Since 1981 Health School

Irving, the editor-in-chief of the New England Journal of Medicine and Surgery, once again received a paper from the Vietnam-China Hospital with an expression as constipated.

It is very remarkable for other hospitals or medical research institutions to submit several papers to top medical journals like theirs in a year.

You must know that it can be published every year in the four major medical journals: New England Journal of Medicine and Surgery (NEJM), Lancet, Journal of the American Medical Association (JAMA), and Eagle Country Medical Journal (BMJ). Journal articles are few and far between.

Because they are few, they are precious.

Among them, the impact factor of the "New England Journal of Medicine and Surgery" reached 176.097 points. Although it is not the top, it is still the top.

The domestic journal with the highest impact factor is "Cell Research", known as the "Light of National Journal", with an impact factor of only 46.297 points.

At present, the medical journal with the highest impact factor in China is 10.526. Generally, when teachers publish papers, an impact factor of about 5 is considered good, and if it is higher than 10, it is extraordinary.

The impact factor has become an important indicator in China for academic evaluation, student graduation, professional title evaluation, literature research, journal evaluation, etc.

Therefore, the impact factor determines a doctor's academic future and even his political future. What's the use of performing a good surgery? What’s the use of having 200 outpatients a day? Can you write a paper?

This also shows how difficult it is to publish papers in these four top medical journals.

There are some PPT doctors in the hospital. If you ask them to see a doctor, they won't know how to do it. But if you ask them to write a paper, they will submit it with a stroke of their pen and it will be successful.

Then the deputy chief physician or the attending physician will be the one who will see the doctor specially, but will not be able to write papers...

Those who don’t know how to see a doctor, but are particularly good at writing papers are chief physicians and doctoral supervisors...

This phenomenon is not only true at home, but also abroad.

Of course, the situation abroad is slightly better, because foreign doctors can be divided into clinical type and scientific research type. The two lines have different directions and different remuneration.

Regardless of whether you are domestic or foreign, there are very few people who want to submit articles to top international medical journals, and even fewer who are accepted for publication.

But whether it is the Mayo Clinic or the Cliff Clinic, which hospital is like the Yuezhong Hospital? The submission of papers is the same as sending a telegram. How many papers a month?

No matter how close the relationship between Owen and Chen Qi, the editor-in-chief of the Asia region of the New England Journal of Medicine and Surgery, and no matter how big the red envelope they receive, they are still a little confused when faced with so many manuscripts.

Owen turned over the pages one by one:

"Research on Hermaphrodites with XX Functions", "Surgical Exploration of True Hermaphroditism", "Invention of New Plastic Fillers", "Gene Analysis of Chimera Phenomenon", "The Importance of Gene Genetics in Clinic", "Diagnosis and Treatment of Klinefelter Syndrome", "Discovery of Cat Meowing Syndrome", "Chromosome Abnormalities in Tourette Syndrome", etc.

All these papers are groundbreaking, and most of them are the first discoveries of humans. Each of them meets the publication requirements.

But the question is, is this paper true or false?

If it is true, is this Yue Traditional Chinese Medicine Hospital going to heaven?

This is a scientific research discovery and the invention of a new technique. Others may not be able to complete a project in their entire life. Yue Traditional Chinese Medicine Hospital is engaged in wholesale, publishing more than ten articles a year?

If it is false, it would be a major accident if these papers were published.

As editor-in-chief, Irving will not only have to take responsibility and step down, but will also be ridiculed by his peers for the rest of his life, and will not even be able to find a job.

So Irving didn't want to take risks, but faced with Chen Qi, the director of Yuezhong Hospital, and the brilliance of his paper, Irving was unwilling to give up.

So Irving decided to go to the editor-in-chief Gabrielleth. After all, they were on the same line, which was equivalent to an alliance, and they would never harm him.

Gabrielleth sat behind his desk, reading the papers one by one, sometimes frowning, sometimes applauding.

After he read all the papers from the Vietnam Traditional Chinese Medicine Hospital, he couldn't help but sigh:

"Shet, it's like a fucking dream..."

Then Editor-in-Chief Gabrielleth looked at Owen again: "How authentic do you think these papers are? What is the plagiarism check rate of these papers?"

Owen shrugged:

"Although you may not believe it, these papers don't need to be checked for plagiarism at all, because the diseases in their papers are all discovered for the first time. For example, this true hermaphroditism with XX function is the only case in the world that has been discovered so far.

There is also this paper. The chimera phenomenon mentioned above has been discovered a long time ago, but the concept of chimerism was first proposed by the Vietnam Traditional Chinese Medicine Hospital. They are also the first hospital in the world to conduct genetic testing for chimeras. They are also Original.

Similarly, for example, in this article, we have heard of cat meowing syndrome before, but Vietnam Traditional Chinese Medicine Hospital was also the first to discover chromosomal abnormalities through genetic testing and write a paper on it, so there is no need to check for plagiarism because they are NO.1. "

Editor-in-chief Gabrielleth scratched his fluffy hair and said speechlessly:

"Does China have a damn genetic testing center? Isn't this something only the European and American medical circles are playing with? This is simply unbelievable."

