I can see the status bar

Chapter 740 Bold Hypothesis (addition 68 for leader Tobia A06)

Plasma exchange is a way worth trying, and Sun Lien very much agrees with this.

Tang Min's treatment will inevitably come to a standstill until the results of the genetic test are released.For herself, this may be a good thing, but her parents don't necessarily think so.

Plasma exchange itself is also a risky treatment item. Before balancing the possible positive results and collateral damage of the treatment, Sun Lien is also not sure whether this treatment should be performed.

"I think Isabella is under a lot of pressure today." After talking about the matter here, Sun Lien turned to chat with Dr. Pascal, "What happened?"

Dr. Pascal was obviously unwilling to talk about the nonsense here in detail. He just shook his head with a wry smile and said, "It's just some nonsense. Although it's not a particularly troublesome problem, it takes a lot of energy to deal with it..." He sent a sympathetic look to his wife through the wall, "This matter has been tormenting Isa for several days."

After chatting for a few more words, Sun Li'en saw that the time was almost up, so he stood up from the sofa. "This case will stay with you first... I understand that you are very busy with scientific research work, old Pa, but if you can spare time, you should go to the hospital to keep an eye on it."

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When Sun Lien drove back from school to the hospital, it was just after lunch time.

Zhan Jun spent two "observation posts" arranged by China at the school gate and faithfully performed their duties - they had contacted Zhan Jun when Sun Lien's car drove into the school.

The consequence of the contact was that when Sun Lien went downstairs to drive away, he ran into Zhan Jun carrying a food box.Zhan Jun expressed his displeasure on Sun Lien's frustration that he hadn't come to see him recently, and then forcibly gave Sun Lien a "food box".

The box contained Sun Lien's favorite order in the past, braised pork and stewed potatoes, as well as seven or eight hard dishes including grilled fish and stir-fried chicken legs.The size of the entire food box was about the same size as a computer case. The [-]-centimeter-high food box had six layers, and Zhan Jun also used a two-liter stainless steel thermos bottle for travel to fill a whole pot of pork ribs and lotus root soup.

"It's winter, eat something good to nourish your body, so you won't get sick easily." After Zhan Jun stuffed the food box to Sun Lien, he felt that it might not be convenient for him to move it, so he snatched the food box back , and then back into the Volvo's trunk. "If a doctor is sick, how can he treat others?"

Although the reasoning is quite correct, Sun Lien just feels that something is wrong.A food box weighing five kilograms, and two liters of pork ribs and lotus root soup... Is this Zhanjun holding back his stomach and piercing his stomach?

"You definitely won't be able to finish all this, so go back and share with your colleagues." Zhan Jun justly explained why he brought a bunch of food to Sun Li'en, "I put all the dishes and chopsticks in the bag—new I just bought it and just washed it. When you’re done using it, you can call me directly, and I’ll pick it up when I go to the Fourth Hospital.”

"Are you going to the Fourth Courtyard?" Sun Li'en asked curiously, "Why are you going?"

"My brother stayed in the hospital yesterday morning, and he had an examination in Shennei." Zhan Jun patted Sun Li'en on the shoulder with a smile, "He was still thinking about buying you a drink."

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Back at the hospital, Sun Li'en got out of the car carrying the big and small bags.Then he unceremoniously requisitioned a wheelchair parked in the hall of the comprehensive diagnostic center, and it took a lot of effort to send this generous strategic reserve to the office.

Doctors generally have a relatively... scattered lunch.No matter in terms of time or space, everyone's eating is relatively scattered.After asking around, Sun Lien found that in his treatment group, Xu Yourong was supporting a neurosurgery in the operating room, and Zhou Ce was preparing for the director's rounds in the kidney.Yuan Ping'an and Dr. Brunn haven't eaten yet—they are studying literature.

Three people can eat so much food, and they definitely can't finish it.Sun Li'en immediately decided to bring all the doctors from the second group over to eat together.

"It tastes really good." Dr. Ma Yongfang, who usually doesn't like to chat with people, immediately lit up his eyes after drinking the pork rib soup.She asked Sun Li'en excitedly, "Doctor Sun, where did you buy this soup? Can you send me the name of the store?"

"It tastes almost the same as Yunhe's pork rib soup." Wang Guonan nodded in praise while drinking the soup.For a doctor from Yunhe, the highest praise for pork rib soup is "almost the same taste as Yunhe".It's like the highest praise that people in Jincheng praise beef noodles sold in other places is "the taste is almost the same as that of ordinary shops in Jincheng residential areas".

Dr. Chen Xuerong is not in the group today - he asked for leave and went back to his hometown.The reason is a bit of a sigh, it is said that Dr. Chen's grandmother passed away.

Professor Zhang doesn't eat much, but he prefers to watch Brunn open and close while eating.While slowly taking half a spoonful of soup into his mouth with a spoon, he wiped the pork rib soup leaking from his lips with the paper towel in his left hand.After taking a few sips, Professor Zhang put down his spoon and asked Sun Lien, "Tang Min's question, how are you doing?"

"At present, there are two...Three conjectures. They all need to be verified." Sun Lien put down the chopsticks in his hand, and said seriously to Professor Zhang Zhifu, "One is a genetic disease, and we have already taken samples for inspection. The results of the genetic control will come out in about two weeks. The second is the tumor. In this regard, I am going to wait for the test results of genetic diseases to be negative before considering the third biopsy—taking a sample from the optic nerve. The third direction is today. I only found out after asking the director..." He paused, and after remembering that Professor Zhang probably hadn't met Old Pa, he explained, "It's Dr. Pascal who was supposed to preside over the work of our comprehensive diagnostic center. experts."

"You mean... Tang Min's illness may be due to immune problems?" Professor Zhang Zhifu frowned, and then he sighed, "If only it was that simple. What are you going to do, do it again Hormone shock?"

"No..." Sun Lien shook his head, "Dr. Pascal thinks that Tang Min may be an AQP4-negative NMO, and her response to shock therapy may be poor. I want to do two plasma exchanges on her to see the effect. "

"Don't worry about the cost of treatment, anyway, Wutian is here." Professor Zhang nodded hesitantly, "Although there is a risk of plasma exchange, it is at least a little more controllable than biopsy." He looked up at Sun Lien and asked, " But... do you really think she might have an immune disease?"

"The possibility is very low." Sun Li'en didn't intend to hide it when talking among his colleagues, he shook his head directly and said, "systemic immune disease can't explain the reason why her lesions are mainly concentrated in the nervous system, and the diagnosis of NMO is the reason. It doesn't even make sense—she doesn't have symptoms of myelitis either."

"The total number of NMO patients is not enough, we should maintain a relatively open attitude." After thinking for a while, Professor Zhang pointed to the table and asked, "Maybe this is an entry point?"

"The entry point?" Sun Li'en was a little confused, and the other doctors who were still eating also began to stop their movements and were confused together, "Cut from the antibody?"

Yuan Ping'an suddenly asked, "The mechanism of NMO is that the AQP4 antibody attacks the AQP4 protein on the nerve, leading to gliosis, right?"

As the doctor who has read the most literature in the first diagnosis group, Yuan Ping'an's question at this time is actually more like asking and answering himself.He did not wait for others' answers, but put forward a second hypothesis himself, "If those low signal areas are indeed not space-occupying lesions, but interstitial cell edema like NMO, and she does not meet the definition of NMO at all... ...then the disease should share at least some of the pathways with NMO—they are likely to be related to the AQP4 protein.”

　There are still two chapters to add~ Happy~
　　
　
(End of this chapter)