Plague Doctor
Chapter 312 Patient Preoperative Psychological Intervention [Request for Month Ticket, Request for Subscription]
Before Gu Jun rushed to the ward, he put on his protective clothes again, and now Xie Yiman's contagion has become uncertain.
After all, this is not a common skin disease, but probably a precursor to some kind of transformation disease.
When he came to the hospital bed, he saw Xie Yiman's mental sobriety. He seemed to recognize someone. When he saw him, he shouted: “Captain Gu, Captain Gu! ”
Gu Jun had already seen the new symptoms that Uncle Egg had just described on the road, and the lesion area of the patient's face had widened. The irregular red skin, which originally appeared only on the cheeks on either side of the patient's nose, spread out towards the surrounding area, the nose, chin, forehead, at this rate of development, may cover the entire face tomorrow.
And squamous cuttings appeared on the red skin, and the unbroken spots were the appearance of white cuttings splitting into little red scales.
Now it's just squamous skin dandruff, but Gu Jun seems to see that the disease spreads to the patient's entire body, and the slight edema will increase, eventually the whole body skin will fall off from a large amount to complete shedding, like exfoliative dermatitis, like the host girl in the illusion.
But the old skin is removed, and the new skin grows, and there are squamous keratin skin with other pigments.
“It tickles, so many bugs...” Xie Yiman's irritable words indicate that her spiritual world is also changing, "They have climbed elsewhere, ah, help me...”
Gu Jun gave her some exams and for the time being she could only turn around with a frown.
“The patient should be in Stage 2.” He was silent and communicating over at the command center, "which was indeed a pre-emptive phase, which increased the likelihood of scaly disease. ”
Only Sheikh Yiman is presenting with new symptoms, but this has been illustrated, not only as a mental disorder, but also as an abnormality of the nervous system. So they have to face the nervous system, the brain nervous system, that we don't know much about in human medicine.
Isophrenia, if it really develops into Isophrenia.
That's definitely not good news.
Gu Jun reminded the command center to immediately take Xie Yiman's current scaly skin chips with the deep diver and the scales he brought back from his fantasy dreams, and make a DNA test comparison to see if there were any identical fragments.
He felt the deep diver would be a breakthrough, but the bastard's systemic abyss mission still hasn't brushed out the anatomical deep diver for two days.
Since the emergence of Xie Yiman's new symptoms, experts at the Command Center and here at the North River People's Hospital have been discussing new treatment options.
“Arjun, we have to think about surgery.” Zhang Haidong said to Gu Jun, "The patient's condition is developing quickly and cannot be delayed. ”
Now there are two main possibilities.
One is to disconnect the patient from the source of the disease, or can it improve and recover.
The other is that those lesions are no longer salvageable, and all lesions must be removed and transplanted onto new skin.
Clinical trials are needed to find the right course of treatment for new diseases.
“First, do a RF damage to her trigeminal and facial nerves to see how it works.” Zhang Haidong added.
When treating nightmare disease, they disrupt the central nervous system by performing a lobotomy on the patient, thus disrupting the patient's mental connection to the nightmare house, which greatly slows the patient's disease development. Nowadays neurological damage in patients suspected of ischemia may also be effective.
The second approach, surgical resection of the lesion area, may also be effective.
There have been successful experiences in this area, such as Isobronchiasis and some other diseases, and the lesion tissue has been removed in a timely manner, even if the disease is cured. But there have also been failures, and if this is really a nervous system problem, it will continue to be affected if the old skin is cut off and the new skin is replaced or grown.
So in the absence of clear prospects for both paths, the medical team wants to try the first treatment first.
Mainly because the RF damage operation is fast, less risky, less difficult to recover after surgery, better suited to the initial attempt.
“Hmm...” But Gu Jun listened with a heavy heart, even for ordinary people, the consequences of this RF damage technique are hard to bear.
For the trigeminal nerve, this is a hybrid cerebral nerve with three neurofibrous functions: pain, touch, and motor function.
The damage technique can generally control which part of the damage is damaged. Radiofrequency disruption, like trigeminal meniscus, is mainly used to treat patients with trigeminal pain. The treatment principle is simple, this nerve makes you ache, and you can't stand it, so stop its sensory nerve conduction, only part of it retains tactile and motor functions, and if your brain doesn't receive the sensory information it sends, you won't feel any pain there anymore.
