and doctoral students... there should be about three hundred students. digits."

"That's great." Sun Li'en was waiting for these words - he knew Chen Tianyang's habit of selling himself and boasting.He just wanted to take advantage of this conversation and leave the most troublesome matter to Lao Chen to deal with. "We have a doctor here who has never been in the operating room before..."

Xu Yourong turned her head in embarrassment, she seemed to be a little bit displeased with Sun Lien's tricking Chen Tian into raising this old man.But on the other hand... She really hoped that Sun Li'en could make Chen Tianyang a fool and let him come to give Ma Yongfang a surprise training.

Anyway, as long as you don't die as a fellow Taoist, it's fine.The guilty Xu Yourong said this in his heart, then quietly moved his feet wearing sneakers twice, stood at a position relatively outside and began to watch the wind.

Such things as cheating on the old man... The less people know about it, the better.

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Sun Li'en successfully tricked Chen Tianyang, allowing him to take over the job of surprise training Ma Yongfang with full confidence.Afterwards, he greeted Xu Yourong, ran to the office to turn on the computer, and then started calling Wu Youqian.

"Dean Wu, I have followed your instructions for the second time and got the results." After Wu Youqian got on the phone, Sun Li'en quickly reported the work situation, "The old man's judgment is the same as last time—'Suspected genetic Insufficient expression or low activity of key substances caused by mutations, specific diagnosis should be combined with clinical practice."

"I have asked the project team to start adding genome comparisons." Wu Youqian is very satisfied with Sun Lien's efficiency, "This time your discovery is very important, which adds a very promising development direction to the old stuff."

Neural network learning plus genome comparison module, which sounds like a very promising field.However, Sun Li'en himself didn't care much about this.He actively cooperates with Wu Youqian because he has other purposes.

"Ms. Wu... the drug results calculated by the old man..." Wu Youqian on the other end of the phone said everything, but didn't get to the point.Sun Li'en couldn't wait any longer, so he asked cautiously, "Is our medication plan okay?"

"We have done several simulations here, and the results are not consistent - there are too many variables to consider in the simulation of protein pathways at the cell level, and it is hard to say that we have mastered all the details." Wu Youqian replied, "However, out of the twelve simulations, eight times were judged to be effective. Among them, four times the effect was significant. This success rate is not low. You can definitely give it a try."

Sun Li'en hung up the phone in a sense of loss.In fact, he also understands that the simulation of old things cannot 100% reproduce the function of the human body.The simulation reliability of this drug application on cellular protein channels cannot be used as a reference.

However, knowing what he knew, Sun Lien still couldn't restrain his urge to seek all kinds of help to prove the plan.To put it bluntly, I still have no idea.If it weren't for the fact that young people in the new era don't have the habit of engaging in feudal superstition, Sun Li'en might still go to the temple to burn incense and worship Buddha, praying to the gods and Buddhas in the sky for some hints.

However... no matter how uncertain he was, he couldn't show it in front of his colleagues and the patient's family.It's normal to feel unsure.It would be irresponsible to bring this kind of negative emotion to work and infect colleagues and family members of patients.

There was a notice of a temporary break in the work group.At the same time, Tang Min's parents also knocked on the door of Sun Li'en's office - a middle-aged man with glasses entered the office with them.

"Doctor Sun." Tang Min's mother greeted Sun Lien first, then pointed to the middle-aged man behind her and said, "This is my brother."

"Oh, you can take blood today, right?" Sun Li'en suddenly realized. He said before that in order to determine whether the AQP4 protein underexpression syndrome is hereditary, he did indeed ask for a blood sample from Uncle Tang Min.However, he really didn't expect Tang Min's parents to be so powerful - they are not locals.

"I heard from my sister that the child's illness may be related to my childhood experiences—so I hurried over here." Tang Min's uncle shook hands with Sun Li'en, "I'm here, doctor, what do you want to check?" Anything - I will fully cooperate." Speaking of this, he emphasized, "I have already asked for leave with the company, including annual leave, a total of fourteen days, you can do whatever you need during this time."

Sure enough, the uncle loves the niece.Sun Li'en nodded, and asked Tang Min's uncle to sit down first.Then I reported the current progress to Tang Min's parents.

"The treatment plan has been approved by our hospital's internal ethics committee, and now we can start treatment only after the approval of the civil affairs department and the health and health commission." Sun Lien added after talking about the progress, "At present, our Doctors are actively carrying out relevant training, trying to take into account all the problems in the treatment process, and this step is currently going smoothly, and it is estimated that it can be completed before the relevant departments complete the approval."

"I've also heard from my sister about the treatment plan. It's hard to say what the effect of this treatment will be, right?" Tang Min's uncle suddenly interrupted the conversation. He seemed to have planned to make this suggestion a long time ago. "I have an idea... If I have the same problem as Min'er, then... can you try the treatment on me first?"

(End of this chapter)