Currency under $ 1.20 How weak is the euro going to be?

Status: 06/18/2021 2:09 p.m.

In the USA there are signs of a turnaround in interest rates, in Europe the key interest rate will probably remain low for a long time to come. That has been burdening the euro for days. How much will the common currency still become cheaper? The prospect of rising interest rates in the US has recently weighed on the euro. The common currency fell in the past few days from rates at 1.22 to below 1.19 US dollars. Experts cited the interest rate meeting of the US Federal Reserve (Fed) as an explanation for this strong movement. After years of zero interest rate policy, the American monetary authorities had promised interest rate hikes, at least for the longer term. Accordingly, two rate hikes can be expected by 2023.

First of all, the Fed will in all probability cut back its security purchases later in the year, with which it had pushed down long-term interest rates on the bond market in recent years. The expectation of an economic recovery with rising inflation rates alone had pushed the yield on ten-year US government bonds up from around 0.5 percent to just under 1.8 percent since the summer of last year.

Long-term rates still negative

Yields on the German stock market have also risen sharply in recent months, albeit at a significantly lower level to date. The yield on ten-year Bunds is still around minus 0.2 percent. In the low, the interest rate was only around minus 0.67 percent. Despite rising inflation rates in Germany and the euro area, the European Central Bank in Frankfurt unwilling to be, to follow the central bank colleagues in Washington and to consider at least less security purchases in the near future. In May, the inflation rate in the euro zone was 2.0 percent, slightly above the central bank’s price stability target. In Germany they moved Producer prices even rose 7.2 percent in May compared to the previous year and therefore stronger than it has been for almost 13 years. The prices were driven by the sharply rising prices of so-called intermediate goods.

Bundesbank boss for the end of the bond purchases

“In the long run this will work noticeable in consumer prices The economists at Commerzbank said: “A central bank in crisis mode, which, as ECB President Christine Lagarde said in her last press conference, does not even talk about whether a reduction in bond purchases might be necessary. appears well behind the curve in comparison. “In the opinion of the experts, the monetary authorities have thus missed the entry into the exit from the zero interest rate policy.

An opinion that is also shared by the President of the Bundesbank, Jens Weidmann. Weidmann has spoken out in favor of an early end to the trillion dollar bond purchases by the European Central Bank (ECB) after the pandemic. The focus is on the purchase program called “PEPP” the monetary guardian. “When the emergency for which the PEPP was created is over, it must be ended,” Weidmann told the “Handelsblatt”. But whether Weidmann will prevail is unclear. There are thus signs for the near future that the dollar could retain or even expand its interest rate advantage.

German exporters benefit

For German vacationers who want to spend their free time outside the euro area, that would be bad news – they would have to pay more for foreign currency. The export-oriented German economy, on the other hand, is benefiting from the trend. Last year, just 36 percent of German exports went to the countries of the euro area. And even if you include EU countries with their own currencies such as Denmark, Sweden and the United Kingdom, which has since left the country, the share of exports last year was just over half.

A good sixth of exports even went directly to the USA. In fact, the impact of the dollar rate on German exports is likely to be significantly greater. Because some international currencies are directly linked to the US dollar. These include, for example, the Saudi riyal or the diram of the United Arab Emirates. Both Saudi Arabia and the Emirates are countries that traditionally buy and import many German products with the money they earn from oil exports.

Dollar weakness later in the year?

If the US dollar gains strength, German companies have two options. Either they reap additional profits with unchanged prices. Or they react with price cuts in order to gain market share – both attractive prospects for companies.

But at this point in time it seems questionable how long the euro will actually continue to decline. Because for autumn and winter, experts like those at Commerzbank are expecting inflationary dynamics to decline again in the USA. Then “the US dollar euphoria will soon be over”

(Photo: Billy Steele/Engadget) To deliver a balanced sound, the Beats Studio Buds are driven by a proprietary dual 8.2 mm diaphragm, featuring a rigid piston in the center and an outer surround. Apple states, users can expect “capability for superior stereo effects and low harmonic distortion on the histogram to hear every note clearly.” (Photo: Billy Steele/Engadget) Beats Studio Buds are equipped with active noise cancellation, which eliminates a lot of external noise. The microphone can filter wind and noise to further enhance your experience. You can also switch to Transparency mode to listen to music while listening to your surroundings by pressing and holding the “b” icon. (Photo: Billy Steele/Engadget) This wireless headset model also supports Spatial Audio and Dolby Atmos sound technology. The Beats Studio Buds have up to 8 hours of listening time per charge, and the charging case can be charged 2 more times, which means you’ll get a total of 24 hours of use. (Photo: Billy Steele/Engadget) When ANC or Transparency mode is enabled, the listening time will be about 5 hours each and up to 15 hours when combined with the carrying case. This headset uses a USB-C port for charging, and either headset can be used independently. In addition, the device has a 5-minute charging feature for 1 hour of use. Currently Beats Studio Buds have 3 colors, Black, White and Red, the headset is sold for 149.99 USD (about 3.44 million VND).

