The 5-hectare burdock field in Mac Binh village, Thai Tan commune is invested by Mr. Nguyen Manh Ha, Director of Senfarm Agricultural Cooperative, in association with households in the village, setting up a tree farm. on alluvial land along the Thai Binh river. According to Mr. Ha, burdock is a relatively easy plant, taking care of burdock is only difficult in the first one to 1.5 months because it has to be watered regularly, then the plant grows on its own, almost without care. fertilizer, only waiting to harvest when the plant has matured. Harvesting burdock is also different. Because burdock roots are deep in the ground, with tubers up to 1.2 m long, an excavator must be used. After six months of planting, burdock is only harvested, but the economic efficiency is two to three times higher than that of carrot, which is a traditional local crop. Fresh burdock root is supplied to high-class agricultural stores in Hanoi and food manufacturers at prices ranging from 90,000 to 120,000 VND/kg. Burdock can be grown all year round, which is quite convenient in crop rotation. It should be noted that the soil suitable for burdock is loose soil, preferably alluvial soil in the riverside area. Here, the root system develops well, provides enough nutrients, the tree will grow well, has high resistance to pests and diseases. In addition, the tree does not tolerate waterlogging, so the soil must be able to drain well. Burdock seeds need to be purchased from a reputable establishment that has the ability to grow quickly and has good resistance to pests and diseases. From the successful trial planting, Mr. Nguyen Manh Ha has guided people in the commune to plant and buy burdock root to help them, forming a chain of production and consumption links. Accordingly, some households have switched from growing carrots to burdock. In addition to planting and producing burdock, Senfram Agricultural Cooperative also cooperates with processing factories to market products such as fresh burdock, sliced ​​dried burdock, burdock cake, and other products. fermented burdock products, burdock tea bags…

Lina Medina as a newborn at the age of 5 (left) and with her son when she was 11 years old. To the shock of the couple, the doctor said their daughter was 7 months pregnant. Soon after, she gave birth to a healthy baby boy via caesarean section. At the age of five, 7 months and 21 days, she became the youngest mother in the world. Rare disease Born on September 23, 1933, Lina Medina is one of nine children in the family. Her pregnancy at such a young age was a shock to her relatives, as well as to the public. But for pediatric endocrinologists, a 5-year-old pregnancy is entirely possible. They believe that Medina has a rare genetic condition, called precocious puberty, that causes a child’s body to transform into an adult body too soon (before age 8 for girls and before age 9 for girls). boy). Boys with this disorder will have a low voice, rapid genital growth, and girls will have periods and breasts develop early. It is estimated that 1 in 10,000 children has precocious puberty, and the incidence is 10 times higher in girls than in boys. Scientists don’t know the exact cause of the disorder, but recent studies have found that girls who are sexually abused may experience puberty earlier than their peers. Regarding the case of Lina Medina, Dr Edmundo Escomel, of the University of Ricardo Palma, Peru reported in a medical journal that she had her first period when she was only 8 months old. However, other documents indicate that she started menstruating at the age of 3. Either way, it’s an amazingly early start. Closer examination of Medina at the age of 5 showed that she had developed breasts, wider hips and bone growth (signs of post-puberty). Although, her body develops prematurely, she is still an innocent child. Who is the author of the fetus? Precocious puberty partly explains Lina Medina’s pregnancy. But it doesn’t clear things up. Of course, there must be someone responsible for the pregnancy but certainly not some boy with the same condition as her. Meanwhile, Medina has not told doctors or authorities about the father of the baby, or what circumstances led to her pregnancy. Tiburelo, Medina’s father, who worked as a local silversmith, was arrested on suspicion of raping his son. However, he was soon released due to the lack of evidence, or the lack of witnesses to convict him. Consistently, Tiburelo staunchly denies raping her daughter. According to some media outlets, Medina may have been abused during festivals that took place near her village. However, there is nothing to prove this conjecture. Mother and daughter are only 5 years apart. What happens to the young mother? When news of Lina Medina’s pregnancy spread, it attracted attention from all over the world. Newspapers in Peru offered to give Lina Medina’s family thousands of dollars for the right to interview and film her, but were unsuccessful. Many newspapers even offered to provide money for Melina’s family to settle in the United States. But Medina and her family declined all offers and did not answer any questions regarding the case. More than 80 years on, neither Medina nor her family have taken advantage of this strange phenomenon to their profit, while medical records from that time provide complete documentation of her condition during pregnancy. . In it, accompanied by the report of the doctors treating her, the abdominal X-ray pictures clearly showed the bones of a developing fetus inside her body. Other tests also confirmed she was pregnant. Medina’s baby at birth weighing about 2.5kg was named Gerardo, after the doctor who first examined her. Two years after the birth, an expert in child education at Columbia University named Paul Koask was allowed to visit the Medina family. He rated the world’s youngest mother as “above normal intelligence” and her baby “absolutely normal”. Medina saw the child as a younger brother and so did her siblings in the family. An obstetrician named Jose Sandoval, who has written a book about Medina’s case, said she prefers to play with dolls than with children. As for Gerardo, he grew up thinking Medina was his older sister and only learned the truth when he was 10 years old. Gerardo was healthy for most of his life, but sadly, he died quite young at the age of 40, in 1979. The cause of death was bone disease. Lina Medina, after the shock of pregnancy, continues to live a quiet life in Peru. In the early 1970s, she married a man named Rául Jurado and gave birth to her second son when she was almost 40 years old. They live in a poor neighborhood in Lima and still avoid prying eyes. Since 2002, no one knows how her life and her family are. If alive, Medina would be 88 years old now.

