Song Zhe paused for a moment, then subconsciously twirled the pen in his hand.
"Because you're young?"
"That's possible."
Gu Lin didn't say anything more, but that evening, after get off work he didn't go back to his dormitory, but went back to his office.
The computer screen was lit up, and foreign databases were opened one by one.
Literature, case studies, highly invasive gastric cancer, postoperative immune response, combination therapy...
Gu Lin flipped through the pages one by one.
After an unknown amount of time, his movements suddenly stopped.
The screen displays a foreign case study, but the sample size is small, and the conclusions are not yet fully formed.
But one sentence in particular made Gu Lin's gaze linger for a long time.
[Some patients with highly aggressive gastric cancer, under specific immune conditions, may experience unexpected benefits from combination therapy.]
Gu Lin leaned back in his chair and tapped the table lightly with his fingers.
A moment later, he sat up straight again and opened a new blank document with only one line of text as the title.
Analysis of the Possibility of Combined Therapy for High-Risk, Poorly Differentiated Gastric Cancer
The office lights quietly fell on his face as he scrolled the mouse, scrolling through lines of English data beside him.
The number of cases was small, and it could not even be considered a large-scale study.
However, the characteristics of several of these patients are highly similar to those of Zhou Mingyuan.
Young, highly invasive, poorly differentiated, and with an unusually stable postoperative recovery rate.
Gu Lin took a sip of water, his mind drifting back to Zhou Mingyuan's state over the past few days.
The gastric tube was removed on the third day after surgery, and liquid diet was resumed on the fifth day. White blood cell count recovered quickly, inflammatory markers decreased and stabilized, and even his mental state did not resemble that of a high-risk, advanced gastric cancer patient.
This is actually quite contradictory.
The more aggressive the tumor, the greater the body's energy expenditure should be, but Zhou Mingyuan's case was the opposite.
Gu Lin paused in his tapping motion on the table, and after a moment, he reopened all of Zhou Mingyuan's test results.
Time passed slowly, and at one o'clock in the morning, the only sound in the office was the tapping of keyboards.
Song Zhe rubbed his eyes, his gaze still heavy with the weariness of being woken up by a phone call. He was completely bewildered as he passed the office.
"Why are you still here?"
Gu Lin yawned and stretched his sore neck.
"Let's watch for a while longer."
Song Zhe walked over and glanced down at the screen.
Full page in English.
He pulled up a chair, sat down, and looked around while asking questions, resting his chin on his hand.
"What did you figure out?"
Gu Lin didn't answer immediately, but instead pushed a document over.
"Look here."
Song Zhe frowned, struggled to read the English for a long time, and finally gave up.
"Just speak like a human being."
Gu Lin chuckled softly.
"Simply put, some patients with highly aggressive stomach cancer do not necessarily have a poor response to treatment."
"Conversely, if the immune status is unique, it may be more sensitive to combination therapy."
Song Zhe was slightly taken aback, and something suddenly flashed in his eyes.
"So you mean...?"
Gu Lin looked down at Zhou Mingyuan's test results.
"Zhou Mingyuan is recovering so well, it's not like a normal high-risk stomach cancer patient."
After carefully recalling the recent recovery status of Zhou Mingyuan, Song Zhe realized that the recovery speed was indeed outrageous.
Many stomach cancer patients have difficulty getting out of bed after surgery, but Zhou Mingyuan is almost able to walk around the ward.
"You suspect he belongs to a special type?"
"It's not a doubt."
Gu Lin tilted his head to look at Song Zhe, his eyes were very bright.
"It's worth taking the gamble."
Song Zhe paused, taking a breath.
"bet?"
Gu Lin clicked on another document.
"The traditional approach can certainly be used, but with this type of pathology, the risk of recurrence is too high."
"If a more sensitive immune response exists, then combination therapy may be more beneficial than the standard regimen."
Looking at Gu Lin's calm expression, he even had the illusion that he wanted to trust him unconditionally.
Song Zhe let out a breath and asked in a low voice one last time.
Are you confident?
Gu Lin did not answer immediately; a few seconds later, he gently shook his head.
"No one can be certain; cancer is never a 100% certain thing."
"But if we do nothing, the result is basically already written on the pathology report."
Looking at him, Song Zhe suddenly realized that Gu Lin's current state was a little different from usual.
Gu Lin is usually low-key, gentle, and even a bit lazy.
But once it comes to cases and treatment directions, that feeling suddenly becomes very sharp, like something that has been suppressed is finally beginning to emerge.
At 1:30 a.m., Gu Lin finally closed the last paper and reopened a blank document.
Analysis of the Possibility of Combined Therapy for High-Risk, Poorly Differentiated Gastric Cancer
Below is all of Zhou Mingyuan's medical records...
The next morning, in the gastrointestinal surgery office.
As soon as Song Zhe entered the room, he saw Gu Lin asleep on the table.
The computer was still on, and a small stack of printed documents had already piled up next to it.
"..."
Song Zheren fell silent. He suddenly understood why Lin Hanchuan valued Gu Lin so much.
Some things are not something that can be faked.
The morning shift handover ended at 7:45 a.m.
As soon as Lin Hanchuan sat down, Song Zhe handed him the document.
"Director, Gu Lin tidied it up last night."
Lin Hanchuan took the document and looked down to read it.
A dozen minutes later, he turned to the last page and slowly stopped moving.
Gu Lin walked over, his voice still a little hoarse.
"director."
Lin Hanchuan looked up at him.
Do you think Zhou Mingyuan is suitable?
"There is a chance."
Gu Lin did not make his statement completely.
"But further testing is needed to support this."
Lin Hanchuan remained silent for a moment before speaking.
"reason."
Gu Lin retrieved Zhou Mingyuan's post-operative recovery data.
"The recovery was too fast, and the inflammatory response pattern was incorrect."
"In normal high-risk, poorly differentiated gastric cancer, postoperative consumption should be more pronounced, but he did not. I suspect his immune status may be somewhat unique."
Suddenly, a scratching sound came from the office. Song Zhe realized it was from the two resident trainees next to him.
One was scratching his hair, and the other was staring blankly at the ceiling.
Song Zhe's lips twitched, and he raised his arm to gently bump them both.
The two snapped out of their daze and exchanged a helpless glance. It was the first time they had ever realized that someone could discern such a thing from someone's post-operative recovery.
Comparing yourself to others is truly infuriating.
Song Zhe couldn't help but mutter a curse under his breath.
"abnormal……"
Lin Hanchuan didn't laugh. He lowered his head and flipped through the documents again. After a moment, he looked at Song Zhe.
"Contact the oncology department for an afternoon MDT (Multidisciplinary Team) session."
"Director, are you really prepared to discuss this direction?"
Lin Hanchuan looked up and rubbed his fingertips on the document in his hand twice.
"Why not discuss it?"
"The patient is still young, and it's worth trying as long as there's still a chance."
Gu Lin's heart suddenly clenched. He looked at Lin Hanchuan and suddenly realized something.
Why was this person able to become a core member of the Department of Gastrointestinal Surgery at the First Affiliated Hospital of Haicheng University?
Because truly top-notch doctors are never the most conservative people.
Rather, they are people who, knowing the risks, are still willing to fight for that sliver of hope for the patient.
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