I can see the status bar

Chapter 91 Character Changes
Leukemia, this is the only understanding of blood diseases that countless people have.Incurable, painful, hopeless, the most incurable of all cancers... Leukemia has been demonized, to a horrific degree, over the past few decades.

In fact, leukemia is not so terrible.As a disease with ten types, most leukemias can be controlled with drugs and radiation therapy.Only M0 acute myeloid leukemia with poor differentiation and MAL acute mixed leukemia have a poor prognosis.

But in any case, leukemia is still a disease that is difficult to treat.Especially when the disease appears in the elderly, treatment is even more constrained - except for M3 leukemia, almost all other leukemia treatments rely on bone marrow transplants.

In order to avoid rejection caused by the transplanted bone marrow, in addition to taking anti-rejection drugs that suppress the immune system after transplantation, doctors also need to kill the patient's own bone marrow through radiotherapy before transplantation.

Do radiotherapy for an 88-year-old man who has multiple underlying diseases and is likely to be infected?It's better to give her a knife directly, so that she can suffer less.

Sun Lien's heart was full of turmoil, he could only silently pray for the old man on the hospital bed, if it was infected, it must be infected.At least if it is an infection, there is still a possibility of gambling.But if it is really leukemia, there is absolutely no way.

Zhou Jun has worked in the hospital for many years. During these years, the emergency room has received countless patients with acute leukemia.As for the final situation of these patients, Zhou Jun also knew in his mind - among the patients who were sent to the emergency room because of acute leukemia, those who could walk out of the emergency room by themselves could be counted with two hands.And none of them survived five years after that.

After a long silence, Zhou Jun said in a low voice, "Wait for the test results." He paused, "I'll go and contact Professor Li to see if there are any beds available in the Department of Hematology in the hospital."

Ningyuan Medical College has a long history, and the Department of Transfusion Medicine under the School of Biotechnology is strong.Professor Li, who is also the director of the Department of Hematology at the Fourth Central Hospital, is a leader in the study of tumor immunity.

Zhou Jun agreed with Sun Li'en's opinion. Now it's just a choice between two, either leukemia or lung infection.With a bitter expression on his face, he said in a shy voice, "I didn't expect that..."

I didn't expect my grandmother to suffer this kind of crime, I didn't expect that I would face this kind of trouble, I didn't expect that one day, I would be so powerless.

"The result is out." Xu Yourong, who had been guarding the CT room all this time, came out, and said to the master and apprentice who were worrying, "Pleural effusion, about [-] milliliters. There is also abdominal effusion, [-] milliliters." At the same time, there are signs of splenomegaly." She looked worried, "Doctor Zhou, this doesn't look like an infection."

Sun Li'en patted Zhou Jun's shoulder, and said to Xu Yourong, "First get rid of the pleural effusion, let the old lady have the pleural effusion drained, and then arrange for a bone marrow puncture."

Zhou Junqiang cheered up, "I'll go to Professor Li to ask about the hospital bed." He took two steps away, grabbed his father, turned to Sun Li'en and said, "Li'en, the old lady will ask you gone."

Sun Lien nodded and said nothing.Standing beside him, Xu Yourong didn't feel any dissatisfaction after being summoned, but asked curiously, "Do you have doubts?"

"The combination of these symptoms makes me feel bad." Sun Lien was careful to avoid using the word "leukemia". He thought about his choice of words, "If it's just an infection, the hydroperitoneum and changes in mental state can't be justified. If it's his own Immune disease, it will not progress so fast. If it is a simple cardiopulmonary circulatory system disease, then the hydroperitoneum has no source." He sighed, "Exclude these three, and the rest is the answer."

"Tumor?" Xu Yourong raised his eyebrows, "But there is no fever."

"Same as when Kaoru Kobayashi was diagnosed, the symptoms were covered up." Sun Lien said helplessly, "Sitting in the cold wind for several hours, her body temperature is hypothermic."

"I'll arrange another test for blood tumor markers." Xu Yourong understood what Sun Lien meant, and she suddenly paused, "The old man is 88..."

"Treatment is definitely risky." Sun Lien also sighed, "I hope it's not an M0 type."

Zhou Xiufang's routine blood test results were waiting in the emergency room.Consistent with the prompt in the status bar, the hemoglobin of the elderly is only 65g/L, which is nearly half lower than the reference value.The immunoglobulin IgG is as high as 63.1g/L, which is about four times the reference value.

In the emergency room, Nurse Zhong used a syringe to draw Zhou Xiufang's first pleural effusion. The 100ml large syringe draws out a full four tubes.One of the tubes was also sent to the laboratory for pleural fluid cytology.

There is no other way but to wait, Sun Lien has never felt so powerless.He sat blankly behind the duty desk, looking at the patients lying on the hospital bed.Sun Li'en even hated his incompetence a little bit. If he could learn more and be more serious in class in medical school... Maybe he could figure out a way.

"What are you thinking about?" Xu Yourong walked over with two stacks of documents, saw Sun Lien who was in a daze, and couldn't help asking curiously, "Thinking about the diagnosis?"

"I regret that I didn't listen carefully when I was in school." Sun Lien squeezed a smile from his face, "If I had listened carefully back then, there might be something I could do."

Xu Yourong wondered, "The undergraduates in China are so good now? Can you know how to treat unknown diseases by listening carefully in class?"

Sun Li'en was so choked that he almost couldn't catch his breath.

"First of all, we need to make a clear diagnosis, and to make a clear diagnosis, we need to wait for further results from the laboratory." Xu Yourong shrugged, "In the past, it was difficult for a smart woman to cook without rice, but now you don't even have a stove, let alone rice. What's the use of listening carefully?"

Although Xu Yourong spoke directly, every word made sense.Sun Lien suddenly felt that the pressure in his heart was much less.

"We are doctors, not gods." Xu Yourong placed the two stacks of documents in front of Sun Lien, and continued, "Many patients died without a correct diagnosis because of the rapid progress of their illness. You have done a good job." She said. She patted the documents, "These are the resumes of those who are interested in interviewing." She paused, and continued, "Bruen and Pascal's resumes are also in it, but since Director Liu is so interested in them, I suggest at least letting them come for an interview first."

"Interview?" Sun Lien pointed at himself in a daze, "Shall I interview them?"

"You're the leader." Xu Yourong found a stool and sat down, then tapped the table with his hand, "If you don't come for the interview, should I?"

"I thought I would just invite someone to join the job." Sun Lien picked up the resume in front of him, still feeling like he was dreaming, "I was interviewed a few months ago, and now I'm going to interview someone else?"

Xu Yourong smiled lightly, "Then you'd better get used to this change of role quickly." She said seriously, "The interview is a very important part, job seekers will also learn about the future of the team and what they care about through you. — such as your diagnostic techniques.”

(End of this chapter)