Top-tier doctoral supervisor, reborn as a first-year graduate student in standardized residency trai
Chapter 59 Don't Die Suddenly
2 PM, MDT conference room.
People from the gastrointestinal surgery, oncology, pathology, and radiology departments arrived one after another.
The projection screen lit up, and Zhou Mingyuan's medical records were displayed.
Many people in the meeting room actually knew about this case.
The patient was young, and the preoperative assessment was too early, resulting in postoperative pathology directly showing T4aN3b.
Such a disparity would be hard for anyone to bear.
The head of the oncology department first went through the pathology report.
"Positive results for poor differentiation, vascular tumor embolism, and nerve invasion indicate a very high risk."
The radiologist also frowned.
"The preoperative CT scan did not show obvious distant metastasis, so the lesion may be progressing faster than expected."
The pathologist added a comment.
"Moreover, it is highly invasive, and the probability of recurrence is not low."
The atmosphere in the meeting room gradually became tense. Song Zhe sat in the back row, feeling inexplicably nervous.
Because he knew that what Gu Lin was going to say today was different from the usual plan.
Sure enough, as the discussion progressed, Lin Hanchuan looked at Gu Lin.
"Gu Lin, tell me your plan."
Many people in the meeting room looked at each other in surprise. It was very rare to see a first-year graduate student speaking at the MDT meeting.
Amidst a dozen piercing gazes, Gu Lin stood up and moved the document to the next page.
There are no complicated English abbreviations or long passages of technical jargon.
The first page only contains Zhou Mingyuan's postoperative recovery data.
The head of the oncology department frowned slightly.
"This is?"
Gu Lin didn't lay any groundwork; after a few simple words, he went straight to the point.
"Zhou Mingyuan's postoperative recovery speed is significantly faster than that of patients at the same stage. His inflammatory markers have decreased and stabilized, his white blood cell count has recovered quickly, and his nutritional status is better than expected."
Someone couldn't help but ask.
"Isn't a fast recovery a good thing?"
"That's a good thing."
"But the problem is that this state of recovery does not match the degree of his pathological invasion."
Gu Lin continued scrolling down.
The second page contains several case studies from abroad.
"Some studies have found that some patients with highly invasive gastric cancer may have a special immune response state."
"These patients may be more sensitive to combination therapy than the general population."
The head of the oncology department subconsciously sat up a little straighter and pushed up his glasses.
"You mean, Zhou Mingyuan might belong to this category?"
"Possibly."
Gu Lin did not say "death".
"Therefore, I suggest further improving the testing, and if the results meet the criteria, we can consider combination therapy."
The sound of banging on the table could be heard continuously in the conference room, and someone frowned and asked.
"There is currently insufficient evidence for this approach, and the cost will be high, which patients may not be able to afford."
Gu Lin nodded, not denying it.
"I know, so instead of using it directly, we screen it first. If there is absolutely no possibility of benefit, there is no need to add to the burden."
A few seconds later, the head of the oncology department suddenly asked a question.
Did you compile these materials all by yourself?
"Yes, Director."
"..."
Song Zhe silently lowered his head and drank his water; he was too lazy to be shocked anymore.
After observing a surgery that lasted more than four hours yesterday, he was still able to stay up late last night reviewing literature. This person is definitely not a regular Pearson.
Lin Hanchuan leaned back in his chair, his voice remaining calm.
"Go on."
Gu Lin nodded.
"Traditional methods are still the foundation, but if Zhou Mingyuan really belongs to a highly sensitive group, then he may not be without a chance."
"At least, it's worth trying than simply waiting for a relapse."
No one spoke immediately in the meeting room, because everyone knew that the worst thing about this kind of pathology was that even after a radical cure, the condition would relapse rapidly within a year.
The head of the oncology department remained silent for a moment.
"We can improve the testing, and if the results support it, we can discuss a joint approach."
Someone nearby frowned in thought.
"Isn't this too radical?"
The head of the oncology department asked a question in return.
"Do you have a better idea?"
In short, the meeting room fell completely silent.
Because everyone understands the pathology of Zhou Mingyuan.
Being conservative often doesn't mean being stable; it means patiently waiting for the outcome.
Lin Hanchuan finally spoke.
"We'll do the testing first, and then decide on a specific plan based on the results."
After the meeting ended, Song Zhe let out a long sigh of relief.
"Damn it, I almost thought you were going to get brutally beaten to a pulp by the oncology department."
Gu Lin smiled.
"It's not that exaggerated."
"You call that not exaggerated?"
Song Zheren was completely numb.
"Do you know who those people who were just sitting there are?"
"Starting as a deputy director."
"You're only a first-year graduate student, yet you're already discussing treatment directions in an MDT (Multidisciplinary Team) meeting. I'm starting to suspect you've secretly pursued a PhD."
Gu Lingang blinked, just about to speak, when a voice suddenly came from behind him.
"Gu Lin".
The two turned around.
Lin Hanchuan stood on the other side of the corridor.
"director."
"Come with me."
In the director's office, Lin Hanchuan closed the door and handed a test application form to Gu Lin.
"You can continue with the subsequent tests."
Gu Lin took the order.
"it is good."
Lin Hanchuan looked at him for two seconds, then suddenly asked.
Why did you choose this direction?
Gu Lin remained silent for a moment.
"intuition."
"intuition?"
"Um."
Gu Lin looked down at the application form.
"Zhou Mingyuan is recovering too quickly. This condition doesn't seem like that of a typical high-risk stomach cancer patient."
Lin Hanchuan didn't speak immediately. He looked at Gu Lin with a strange expression. After a moment, he spoke.
Do you know what the biggest difference is between many doctors and researchers?
Gu Lin's gaze was questioning.
"Doctors can cure diseases."
"Researchers will be skeptical."
"Question everything that is taken for granted."
Lin Hanchuan leaned back in his chair.
"Many people see pathology and only feel danger, but what you see is abnormality."
"That's good."
Keep it up.
Gu Lin was slightly taken aback. This was the first time Lin Hanchuan had truly affirmed his scientific research thinking.
Just then, the system interface suddenly lit up slightly.
[Hidden Scientific Research Events Progress]
Current progress: 40%
[Evaluation Received: Development of Research Thinking]
[Reward Preloading: Enhancing Understanding of the Tumor Microenvironment]
Gu Lin's gaze paused for a moment before he closed the interface again.
Lin Hanchuan looked at him and suddenly asked a question.
Are you tired?
Gu Lin was stunned for a moment, and didn't react immediately.
"fine."
Lin Hanchuan nodded, his tone unusually gentle.
"Don't die suddenly."
"I'm giving you half a day off today."
Gu Lin: "..."
The office was quiet for two seconds before Song Zhe pushed the door open and came in.
"Director, what's up with the testing?"
Before he could finish speaking, he suddenly sensed that something was wrong.
"...Did I come in at the wrong time?"
Lin Hanchuan's cold expression returned.
"Get in here and talk."
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