When Wu Tianlin followed Director Qiu to the intensive care ward, Director Qiu immediately asked a doctor beside him, "Doctor Xiao Yang!" What is the condition of the child now? ”

"Director Qiu! The child's condition is not very good at present, although we have given him a course of chemotherapy, but his body's immune system has almost all been paralyzed, so the effect of chemotherapy is not very large, his leukemia cells are malignant in the bone marrow and other hematopoietic tissues, and are proliferating unlimitedly, the patient's blood picture and the total number of white blood cells are mostly significantly increased, reaching 10~30×109/L, the percentage of neutrophils is increased, mostly more than 80%, I estimate that it is likely to have caused sepsis, So I'm preparing to change my treatment plan. When the doctor surnamed Yang heard Director Qiu's words, he immediately made a detailed report to Director Qiu about the child with leukemia.

Director Qiu listened carefully to Dr. Yang's report, and then said, "Go!" Let's go see the kid first. With that, he led the way to the ward in front of him.

When the group walked to the door of the ward, before they could enter the ward, there was a child's cry: "Mom! I'm still uncomfortable, I want to go home, I don't want to live here, I don't want injections, I don't want to take medicine, I want to go to school. Then came the sound of vomiting.

Wu Tianlin followed Director Qiu into the ward, and saw a child with a thin face and pale lips lying on the side of the bed vomiting, while a young woman was full of tears, holding a spittoon in one hand and gently patting the child's back with the other, trying to make her son feel better.

When a middle-aged man on the side of the hospital bed saw Director Qiu and them, he immediately stepped forward, held Director Qiu's hand, and pleaded with pain on his face: "Director Qiu! Save my son! He is only seven years old, and his life is just beginning, and I beg you to save him, and as long as my son is safe, I will repay you by making you a cow and a horse. ”

"This gentleman! Please don't do this, as long as it is a patient who lives in our hospital, we will do our best to make him recover and walk out of our hospital. When Director Qiu said this, he walked to the bedside and picked up the child's case, turned the page and read it page by page, and at this time, Wu Tianlin also squeezed to Director Qiu's side, looked at the case above, 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 Wu!" Do you have a different opinion about this child's illness? ”

When Wu Tianlin heard Director Qiu's words, he realized that he shouldn't have spoken at this time, but thinking of the life of the child in front of him, he didn't care about offending the doctor, let alone the fact that he was the first day to come to work, and he was still an intern, so he immediately replied: "Director Qiu!" You see this report shows that this child's hematopoietic stem cells have malignantly transformed into a primitive cell clone that replaced the normal bone marrow, so I suspect that this child has acute leukemia, not sepsis, but normal hematopoietic failure. Leukemia cells infiltrate joints and periosteum, and if I'm not mistaken, this child has varying degrees of pain in his bones and joints these days, which is a sign of bone marrow necrosis. ”

"Huh! Drinking foreign ink is different, my thoughts are exactly the same as Dr. Xiao Wu, but at present, we have not found a bone marrow that matches this child, since Dr. Xiao Wu can find these from this examination, then what other solutions can we take? When Director Qiu heard Wu Tianlin's words, the expression on his face was still the same, and he asked Wu Tianlin.

Wu Tianlin thought that Director Qiu would ask him this question at this time, he glanced at the doctor in charge of the child, he obviously saw the dissatisfaction on Dr. Yang's face, but he really couldn't bear to see the child suffer unnecessary pain because of the misdiagnosis, thinking of this, he gritted his teeth and said, "Director Qiu! Acute leukemia is a kind of hematopoietic stem cells and progenitor cells malignant, losing normal proliferation, differentiation and maturation ability, uncontrolled continuous proliferation, gradually replacing the bone marrow and infiltrating the whole body tissues and organs through blood, I think we can use a combination of Chinese and Western, the general treatment principle is to eliminate the leukemia cell population and control the proliferation of leukemia cells, relieve the various clinical manifestations caused by leukemia cell infiltration, use pediatric ALL treatment regimen for remission and induction therapy, and then supplemented by traditional Chinese medicine, Traditional Chinese medicine can be used in combination with chemotherapy to increase the sensitivity of chemotherapy, that is, drug resistance; 2. Traditional Chinese medicine can fight the side effects of chemotherapy, protect the recovery of normal hematopoietic function, and prevent severe bone marrow suppression caused by chemotherapy drugs; 3. Traditional Chinese medicine can induce leukemia cell apoptosis; 4. Traditional Chinese medicine can induce the transformation of leukemia cells into normal cells, so that the treatment of leukemia can achieve better results. ”

When Director Qiu heard Wu Tianlin's suggestion, his face changed, he looked at Wu Tianlin, and said with a smile: "Xiao Wu! I didn't expect you to be proficient in traditional Chinese medicine, your suggestion is indeed very good, adults and children, children's tolerance is obviously not as strong as adults, the combination of traditional Chinese and Western medicine treatment can just learn from each other's strengths, Chinese medicine can make up for the lack of Western medicine chemotherapy without distinguishing between the enemy and me, and can solve the problem of resistance to chemotherapy drugs, at the same time, some hypoproliferative leukemia, the original white blood cells, platelets are very low, can not withstand the strong chemotherapy drugs, can be treated with traditional Chinese medicine, not only to avoid the toxic side effects of Western medicine, but also to alleviate the condition, At the same time, to alleviate the pain of 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 at present, but I believe that you have this ability, from today this child will be in charge of you, I don't know if you have confidence? ”

When Wu Tianlin heard Director Qiu's words, he obviously felt that Dr. Yang was extremely dissatisfied at this time, he had encountered such a thing when he was an intern in Sweden, so he did not agree immediately, but modestly said: "Director Qiu!" Thank you very much for your trust in me, but I am still in the internship stage, and this patient has always been in charge of Dr. Yang, and Dr. Yang has a much better understanding of his condition than I do, so I think Dr. Yang is still in charge, and I am an assistant to Dr. Yang. ”

"What happened to the internship? We are a private hospital, and we have the ability to serve as an attending doctor even if we are interns, and I believe it is very easy to find a good hospital with conditions like Dr. Xiao Wu, but you don't choose those tertiary hospitals and choose us as a private hospital, and I guess you don't want to be restricted by the rules and regulations of state-owned hospitals, and besides, Dr. Xiao Yang is responsible for so many patients, and you can help him share one or two just enough to reduce Dr. Xiao Yang's workload, so this matter is decided. When Director Qiu heard that Wu Tianlin actually refused his request, there was obviously an appreciative look in his eyes, and after he finished speaking with a smile, he looked at Dr. Yang on the side.

At this time, Doctor Yang almost hated Wu Tianlin to the bone, the conditions of this child's family were very good, and handing him over to this new intern would be equivalent to him missing two or three thousand drug commissions per month, he saw that Director Qiu was looking at him, and quickly replied hypocritically: "Doctor Wu!" You are a PhD student at Karolinska Institutet in Sweden, and Director Qiu has put you in charge of it, which is a trust in you, and you can't live up to Director Qiu's trust. ”