When a doctor opened a plug-in

On Saturday morning, more than ten people led by Chen Cang gathered in the discussion room.

Xu Ziming, director of cardiac surgery, is reporting on the situation.

"We have analyzed multiple indicators such as efficacy and safety for the first-stage surgical patients, and the results show that..."

"The average time consumption of our team's surgery is about 5 minutes less than the current mainstream surgery, but if Mr. Chen performs surgery, it may save more time, but... this cannot be used for the results of our clinical analysis.

"From the perspective of efficacy analysis and safety, the efficacy is still the judgment of the surgical effect, which we have reached the level reported at the 2019 World Congress of Great Vascular Disease."

"In terms of safety...there are mainly two aspects, the first is mortality, and the second is complications. Because our inclusion criteria are relatively strict, we have not yet started the mortality study, and the main thing is to explore the complications. ."

"The complication rate is lower than the data in 2019 because of our efforts in operating time."

After Xu Ziming's data came out, everyone on the scene couldn't help but cheer for it!

After all, their efforts were not wasted.

This data means that they are ready for clinical surgery.

They have reached the current national average.

Even Chen Cang was really happy inside.

He couldn't help but began to applaud, sending applause to their team members.

Until now, Chen Cang has not done everything by himself for every operation.

Instead, he is helping their team members and taking them together for surgery.

Because one's ability is limited after all.

Up to now, in the first group of 12 people, there are already five or six people who can complete the operation, including Li Baoshan, Xu Ziming, He Zhiqian, Liu Quan and others.

They are the first backbone!

improve rapidly.

However, it was Xu Aiqing who made Chen Cang most curious. She is the hardest and the most improved in the team.

For the children, Xu Aiqing is really desperate.

Everyone is very happy and excited.

Their success means saving more patients.

but……

The end of the first phase of surgery for patients immediately means the beginning of a new phase.

Xu Ziming said at this time: "Teacher Chen, how do you plan to carry out the next phase of the second case."

The room was quiet at this time.

In the first phase, they followed strict requirements and inclusion criteria, and achieved remarkable results.

What about the second period?

How to develop?

After Chen Cang pondered for a moment, he said lightly: "In the second phase, let go of the inclusion criteria and do mortality research!"

As soon as the words came out, the surrounding area became quiet.

Mortality study!

Everyone couldn't help but shake their hearts.

Mortality research has always been an area that no discipline wants to touch.

What everyone says about efficiency is actually not true efficiency.

And how to include the standards efficiently.

This is an inaccurate data.

And really let go of the samples, let go of the inclusion criteria by a large margin, so that the case study is actually the real data.

In fact, life is much crueler than data.

For example, the study of mortality is the case.

This is completely letting go of the inclusion criteria of cases and studying mortality.

Thinking of this, everyone couldn't help but look at Chen Cang.

Is this... a bit too sloppy?

After all, the first phase laid such a good foundation... Isn't it... a shame that it was ruined!

Everyone feels distressed when they think of this.

Because once the inclusion criteria are released, if the efficacy and sequelae of 100 cases are analyzed, it is obvious that it is definitely a decline compared with the data in the first phase.

Both safety and efficiency must be reduced!

This is a good start, is it really going to be broken?

Everyone is a little worried and uneasy.

Xu Ziming couldn't help but said, "Teacher Chen... Isn't that a pity!"

"Our first phase of such a good result, no matter who it is for, we will definitely carry out follow-up research to further improve efficiency and safety, and reduce complications. In this way, our data..."

Without changing his face, Chen Cang asked faintly, "What use do we want data for? No matter how good the data is, it's useless!"

"When we set up a project to study, everyone's purpose should not only be to get a beautiful clinical data?"

"Our core purpose is still to save people!"

Everyone was silent.

What Chen Cang said was right, but... still a little unwilling.

Everyone is doing this, and we can do it too!

After all... there is a difference between clinical trials and actual surgery after all.

It is impossible for us to exclude a patient because he does not meet the inclusion criteria and not perform surgery on him.

In this case, there is no point in our research.

but……

Everyone just thinks it's a pity.

Think of An Zhen and Ruijin.

Their emergency center also wants to have a good special department, a top department that is well-known throughout the country and the world.

However, this is not a day or two after all.

The current clinical research on Ma Fan's thoracic-abdominal aortic replacement surgery itself is very researched. Once the results come out, it will obviously win the prize!

but……

Chen Cang's unexpected operation made the whole team feel a little regretful.

To be honest, if Chen Cang does not change his policy, does not change his direction, and completes the operation as it is, he will be awarded with such a result!

Hey……

Everyone couldn't help sighing.

"Teacher Chen, we...I still think we should improve the efficiency. After all, we have gone so far. Now we suddenly let go of the inclusion criteria. The mortality rate and the complication rate will rise all at once. These factors!" He Zhiqian also wanted to fight for it.

Chen Cang suddenly smiled: "Can't we let go of the inclusion criteria to talk about the treatment rate? Or can't we let go of the inclusion criteria to study the probability of complications? Moreover, mortality can also be included!"

"In this case, the ratio will be greatly reduced!" Xu Ziming couldn't help saying.

Chen Cang shook his head: "This data will be more real and more applicable to ordinary patients, and it will be more helpful to the medical field."

"And, who said that our proportions will definitely be reduced?"

This sentence stunned everyone!

This must be lowered!

Liberalization of the inclusion criteria will greatly increase the patient's risk factor. The most dangerous aspect of Marfan syndrome is the sudden rupture of large blood vessels and death on the operating table.

But what did Teacher Chen's words mean?

Could it be...

Does Teacher Chen have a better way?