Pregnant at the age of 5 Lina Medina was born into a poor family in Ticrapo, Castrovirreyna province (Peru), to a silversmith father Tiburelo Medina and mother Victoria Losea. In the early spring of 1939, the family began to worry about their 5-year-old daughter, so they took her to see a doctor in Lima. Her belly has grown in recent months, so her family thinks she has a tumor in her body. All were very shocked and horrified when the doctor diagnosed little Lina Medina 7 months pregnant. Dr. Gerardo Lozada took her to Lima (the capital of Peru) before the operation, so that other experts could confirm that Lina was indeed pregnant. Six weeks later, on May 14, 1939, Medina gave birth to a healthy baby boy, weighing 2.7 kg. Because the pelvis is still small, doctors recommend a cesarean section. The surgery was performed by Dr. Lozada and Busalleu, while Dr. Colretta was anesthetist. Her case was recorded by Dr. Edmundo Escomel at La Presse Medicale hospital. Here, doctors discovered that despite being young, Medina had adult genitals and details that were very different from normal girls such as: her period had started at 8 months. age, and breasts develop by age 4. At the age of 5, her pelvis began to develop, and her height increased significantly. These are all common signs of puberty. In the end, the doctors concluded that the girl had precocious puberty syndrome. A young mother (right cover) gave birth to a baby when she was 5 years old. According to Telegraph India, Lina Medina became the youngest mother in the world at the age of 5 years, 7 months and 21 days. The baby boy was named Gerardo, after the doctor who delivered Lina. Precocious puberty affects about 1 in 10,000 children each year. However, the trend towards early puberty in children is increasing, and most of the time, the cause is unknown. Some factors increase the likelihood of early puberty in children including genetic factors, endocrine, living environment, diet, living conditions in the family, other diseases of the body. Medina herself never told anyone about the child’s father, although Medina’s father Tiburelo was arrested soon after on charges of child rape. In the end, Tiburelo was released and the charges against him were insufficient. He did not accept responsibility for having sex with his daughter, nor did authorities have evidence or Medina’s testimony to arrest Tiburelo. However, an article on the case published in October 1955 by author Luis Leon said that many remote Indian villages in Peru regularly held religious festivals. Up to that point, they still maintained the customs of group sex and sometimes rape. There is no shortage of stories like the Medina mentioned above. In this case, the authorities were unable to obtain any reasonable testimony from Medina about the incident. If Medina is willing to tell the story, this will be solid evidence to find the biological father of the fetus. Baby Lina Medina and her son. Still living a secret life When there is no explanation for this case, the media weaves many stories around the girl as well as the child’s father. Newspapers in Peru offered to pay thousands of dollars to interview and film Lina and her family. Newspapers in the US also want to do a program about this special case. Many organizations even want Lina to appear in a reality show about weird people. Many American newspapers at that time were disappointing when they published similar articles and only intended to stimulate the curiosity of readers. Once again, the whole Medina family received many invitations to the US to attend interviews with the press. The stories woven from the press also turn their lives upside down. This family chose to remain silent and refused all offers. Therefore, documents about her are very few, only a few photos taken when Lina was pregnant with low resolution. Lina regularly refuses interviews from international newspapers, local newspapers and television programs. This story still attracts the attention of the public to this day. For example, the Wikipedia article on Lina Medina still has controversy about whether she is still alive and questions about her are increasing day by day. This is perhaps inevitable given the startling nature of the story, in addition to the girl’s self-isolation. Perhaps, Lina was afraid that people in the community would judge her and her family. 80 years later, the case of Medina is still a strange story. Neither Lina nor her family benefited in any way from this story, and medical records from that time still document her condition fully. There are only two pictures of Lina when she was pregnant. And only a low-resolution profile picture was published alongside medical documents. Up to now, the case of a 5-year-old girl giving birth to a healthy baby is still a rare story and a mysterious problem that medicine has not found the answer to. Although Lina’s record includes various medical records handled by the doctors, the abdominal X-ray showed that the bones of the fetus were developing in Medina’s body. The blood test also confirmed the baby’s pregnancy was completely normal. The analyzes in the file were all reviewed by contemporary researchers, and they were unable to find any errors in Lina’s case. Lina seems to have received fairly good medical care, especially around the time she lived and gave birth to a healthy 2.7kg baby boy on May 14, 1939. The child was born Gerardo and was taken to Tiburelo Medina’s home as soon as he was released. Gerardo grew up thinking that Lina was his older sister, he only knew the truth when he was a teenager. In a 1955 interview, Gerardo stated that he wanted to be a doctor when he grew up. Despite having no disability or health problems, in 1979, Gerardo passed away at the age of 40 of natural causes. In addition to breaking records as the world’s youngest mother, Lina Medina has lived a normal life in Peru. While many people learn about the reason why Lina became pregnant early, child education expert Paul Koask (Columbia University, USA) asked another question. She visited Medina’s family 2 years after Lina gave birth. Koask found Lina “smarter than usual” and growing steadily. According to Time magazine, Lina works as a secretary at Dr. Lozada’s clinic. He was the one who financially supported her to go to school and raised Gerardo. Lina then married a man named Raul in the early 1970s and gave birth to her second child in 1972, at the age of 39. Lina and Raul were not wealthy people. They are still together and live in a poor neighborhood in Lima, called Chicago Chico. The special story of a 5-year-old mother inspired obstetrician Jose Sandoval to write the book Mother Aged 5, which gathers the research and details surrounding this case. Lina herself and her family still keep the principle of being secretive in front of the media as well as those around them. The case of Lina Medina has left the pediatricians astounded and of course this fact has been thoroughly researched. But so far, the true story of the world’s youngest mother Lina Medina and the circumstances surrounding her strange story are still many unanswered mysteries.