However, the surgical effect will not always be so ideal. Some patients have sequelae after surgery, the pain is gone, and all other sensations are gone. Since then, a severe numbness on the face can also affect the movement of the tongue, eyes, nose, etc., making it difficult to speak, swallow, or even breathe.
Now what the medical team is saying is to keep the sports function only, try not to damage the sports function, everything else is damaged.
But it also damages the facial nerves - this is a mixed nerve based on the motor nerves, and when their innervated facial muscles lose function, they develop facial paralysis: oblique mouth and eye, they can't even do basic facial movements such as frowning, exhalation, mucus, etc.
Xie Yiman is an actor, a young, successful and promising star actor, and is known to be ambitious.
To destroy both of her nerves almost amounts to ending her acting career early, in her current state of mind... is that acceptable?
“Jun, do you think we should explain this to the patient?” Grandpa Tong from the command center asked.
Gu Jun was silent for a moment. This was a difficult issue. Tell Xie Yiman that it would be difficult for her to accept, and more likely a mental breakdown.
Without telling Xie Yiman, this could be another chance for dark forces. When she finds herself being deceived by hiding, the consequences could be worse...
“Let me think...” Gu Jun couldn't make a decision at once, "I feel that it should still be up to the patient to make such a decision...”
“Then you help the patient make a decision.” Zhang Haidong expressed understanding and encouragement, "we doctors have such work. ”
How to handle the patient's psychology, explain to the patient the need for surgery, and relieve the patient's anxiety before surgery is one of the duties of the doctor.
This matter is left to Gu Jun because Xie Yiman is his patient.
Currently, the other 155 patients in the country, most of them celebrities, will not migrate from the country, and the command center has selected 45 individuals to be grouped for destructive treatment. 45 individuals are evenly distributed in terms of status, gender, and severity of disease to have a more comprehensive sample.
Three groups, each group of 15 people, one group does only trigeminal nerves, one group does only facial nerves, the other group does both pairs of nerves.
There's a blank control group, doing nothing, 15 people.
At the same time, there are more other experimental groups in the state of readiness, 15 people in one group are prepared to undergo trigeminal nerve sensory root amputation, which is a craniotomy, if the RF damage has no effect, escalate one step, cut themselves, but also more risk, more sequelae.
The other group of 15, prepared for skin resection, began cutting and implanting as soon as the disruption was ineffective.
But how Xie Yiman is treated is up to Gu Jun, and as the only patient presently suffering from stage II symptoms, her condition is special.
Perhaps neurological damage or skin resection is still useful in the early stages, and not necessarily in her now.
Patients do not always have a choice whether to undergo surgery or not, but Gu Jun wants to give Xie Yiman this right.
On the other hand, however, he also understands that this strange disease is not only a matter for Xie Yiman personally, but also for the well-being of more people in the world.
Before going to that quarantine ward again, Gu Jun found Wu Shiyu and talked to him. He did not cover his eyes for her.
“Anything is possible and no one knows what the consequences will be.” Wu Shiyu thought about it, "I finally understood why I didn't study medicine at first. ”
She patted him on the shoulder, "Xian Jun, if I were to say it, I would give them some hope. I'll show her your nightmare photos, tell her about fantasy dreams, golden aloe vera, take her there to cure her face if there's a suitable physical channel in the future, and the elders of Atar, who have vast powers and many ways to cure her. ”
“It does make the patient feel better...” Gu Jun thought, "There is hope, there is hope, and it is not a lie. ”
“Mm-hmm.” Wu Shiyu nodded, remembering something, "If you can live without your face, you can't die. ”
“Okay, that's it.” Gu Jun decided, "do as the goddess of hope says. ”
By the time the two of them walked into the quarantine ward together, Xie Yiman had been able to move himself and his mind was basically awake.
But with this sobriety, is a more intense sense of itching, a great panic. Xie Yiman approached the hysterical request to look in the mirror, as if she had noticed something. The nurse had to allow Gu Jun to look in the mirror, and she was suddenly lost.
“I was sleeping in a coma before and I saw a figure...” She muttered, "The skin on my face is falling off, will I do the same? ”
Gu Jun gently comforted her and asked her some questions.
Xie Yiman did not know any anchor girl, nor did she have a conversation with her in a coma. She just saw the other side from afar, and she couldn't move.
The other party looked at her and ran away. Just when she couldn't stand the itch and felt like she was about to explode, it seemed like someone had pulled her hand, and since then it has been much easier. When Gu Jun asked if she could describe the power of mutual help with a flavor, she said that the light sweet one was indeed Deng Xie Mai who saved her.