On May 18, ETC (Ethereum Classic) was trading for $89, while ETH (Ethereum) was up to $3,407. It can be seen that, with a cheaper price, ETC is a superior choice to own Ethereum that investors should consider switching. In terms of features and structure of the Ethereum Classic (ETC) coin, there are some differences compared to other cryptocurrencies, but the most important is still buying in large quantities and owning a lot of cryptocurrencies with low price less costly payments. In terms of arbitrage performance, as of May 2021, the price of Ethereum (ETH) has increased by 367%. Besides, the results of the tally on the floor Yahoo Finance The end of 2020 also shows the ETH price ending at $730.37. As of May 18, it was at $3,407. That shows that the value of ownership has increased 4.67 times compared to the end of December 2020, equivalent to an increase of 267%. According to the data of Yahoo Frinance, c We should look at the net worth of ETC at the end of 2020 at $5.70. This means that ETC has increased by 15.64 times (equivalent to a performance of 1,464%). It is clear that the above indicators have shown that Ethereum Classic has significantly outperformed Ethereum, equivalent to an increase of 1,464% compared to 367%. That’s 4x better performance. Ethereum Classic is up 1,464 percent compared to ETH’s 367%, which translates to four times the performance. Photo: Internet. Outstanding Features of Ethereum Classic Ethereum Classic (ETC) is a cryptocurrency created and developed from the Blockchain technology of Ethereum (ETH) after the DAO fund of Ethereum investors was hacked which stole more than 50 million USD. From the moment it was created, Ethereum transactions have been running on the Ethereum Classic Blockchain platform until it is done.” hard fork” then these two blockchains officially operate separately. The result of the split process due to the policy adjustment but the project development participants did not agree and a batch “fork” is the split among crypto developers that took place in 2016. Ethereum Classic still carries the same features as Ethereum such as the implementation of smart contracts and distributed applications. Ethereum Classic has similar specifications to Ethereum such as average block time, size, and block reward. Ethereum Classic has a circulation limit of 210 million tokens, which is different from Ethereum’s unlimited issuance. According to the Coinmarketcap , ETC was issued 116.3 million tokens, representing 55.4% of the total expected. The circulating supply of Ethereum Classic reaches 50% and is likely to be “squeezed” by the number of tokens like Bitcoin – as the double mining difficulty caused Bitcoin’s price to surge earlier this year. Photo: Coinmarketcap. As predicted by technology experts, ETC’s token is similar to a tight squeeze like Bitcoin (BTC) in the near future. Bitcoin had 18.7 million tokens issued out of a total of 21 million, or 89% of the total. Since less than 11% of all Bitcoins currently available can be mined, there is a marked increase in production rate pressure on investors once the price rises as with Bitcoin. At the end of 2020, Ethereum Classic Labs allowed ETC holders to gain access to the DeFi (decentralized finance) market. They introduced “Wrapped ETC” (WETC), which allows ETC holders to “stake” their tokens. This is where they agree not to trade tokens for a specific period of time and in return receive interest payments in “Wrapped ETC”. In fact, it’s the same way a certificate of deposit works at a bank. WBTC allows users to transfer their tokens from one Blockchain to another, extending the utility of the token to work across multiple networks. Easy migration brings greater liquidity to the Ethereum ecosystem including decentralized exchanges (DEXs) and financial applications. What to do with Ethereum Classic? Some see the Ethereum Classic (ETC) token as a way to make money faster on the Ethereum Blockchain platform. The current market cap is $10.3 billion and that of Ethereum (ETH) is $395 billion. So the value of ETC is only 2.6% of ETH. Assume that, ETC achieves a market cap of $39.5 billion (10% of ETH). At that point, ETH will be boosted by at least 50%, which equates to an ETC market cap of $60 billion (10% of $600 billion). Equivalent to the growth rate of ETC is 600% compared to 50% of ETH. Let’s say it’s going to take us three years for this to happen. That implies a gain of 482.5% over three years representing a very attractive return on investment (ROI) rate for investors. That’s 90x faster than ETH’s 50% gain. ETC-USD is likely to ‘catch up’ and grow 90 times faster than ETH-USD over the next three years. Photo: Tygia.vn Given the meteoric rise of Ethereum (ETH) this year and ETC’s ability to “catch up” seems possible. Therefore, many investors in Ethereum should think of diversifying crypto trading by buying more ETC as an alternative to ETH.