Acne causes a loss of aesthetics. Milia (scientific name is Syringomas) is a term used to refer to small and benign tumors, usually on the upper cheek or below the eyelid. Sometimes, they can also float on the abdomen, chest area, and genitals. Residual milia is also known as excess skin that rises from the surface of the skin and is connected to the skin by a small stalk. This type of acne is painless, completely benign, and does not grow like malignant tumors. Milia mainly develops in adulthood, between the ages of 25 and 30, and occurs equally in men and women. Syringomas usually appear as small, hard, swollen nodules that range in size from 1mm to 3mm. The skin tags usually grow in small groups and can be yellow, brown, pale pink… Syringoma groups tend to grow symmetrically, meaning they appear the same on both sides of the body at the same location. Banana peel We often throw away the peel after eating bananas. However, banana peels can be a great way to get rid of excess skin blemishes. All you need to do is apply a banana peel to the wart and cover it with tape. Try to keep the inside of the banana peel in contact with the skin. Leave overnight and wash off the area the next morning. Repeat the process, the milia will fall off after a few days. Garlic Garlic can do wonders when it comes to treating skin problems. However, care must be taken while using garlic to treat milia. Take a slice of garlic and place it on the skin that has the acne. Use adhesive tape. It is necessary to replace the new garlic clove every few hours. Do it continuously for about 3 days, the milia will naturally fall off. Lemon Squeeze a few drops of lemon juice onto a cotton pad and apply it to the wart. Make sure you don’t step out in the sun, if you don’t want a tan. You can apply lemon juice three or four times a day. The milia will fall off after two or three weeks.

