medical simulator

Maybe this is a doctor's office. Most of the doctors' offices in the emergency department are big men, unlike the burn department, because most of the lesbians exist, and there are two lounges.

"Doctor Zhou, I took the liberty to visit and interrupted your work." Liu Chunmei smiled. She was of medium build and showed no signs of gaining weight. The wrinkles on her face were very fine, and no signs of her 50s could be seen.

Zhou Cheng poured Liu Chunmei a glass of water, and said politely, "Professor Liu, I don't have an office here, so I don't have a standing tea for reception. Please take care of me, Professor Liu."

"Drinking water is good, but I'm still not used to drinking tea." Liu Chunmei took the water politely and sat down on the chair, probably because she felt that it was not good to stand and talk to Zhou Cheng all the time.

As a junior, Zhou Cheng simply put away his white coat and asked, "I don't know if Professor Liu came to see me because of a previous misunderstanding. It's reckless, please don't mind Professor Liu."

It was only later that Zhou Cheng realized that the Burn Department was indeed in a difficult situation. Since the Plastic Surgery Department of the Affiliated Hospital of Shonan University became independent, the Burn Department's cosmetic business could not be done.

Skin flap surgery can't be done in hand surgery. Except for limbs, skin flap surgery in other places is of little significance. Most of them are covered by clothes, and there are very few people who want to have surgery.

The number of simple burn patients has indeed decreased a lot due to development reasons. Taking over diabetic ulcers is indeed a transformational move for the burn department!

"Doctor Zhou is wrong to say that. Everyone is a medical worker, and they all work for the welfare of the patients. I heard that those patients with diabetic feet have an excellent prognosis and recovery after coming to your department."

"Some of these cases are quite helpless in our department." Liu Chunmei smiled, a little flattering.

Zhou Cheng's eyes moved: "Thank you Professor Liu for following up and taking care of the patients in our department."

Liu Chunmei was taken aback, and looked at Zhou Cheng seriously. Zhou Cheng's maturity and sophistication were far from what he should have at his age.

Liu Chunmei knew that it would be very difficult for her to find faults about him from Zhou Cheng, so she said bluntly: "Doctor Zhou, actually I came here to cooperate with you on one matter."

"Professor Liu, tell me!" Zhou Cheng's eyes were dark, but guarded.

Liu Chunmei did not go to the Three Treasures Hall for nothing, she must have come with a purpose.

"It's actually like this. I don't know if Dr. Zhou knows anything about external medicines for diabetic feet?" Liu Chunmei said half-subtly.

Zhou Cheng nodded, how could he not know this: "Professor Liu, antibiotic ointments are commonly used after diabetic foot ulcers, such as polymyxin B, erythromycin, and metronidazole.

"Some ulcers are caused by fungi, and antifungal creams include ketoconazole, clotrimazole, and itraconazole.

"Commonly used growth factor ointments include promoting vascular endothelial growth factor (VEGF) and bone morphogenetic protein (BMP).

"Common humectants include urea, glycerin, phosphatidylcholine, etc.

"Common dressings include sterile dressings, hydrocolloid dressings, sponge dressings, etc."

Zhou Cheng replied without hesitation that these are part of the outline of treatment principles for diabetic feet.

When Liu Chunmei heard what Zhou Cheng said, she immediately smiled: "Since Dr. Zhou has such a clear understanding of external medicines, he must also believe in their effects."

"Doctor Zhou, this is actually the case. The team in our department has also developed a Shengji ointment by itself. The effect of this ointment is still good. The pure Chinese medicine ingredients are very effective in the treatment of other ulcers. .”

"It's just that in the treatment of diabetic foot ulcers, these patients have already been transferred to the orthopedics department before the project has been approved, so I thought, Dr. Zhou, can you try the Shengji Ointment from our department."

"I guarantee that during the treatment of this drug, we will not charge the patient any fees. What is provided free of charge is just to collect some clinical and prognostic data."

Zhou Cheng's eyes flashed, he didn't guess that Liu Chunmei would ask for such a thing.

But Liu Chunmei is pursuing long-term results.

Shengji ointment, if Liu Chunmei and others didn't use it on the patient when they were in the burn department, they wouldn't believe it if they killed Zhou Cheng!

