The Pentium Era - South to North
Chapter 1695 No more choices
Zhang Chen walked over and sat down next to Qian Fang. He saw tears in Qian Fang's eyes.
Zhang Chen asked: "Are you okay?"
"Not good." Qian Fang said, "What did the dean tell you?"
"He hasn't said anything yet. He said he would come back to us after an inspection later, so he asked about Meng Ping's daily situation. However, I'm not optimistic."
"I can tell." Qian Fang said.
The two sat and smoked silently. After a while, Qian Fang asked:
"Zhang Chen, do you still remember that when Lao Meng was in jail, a few of us were waiting for him outside?"
Zhang Chen said he remembered.
"Although Lao Meng was not here at that time, we always felt that there was still hope. Even if you were in jail, you would be released one day." Qian Fang paused for a moment and sobbed: "But now, the person is right in front of us, but why?" It makes people so desperate, even though we have great abilities, there is nothing we can do.”
Zhang Chen sighed, the cold wind blew past their ears. In the flower bed behind them, the leaves and flowers seemed to have been frozen hard, making a metallic sound in the wind.
Zhang Chen said: "Qian Fang, I'm sorry."
"Sorry for what?"
"I apologize to you on Meng Ping's behalf," Zhang Chen said.
Qian Fang said "Oh" and asked, "Why?"
"Actually, you should have been together a long time ago. It was Meng Ping who kept hesitating. I asked him and he said that he didn't want to be sorry for you and didn't want you to become like his parents after you get married." Zhang Chen said, " Now that I think about it, he was wrong.”
Qian Fang turned around and looked at Zhang Chen. Zhang Chen saw her tearful eyes and quickly avoided her gaze. Qian Fang said:
"Zhang Chen, let me ask you a question."
Zhang Chen said yes.
"Are you men so damn self-righteous?" Qian Fang asked.
Zhang Chen said nothing.
Qian Fang finished her cigarette and put it out on the tiles of the flower bed. Zhang Chen took out the cigarette and handed her another one. Qian Fang took it and Zhang Chen lit it for her and then lit it for himself. One.
Next, the two of them didn't speak anymore, they just smoked silently. Zhang Chen's head was slightly raised. He saw that in the distant sky, there were only a few faint and sparse stars, and the cold wind blew on his face. , a little painful, but it also makes people sober. This kind of sobriety is unnecessary. Zhang Chen hopes that he can be confused at this moment.
"Brother Chen, Brother Chen, the dean is looking for you." Xiao Wu stood at the gate and called to them.
Zhang Chen stood up and said to Qian Fang, "I'll go there first."
Qian Fang also stood up, threw away the cigarette, wiped her eyes with her hands and said, "Okay, I'll go over and listen too."
They walked back to the corridor and saw a nurse standing there with Chen Yaqin. Seeing them coming, the nurse said:
"Let's go to the second floor."
Zhang Chen nodded and followed her with Chen Yaqin. Qian Fang also followed. The nurse looked at her and wanted to say that there was no need to go with so many people, but when she saw Qian Fang's face, she stopped talking. , Xiaofang also stood up, she said:
"I am coming too."
The nurse led them up to the second floor and walked along a dimly lit corridor. When they reached the end, they opened the door. The light was bright inside. The nurse stood at the door and said inside:
"Dean Wu, they all want to come on their own."
Dean Wu looked up and saw that there were four people standing at the door, not two. He waved and said, "Please come in, everyone, please come in."
Inside the door is a small conference room. Sitting there are not only Dean Wu, one on the left and one on the right, but also two people in white coats.
The four of them, Zhang Chen, sat down across from them. Dean Wu first introduced the two people. The one on the left was Professor Cui, and the one on the right was Professor Zhang. After the introduction, Dean Wu and Professor Cui said:
"Please introduce the patient's condition."
Professor Cui told them: "After preliminary examination, the patient's condition is not optimistic. All indicators are very poor. Cancer cells have spread in his body over a large area. The possibility of surgery has been ruled out."
"What should I do? Can I just undergo chemotherapy?" Zhang Chen asked.
Professor Cui looked at Zhang Chen and said, "Based on his current physical signs and PS assessment, it is 3 to 4 points."
The three people here, Zhang Chen, Qian Fang and Chen Yaqin, all looked at Professor Cui with blank expressions. They didn't know what he meant. Xiaofang said, "In other words, you can't even do chemotherapy?"
The so-called PS score is a doctor's assessment of the physical activity and endurance of cancer patients who will undergo chemotherapy, with a total score of 0-5.
A score of 0 indicates a completely normal state, a score of 1 indicates mild symptoms, a score of 2 indicates that the patient is active for more than 50% of the time during the day, a score of 3 indicates that the patient needs to stay in bed for more than 50% of the time during the day, and a score of 4 indicates that the patient spends most of the time in bed. All require bed rest, and 5 points means death.
In the choice of chemotherapy for non-small cell lung cancer, the PS score is required to be between 0 and 1, while for patients with small cell lung cancer, it can be moderately relaxed to 2 points. Meng Ping's score is between 3 and 4, which means that his body cannot bear it at all. Chemotherapy.
Professor Cui nodded, turned to Xiaofang and said: "The risks of chemotherapy are very high. We will not recommend second chemotherapy. Moreover, the blood test shows that the patient's protein C and protein S are deficient, and the blood is in a hypercoagulable state."
Xiaofang sighed: "There is a huge risk of blood clots. Will chemotherapy aggravate this risk?"