But many Covid-19 tests can give results within hours without sending the sample to a lab, and most of these tests use an approach called microfluidics. What are microfluidics? A microfluidics system is any device that handles small amounts of liquid. Fluid moves through channels thinner than a hair, and tiny valves can turn the flow on and off. These channels are made of materials such as glass, polymers, paper or gel. One of the ways to move liquids is to use a mechanical pump; another way is to use the surface charge of certain materials; and one more way is to use so called capillary action – commonly known as wick. One thing is clear, every nook and cranny of the human body is microfluidic. We could not be born or function without complex blood capillaries that carry food, oxygen, and signaling molecules to every cell. Like microelectronics, size is a key factor in microfluids. As components get smaller, devices can rely on the exotic properties of liquids on a small scale, can work faster, more efficiently, and have cheaper manufacturing costs. The microfluidics revolution has been quietly shouldering microelectronics technology. Another major benefit of microfluidic devices is that they require only a very small amount of liquid and can therefore be very small in size. NASA has been considering using microfluidic analyzers for their long Mars missions. The analysis of precious liquids – such as human blood – also benefits from the ability to use small samples. Example: A glucose meter is a super liquid instrument that requires only one drop of blood to measure a diabetic’s blood sugar. Chances are you have been using microfluidics quite often in your life. Inkjet printers shoot out tiny droplets of ink. The 3D printer extrudes the molten polymer through a microfluidic nozzle. A nebulizer for asthma patients will spray out tiny droplets of medicine. The pregnancy test relies on the flow of urine in a microfluidic strip of paper. In scientific research, microfluids can direct drugs, nutrients or any liquid to very specific parts of an organism to more accurately simulate biological processes. The future of microfluidics Microfluidics will be key to bringing medicine into a new, fast-paced, affordable era. Wearables that measure substances in sweat to track fitness progress and implantable devices that help deliver cancer drugs locally to a patient’s tumor are some of the next frontiers in microbiology. biomedical liquid. Researchers are developing complex, fascinating microfluidic systems called organs on a chip that aim to simulate different aspects of human physiology. In laboratories around the world, teams are developing tumor-on-chip platforms to test more effective cancer drugs. These patient-representative chips will allow scientists to test new treatments in a way that doesn’t entail the cost, suffering, and ethical issues associated with animal or human testing. Imagine going to the doctor, taking a biopsy sample and, in less than a week, using the scientists’ microfluidic device, the doctor can figure out which drug is most effective to remove the mass. your u. While that is still in the future, what we do know is that microfluidic will be an integral part of the future.

Previously, on May 10, the first 6 patients received radiation therapy during the day here. After radiation therapy is indicated, the patient is taken to the radiotherapy area for simulation. The simulation area is equipped with 2 16-slice CT machines, which can perform 3D, 3D simulation techniques with contrast and RPM breathing synchronization system for high-tech 4D radiotherapy (radiotherapy). modulated according to the patient’s breathing rate). The first patient underwent CT simulation before radiation therapy at facility 2, Ho Chi Minh City Oncology Hospital. Photo: BVCC After simulation, the CT data is transferred to the radiotherapy planning room for optimal radiation therapy planning personalized for each patient. Once the radiotherapy plan is approved by the treating physician and engineer, the data is transferred to the radiation machine to prepare the patient for radiation therapy. According to the leader of Oncology Hospital, when the professional processes and equipment system operate stably, the hospital’s facility 2 rapidly increased to receive the number of patients to the radiation treatment area. With 6 accelerated radiotherapy systems, the serving capacity of the radiotherapy area at facility 2 can accommodate 240-400 radiotherapy sessions per day. This helps to completely solve the overload of radiation therapy at the main facility of Oncology Hospital (Binh Thanh District) for decades. According to the plan, from May 19, the main facility of Oncology Hospital will continue to bring outpatients of internal block to facility 2 for further treatment and chemotherapy during the day. With a design of 100 beds, the day chemotherapy facility 2 is capable of treating 300 patients per day, reducing the number of day chemotherapy sessions by 70-80% at the main facility. Also from this time, Oncology Hospital will start to schedule appointments for patients who are being monitored after finishing chemotherapy and radiotherapy at the main facility to switch to re-examination at facility 2. According to the threading route, patients from the provinces and Thu Duc city (accounting for about 80% of day treatment patients at the main facility) will be introduced and guided to facility 2 for treatment. Particularly, the main facility is for patients in the remaining districts of Ho Chi Minh City.

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.

