Chapter 23 The First Day at Work
When Wu Tianlin followed Director Qiu to the critical ward, Director Qiu immediately asked a doctor beside him: "Doctor Xiao Yang! How is the child's condition now?"
"Director Qiu! The child's condition is not very good at the moment. Although we have given him a course of chemotherapy, his body's immune system has almost 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 signs and total white blood cells are mostly significantly increased, reaching 10~30×109/L, and the percentage of neutrophils is increased, mostly above 80%. I estimate that sepsis may have been caused, so I am preparing to change the treatment plan." The doctor named Yang immediately reported the situation of the child with leukemia to Director Qiu in detail when he heard Director Qiu's words.
Director Qiu listened carefully to Dr. Yang's report and immediately said, "Let's go! Let's see this child first." Then he led the way to the ward in front.
When the group walked to the door of the ward, before they could enter the ward, a child's crying came: "Mom! I'm still feeling uncomfortable. I want to go home. I don't want to live here. I don't want to get injections. I don't want to take medicine. I want to go to school." Then the sound of vomiting came.
Wu Tianlin followed Director Qiu into the ward and saw a child with thin face and pale lips lying on the bed and vomiting constantly, while a young woman was covered in tears, holding a spittoon in one hand and gently slapping the child's back with the other, trying to make her son feel better.
A middle-aged man next to the bed saw Director Qiu and the others and immediately came forward, held Director Qiu's hand, and begged with pain: "Director Qiu! Please save my son! He is only seven years old and his life has just begun. I beg you to save him. As long as my son can be safe and sound, I will be a cow and a horse for you to repay you."
"Sir! Please don't do this. As long as the patient lives in our hospital, we will do our best to let him go out of our hospital with recovery." Director Qiu said this, walked to the bedside and picked up the child's case, turned page after page and started to look at it. At this time, Wu Tianlin also squeezed to Director Qiu, looked at the cases above seriously, and subconsciously said: "This child must undergo hematopoietic stem cell transplantation as soon as possible."
Director Qiu, who was seeing the case, heard Wu Tianlin's words, turned his head to look at Wu Tianlin beside him and asked, "Doctor Xiao Wu! Do you have any different opinions on this child's illness?"
When Wu Tianlin heard Director Qiu's words, he realized that he should not speak at this time. However, when he thought of the life of the child in front of him, he did not care about offending the doctor, and no matter whether he came to work on the first day and was an intern, he immediately replied: "Director Qiu! You see this report that the child's hematopoietic stem cells have become malignant and a primitive cell clone formed by the transformation of the hematopoietic stem cells has replaced the normal bone marrow, so I suspect that the child has acute leukemia, not sepsis, but normal hematopoietic failure. Leukemia cells infiltrate the joints and periosteum. If I guess correctly, the child's bones and joints have suffered varying degrees of pain these days, which is a sign of bone marrow necrosis."
"Haha! It's different after drinking foreign ink. My idea is exactly the same as Dr. Xiao Wu, but we have not found the bone marrow that matches this child yet. Since Dr. Xiao Wu, you can find these from this examination, what other solutions can we take?" Director Qiu asked Wu Tianlin when he heard Wu Tianlin's words.
Wu Tianlinming thought that Director Qiu would ask him this question at this time. He glanced at the doctor responsible for the child. He obviously saw the dissatisfaction on Dr. Yang's face, but he really couldn't bear to see that the child suffered unnecessary pain due to misdiagnosis. Thinking of this, he gritted his teeth and said: "Director Qiu! Acute leukemia is a malignant transformation of one or more hematopoietic stem cells and progenitor cells, which loses normal proliferation, differentiation and maturation ability, and uncontrolled continuous proliferation, gradually replaces the bone marrow and invades the tissues and organs throughout the body through blood. I think we can use the combination of Chinese and Western medicine, the overall treatment principle.
It is to eliminate the leukemia cell population and control the large-scale proliferation of leukemia cells, eliminate various clinical manifestations caused by leukemia cell infiltration, and use pediatric ALL treatment plan for remission and induction treatment. Then, with traditional Chinese medicine as a supplement, traditional Chinese medicine can be combined 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 chemotherapy drugs from causing severe myelosuppression; 3. Traditional Chinese medicine can induce apoptosis of leukemia cells; 4. Traditional Chinese medicine can induce leukemia cells to transform into normal cells, thus achieving better results in the treatment of leukemia."
Director Qiu's face changed when he heard Wu Tianlin's suggestion. He looked at Wu Tianlin and said with a smile: "Xiao Wu! I didn't expect that you would be proficient in traditional Chinese medicine. Your advice is indeed very good. Adults and children, children, are obviously not as strong as adults. Combined treatment of traditional Chinese and Western medicine can just learn from their strengths and weaknesses. Traditional Chinese and Chinese medicine can make up for the shortcomings of Western medicine's chemotherapy without distinguishing between enemies and ourselves, and can also solve the problem of resistance to chemotherapy drugs. At the same time, some low-proliferative leukemias, originally leukocytes and platelets are very low, and they cannot withstand strong chemotherapy drugs. Traditional Chinese medicine can not only avoid the toxic side effects of Western medicine, but also relieve the condition, and at the same time relieve the pain patients endure when undergoing 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, I believe you have this ability. From today on this child, you will be responsible for this child. I wonder if you have confidence?"
When Wu Tianlin heard Director Qiu's words, he clearly felt that Dr. Yang was extremely dissatisfied at this time. He had encountered such a thing when he was internship in Sweden, so he did not agree immediately, but humbly refuted: "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. Dr. Yang's understanding of his condition is much more abundant than mine. I think Dr. Yang is still responsible for him, and I am an assistant to Dr. Yang."
"What's wrong with the internship? We are a private hospital. We have the ability to serve as attending doctors even if we are internships. I believe it is easy to find a good hospital with conditions like Dr. Xiao Wu. However, if you don't choose those Grade A hospitals, you choose our private hospitals. I guess you don't want to be restricted by the rules and regulations of state-owned hospitals. Besides, Dr. Xiao Yang is responsible for so many patients. If you help him share one or two, it just can reduce Dr. Xiao Yang's workload, so this matter is settled." When Director Qiu heard that Wu Tianlin actually rejected his request, he clearly showed an admiring look in his eyes. After saying a smile, he looked at Dr. Yang next to him.
Chapter completed!