According to Ms. Ha, a small trader at the 365 wholesale market, she usually sells vegetables every day. About a week ago, she started trading young crocodiles for sale. Due to the beginning of the season, the number of crocodiles purchased is not much, only 10-20 kg/day. These are young, small and sour, slightly acrid, but due to the scarcity of crocodiles, many housewives buy 1-2kg to eat. Crocodiles at the beginning of the season begin to be sold Crocodile price is only 40,000 VND/kg, much cheaper than last year’s price “Last year, I sold crocodiles at the beginning of the season for 60,000 VND/kg. But this year, due to the impact of the Covid-19 epidemic, the price of crocodiles also decreased much, only 40,000 VND / kg. These are young crocodiles, which I bought from families in My Duc, Chuong My, Ung Hoa, “said Ms. Ha. Ms. Ha said that although young crocodiles at the beginning of the season are sour and a bit acrid, many guests especially like them. In addition to cooking sour soup, soaked in boiled water spinach, many housewives who love snacks also like young crocodiles with sugar or soaked in fish sauce. This small trader shared, in about a month, crocodiles in the North will enter the main crop. At that time, the crocodile was bigger and firmer, and thicker. The price of crocodiles when in the main season also halved, only about 20,000 VND/kg. Currently, this small trader also said that every day she sells crocodiles at the beginning of the season about 20kg. There were days when customers asked to buy more, but she did not have anything to sell. Talking about the experience of choosing to buy fresh and delicious crocodiles at the beginning of the season, Ms. Ha said: “The first 10 crocodiles in the season are almost 10, no need to carefully choose each one, they are still delicious. Buyers only need to choose large fruits with slightly lumpy skin and thick pulp to get a lot of sour meat. Avoid choosing fruits with dark skin, bruised and shiny skin because they are too young and can’t be kept for a long time. Preparing to harvest crocodiles Mrs. Do Thi Hue, a housewife in Ha Tri 1, Ha Dong, Hanoi today went to market 365 and also chose to buy 1kg of crocodile at the beginning of the season. Mrs. Hue said, her whole family liked the sour taste of crocodile more than lemon and tamarind. Because the frozen crocodile stock had just ended last week, today when I went to the market, I saw that there was a sale of alligators at the beginning of the season, she rushed to buy 1kg for 40,000 VND. “The first crocodiles in the season are mainly young crocodiles and alligators, so you can buy sour fish soup or boiled water spinach soup to get a very delicious and refreshing bowl of soup. My grandson likes to eat young crocodile with fish sauce. Therefore, I bought 1kg to eat, bought it all over again. Because young crocodiles at the beginning of the season don’t last long, they get damaged quickly,” Hue said. This housewife in Ha Dong also said that from now until the end of the crocodile season, her house still has to buy many more times. Especially near the end of the season, when the crocodile is in the period of the cake, has the most meat and the most acidity, she often buys 10 kg of crocodile to shave off the shell, wash it, then let it drain and put it in the freezer cold gradually. “With this method, my family has crocodiles to eat all year round. In addition, I also soaked a few pots of crocodile water for the whole family to drink in the summer. Or at the end of the ripe crocodile season, I take advantage of making the crocodile shell to eat gradually. It is very convenient and delicious to eat crocodiles any way,” commented Ms. Hue. From mid-May, early season crocodiles are also sold by many small traders on the online market at the price of 35,000-40,000 VND/kg. The topic of selling alligators is also very popular, a lot of housewives come in to inquire and order.

Especially, in the first quarter of this year, Vietnam’s mango exports earned 125.2 million USD, up 30.6% over the same period in 2020. However, these days, the price of mangoes at the market has dropped sharply. For example: An Giang low-seeded mangoes are reduced to 9,000-15,000 VND/kg depending on the type, many places sell for 15,000 VND/kg, Vip Taiwanese mangoes are only 7,000 VND/kg, Australian mangoes are advertised. As for export goods, the price has also decreased to 15,000 VND/kg,… Not only that, mangoes are also landing in the markets in extremely large quantities. So, on the “online market” instead of selling by weight as before, mangoes are now sold in sets of several pounds or sold in boxes. Mangoes are being sold on the “web market” for as cheap as vegetables Wholesalers said that currently Vietnamese mangoes are as cheap as vegetables, retail by weight, shipping is more expensive than mangoes. So, they switched to selling in sets of a few pounds or in boxes for convenience. Ordering a whole box of 15kg Taiwanese mangoes for only 95,000 VND, Ms. Doan Thi Thanh Hai from Nguyen Cong Hoan (Ba Dinh, Hanoi), said: “A box for only 95,000 VND, the price is only about 6,700 VND/ kg”. According to Ms. Hai, in the past, she often had to buy Taiwanese mangoes with flat seeds at the price of 35,000-45,000 VND/kg depending on the time. 4 days ago, she also ordered Australian mango with large fruit, red skin, ripe yellow inside, sweet and delicious, priced at only 15,000 VND/kg. “In previous years, Vietnamese mangoes were usually more expensive,. And now the opposite. At the market, Chinese mini mangoes cost up to 25,000-30,000 VND/kg, while Vietnamese mangoes are as cheap as vegetables,” she commented. Therefore, on this occasion, Ms. Hai did not buy foreign fruits anymore, but switched to buying Vietnamese mangoes to support farmers to consume products. The retail price of mangoes at the market mostly fell to less than 10,000 VND/kg (photo: BH) On the “online market”, Vietnamese mangoes are also crowded with customers because the price is so cheap. Most women choose to buy in boxes of 9-15 kg/barrel because the price is cheaper than buying in sets, 3-5 kg/set, depending on the type. Talk to PV. VietNamNet, Ms. Nguyen Thi Thu Thuy – a large online fruit seller in Cau Giay (Hanoi) admitted that on this occasion most mango prices have dropped sharply. Some are halved, some are now only 1/3 of what they used to be. Ms. Thuy said that on this occasion, she sells many kinds of mangoes such as: acacia mango, Australian mango, Taiwanese mango, flat-seeded mango, etc. However, each time she imports a different type of mango for customers to choose from. . Mangoes do not retail 1-2kg as before, but are divided into 5kg bags or sold in boxes of 9-15kg. “Because of the unprecedented low price, on this occasion, the number of customers buying mangoes has increased dramatically,” she said and revealed that it is normal for her to consume about 1-2 tons of mangoes a day. One day, she sold out more than 3 tons, because most of the customers bought by the box. Like last week, she sold out about 10 tons of mangoes of all kinds. On this occasion, the harvest season was in full swing with the Covid-19 epidemic, so the price of mangoes at the growers plummeted (photo: BH) Ms. Bui Thi Tram from Hoang Van Thai (Thanh Xuan, Hanoi), also said that in the past half month, she has consumed around 1 ton of low-seeded mangoes every day. “A lot of people will not believe it. But low-seeded mangoes are very cheap. Big and beautiful fruit is only 15,000 VND/kg I sell in sets of 5kg, customers buy less than 1 set, buy 2 sets more, so the amount of mangoes sold every day is very large,” she shared. Last April, many growers in An Giang and Long An said that mangoes were in the harvest season but faced difficulties in exporting due to the impact of the Covid-19 epidemic, so the price plummeted. Ms. An, a mango farmer in Chau Doc (An Giang), lamented that if Hoa Loc mango was purchased for 40,000 VND/kg, now it only sells for 20,000 VND/kg, Thai mangoes are still sold. 15,000 VND/kg, Taiwanese mango varieties are sold at the garden for only 3,000 VND/kg. Traders buying mangoes in Long An also said that because mangoes in the southern provinces were in the midst of a busy harvest and encountered an epidemic, the price dropped. Accordingly, acacia mangoes reduced to 4,000-5,000 VND/kg, Cat Chu mango 9,000-10,000 VND/kg, Hoa Loc sand mango 15,000-17,000 VND/kg.