According to the Global Cancer Registry System GLOBOCAN 2020, in Vietnam by 2020 there are more than 350,000 patients living with cancer, more than 182,000 new cases and 122,000 deaths. According to a study conducted by the Economist Intelligence Unit (EIU) in June 2020, the death rate per cancer case in Vietnam is more than 70%, at the highest level in Asia. Most people with cancer in Vietnam come for examination and treatment in a late stage, making treatment difficult and creating a huge financial burden on patients, the health system and the whole society. This situation makes it more and more urgent to accelerate the work of diagnosis and improve the quality of cancer treatment. Cooperation between Hanoi Oncology Hospital and Roche Vietnam to improve the quality of cancer treatment Therefore, the cooperation between Hanoi Oncology Hospital and Roche Vietnam is expected to bring about a positive impact to improve professional capacity in cancer treatment and meet the increasingly urgent need for solutions. advanced and effective method for patients, implementing the principle of putting the patient first. Specifically, the two sides will promote cooperation in enhancing the capacity and experience of health workers in treating and caring for cancer patients; connect, integrate and participate in cooperation activities with domestic and international agencies and organizations in the field of oncology; as well as establishing and implementing activities targeting patients and communities … In addition, the two sides also cooperate to implement the project to increase access to advanced therapies for high-risk breast cancer patients in the period 2020 – 2025 (according to the scheme signed between the Ministry of Health. and Vietnam Medical Association in 2020). “In recent years, Hanoi Oncology Hospital and Roche Vietnam have had an active and effective cooperative relationship. Today’s important event will definitely help to promote more positively the relationship between the two sides, in order to bring the most practical benefits to the patient and the community “, TS.BS. Said Bui Vinh Quang, director of Hanoi Oncology Hospital. Meanwhile, Mr. Girish Mulye, General Director of Roche Pharma Vietnam, emphasized that the combination of Roche global strengths and advanced solutions with the expertise and dedication of the Hanoi Oncology Hospital team, It is expected to create positive changes to help change medical capacity throughout the journey from cancer diagnosis and treatment, towards the common goal of minimizing mortality and reducing the burden caused by this group of diseases. . The Memorandum of Understanding between Hanoi Oncology Hospital and Roche Vietnam is expected to be implemented in 3 years, with the first activity taking place from April 2021.

Tests with neutrobots have been performed quite successfully in mice. It can use intelligent biological camouflage and overcome difficult barriers to get closer to the source of the disease in the body and offer the best treatment. The Preeminence of New Micro Robots Microbots are nothing new, it’s like disguising robots into bacteria or using magnets to move them across blood vessels. But what sets Chinese scientists’ new micro-robot designs apart from the crowd is that it can overcome one of the body’s toughest biological barriers, the blood-brain barrier (BBB) ​​- a single layer. extremely high selectivity protection. Designed to stop pathogens and allow only nutrients to penetrate, BBB is the challenge of micro-robots that the body often considers an outside invader. It is very difficult for micro robots to cross this last line of defense and get closer to the hidden tumors behind it. One author of the above study is Professor Zhiguang Wu at Harbin Institute of Technology specializing in nanotechnology. The new micro-robots, he said, can overcome obstacles that hamper many conventional medical treatments. According to Professor Wu, “the passive diffusion of conventional drugs is subjected to a long, ineffective period of time and blocks biological barriers, which can lead to strong side effects. Meanwhile, the new swimming micro-robot / nano-robot, can move into hard-to-reach tissues using their propulsion, load different drugs and actively swim to diseased sites to transporting drugs ”. This is very important because when it comes to fighting cancer because the more targeted the treatment the better. It is especially true when it comes to brain tumors. Because the tumor is in a difficult position in the brain and BBB’s strong protection, drug treatment can be difficult, and removing the tumor requires brain surgery. Even then, usually only 90% of the tumor can actually be removed. In the past, micro robots were inspired by the way a bacteria or sperm move through the body. All light, acoustics and magnetic fields are used to propel them along the host’s body. Through it, a variety of biomedical tasks can be performed, including cutting the membrane, retaining the distributed drug in the gastrointestinal tract, and distributing the drug through the eye dropper. However, even though the researchers control the motion of these micro-robots more than typical drugs in the body, most micro-robotic designs still face one major hurdle: the body’s immune system, especially BBB. To fool BBB’s defense systems, scientists have designed a new micro-robot that is biologically camouflaged to “sneak through” the fence without being detected. The neutrobots are disguised and introduced into the bloodstream. How does the new micro robot work? The use of self-propelled, drug-dispensing micro-robots could open the door for scientists to get closer and more individual-based access to tumor treatment than oral or given medication. permission before. To treat glioma, a type of brain cancer, in mice, Professor Wu and colleagues have designed neutrobot-based micro-robots that can be controlled with a magnetic field. First, they created nanoparticles from a gel embedded with magnetic iron oxide particles, and the popular cancer drug paclitaxel. Next, these nanoparticles were encased in a disguised E. coli bacterial membrane. Disguised as harmful bacteria, these nanoparticles are submerged by in vitro mouse neutrophils much more easily than the bare nanoparticles that are not camouflaged. The researchers found that the camouflage also prevented drug leakage and made these particles less toxic to neutrophils. The research team tested the neutrobots’ ability to navigate and deliver drugs in vitro. Under the control of a rotating magnetic field, the neutrobots reach a speed of 16.4 µm / second – about 50 times faster than the natural neutrophil. By tracking the neutrobots under the microscope, the scientists can let them travel in complex directions on the artificial substrate. In their trials, the team showed that their neutrobots were able to successfully penetrate mouse BBBs to bring the drug into brain tumors. Despite these successes, scientists still have many things to do before they can be applied to humans. One issue that needs to be fixed, the authors explain, is how to better track each neutrobot as they pass through the body. Right now magnetic resonance imaging can track neutrobot groups as they move but cannot track individuals. “Our research has verified that treatment with neutrobots can prolong survival in mice with gliomas. Therefore, it may not be too long to bring stories about micro-robots in science fiction to reality, ”said Professor Wu.

