779: C779 Acute Lymphocytic Leukaemia

C779 Acute Lymphocytic Leukaemia

Ouyang Yang didn't notice the surrounding voices calming down and continued to refute Female Bookworm.

"Perhaps, if it was an aspergilloid fungus, it would have taken root in his lungs and spread to his spine, which would have explained both the symptoms and the medication he was taking. Wait, wait. All of these explanations were normal, but the only thing abnormal was that the patient's condition worsened. That meant there were two things. "The first thing is that he is not a fungal infection of the lungs. The second thing is that we need his chart."

Chi Hong raised her head and looked at the shameless Ouyang Yang. Without caring about rebutting him, she looked at the patient.

"If what you say is true, it must be something that caused his current condition and damaged his immune system. There are three reasons. One is HIV, the other is acquired immunodeficiency, and the last is cancer. Considering that the patient has had a routine examination today, then excluding the first one, there are only two possibilities left. "

The moment the words left his mouth, a round of slapping sounds could be heard from all directions. Principal Sheh Naite, who led the applause, lowered his hand and looked at her with a face full of praise.

"This beautiful lady from the East, you really are as outstanding as Alisa said you are. You are so outstanding that my granddaughter has to acknowledge you. More importantly, you know your strengths and weaknesses, focus on diagnosis and pathology, and not get distracted by complex surgical procedures, that's the right direction. "

Sheh Naite paused for a moment and continued looking at Chi Hong.

"Miss Qi, can you deduce what caused the patient to be unconscious for seven minutes? No, it has been eight minutes and he still hasn't woken up?"

Chi Hong looked at the silent Chen Qun and suddenly had a bold idea.

"Perhaps the patient is a relapse of his leukemia, but this time it's another type of blood cancer. The reason is probably also because he is in the process of treating leukemia, chemotherapy-induced new white blood cell abnormalities. This is a statistic that has been available for a long time. Patients with blood cancer may develop new variants during chemotherapy or radiation therapy. If not, then it will require further testing. "

"Very good, very good. Now that the ambulance is here, we will send the patient into the ward and wait for the results of the test! It probably won't take long before we know that your diagnosis is incorrect. "

Principal Sheh Naite announced his interest to everyone with great interest. This made Chi Hong feel touched. It was already a success to know that she was able to attract the attention of Principal Sheh Naite. As for the results of the later tests, they did not negate her theory.

All doctors knew, after all, that the diagnosis of a patient was made by selecting one of the dozens of possibilities.

Chen Qun saw that Chi Hong found the most possible symptom among the clues, and admired it from the bottom of his heart. However, this was an opportunity that could be found right now. He would be able to escape from the boring party and participate in the patient's examination and diagnosis.

In less than two hours, the patient's blood test showed up, and just as Chi Hong had diagnosed, he had another form of leukemia: acute lymphoblastic leukemia.

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

"This may be good news because the patient's blood cancer cells are found only in the brain and not in the rest of the body. However, the lung problem is also very serious. Large areas of lung damage have been identified and it has been confirmed to be PCP, requiring immediate medical treatment. "

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 from the rest of the body. In a sense, it blocks the cancer cells, so we have a high chance of curing the patient."

Victor thought for a while and raised another question.

"However, the blood-brain barrier also means that all the drugs cannot enter the brain cells through the bloodstream. We need to perform craniotomy and place the drugs in a pocket inside the brain. This was completely impossible for his body to withstand open chest surgery and open skull surgery. We are in a dilemma. "

"Yes, if the patient doesn't open his chest, it means that the pneumonia worsens and eventually causes him to die of lack of oxygen. If he doesn't open his skull, it means that his blood cancer cells are rampant in his brain, turning his brain into an idiot, and ultimately killing all his brain cells."

Chen Qun cautiously answered Victor's question.

The moment he said that, Knight Victor suddenly laughed.

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

Chen Qun spread out his hands to show that he was helpless.

"Yes, I have a solution, but it's very dangerous, perhaps full of unknowns. We can inject his lungs and brain with newly discovered active agents at the same time. Perhaps this new drug would be able to suppress his illness at the same time, and then … We have a lung resection, and then we have chemotherapy for his brain cancer, "he said.

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

"Although we don't know if the new type of active agent has any effect on blood cancer, but we do know a very typical phenomenon, which is that the active agent can maintain a unique magical power on the cells in the body. Now at least it has proven to be harmless to brain cells!"1

Victor looked at Chen Qun and suddenly asked another question.

"Then why don't you suggest using this medicine on Her Highness Little Princess? Well, she was young and in good health, and she didn't need the drug. Wait, do you mean to say that this active agent is not a panacea, and can be used anywhere? You still don't recommend using this drug if it's not necessary? "

Chen Qun nodded and shrugged helplessly.

"In fact, until now, humans have never invented a drug that could cure all diseases without any side effects. The most famous drugs, aspirin and penicillin, have side effects, not to mention this drug, which we don't know much about."

At this point, Chen Qun felt that it was time to bring up the theory of traditional Chinese medicine.

"Besides, I've been learning medicine from a young age and knew that there is an old saying in Chinese medicine called 'Three parts of a medicine's poison'. In our theory of traditional Chinese medicine, medicine is a kind of thing that is not enough to replenish. It can only work best when there is a defect in the body. In China, those who are not sick and take medicine are all called lunatics! "

Victor burst into laughter.

"Chen, when I heard your words, I immediately thought of Dudley. The biggest difference between him and you is that he will promote his new invention to everyone for financial gain. You are cautious about the same drug and don't even recommend it to patients who don't need it. Perhaps, the Nobel Prize in medicine should be awarded to you! "

You must know something. However, I'll just pretend I didn't hear it!

Chen Qun did not answer this time, but secretly cursed the British Count. He would not tell this guy that he knew more and even knew some things about the future.

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