“Man, look at these pictures.” Gu Jun handed her Wu Shiyu's phone again to show her those photos from his nightmare days.
“Is this it?” Xie Yi Mammon, that looks worse than she is, another serious one.
“This is me.” Gu Jun said.
He has reported orally on this practice, which he has adopted, but the Golden Aloe must be kept confidential, otherwise information will be leaked and they fear for the tribes of their ancestors.
He agreed with that, so he only told Xie Yiman about fantasy dreams, where there were magic drugs, there were elders of Atar —— the evil followers who could try to do things in Usa town, and he thought that Usa town could stand there for so long, and it wouldn't be as simple as it seems, the cats, who knew what those cats really were.
“I can cure this face, just like yours. ”
Gu Jun first gave Xie Yiman hope, and then said about the surgical plan, Xie Yiman definitely burst into tears and almost collapsed into tears.
“Listen to me!” He said quickly, "Attar knows everything. There are many ways. The most important thing now is to save your life! Nor does it dissipate your sense of self, nor does it make you another alien creature. Just keep you, face problems have other chances. ”
Wu Shiyulian next door nodded, “I haven't seen the elder of Atar, but I heard that the guy lived to be 300 years old and looked about the same as when he was 100 years old. I can see that the elder of Atar is very good at skin care. ”
A hundred and a hundred. What's the difference in skin? Gu Jun really doesn't know the answer to this question.
But he took a long breath and nodded in agreement: "Attar still looks young. ”
“But...” Xie Yiman's emotions were still very exciting and confusing, and that little glimmer of hope was about to be strangled by immense despair.
Two days ago, she was shooting a young comedy movie starring Girl # 1, and she couldn't get enough of the announcements. The popularity and real traffic on the internet allowed her to hold the position of a first-line star. Also competing for the character of the NASA movie...
We need to win the prize, we need to win the box office championship, we need to be in the movie history...
Less than two days now, she may turn into a facial paralysis, one that is difficult to turn her eyes and move her mouth...
“I don't want to do that, I don't want to do that...” Her tears just kept dropping, "What did I do wrong? ”
“You didn't do anything wrong, just bad luck.” Gu Jun seriously said that in many cases the onset of illness is without cause and effect, the terminal nature of death...
He shook his head and said, “Man, you're unfortunate, but you're not the only one who's unfortunate, and a lot of people in the acting industry are ready for this surgery.” He reads out some of the names on the patient list, and they're all decent people, "- Man, it's a war, and we're gonna win it together. ”
While Xie Yiman was still crying, he was less excited and more confused.
And a consolation that is not just one person's misfortune… it is just one person's misfortune, which is too much.
Gu Jun is a little aware of this, not yearning for the misfortunes of others, but expecting others to truly understand his pain.
If no one understands the pain and suffering, all they get is silence and solitude, and peace of mind, which is too difficult to achieve...
He didn't ask Xie Yiman to do it, nor the girl in the illusion to do it...
What's that girl staring at? Is that the kind of pain that happened to her without anyone ever asking? Seeing other people do the same, does she feel... her presence? Who are you? Once upon a time?
At this moment, Gu Jun thought about it a lot. He felt more about “Alia Ji" 's mood and didn't know if it was right or wrong.
But anyway, this Sherman, he tried to save.
“One Man, I heard that we at NASA and later GOA were going to set up a new department dedicated to showcasing the image to the public. ”
Gu Jun did not say anything, it is true, the new department is similar to the Literature and Engineering Corps, “this department is responsible for filming the theme films of NASA, directors, actors and other talents are recruited. Man, if you survive, you can join this. Even facial paralysis has a facial paralysis, you know Kitano Takeshi? The facial paralysis was just as successful. Survival is the most important thing, and survival is possible. ”
“Mm-hmm.” Wu Shiyu answered, “That's right. ”
“Dr. Gu...” Xie Yiman swallowed. How could she not feel the enthusiasm and concern of both of them?
She knew that they really wanted to save her, and listened to those words, and her imagination of the future was not entirely dark.
It's just that it's up to me to make this decision, and I really can't...
“I don't understand medicine, I don't understand unusual powers...” Xie Yiman scratched his face and cried, “I trust you, you help me decide, you understand better. ”
“Okay.” Gu Jun took a deep breath. There must be no chance that he won't have surgery without it. He's going to give her a trigeminal nerve first. No more facial nerves. “Prepare yourself well. After the first stage of surgery in two hours, we must eliminate the itching on your face. ”