Not to mention, the time when snow crab legs are imported to Vietnam, the quantity of goods is scarce, so buyers often have to order a few days or a week in advance. However, these days, frozen Canadian snow crab legs are being sold in abundance at unprecedented prices. The sellers advertise, this type of crab legs is the leg plus body part from the snow crab. The weight of crab legs usually ranges from 3-4 clusters of legs/kg with prices ranging from 300,000 to 380,000 VND/kg. Frozen snow crab legs are being sold in the market (photo: NVCC) Because the price is cheaper than Vietnamese dong crabs, on this occasion, snow crab legs are favored by housewives, and some people even buy a whole 5kg box to be charged wholesale. Ms. Hoang Ngoc Anh from Kim Nguu (Hai Ba Trung, Hanoi) said that she has never been able to buy snow crab legs at such low prices as on this occasion. According to Anh, the long and big snow crab legs are the most delicious part of this crab. Remove the outer shell, the inside of the snow crab’s leg is full of white meat and has a sweet, chewy taste. Before, she had to buy it for nearly 800,000 VND/kg (4-5 foot clusters/kg), now it’s only 350,000 VND/kg (3 foot clusters/kg). “If this crab leg is roasted with tamarind, just cut it according to the leg joint or leave the roasted leg whole. And if to stir-fry pieces, make spring rolls, it’s easy to separate the meat inside because the crab legs are big,” she said. Her children quite like to eat crabs, so on this occasion, she often buys a whole 5kg carton, because buying a lot will be cheaper than buying individually by weight. Ms. Bui Le Phuong Thao in Phu Nhuan (HCMC) also said that recently, snow crab legs are not only cheap but also very easy to order. Imported snow crab legs are currently quite cheap (photo: NVCC) If before, if you want to enjoy steamed snow crab legs with salt and pepper, you usually have to order it at the marine store and then wait 2-3 days to have it. Now, eat as much as you want, order 30 minutes later, the crab legs have been delivered to your door. “Purchasing 1kg retail costs 400,000 VND, but buying 1 carton of 5 kg costs only 300,000 VND/kg, which is much cheaper than buying retail. Moreover, the store also offers free shipping,” she said. Talk to PV. VietNamNet, Mr. Dinh Cong Tuan – the focal point of selling imported snow crab legs in District 2 (HCMC) – shared, the supply is abundant, the imported goods to Vietnam are many, so the price has dropped sharply. He is retailing snow crab legs with 3 clusters of legs/kg for 420,000 VND/kg, and wholesales 1 carton of 5 kg for 300,000 VND/kg. According to him, snow crab legs are extremely popular because not only restaurants and eateries buy for processing, but retail customers also buy a lot to eat. Like today, both wholesale and retail increased dramatically, he consumed nearly 4 quintals of crab legs. If calculated by week, the amount of crab legs sold from 1-1.5 tons. Imported crab legs are being bought by housewives (photo: NVCC) Ms. Pham Thuy Lien – wholesaler of imported seafood in Phu Nhuan (HCMC) said that there are two types of snow crabs imported into Vietnam, which are from Japan and Canada. However, seafood traders like her often choose goods imported from Canada because they have good prices and the supply is also more abundant than Japanese goods. In particular, compared to the expensive imported whole, snow crab legs are much cheaper. Compared to other types of crab legs, snow crab legs are very cheap, even cheaper than Vietnamese crab legs. In Canada, fresh snow crabs after being caught on the shore will be split in half, including the crab legs and half of the body (legs) stored at -18 degrees in accordance with the standards to keep the sweetness and aroma of the crab meat. Imported goods will be packed in cartons weighing 5kg. On this occasion, affected by the Covid-19 epidemic, many restaurants and shops were closed, so in addition to wholesale, she also “tears” retail goods. Fortunately, this time the price of crab legs cooled down, people bought more to eat. Therefore, the amount of crabs consumed per day is still increasing quite strongly. Accordingly, the batch of 5 quintal crab legs imported last week, so far, only has about 15 boxes left, Ms. Lien said.

