Chapter 16: Bone Marrow Transplantation

Li Meng and I came to the hematology department of the First People's Hospital of Ningzhou City and met Qin Yidan, Shan Jinfeng's former attending physician.

Qin Yidan retrieved the information and inquired about Shan Jinfeng's medical records and medical records.

"What's wrong with him?" Qin Yidan looked at us very puzzled and asked softly.

From his eyes, it is not difficult for us to see that he must have thought that Shan Jinfeng had passed away due to illness, and then our police investigated the cause of his death.

I didn't answer his doubts, but said to him in a deep voice, "Tell us about his illness." ”

Qin Yidan looked at us, blinked a little sneeringly, and then slowly opened his mouth and told us about Shan Jinfeng's situation-

"He came to our hospital ten months ago, his condition was still relatively serious, when he first came to the hospital, there were persistent symptoms of high fever, the patient reported that it was accompanied by long-term pallor, fatigue, dizziness, palpitations, shortness of breath and other symptoms, the patient thought it was a cold symptom at first, but after taking the medicine, it did not get better, but the condition worsened, so he came to the hospital for treatment.

After coming to the hospital for a routine blood examination, he was transferred to our hematology department, and his condition was relatively serious at that time, and he went through the hospitalization procedures on the same day. At that time, he was very ill, and in addition to a high fever, he was accompanied by a slight respiratory infection, bleeding from the mucous membranes of the nose and mouth, and finally even symptoms of blood in the stool and urine.

We did a comprehensive examination for him, including blood count, bone marrow aspirate, liver function, antibody test, chest X-ray and abdominal ultrasound, etc. Based on the results of the examination, the final diagnosis of aplastic anemia was made.

The disease is very serious, usually with an acute onset, rapid progression, and severe disease. After the doctor's consultation, it was finally characterized as severe aplastic anemia.

After consultation, we developed a treatment plan for him, mainly through immunosuppressive therapy and hematopoietic therapy.

After two months of treatment, his condition has stabilized. But this disease can only be controlled, not cured, and it can recur at any time, and every time this disease recurs, it will worsen. The only way to cure it is through hematopoietic stem cell transplantation, which is often referred to as bone marrow transplantation. ”

After listening to Qin Yidan tell us about Shan Jinfeng's condition, Li Meng suddenly took over and asked, "Then did he have a bone marrow transplant?" ”

Qin Yidan let out a long sigh, as if there was a lot of helplessness in his heart, and he said slowly: "At that time, Shan Jinfeng's parents were indeed preparing to do hematopoietic stem cell transplantation for him, but after bone marrow matching, it was found that the bone marrow transplant match of his parents was not high. ”

"The bone marrow of the parents is not well matched?" Li Meng was very surprised by this answer, and then continued to ask, "Isn't he born to his parents?" ”

Qin Yidan shook his head and explained to us seriously: "Medicine is a very rigorous science, and hematopoietic stem cell transplantation has very high requirements for matching, otherwise once there is rejection, not only can it not have a therapeutic effect, but it will have a counterproductive effect and aggravate the condition." However, it is true that the hematopoietic stem cells of the biological parents do not match the type of the child, but this does not mean that they are not related by blood. ”

This is the first time I've heard of this situation, and I've always thought that the degree of compatibility between the biological parents is absolutely appropriate, just like the similarity of DNA.

"What about Shan Jinfeng? You can't go home and die, can you? Li Meng was shocked, and suddenly muttered.

Qin Yidan smiled and said softly: "You can also look for a match in the hematopoietic stem cell bank, and at the same time look for volunteers with a suitable match across the country, but this is an act of luck after all, you can only go home and wait for news, and you may not be able to wait for the right match." Now it is in short supply, and there are many patients waiting for matching. ”

"But ten months have passed, and Shan Jinfeng has not undergone a bone marrow transplant." I paused and said in a deep voice.

Qin Yidan spread his hands a little helplessly, and said with a long sigh: "That can only mean that he has not found a complete match of hematopoietic stem cells, generally speaking, the success rate of matching biological parents and biological siblings is the highest, but Shan Jinfeng has only one younger sister, and the younger sister is still too young to consider hematopoietic stem cell transplantation." ”

"Does he have any records of coming over for a review?" I pondered for a moment and asked again.

Qin Yidan shook his head and said, "Since that time he was discharged from the hospital, he hasn't come to seek medical treatment again, maybe his condition is under control, maybe he went to other hospitals for medical treatment." ”

I nodded, pondered for a moment, and said to him, "Give us a copy of the medical record." ”

"This ......" Qin Yidan was a little embarrassed when he heard our request, after all, this belongs to the patient's privacy and cannot be handed over to others casually.

But because of our status as a policeman, he thought for a moment, and finally agreed, "Okay, wait a minute. ”

After getting Shan Jinfeng's medical records, we left the hospital.

Although we have learned a lot of clues in this investigation, whether these clues are related to this murder case still needs to be carefully considered.

Ren Qiushi said that from the murderer's way of committing the murder of Shan Jinfeng, it can be inferred that the hatred between the murderer and Shan Jinfeng is very deep.

So, what kind of person would have a very deep hatred for a patient with severe aplastic anemia?

Hatred is synonymous with a conflict of interest.

Whose interests can be reached by a patient?

What Shan Jinfeng needs most is a hematopoietic dry product that matches the same type, could it be that what he needs touches the interests of the murderer?

Could it be that murderers also need hematopoietic stem cells? Competing with Shan Jinfeng?

But Qin Yidan said that in the past ten months, he has not found a hematopoietic stem cell that matches Shan Jinfeng......

"What are you thinking?"

At the entrance of the hospital, Li Meng saw that I had not spoken, and suddenly asked.

I came back to my senses, frowned, and said very suspiciously: "I'm wondering if the murderer's murder of the seven members of the Shan family has anything to do with Shan Jinfeng's illness." ”

"I've been thinking about it for a long time, but it doesn't seem to matter, maybe ......" Li Mengyu said, and then she added: "Maybe, it's just that we didn't find the key clues, and we didn't find the connection point between the two things." ”

I let out a long sigh and said slowly: "Maybe we think too much, didn't you say that the murderer was a relative of the Shan family?" Maybe the motive for the murder of this murder case has nothing to do with Shan Jinfeng's illness at all, it seems that we have to look for clues from other directions. ”