Chapter 168: Fate (Special Addition)
The most lethal in the world is probably a child's unintentional words. For example, "Auntie is good", such as "Mom, look, that uncle is so ugly".
Of course, most of the time this kind of talk brings adults the feeling that it is "ridiculous" and "secretly sad". And Xiao Yanran's words were like a hammer smashing on the bridge of Sun Lien's nose.
Hu Jia won't be back until a year later, but Xiao Yanran ...... I'm afraid there may not be a year to wait for the big sister who likes to tease her.
Xiao Yanran's body is irreversibly declining. Although children's physical recovery ability is much stronger than that of adults, even people who are laughingly called "tenacious survival like weeds" in the face of stage III liver cancer can't bear it. What's more, long-term cirrhosis of the liver has made Xiao Yanran's body seriously overdrawn. Although he is not a professional oncologist or hepatobiliary, Sun Lien can see without the status bar that Xiao Yanran's condition is not very good.
Her skin and sclera were yellowing.
Jaundice is caused by the accumulation of bilirubin in the blood, and Xiao Yanran's liver is gradually stopping working, and those that cannot be metabolized by the liver, because the red blood cells release hemoglobin after death, and the "waste product" metabolized into indirect bilirubin should be turned into direct bilirubin dissolved in water with the work of the liver, and is excreted from the body with the work of the kidneys. However, it is difficult for the liver, which has cirrhosis and turned into cancer cells, to do all of this work. Especially after being partially removed from the liver lobe, Xiao Yanran's condition became even worse.
But there's no way around it. After a very careful examination, Xiao Yanran showed no signs of bloody lung metastasis for the time being. However, her tumor was located too close to the hilar lymph, and considering her physical condition, Qian Hongjun, the director of the pediatric department who treated Xiao Yanran, decided that it must be removed as soon as possible to prevent cancer cells from metastasizing to the spleen-pancreatic aorta or supraclavicular lymph nodes through lymph nodes.
Xiao Yanran, who has had a portion of her liver lobe, now needs an artificial liver support system called the Prometheus System to slow down the accumulation of waste products such as bilirubin in her body. Although there is a more efficient cell-hybrid biometric artificial liver, it cannot be used on her due to the unstable source of hepatocytes and the fact that all clinical trials have not yet been completed.
What's more, Xiao Yanran, as a minor who needs to be subject to "special supervision", cannot be the subject of a trial clinical trial treatment plan from the perspective of ethical regulations - the pediatric population supervised by the court or social welfare institutions may lack some protection in ethics, unless it is a drug clinical trial specifically for this population, otherwise it will definitely be excluded.
If she can't wait for a liver ready for transplantation as soon as possible, or if there are relatives who have completed the matching to donate the liver, Xiao Yanran will not live long - it is almost impossible for her to survive until Hu Jia comes back with the condition of continuing to receive artificial liver treatment.
Sun Lien sat in his consultation room and didn't speak for a long time.
It's not that he hasn't seen a patient who can't be saved, and he hasn't seen a patient who has left after struggling for a long time. But Xiao Yanran's words still made him lose all his motivation at once, and Sun Lien seemed to have become a robot that had been unplugged, and he didn't know what to do for a long time.
The mobile phone rang suddenly, not the familiar ringtone of the baked gluten phone, but the prompt bell of the WeChat voice call.
"Lao Sun~ What are you doing?" On the other end of the phone, Hu Jia's voice came.
"I ......" Sun Lien suddenly had a thrill, he forcibly restrained his emotions, and said in a very normal tone, "It's nothing, I'm having a headache." โ
It's just that he didn't say goodbye to Xu's father and Xu's mother, and Hu Jia was so depressed that he wanted to cry when he thought about it. If she knew that Xiao Yanran was coming to her, she would definitely think that she might never see Xiao Yanran again...... In short, be sure to pretend that nothing happened. Sun Lien thought so.
"I'm a little bit jet-lagged. Hu Jia muttered, "I don't know if I'm upside down or not, it's two o'clock in the morning on my side now, but I'm not sleepy at all......"
"You shouldn't have turned it upside down yet, right?" Sun Lien said cautiously, "What time did you go to bed?"
"Eh, three o'clock in the afternoon?" Hu Jia pondered for a moment, and then laughed, "Maybe it's a little long to take a nap in the afternoon." โ
Sun Lien and Hu Jia chatted a few more words, and after successfully fooling Hu Jia to sleep, he carefully hung up the phone. However, this kind of sudden attack during work hours has an advantage - he can't care about being secretly sad about Xiao Yanran's affairs anymore. What can be done, Sun Lien has done it. Next, the little girl's affairs can only be left to fate to decide - as long as she waits for a suitable liver source, she can still live for a long time - the ten-year survival rate of liver transplantation is as high as more than 80%, as long as she can wait for the right liver, Xiao Yanran may even live a normal life completely.
Fate has been cruel enough to this little girl, and I hope that in the future, cruel fate will turn to a smile on her.
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By the time he got off work at noon, Sun Lien's ninth clinic was still not open. On the contrary, after resting, Dr. Cao Yanhua, who seemed to be in good spirits, came again.
"Did you hear that?" Dr. Cao familiarly walked to the table in front of Sun Lien, picked up the Coca-Cola that Sun Lien had bought and didn't have time to drink, and poured it into his mouth.
"What did you hear?" Sun Lien shook his head in confusion, it's okay to drink Coke, just don't grab my pen.
Dr. Cao put down the half-bottle of Coke and hiccuped, "Haven't you heard of that stupid thief who provoked the fire all yesterday?"
"Nope. Sun Lien continued to shake his head very sincerely, he really hadn't heard any news related to that stupid thief this morning.
"He had bone damage in his shoulder joint, which led to joint instability. Dr. Cao picked up the cola and took another sip, "On X-ray, the lungs are full of low-density shadows, and the results of tumor markers and pathologies have not yet come out, but it seems that it should be an advanced lung cancer bone metastasis." โ
Sun Lien gasped, "This person just stole something, and he doesn't have to suffer such a big retribution, right?"
Dr. Cao was amused, "You didn't go to the emergency room today, did you?"
"Didn't go. Sun Lien was puzzled, "What's wrong?"
"You have to look at it and you'll know what stupid you're saying. Doctor Cao said, "Didn't this man have been removed from the handcuffs? Now it's okay, the leg cuffs and handcuffs are all installed again, and a windowless processing room has been specially made for him, and there are two armed policemen with guns standing at the door." โ