Our reporter/Li Mingzi Du Wei “Zhang Yu, a medical oncologist at the Third Hospital of Beijing Medical University, reflects on the shady tumor treatment by his real name” is still under investigation. Zhang Yu said in an article that Lu Wei, deputy chief physician of General Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, performed unnecessary NGS gene sequencing on patients, prescribed inappropriate chemotherapy drugs, and recommended ineffective, expensive, and illegal NK treatments (1) A series of behaviors such as cell immunotherapy), which caused the patient’s cost to increase tenfold but died earlier. Regarding several controversial issues during the diagnosis and treatment, Ma Rong, the eldest daughter of the deceased patient Ma Jincang, and the doctor Lu Wei were interviewed by China News Weekly. How to seek medical treatment for advanced gastric cancer that has metastasized? Ma Rong did not expect that the progress of medical treatment to Shanghai Xinhua Hospital would be so fast. On the afternoon of July 1, 2020, Ma Jincang, accompanied by his wife and daughter, flew from Qinghai to Shanghai. Earlier, Ma Rong only told him that there was a tumor in his stomach, and he did not explicitly say it was a “malignant tumor.” Ma Jincang’s attitude towards “seeking a doctor” was very complicated and he was instinctive to survive, but he was also worried about hearing “There is no other way.” “It’s best to go back to my hometown for chemotherapy”. On the one hand, Ma Rong encouraged his father to “visit relatives” because his sister Ma Jincang was treating stomach cancer at Xinhua Hospital. On the other hand, Ma Rong asked his aunt’s cousin to tell Ma Jincang’s condition to his aunt’s attending doctor Lu Wei, and Lu Wei listened to it. Later, he decided to let Ma Jincang come to the hospital for treatment the next day. At about 8:40 am on July 2nd, Ma Jincang walked into Xinhua Hospital. Ma Rong’s aunt (ie Ma Jincang’s sister) was discharged from the hospital on the same day. His father Ma Jincang was admitted to the hospital. He lived in the same bed as his aunt and was admitted to the Department of Orthopedic Surgery of Xinhua Hospital. The tenth floor. Ma Jincang was diagnosed with gastric cancer a month ago. Ma Jincang, who almost never went to the hospital, was notified that he was in advanced gastric cancer the first time he was “hospitalized”. The diagnosis at the Affiliated Hospital of Qinghai University showed “gastric malignant tumor”, as well as secondary liver malignant tumors and lymphatic secondary tumors. Malignant tumors, hypertriglyceridemia, hydrocele, etc. Because there is already metastatic cancer, the gastroenterologist recommends that you don’t need surgery and go directly to the oncology department for chemotherapy. Ma Rong was worried that local hospitals had limited conditions and misdiagnosis. He entrusted him to seek medical treatment in a third-class hospital in Beijing. The PET-CT examination once again confirmed the previous diagnosis. At the time of the Beijing epidemic, doctors in Beijing advised them to “go back to their hometown for chemotherapy. The cost of treatment in Beijing is high, not to mention that the beds don’t have to wait until when.” Ma Jincang heard that chemotherapy is very painful and uncomfortable, so after returning to his hometown of Haidong City, Qinghai Province, he did not go to the hospital for conventional chemotherapy. Instead, with the help and recommendation of relatives and friends, he tried some folk remedies. They even drove more than 300 kilometers and spent 40,000 yuan to buy a “small party”, “it turned out to be fooled.”

Regarding the Ma family’s motives for seeking medical treatment, Ma Rong explained, “Whoever does not yearn for birth, as far as the daughter’s affection for his father is concerned, even if the doctor says that there is a genius doctor on Snow Lotus Mountain, as a family member of the patient, I will look for it.”

At this moment, Ma Rong’s cousin found a new way. At that time, cousin Ma Rong, on the recommendation of his classmates, visited Lu Wei’s special needs clinic through an online consultation platform. After a few days of treatment for the aunt who also suffered from stomach cancer, her mental state and appetite improved.

In this way, under the recommendation of his cousin, Ma Rong took his father on the road to seek medical treatment again.

