The most destructive thing in the world is probably a child's unintentional words. For example, "Hello, aunt" or "Mom, look, that uncle is so ugly."
Of course, most of the time, such words bring adults the feeling of being "laughing and laughing" and "secretly sad." However, Xiao Yanran's words were like a heavy hammer hitting the bridge of Sun Lien's nose.
Hu Jia won't be able to come back until a year later, but Xiao Yanran... I'm afraid she may not have a year to wait for the big sister who likes to tease her.
Xiao Yanran's body is irreversibly declining. Although children's physical recovery capabilities are much stronger than adults, when faced with stage three liver cancer, even a person who is jokingly called "surviving as tenaciously as a weed" cannot bear it.
What's more, long-term liver cirrhosis has severely overdrafted Xiao Yanran's body. Although he is not a professional oncologist or hepatobiliary doctor, Sun Lien can tell without using the status bar that Xiao Yanran's condition is not good.
Her skin and sclera are turning yellow.
Jaundice is caused by the accumulation of bilirubin in the blood. Xiao Yanran's liver is gradually stopping working, and what cannot be metabolized by the liver is because red blood cells release hemoglobin after death and metabolize it into the "waste" substance of indirect bilirubin.
It should turn into water-soluble direct bilirubin as the liver works, and be excreted from the body as the kidneys work. However, it is difficult for a liver that has cirrhosis and turned into cancer cells to fully undertake this work, especially after it has been removed.
After removing part of the liver lobe, Xiao Yanran's condition became worse.
But there is nothing that can be done. After a very careful examination, Xiao Yanran has no signs of hemorrhagic lung metastasis for the time being. However, the location of her tumor is too close to the hepatic portal lymph nodes. Considering her physical condition, Xiao Yanran is not admitted to the hospital.
Qian Hongjun, Yanran’s director of pediatrics, determined that resection must be performed as soon as possible to prevent cancer cells from metastasizing through lymph nodes to the spleen, pancreas, aorta or supraclavicular lymph nodes.
Xiao Yanran, who had part of her liver lobe removed, now needs to use an artificial liver support system called the Prometheus system to slow down the accumulation of bilirubin and other waste products in the body. Although there are already more efficient cell mixing
A bioartificial liver is available, but because the source of liver cells is unstable and all clinical trials have not been completed, it cannot be used on her yet.
What's more, as a minor who needs to be "specially supervised", Xiao Yanran cannot be a subject of clinical trial stage treatment plans according to ethical regulations. Pediatric people who are supervised by courts or social welfare institutions may lack some ethical protection.
Unless it is a drug clinical trial specifically targeting this group of people, it will definitely be excluded.
If we cannot wait for a liver that is available for transplant as soon as possible, or if a relative who has completed the match donates a liver, Xiao Yanran will not live long. While she continues to receive artificial liver treatment, it is almost impossible to survive until Hu Jia comes back.
things.
Sun Lien sat in his consulting room and didn't speak for a long time.
It's not that he has never seen patients who are hopeless, nor has he never seen patients who struggled for a long time and then left. But Xiao Yanran's words still made him lose all motivation. Sun Lien seemed to have become
A robot that has been unplugged from the power supply doesn't know what to do for a long time.
The phone suddenly rang. It was not the familiar ringtone of baking gluten, but the notification ring for WeChat voice call.
"Old Sun, what are you doing?" Hu Jia's voice came over the phone.
"I..." Sun Lien suddenly became excited. He forcibly restrained his emotions and said in a very normal tone, "It's nothing. I have a headache."
Just because she didn't say goodbye to Xu's father and Xu's mother, Hu Jia was so depressed that she wanted to cry just thinking about it. If she knew that Xiao Yanran came to see her, she would definitely think that she might never see Xiao Yanran again... In short
, we must pretend that nothing happened. Sun Lien thought so.
"I'm a bit jet-lagged," Hu Jia muttered. "I don't know if I'm over-jet or not. It's two o'clock in the morning here, but I'm not sleepy at all..."
"You probably haven't turned over yet, right?" Sun Lien said cautiously, "What time did you go to bed?"
"Um, three o'clock in the afternoon?" Hu Jia thought for a moment, then laughed, "Maybe it's because I took a nap for a long time in the afternoon."
Sun Lien chatted with Hu Jia for a few more words, and successfully tricked Hu Jia into sleeping, and then he carefully hung up the phone. However, there was an advantage to this sudden attack during working hours. He didn't care about Xiao Yanran anymore.
Sun Lien was secretly distressed by the incident. Sun Lien had done everything he could and should do. Next, he could only leave the little girl's affairs to fate. As long as she waited for a suitable liver source, she would still have a long life.
The ten-year survival rate of living liver transplantation is as high as over 80%. As long as she can wait for a suitable liver, Xiao Yanran may even be able to live a completely normal life.
Fate has been cruel enough to this little girl. I hope that the cruel fate will turn to smile at her in the future.
When it was almost time to get off work at noon, Sun Lien's ninth clinic was still not open. On the contrary, Dr. Cao Yanhua, who seemed to be in good spirits after a break, came again.
"Have you heard?" Dr. Cao walked to the table in front of Sun Li'en in a familiar manner, picked up the Coca-Cola that Sun Li'en had bought before he had a chance to drink it, and poured a sip into his mouth.
"What did you hear?" Sun Lien shook his head in confusion. It's okay to drink Coke, just don't grab my pen.
Dr. Cao put down the half-drunk bottle of Coke and burped, "Didn't you hear about that stupid thief who caused the fire department to come yesterday?"
"No." Sun Lien continued to shake his head sincerely. He really hadn't heard any news related to that stupid thief this morning.
"There is bone destruction in his shoulder joint, which leads to joint instability." Dr. Cao picked up the Coke and took another sip. "Looking at the X-ray, the lungs are full of low-density shadows. Tumor markers and pathology
The results haven’t come out yet, but it looks like it’s bone metastasis from advanced lung cancer.”
Sun Lien took a breath of air, "Even if this person stole something, he doesn't need to suffer such a big retribution, right?"
Dr. Cao was delighted when he heard this, "You didn't go to the emergency room today, right?"
"I didn't go." Sun Lien asked confused, "What's wrong?"
"You have to take a look and you'll know what a stupid thing you said." Dr. Cao said, "Didn't one of the handcuffs on this man have been removed? Well, now, all the leg and handcuffs have been put on again, and they are specially given to him.
A windowless processing room was vacated, and two armed policemen with guns stood at the door."