Chapter 2624 A Damn Mistake
As they walked, Zheng Ren saw a middle-aged man in plain clothes, or rather messy, standing outside a ward with a dazed expression, his eyes were reddish, and he seemed to be crying.
His clothes and temperament are incompatible with Bota Private Hospital.
Looking at his clothes, Zheng Ren knew that he was a family member of the volunteer. An experiment must have failed, and his relatives were facing death. Maybe already dead, maybe soon to die, it doesn't matter.
Sighing softly, Su Yun asked, "Mr. Johannes Mandy, is the relative of the patient's family member a volunteer?"
"Yes, Dr. Su. A patient with advanced lung cancer. We want to find advanced patients to test a new drug, but unfortunately he is too late." Johannes Mandy said.
Zheng Ren narrowed his eyes. Johannes Mandy didn't explain the progress of their project, but the simple sentence just now didn't mean too much.
Finding more advanced patients for testing, does it mean that earlier patients have already had a more confident treatment?
possible!
In fact, the moment Zheng Ren knew about the emergence of DeepMACT, he knew that things that were impossible before had begun to become possible.
DeepMACT can play a crucial role in the effect of targeted drugs on tumor tissue or cells. It is almost real-time observation, and the drug concentration or effect can be adjusted if the effect is not good.
Unexpectedly, Bota's laboratory has made a breakthrough in drug research, and now they have even begun to treat patients with advanced tumors.
"Mr. Johannes Mandy, is the patient in a bad condition and can't bear the side effects of the medicine?" Zheng Ren asked.
"No, Dr. Zheng." Johannes Mandy said: "As far as I know, the patient's chest CT plain scan and reconstruction showed total situs inversus, a mass in the middle of the trachea, about 3 cm long, and the lumen was obviously narrow. The obstacles are obvious. We need patients with this condition, and the patients themselves still have some hope for this trial."
"On the second day after being admitted to the hospital, the patient's dyspnea worsened at night, and he could not lie down. He was given 8L/min oxygen inhalation through a mask to maintain SaO2 at about 80% to 85%. That poor guy seems a bit too late. I read related examine……"
"What happened later?" Zheng Ren didn't want to hear Johannes Mandy talk about other things, and his focus was always on the patient.
"Later, the patient was changed to a semi-recumbent position, oxygen was inhaled by an oxygen storage mask, and after symptomatic treatment was given intravenous methylprednisolone, the dyspnea was relieved, and Sa02 remained at about 93%."
"On the third day after admission, a bronchoscopy was attempted under local anesthesia with 2% lidocaine in the semi-recumbent position. When the bronchoscope entered the glottis, the patient had difficulty breathing and could not tolerate it." Johannes Mandy sighed Said: "Then there is no way, if the airway support can't go in..."
As he spoke, he shrugged and made a helpless expression.
"At the very least, you have to keep breathing before you can proceed to the next step of the test. Poor guy, you can't even do the first step. Damn the recruiter, I want patients with terminal cancer. If you don't come to Bota, you will Dead people! Dead people can't use new drugs, and all the previous work has been done for nothing! Those idiots!" Johannes Mandy said angrily.
Zheng Ren recalled what Johannes Mandy said before, and a few seconds later, he said in a deep voice, "Has the genetic test been done? How about the evaluation of related drugs?"
Hearing Zheng Ren's question, Johannes Mandy hesitated.
"The boss is only interested in the patient's condition, not your technology." Su Yun said coldly: "I believe Christian has already told you about this."
As soon as Christian was mentioned, Zheng Ren felt that Johannes Mandy's aura had changed.
"That's right, Dr. Zheng, Dr. Su." Johannes Mandy said hastily, "The gene sequencing and the corresponding work will be completed in 24 hours, which is already the fastest. But the patient will definitely not survive 24 hours." Hours, even if..."
Zheng Ren knew that the so-called medicine would not be the kind that would be cured immediately after taking it, but it was a hope after all.
As long as there is a thought, there is a faint hope, even if it is so weak that it can hardly see the light, if there are enough, it can support a raging fire and light up the sky.
"Mr. Johannes Mandy, I want to look at the relevant information of the patient." Zheng Ren said in a deep voice, "Maybe I can find a way to solve the patient's difficulty in breathing."
"Oh, no! That's impossible!" Johannes Mandy said subconsciously: "Even endotracheal intubation cannot be done, the patient's condition is too serious. It was a mistake for him to appear in Bota, and now we have to What was done was to correct that mistake."
Zheng Ren frowned and glanced at Johannes Mandy. Mandy felt that he had said too much, and he smiled immediately, trying to ease the awkward atmosphere.
"Boss, what do you want to do?" Su Yun asked in Mandarin.
"In recent years, transtracheal stent implantation has been increasingly used to relieve airway stenosis. Due to its high safety, simple operation, quick effect, and few postoperative complications, it has become a popular choice for the relief of airway stenosis. One of the preferred treatment methods." Zheng Ren said to Su Yun while thinking.
Su Yun knew the reason why his boss said something that seemed meaningless first, and knew that he was organizing his thoughts.
It must be extremely difficult for Bota Private Hospital to have no solution. Even if the boss has some idea, it may not be perfect.
"However, the selection of anesthesia and ventilation methods during bronchoscopic interventional therapy limits the treatment of some patients with severe airway stenosis. For patients with severe airway obstruction, there are certain risks during the operation, which may even cause the patient's heartbeat and respiratory arrest." Zheng Zheng Ren continued to speak in a deep voice.
The speed of his speech didn't seem to change much, neither fast nor slow.
"A mass in the middle of the patient's trachea blocked the lumen, and he couldn't solve the dyspnea through tracheotomy or intubation. It seemed that the treatment could be given up. If I encountered a similar patient on 912, I would think that even if I died of illness, I would not suffocate to death."
"Boss, do you have a solution?" Su Yun asked.
"Hypoxia is the most difficult point of interventional therapy for airway blockage." Zheng Rendao, "What method can be used to solve hypoxia and increase the oxygen supply to the heart?"
"EMCO?" Professor Rudolf Wagner said suddenly, "Oh my god, boss, can this thing work?!"
"ECMO is an expansion and extension of the scope of extracorporeal circulation technology. ECMO can provide effective respiratory and circulatory support for critically ill patients with respiratory and circulatory insufficiency who need external assistance." Zheng Rendao, "Patients in front of you, don't focus on With his tumor, it's easy to think of a solution."