Should I do NGS sequencing and what should I do?

It takes no more than 1 hour from Ma entering the warehouse to receiving NGS gene sequencing.

At about 8:40 in the morning on July 2, after Ma Rong and his mother arrived at the hospital with his father, Lu Wei called Ma Rong and her cousin to a conference room. Ma Rong recalled that at that time Lu Wei asked her: “Is there no other hospital? Accept?” Ma Rong nodded in response. Later, Lu Wei told her: Your father’s condition is very serious and it is impossible to cure it, but according to my plan, it is no problem to live for three years. Work hard to live to five or six years.

This is the first time Ma Rong has heard from a doctor how long his father can live since his father was diagnosed. At least there is a glimmer of hope. In the conference room, Lu Wei instructed Ma Rong to “have a checkup later, people have just contacted.”

Later, a person who called himself “Manager Wu” hurried over, called Ma Rong to the safety exit of the stairs, stood in front of the window and took out the POS machine, and brushed away Ma Rong 18,600 yuan. The swiping voucher shows that the time is 9:29 on July 2nd.

Ma Rong recalled that at that time, Lu Wei called the nurse to draw blood from his father, but no one was in charge. Only one trainee nurse helped to draw two tubes of blood, which was later packed in plastic bags by “Manager Wu”. Ma Rong didn’t understand why he needed an institution other than the hospital for testing and secretly traded. His cousin told Ma Rong: “My mom did the same at the time. The results will be available a week later.”

“At the time, I couldn’t even call the name of the genetic test. After the blood was drawn, I asked Dr. Lu Wei, and he told me that it was a genetic test to find chemotherapy drugs faster. At the time, I didn’t say that a puncture should be done, nor did he say. You can take the organization for testing, I think it can be done just by drawing blood.” Ma Rong said in an interview.

However, Lu Wei explained to China News Weekly that he informed patients of the pros and cons of choosing blood and organizing tests. Lu Wei explained that when the patient came, there were multiple liver metastases from gastric cancer, multiple lymph node metastases in the abdominal cavity, and a huge metastatic lesion on the left clavicle. After taking musk for a month, it should be because the tumor was not controlled. The abdominal pain was severe and the pain was grade 6-8. , Can not eat, affect sleep. Therefore, the patient is reluctant to do another gastroscopy biopsy, and he cannot force it. The reason why NGS sequencing is done is to avoid ineffective treatment. The principle of helping patients choose a genetic testing company, Lu Wei said, is that the report can be understood by patients, the genes tested are more complete, and the results are reliable, but the price is relatively low.

However, Zhang Yu said in an article published on Zhihu that the NGS results of blood draws have almost no reference value. According to the routine, it is more accurate to detect the pathological tissue slices of the gastroscope used in the diagnosis of patients. In an interview with other media, Zhang Yu also added that the current clinical work found that NGS sequencing is extremely inaccurate in sensitivity to chemotherapy drugs and can only be used to screen targeted drugs instead of chemotherapy drugs. At the same time, the accuracy of NGS is very related to the collection of materials, especially for gastric cancer. It is very irresponsible to use blood for NGS. In the NCCN (National Comprehensive Cancer Network) gastric cancer clinical practice guidelines, this “liquid biopsy” is more used in patients whose disease has progressed and it is difficult to obtain tumor tissue samples. It is used in the CSCO (Chinese Society of Clinical Oncology) 2020 version of gastric cancer diagnosis and treatment. In the guidelines, it is listed as the third type of evidence, which is the lowest level of evidence.

The chief physician of the Department of Oncology of a third-class hospital in Beijing told China News Weekly that at present, it seems that NGS examinations are more suitable for patients with advanced stages. Of course, different tumor types have different requirements. For advanced patients, such as targeted therapy, there are mutation sites after tumor recurrence, and there are a few percent of genetic changes. Through testing, finding special drugs for the changed sites can sometimes have miraculous effects. Generally, when chemotherapeutic drugs are used in the clinic, we do not completely follow the NGS test results. NGS has relatively little reference significance, and there are more references to NGS for targeted drugs and immunotherapy.

NGS is usually detected by tissue or blood draw. “But sometimes, for example, after recurrence, the tissue is not available and it is not suitable for puncture. Then the blood is used to replace the tissue. Some tumors have been studied accordingly, and the consistency of blood and tissue in some tissues reaches 70%- 80%. When tissues cannot be taken, replacing tissues with blood NGS also has certain reference significance. I suggest that patients should be punctured. After the tissues are formed, blood will be drawn for testing at the same time, so that the accuracy rate will be higher.” The Chief Physician of the Department of Oncology of the Top 3 Hospital said.

Is there any recommendation for NK therapy?

“Whether to recommend/guide patients to adopt NK therapy” is the biggest controversy in this incident.

Lu Wei told China News Weekly that for NK therapy, “My family and I talked about the principle. They learned about it from other sources and then came to consult and decide. I didn’t take the initiative to introduce it, and they certainly did not only consult me. A person is indeed not recommended by me, and I did not stop it out of hope that my life can be effectively prolonged.”

