Back in 2002 as a doctor

Shen Lang immediately went to get the urinary catheter, put on gloves and began to pass it to Zhang You.

But there seemed to be a stone in Zhang You's urethra, which was tightly blocked, Shen Lang was so sweaty that he didn't even use a child's urinary catheter to go in.

Zhou Congwen didn't reach out, Shen Lang couldn't do it, and neither could he.

This kind of operation is relatively small in technical content, and there is no room for it. Next, we can only poke hard with a urethral probe.

Seeing that he could not enter the urinary catheter, Zhou Congwen said, "Prepare a 50ml syringe."

After pumping out 600ml of urine in one breath, Zhang You instantly came back to life.

Even his big die is much more energetic, shining brightly.

Zhou Congwen didn't know whether to laugh or cry, and asked, "Director Zhang, what are you doing... What's wrong with your prostate gland? Why didn't you cure it?"

Hearing what Zhou Congwen said, Zhang You felt a little embarrassed.

He sighed, "Take Proscar or something... Oh, Professor Xiao Zhou, you know. This man will be like this when he gets old. He must have problems with his prostate. He still dare not take medicine, you know, you know of."

what do you know?

Xiao Kai, Director Hao, Shen Lang and others were startled for a moment.

"Director Zhang, what are you talking about?" Xiao Kai asked.

"Proscar's product is called finasteride, and its main function is to prevent the conversion of testosterone into dihydrotestosterone, so it can treat enlarged prostate, because the important factor of enlarged prostate is excessive androgen." Zhou Congwen explained.

"..."

"..."

Everyone concludes.

"All men, as long as they live long enough, as long as they still have functional GW, sooner or later they will develop prostate hypertrophy, usually after they are over 50 years old."

"There is less than a 1% chance that taking Proscart will cause sexual dysfunction." Zhou Congwen looked at Zhang You helplessly, "Director Zhang, you said you are an old doctor, why are you afraid of this?"

"me……"

"You can get the prostate gland without taking medicine, surgery or laser is fine." Zhou Congwen complained.

Zhang You's expression is particularly wonderful.

Shen Lang was dumbfounded when he heard that, Director Zhang really worked hard, for the side effects of less than 1%, he would rather fight until his bladder would burst.

Tsk tsk tsk, really deserves to be a man who dares to take off his pants in the operating room, amazing!

Shen Lang admired Zhang You very much in his heart, and looked at Zhang You with straight eyes, full of admiration.

"I'm afraid..." Zhang You said helplessly.

"It's okay to be afraid." Zhou Congwen said, "Look at you, you almost burst your bladder. Tell me, if you hurt your brain when you faint, which one is the lighter and which is the most serious."

Chapter 1350 Let me tell you a secret

"Director Zhang..." Zhou Congwen wanted to say a thousand words, but he didn't know what to say, so he could only sigh in the end.

"Oh." Zhang You also sighed.

There is nothing to say about each other, but a thousand lines of tears.

"I can do the surgery well. If you are worried about technical problems, you can come to me at any time. It's just a prostate, it's very simple." Zhou Congwen shook his head and said helplessly.

Zhang You nodded numbly.

Zhou Congwen didn't have much to say, he took a deep look at Zhang You, patted him on the shoulder, stood up and turned to leave.

"Congwen." Shen Lang followed Zhou Congwen and asked in a low voice, "What's going on?"

"You're still young, and you don't practice urology, so why bother?" Zhou Congwen said, and glanced at Xiao Kai.

"I have been taking medicine all the time, and I will never pass out." Zhou Congwen saw Xiao Kai dumbfounded, and said quickly.

"Does Baolizhi really have this side effect?" Behind Shen Lang, the fire of gossip was raging.

"Let me explain briefly." Seeing that Shen Lang was already impatient, Zhou Congwen said, "In the mid-1960s, many adolescents were prone to acne and acne. Merck's researchers began to study male hormones, hoping to find a cure for puberty. New medicine for acne.

Puberty is a period of exuberant sex hormone activity, and most of the acne that occurs with it is related to the activity of male hormone. "

"There were two main steroid hormones known at the time, GW ketone and dihydro GW ketone, which has a stronger affinity for the androgen receptor."