Owen pointed to the author column and said: "There is help from Japan's Sysmex Genetics Company behind this, so technically there should be no possibility of fraud."

Editor-in-chief Gabrielleth threw the paper on the table and looked at Owen:

"Then what is your purpose of coming to me?"

Irving was a little embarrassed: "There are too many papers. I don't know how to format them. If one or two papers from Yuezhong Hospital are published in each issue, then we may really become a joke in the medical circle and feel that we are being copied by China." The doctor was bribed."

This principle is similar to that of an essay competition. Every time the winning authors are named by just the same person, the credibility of this essay competition is gone. Anyone with a discerning eye can see that this is a shady comparison.

Moreover, there are only so many pages in medical journals, and a lot of your content is always taken up by Yuezhong Hospital. What about other papers?

A single beautiful branch is not spring, but a hundred flowers blooming and a garden is full of spring. These foreigners also understand.

But if they don’t publish a paper to the Vietnam Hospital of Traditional Chinese Medicine, even if they pretend that the review period takes 6 or 8 months, when the Hospital of Traditional Chinese Medicine reacts, they will submit it to other medical journals, and they will still suffer the loss. England Journal.

what to do?

Editor-in-Chief Gabrielleth thought for a while and came up with an idea:

"This matter is easy to handle. We can publish a supplement of the Vietnam Traditional Chinese Medicine Hospital. Now we have 10 papers in hand. We can definitely publish a supplement. Oh no, it should be a special issue. Put all the papers in it and solve it in one go. All published papers were addressed.”

Owen's eyes lit up when he heard this: "This is a good idea, but it's too flattering to the Yue Traditional Chinese Medicine Hospital."

Being able to publish a special issue of the New England Journal of Medicine is definitely a matter of honor. Only a few top hospitals in history have such qualifications.

Editor-in-chief Gabrielleth gritted his teeth:

“I have another idea, that is, before publishing the special issue, we have to test the quality of the Vietnam Traditional Chinese Medicine Hospital, firstly, to see if their genetic testing level is internationally leading.

In addition, if you find that the disease is useless, you still have to treat the disease, right? Only in this way can the power be shown and colleagues all over the world be convinced. I happened to have a few patients on hand and asked them to be transferred to the Vietnam Traditional Chinese Medicine Hospital. "

Editor-in-chief Gabrielleth was originally the dean of Massachusetts Medical School and a top international medical scientist. The patients he could treat could not be simple patients.

Owen was also very interested: "Oh, what kind of patient is he? It's too simple. For Hua Guochen, it's just delivering food."

Editor-in-chief Gabrielleth chuckled:

"Then you underestimate me too much. Here, here is a picture of the patient."

After speaking, Gabrielleth took out two photos from the drawer. Owen took them over and took a look and gasped:

"Farke, Mr. Gabrielleth, are you so cruel?"

The two photos are of two patients:

The first photo is of a 5-year-old white girl. The upper body is normal, but the two legs of the lower body are glued together, and only the two feet are separated to both sides.

The second photo is even more cruel. It is a pair of conjoined twins. The babies' bodies are connected face to face, but they each have their own limbs and heads. "

Editor-in-chief Gabrielleth introduced next to him:

"Both patients have an unknown genetic disease. Otherwise, they would not be born with such freaks. Therefore, they were sent to Chen for research and asked him to give an answer and cure them."

"Separation?"

"Yes, it means separation surgery. For example, this little girl was born with her legs adhering together. What's even more fatal is that her bladder, large intestine, most of her kidneys and other organs are missing, which brings great difficulties to her operation. challenge.

The situation of this pair of conjoined twins is more complicated. They are only 4 months old now. Their parents request that they be separated while they are still young to avoid any impact on their physical and mental health in the future.

The separation of these conjoined twins was equally complex. The two babies shared a stomach and liver, as well as part of the intestines and bile ducts. It was easy to separate the body, but difficult to separate the internal organs.

Historically, no separation surgery has been successful in any country, but surgery for this kind of genetic malformation has always been a blank area. Therefore, no hospital is willing to take over these two patients, let alone perform surgery.

Hua Guo Chen and Yue Traditional Chinese Medicine Hospital are very powerful. Let them treat them. As long as they can cure these two patients and find out what the genetic defects are, I can assure you that the special issue will be published as soon as possible. hair.

Mr. Owen, do you think my approach is feasible? "

Owen shook his head after hearing this:

"Mr. Editor-in-Chief Gabrielleth, I think you must be crazy. There are so many patients in the United States that even the top hospitals are unwilling to take over. You want a Chinese hospital to do research and surgery. This, this is a bit embarrassing. .”

Gabrielleth lit a cigar and spit it out:

"If you want to wear the crown, you must bear its weight. China has little status in the mainstream medical community, and Chinese doctors have few academic publications.

