Chapter 157: Other Inspections (August 11, 1/2 Subscription Request)

The results of the CT scan were available quickly. There were no suspicious imaging changes in Kobayashi's lungs, but the imaging department also reported an important situation - Kaoru Kobayashi had multiple swollen lymph nodes under his armpits on both sides.

"It's not a respiratory infection, it's not pneumonia. After Sun Lien looked at this CT image for a while, he shook his head helplessly, "It's troublesome now." โ€

No obvious foci of infection were found, but evidence of suspected metastases was found. Now it seems...... I can only think about leukemia.

Sun Lien could only comfort himself in the depths of his heart, even if it was leukemia, most of it could be treated or even completely cured. Kaoru Kobayashi's symptoms were repeated fevers in the past year, and it was only two days ago that the fever suddenly did not go away. Even if it is leukemia, there is a high probability that it is not acute.

"Next, it's better to do a bone piercing to clarify the symptoms. Dr. Jiang made his own suggestion. Kaoru Kobayashi's symptoms are indeed similar to leukemia. Although the ship is capable of induction chemotherapy, considering the patient's condition, it seems that it is better to wait until the symptoms are clear before returning home for treatment.

"Since you have to ......do a bone puncture," Sun Lien thought for a while and decided to deal with Kaoru Kobayashi's symptoms more carefully, "Then let's do another biopsy of the lymph nodes." At least look at the cause of his swollen lymph nodes first. If the biopsy reveals acute lymphoid leukemia...... Can we do genetic testing here?"

"It can be done. Dr. Jiang nodded, "There is relevant equipment on board...... But I haven't used it much. It may need to be recalibrated. โ€

Compared with ordinary tertiary hospitals, the Daishan Island has a major advantage of treating patients - most of the experiments do not require the cooperation of patients or do not need to take samples from patients. Then you can basically tell it verbally and then record it in the medical record.

However, biopsy and bone puncture ...... It does not fall into this category. Sun Lien and Dr. Jiang walked all the way to the ward, and then asked the nervous Lin Lan to perform a bone puncture and lymphatic biopsy.

"Why do you want to wear bones?" Lin Lan is not the kind of person who doesn't understand anything, she, like many other Chinese people, has a high sensitivity to various tumor diseases, "Doctor Sun, what kind of disease is Xiaolin?"

"We don't know yet. Sun Lien replied honestly, "Based on CT scans and routine blood tests, we can't link his symptoms to one or two specific diseases." To narrow this circle of suspicion, we need to do more checking. โ€

There are some dishonesty in Sun Lien's honest answer. As it stands, all he can suspect is infection, leukemia, or autoimmune disease.

"Bone piercing is to check the bone marrow, which means that you will think that there is something wrong with his bone marrow. However, Lin Lan is not such a foolish person, she said to Sun Lien, "Do you think he has leukemia?"

"As I said earlier, the new test is meant to help us narrow the circle of suspicion. Sun Lien explained that he really didn't want Lin Lan to think that Kobayashi Kaoru had leukemia from now on. On the one hand, the diagnosis of leukemia needs to have sufficient evidence. On the other hand...... He was worried that Lin Lan would not be able to accept this blow.

Compared with Kobayashi Kaoru, Lin Lan can be regarded as a real "first recovery from a serious illness". Not only physically, but also mentally.

Lin Lan has been a woman for twenty-three years, and she is also a very talented and potential athlete. And after a car accident, she was left with a hideous scar on her right leg and a missing skull on her head, and her career was completely cut off. At the same time, he was diagnosed with infertility...... Even she was supposed to be a man.

Sun Lien really couldn't imagine how much of a blow his spirit would suffer if this kind of thing happened to him. A large part of the reason why he was cautious was that he didn't dare to stimulate Lin Lan - she had only undergone a craniotomy a year ago, and if she was emotional again, she would have a cerebral hemorrhage...... There is no Xu Yourong on the Daishan Island who can help.

"Although we feel ...... Leukemia is not highly likely. But just in case, it's better to get checked. Doctor Jiang was helping on the side, he looked at Sun Lien's cautious appearance, and Lin Lan's head was still sunken, how could he not know what Sun Lien was worried about. "And these two biopsies can also play an auxiliary role in other conditions that we suspect. โ€

Lin Lan stood in place, clenched her hands into fists, closed her eyes and thought for a few seconds before saying solemnly to Sun Lien, "Since Doctor Sun, you feel that it is necessary to do it, then do it." She took a deep breath and continued, "No matter what tests are going to be done later, as long as you think it is necessary, you don't need to ask my opinion again." I have full trust in you. โ€

With this level of trust, Sun Lien even felt that he couldn't afford it. But he nodded anyway, "I see." โ€

"I have to put this situation ...... Inform Kobayashi's father. Lin Lan's expression hesitated for a moment, and then she became firm, "No matter what happened before, at least Kaoru and him are still getting along quite happily." I'd have to tell him about this kind of thing. โ€

Sun Lien nodded, this is also a reasonable thing. "If you need to borrow an Inmarsat phone, Director Liu has it. โ€

"I ...... I'd better go back to the boat and tell him. Lin Lan shook her head, "I...... I'm too afraid to stay on the boat alone, can I stay with me tonight?"

This Sun Lien didn't know, but Dr. Jiang on the side gave a very intimate answer, "Yes." The hospital bed on the ship is not too tight now, so there is no problem for you to stay with the bed. โ€

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After leaving the ward, Sun Lien nodded at Dr. Jiang, "I'm sorry for your trouble." โ€

Dr. Jiang smiled and waved his hand, "How can this be called trouble? Originally, this patient wanted me to keep an eye on it from beginning to end." You've taken most of the work away, and I'm just going to need a little help. I can't ask for this kind of good thing. โ€

Dr. Jiang didn't say anything polite. Sun Lien just saw a routine blood report, and he already had a general direction of diagnosis. Dr. Jiang himself couldn't do that โ€” he didn't know Kobayashi's medical history a year ago, and he didn't focus on leukemia or autoimmune diseases from the beginning. This kind of thinking that is almost "jumping off a cliff" will definitely not be able to be achieved.

Dr. Jiang was very interested in Sun Lien, and he really wanted to see what kind of ability a person like Liu Tangchun had specially dragged to Africa for regular training. And now, he felt that he had initially seen the magic of Sun Lien.