Doctor's Life Simulator

Chapter 363 Top Rewards: A Research Project with Nobel Prize Potential in Medicine
In the next few days, as Pfizer's new drug entered the Huaguo market strongly, Ming's Pharmaceutical Group's stock price continued to fall.

Ming Dong and the members of the board of directors are both battered by Pfizer's suppression. Ming Dong can only bite the bullet and join the board members to prepare a plan to invest in the company's stock repurchase, hoping to give investors and market confidence.

In addition, Ming Dong is also starting from the company's business and R&D projects to see if he can find a breakthrough.

Originally, Ming Dong wanted to bet on the research and development project jointly developed by Qin Lang's laboratory and Qin's pharmaceutical company, but after being described, ridiculed and discredited by the Muddy Waters report, the market did not have the team and project of Qin Lang, a young doctor. any confidence.

Director Ming is also helpless. Moreover, the anti-tumor new drug project that he had placed high hopes on has not made much progress recently. Instead, Qin Lang is working on a mysterious new drug project. Regarding this, Director Ming is also somewhat helpless.

However, Dong Ming did not pin all his hopes on Qin Lang, and this should not be the pressure and responsibility that young people of Qin Lang's age should bear.

After so many years of turmoil, it is impossible for Ming Dong to pin her hopes on a little guy like Qin Lang. She began to mobilize her various relationships to save Ming's Pharmaceutical Group.

Time flies.

As expected, Pfizer's new drug entered the Huaguo market smoothly.

For a smoker market as large as Huaguo, many people would naturally buy and try smoking cessation medicines.

After all, the treatment cycle of this smoking cessation medicine is only 12 weeks, and a box of medicine costs only tens of dollars, and a whole course of treatment costs thousands of dollars.

Sure enough, as soon as the new drug was launched, many smokers or their family members went to purchase it.

The sales of smoking cessation drugs are very gratifying, and the more this is the case, the contrast between Pfizer's prosperity and Ming's Pharmaceutical Group's decline is even more sharp.

When Ming's Pharmaceutical Group was in trouble, its stock price continued to fall, and its cash flow was limited, Qin Lang was as stable as Mount Tai, carrying out his daily work at his own pace.

On the laboratory side, the smoking cessation drug developed by Qin Lang has also come to an end, and will soon enter the approval stage, but Qin Lang is not in a hurry.

What he needs to do now is to collect the cases among Pfizer's patients, and to grasp the fatal side effects of Pfizer's new drug.

After all, there is no basis for empty talk, and it has been a while since Pfizer's smoking cessation drug entered the market. However, some patients should have had side effects.

Therefore, Qin Lang began to contact the powerful director and vice president who had a close relationship with him before.

Hechengzhong, the Second City Hospital, Military Hospital, Moduzhong, Huashan Hospital, Ninth People's Hospital, Ruijin Hospital, Zijingang First Hospital in Hangzhou, Xiehe Hospital in Imperial Capital, and Cardiovascular Hospital in the Second Hospital of Harbin Medical University Internal medicine, etc., although they did not understand Qin Lang's intentions, they followed his admission requirements and began to pay attention to and provide case information for Qin Lang.

The Department of Cardiology and Psychiatry of the First Hospital of the city also received a notice to treat some patients with special symptoms for Qin Lang.

The patients admitted to Qin Lang are involved in: emotional depression, anxiety, suicidal tendency, myocardial infarction, angina pectoris, cardiovascular disease, etc.The patient was a smoker before, and had recently taken a new smoking cessation drug from Pfizer in the United States.

Regarding Qin Lang's admission standard, Director Zhu of the Department of Cardiovascular Medicine is at a loss. Of course, he knows the origin and relationship between Qin Lang and Ming's Pharmaceutical Group, and he also knows that at the Pfizer press conference before, Muddy Waters In the report, Qin Lang was maliciously slandered and slandered.

Director Zhu also had some guesses in his mind, but he didn't take Qin Lang's behavior seriously, and he didn't pay much attention to it.

After all, it is Pfizer Pharmaceuticals in the United States, and it is a new drug approved by the FDA. Qin Lang is just a small shrimp in front of Pfizer Pharmaceuticals, an aircraft carrier in the pharmaceutical field.

Even in another way of thinking, in Director Zhu's opinion, Qin Lang's setbacks in the pharmaceutical field are not necessarily all bad things, but this will help Qin Lang devote all his energy to the operating room. It is the stage for geniuses like Qin Lang.

Xie Fei, 40 years old this year, is a structural designer for a construction company in Hecheng City.

Over the years, the design world has also become more and more voluptuous.The design fee has not increased in decades, and the design cycle is getting shorter and shorter. It takes two weeks, or even one week, to produce a set of architectural construction drawings.

