Chapter 715 It’s our old guy’s turn
So with this voice, even if he is not a doctor in this department, he has stood up.
The main reason is that this disease is so famous at this time!
All the comrades put down what they were doing and rushed towards him.
“Let me see, let me see.”
"Don't squeeze, don't squeeze!"
"Really or fake?"
Even the organizers of this matter, Teacher Fan and Director Lan, changed their attitude from just sitting on the Diaoyutai. With a look on his face, he quickly asked loudly: "Which page? Which page?"
They and some comrades were only assigned materials from the undergraduate room. At the same time, they have a complete set of materials in hand. They are not from this subject. Although they read through the materials, they did not notice many details in such a short period of time. Everyone cares about the content of their own subject first. Although Teacher Fan is so A little bit related, but she was the last resort to treat tuberculosis, and she didn't pay much attention to the content of internal medicine.
"The chapter on infectious diseases, the section on tuberculosis, the last bit of content!"
The screaming comrade was shaken by the crowd and struggled to answer.
Comrades who have this chapter in their hands quickly turn over there and look carefully.
The two of them finally understood why they had not discovered that such a famous disease as tuberculosis actually had a new plan.
Because of the tuberculosis section, the previous content is not new, and it also includes traditional Chinese medicine decoction therapy. However, the six-month treatment plan was quietly placed at the end by Lou Xiaoe and his wife. Probably because this is a new thing, its status is lower.
Hi, these young couple...
"A 2-month intensification period for isoniazid, rifamycin, and pyrazinamide, and a 4-month consolidation period for isoniazid and rifamycin... Is it that simple?"
"Pyrazinamide can Treating tuberculosis? Why haven’t you heard of it before? ”
Pyrazinamide was discovered in 1936, which is already very early, but it is not used to treat tuberculosis in China.
"Rifamycin? I seem to have heard of this thing, but I haven't heard of any medicine."
How did they discover it? This question came to the minds of Teacher Fan and Director Lan.
However, Director Lan seems to have realized something. This girl's high composition also has the advantage of being high in composition. Maybe this is the latest achievement from abroad? Combined with her mysterious lover, things are almost inseparable.
It is impossible for them to research it on their own. They can come up with a prescription, but they cannot verify the efficacy.
In fact, in Gao Zhendong's "Barefoot Doctor's Manual", there is more than one plan: 2H (isoniazid) R (rifamycin) Z (pyrazinamide)/4HR, but the second plan Gao Zhendong couldn't understand. The third plan required ethambutol. This was a new drug discovered in 1961. It was so damn new that he had to give up.
This 2HRZ/4HR is comfortable. Isoniazid is originally a drug used to treat tuberculosis in my country. Pyrazinamide was invented in 1936. Rifamycin was discovered in 1957 and stabilized in 1959. Although there is no patent medicine yet for semi-synthetic products, the patent medicine rifampicin was only synthesized in 1965 and was launched even later.
But this does not prevent Gao Zhendong from writing it in at all. As long as there is a source, he can explain it now!
Not convinced? If you don't accept it, fight with me and see who can beat whom.
To put it bluntly, he is willing to take a little risk for these tuberculosis patients.
Not to mention that rifampicin, as a broad-spectrum antibiotic, can also treat another disease that people are talking about at this time - leprosy.
As for the patent for rifampicin, cough cough cough...
In short, he sows the seeds and thinks of a solution later, tuberculosis.
The doctors calmed down a little after seeing the treatment plan clearly. This plan was completely unproven, and it even used a new compound that could not be found in finished product, which made it very difficult to cure.
But the bright prospects of this plan make them want to stop. At least it seems that this plan is somewhat reliable. Isoniazid has been used for a long time, and pyrazinamide has been discovered for so many years. Maybe Has anyone really studied its effect? Rifamycin is a new thing, that’s right, new things have new curative effects.
These reasons seem far-fetched. Doctors find these reasons to convince themselves. In fact, the reason is very simple. Everyone wants to make progress in treating tuberculosis too much.
Even though treatment methods were available in China in 1961, one person was still stuck and the whole family returned to poverty. Especially when the sick person was a strong working man, the family was basically in misery.
In fact, their idea is not entirely unreasonable. Pyrazinamide is a very magical drug. It is only effective against one thing, Mycobacterium tuberculosis. The full name of Mycobacterium tuberculosis, the causative agent of tuberculosis, is called Mycobacterium tuberculosis. Amazing, right?
Because the antibacterial spectrum is relatively narrow, few people in China have discovered that this thing can resist tuberculosis bacteria for so long, but Gao Zhendong knows it.