Professor Cui nodded.
Xiaofang asked: "Can it be targeted? Use Iressa? I don't know if it is available in China now."
Professor Cui said: "Iressa was approved by our country last year and can be used. The early clinical trials were done here. It can be said that the effect is very good. However, the current cost of targeting is very high, and it is comprehensive. At your own expense..."
"You don't need to consider the cost. We can treat it no matter how much it costs, as long as you can use the best resources and the best medicine." Qian Fang said.
Professor Cui nodded: "If there is no pressure on the cost, targeting is the best choice at present. However, before targeting, you must first undergo genetic testing. The time for genetic testing can be seven days at the fastest, and the patient... "
"What kind of genetic test is this? Can't it be speeded up?" Zhang Chen asked.
"Seven days is the fastest." Professor Cui said, "Our hospital cannot do this ourselves, it needs to be sent out."
Zhang Chen saw that Professor Cui was hesitant in speaking and knew that he had something crucial to say that he had not yet said. Zhang Chen looked at Chen Yaqin and said to the other person:
"Professor Cui, tell us the truth, how bad is the patient's condition? How long can he live in this condition?"
Professor Cui looked at Dean Wu, who nodded. Professor Cui said: "If we are optimistic, it will be two months, but we estimate that it should be one month."
As soon as Chen Yaqin heard this, she covered her lips with her hands and burst into tears. Qian Fang, who was next to her, quickly reached out and hugged her.
"I can't wait any longer. My suggestion is a blind audition." Xiaofang said, "The earlier the better."
Dean Wu asked: "Are you also a doctor?"
Xiaofang shook her head and said no, she still knew something about this.
Dean Wu nodded and asked Zhang Chen: "What are your opinions?"
Zhang Chen asked Xiaofang: "What is a blind audition?"
Xiaofang said: "Genetic testing takes too long. Since targeting is the best and only option now, I mean, while waiting for the results of genetic testing, we will use Iressa immediately. Can’t wait seven days.”
Zhang Chen continued to ask: "What is the worst result of the blind test?"
"Targeted drugs are different from chemotherapy drugs. They are relatively mild and have few side effects. The worst result is that when the test results come out, Lao Meng does not find the EGFR gene mutation. The targeted drugs have no effect, and all the money spent previously was wasted." Xiaofang said.
Zhang Chen understood, that is, treating a dead horse as a living horse. Zhang Chen nodded and said, I agree.
Zhang Chen asked Chen Yaqin again: "Chen Yaqin, what's your opinion?"
Chen Yaqin said: "I don't understand at all. You have decided, and I will listen to you."
"We require blind auditions," Zhang Chen and Professor Cui said.
Professor Cui nodded and said, "Okay, I understand."
Zhang Chen asked Dean Wu: "Dean, I'm sorry, can I hear your opinion? It's a personal opinion, informal."
Dean Wu pursed his lips, pointed at Xiaofang and said, "One of you understands. My opinion is the same as hers. Now, grabbing time is the first priority."
After the treatment plan was determined, the meeting ended. Everyone stood up and walked outside. Qian Fang held Chen Yaqin's hand. Xiaofang fell at the back. She leaned next to Dean Wu and whispered:
"Dean Wu, I'm sorry, I have no other intention. I just want to ask, if we send the patient to the United States now, is it too late? I still have a certain relationship with MD Anderson Cancer Center."
MD Anderson Cancer Center is the number one cancer treatment center in the United States for many consecutive years and is also a world-renowned hospital. Of course, President Wu knows this.
Dean Wu said: "My opinion is don't bother. It's too late. If it had been discovered two months earlier, it would have been OK."
Xiaofang nodded and said, "I understand, thank you, Dean Wu."
Zhang Chen and the others went downstairs and saw Cao Xiaohe and the others still sitting there, with the addition of Xu Jiaqing, but Li Yang was not seen.
Cao Xiaohe told them that Lao Meng had already gone to the ward. Li Yang would be here to accompany him tonight while we went to the hotel.
Liu Yun said: "We have already contacted the hotel. The Kunlun Hotel on Huashan Road is about 400 meters away on foot. It is quite convenient. The Shanghai Hotel diagonally opposite was originally the most convenient, but there are no rooms anymore, and the hotel is relatively convenient." old."
Zhang Chen said yes, we will go there, Qian Fang, you guys stay here first.
Little Nail was already asleep in Cao Xiaohe's arms, and Xiao Wu wanted to pick him up. Cao Xiaohe said, "No, no, no, no, no, no, I'm used to it. When Yuanyuan was this big, I would carry her around."
Everyone went outside, arrived at the parking lot, and got in the car. Liu Yun drove at the front. After exiting the gate, she drove along Urumqi North Road at the door to Yan'an West Road, turned right, drove to Huashan Road, turned right again, and saw Jing'an. Kunlun Hotel, if you want to walk, just walk along Huashan Road from the hotel entrance, turn right at the Changshu intersection, it is still Huashan Road, and at the end is Huashan Hospital.
Zhang Chen stood at the door of the hotel, looked at it, and asked, "Is this place very close to our club?"
Liu Yun is right, go straight past Changshu Road and you will reach your club, which is only a few hundred meters away.
Thank you Quadratic VC for the reward! Thank you to Qianqian’s dad, Gongzi Mianzhi, Mountain Green Bamboo Shoots, Purple Puppet, and Book Friends 20180716172651169 for their monthly votes! Thanks for all the votes and reading! I wish you all good health!
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