The reason that the relatively low rate of early diagnosis of cancer in people is directly related to the lack of understanding of cancer related knowledge and ignoring physical symptoms.

Currently, the most common type of cancer is cancer of the internal organs, such as gastrointestinal cancer, liver cancer, lung cancer … These organs are all located in the abdominal cavity, so after developing into Cancer, the patient’s abdomen will also appear various abnormal symptoms.

If these 3 symptoms appear on the abdomen, being alert is a sign of cancer.

1. Abdominal pain

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Pain is the most typical symptom of cancer. Almost all solid internal organs in the body can become cancerous. Illness in each stage will have different levels of pain. For example, liver cancer can cause upper right abdominal pain, pancreatic cancer can cause upper middle abdominal pain, and bowel cancer can cause lower abdominal pain …

If you have been experiencing a dull, throbbing, or persistent pain in a certain part of your abdomen in recent times, but you may not be able to tell the specific location and sensation of pain. After taking the drug is not relieved and lasting more than two weeks, you need to see the hospital, because this may be a sign of cancer.

2. Ascites

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Ascites is a condition used to refer to the accumulation of pathological fluid or water in the peritoneal cavity. Clinically believed that ascites appeared not necessarily cancer, but it was definitely a sign of serious illness. Such as cirrhosis and kidney failure.

If it is not, the appearance of ascites may be related to cancer. Clinically, regardless of the type of cancer of the internal organs, as long as it invades the peritoneum, the symptom of ascites develops. In which, ascites caused by liver cancer is the most common disease, its occurrence is related to portal hypertension and decreased blood protein.

3. Bloating, loss of appetite

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Many people will blindly think that it is a common chronic stomach disease after they have symptoms such as bloating and loss of appetite. But in reality, there are many factors that cause bloating, loss of appetite, for example, after the liver, pancreas and other digestive organs have cancer, they are dysfunctional, not secreting enough bile and fluid. pancreas or interfere with excretion. In the early stages of the illness, the person may experience symptoms such as loss of appetite, nausea, bloating, and abdominal pain.

If there is no chronic stomach disease, while the above symptoms have recently appeared or do not improve after taking medication for chronic stomach problems and the symptoms last for more than 2 weeks, this may be the sign. signs of cancer, you should see your doctor.

In addition to the above 3 abnormal symptoms, if you feel a hard, irregular, painless tumor, poor mobility on your abdomen, you should also be careful of the appearance of a malignant tumor. If you experience all 3 of the above symptoms, this means you need a complete physical exam. Patients should accurately inform their doctor of their actual symptoms, age, family, and medical history before proceeding to professionally indicated examination to get the most accurate diagnosis.

Robert Hoge with his beautiful wife and little angel.

Born with a deformed shape

According to the Daily Mail, 44 years ago, science did not have a scanner or ultrasound so Robert was not examined during pregnancy. He was born with a very weak constitution, an abnormal face shape like a “monster” when there was a giant tumor, the size of a tennis ball right between his eyes. Robert’s leg was so deformed that doctors had no choice but to amputate it.

This was a big shock to the family. Robert’s mother, Mary seemed dumbfounded to her eyes, she was scared to look at the baby, unable to come close, to hold him even once. She was so shocked that the whole family left the little boy in the hospital to volunteer to take care of and return home.

In fact, the Australian woman was scared. Mary confided to her sister: “My son is very ugly, I fear even at first glance, it is my obsession, I cannot feed him.” Met with criticism from her sister, being asked about the baby by many people, Mary did not have the courage to admit she left her in the hospital. She realized that she had to take her home, poor little son. She tried to overcome the overwhelming psychological shock, and went to the hospital to pick up her child. Since then, Robert also has another nickname “Ugly” (meaning ugly).