As the core force in the project, Xie Fei will be responsible for the blueprint design of the structure. If the progress is normal, it is acceptable, but often, the owner and the early stage of the plan will always have various adjustments, one draft, two drafts, The third draft, the final draft, the final draft, and the second draft will return to the first draft.
In short, in this kind of high-intensity work, Xie Fei basically needs to work overtime three or four days a week, and in order to maintain his spirit and inspiration, Xie Fei often smokes a few cigarettes between working overtime at night.

Since entering the industry, Xie Fei is really a heavy smoker. It was nothing at all, but during the physical examination last year, he found several small ground-glass nodules in his lungs. Therefore, Xie Fei's wife The threat of divorce finally made this old smoker make up his mind to quit smoking.

It's just that it's so easy to quit smoking for such a long-time smoker.

It was also a coincidence that when Xie Fei repeatedly failed to quit smoking, a new drug from Pfizer Pharmaceuticals in the United States was launched.

With the halo of Pfizer, plus the approval and certification of the FDA in the United States, Xie Fei certainly has a lot of trust in this, and also bought a course of medicine in the first time.

These days, Xie Fei has been taking the medicine on time, not to mention, the effect of this smoking cessation medicine is very significant.

Recently, he has been largely able to do without smoking.

At the same time, in order to maintain his body, Xie Fei also intentionally reduced his workload and shortened the length of overtime. These days, he has also maintained sufficient sleep.

It stands to reason that his body should be developing in the direction of a virtuous circle.

I just don't know why these days, Xie Fei often suffers from chest pain and tightness, and sometimes even has difficulty breathing.

Xie Fei took advantage of the fact that he had nothing to do today, so he registered an expert account of the Department of Respiratory Medicine at the First Hospital of Hecheng City.

Xie Fei reckoned that it might be that the nodules in his lungs had new changes, which caused his chest pain and tightness.

It's just that Xie Fei didn't understand. He was about to quit smoking completely. Recently, he went to bed on time and rarely worked overtime. It stands to reason that his health should be getting better and better.

After Xie Fei came to the city's No. [-] hospital, he waited in line for a long time, and finally got the number of director Qing, an expert in respiratory medicine.

Director Qing is a very experienced respiratory medicine expert in Hecheng City, especially good at diagnosis and treatment of pneumonia, respiratory failure and other respiratory diseases.

Director Qing is also the deputy director of the internal medicine teaching and research section of the city's first hospital. He graduated from the Department of Clinical Medicine of Zijingang University. In recent years, he has published many papers above the provincial level.

In the city's first hospital, it is also very respected.His expert number is even more difficult to get.

After Xie Fei walked into the consultation room, he saw Director Qing calling him to sit down, and asked:
"what's the situation?"

Xie Fei quickly explained his situation: "Director Xie, I had a physical examination half a year ago and took a chest X-ray. It said that there were a few small nodules in my lungs. Let me come back for a review in half a year. I don’t know what’s going on these few days, but there will always be a burst of chest tightness, chest pain, and sometimes I can’t breathe.”

Listening to Xie Fei's words, Director Qing frowned, but according to his experience, if it's just a simple respiratory disease, it shouldn't be like this.

After all, Director Qing has rich experience and thought of a possibility, but further examination is needed:
"How long have you had chest pain or, chest tightness?"

"A few times, the attack lasted for twenty minutes, but it was not very serious, and it will be fine after a while."

Listening to Xie Fei's discussion, Director Qing conducted further physical examination and interrogation, and after another examination.

Director Qing's face became serious: "I think your problem may not be caused by lung nodules, but may be a cardiovascular problem. Now, I'm going to contact Director Zhu of the Department of Cardiovascular Medicine, and I want to talk to Zhu The director will do a joint consultation."

After all, if his deduction is correct, then the patient's condition is very dangerous, and if the diagnosis is not made as soon as possible, his life will be in danger.

In the office of Cardiovascular Medicine, Director Zhu received a call from Director Qing, and of course he was ready to rush there immediately.

It happened that Qin Lang was also there, Director Zhu thought about it, and called Qin Lang together. In some fields, Qin Lang's diagnostic ability is very powerful.

Maybe it can play a key role.Qin Lang's current status is very special, and Director Zhu also respects Qin Lang from the bottom of his heart.

The two soon came to the consulting room of the Department of Respiratory Medicine. When they saw Director Qing, Director Zhu didn't talk nonsense, and asked straight to the point:
"Director Qing, show me the patient's specific information and situation. What's your current judgment?"

Director Qing and Director Zhu are also old partners, and the two often conduct joint consultations and discussions with some patients.

Director Qing had heard about the young man on the side, but he didn't communicate with Qin Lang much. He still believed in Director Zhu, who had been working with him for many years, and was cautious about Qin Lang, who was in the limelight.

After the two communicated for a while, Director Zhu also had some clues, and understood the reason why Director Qing called him over in such a hurry.

