Chapter 157 Other Inspections (August 11 1/2
The results of the CT examination were soon released. There were no suspicious imaging changes in Kobayashi's lungs, but the Imaging Department also reported an important situation - there were multiple lymph nodes enlarged under the armpits on both sides of Kobayashi's armpits.
"It's not a respiratory infection, nor pneumonia." Sun Lien took the ct image and looked at it for a while, and shook his head helplessly, "It's trouble now."
No obvious infection lesions were found, but evidence of suspected metastasis was found. Now it seems... I can only consider leukemia.
Sun Lien could only comfort himself deep in his heart. Even if it is leukemia, most of it can be treated or even completely cured. Kobayashi's symptoms are repeated fevers in the past year, and it was not until the previous two days that the fever suddenly did not subside. Even if it is leukemia, it is most likely that it is not acute.
"Then I'll do a bone piercing to clarify the symptoms." Dr. Jiang made his own suggestions. Kobayashi's symptoms are indeed similar to leukemia. Although he has the ability to perform induction chemotherapy on the ship, considering the patient's condition, it seems that it is better to return to China for treatment after the symptoms are clarified.
"Since you need to do bone piercing..." Sun Lien thought for a while and decided to take care of Kobayashi's symptoms. "Then let's do another lymph node biopsy. At least check the cause of his lymph node swelling first. If the biopsy found that it was acute lymphatic leukemia... can we do a genetic test here?"
"It can be done." Dr. Jiang nodded, "There are relevant equipment on the ship... but it has never been used much. It may require recalibration."
Compared to ordinary Grade A hospitals, the treatment of patients on Daishan Island is a great benefit - if most experiments do not require the cooperation of patients or do not require samples from patients, then they can basically be informed orally and then recorded in the medical records.
However, biopsy and bone perforation... do not fall into this category of examinations. Sun Lien and Dr. Jiang walked all the way to the ward, and then asked Lin Lan for the nervousness to perform bone perforation and lymphatic biopsy.
"Why do you need bone piercing?" Lin Lan is not the kind of person who doesn't know anything. Like many other Chinese people, she has a high sensitivity to various tumor diseases. "Doctor Sun, what kind of disease is Xiaolin?"
"We don't know yet." Sun Lien replied honestly, "By just by routine CT and blood tests, we cannot associate his symptoms with one or two specific diseases. In order to narrow this circle of doubt, we need to do more tests."
There are some insincere things in Sun Lien’s honest answer. As for the current situation, the diseases he can suspect are nothing more than three types of infection, leukemia or autoimmune system diseases.
"Bone penetration is a bone marrow check, which means you will think there is something wrong with his bone marrow." However, Lin Lan is not such a fool. She said to Sun Lien, "Do you think he has leukemia?"
"I have said just now that the new test is to help us narrow the circle of suspicion." Sun Lien explained that he really does not want Lin Lan to determine that Kobayashi Xun has leukemia now. On the one hand, the diagnosis of leukemia requires sufficient evidence. On the other hand... he is worried that Lin Lan will not accept the blow.
Compared to Kobayashi Huon, Lin Lan is truly a "recovery of a serious illness". It is not only physically but also mentally.
Lin Lan has been a woman for 23 years, and is also a very talented and potential athlete. After a car accident, she left a hideous scar on her right leg and a skull missing on her head. Her career was completely reimbursed. At the same time, she was diagnosed with no reproductive ability... She was even supposed to be a man.
Sun Lien really couldn't imagine how much damage his spirit would have if this happened to him. A large part of the reason why he was careful was that he did not dare to stimulate Lin Lan - she had a craniotomy surgery a year ago, and if she was emotionally excited, she would have a cerebral hemorrhage... No Xu Yourong on Daishan Island could help.
"Although we think... the possibility of leukemia is not high. But just in case, it is better to have a test." Dr. Jiang was helping out. Seeing Sun Lien's careful appearance and Lin Lan's head that was still sagging, how could he not know what Sun Lien was worried about. "And these two biopsies can also play an auxiliary test for other situations we suspect."
Lin Lan stood there, clasped her fists with her hands, closed her eyes and thought for a few seconds before saying solemnly to Sun Lien, "Since Doctor Sun, you think it is necessary, then do it." She took a deep breath and continued, "No matter what examination you need to do later, as long as it is necessary, you don't need to ask for my opinion again. I have full trust in you."
Sun Lien even felt that he could not bear this level of trust. But he nodded, "I understand."
"I have to inform Kobayashi's father about this situation." Lin Lan's expression hesitated for a moment, and then she became firm. "No matter what happened before, at least Xun and him are getting along well now. I have to tell him about such things."
Sun Lien nodded, which was reasonable. "If you need to borrow a maritime satellite phone, there will be it on Director Liu."
"I...I'd better go back to the boat and tell him." Lin Lan shook her head, "I...I don't dare to stay on the boat alone. Can I stay with the bed tonight?"
Sun Lien was not sure about this, but Dr. Jiang, who was standing by, gave the answer thoughtfully, "Yes. The hospital bed on the boat is not too nervous now, so there is no problem letting you accompany the bed."
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After leaving the ward, Sun Lien nodded to Dr. Jiang, "I've caused you trouble."
Dr. Jiang smiled and waved his hand, "How can this be called causing trouble? Originally, this patient asked me to stare from beginning to end. You have chosen most of the work, and I only need to do some assistance. I can't ask for such a good thing."
Dr. Jiang did not say politely. Sun Lien just saw a regular blood report and had a rough diagnosis direction. But Dr. Jiang himself couldn't do this - he did not know Kobayashi's medical history a year ago, and would not look at leukemia or autoimmune system diseases from the beginning. He would definitely not be able to do this way of thinking that was almost "jumping cliff-like jumping".
Dr. Jiang was very interested in Sun Lien. He wanted to see and see what kind of ability could a person like Liu Tangchun specially recruited African regular medical training. Now, he felt that he had initially seen the magic of Sun Lien.
Chapter completed!