Robert Hoge has an ugly, disfigured face.

When he was interviewed later, Robert Hoge painfully admitted that his mother sometimes only wished that her son died as soon as possible to get her out of the nightmare of life. “In my mother’s diary, she wrote that I wish I had died and told the nurses that she did not want this child. However, overcoming the emotional shock, my mother decided to raise me, a child with serious medical conditions, ”said Robert.

Life is never easy

However, life is never easy for Robert. When he was 4 years old, he was taken to discover a center, he was very happy to go out, explore the world around him. He was bought by his mother for a veil that only reveals his eyes, he is very excited and thanks to his mother’s gift.

At the same time his family went to a strange place, he trembled when he saw all the strange machines, he was measured his face by uncles in white and examined all over his body. Now his mother said that I was going to undergo a surgery, I would look healthier and cuter. He innocently thanked his mother. He just wanted to turn to hug his mother, to be sullen even once, but his mother hurriedly stood up. A little bit sad, but Robert leaned his mouth open again toward his mother, as if thanking her so much.

Despite the pain, he still tried to make his mother happy, he didn’t want to make her worry even once. He told her she was very well, I was fine. Robert Hoge underwent several surgeries after giving birth, one of which was surgery to remove a facial tumor that had grown almost the size of a tennis ball. Unfortunately, the aftermath of the surgery and his physical condition was unbearable, he was forced to amputate both legs to make room for the prosthetic legs. Since then, it has become more difficult for him to walk. Her face was haggard because of the unruly undulations of the gauze.

The young Robert Hoge was a child with his parents.

During the time he was growing up, he constantly received ridicule and alienated words from the people around him. Once his mother let him go out to meet a friend, Robert was very happy to be able to rarely take out his face veil to catch the sun. The neighbor saw him rushing into the house and crying like he had a nightmare. Robert hurriedly covered his towel and wandered into the house.

When he became a boy big enough, Robert realized his difference, it was time to go to school, everyone looked at him scared, the brothers and sisters just played together without playing with him, his mother loved him. but only far away, seldom near. However, instead of self-esteem and embarrassment, Robert cultivates a great source of strength to accept his own ugliness, to deal with the barriers that always separate Robert from others.

From a very young age, Robert always tried to actively study and take care of himself so that people do not have to struggle. He saw that the whole family talked about something about him, he was very happy and innocently thanked everyone who loved him. Robert often watched his brothers and sisters play through the windows, quietly helping his mother pick up vegetables while she was away. He stayed in his room alone, never crying or nagging his mother.

When Robert was 10 years old, his parents spoke openly, honestly about their feelings when Robert was born. Although he knew that at first his parents were reluctant to bring him home, Robert said he did not feel hurt but was happy that his parents were frank with him. Robert believes that the family has brought the best things with love and sincere care.

Appearance doesn’t determine life

After years of struggling with surgeries, painful and endless, when he was most tired, he came back to himself. When Robert was 14 years old, he didn’t want to change any more. After going through 24 surgeries in his life, Robert Hoge decided to stop, he wanted to accept himself, he didn’t want to go through the pain to hide his defects. “I think it’s not worth risking my life just for the sake of getting into the crowd. The difference in appearance is not as important as how you live, ”said Robert.

Whispering words or stares did not discourage Robert, on the contrary, he tried to find more opportunities to interact with people. Robert is the first in his family to go to college, hoping that he will get a good job, regardless of his family in the future. After graduating from school, Robert began writing and publishing books about his own life experiences to inspire and energize others.

Barriers to appearance have never rolled Robert up in life.

Since deciding to live with himself, Robert has removed his veil and come into contact with the plants. He went to the garden, met his neighbors. He bravely did many useful things for the community. When someone panicked when he met him, Robert softly apologized and lowered his head. Every day passed like that, when everyone got used to the deformed face, he was able to raise his head high and see the world around him without fear of making people afraid.

A feeling of happiness crept through each cell, something that he had never experienced such a free, happy feeling before. Maybe for you it is very normal, but for Robert, through the ten spring and summer, the experience was as great as all of his life.

Time passes by, the boy Robert is now grown up. Whenever he had the opportunity to talk to everyone, he was very cheerful, friendly, and his way of sharing was humorous and profound. Everyone turned from fear to compassion, watching his face reappear so much emotional loss and experiencing so much physical pain.

