godfather of surgery

Chapter 1220 I'm not picking on you

Adams has not experienced any significant side effects since the treatment. He is no longer concerned about whether the ordinary medicine is effective. He understands Yang Ping's words: don't use your meager medical knowledge to challenge a professional doctor.

Some cells collected from the puncturable tumor were pathologically tested and found to be in different stages of apoptosis. This was good news, indicating that the K therapy was working for him. Adams was very excited and began sharing the daily changes on his social media. Although there were no macroscopic changes for the time being, microscopically, various test results showed that he was improving at a visible rate.

Data doesn't lie, and as a mathematician, Adams firmly believed in this theory.

His weekend social media posts attracted a large number of Britons and then spread throughout the English-speaking world. Word of mouth spreads very quickly online, and within a few days, the number of people following him on social media rose to several million and continues to rise.

Many cancer patients leave him messages hoping to get his guidance and help. He is happy to help these people, but there are just too many people asking questions, so he can't keep up. Therefore, he can only give an introduction to Sanbo Hospital and Research Institute.

Initially, people started paying attention to him because he was a cancer patient. Gradually, people from other diseases and their families also began to pay attention to him. In short, these patients were all patients who were dissatisfied with the treatment they received in their home countries.

Previously, they had never had any other thoughts. Without comparison, there is no difference. Through Adams' daily sharing, they gained a general understanding of their medical experiences in China and were surprised to find that Chinese medical skills were so advanced.

Adams stated that after his recovery, he will donate funds to establish a website specifically to help people from other countries seek medical treatment in China, where costs are low, efficiency is extremely high, and most importantly, the medical expertise is world-class. He urged everyone to change their mindset and look to the East.

Phase I and Phase II trials of K therapy are being conducted simultaneously. Currently, this approach is being approved exceptionally quickly in both the United States and Europe, giving the impression of a smooth process.

Based on past experience, it would be impossible for Chinese drugs to undergo Phase I or Phase II clinical trials in developed countries; the review authorities would simply reject them. This time, however, they suddenly changed their attitude out of kindness.

Actually, it's not that they're doing this out of kindness. Every country is made up of people, and the power of the super-rich far exceeds everyone's imagination. Their lobbying ability makes getting a drug approved for clinical trials a piece of cake.

This proves that when a street lamp breaks down, countless ordinary people's children fall and get hurt over the years, but when a councilor's child falls down there, the street lamp is fixed the next day.

Although this is just a joke, it illustrates that everyone's capacity for influence is different. This is why Yang Ping's K-therapy was approved so quickly in Europe and America.

Yang Ping hadn't visited Adams for several days. He took a few doctors to the International Medical Center to check on him. Adams was doing very well. He was sitting on the sofa with a laptop on the coffee table, studying the website's algorithm. He was building a website for Sanbo Hospital that would be accessible to the world. The purpose of this website was to build a bridge between patients and Sanbo Hospital, and it would be available in the five languages ​​of the United Nations.

He combined publicly available information from Sanbo Hospital, such as doctors' outpatient hours, with information from Chinese travel websites. This allows patients to book appointments, hotels, and flights with a single click, and also arrange other matters based on their visa dates.

Adams wasn't doing this alone; he gathered a group of experts online who were all passionate and willing to do it voluntarily. The website will also be an open community, upholding the spirit of sharing and mutual assistance.

Adams told Yang Ping about the idea, and Yang Ping was quite surprised. He wasn't just talking; he had already started working on it. He was in charge of the algorithm, and several other people were responsible for building the website. Everyone had their own job.

This is a great thing; it can help many people. The internet has changed the world, and it can connect patients all over the world with Sanbo Hospital and Research Institute. This will be a remarkable thing and may change the model of healthcare.

"If possible, we could also build a bridge between patients around the world and some of China's top hospitals in the future," Adams said confidently, putting away his notebook.

However, Yang Ping felt that this was both a good thing and a bad thing. The doctor-to-patient ratio in China was already lower than in developed countries, and it was also a problem for ordinary Chinese people to seek medical treatment. Large hospitals were overcrowded, beds were in short supply, and doctors were overworked. If so many foreign patients were to flood in, it would exacerbate this contradiction.

It's not that Yang Ping is selfish; who wouldn't want their own country's best medical resources to be used first, with the surplus going to foreigners?

However, on the other hand, if the number of foreign patients does increase, it can increase the income of hospitals and doctors from an economic perspective, forming a positive virtuous cycle. If there are indeed more foreign patients, hospitals can be expanded.

Top hospitals in Europe and America actually derive much of their revenue from patients worldwide, which actually helps reduce medical costs for their own citizens, with foreign hospitals subsidizing domestic ones.

"Let's get back to this after you're discharged. You need to rest well during your hospital stay." Yang Ping was worried that he would work as hard as he had a few days ago, often staying up all night. For Adams now, staying up all night was a terrifying thing and could easily lead to life-threatening situations.

Adams cracked his neck: "Professor Yang, don't worry. I'm going to bed early and waking up early now, and I'm living a regular life. Looking at the test results these days, the data curves are continuing to improve. I see a bright future. You're right. I don't need to know the details. I just need to know that the raindrops won't penetrate my skull. Now I see the hope that K treatment has brought me."

As he spoke, Adams pulled out a large notebook, with each page containing a graph.

"These are the graphs I made for each test result. This way, I can visually observe the trend of change. The situation is very optimistic. Looking at these graphs, I can sleep peacefully without the aid of sleeping pills," Adams said, pointing to the graphs. Actually, it's nothing complicated. Nurses often draw temperature curves to observe the trend of temperature changes. Adams's graphs are similar to temperature curves; he's just treating the changes in his various parameters with the attitude of a mathematician.

