Dr. Pascal took on this very difficult task. In fact, apart from him, I am afraid that no doctor in the four hospitals dared to challenge such a task - Xiao Yanran is still positive for hepatitis B surface antigen (HBsAg), which is a relative contraindication to liver transplantation.

The main reason why Dr. Pascal dared to challenge this case was because of the nature of the liver transplant mission. Xiao Yanran's liver transplant was not performed to cure the disease. Essentially, transplanting the liver of an OTCD patient to a patient with severe cirrhosis is never a cure. It's more like a visionless gamble, or even a drink to quench your thirst.

But this is the key to the whole operation - even if it is wine, it will kill Xiao Yanran a little slower than the disease itself. By the measure, a transplant with relative contraindications turned out to be the only chance to prolong her life.

It is only through this transplant that it is possible to sustain her until there is a liver source to provide it.

Ever since Sun's departure, Dr. Pascal has been suffering from a severe migraine. He is a specialist in immunology, not a specialist in virology and hepatobiliary medicine. Although he has a great deal of experience in immunomodulation, Pascal alone is not enough to apply it in this complex case.

He was even very sure that the experts of the entire four academies might not be able to come up with a qualified plan. The reason is also very simple - the fourth hospital is a major emergency center. Although there is Ningyuan Medical College as a support behind him, it is only a "support" after all. And the ability of Ningyuan Medical College is far inferior to other top medical schools. Even if the experts in the academy are asked to give advice, they may not be able to come up with the most suitable plan.

"You've been in the room for a long time since Dr. Sun left. Isabella pushed open the door and walked in, "What's the matter?"

"He sent me a big problem. Pascal sighed and described the situation to his wife. However, he skipped the patient's specific information and circumstances.

Isabella thought for a moment, "So, you're having a headache right now how do you get this job off?"

Pascal glanced at his wife, "It's not that I want to save the world, but if I don't take over this patient now, she's really dead." He briefly explained Xiao Yanran's status of "continuous use of artificial liver" and "severe liver cirrhosis combined with stage 3 liver cancer". And concluded, "I was her only chance to survive." ”

"But you're also worried. Isabella keenly summed up the helplessness in Pascal's words, "What more do you need to save her life?"

"I need the best virologists, the best medical scientists who study hepatobiliary lesions, and experts who study pediatric tumors......" Dr. Pascal folded his hands and counted the support he needed, but accidentally slipped his mouth.

"Pediatrician?" Isabella's expression suddenly became serious, "Is it a child?"

Dr. Pascal sighed, "It's better to change your occupational disease." He spread his hands helplessly, "I can't tell you anything about patients, but...... It's a child, and it's a very poor little girl. ”

People who become parents don't want children of the same age as their children to suffer. As soon as she heard about this situation, Isabella immediately changed her attitude, and she asked anxiously, "Do you have the right person in mind?"

"I'm not familiar with the Chinese experts, but I'm still familiar with the doctors I've worked with in the past......" Pascal said with some hesitation, "but this time the patients ...... She couldn't afford to pay for those consultations. "The treatment costs that Dean Song got from the water drop chip have already spent a lot of money on eight months of hospitalization and artificial liver support. The rest of the cost for two more liver transplants is very stressful, and if you have to pay for the remote consultation, it will definitely not be enough.

"It's okay, I'll figure this out. Isabella said decisively, "You give me the list and the number." I'll do the rest. ”

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Sun Lien's experiment in the afternoon seemed to go much smoother. He even succeeded in diagnosing a case of late-onset glycogen storage disease from the case description.

"It was a good day. After finishing the experiment in the afternoon, Dean Wu encouraged Sun Lien again. "The progress is clear. ”

Sun Lien smiled and nodded, late-onset glycogen accumulation disease is also a genetic disease, and the incidence is very low. He was able to diagnose this disease in a short period of time, but there was actually an element of luck - he had just reviewed the information on this genetic disease the other day.

"Song Wen called me. Dean Wu encouraged Sun Lien again, and then changed the topic, "She invited me to attend the ribbon-cutting ceremony the day after tomorrow. ”

"Tailoring?" Sun Lien was stunned for a moment, and then suddenly realized, "Is it a diagnostic center?

The main building of the diagnostic center has completed all the construction work, and the interior decoration has been basically completed. However, none of the instruments and equipment donated by Takeda have yet to be put in place. The experimental 7T MRI equipment is only about 50% off the ground, and there are many more testing equipment that Takeda can't even produce on its own – they finally decided to purchase it separately in China and then donate it to the Zhou Xiufang Diagnostic Center as a package donation. The original estimate of "put into use within one year" was mainly due to the impact of the procurement and production cycle of these equipment. If you only look at the infrastructure part, in fact, about five months is enough.

"It's not something you've taken in these patients. Wu Youqian smiled, "In order to free up the inpatient unit for you, Song Wen said that she hadn't slept well for several days." In the end, she discussed it with Takeda and decided to use the inpatient area upstairs of the comprehensive diagnosis center first. ”

In the five-storey comprehensive diagnostic center, there are 26 single inpatient rooms on the fourth floor, each of which is a negative pressure room. At the same time, there are two 10,000-level operating rooms, which can carry out two organ transplant operations at the same time. Of course, as things stand, neither of these operating rooms is yet operational – the equipment has not yet been delivered.

So it seems...... The ribbon-cutting was done in advance, and it was really possible that it was to open the inpatient department.

Sun Lien was a little embarrassed, but he soon became worried. Although Dr. Pascal took over the rest of the task, as long as he didn't give a "no problem" response, he didn't dare to let Xiao Yanran go to surgery. The reason is also very simple, although the function of her residual liver is severely limited, it can still play a certain role after all. Now, on average, every three days, Xiao Yanran needs an artificial liver. And this time was once a week half a year ago.

If the liver is transplanted, and Dr. Pascal fails to successfully balance the immunosuppressive regimen and antiviral treatment regimen, it will not be long before Xiao Yanran has to use the artificial liver all the time, and then her life enters the countdown.

There is no room for error in immunotherapy regimens.

"The ribbon will be cut the day after tomorrow, but it will already be able to admit patients in these two days. Wu Youqian reminded again, "You should go to the hospital later, and arrange hospitalization." ”