I can see the status bar

Chapter 735 Humanitarian Inspection

I don't know if it was because of the face of sixty cups of coffee, or Zhou Jun was worried that he would really ask some questions, so he didn't let Sun Lien stay in the emergency room, and was going to face Chen Xiao's parents directly.He just asked Sun Lien to send a copy of his recorded recording, and then sent him back to work in the diagnostic center.

The Comprehensive Diagnosis Center stands tall in the cold wind, and the exterior walls of wood grain and fair-faced concrete and other buildings in the courtyard seem somewhat inconsistent in style.

Sun Li'en walked into the office and saw Yuan Ping'an sleeping on a folded camp bed - there was a thick stack of bound white paper beside him.

It wasn't time for the morning shift, Sun Li'en thought about it, and quietly closed the door again.From Yuan Ping'an's appearance, one could tell that he didn't go home at all last night, and the ghost knows what time he went to bed before falling asleep.At times like this, caring of any kind really doesn't make sense.It's better to let people sleep more for a while.

Sun Lien went to the nurse station, asked the nurse on duty for a piece of waste paper, wrote on it with a pen, "Yuan Ping'an is resting, please go to the conference room first", and then pasted the paper on the door with scotch tape. superior.Afterwards, he walked into the small conference room by himself, and began to retrieve yesterday's Tang Min's examination results with his laptop.

While looking at the inspection results, I took screenshots of suitable pictures and threw them into the PPT for display.Sun Li'en's work was very smooth. After about four to ten minutes, almost all the doctors in the first treatment group appeared in the small meeting room—except for Yuan Ping'an, everyone was there.

"This is the result of yesterday's video inspection." Sun Lien connected his laptop to the projector, and then started a somewhat special morning meeting report. "Yuan Pingan didn't know what time he was working overtime yesterday. He was still asleep when I went to the office in the morning. So I didn't call him for the morning meeting. After we finished the meeting, I just sent him this PPT again."

Of course, everyone has no opinion on this at all. After all, when it comes to the importance of catching up on sleep after working overtime and staying up late, everyone in this conference room has a deep understanding.

"The patient's name is Tang Min, and he is seven years old..." Sun Lien repeated Tang Min's basic situation again, and emphasized, "When I was collecting the medical history of the patient's family yesterday afternoon, I got a special case ——Her uncle, who is Tang Min's mother's younger brother, also had a similar symptom when he was about eight or nine years old. The main manifestation was a rapid decline in vision, and then the symptoms resolved on their own."

The news caught everyone's attention.Xu Yourong's expression was rather strange, "Then shouldn't we directly consider genetic diseases?"

"Tumor cannot be ruled out." Sun Lien shook his head, "It is possible for patients with type 18 neuroblastoma under the age of [-] to heal on their own. I dare not take this risk when there is no clear lesion in two biopsies."

Sun Lien's explanation was unanimously approved by everyone.Even Xu Yourong nodded, and then she asked, "Then do you still need to do this biopsy?"

"Put the optic nerve biopsy back a little bit." Sun Lien thought over and over again, and decided to postpone the test a little bit. "I have asked Yuan Pingan to take a blood sample and send it for whole-genome sequencing, and the results will be available in about two weeks. After the whole-genome sequencing completely eliminates the risk of genetic diseases, it is not too late to consider biopsy—if she really The most important thing is the tumor, two weeks should still be affordable."

Neither Zhou Ce nor Dr. Brunn had heard of the proposal of optic nerve biopsy.The two looked at each other, then frowned together.

"Optic nerve biopsy is indeed a relatively safe solution." Dr. Brunn said with a frown, "but doing this area at this time...wouldn't it be too radical?"

"Your words don't sound like human words." Zhou Ce is now familiar with Dr. Bruen as if he could wear a pair of trousers, "The front is safe, and the back is radical. You have to say both pros and cons, what is this called? "

"Compared to another white matter puncture biopsy, the optic nerve biopsy is indeed safer. At least its sequelae are only vision damage." Dr. Brunn stretched his waist, "But the biopsy itself is very risky. If you can Wouldn’t it be better if there were other means to determine the nature?”

"Biopsy is the only standard for diagnosing tumors." Zhou Ce spread his hands, "Testing for genetic diseases has already been carried out, if there is no possibility of finding genetic diseases, then consider biopsy - this risk sharing is not Has it been well planned?"

"I have an idea." Brunn's eyes widened suddenly, he leaned forward and said to Sun Li'en, "This little girl's lateral ventricle has been shunted, right?"

"That's right." Sun Li'en nodded knowingly, "I had a lateral ventricle shunt in Yuanhai Hospital, and it was also shown on the imaging data."

"If it's a tumor, these unstable cancer cells can easily fall off the tissue, and then enter other tissues through the cerebrospinal fluid circulation system to lurk and grow." Bruen continued, "I think it may be possible to do it here. article."

After working as a doctor in China for several years, Dr. Brunn's Chinese level has improved by leaps and bounds, and he can even say "make a fuss".But Sun Lien didn't care much about Dr. Brun's Chinese proficiency, he cared more about the content of "making a fuss".

"You mean..." Sun Lien frowned, and continued following Dr. Brun's train of thought, "We should consider checking her lymphatic system?"

"The lymphatic system and the blood system are the main channels for cancer cells to metastasize. Judging from the multiple locations in her brain, if these are tumors, cancer cells are most likely to metastasize through the cerebrospinal fluid." Dr. Brunn rubbed his face Dashou said, "There may be traces of cancer cells in her cerebrospinal fluid, and there may also be traces of tumors in the pleura and lungs. I think the frequency of her cerebrospinal fluid examination should be increased-if necessary, do a blood test first." Minor surgery to create a fistula that can be sampled through the shunt. And my personal recommendation is to get a PET scan of her to see what's going on elsewhere."

If such a fistula can be successfully established, it will be of great significance for the routine examination of the composition of Tang Min's cerebrospinal fluid.Cerebrospinal fluid examination generally requires lumbar puncture - referred to as lumbar puncture.This kind of puncture is very painful, even adults can't bear it, let alone a seven-year-old girl?If the cerebrospinal fluid has to be checked every day, it is almost inevitable to establish a fistula in advance - daily lumbar puncture is no different from torture.

As for the PET scan... Sun Li'en asked Xu Yourong suspiciously, "Our hospital...can do it with PET?"

　Today is the seventh National Memorial Day for Nanjing Massacre Victims.Show the past, be wary of the future!Pay homage to compatriots and watch for peace.

　　
　
(End of this chapter)