Maybe it was used, but it didn't work, but Liu Chunmei thought that it wasn't a problem with her department's muscle-promoting ointment, but other technical deficiencies.

Therefore, she wants to transfer the clinical research on diabetic foot treatment to Zhou Cheng's orthopedics department. Zhou Cheng's current diabetic foot ulcer has a good treatment effect and prognosis.

It is equivalent to carrying this drug to the teacher, just raising a hand...

This seems to have no disadvantages with Zhou Cheng, it's just incidental, right?

If Shengji Cream is really in operation, it will become famous for treating diabetic feet, and then it will be released at the Affiliated Hospital of Shonan University, but it will have no effect.

Liu Chunmei said bluntly, with a sincere tone: "If Dr. Zhou is willing, our burn department is willing to spend part of the project research start-up fund for Dr. Zhou to use flexibly."

Ok!

Zhou Cheng never thought that the first time he would face such a crisis of temptation was among his peers in this institute, and it was also from a professor.

But Zhou Cheng can understand Liu Chunmei's intentions very well. She is not just out for making money. In fact, for her, there is no money to make. However, if she can broaden the applicable symptoms of a drug, it is a great honor.

Seeking fame is Liu Chunmei's greatest luxury.

"Professor Liu, as you know, I have a background in clinical medicine, so I don't know much about Chinese medicine."

"At present, in our clinical medicine, in the hot research process of the curative effect analysis of external drugs, it is mainly the direct application or side stimulation of the following three growth factors, which lead to a similar increase in the concentration of growth factors, which will affect the healing of diabetic foot ulcers. it works."

"Promoting vascular endothelial growth factor (VEGF): VEGF is a growth factor that can promote the formation of new blood vessels and tissue repair. VEGF can stimulate the growth and differentiation of endothelial cells, increase the number and quality of new blood vessels, and accelerate tissue repair and regeneration. Therefore, VEGF can be used as one of the growth factor ointments for the treatment of diabetic foot ulcers.

"Bone morphogenetic protein (BMP): BMP is a growth factor that can promote bone cell proliferation, differentiation and bone tissue formation. In the treatment of diabetic foot ulcers, BMP can stimulate the growth and differentiation of subcutaneous tissue and bone marrow cells, and promote new Bone formation and repair, accelerated ulcer healing.

"Epidermal growth factor (EGF): EGF is a growth factor that can promote the growth and differentiation of epidermal cells, increase the thickness and strength of the epidermal layer, and help skin repair and regeneration. In the treatment of diabetic foot ulcers, EGF can promote Growth and differentiation of skin cells, increased tissue repair and regeneration, accelerated ulcer healing."

"Professor Liu, in the curative effect analysis of Shengji Cream you mentioned, have you tested the above three growth factors locally or throughout the body?"

Zhou Cheng was trying to find an excuse for rejecting Liu Chunmei.

But with Zhou Cheng's strength, he didn't need to use favors or directly reject him, but he could use his powerful knowledge to make Liu Chunmei flinch.

At present, during the application process of some traditional Chinese medicine prescriptions or Chinese patent medicines, some growth factors or other concentrations in the patient's body can be detected to increase.

Liu Chunmei's smile stiffened slightly, but she immediately resolved Zhou Cheng's question: "Doctor Zhou seems to have certain prejudices and misunderstandings about Chinese medicine."

"Chinese medicine and modern medicine are two different disciplines. If we really want to use the concept and proof methods of modern medicine to prove it with Chinese medicine and Chinese medicine prescriptions, it will undoubtedly be a bit of a waste of time."

"This is a wrong path. The treatment principles of the two medicines are different! Therefore, we have not tried any of the so-called pathways you mentioned, Dr. Zhou."

After Liu Chunmei finished speaking, she looked at Zhou Cheng with burning eyes.

There are murderous intentions hidden in the words. In modern China, if it is said that Chinese medicine is invalid or useless, or that Chinese medicine must be understood with modern thinking, and it must be understood without the theory of yin and yang and five elements, then it is a deadly situation.

Everyone thinks you are speaking for western medicine.

Damn Western medicine is the current mainstream opinion in China.

