Page 915
Page 915
Preparations for the ribbon-cutting ceremony have been completed. Several people stepped on the red carpet, and even the breeze seemed to stop.
Director Dou followed behind, thinking about finding a time to talk to Zhou Congwen.
The society pays attention to people who carry people in bridal sedan chairs. You can run rampant in 912 by relying on the reputation of Huang Lao, but if you do the same in society, you will not be able to do so.
Sooner or later, you will have a big fall.
Chapter 1573 King Kong, glaring!
Coming to a meeting room, the chairman of the Keats Group asked Academician Chu to sit down, and then gave Zhou Congwen a vicious look.
The patients and their family members did not follow in, but stayed outside.
Zhou Congwen ignored the murderous gaze of the chairman of the Keats Group, sat casually on the side, and glanced at the people in the conference room.
Not many people came in, just a few people, and half of them were the leadership of the Keats Group.They looked at Academician Chu in doubt, and finally their eyes fell on Zhou Congwen.
No one knew why Academician Chu would rather delay the auspicious time than offend this young doctor.
"Jin Sansheng, you are the one to see the patient." Zhou Congwen smiled and asked directly, his words were like knives.
Jin Sansheng was taken aback, Director Dou saw that Zhou Congwen called him by his first name without even adding the suffix of a director, and suddenly felt that something was a bit big.
"Professor Zhou, take a look, calm down, what's going on." Director Dou hurried up to fight.
"Director Dou, sit down." Zhou Congwen said with a smile.
"Don't be angry, speak up if you have something to say. They're all on your own, what's wrong with you?" Director Dou sat down next to Zhou Congwen, persuading him with a smile.
The chairman of the Keats Group knew that Director Dou was an expert invited to participate in the ribbon cutting, so he was a little puzzled when he saw Director Dou's kind attitude towards Zhou Congwen.
"Since you have doubts, let me say a few words first." Zhou Congwen said lightly.
Academician Chu frowned, staring at the medical record without saying a word.
"Director Jin, I'm a junior, so if I'm wrong, you have to give me more advice." Zhou Congwen smiled, looked at Jin Sansheng and said.
Everyone else heaved a sigh of relief. This young man who came to "seek trouble for nothing" seemed to be cowardly.
But academician Chu frowned even tighter, he knew that Zhou Congwen was a sign of an attack.
The more docile Zhou Congwen smiled, the more cowardly he spoke, the more violently he erupted.
"The immune tolerance period of hepatitis B's three genitals is the virus-carrying state, the virus and the body coexist, there is no obvious impact on each other, there is no obvious damage to liver function, and the biochemical indicators are basically normal.
Immune tolerance is also generally difficult to obtain a response with antiviral drugs, and may even prematurely bring the patient into the immune clearance period.
General patients need regular follow-up and medical observation.
Every six months or so, the patient should be tested for hepatitis B virus, liver function, liver, spleen and gallbladder ultrasonography, and observe the degree of liver damage.Once the liver has entered immune clearance, this is a good time for antiviral therapy. "
"Jin Sansheng, do you think I'm right?" Zhou Congwen asked.
"..."
Zhou Congwen said some nonsensical words, and Jin Sansheng's face became more and more ugly.
The chairman of the Keats Group said unhappily, "Jin Sansheng, isn't it?"
"Yes." Jin Sansheng squeezed out a voice from between his teeth.
"What are you talking about!" The chairman of Keats Group looked at Zhou Congwen coldly.
"The little girl has three genitals, normal liver function, and high HBV DNA load. The typical immune tolerance period is no longer typical. This is the objective evidence on the laboratory test sheet. Jin Sansheng, am I right?"
"..." Jin Sansheng broke out in cold sweat.
"That is to say, in the typical immune tolerance period, there is actually no need for treatment for Dasanyang. You just need to observe the changes in the condition and wait to enter the immune clearance period."
Jin Sansheng's face was as pale as white paper.
Although Director Dou didn't see the medical records, and didn't know the specific disease conditions, diagnosis and treatment, but he understood the true meaning of the matter through Zhou Congwen's words and Jin Sansheng's expression.
Hepatitis B Dasan Yang does not need to be treated during the immune tolerance period, but Jin Sansheng treated the patient, which... does not seem to be a big deal.
Director Dou thought to himself.
He felt that Zhou Congwen was making a fuss out of a molehill.
"Come on, Director Jin." Zhou Congwen raised his hand and hooked his fingers.
Zhou Congwen's actions were slightly frivolous, and carried a deep sense of insult.Moreover, his name for Jin Sansheng was constantly changing, and every change made academician Chu shudder.
"Xiao Zhou." Academician Chu said softly, "This treatment method may be because Director Jin doesn't have a deep understanding of Dasanyang. Although the treatment principle is wrong, it will not cause too much harm to the patient. It is not considered a medical treatment." ACCIDENT."
"Heh." Zhou Congwen sneered, and took the medical records from Academician Chu.
Academician Chu's hand tightened, pinching the medical record, but Zhou Congwen's strength was so great that Academician Chu's nail bed turned white and he didn't pinch it.
"Director Jin, you are very good." Zhou Congwen said lightly.
At the same time, the medical records were slammed onto the table with a bang.
"I'll ask you a few questions."
"First, does the patient have indications for treatment?"
Saying that, Zhou Congwen looked at Jin Sansheng coldly.
Jin Sansheng's face was as white as paper. He wanted to say that the patient's hepatitis B virus load was high, but Zhou Congwen mentioned the concept of immune tolerance early in the morning.
The words not long ago were tightly blocked in Jin Sansheng's mouth like a ball of rags, making it difficult for him to breathe.
