Sleepless Doctor

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"Ms. Wu, do you think this patient is at risk?" Yun Lan asked softly.

After coming to Fangcai Hospital for a few days, Yun Lan chatted with other medical staff, how much she knew what everyone was most worried about when Fangcai Hospital was just established. Therefore, Ms. Wu Mianwu was very concerned about this old patient, and she naturally thought of it for the first time.

The so-called risk has many meanings from a doctor, and Wu Mian knows what Yun Lan means.

"It's not what you think." Wu Mian said, pointing to the tumor on the image, "I think the patient's Hodgkin's lymphoma has improved."

"I... go!" Yun Lan was shocked, and hurriedly moved over.

But the next second a hand pressed on Yun Lan's head, "Keep your distance."

"Wearing protective clothing." Yun Lan explained embarrassedly.

"Get into a habit," Wu Mian said lightly, and then got up and gave Yun Lan the position to let her compare.

Yun Lan was startled, "Mr. Wu, I'm worried that I can't understand."

"It's okay, it's very simple. You look at it first." Wu Mian said, "The patient's specific situation needs to be observed. Why does it cause..."

"Is my senior brother teaching patients to use Tai Chi to cure cancer?"

After blurting out a word, Yun Lan felt that the atmosphere in the room became a lot more serious.

If it is for this reason, can I devote my whole life to the research of Tai Chi and the treatment of cancer? Yun Lan's little head was thinking wildly.

A few seconds later, Wu Mian said indifferently: "Doctor Yun, if you believe this, I will definitely find time to talk to your instructor."

"Uh……"

"Do you think the tumor reduction is related to your senior's Tai Chi? Really think so? Your tutor taught it during class?"

"But……"

"Do you know a term called tumor immunity?" Wu Mian stood beside Yun Lan, looking at her back and said, "Doctor Yun, talk about tumor immunity."

The definition of tumor immunity is too broad, Yun Lan concluded at a moment's notice.

"Do you know what an oncolytic virus is?"

Yun Lan continued to conclude.

Her major is respiratory medicine, and she has contact with other disciplines, but she doesn't know much. Yun Lan knew a little about the concept of oncolytic virus, but she felt a little timid to ask her to speak out in front of the author of "Diagnostics".

"The father of tumor immunotherapy is William Coley. He discovered something interesting more than a century ago."

When Wu Mian saw Yun Lan not speaking, he explained.

"A terminal cancer patient has been declared "no medicine to cure", but miraculously recovered without any treatment and lived a long life. Although this sounds like an urban rumors, in medicine, the cancer is cured on its own. Strange events are not uncommon. You are a doctor specializing in respiratory medicine, and you should have seen similar patients if you want to."

"Yes, I have encountered a few. One of the patients had a tumor recurrence 3 years after right lower lobectomy. I suggested that the patient undergo a bronchoscopy for pathology, but the patient does not know whether he cares or feels that he is incurable. , So there has been no inspection, just regular review." Yun Lan immediately gave an example to prove.

"and after?"

"Two years later, the patient's right lung main bronchus has been squashed by the tumor. The diameter of the tumor is about 6cm. But the strange thing is that the patient seems to be living with the tumor. Except for occasional chest tightness and shortness of breath, there is no discomfort."

"It's been eleventh year after the operation. He used to be accompanied by his wife to see a doctor, but before the epidemic, the patient came to the hospital to prescribe heart disease medicine for his wife, but he did not respond at all."

"What you are talking about is the living condition with tumor, and tumor immunotherapy is two different things." Wu Mian felt that Yun Lan was a little nervous, so he didn't understand the meaning of the words, so he smiled and said, "There are cases of self-healing malignant tumors recorded in medical literature. There are more than 1,000 cases, and there are more than 80 cases of self-healing patients in our country."

"Not too much, Teacher Wu, who did the research."

"In the summer of 1890, Dashir, a young girl, was admitted to the hospital where Colley was located because of a hand injury. At that time, Dr. Colley thought that the swelling on Dashir’s hand was caused by an abscess, and performed an abscess drainage operation on her, but the result was almost nothing. Juicy, the swelling of Dahir's hand is caused by a sarcoma."

"Doctor Yun, if it were you, what treatment would you give the patient?" Wu Mian continued to ask habitually.

"The malignant degree of sarcoma is very high, I suggest radiotherapy." Yun Lan said without hesitation.

"There was no radiotherapy 130 years ago."

"Uh...removed?"

"Dr. Coley used the roughest surgical method at the time to amputate Dahir below the elbow.

However, this did not save the girl's life. The sarcoma had already spread to her neck and abdomen.

In less than a year, Dashir died at home, and Dr. Coley has been observing the evolution of Dashir's condition during this process. "

"I don't know why. Some people say that it may be that Dr. Colley fell in love with this young girl, but... Don't talk about this. After Dashir died, he read a lot of information and looked for many doctors to look for similar cases. To a cure for sarcoma."

"But Dashir is dead."

"If I continue speaking, you will know." Wu Mian said lightly, "Later, a case attracted the attention of Dr. Colley-a patient with soft tissue sarcoma healed on his own. Dr. Colley found this patient and asked about the medical history in detail. .

Note that this is a point of knowledge. If you encounter a similar situation in the future, it is very difficult to follow up the medical history. "

Wu Mian automatically switches to the state of Teacher Wu.

Yun Lan nodded, as if in a classroom.

"This patient was infected with streptococcus again when he was dying. At that time, the cemetery at home and the cemetery was ready, just waiting for him to die. But what is strange is that when the patient's immune cells fight with the germs, the sarcoma on his neck is also accompanied by it. Shrunk.

When his streptococcus was completely killed, the soft tissue sarcoma magically turned into an innocuous scar. "

"Later he started to study immunotherapy?" Yun Lan asked in surprise, "This is too early~www.wuxiaspot.com~Immunotherapy is a tumor-specific treatment that has only emerged in recent years.

Even now, immunotherapy is still immature and still in the exploratory stage.

What Yun Lan never expected was that as early as 130 years ago, some doctors had already begun to think about immunotherapy.

This is simply too advanced, which makes it difficult for Yun Lan to accept.

"After a large number of literature reviews, Dr. Colley also searched another 47 similar cases.

At that time, he speculated that a bacterial infection would trigger an immune response, causing the patient's body to actively attack cancer cells.

His idea is similar to that of Pasteur’s vaccines—if accidental infections can sometimes recover cancer, why not deliberately create some infections to treat cancer? "

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