"My pain is much better than before, it's amazing. How can there be such a good effect in just a few days? I can feel the pain is obviously decreasing." Adams turned his head to look at the pain score chart on the wall.

For cancer patients, especially in the late stages, pain is the biggest factor affecting their quality of life, so pain management for cancer is a specialized field of study.

K therapy fundamentally killed a large number of his tumor cells, which relieved the pain at its source. Adams could not intuitively feel how many tumor cells were killed, but he could intuitively feel the pain.

Therefore, the relief of pain gave him great confidence and also greatly improved his quality of life.

For someone suffering from pain, even the slightest reduction can be a huge improvement in their quality of life.

“This is my notebook. I can share it with everyone, and it can also be used as research material for doctors and nurses. It might be of some use to your experiments because it is a patient’s experience of experimental treatment from their own perspective. I wrote it in great detail, including both objective and subjective points. If you need it, you can take photos or make copies.” Adams then took out a notebook from the drawer next to the bed and handed it to Yang Ping.

Yang Ping took the notebook. It was thick and almost full; it only contained records of his medical experiences at Sanbo Hospital. Yang Ping casually flipped through a few pages, then was astonished by Adams's surprise and immediately read on to the next dozen or so.

This notebook is extremely valuable, not only because it helps in improving medical procedures compared to hospitals, but also because it is of great help to the experiment. No patient has ever made such detailed, rigorous, and meticulous records from the patient's perspective before.

"Taking photos and making copies of Mr. Adams's notes has been a great help to us. Thank you, Mr. Adams." Yang Ping handed the notebook to Dr. Li beside him.

Dr. Li immediately flipped through it and then circulated it among several PhDs.

“Thank you. It’s what I should do. I’ve thought about it for a long time. I should fulfill my responsibility as a volunteer, and I feel that I can do what others can’t. I can write down the entire treatment experience with precision and detail. Whether or not I can be cured, I can leave something of value,” Adams said confidently.

"I also did something small that I hope will be of some help to you, but I haven't finished it yet, so it's still a work in progress." Adams pulled out his notebook again as if by magic.

He must have had countless notebooks and done a tremendous amount of work; his efficiency is truly remarkable.

"This is my study of the ward's workflow. After studying it, I found that there are many areas that need improvement. I examined the entire workflow from a mathematical perspective and found that if you optimize it according to my suggestions, your work efficiency will double, and the probability of errors will be greatly reduced. I'm sorry, please don't misunderstand, I'm not picking on the doctors' and nurses' work. I just hope to find some shortcomings in the process and then improve them. Your doctors and nurses are already doing a great job." Adams handed the notebook to Yang Ping.

Yang Ping glanced at the notebook. It wasn't filled with more than a few dozen pages. He had figured out the working mode and process of the entire ward, without involving medical technology, but purely the work process. Then he used a red pen to mark many problematic areas, such as repetitive work, broken connections, and potential errors.

He truly lives up to his reputation as a mathematician. He conducted a rigorous analysis of the work patterns and processes from a purely mathematical perspective, pointing out many outdated and obsolete aspects, and then suggested ways to improve them. However, he has not yet come up with a systematic improvement plan.

"For example, your shift handover times and procedures, patient examination arrangements, medication delivery and intravenous infusion processes, on-call arrangements, etc..." Adams pointed out the problems that have been discovered so far.

If a matter is taken to a highly professional level, it can indeed offer a completely different perspective.

"Dr. Deming's theory propelled Japan's quality control to world-class levels. I think that's nothing compared to what you've achieved. Believe me, give me some time, and I can create a medical management theory that can help your medical management reach world-class levels. I need time, I need a deeper understanding of how the entire hospital's medical activities operate, I need more time for more detailed and in-depth observation and analysis. Obviously, observing one ward is not enough to do this. I will continue to work hard." Adams didn't want to talk casually; he looked very serious.

Moreover, judging from his current notes, the problems he identifies are indeed significant, and his proposed improvements are very scientific. Yang Ping believes that he truly has the ability to establish a world-class medical work model.

"Work patterns are very important. Casual, rough, and outdated work patterns will only waste time, increase the probability of errors, increase the workload of doctors and nurses, and make medical equipment services extremely inefficient. We have never thought that the problem lies with the patterns. In medical work, we dare to say that the current level of management is workshop-style. Not only you, but it is the same in the UK. The efficiency and quality of work are low because no one has realized the problem. For more than a hundred years, this is how we have been doing it. What is wrong with that?"

“In the past, factory management would also ask this question. Now you see, the difference between advanced and backward management in different companies is huge. The same is true for hospitals. Hospitals have scientific management methods that are suitable for their operation. We need to break away from this workshop-style management and move towards highly professional and scientific lean management, just like factory production management. I am not intentionally picking on you, but I want to help you improve your model. I must find out as many problems as possible without any mercy.”

"For example, you don't have a scientific model for arranging various examinations for all patients in the hospital. There should be an algorithm to calculate the various examinations for patients every year, month, week, and day, so as to design a scientific allocation model that allows patients to use various equipment rationally, instead of haphazardly. As for the arrangement of emergency examinations, how exactly should emergency examination equipment be reserved, should it be allocated separately, or should a queue-jumping method be used? You don't have a scientific model at all, it's very arbitrary, and this kind of waste is terrible."

Adams became more and more excited as he spoke, and Yang Ping listened very attentively. He was right; no one usually realized this problem, let alone studied it as a science.

(End of this chapter)