"The research team at Merck believes that if they can inhibit the 5-alpha reductase enzyme that converts GW ketones into dihydro GW ketones, they should be able to reduce the activity of male hormones in the body, and may prevent the growth of acne."

"I'll go, that's okay too?" Shen Lang was surprised.

"Anyway, it's just an idea. If it works, let's talk about it." Zhou Congwen said, "And acne, regardless of gender, has something to it..."

As Zhou Congwen said, he arranged his flat head.

"I've seen a lot of small clinics and beauty parlors, and they say they can treat acne." Xiao Kai immediately flattered him, allowing Zhou Congwen to speak smoothly.

"Some of them are hormone treatments, especially those with good results." Zhou Congwen sighed, "If you don't need them, you don't need them. It's nothing to use hormones to treat acne. It's free."

"and after?"

"Through years of research, Merck's acne team has synthesized a considerable number of new inhibitors, and has also established a complete set of biological testing systems for screening and evaluating these new inhibitors.

More importantly, a large amount of experimental data and knowledge about dihydroGW ketone and 5-alpha reductase have been accumulated. "

"But because of the inhibitory effect, there must be hidden dangers for teenagers after taking it, and there is not enough evidence to convince everyone, so this drug was shelved."

"There is output, but it cannot be sold."

"Isn't that a loss?" Shen Lang asked.

"Yes, in the early 1970s, Merck discontinued this research project." Zhou Congwen said, "But it is not so easy to make capitalists lose money. The scientists in the project team were not reconciled to failure. By chance, things turned around."

Xiao Kai listened with gusto.

Professor Zhou is really erudite, a Paul Lizhi can gossip about so many things.

"Scientists at Merck are keenly aware that inhibitors of 5-alpha reductase can reduce the content of dihydro-GW ketone in normal human body.

This point has been confirmed by previous studies. If there is no market for the treatment of adolescent acne, then we can shift the direction of treatment to prevent and treat senile benign prostatic hyperplasia. "

"And then!" Shen Lang opened his eyes wide.

"And that's it. The medicine for acne became the medicine for benign prostatic hyperplasia." Zhou Congwen shrugged, "I'll tell you a secret."

As soon as Shen Lang heard the word "secret", his eyes shone.

"Did you see the small advertisement on the pole?" Zhou Congwen asked.

"Is it for syphilis?"

"No, for acne, baldness, whatever."

"Uh, something to do with Paulie?!"

"Professor Zhou!" Xiao Kai was stunned, and subconsciously shouted, "Could it be that they all use Proscar?!"

This truth makes people dumbfounded.

"fake."

"Hush~" Xiao Kai and Shen Lang let out a sigh of relief.

Fortunately, it is fake, otherwise the three views would be subverted.

However, in the next second, Zhou Congwen threw the three views of the two of them to the ground and stepped on it again.

"Proscar is so expensive, who would give it up?" Zhou Congwen said contemptuously, "The raw material finasteride in the chemical industry costs 1 to [-] yuan per kilogram, and the content of a medicine is only [-]mg. How much medicine can you make?"

Xiao Kai was stunned by Zhou Congwen's words, these people are so courageous!

"Seeing what treats baldness, hair loss, invalid refund, many of them are treated with drugs with similar principles. This has been proved by the scientists of Merck back then, but the information is asymmetric, so they will use it scam money."

"If I..."

"Pa~" Zhou Congwen slapped Shen Lang on the head, "What are you thinking about!"

"After hibernation, you are already dull, so if you fight again, you will be really stupid." Shen Lang complained, covering his head.

Ever since he recovered, Shen Lang always used hibernation to talk about things, and he found that when he talked about hibernation, Zhou Congwen's attitude towards him would be better.

Sure enough, Zhou Congwen patted Pan Shenlang's head and sighed, "The righteous way in the world is vicissitudes, but how can you earn this kind of money... Forget it, don't ramble."