If Chen Qi or Yue Traditional Chinese Medicine Hospital wants to integrate into the mainstream medical community, or even want to have a place in the mainstream medical community, they have to work harder than others, be able to do surgeries that others cannot, and be able to research things that others have not done. In the medical field, you can cure diseases that others don’t see well.

These two patients may have put tremendous pressure on Chinese doctors, but isn't this an opportunity? Isn't there an old saying in China that true gold is not afraid of fire? I won't give him a stage to show it now. "

After all, Owen received money from Chen Qi, so of course he had to say good things for Chen Qi:

"However, if the patients are sent to China, the hardware and equipment of China's hospitals are too poor, I'm afraid..."

"It's not a big deal." Editor-in-Chief Gabrielleth put the cigar on his desk and took out a document from the drawer:

"Our New England Journal of Medicine and Surgery has a sponsorship of US$200 million this year. If Dr. Chen is willing to take over these two patients, our journal can provide it for free with whatever medical equipment he needs. It doesn't cost a lot of money. .”

Owen knew that he could no longer stop Editor-in-Chief Gabrielleth from going crazy, so he stood up and said:

"OK, I will contact Chen now and ask for his opinion."

Editor-in-Chief Gabrielleth waved the manuscript in his hand: "Tell him that the day the operation is successful will be when the Vietnam-China special issue is published."

Nailin~~~

Chen Qi received the international call from Irving at home. Due to the time difference between the two countries, the working hours in the United States were at night in China.

"Chen, this is the situation. Obviously, Editor-in-Chief Gabrielleth wanted to test the scientific research level and surgical level of your Yuezhong Hospital. I also persuaded the Editor-in-Chief for a long time, and then Chief Editor-in-Chief Gabrielleth had made up his mind.

However, I have also secured a good benefit for you, that is, for these two operations, if your Yuezhong Hospital lacks any equipment, our magazine can provide it for free to help you upgrade the operating room. "

A girl with adhesions on her lower limbs and a pair of conjoined twins? Do both need to be separated?

Chen Qi couldn't help but fell into deep thought. In his memory of his previous life, there were indeed a few successful operations to separate conjoined twins, but most of them failed.

One of the most famous conjoined separation surgeries was one performed in Singapore that year.

The surgery was performed on a pair of Iranian sisters. Their heads were connected on the sides and they shared part of the brain, but their bodies were separate.

The reason why Chen Qi remembers this surgery so deeply is because the sisters worked very hard. In a conservative and patriarchal country like Iran, the sisters persisted in their studies and finally graduated from the law major of Tehran University.

So she is a very independent, elite woman.

Both sisters have their own ideal lives. One wants to be a lawyer and the other wants to be a reporter. However, the special structure of the "Siamese" makes the two sisters who long for independence unbearable, so they have an extremely strong desire to separate.

After all, conjoined people are together. Not to mention being inseparable 24 hours a day, let's just say you have a boyfriend. There is also a light bulb next to it, right?

If you want to be intimate with your boyfriend, it is obviously a matter of two people, and it is treated like a three-person sport.

Therefore, no matter in terms of personality, work or life, the Iranian sisters extremely hope that the two can undergo separation surgery.

So the brave sisters raised funds and borrowed money from relatives to travel to Germany, hoping to undergo separation surgery there, but no doctor was willing to perform such a high-risk operation on them.

Later, they arrived in Singapore and finally found a medical team willing to operate on them.

The separation surgery of the Iranian conjoined sisters attracted widespread attention from the world's media. In addition, the Singaporean hospital also had publicity needs, so the matter was a big deal, and domestic media also published a lot of related news.

Unfortunately, they suffered severe blood loss during the postoperative vascular repair process and both died within an hour and a half.

The person was separated, but also died, and the Singapore hospital where the surgery was performed was disgraced.

This happened in Chen Qi's previous life. It's only 1991. It's not that difficult to perform two conjoined separation surgeries.

After all, Chen Qi had never undergone such an operation in his two lifetimes.

However, one advantage of Haidong people is that they understand the principle of "high risk, high profit". There will be no pie in the sky. If you want to succeed and become famous, how can you not take some risks?

What's more, if the operation is successful, a top medical journal such as the New England Journal of Medicine and Surgery can publish a special issue. This kind of treatment has only been given twice in history.

If the Vietnam Traditional Chinese Medicine Hospital can publish a special issue, it actually means that the Vietnam Traditional Chinese Medicine Hospital has become a part of the international mainstream medical circle.

This kind of treatment cannot be matched by well-known domestic hospitals such as Peking Union Medical College, Beijing Medical University, Ruijin, Xiangya, Qilu, Zhongshan, and West China.

Thinking of this, Chen Qi gritted his teeth and took the risk. If he succeeded, he would win.

If it fails, that's it. It's a surgery that even your European and American doctors can't handle. Why should Chinese doctors only allow success but not failure?

Isn't it just cheating? It's like no one is doing it.

"OK, Mr. Owen, please tell Editor-in-Chief Gabrielleth that I am willing to accept this challenge."