But Ma Rong recalled, “When I heard it for the first time, I couldn’t remember the word NK. This was introduced to us by Dr. Lu Wei.” Ma Rong, who had already returned to work in his hometown on the morning of August 1, After receiving a WeChat call from Lu Wei, suggesting to give Ma Jincang “strengthen (treatment)”, Lu Wei said on the phone: “In the beginning, work hard and add a NK cell therapy. For him, recovery is better and easier. It produces results, especially when he has insufficient immunity and poor digestion of tumors.”

Before that, on the evening of July 29, Ma Rong’s mother asked her on WeChat, “I have a 30,000 yuan needle, do you want to get it?” Ma Rong felt that the cost was too high and did not agree.

However, Ma Rong insisted that the first time he heard “NK cell therapy”, it was Lu Wei who said that because he was worried that asking twice would make the doctor unhappy, so he recorded the sound and planned to listen carefully after hanging up. NK pin”. Ma Rong remembered that at the time, Lu Wei explained patiently on the phone, “Chemotherapy is a policeman, NK injection is a mercenary, and tumor is a thief. It is equivalent to the police and mercenary fighting the thief together.” Lu Wei also mentioned on the phone that his After a patient received NK injections, the lesions disappeared. “Lu Wei said that NK works well, but it is very expensive. It costs 50,000 yuan per injection. I sympathize with us from afar. It can be cheaper, but don’t say he introduced it. Yes. He said on the phone that he would send my cousin the contact information and address.” Ma Rong said.

After hanging up, Ma Rong received a document introducing NK treatment from Lu Wei, which included the name of the company “Shanghai Jiakang”. Ma Rong thought at the time, since the doctor recommended it, let his father try it. In an interview with “Medical Circle”, Lu Wei explained that before accepting Ma Jincang and his sister, he had received another pancreatic cancer patient. This patient had received NK treatment. After further treatment at Xinhua Hospital, the tumor The index dropped exponentially and was discharged smoothly. The company providing NK treatment is “Shanghai Jiakang”. The actual controller is Xu Yibing. Xu Yibing and him met at alumni gatherings. This pancreatic cancer patient had experience in the same ward with sister Ma Jincang during chemotherapy. “They learned about NK therapy during the chat, come and ask me.” Lu Wei said that he told Ma Jincang’s sister and son the principle, and told that this is not a standard treatment, and it is more expensive, it is only in the experimental stage, and may not be effective. Afterwards, Ma Jincang learned that NK treatment for patients with pancreatic cancer was free, so they asked them to help communicate and reduce the cost.

As for Lu Wei’s claim that he was once a related shareholder of a company related to “Shanghai Jiakang”, Lu Wei said that during the postdoctoral period, he and Xu Yibing’s company had CTC cooperative research. The transfer of 10,000 yuan, but this is a scientific research contract, not a share, as to why I became a shareholder, I don’t know.”

On August 3, Ma Rong’s cousin, mother and younger brother went to the “laboratory” where Dr. Lu suggested NK injections. On the same day, Ma Rong’s mother told her, “That place looks like a beauty salon.” At that time, NK injections were tested. The manager of the office also told Ma Rong’s mother that if the rich come here for injections, the wrinkles and spots on the face can be removed.

On August 10, Ma Jincang and his sister went to get the first injection of NK. With the help of Ma Rong’s cousin, the laboratory manager said that “you can buy 5 and get 1 free.” Ma Jincang and his sister each had 3 injections. Since then, Ma Jincang received the remaining two NK injections on the afternoon of August 27 and September 18.

On September 27, when Ma Jincang was undergoing a gastroscopy, a doctor sighed that “the stomach was so bad that it was so bad.” At that time, Lu Wei comforted Ma Rong as “nothing (more and more serious).” By October, Ma Jincang’s physical condition was getting worse and worse. Ma Rong couldn’t help but doubt the efficacy of the NK injection. He called Lu Wei again and asked why his aunt and father did not respond after the NK injection. “Lu Wei was angry at the time. He said that he hadn’t said that it was 100% effective. Only 70% was effective. Your dad might be the 30%. After that conversation ended unhappily, Lu Wei told my dad that your daughter didn’t Trust me.” Ma Rong recalled.

Does the surgeon plan the chemotherapy regimen?

In addition to the controversial drug selection and dosage of the second version of the chemotherapy regimen, whether surgeons can lead medical chemotherapy is also a focus of this incident.

On July 15 last year, Lu Wei told Ma Rong that because Ma Jincang was in hospital for too long, he had been complained and introduced them to a private hospital called Zhongda Cancer Hospital for the first chemotherapy. According to the information provided by Ma Rong, the chemotherapy drug at that time was oxalibo + fluorouracil.

According to Ma Rong’s recollection, after the “unpleasant call” in October last year, Lu Wei’s attitude became cold and he changed his father’s chemotherapy regimen at the same time. Starting from the fifth chemotherapy, the patient’s chemotherapy regimen changed to a combination of pemetrexed, anlotinib, oxaliplatin, capecitabine and tamoxifen. At the same time, Ma Jincang on October 3 ” “Intravenous chemotherapy drugs” still write “Lu Wei” in the column of the operating physician.

