I can see the status bar

Chapter 722 Hope
The superior of Yunhe Children's Hospital is the Institute of Children's Medicine, Chinese Academy of Sciences.As the top pediatric medical research center in China, their pathological testing is definitely the best in the first echelon.

But the samples sent to the capital... didn't detect anything meaningful.The pathological diagnosis given by the Institute of Pediatrics after receiving the samples was "a little white matter structure was seen under the microscope, glial cells were mildly hyperplastic, nuclear heterogeneity was not obvious, and the interstitium was slightly edematous." The markers show that the proliferation index is high, and the current histomorphology cannot explain this phenomenon. It is recommended to follow up closely and take samples for inspection if necessary."

In simpler terms, "there's something wrong with the sample you sent, but we don't know what's wrong."To translate it in a more accessible way, it would be, "I checked my loneliness."

Sun Lien frowned.The pathology tests of the Children's Research Institute did not figure out what went wrong. This trouble seems to be not small.

"Later we were discharged from the hospital... because we always felt that the pediatric hospital couldn't figure out what was going on." Nannan's mother whispered, "Later we took the child to many hospitals, both inside and outside the province...the last one in the province One is the infectious disease hospital where Professor Zhang is."

Since the child has an acute-subacute onset, it is not foolish to consider infectious diseases when hormones are ineffective.It's just obvious that this path is not going to work.

"Finally, we listened to Professor Zhang and went to the Tongxie Hospital in the capital." Sure enough, after successive transfers to other hospitals to seek medical treatment were unsuccessful, Nanan's parents regarded the Capital Tongxie Hospital as the last resort.However, the co-workers did not figure out what kind of disease she was suffering from.

"After living in the Tongxie for a month, Nannan's eyes...can no longer be seen." Nannan's father covered his eyes, he choked up and said, "We did a second biopsy in the Tongxie, but Still haven't found out what the problem is."

If the pathology testing of the Children's Institute is the first echelon, then the pathology testing of Tongxie is the undisputed top three in the country.According to some evaluation criteria within the industry, Tongxie Pathology ranked second only to Hudan Cancer Hospital and Southwest Hospital.And judging from the experience and level of the colleagues in dealing with difficult and miscellaneous diseases, the cases that they can't solve must have great uncertainty.

Sun Lien even suspects that this may be a brand new disease that has never been discovered by people.

The medical history is basically collected, and based on these medical histories, Sun Lien can gradually have a general understanding of her daughter's condition.

Intuitively speaking, Sun Lien suspected the tumor first.There are extensive and obvious lesions in her brain, but neither the first examination at Yunhe Hospital nor the examination at Tongxie Hospital showed any obvious signs of lesions in the spinal cord.

The presence of myelitis and optic neuritis at the same time is a necessary condition for the diagnosis of neuromyelitis optica spectrum disorder.Only with these two symptoms at the same time, and two of the three conditions of "more than three abnormal lesions on spinal cord MRI, cranial MRI not meeting the diagnostic criteria of MS, and positive serum AQP4-IgG", can it be diagnosed as optic nerve Myelitis spectrum disorder (NMO).

From this point of view, it is no wonder that the doctors of Yunhe Children's Hospital doubted whether there was a problem with the diagnosis of neuromyelitis optica spectrum disease.At least from what Sun Lien knew, Nannan did not have symptoms of myelitis, nor did she have abnormal spinal cord MRI lesions or signs of positive serum AQP4-IgG.

But if it's a tumor... there's no reason why two biopsies couldn't find mutated cells.Judging from the results of brain MRI, Nannan has very obvious multiple intracranial space-occupying lesions.Both her optic nerve and brain had prominent T1 hypointensity areas.But two biopsies of the brain turned up nothing of value.

Nothing of value other than "histomorphologically unexplained".

Starting from the direction of pathology is definitely a dead end.

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After leaving the conference room, Sun Lien and Professor Zhang Zhifu walked to the office in silence.

"The child's condition has worsened again." Professor Zhang walked a lot slower than usual.While walking, he suddenly said to Sun Lien, "Are you sure about this child's condition?"

The word "grasp" actually sounds harsh to doctors.No one can be 100% sure of one thing, especially in the field of disease and health.

We know so little about how the body works and about disease, and so much about the ways disease can affect a person.

However, Sun Lien did not have any psychological fluctuations because of Professor Zhang's words. He admitted very frankly, "I'm not sure, not even a little bit sure."

If you are sure, you are called a ghost.The cases that the association could not handle were sent to the fourth hospital and handed over to Sun Lien... If this is sure, then Sun Lien should be suspended immediately and sent to the local mental health center to check his mental condition.

Overconfidence can be a very serious psychological problem.

"It is precisely because I am not sure that I have to let you come." Professor Zhang seemed very satisfied with Sun Lien's answer, he nodded and said, "I will do the work for the family members... They have basically given up on treatment But I always feel that even if the child is gone, at least she must understand what killed her."

This is a very heavy topic.Sun Lien didn't reply.

As far as medical development is concerned, such family members and patients are simply the most ideal combination.The disease is rare, but the family has no hope for treatment follow-up.They just want to figure out what the disease is...for this purpose, they are willing to put almost everything on the table.

But Sun Li'en didn't feel relaxed and optimistic at all. He felt that there was a mountain on his shoulders.He hasn't been working as a doctor long enough, and he hasn't been able to "treat patients as a case rather than a person".

"In short, I will try my best." Sun Lien wanted to change the subject, he shook his head, and after making a concluding statement, he walked into the office with Professor Zhang Zhifu.

"Today's patient is in a troublesome situation." When communicating with Professor Zhang Zhifu, Sun Li'en was a student's self-positioning as a backward student.But when communicating with other doctors in the group, Sun Lien has become accustomed to taking himself as the backbone of the final decision.He concluded to the doctors in his group, "Her situation is quite special, and it is likely to require multiple hospital-wide consultations or even out-of-hospital consultations..." At this point, Sun Lien paused, and decided to tell everyone the real difficulty in advance. Only in this way can they have an idea, "The patient has been transferred many times, even the Tongxie Hospital in the capital. A total of two biopsies have been performed, but neither the Capital Institute of Children's Research nor the pathology department of Tongxie Hospital Valuable content was found in pathological samples."

Standing in the office, Sun Lien said solemnly to his colleagues, "Although it sounds a bit heavy, we are her last hope."

　I know you guys find it difficult to get stuck in the last chapter, so I will post this chapter earlier...

　　
　
(End of this chapter)