Xiao Kai didn't expect Zhou Congwen to talk about Bao Lizhi from Zhang You fainted by urination, and then talk about treating baldness and acne, which involves three generations of old, middle-aged and young people.

If you really use industrial finasteride, the profits will be so huge that you can't even imagine it.

There must be many people who take risks, and who cares about those with bad conscience.

Xiao Kai carefully tasted the whole thing Zhou Congwen said, feeling a little inexplicable in his heart.

"Hair loss? Impossible." Shen Lang asked.

"By taking different amounts of finasteride, it is possible to reduce the concentration of DHT in the body.

服药后3个月脱发开始缓解，6-9个月新头发开始生长，1-2年就可以达到最好疗效。

In contrast, the hair loss in the placebo group was gradual, with a microscopic process consistent with the natural history of male pattern baldness. "

"This is the basis of the scientific experiment." Zhou Congwen glanced at Xiao Kai, "Dean Xiao, your hair is quite thick."

"Eat Paulette." Xiao Kai didn't care to make fun of himself, he said with a smile, "I didn't expect it to have such a use, I took advantage of it."

Shen Lang glanced at Xiao Kai, not to mention, Dean Xiao's attitude is really good, completely different from Zhang You.

Chapter 1351 The Nightmare of Middle-aged and Elderly Men

"Congwen, how did they know about the small advertisements on the telephone poles?" Shen Lang asked a nonsensical question.

Zhou Congwen sighed, "Do you think all ordinary people are confused?"

"That's not true. I met a patient in Jianghai City, and discussed with me the dosage and application of the drug." Shen Lang laughed, "It looks more professional than a little doctor like me."

"Didn't you just say that finasteride has a hair growth effect?" Zhou Congwen said, "What do you think big companies and multinational capital think?"

"Emmmm..." Shen Lang pondered, and both he and Xiao Kai thought of something very scratching their heads.

What about the big multinational corporations?Shen Lang shook his head, indicating that he didn't know.

"Because only part of the patents on finasteride for the treatment of prostate disease are in the hands of Merck, while all the patents on hair growth are in the hands of Merck, so Merck tends to sell a large number of drugs for hair growth." Zhou Congwen laughed.

"!!!"

"Professor Zhou, Merck? The Merck I know?" Xiao Kai was also surprised by Zhou Congwen's words, and asked in a low voice.

He even doubted his ears, is this the academically rigorous Merck he knows?

"Yeah." Zhou Congwen nodded, "Proscar is a 5mg tablet, because the ingredients are similar..."

As he said that, Zhou Congwen paused for a moment, then laughed, "That's what I said, don't tell people everywhere, I'm not responsible if I eat something bad."

"Say what you say." Shen Lang urged.

"The hair growth medicine is 1 mg per tablet, and the price is even more expensive. Therefore, many patients who want to grow hair cut Proscar into five equal parts and take it as a hair growth medicine." Zhou Congwen said.

"Tsk tsk, amazing!" Xiao Kai praised.

I don't know whether Xiao Kai is talking about MSD or the patient.

"Can it work?" Shen Lang was puzzled.

Zhou Congwen knew that Shen Lang, as a doctor, still prefers large multinational pharmaceutical companies.

But since they can live for so many years, they must make money.It is very clear from the matter of finasteride that the drugs for hair growth are more expensive than those for prostate treatment, and the raw materials are basically the same.

"Whether it works or not, I haven't tried it." Zhou Congwen shrugged, "It is said that there are 1.2% side effects of sexual behavior disorders; 1.0% side effects of yangwei."

"It's not working anymore, so why do you need hair?" Shen Lang asked.

Xiao Kai looked at Shen Lang helplessly, young people don't understand the sorrow of middle age.

There are flowers that can be folded straight and must be folded, don't wait until there are no flowers to break the branches.

This was true hundreds of years ago, and it is still true today.

Shen Lang has such a good physique, but he doesn't want to find a girlfriend, what a fool.

"Hahaha." Zhou Congwen didn't explain much, he said with a smile, "Actually, I still recommend picking the prostate directly. If it doesn't work, interventional surgery can also be done."

"Intervene? How to do it?" Xiao Kai suddenly became energetic.