Back in 2002 as a doctor

"My people." Liu Xiaobie said.

"Your people? Why?" Zhou Congwen was puzzled.

"Security, don't you know? Your boss doesn't have any security measures, so you're not afraid of anything?"

"It's relatively safe in China." Zhou Congwen smiled, and looked over from a distance, the figure on the roof seemed to "see" that he had noticed him, and had disappeared.

"What to eat?" Liu Xiaobie asked.

"Anything you want." Zhou Congwen said, "I've never been interested in eating, just to hide myself."

"You don't need to do it, and you will be tired if others clean up the house?"

"Of course, I feel tired even after eating." Zhou Congwen sighed, "I still feel comfortable and energetic after the operation."

"But you are interested in all kinds of shit, pee and fart. I really don't know what you are thinking. Every time you chat, all kinds of messy words are flying all over the sky. You look like a stinky hooligan."

"I meet them every day in the hospital. What can I do?" Zhou Congwen shrugged, "For example, there is a nurse who is naturally clean, but when she comes to the hospital, she needs to put a catheter on the patient and enema. Sometimes the reaction of the enema is too great, and all of them are sprayed out directly."

"You said this." Liu Xiaobie interrupted Zhou Congwen with a blank expression.

Zhou Congwen said about this, Liu Xiaobie couldn't look directly at it.

Especially when you put yourself in it, it's just... ahem, it's better not to think about it.

"I'm just giving you an example." Zhou Congwen said, "Let's say that the various medicines we usually use also have stalks of feces and fart."

"Cut!" Liu Xiaobie said contemptuously.

"Really, for example, in Dongyang, Jinhua City, it has been rumored since ancient times that boiled eggs are boiled by children's urine. I heard that when spring comes, the whole Dongyang people take pots and pans to pick up the urine of children under five years old."

"It's disgusting." Liu Xiaobie subconsciously covered her nose.

"It's not disgusting, it's a custom after all." Zhou Congwen smiled, "There is a brother whose house is in Dongyang. It is said that when they boil eggs with boy urine, the smell in the air is really..."

"Really what?"

"It's coquettish and fragrant."

"!!!"

"Anyway, just get used to it, it's a custom." Zhou Congwen said, and got into the car with Liu Xiaobie.

He felt the weight of the car body, knocked, and the dull sound indicated the bulletproof level.

"You are exaggerating too much, no, no."

"You're exaggerating. I'm talking about shit and fart, but you're telling me Dongyang's boys pee on boiled eggs." Liu Xiaobie scolded with a straight face.

"Didn't I finish?" Zhou Congwen laughed, "Several families gathered together, set up a big pot, threw hundreds of eggs into the golden boy's urine, and boiled them. Cooked like this for a day and a night , eggs are almost enough to taste."

Delicious!

Liu Xiaobie couldn't imagine what kind of taste it was.

"It is said that if you eat boiled eggs in boy's urine, you won't be sleepy in spring, and you won't suffer from heat stroke in summer."

"Is this what you didn't finish?" Liu Xiaobie asked coldly.

"No, this is just an introduction, like a medicine introduction." Zhou Congwen said, "Many girls are more or less anemic due to menstrual period problems. You must know this."

"Yes, my mother made me lick iron nails when I was a child." Seeing that Zhou Congwen finally started speaking human, Liu Xiaobie replied normally.

"Actually, licking iron nails can't replenish blood, and the effect is very poor." Zhou Congwen said, "There are many types of anemia."

"Let's talk about what to eat first." Liu Xiaobie interrupted Zhou Congwen.

"There is no barbeque, you can eat anything." Zhou Congwen said.

"Isn't it disgusting to eat every day?"

"When I first went to work, every time I was paid and got money from the head nurse, I would go eat with Shen Lang." Zhou Congwen said, "The taste is not bad, the key is to eat the barbeque and subconsciously tell me that there is something in my pocket. money."

"Then let's go eat hot pot." Liu Xiaobie settled down and talked to the driver.

"Anemia, then what?"

"It's simple, because of excessive blood loss and anemia due to trauma, you know that."

"Know a little bit."

"The most difficult anemia to treat is called renal anemia." Zhou Congwen said, "The main reason is that in chronic renal insufficiency, the production of erythropoietin in the kidneys decreases, and renal anemia requires active treatment. It is related to chronic renal failure patients, including The survival rate and quality of life of kidney transplant patients were closely related between non-dialysis and dialysis patients."

"The medical community has studied it for many years, until the 70s, an American biologist named Goldwasser and a Japanese doctor named Takaji Miyake joined forces to study."