When he turned 30, Robert married a woman named Kate, an ordinary girl who loves a man because of her extraordinary talent and energy. Currently, Robert lives with his wife and two daughters in Wynnum, a beautiful suburb on the shores of Moreton Bay, Australia.

Robert Hoge has also spent time writing, becoming a speaker who delivers a positive message to everyone, even serving as a political advisor to the former Governor and Deputy Governor of Queensland. He wrote “Ugly” (Ugly), released in 2013, detailing his own journey, his different experiences of overcoming difficulties in life.

Robert is now 47 years old, he continues his meaningful path. Today, he has become a famous speaker around the world. Over the years, he realized that the surgeries weren’t helping him, instead it was the joy in his mind, what he could do for everyone was the best thing.

Patient Pham Thi H. has lingering complaints about doctors from Hue Central Hospital (facility 2) not having a practice certificate, belittling the patient’s life and causing serious consequences for the patient. harm to health and spirit.

In the press release, Hue Central Hospital Unit 2 appreciates the cooperation in resolving the matter in terms of professional identification in diagnosis and treatment at Ms. Pham Thi H.’s unit.

“Through a direct meeting between the hospital and Ms. Pham Thi H. on defining professional responsibilities in diagnosis and treatment of the disease; based on the content of the professional council on April 7, 2021 with the participation of highly specialized doctors and doctors of the hospital and lawyer Nguyen Van Ky (Director of Ky Nguyen Law Firm and Associates), they I would like to synthesize and analyze the remaining problems between the parties “, the press release of Hue Central Hospital Unit 2 stated.

During and after a prolonged treatment course, patient Pham Thi H. had persistent complaints.

According to the hospital, patient Pham Thi H. was diagnosed with a large lip tumor from the hospital. Through clinical examination, subclinical, medical consultation on September 16, 2020, patient H. had surgery to remove the tumor.

After the surgery, due to the incision in a sensitive area of ​​the woman, the nurse Van is the one who directly changes the bandage every day, reports the incision and the doctor Nguyen Du Quyen asks about the wound status of the patient Pham Thi H through nursing Van.

The fact that Dr. Quyen does not directly examine patients after surgery is wrong with professional regulations and inexperience in handling sensitive medical examination and treatment issues. Currently, after the patient has had a second operation to treat wound infections, Mrs. H.’s health has been stable and progressing well.

Doctor Nguyen Du Quyen is a doctor with full clinical practice time of 18 months. The time of surgery for patient Pham Thi H. Doctor Quyen is in the process of waiting for approval for the application for a practicing certificate. Furthermore, this doctor has a certificate of Oncology Specialist Direction and a Clinical Oncology certificate.

Hue Central Hospital Unit 2 affirmed that Doctor Quyen is eligible to operate surgery for patient Pham Thi H. under the guidance and supervision of a practical instructor.

However, the Professional Council concludes that in the process of medical examination and treatment for patient H., doctor Nguyen Du Quyen has not fully implemented the contents of the professional and technical process; do not explain thoroughly and thoughtfully to patients before and after surgery; do not follow up closely patients after surgery.

Hue Central Hospital Facility 2 said, disagreeing with patient H’s claim of VND 500 million.

When the incident happened, Dr. Quyen did not report to the leadership of the department or the leader of the disease for timely handling. Along with that, the leader of the Department of Oncology – Palliative Care is not closely involved in management.

With patient complaints about the location of surgery, the hospital explained: “The patient has had two operations in the operating room, but due to the incision in the sensitive area and ensuring the patient’s sophistication, the doctor should check in the minor operating room, not perform a bed check as usual. Therefore, it is not true that patient H. reflects his surgery at the hospital warehouse ”.

The hospital repeatedly met, reorganized and introduced the discipline of reprimand and benefit deduction according to the hospital’s internal spending regulations for two related doctors, Dr. Phan Canh Duy – Dean and doctor Dr. Nguyen Du Quyen.

The proposed Hue Central Hospital 2 will be responsible for all hospital fees and surgery costs for patient Pham Thi H. and willingly to support cosmetic treatment of the surgical wound and the caregiver. multiply the amount by 50 million. However, patient H. disagrees and asks the hospital to compensate for the amount of 500 million VND. This request is not consistent with the hospital’s financial capacity and not in accordance with the law.

“In case of disapproval of the plans given by the hospital, the patient has the right to initiate a lawsuit at the People’s Court of Phong Dien district for settlement according to the provisions of Clause 2, Article 80 of the Law on Examination and Treatment 2009.“, Hue Central Hospital Facility 2 stated in the press release.