Big Doctor Live Room

Chapter 779 Acute Lymphoblastic Leukemia

Ouyang Yang didn't notice that the voices around him quieted down, and continued to refute the female school bully.

"Maybe, if it's an Aspergillus fungus that takes root in his lungs and spreads down his spine, that would explain both symptoms and the medications he's taking. Wait, all of these explanations are normal, but the one thing that's not normal Yes, the patient's condition has deteriorated, which means two things. The first thing is that he is not a fungal lung infection, and the second thing is that we need his medical records."

Qi Hong raised her head, looked at the shameless Ouyang Yang, and didn't care to continue to refute him, but looked at the patient.

"If everything you said is correct, there should be some reason that caused his current condition and destroyed his immune system. There are three reasons, one is HIV, the other is acquired immunodeficiency, and the last one is It is cancer. Considering that the patient has undergone a routine examination today, if the first one is excluded, only the latter two are left.”

As soon as the words fell, there was a round of applause all around.Dean Schneider, who led the applause, put down his palms and looked at her approvingly.

"This beautiful lady from the East, you are really, as Alisa said, very good, so good that my granddaughter has to recognize it. Especially more importantly, you know your strengths and weaknesses, and focus on diagnosing and pathology, without being distracted by complex surgical operations, this is the most correct direction.”

Schneider paused, and continued to look at Qi Hong.

"Miss Qi, can you speculate on what caused the patient to be in a coma for 7 minutes, no, it's been 8 minutes and he hasn't woken up yet?"

Qi Hong looked at Chen Qun who was silent, and suddenly a bold idea came to his mind.

"Perhaps, the patient is his leukemia relapse, but this time he is suffering from another type of blood cancer. Most of the reason is that during the treatment of leukemia, chemotherapy induced new white blood cell abnormalities. This is the data that has already existed in statistics , blood cancer patients may have new mutations during chemotherapy or radiotherapy. If not, then further tests are needed."

"Very good, very good. Now that the ambulance is here, we will send the patient to the ward and wait for the test results! It probably won't take long for us to know whether your diagnosis is correct or not."

Dean Schneider announced his concerns to everyone with great interest, which moved Qi Hong a little bit.Knowing that she can arouse Dean Schneider's inquiry is already a success.As for the results of subsequent tests, it cannot deny her theory.

After all, all doctors know that when diagnosing a patient, they have to choose one from dozens of possibilities, which is not correct every time.

Seeing that Qi Hong had found the most likely symptom from some clues, Chen Qun admired it from the bottom of his heart.But of course, this opportunity may be right in front of me, to get rid of the boring party and directly participate in the examination and diagnosis of patients.

In less than two hours, the patient's blood test results appeared. As expected, as Qi Hong diagnosed, he was suffering from another type of leukemia: acute lymphoblastic leukemia.

Chen Qun looked at the worried Victor, and put the result in his hands.

"This may be good news. The patient's blood cancer cells were only found in the brain, but not in other parts of the body. However, the lung problem is also serious. A large area of ​​lung damage was found, and it has been confirmed that it is pentachlorophenol Pneumonia, medical treatment is needed immediately."

Victor immediately understood what Chen Qun meant.

"You mean the blood-brain barrier will have a positive effect on his treatment?"

Chen Qun nodded.

"Yes, the blood-brain barrier separates the blood in the brain from the rest of the body. In a sense, it also blocks cancer cells. We have a high probability of curing patients."

Victor thought for a while and asked another question.

"However, the blood-brain barrier also means that all drugs cannot enter the brain cells through the blood. We need to perform a craniotomy to put the drugs in a surgical bag and put them into the brain. This is very important for his body. , can’t afford a thoracotomy and a craniotomy at all. We’re in a dilemma.”

"Yes, if the patient's chest is not opened, it means that the pneumonia will further worsen, and eventually he will die from oxygen deprivation; if the craniotomy is not performed, it means that his blood cancer cells are raging in the brain, turning his brain into an idiot , leading to the death of all brain cells."

Chen Qun answered Victor's question carefully.

As soon as these words came out, Sir Victor suddenly laughed.

"You should have thought of a solution, right?"

Chen Qun spread his hands, expressing his helplessness.

"Yes, I have a solution, but it's very dangerous and perhaps full of unknowns. We can inject his newly discovered active agent into his lungs and brain at the same time. Maybe, maybe this new drug can suppress his disease at the same time, and then …We did the lung removal first, and then he did chemotherapy for the blood cancer in his brain.”

Chen Qun looked at Victor's surprised expression and continued to explain.

"Although we don't know whether the new active agent has any effect on blood cancer, we know a very typical phenomenon, that is, the active agent can maintain a unique magic power on body cells, and now at least it has been proved that it does not damage brain cells of!"

Victor looked at Chen Qun and suddenly asked another question.

"Then why don't you suggest using this drug on Her Royal Highness? Well, she is young and in good health, so she doesn't need this drug. Wait, you mean to think that this active agent is not a panacea , can be used anywhere? If it is not necessary, you still do not recommend this drug?"

Chen Qun nodded and shrugged helplessly.

"In fact, until now, human beings have not invented a drug that can cure all diseases and have no side effects. The most famous aspirin and penicillin both have side effects, let alone this drug that we don't know much about. ?”

Speaking of this, Chen Qun felt that it was time to introduce the old Chinese medicine theories.

"What's more, since I was a primary school doctor, I knew an old saying in our Chinese medicine called 'one medicine has three parts of poison', which means that any medicine should not be used too much. In our Chinese medicine theory, medicine is a kind of supplement. Only when there is a defect in the body will it exert its greatest effect. In China, people who take medicine without illness are called neuropathy!"

Victor burst out laughing.

"Chen, when I heard what you said, I immediately thought of Dudley. The biggest difference between him and you is that he will sell his new invention to everyone for the sake of economic benefits. But you are holding on to the same drug. Be cautious, and don’t even recommend using this drug to unnecessary patients. Perhaps, the Nobel Prize in Medicine should be awarded to you!”

You guys must know something inside.But, I pretend I didn't hear it!
Chen Qun didn't answer this time, but just slandered the Earl of England in his stomach, so he wouldn't tell this guy that he knew more about the inside story, and even knew some things about the future.

(End of this chapter)