imperial physician

When Wu Tianlin followed Director Qiu to the critically ill area, Director Qiu immediately asked a doctor beside him: "Doctor Xiao Yang! How is the child's condition now?"

"Director Qiu! The child's condition is not very good at present. Although we have given him a course of chemotherapy, his immune system has almost completely paralyzed, so the effect of chemotherapy is not very great. His leukemia cells are in the The bone marrow and other hematopoietic tissues are malignant and proliferating in a restricted manner. Most of the patient's blood picture and the total number of white blood cells are significantly increased, reaching 10-30x109l, and the percentage of neutrophils is increased, mostly above 80%. I think sepsis may have been caused. So I am preparing to change the treatment plan." The doctor surnamed Yang heard Director Qiu's words, and immediately gave Director Qiu a detailed report on the situation of the child with leukemia.

After listening to Dr. Yang's report carefully, Director Qiu said, "Let's go! Let's go and see this child first." Then he led the way to the front ward.

When a group of people walked to the door of the ward, before they had time to enter the ward, there was a cry of a child: "Mom! Take your medicine, I'm going to school." Then there was another sound of vomiting.

Wu Tianlin followed Director Qiu into the ward, and saw a thin-faced, pale-lipsed child lying on the bedside vomiting non-stop, and a young woman with tears all over her face, holding a spittoon in one hand, and gently Patting the child on the back lightly, trying to make her son feel better.

And when a middle-aged man by the hospital bed saw Director Qiu and the others, he immediately went forward, held Director Qiu's hand, and begged with pain on his face: "Director Qiu! Please save my son! He is only seven years old, he His life has just begun, I beg you to save him, as long as my son is safe, I will give you a cow and a horse to repay you."

"Sir! Please don't do this. As long as the patient is in our hospital, we will do our best to let him out of our hospital recovering." Director Qiu said this, walked to the bedside and picked up the child's The case was read page by page, and at this time Wu Tianlin also squeezed to Director Qiu's side, looked at the case carefully, and subconsciously said: "This child must undergo hematopoietic stem cell transplantation as soon as possible."

Director Qiu, who was looking at the case, heard Wu Tianlin's words, turned his head to look at Wu Tianlin beside him, and asked, "Doctor Xiao Wu! Do you have any different views on this child's illness?"

Hearing Director Qiu's words, Wu Tianlin realized that he shouldn't have spoken at this time, but when he thought of the life of the child in front of him, he didn't care about offending the doctor, not to mention that it was his first day at work and he was still an intern. As a doctor, he immediately replied: "Director Qiu! You see this report shows that the child's hematopoietic stem cells have become malignant and formed a clone of primitive cells that replaced the normal bone marrow, so I suspect that this child has acute leukemia rather than sepsis , but normal hematopoietic failure and leukemia cells infiltrate the joints and periosteum. If I guessed correctly, this child has experienced varying degrees of pain in the bones and joints in the past few days, which is a sign of bone marrow necrosis."

"Hehe! It's different after drinking foreign ink. My thoughts are exactly the same as Dr. Wu's, but we haven't found a bone marrow that matches this child. Since Dr. Wu can find this from this examination, then you Tell me, what other plans can we adopt?" Director Qiu asked Wu Tianlin with the same expression on his face when he heard Wu Tianlin's words.

Wu Tianlin suddenly thought that Director Qiu would ask him this question at this time. He glanced at the doctor in charge of the child. He could clearly see the dissatisfaction on Dr. Yang's face, but he really couldn't bear to see the doctor who died because of a misdiagnosis. Let this child suffer unnecessary pain again, thinking of this, he gritted his teeth and said, "Director Qiu! Acute leukemia is the malignant transformation of one or more hematopoietic stem cells and progenitor cells, which lose their normal proliferation, differentiation and maturation capabilities, and control The continuous proliferation of leukemic cells gradually replaces the bone marrow and invades the tissues and organs of the whole body through the blood. I think we can use a combination of Chinese and Western medicine. The general principle of treatment is to eliminate the leukemia cell population and control the massive proliferation of leukemia cells, and relieve the disease caused by the infiltration of leukemia cells. For various clinical manifestations, the children's ll treatment plan is used for remission induction therapy, and then supplemented by traditional Chinese medicine. Chinese medicine can cooperate with chemotherapy to increase the sensitivity of chemotherapy, that is, drug resistance; 2. Chinese medicine can resist the side effects of chemotherapy and protect normal hematopoietic function 3, traditional Chinese medicine can induce apoptosis of leukemia cells; 4, traditional Chinese medicine can induce leukemia cells to transform into normal cells, so that the treatment of leukemia can achieve better results."

Director Qiu's face changed when he heard Wu Tianlin's suggestion. He looked at Wu Tianlin and said with a smile, "Xiao Wu! I didn't expect you to be proficient in Chinese medicine. Your suggestion is really good. Adults and children, children can bear it." Obviously not as strong as adults, the combination of traditional Chinese and western medicine can just learn from each other. Traditional Chinese medicine can make up for the deficiency of western medicine and chemotherapy, and it can also solve the problem of resistance to chemotherapy drugs. It is very low, and it cannot withstand strong chemotherapy drugs. It can be treated with traditional Chinese medicine, which not only avoids the toxic and side effects of western medicine, but also relieves the disease, and at the same time relieves the pain suffered by patients during chemotherapy. Your treatment plan is very good. I think it is very suitable for the treatment of this child. Although you are only in the internship stage, I believe you have the ability. From today on, you will be in charge of this child. I wonder if you have confidence?"

Hearing Director Qiu's words, Wu Tianlin obviously felt that Dr. Yang was extremely dissatisfied at this time. He had encountered such a thing during his internship in Sweden, so he did not immediately agree, but asked modestly: "Director Qiu Thank you very much for your trust in me, but I am still in the internship stage, and Dr. Yang has always been in charge of this patient. Dr. Yang knows more about his condition than I do. I think Dr. Yang is still in charge. Be Dr. Yang's assistant."

"What's wrong with the internship? We are a private hospital, and we have the ability to serve as the attending doctor even for an internship. I believe it is easy to find a good hospital with conditions like Dr. Wu's, but you don't choose those third-level hospitals. If you choose us, it’s a private hospital, and I guess you don’t want to be restricted by the rules and regulations of the state-owned hospitals. Besides, Dr. Xiao Yang has so many patients in his hands, and you can help him share one or two patients. The workload, so this matter is settled like this." When Director Qiu heard that Wu Tianlin refused his request, his eyes clearly showed admiration, and after he finished speaking with a smile, he looked at Doctor Yang who was aside.

At this time, Dr. Yang almost hated Wu Tianlin to the core. The child's family conditions are very good. If he is handed over to this new intern doctor, it means that he will lose two or three thousand in drug commissions every month. Seeing that Director Qiu was looking at him, he quickly replied hypocritically: "Doctor Wu! You are a doctoral student at the Karolinska Institutet in Sweden. Director Qiu asked you to take charge because of his trust in you. You must not let it down." Director Qiu's trust."