"They collected 2.5 tons of human urine."

Sure enough, Zhou Congwen, an old rascal with no taboos, no matter what he said, he would end up talking about shit and fart.

He was honestly talking about anemia and renal anemia, but Liu Xiaobie looked at him with a serious expression.

But the style of painting suddenly changed, and he came to the familiar track again.

That old hooligan never really changed, and never will.

"Can you not be disgusting?" Liu Xiaobie said disgustedly, "What does anemia have to do with urine? If you don't tell a reason today, you won't be able to pass this test!"

Chapter 1513

"Look at you." Zhou Congwen said, "I'm talking about scientific research, but all you think about is dirty and nasty things. You can't be so double-standard as a human being."

"..." Liu Xiaobie was speechless.

Zhou Congwen's face thickened, he was completely unreasonable, and talked nonsense.

"Let's put it this way, erythropoietin, also known as erythrocyte-stimulating factor or erythropoietin, is a human endogenous glycoprotein hormone that stimulates red blood cell production.

Hypoxia can stimulate the production of erythropoietin. Recombinant human erythropoietin has long been used clinically for the treatment of anemia associated with renal insufficiency, acquired immunodeficiency syndrome itself or anemia caused by treatment, and malignant tumors. Anemia and rheumatic anemia and other anemia. "

"However, in the 70s, due to limited technological conditions, it was impossible to synthesize it through biochemical reactions, so the two scientists thought of human urine."

"Is it related to human urine?" Liu Xiaobie asked dubiously.

"A little bit, because erythropoietin is mainly produced by the kidneys in the human body, and a little bit can also be produced by the liver." Zhou Congwen said, "So, the two scientists became interested in human urine."

"Stop!" Liu Xiaobie interrupted Zhou Congwen loudly, "There is something wrong with what you said, even if the kidneys can produce erythropoietin, it has nothing to do with urine! It should exist in the blood. Don't think I If you're not a doctor, you can fool me casually."

Zhou Congwen chuckled, this girl Liu Xiaobie still had a clear mind, and she hit the nail on the head.

If he said this to Shen Lang, the phantom must be a phantom of 2.5 tons of urine in front of his eyes, and he would never deliberately ponder the flaws in his words.

"It's like this. Erythropoietin is originally in the blood. You're right." Zhou Congwen said, "But the blood will pass through the kidneys to filter out some garbage. You must know this."

"Well, the hemofiltration hospital you asked me to build is just for this?" Liu Xiaobie asked.

Zhou Congwen was taken aback.

"What happened over there?"

"Starting after the next year, there is nothing else but trouble." Liu Xiaobie said, "The machine is not expensive, just ask your boss to run a private hospital. But the input-output ratio is not enough, you look like a ghost It's ghostly, but sometimes it's weird to do things."

Saying that, Liu Xiaobie glanced at Zhou Congwen, full of suspicion.

Zhou Congwen chuckled.

What Liu Xiaobie was talking about was ordinary dialysis. Someone like her who wanted to become the richest man in the world would definitely not look down on such a small amount of money, and she would never think of hedging it.

However, after the big incident a few years later, Rongcheng lacked many dialysis machines.What I can do is to build the hospital first, and then wait for it to be requisitioned.

Thinking of having hundreds or thousands of dialysis machines in his hand, Zhou Congwen felt an inexplicable sense of security in his heart.

Indeed, it was a very safe feeling, which made Zhou Congwen feel at ease.

"Speaking of which." Zhou Congwen didn't want to explain to Liu Xiaobie his intention of buying a dialysis machine and building a hospital, "When the kidneys filter, some erythropoietin will appear in the urine."

"You made such a big circle just to say this?" Liu Xiaobie was puzzled.

"That's right." Zhou Congwen said, "Before this, scientists used 473 kilograms of sheep blood to extract 0.006 mg of erythropoietin. This conversion ratio is really touching."

"..."

"But urine is much more cost-effective than blood. 2.5 mg of erythropoietin can be extracted from 8 tons of urine through seven processes."

"It sounds like it's better, but is 8 mg useful? Or as a test sample?" Liu Xiaobie asked.

"Ha, you look smart." Zhou Congwen praised, "Not even 1 gram, it is calculated in milligrams, and it must not be used in clinical practice. The next step is to analyze the genes, sort out the fragments, and then test them in the ovaries of Chinese hamsters. Recombinant human erythropoietin, rHuEPO, was grown in the cells."

