novel for you Chapter 1014: Door of Hope (Part )
Chapter 1014: Door of Hope (Part )
Qianzhou Province, Dongchuan City.
Dongchuan Children's Hospital.
In the ward, Xu Xiuxiu looked at her daughter lying on the hospital bed and felt as if her heart was being cut by a knife.
Xu Xiuxiu's eyes have been red these days, and she secretly wipes away tears almost every night.
On the hospital bed was a little girl about six or seven years old, her face flushed, sleeping in a daze and talking nonsense.
Xu Xiuxiu hasn't had a good night's sleep since her daughter was hospitalized for joint pain half a year ago.
Not to mention the huge amount of money the family spent, my daughter's condition showed little improvement.
"Eat some."
Xu Xiuxiu's husband Jiang Yuan came over with lunch and placed it in front of her. He said with a distressed look on his face, "We are taking care of Linlin now, but we must also take good care of ourselves. We don't want to collapse before Linlin recovers."
"Do you think Linlin's illness can be cured?"
Xu Xiuxiu glanced at her daughter lying on the hospital bed and asked her husband in a tearful voice.
"It will be fine, it will definitely be fine." Jiang Yuan comforted.
"It's been so many days, and Linlin's condition has hardly improved." Xu Xiuxiu said, almost despairing.
My daughter is only seven years old, so cute and sensible, but she has to suffer like this.
"I have sent a lot of private messages to Dr. Chen. I hope Dr. Chen can see it."
Jiang Yuan said: "Dr. Chen Yang is very skilled and has cured many difficult and complicated diseases. Perhaps he can cure Linlin."
"You've said this many times."
Xu Xiuxiu said, "Dr. Chen has so many fans, he must receive so many private messages every day, he definitely can't read them all."
"you eat first."
Jiang Yuan comforted him, "I'm sure you'll see it, don't worry."
Although she said this, Jiang Yuan also knew that his wife was telling the truth. With so many fans, Chen Yang must have a lot of rumors behind the scenes. How could an internet celebrity of Chen Yang's level possibly pay attention to the selfishness of every fan?
What's more, Chen Yang is a doctor and has his own job. The bigger the doctor, the harder it is to get an appointment.
"Eat something." Jiang Yuan helped his wife open the lunch box and persuaded her again.
Only then did Xu Xiuxiu pick up the chopsticks and reluctantly eat. She had no appetite at all during this period of time.
While Xu Xiuxiu was eating, Jiang Yuan opened his phone again, intending to send a private message to Chen Yang's account again.
For an ordinary person like Jiang Yuan, he has no channels to get to know great experts and famous doctors. Even if he knows that a certain expert is good at treating this disease, he cannot contact him and can only take his chances.
Chen Yang is Jiang Yuan's glimmer of hope, although this hope is very slim.
Jiang Yuan was stunned when he just opened the account. He actually saw the reply from Chen Yang's account.
"Hello, Mr. Jiang. I'm Dr. Chen's assistant. I'm sorry I only saw your message the day after tomorrow because I received so many private messages. If it's convenient, could you please send me the child's details privately?"
When Jiang Yuan saw this reply, he could hardly believe his eyes.
Chen Yang actually replied to him.
"Xiu Xiu, Xiu Xiu." Jiang Yuan called his wife in a trembling voice.
"What's wrong?" Xu Xiuxiu asked hurriedly.
"Look, Doctor Chen replied, Doctor Chen replied." Jiang Yuan handed the phone to his wife and said excitedly.
"Yeah, Dr. Chen really replied."
Xu Xiuxiu was also a little bit unconvinced and hurriedly urged: "Why don't you reply quickly."
"Let me look for Linlin's checklist."
As he spoke, Jiang Yuan hurriedly went to look for his daughter's examination forms. He found all the examination forms and even asked the attending physician specifically before sending over more detailed information.
......
Age: 7
Gender: Female
Main complaints: recurring high fever, multiple joint swelling and pain, poor treatment effect and obvious side effects.
Detailed description of symptoms:
Recurrent high fever (core symptom):
Characteristics: The fever is of the remittent type (body temperature fluctuates greatly, with daily temperature differences reaching 3-5°C, and peaks often exceeding 39°C or even reaching 40°C), and recurs repeatedly without obvious regularity.
Frequency and Duration: Each fever lasts from a few days to 1-2 weeks, with another episode occurring a few days or a week or two later. The patient appears pale and listless during the fever, but improves slightly during the cooling period.
Associated symptoms: Fever is often accompanied by chills, malaise, and a very poor appetite. Antibiotic treatment is ineffective (the parents explicitly mentioned that multiple antibiotics had been used without improvement).
Multiple joint swelling and pain (core symptoms):
Affected joints: Mainly affect the bilateral knee joints, ankle joints, and wrist joints, and are symmetrical or migratory (the painful/swollen joints may be different at different time points).
Nature of pain: The pain is moderate to severe, affecting daily activities and walking. Children often complain of joint pain and unwillingness to move.
Swelling: The affected joint may be noticeably swollen and warm to the touch (localized fever), with some slight redness. The swollen joint may have significantly limited movement.
Morning stiffness: Parents describe obvious joint stiffness when getting up in the morning, which is slightly relieved after movement and lasts for more than 1 hour.
"According to the information sent by the patient's family, three local tertiary hospitals (including at least a provincial children's hospital) conducted a series of examinations and highly suspected juvenile idiopathic arthritis (JIA). The specific classification may be polyarticular (RF negative or positive) or systemic (due to high fever), but the confirmed classification was not clearly mentioned."
In Chen Yang's office, Wen Manlu was explaining the situation to Chen Yang.
"The hospital treated me with glucocorticoids. After using a sufficient dose, the fever and joint symptoms were relieved to a certain extent, but the effect was not long-lasting. Once I tried to reduce the dosage, the symptoms quickly rebounded or even worsened."
"Immunosuppressants (such as methotrexate - MTX) are used as basic treatment drugs. However, after at least 3 months of use, joint swelling and pain and fever are poorly controlled, and serious side effects occur during treatment..."
"The child developed typical 'moon face' and 'buffalo hump' symptoms. He also had an increased appetite but his weight gain was too rapid and abnormally distributed. After using methotrexate, he developed recurrent oral ulcers, nausea and vomiting, and mild liver function abnormalities, causing him great pain..."
Chen Yang also looked at some examinations sent by the child's family.
"Joint ultrasound showed synovial thickening and joint effusion in multiple joints (knees and ankles). X-rays showed no obvious bone destruction in the affected joints."
As he looked at it, he said, "From a Western medical perspective, the symptoms present typical characteristics of a chronic, relapsing, multi-system inflammatory disease, with recurrent high fever and intractable polyarthritis as the core."
Then, Chen Yang said to Wen Manlu, "Tell Xiaoying and the others that they can contact the child's family to further verify the situation. We will take the child in."
"it is good."
Wen Manlu nodded: "I'll go and notify them right away."
Wen Manlu said as she walked out of Chen Yang's office.
After seeing this condition, Wen Manlu also suggested that the child could come to Kyoto Medical Center for treatment.