"I'm asking you something!" Zhou Congwen copied the medical records and threw them at Jin Sansheng not far away.
The medical record hit Jin Sansheng's face, and the medical record paper fell off like snowflakes.
Director Dou's eyelids twitched.
It's as if I did something wrong when I was an intern many years ago and met an old and strict director.
But today the situation is reversed, Jin Sansheng has become a young doctor, and the young Zhou Congwen has become an old director.
"I..." Jin Sansheng lost his momentum, bowed his head and was speechless.
"Is it shameful now?" Zhou Congwen asked coldly, "What did you think when you prescribed the treatment for the patient?"
"Don't go too far!" the chairman of Keats Group said angrily.
"I'll talk about your matter later." Zhou Congwen glanced at the chairman of the Keats Group, then stood up and kicked the table away.
With a bang, Zhou Congwen glared like a King Kong, and his figure enveloped Jin Sansheng.
"Patient, there is no indication for treatment at all!"
Zhou Congwen took a step forward, and Jin Sansheng's ears were filled with Zhou Congwen's roar, feeling fearful, subconsciously took half a step back.
"Patients don't need treatment at all!"
Zhou Congwen took another step forward.
"Are you a doctor!"
Zhou Congwen took another step forward.
"You touch your conscience and ask yourself, are you a doctor!"
"Do you have a license?"
"Do you know why the immune tolerance period cannot be treated!"
"The little girl is still young, and she screened out a drug-resistant virus strain before even showing the indications for anti-virus. What are you going to do in the future!"
"The poor response of Entecavir is not enough, but Adefovir must be used!"
"Do you know how many lines of medicine Adefovir is? What are the side effects?"
"According to your plan, after a few years, liver cirrhosis, ascites, and liver cancer, don't you even blink your eyes when killing people!"
Zhou Congwen's voice echoed in the empty meeting room.
Chapter 1574 Seek money!kill! !
Academician Chu moved his lips, but finally chose not to speak.
He felt a little ashamed.
I made an excuse for Keats Hospital, and now under Zhou Congwen's pressing every step of the way, the justification just now was so feeble, even so absurd.
What Zhou Congwen said was correct, the patient had no indication for treatment at all.
Maybe a low-level doctor saw the high viral load and subconsciously gave the patient Entecavir, but Academician Chu knew that it was the wrong treatment.
As for Jin Sansheng, it's not like he doesn't understand...
Academician Chu was silent and at a loss.
"There was an increase in the viral load."
Under Zhou Congwen's persecution, Jin Sansheng had already retreated to the corner, and there was no way to retreat, he subconsciously tried to argue.
"The viral load has risen again? Let me ask you, is this a virological rebound or a laboratory error?" Zhou Congwen asked with a sneer.
"Adefovir's rescue plan is already a second-line elimination plan, and the drug resistance rate has reached more than 20% in five years. Are you going to quickly cure the ordinary Dasan Yang into liver cirrhosis?"
Zhou Congwen bent down, his eyes were parallel to Jin Sansheng's, and looked straight at him.
His eyes were clear, but in Jin Sansheng's eyes, Zhou Congwen was like a ghost.
"Are you Academician Chu?" Zhou Congwen suddenly asked a strange question.
Everyone in the conference room was stunned, especially Director Dou, who stared at Zhou Congwen in a daze, unable to understand what this sentence meant.
"I also agree with reasonable scientific research on the combination of long-acting interferon and first-line oral antiviral drugs in patients with immune tolerance, plus Ridaxian and vaccines, because this is the subject of Academician Chu."
"Are you worthy? Are you worthy!"
Zhou Congwen's voice was very flat, but to Jin Sansheng's ears, his words were like spears and halberds, every word pierced his heart and every sentence killed people.
Jin Sansheng's eyes went dark, his legs were weak, and he sat slumped on the ground.
It's really heartbreaking.
He knows it.
When first contacting, Jin Sansheng still did it with the heart of curing diseases and saving lives.
But soon he found out that a nurse who graduated from a medical school pretended to be a doctor and earned more than himself, so after a short thought, Jin Sansheng also joined in.
Congruent?
As long as you don't want to, it doesn't exist.
Immune tolerance?
If it doesn't exist, Jin Sansheng has long forgotten about it.
As long as the viral load is high, it is recommended that patients be treated with DCC cell immunotherapy, coupled with drugs such as entecavir.
After all, Jin Sansheng is a professional doctor, chief physician, and professor who graduated from a famous school.
As long as he is determined, he can persuade patients a hundred times better than a nurse who graduated from a medical school.
But when Zhou Congwen turned all this out and made it plain and straightforward, Jin Sansheng's blood flowed backwards all over his body, and he instantly jumped up.
Any justification is meaningless in front of Zhou Congwen. He blocked Jin Sansheng's mouth with the most professional knowledge in the first sentence of the article.
Immune tolerance!
Jin Sansheng knows that the patient is in the immune tolerance period, but how can he live without treatment?
Private hospitals need to evaluate their performance, and if there is one less patient, they will lose a chance to complete their performance.
Jin Sansheng defended himself in his heart, but he didn't say a word of these words.
Because he knew very well that if he said a word, that young man would have ten words to say.
"Jin Sansheng, Sansheng, Sanxing myself, the name is a good name, but it's a pity that it's used on a dog." Zhou Congwen stared coldly at Jin Sansheng's eyes.
There was silence in the conference room.
People who know the profession have long stopped talking, and even Academician Chu lowered his head.
Academician Chu was deeply surprised that Zhou Congwen even knew about the subject he was doing.
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