"After clinical trials, recombinant human erythropoietin officially entered the clinic."

"Therefore, there is nothing wrong with saying that the recombinant human erythropoietin used now is extracted from urine."

Zhou Congwen made a huge circle just to say something else to Liu Xiao.

"You speak so forcefully that it sounds very reasonable, but it's actually useless." Liu Xiaobie said directly with a clear mind.

"Just chatting casually, I'm not willing to talk about feces, urine and fart. Many clinical medicines are related to them." Zhou Congwen has more examples, but there is no need to mention them.

"I heard that you and your boss are quite dignified in Frankfurt. They trained a group of capitalists to look like their third grandson." Liu Xiaobie turned the topic to serious business.

"It's not because of your strength." Zhou Congwen praised, "The boss and I are guessing about consumables, and it can also be said to be a wild guess. If you don't spend money in it, how can you get it out?"

"You and your boss are really good at cutting people's fortunes, are you not afraid that a bullet will fly anytime and anywhere when you go abroad in the future, and blood will splatter all at once?" Liu Xiaobie asked mockingly.

"With you here, I'm not afraid." Zhou Congwen said it as a matter of course, magnificent.

"Exit."

"I know you did a lot of things in secret." Zhou Congwen said with a smile, "I remember it all in my heart."

As he spoke, Zhou Congwen tapped his heart with his fist, making a loud bang.

"You guys really, can't you do the surgery well? It's not like you don't know how much money those consortiums have invested in the 501K process. In the end, you and your boss are lucky, and they insist on cutting off people's money."

"It's not really broken. It's okay to do things sometimes." Zhou Congwen laughed, "Be measured and measured. The boss really didn't want to completely stop the 501K process, so he just raised a knife and told them you Someone knows the tricks, and can yell at them in academia."

"Tsk tsk." Liu Xiaobie twitched her lips, "Even Kennedy was shot to death, it's really going to kill people if they cut off their fortunes."

"This is enough, we won't do more, and they can be a little restrained in their work in the future." Zhou Congwen said, "For example, hip replacement, although hip joints made of cobalt can cause cobalt poisoning, capitalists don't care.

From now on, when they sell similar high-value consumables for hip joints, they will always think of the boss, and they will be more restrained in doing things. "

"What's more, when clinicians know about this, they will choose other varieties as much as possible."

"I don't know what it has to do with you and your boss." Liu Xiaobie looked at Zhou Congwen and said softly, "You idiot."

Chapter 1514 Dimensionality Reduction Strike

At the same time, a hospital-wide consultation is going on in the ICU of the Second Hospital of Medical University.

It was the time of Chinese New Year, and the doctors were still on vacation. If it was not necessary, they would never conduct hospital-wide consultations, and they would never call the directors and professors of various departments from home.

For Chinese New Year, this reason is second only to Laidulai.

But this patient in the ICU needs it.

The patient is 15 years old, hematemesis, oily stool, upper gastrointestinal bleeding is considered.

But after hemostasis treatment, he didn't get better, and the little patient vomited blood, and he didn't get better at all.

In two days, she had entered a state of severe hemorrhagic shock, no matter how much blood was transfused, it was useless.

The situation was extremely urgent, and the Department of Gastroenterology transferred the small patient to the ICU, and called in relevant departments for hospital-wide consultation.

Because the patient's current condition can only be considered as upper gastrointestinal bleeding, the gastrointestinal surgery department did not dare to operate rashly.

This is not trauma, there is a clear location of bleeding.The bleeding point is inside the organ, and the bleeding cannot be seen at all when the abdominal cavity is opened.

Therefore, the Department of Gastroenterology bit the bullet and performed a gastroscopy while the young patient was vomiting blood.

But here lies the problem. Originally, I wanted to use a gastroscope to confirm the diagnosis, but after the completion, the doctors became more and more confused.

Gastroscopy did not see bleeding!

A deeper duodenoscope was not dared to be performed because the patient had already started to vomit blood again.

Now, the Department of Gastroenterology and Gastrointestinal Surgery are worrying about their hair.

Cut the duodenum directly?Not to mention the difficulty of the operation and subsequent complications, without seeing the bleeding point, can the intestine be cut directly?

In the ICU, the patient is vomiting blood mouthfully, and the pressurized blood transfusion device is pouring in bags of whole blood, but even so, the patient's blood pressure will be able to be maintained.

In the case of such blood transfusion, disseminated intravascular coagulation is not far away. Once DIC occurs, it is basically possible to declare the rescue failure directly.

The patient was only 15 years old.