Master Doctor in the City

More than 70% of Singaporeans are Chinese, but even if Chinese is the official language, in fact, English is the real official language here in Singapore. It is basically English whether it is ordinary life, work, etc. communicate with.

Tang Shizhen asked the female nurse to bring Chen Ji's medical record over. Ye Chen suddenly felt a big head when he looked at the English on the medical record.

In college, Ye Chen had just passed his English at best, and he could still understand simple English, but he couldn't understand some terms at all.

Now that he sees Mr. Chen’s medical records, he basically can’t understand it. He can only look at Tang Shizhen and say, “Doctor Tang, I basically don’t understand the English on it. I can ask someone who can translate it. May I translate it?"

Ye Chen didn't understand that, it was normal.

As for Tang Shizhen, who has learned English since he was a child, he can understand it naturally.

When they brought them and translated them to Ye Chen one by one, Ye Chen already understood what was written in the medical records.

Judging from the medical records, Mr. Chen was dizzy and fatigued, bleeding from his gums for nearly eleven years, and splenomegaly in the last ten months.

His disease, as well as blood tests, revealed that it belongs to hairy cell leukemia in Western medicine, referred to as leukemia.

Hairy cell leukemia is a slowly progressing lymphoproliferative chronic leukemia, characterized by anemia, hemorrhage, splenomegaly, and a large number of peripheral blood and bone marrow with irregular edges, pseudopod-like, or ciliated white blood cells.

Hairy cell leukemia is a special type of chronic lymphocytic leukemia. The nature of this disease is not yet very clear, and it is more common in men over 40.

Because the cytoplasm of hair cells has protrusions and is as thin as hair, it is named after.

According to the immunoglobulin pattern on the cell surface, it is inferred that the hair cells are at a relatively mature b-cell stage with differentiation blocked between chronic lymphocytic leukemia and multiple myeloma.

The median survival period is 5 to 6 years, and the longest can reach 30 years. The incidence of this disease accounts for 2% of leukemia. The incidence ratio of male to female is 3.5-6:1. The age of onset is generally between 40 and 60 years old. The average age of onset is 49 years for men and 47 years for women. The cause of this disease is the same as other leukemias.

Mr. Chen is now 42 years old.

The main feature of the disease is that the onset is insidious, and the average time from onset of symptoms to diagnosis is 1 year. The common clinical manifestations are pale, fatigue, dizziness, and palpitations; bleeding often manifests as petechiae or ecchymosis, epistaxis or bleeding gums, etc.; about 1/4 of patients develop infections, and the above respiratory tract infections are more common.

Examination can be found: the spleen is significantly enlarged, accounting for 78% to 92%, most of which are more than 6cm below the rib; very few patients also have hepatomegaly. It accounts for 31% to 50%, often 1 to 3 cm below the ribs; superficial and deep lymph nodes are not large or slightly enlarged (7.3%).

Now that Ye Chen saw the medical record about Mr. Chen, he could see that most of these examination data were also in the scope of hair cell leukemia.

From this point, it shows that Mr. Chen's situation has long been confirmed.

As for the onset of hairy cell leukemia, there are many factors such as infectious mononucleosis, chemicals, eb virus infection and so on.

In terms of Western medicine treatment, there are also many methods, in addition to chemotherapy, there are 2-deoxy-myomycin treatment, interferon treatment, splenectomy treatment, radiotherapy, leukocyte apheresis treatment, bone marrow transplantation treatment and so on.

One of the common and effective treatments is splenectomy.

However, now Mr. Chen receives most chemotherapy.

As for bone marrow transplantation, apart from his age, there is no suitable bone marrow transplant.

Ye Chen read the medical records carefully. Tang Shizhen translated them beside him. Except for the check data, laboratory results, etc., other terms, after Tang Shizhen explained, Ye Chen understood.

In the current situation of Chen Ji, it is indeed very serious.

According to the doctor in charge here, if Mr. Chen is willing to remove his spleen for treatment, he will be able to live at least five or six years longer.

However, if you are not willing, you may not live for a year or two.

However, on the other hand, if the splenectomy is removed, other problems will arise, and it may not really be possible to live longer. In the process of Chen Ji's treatment, the biggest pass is chemotherapy, which makes him feel very uncomfortable.

After Ye Chen finished reading the medical records, he didn't need to read more because he already knew the general course of Mr. Chen's illness.

Now Ye Chen checked the pulse, tongue, and expression of Mr. Chen. Basically, Mr. Chen's condition had been confirmed.

"Doctor Ye, what do you think?" Tang Shizhen asked.

"Shall we go out and talk?" Ye Chen asked.

Under such circumstances, it is not appropriate to tell the patient. In this regard, doctors at home and abroad are the same, so that it does not affect the patient's mood and condition.

However, like Chen Ji's situation, it is already very clear, so he just said: "Just say it here."

"If it is according to my treatment, although it is not certain whether it can be completely cured, it can control the condition and relieve your pain." Ye Chen said.

Now he is not completely sure, whether he can treat Mr. Chen's illness with Chinese medicine, can he be completely cured?

However, to control the other party's condition and relieve the other party's pain, Ye Chen can do this completely.

For the mid-stage cancer patients he met at Ruijin Hospital, it is precisely because of this that the patient’s condition is controlled, and then the pain of the patient is relieved, and then gradually adjusted and treated. If you are lucky, you can still interact with ordinary people. Survive the same.

Hearing that Ye Chen said that, Tang Shizhen and Mr. Chen were very happy, at least Ye Chen could say that, so it shows that what Ye Chen said is true.

However, Mr. Chen's children feel that this is somewhat useful, but if it is not completely cured, their father will still be very dangerous sooner or later.

When Ye Chen was about to prescribe a prescription for Mr. Chen, a middle-aged man in a white coat hurried in outside the door.

When Tang Shizhen brought Ye Chen to Mr. Chen for treatment, he still didn't know, and he was still in his office to see someone.

He only learned after the female nurse reported to him that Tang Shizhen brought a young Chinese doctor over to see Mr. Chen.

According to his thinking and perspective, he never believed in Chinese medicine. He felt that if Western medicine could not cure the patient with scientific medicine like Western medicine, then Chinese medicine could cure the patient's disease, which is even more nonsense. .

Therefore, after he heard the female nurse's report, he hurried over from the office. Just when he came in, he saw a pair of strange young men and women following Tang Shizhen.