Genetic counseling
Speaking of which, it seems like I've been forgetting to introduce my work. I am a genetic counselor who analyzes the genetic mutations of cancer patients to determine if their tumors run in families and what treatment options are suitable.
This work is not easy to say, but it is not difficult to say. The simple thing is that each of our judgments is supported by countless research results as evidence, and it is not a creative work that needs to be thought out of thin air. The difficulty is that every patient in this world is unique, and even if you read all the research materials in the world, you cannot guarantee that your advice is the best solution for this patient.
I have a unique advantage in doing this job because God is helping me cheat. I can see the answer to how long my patients can live after accepting my advice. This was probably the only advantage of my hapless superpower, so as soon as I found out about this profession, I quickly decided on the direction of my future life. As it turned out, I really did great things in this field, and I helped many patients before and after, and the people who waited for me to do the consultation were even three months away.
The last patient I needed to see today was a middle-aged man. He had glioma. Glioma is known as the new king of cancer because of its increased incidence and extremely high mortality rate, but fortunately, he has a grade III glioma, which grows slower and is more controllable, and his tumor has a BRAF gene mutation, which is suitable for targeted drug treatment.
Probably because the disease was well controlled, the patient did not look terminally ill. Although he was thin, he was tall and tall, and his eyebrows were soft and clear. Although his wife's eyes were a little red, she was also well-dressed and elegant. I sat in the reception room, watching him and his wife walk together through the glass, and I forgot about his illness, and only thought that it was a fairy couple.
I got up to greet them and took water for them, "Hello, my Mr. Zhang Lin's genetic counselor, Lu Weibie, please be seated." ”
The couple thanked me and sat down.
I explained to them the possible treatment options, and the two of them listened attentively, but strangely, I didn't see any numbers from the top of Zhang Lin's head.
I wondered, this is something I've never experienced before. Could it be that my superpowers are out of order?
"Miss Lu, thank you for the plan," Zhang Lin asked gently, "but I want to know, is it possible to treat without surgery?"
When he said this, his wife seemed to secretly wipe away tears. But I wasn't sure, for the movement was so fast, and her expression was so gentle and calm, that I couldn't find any hopeless sadness.
"I didn't know until I asked the doctor, and I only knew about the relationship between genetic information and treatment methods. The necessity and feasibility of surgery requires reference to many other medical information, such as the size, location, and growth rate of the tumor. "I'm a little puzzled by this question, which is usually communicated with the doctor in the hospital, and I don't know why they ask me, "But as far as I know, surgery is the first principle of treatment for glioma." ”
"I see, thanks for the suggestion. Zhang Lin nodded and said goodbye gently, "If there is nothing else, let's leave first, there is a good barbecue restaurant nearby, we happened to be here today, we are going to go over for dinner." ”
His wife said goodbye to me and walked out with him. I clearly saw that when she turned around, she secretly wiped her tears while Zhang Lin was not paying attention. But in the next second, she jumped and took her husband's hand, and coquettishly said that she must eat two servings of enoki mushrooms and four strings of chicken feet today.
Zhang Lin promised her with a smile, and promised by the way that he would solve the side of the toast.
I was stunned for a while before I came to my senses.
This is the first time I have seen such a calm patient and family.
Genetic testing is not a very popular companion diagnosis for cancer. If it is ordinary surgery, radiotherapy and chemotherapy, the patient has no need for genetic testing at all. Patients who need genetic testing and need to use targeted drugs will usually be tested directly in the hospital laboratory department.
The people who can pay a higher price and find me here are usually people who have a very strong desire to survive. These people are extremely cooperative and will not let go of any possibility of improvement. Even if the targeted drug for the corresponding mutation is used to treat breast cancer, stomach cancer patients with the mutation want to try it.
Everyone is gritting their teeth and forcing for a breakthrough in medicine and a miracle of fate. I appreciate this kind of compulsion, it makes me feel that my life is full of meaning.
It makes sense to rack their brains for a cure, and the shackle-like superpowers that can help them make decisions make sense.
But Zhang Lin and his wife did not mean to force it.
They calmly listened to my introduction, said goodbye calmly, and then turned around and continued their fireworks life with a smile.
It was as if what they were fighting was not the terrifying Grim Reaper, but the insignificant mayfly.
I like their calm courage, but I am worried that my superpowers seem to be out of order.
No matter how they strategically despise the enemy, since they are here, the treatment should still be done. Since there are different treatment options, the corresponding lifespan will naturally be different. Why can't I see anything?
I sullenly packed up my things and went home.
My superpower, like its arrival, left without warning or opportunity. The shackles of my life have been opened, and I will never again see a hurricane on the other side of the Atlantic with every word I say, never again see how many ants I have trampled to death, and never again see how my existence can harm the world.
I still have a long life ahead of me, and one day, I'll forget the superpowers I once had, and I'll gradually lose sight of my impact on the world. One day, I can live an ordinary and lively life.
I knew I should be happy, but I felt completely invigorated and out of breath.
I really like Mr. and Mrs. Zhang Lin.
I myself think it's incredible, it's clear that it's a person who only has one side, and the conversation is just a few words. But I just like them, I like their gentle appearance, I like their unfazed appearance, and I like the thick smoke and fire in them.
I hope that Zhang Lin can live a long, long life, so that their happiness will continue like that.
But my superpower failed.
I couldn't have helped them more.
I was so depressed that I walked weakly on the road. During the rush hour, I habitually avoided it carefully to prevent myself from stepping on the little creatures that came out for a walk.
It's a pity that the heavens didn't fulfill people's wishes, and I was accidentally hit. And by coincidence, it hit a few more ants accurately.
I stood in place, looking at the dense pile of zeros, and I was so angry that the green tendons on my head jumped.
It's really a house leak that happened to rain overnight!
I was so tormented by the blows that I almost cried, but in time I had a flash of inspiration and was stunned on the spot. I can see the lifespan of the ants I trample on!
Then why can't I see the change in Zhang Lin's lifespan? Could it be that my suggestion has not changed his lifespan at all? I have worked for more than a year, and I have seen not thousands but hundreds of patients, and there has never been such a phenomenon. Could it be that something would have taken his life before he could be treated??car accidents??robbery?food poisoning???
Or, he didn't want to be treated at all?
I thought back to the whole conversation. In the case of rushing for their lives with time, they are not in a hurry to go to the hospital but think about having a barbecue at night; Zhang Lin asked me if I could not have surgery, and his wife secretly cried when she heard this question; her wife was so sad that she couldn't hide it, but she was still excited to do things that had nothing to do with treatment; the most important thing was that she should have consulted the doctor about whether or not to have surgery, but she came to inquire with me, a layman, and it was obvious that she was in a hurry to go to the doctor.
Don't...... He doesn't want to have surgery?
All of a sudden, I was nervous again. Is it because I didn't make it clear that although this kind of surgery requires a craniotomy, it is the only hope, and it is the most cost-effective to do surgery without losing money?
I turned around and ran back to the unit, dug out Zhang Lin's information, and called him on the mobile phone above. Even if there is only one in 10,000 hopes, I want him to live a little longer.
The phone was answered by a strange woman, "Hey, are you looking for Zhang Lin?"
"Yes, I'm his genetic counselor, and he just came this afternoon for a consultation on the treatment plan. Is it inconvenient for him to answer the phone now? What about his wife?"
"My side is the emergency room of the Third Hospital, Zhang Lin fainted on the street and is being rescued, and his wife also lost consciousness after sending him over, and now he is also in the emergency room. His wife didn't have time to say much, do you know their other emergency contacts?"