Chapter two hundred and thirteenth
For doctors, it is very sad that patients are helpless. But it is only limited to "sadness". But for the families... this news is a bolt from the blue.
The description of the bolt from the blue is a bit... not appropriate enough. Sun Lien looked at Cao Zhiquan's son and felt a little complicated.
For a young man in his early twenties, the world should have been full of hope and color. His parents are not old. They can not only take good care of their lives, but also help themselves who have just begun to be independent.
This is what it should have been.
Xiao Cao sat in the seat, his hands tightly pinched his fists beside him, his whole body trembling, and his face pale. He was stunned for a while before he opened his mouth and asked in a trembling voice, "Really... there is no way?"
"If it is indeed Crazy Jabha's disease, there is no way." Although I really wanted to comfort the little brother in front, Sun Lien couldn't think of how he could comfort the other party. If there is no cerebrospinal fluid 14-3-3 protein positive, then Crazy Jabha's disease can only be diagnosed through brain biopsy. In other words, even if there is a report of cerebrospinal fluid 14-3-3 protein positive, patients who have been diagnosed need to undergo a brain biopsy. With or without a report on cerebrospinal fluid, it will only affect the doctor's confidence when making suggestions for brain biopsy.
But in reality, it is not a simple matter to detect 14-3-3 protein. Even though the testing equipment of the Comprehensive Diagnostic Center is newly purchased, there is still no corresponding reagent that can be used to detect this protein.
To take a step back, assuming that the Crzygami disease that Cao Zhiquan suffered from is a relatively easy-to-detect hereditary Crzygami disease (pid), to be diagnosed, it is necessary to test the patient's cerebrospinal fluid or peripheral blood samples to detect the Prnp gene coding sequence that will cause the lesions.
But PCR is not a universal and simple machine - just throw the sample into the machine and drink coffee while waiting for the high-tech PCR machine to rummagate. If it were really that simple, there wouldn't be countless biological dogs wailing in school.
To detect specific gene sequences using PCR, the specific gene in the sample must be amplified first. The specific detection fragments in the sample proliferate for thirty rounds, that is, after a billion times of replication, they can be detected by the machine. In addition to waiting for a long time during the entire amplification process, it is more important to find the correct primers that can amplify the specified gene structure.
PCR detection of Prnp gene encoding is a relatively mature technology, but the reality is still difficult. The most direct difficulty lies in primer design.
In the complete process of amplifying the Prnp gene encoding, the most important primers are not ready-made. At least the Fourth Hospital, even Ningyuan, and even the entire Song and An province, there are no such tests. If you want to do this, you can only send the samples to relevant companies in the capital or Shanghai Stock Exchange, and entrust someone to conduct the test. After going there, according to Cao Zhiquan's symptoms, he is probably dead before the results.
"At present... we don't have any good solutions. However, according to the advice of the specialist, we can also try hormone impact treatment." After thinking about it, Sun Lien decided to work hard for Cao Zhiquan's life again. "If hormone impact treatment is effective, then he may have a similar symptom, but there is still a disease that can save it..."
Doctors rarely say such words to patients' families. The word "try" itself means uncertainty. The patient's family hates uncertainty. However, under the current circumstances, Sun Lien can no longer come up with more solutions than to take advantage of this uncertainty.
Most CJD patients will die from bedsores or lung infections shortly after falling into inactive silence. Not to mention curing this disease, modern medicine does not even have any effective treatments to improve their quality of life. Flipping over, atomizing inhalation and vibration vests may prevent bedsores and lung infections to a certain extent, but they still cannot essentially improve the patient's condition.
More than fifty years after humans landed on the moon, there are still a large number of diseases that doctors cannot handle in the world. Even if satellites can locate almost all users on the earth in space, when facing many diseases, we cannot even see a way to solve the problem.
Sun Lien felt very frustrated.
The frustration of a doctor is actually a very common thing. From the unsuccessful work to the incompetence of the patient and the family members do not understand, there are many ways to make a doctor who is almost overworked every day depressed. Thanks to the status bar and Sun Lien’s own “good luck”, the feeling of frustration is actually a bit...new to Sun Lien.
Fresh means he has no experience in dealing with this feeling. In the past, he felt "frustrated" almost entirely because of exams and learning problems. In his student days, like others, exams and learning were the biggest difficulties in the world. But after he started to treat patients in clinical practice, he realized that the previous frustrations... were simply not worth mentioning.
This feeling is not strong, but the presence is so full. Looking at Xiao Cao's back as he slowly left, Sun Lien felt like a stone was pressed on his chest. His throat was not very comfortable. It seemed that there was still a piece that was not big or small, just stuck near the Adam's apple, and even his speech was not very straightforward.
For a moment, Sun Lien even wanted to call Xiao Cao and then advised him to complete the discharge procedures for Cao Zhiquan.
Although he said that he could also use hormone shock treatment to fight for hope, Sun Lien himself knew very well that such a classic and standard symptom is unlikely to be vgkc. Cao Zhiquan's exercise ability has always been normal and does not have vgkc's signature exercise difficulties.
In this case, is it necessary to continue hospitalization? Although the Comprehensive Diagnostic Center itself has the support of Takeda Pharmaceutical, it can reduce a large part of the examination and treatment costs... but continuing to live will still inevitably take up the time and energy of the family. The cost of nursing and hospitalization costs still need to be paid as usual...
Is this really good? If you give up treatment and go home, the financial pressure will be slightly smaller for this family, right?
But looking at Xiao Cao's back, Sun Lien still couldn't say this. He knew very well that if he made such a suggestion, it would basically be equivalent to signing Cao Zhiquan's execution letter. As a family member, Xiao Cao would probably have a knot in his heart whether he accepted the proposal or refused...
A life cannot be measured in a few simple words.
Chapter completed!