As for rifampicin (rifamycin), this can be said to have opened up a new chapter in the treatment of tuberculosis. Before this, surgical treatment was even required to cure tuberculosis. Note, it was only possible.
I understand everything about lung surgery these days.
Everyone even dropped what they were doing and looked at Teacher Fan and Director Lan. Here, the person with the most authoritative status and who is related to this disease is undoubtedly Teacher Fan outside the chest, so everyone mainly looks at her.
Teacher Fan looked at this plan and gritted his teeth. He must try this no matter what!
Originally, even 2HRZ/4HR therapy only entered our country in the 1980s. Her decision opened the door to this therapy more than ten or twenty years in advance.
"Comrades, without investigation, there is no right to speak. Since there is hope, let's try! I will apply to the ministry for this matter, and we will do a test! Isoniazid, ready-made! Pyrazine Amide is also readily available, but rifamycin is not available, but I will ask the ministry to find a solution anyway! , if there is a way, we will go there, if there is light, we will look for it. The two children who wrote this material have done their best. Now, it is us old guys who rush forward. It’s time!”
Teacher Fan didn’t flinch and settled the matter directly.
Well...how to put it, good people are rewarded, so to speak.
At this time, everyone had completely forgotten that Lou Xiaoe, who wrote this material, was only in her twenties. They could still distinguish the importance of the matter clearly.
“We, Beijing No. 2 Hospital, fully support Teacher Fan’s decision!” Director Lan is not willing to be outdone. Compared with the expert Teacher Fan, he is responsible for the administrative management of a department and can mobilize more battle-type resources. More, and Teacher Fan can find the general talents and core resources for the battle, what a coincidence!
After expressing his determination, Director Lan quickly brought into play his expertise. In terms of promoting a more troublesome matter, he was much more skillful than Teacher Fan.
"I suggest that everyone quickly appraise and review the materials in hand."
"What else is there to appraise and review? Tuberculosis is more important. Most of the other content on this material has already been mastered. , It doesn’t matter if you put it away.” A teacher put forward an opinion.
Director Lan smiled: "Don't forget, this plan comes from this material."
As soon as he said this, Teacher Fan also reacted.
“Yes, everyone, hurry up and finish the appraisal and review of this material! Do it well! Do it solidly!”
The more important this material is, the more likely it is that this plan will be taken seriously. Big, this is a very simple truth. Although Teacher Fan is obsessed with academics, she still understands this very well.
With the two of them, everyone realized that this material was the origin of this tuberculosis treatment plan!
The better the family background, the greater the chance that the tuberculosis 2HRZ/4HR can enter the test.
Let’s do it! Let’s do it!
Actually, if people from the 17th Machinery Department were here, they would most likely tell them, don’t go to such trouble, just tell your department that there are elements of Gao Zhendong in it and that’s it. Although your ministry will most likely not be influenced by Gao Zhendong, after being rejected by your ministry, you can come to us and we will support you!
All the comrades worked intensively for more than a day and came to a conclusion.
Most of the content in this material, at least so far, seems to be no problem and is a standard diagnosis and treatment plan.
There is a small part left that needs to be verified, but it is not much, and it looks a bit interesting, and there are very few things in it. If it is true, it is not much better than the 2HRZ/4HR plan for tuberculosis.
Teacher Fan and Director Lan put this aside for the first time. Tuberculosis was the top priority, and others were put aside first. They would bite off more than they could chew. If tuberculosis is successful, everything else will fall into place.
In the words of Director Lan, this is called a focused assault, using one point to lead to the other.
Everyone left the materials in their hands. After leaving, Teacher Fan and Director Lan began to organize people to write application materials. This thing must be done well.
The application materials have reserved a place for Lou Xiaoe, but she is not responsible for the specific matters.
This "Concise Handbook for Primary Care Doctors" is enough. How much she participates in the remaining matters will not have any impact on her contribution. Lou Xiao'e has already done enough. Any more will not be good for her. .
This name was given by Teacher Fan and Director Lan. This young couple was born to a fat boy who couldn't even afford a nickname. They were also an anomaly.
Maybe only extraordinary people can do extraordinary things.
Teacher Fan also joked with Director Lan: "Director Lan, let me tell you, let me have this student."
Looking at Lou Xiao'e, Teacher Fan was really jealous. Girl, absolutely amazing.
Director Lan smiled and said: "There are regulations on student status management in this matter. How can I help others make decisions casually?"
Teacher Fan looked at him with a half-smile but not a smile: "Director Lan, do you believe it or not, this regulation It can be changed, or there may be exceptions. "
Oh, I forgot the weight of this person, it is very heavy, no, no, it seems that Tai Chi is no longer possible.
(End of this chapter)