Zhou Cheng, who has just been on the cusp of public opinion, is extremely sensitive to public opinion and possible pressure from public opinion.

Zhou Cheng nodded: "Professor Liu is right."

"Nowadays, the methods of external application of traditional Chinese medicine, such as decocting herbs into liquid and rubbing them on diabetic foot ulcers, have certain effects of reducing inflammation, relieving pain, and promoting healing. Commonly used medicinal materials include Phellodendron Phellodendron, Rehmannia, Angelica, Atractylodes, etc.

"Traditional Chinese medicine orally: Oral treatment with traditional Chinese medicine can improve the general condition of patients with diabetic foot ulcers, regulate the metabolic function in the body, and improve the body's immunity. Professor Liu, I generally understand it this way.

"Commonly used traditional Chinese medicines include astragalus, ginseng, angelica, wolfberry, etc.

"Chinese medicine sticking application: Chinese medicine sticking application is to apply Chinese medicine powder or medicine on the diabetic foot ulcer, and promote the healing of the ulcer through the direct penetration of the medicine. Commonly used Chinese medicines include Coptis chinensis, Scutellaria baicalensis, and earthworm.

"I don't know what kind of muscle-creating cream Professor Liu is talking about?" Zhou Cheng's tone was gentle, with a smile on his face, and he was not in a hurry or flustered.

Zhou Cheng's words made Liu Chunmei panic a little.

Zhou Cheng has a background in clinical medicine, and so does she. Her muscle-promoting ointment borrowed a prescription from an old Chinese doctor handed down in her family, and she asked someone to improve it, and then added some growth factors into it. .

In the treatment of common ulcers, it has indeed seen miraculous results.

But when it comes to the theory of Chinese medicine, how does Liu Chunmei know so much?

"Doctor Zhou is really well-informed, Shengji Cream should be a topical plaster..." Liu Chunmei hurried back.

"Isn't it a prescription for external use?" Zhou Cheng frowned and asked.

Plasters and prescriptions are not the same.

"It's a prescription!" Liu Chunmei quickly added.

Zhou Cheng continued to go deeper and said: "At present, the external prescriptions of traditional Chinese medicine that I have learned include Coptidis alcohol varnish: take 30 grams of Coptidis rhizome powder, add appropriate amount of alcohol to make Coptis chinensis alcohol varnish. This varnish has anti-inflammatory, pain-relieving, Promotes the healing of ulcers.

"Red ointment: Take Chinese angelica, Chuanxiong, Angelica dahurica, Cortex Phellodendron, Coptis chinensis, Burnet, Gentiana and other medicinal materials and grind them into fine powder, add vegetable oil and cook into red ointment. The ointment has the functions of clearing heat and detoxification, reducing swelling and pain, and promoting ulcer healing. And so on.

"Fresh honeysuckle leaves application: Take appropriate amount of fresh leaves of honeysuckle, boil them and apply them on diabetic foot ulcers.

"Atractylodes atractylodes powder application: Take an appropriate amount of atractylodes atractylodes powder, add appropriate amount of water to make an atractylodes atractylodes powder paste, and then apply it on the diabetic foot ulcer, which has the effects of anti-inflammatory, pain relief, and promoting ulcer healing."

Speaking of this, Zhou Cheng continued: "Of course, in addition to external application for diabetic feet, there are also some oral medications that are also effective. Are these oral medications effective for external use?"

"There is no confirmation yet."

"Shiwei Caozhen Pills: This prescription is mainly composed of coix seed, yam, Atractylodes macrocephala, Poria and other traditional Chinese medicines. It has the functions of strengthening the spleen and kidney, clearing away heat and detoxification, diuresis and reducing swelling. It is suitable for diabetic patients with kidney deficiency and edema. symptom."

"Notoginseng Capsule: This drug is mainly made of Notoginseng powder, which has the functions of promoting blood circulation, removing blood stasis, and promoting wound healing. It is suitable for patients with slow wound healing such as diabetic foot ulcers.

"Sophora flavescens Oral Liquid: This drug is mainly composed of traditional Chinese medicines such as Sophora flavescens and Cortex Phellodendri. It has the functions of clearing away heat and detoxification, antibacterial and anti-inflammatory, etc. It is suitable for diabetic patients with symptoms such as infection.