Regarding the reasons for the replacement of chemotherapy drugs, Lu Wei said: After adopting the first-line treatment plan, the patient’s first 2 cycles of treatment are effective in symptom control, and “you can eat and sleep.” But the blood AFP continues to rise to more than 10,000, and it may be more than 7,000 when it comes. Therefore, during the 2-3 cycle, it is recommended to evaluate with the family members, “The evaluation shows that the liver lesions are in a stable state, and the supraclavicular lymph nodes have disappeared. However, the patient’s symptoms reappear.” After discussing with the patient, the family members said that the patient was young and decided to adopt Individualized treatment plan. Moreover, the patient’s NGS results showed low sensitivity to paclitaxel and high side effects of irinotecan, and then recommended the above-mentioned second-line drugs, referring to the Chinese and English literature and drug principles of this disease. After this, Lu Wei was sent to Hainan without further follow-up treatment. “In fact, the family members only partially implemented this plan. They should have multiple consultations, but the follow-up did not go on.” Lu Wei said.

But Ma Rong did not agree with this statement. “My father took the chemotherapy drugs for a long time, and I bought anlotinib from outside after taking it. Up to now, there are only one or two of each drug left.” Ma Rong said.

It is worth pointing out that Lu Wei is not an oncologist, but a general surgeon. A medical oncologist at a top domestic oncology hospital said that such authorization is not allowed abroad, but in China, it is not uncommon for surgeons to perform medical treatments and perform tumor chemotherapy in surgery. Another doctor told China News Weekly that surgeons cannot lead internal medicine treatment plans. As doctors who traditionally dominate tumor treatment, it is understandable that surgeons habitually write some plans for reference. The final internal medicine plan should be decided by multidisciplinary consultation. .

In Ma Rong’s impression, his father’s chemotherapy regimen does not seem to have undergone “multidisciplinary discussion.” Ma Rong recalled that every time she went to Lu Wei’s office to consult her father’s condition, Lu Wei would ask her to wait until after get off work, or after other doctors had left, or she would go into the corridor and say, “I feel he is evasive. The doctor asked him those questions.” Ma Rong said.

Is it a good doctor or a bad doctor?

At the end of October last year, Ma Jincang, who had undergone NK injections and the second version of the chemotherapy regimen, was already thin to the point. At the time, Ma Jincang always said that the back spine hurts. Ma Rong didn’t know that it was cancer pain, or even that his father had bone metastases. Before that, every time he asked Lu Wei about the progress of his father’s condition, Lu Wei said, “Yes. very good”.

Unwilling to reconcile, Ma Rong asked for leave to accompany his father in Shanghai, and on November 1 he went to the clinic of a doctor surnamed Zheng in the Oncology Department of Xinhua Hospital. At that time, the other party had read all the treatment records and told Ma Rong that he and Dr. Lu were in the same hospital. It is hard to say much, but “this treatment is ridiculous.”

After that, Ma Jincang underwent another chemotherapy. Ma Rong had already returned to the Qinghai class. His mother was illiterate, and every time he accompanied his father to see a doctor, he had to ask people around. Ma Rong couldn’t bear the tossing of the old couple, and he also followed the doctor’s advice to “take the old man back to his hometown while he was alive.” On December 24, 2020, Ma Jincang passed away in the arms of his wife at home. In March of this year, sister Ma Jincang passed away.

After the death of the two elderly people, on April 9, 2021, Ma Jincang’s eldest son also wrote a thank-you letter to Lu Wei. The letter stated that during the entire treatment process, “Dr. Lu Wei was very concerned about the treatment of the two elders”, “After the treatment, my uncle’s stomach seldom hurts and the bulge on his neck disappeared.” But Dr. Lu Wei thinks He is in a special condition and the laboratory test results are not satisfactory.” So he adopted a special medication plan, and informed him about the dosage, side effects, and time of taking the medication. The letter also stated, “During the treatment, Dr. Lu Wei never tricked us into spending high prices on treatment, but instead helped us save money everywhere.”

But on the same day, Ma Rong reposted Zhang Yu’s latest article on his Weibo and wrote: “If this will worsen the doctor-patient relationship, then the people really deserve to be deceived, and the world is the power of the strong. The doctors in the big hospital expected that we were from the countryside, and there was no way to get him, so we asked us to get a 30,000 injection of cell needles, giving us hope at a time, letting us down again and again, until Dad was gone. If this is the case, go to death if you get sick in the future, because when you go to the hospital, you will also die.” On April 2 before this, Zhang Yu published an article criticizing Lu Wei for the first time. Regarding the thank-you letter, Ma Rong said, “I don’t know, I didn’t write it.”

“Is NK treatment legal? Will the NK injection be as effective as Dr. Lu Wei said? If it is illegal and ineffective, why do doctors in large hospitals say such things to patients? We only ran from Qinghai to Shanghai for treatment. I only hope that this matter can be investigated clearly. Don’t wrong a good doctor or let go of a bad doctor.” Ma Rong said in an interview that this is her. The final appeal.