"Do you suspect that the patient may have a cardiovascular problem, and may have a myocardial infarction?"

Director Qing nodded. Of course, it's just a rough guess right now:

"I suspect that the patient may have acute coronary syndrome!"

So-called acute coronary syndrome, including various conditions, such as multiple myocardial infarctions, unstable angina.

For this kind of symptom, Director Zhu is of course very experienced, and the diagnosis method is also very clear, which is the gold standard recognized by the medical field: coronary angiography.

Coronary angiography is to send a catheter to the aorta through the femoral artery or other peripheral arteries, and inject a contrast agent to visualize the coronary arteries, so that the location, degree and scope of coronary artery obstructive lesions can be more clearly displayed.

Through angiography, doctors can directly see whether the coronary arteries are smooth, whether there are plaques, or whether they are narrowed and calcified, or whether the blood flow is poor, and the clarity is high.

After confirming the diagnosis plan, Director Qing and Director Zhu arranged for the patient's angiographic examination as soon as possible.

As for coronary angiography, as a top player in the cardiovascular field, he is of course proficient in the simulated world.

However, in the simulated world, Qin Lang knew that coronary angiography still has limitations, and it is very accurate for ordinary ST-segment elevation myocardial infarction, with a very low rate of missed diagnosis.

However, it has limitations for non-ST-segment elevation myocardial infarction, and often misses the diagnosis.

And the best way, in the simulated world, Qin Lang has mastered another more accurate auxiliary method, which is to add dynamic electrocardiogram examination.

By continuously recording electrocardiograms, the blood flow changes of dynamic coronary arteries can be captured. However, in this way, the experience requirements of the observing physicians are extremely high, and it is difficult for general chief physicians to do it and think of it.

However, at this stage, Qin Lang still remained calm. After all, the patient's condition is not yet clear, and the diagnosis may be made directly according to Director Zhu's diagnosis.

After all, the probability of patients with non-ST-segment elevation myocardial infarction is still very small, and routine myocardial infarction is sufficient according to Director Zhu's examination.

Soon, several people began to perform coronary angiography on the patient. Director Zhu performed the surgery himself, Director Qing watched over the patient, and Qin Lang followed humbly.

For Qin Lang's humility, waiting to study aside, Director Qing slightly recognized it.

Soon, under the auspices of Director Zhu, coronary angiography began. The patient was placed supine on the DSA bed, the right groin area and right forearm were disinfected with strong iodine, and sterile drape was spread.

Under local anesthesia with 2% lidocaine, Director Zhu used the Seldinger method to puncture the right radial artery, placed a 6F arterial sheath, injected a mixture of lidocaine, verapamil, and nitroglycerin, and put it into a 5F TIG angiography catheter. Right coronary angiography.

Watching Director Zhu's operation, Director Qing nodded slightly, as expected of being the mainstay of the Department of Cardiovascular Medicine of the City's No. [-] Hospital.

Qin Lang on the side also quite recognized that Director Zhu's operation, although incomparable to his own, is indeed top-notch in the city's First Hospital.

Since coronary angiography is the projection of blood vessels on a two-dimensional plane, it cannot fully and three-dimensionally display the real structure of blood vessels, and can only be judged by the experience and level of the surgeon.

The scanning time of coronary angiography is very long, but even such a detailed examination is still due to the defects of the technique itself, so when Director Zhu completed the whole operation, the real cause of the patient was still not found.

"The patient's coronary blood flow decreased by less than 40%, and there was no arrhythmia and ischemic symptoms, and no lesion images were monitored"

Director Zhu looked at Director Qing helplessly:

"Based on the current test results, the patient may not have a myocardial infarction. Maybe it is really a nodule problem in the lungs?"

Hearing Director Zhu's result, Director Qing was also somewhat unexpected, and then began to doubt whether it was really his own false alarm.

However, it is right to think about it. The patient has obviously recovered a good work and rest, and now he has quit smoking for a while, and his sleep quality has improved a lot.It should not, but trigger myocardial infarction.

"It seems that the only way to do it is to carry out a lung examination on the patient."

When Director Qing and Director Zhu decided to change directions, a voice sounded in Qin Lang's ear:

[Ding, new task, through the auxiliary means of continuous recording of electrocardiogram, to diagnose the real condition of the patient.At the same time, through this case, find the real cause of the disease and start the first step to fight back against Pfizer.Task reward: 1.1 life simulation points. 】

[Ding, inspire a long-term mission, completely defeat Pfizer's conspiracy, and launch your own smoking cessation medicine.Save Ming's Pharmaceutical Group, and at the same time, enter the Forbes Under 30 elite list.Task rewards: 1. Start a research project with the potential for a Nobel Prize in Medicine]

PS: Thanks to Anxiang Shuying for the reward of 100 coins, thank you!

(End of this chapter)