"Danshen Dropping Pills: The drug is mainly composed of Danshen, Panax notoginseng, peach kernel and other traditional Chinese medicines. It has the functions of promoting blood circulation and removing blood stasis, relaxing muscles and collaterals, and promoting wound healing. It is suitable for wound treatment such as diabetic foot ulcers."

"..."

Liu Chunmei's smile gradually froze.

"Zhou, Doctor Zhou, that's what you said. You don't know much about Chinese medicine?" Liu Chunmei was embarrassed now, because the clinical research that Zhou Cheng was talking about had nothing to do with her.

She doesn't understand the knowledge of traditional Chinese medicine at all, and she doesn't know the prescriptions.

"Professor Liu, I am from clinical medicine. I only have a little understanding of traditional Chinese medicine. Compared with my family, I prefer to be a doctor of modern medicine."

"As far as Chinese medicine is concerned, it may not even be considered an entry."

In Chang City, there was a son of an old Chinese medicine professor who was also a professor. During the process of seeking advice from Zhou Cheng, Zhou Cheng made a short-term simulation, but the foundation was weak, so the progress was not deep, but he knew more about Chinese medicine than ordinary people.

"Sorry, Doctor Zhou, I understand what you mean."

"The clinical application of this Shengji Ointment may not have a foundation." Liu Chunmei hurriedly expressed her opinion, then stood up and restrained herself and walked out.

With someone who doesn't know how to do it, you can make the other party misunderstand. With a person who really knows how to do it, if you ask the other party to impose tasks, that's a difficult task.

Moreover, the ignorant offer advice to the wise, and bring shame on themselves.

Zhou Cheng immediately said: "Professor Liu, you may have misunderstood me. At present, there are a lot of gaps and shortcomings in the clinical application of traditional Chinese medicine. However, traditional Chinese medicine and its thinking are a huge treasure. Inexhaustible, inexhaustible."

"But it needs to go deeper. What I just said to Professor Liu can indeed be a potential treatment for diabetic foot ulcers. Professor Liu might as well do more research."

If the muscle-creating ointment is really effective, Zhou Cheng is not afraid of adding icing on the cake, but if it is ineffective, Zhou Cheng will help, then it will be murder for money!

This is a matter of principle.

Chapter 448 The editorial department is here!

The earth is round, and at the same time node, it is destined that half of the people will fall asleep in the middle of the night, and the other half will be working hard.

In the editorial department of JAMA, editor Chris is just one of the editorial department.

As editors of top journals, they are not only responsible for reviewing manuscripts, accepting and rejecting them, but also reviewing manuscripts that may be published in detail and word for word.

It is no exaggeration to say that there are at least hundreds of articles submitted to JAMA every day. The review process is very tedious.

However, as one of the four major medical journals, JAMA must try its best to select high-quality articles for publication and review the submissions in detail.

After finishing his lunch, Kleis continued to open the backstage of the magazine's submissions.

Then I selected one of the earliest drafts of the article that I hadn't had time to review, and reviewed it.

Although it is the earliest and has not had time to review, in fact, it is also an article sent a day ago.There are at least dozens of editors in the editorial department doing cross-review work.

Other editors are reviewing yesterday's or even the day before yesterday's submissions.

For articles that cannot be published, after a few glances, you can choose to reject them.

But when encountering a good article, sometimes it is very difficult to finish the review in one day, unless there are structural errors or obvious omissions, the manuscript is directly rejected.

Reviewing the submission of an article naturally starts with the title.

recovery unit?

Rehabilitation department to vote for JAMA?

What on earth is this thinking?

This topic seems rather watery, Kleis frowned immediately after reading the topic.

Then I looked at the author and the country where it was delivered.

China.

Chinese people.

Kles already had a general impression of this article in his mind.

To be honest, manuscripts from Huaguo will be marked with colored colors in all sci journals. After all, in the whole world, although Huaguo is not the only one with some academic falsehoods.

However, in the past 20 years, more of the phenomenon of academic falsification has come from Huaguo, which is in a period of growth.

And this kind of academic fraud has been repeatedly banned.