Chapter Twenty-Seven: A Strong Woman

Mrs. Yang's reaction is the reaction that a normal person should have. In order to transplant bone marrow, Yang Jianqiang once underwent whole-body radiotherapy to kill all the autologous bone marrow in his body. Therefore, Mrs. Yang herself is no stranger to radiotherapy. The problem is that before chemotherapy is ready, doctors will explain in detail the location of the radiation, the duration of each radiation, the total dose of radiation, and the possible sequelae.

To put it bluntly, this behavior is like having a navigation map when you are stuck in traffic on the highway to see how far ahead you are congested. While the hints may not be accurate, they will certainly not be of much help to the traffic jam itself. But if you know what's going on and have a rough estimate of the congestion ahead, then whether it's the driver driving the car or the bored passengers sitting in the car, you will feel a lot more comfortable.

When it comes to medical decision-making, it is not as simple as satisfying legal requirements to fully and thoroughly explain the patient's condition and the possible risks of treatment to the patient and his or her family. It is undoubtedly beneficial to obtain the patient's consent and the patient's family's cooperation and understanding before proceeding with the treatment.

However, Sun Lien and Yuan Ping'an were unable to explain to Mrs. Yang the content of the treatment they chose. Because even the two of them didn't know how many times they had to do radiation for Yang Jianqiang to curb the further invasion of Toxoplasma gondii.

"That's the case......" Yuan Ping'an was ready to use ambiguous words to confuse this question, anyway, even if the patient's family couldn't understand a lot of the content. They just need to know that this treatment option is beneficial to the patient and is the only option at the moment.

"We're not sure exactly how far it will go. Sun Lien interrupted Yuan Ping'an's speech and completely confessed the uncertainty in the treatment plan. "His immune system is gradually recovering, and the rate of suppression of the immune system through drug adjustments is too slow. A reactivated immune system may cause the edema in his brain to expand rapidly and develop an abscess. Due to the special nature of the cause of abscess, it is impossible to solve the causes of the abscess before it occurs. ”

Mrs. Yang was a little dizzy by this series of explanations, and she asked hesitantly, "What is the cause of the illness?"

"Toxoplasma gondii. Sun Lien and Yuan Ping'an replied in unison, and Yuan Ping'an preemptively explained, "The patient himself has undergone a bone marrow transplant and then taken immunosuppressants for a long time, which increases the possibility of him being infected with Toxoplasma gondii......"

Moreover, it is very likely that Yang Jianqiang has always been a carrier of Toxoplasma gondii or even a latent infection. "The volunteers who donated bone marrow had not been exposed to Toxoplasma gondii, so the immune cells produced by his bone marrow were not effective in curbing Toxoplasma gondii infection, so for more than a year, Toxoplasma gondii extensively infected the tissues and organs in Yang Jianqiang's body." Since there is no immune system attack and threat, Toxoplasma gondii is mainly a metastatic infection. It does not produce substances that fight the body's immune system, so it does not trigger a widespread inflammatory response. ”

"But the damage remains. Yuan Ping'an took over the conversation, he seemed to be a little surprised by Sun Lien's diagnosis at first, but with Sun Lien's words, Yuan Ping'an immediately realized that this might be the real course of the disease. "The patient's immune system gradually became active after the onset of cerebral edema...... "He did not mention that after the adjustment of the immune regimen, the decline in the level of immune system suppression may be the main cause of the deterioration - although the doctors did not have any intention or omission in the treatment process, but if this kind of thing is not said, it may be possible to avoid a medical trouble." "And the reactivated immune system is re-suppressed, which takes about a dozen hours, but ...... Yang Jianqiang may not have these more than ten hours of effort. If we don't stop Toxoplasma gondii from further invading surrounding tissues with gamma knife irradiation as soon as possible, a widespread intracerebral abscess could crush and damage Yang's brain. It's going to kill you. ”

Sun Lien glanced at Yuan Ping'an, sighed and added, "But there is no precedent for this treatment plan. No one has ever irradiated the gamma knife to kill the toxoplasma gondii present in the human body before. Most of the information we can refer to so far is the trial records left over from thirty or forty years ago for the manufacture of toxoplasmosis vaccine. ”

From Yuan Ping'an's sentence "the damage still exists", Mrs. Yang began to sobble uncontrollably. When Sun Lien honestly confessed that "there has never been a precedent", she finally covered her face as if she had an emotional breakdown, and leaned down and cried bitterly.

The conversation took place in the small conference room of the rescue room, and there were only three people in the whole room: Sun Lien, Yuan Ping'an and Mrs. Yang. Mrs. Yang cried, and Yuan Ping'an suddenly panicked. Sun Lien, on the other hand, didn't say a word, lowered his head and sighed softly.

Sun Lien was very sympathetic to the woman in front of him. She's not young anymore, and the status bar says she's thirty-three. It should have been a family and a career, but it should be a headache for life pressure and children's homework. But those daily routines that others seem to avoid have become extravagant hopes in her eyes. She and her husband have worked hard for many years and still have not conceived a child, and the repeated failures have made her almost a frightened bird, and every time she tries to get into bed, she will be unable to sit still because of even the slightest discomfort. However, disappointment after disappointment almost plunged her into the abyss of despair.

At the age of 30, she was diagnosed with depression.

When she was depressed, desperate, helpless, and feeling useless, she could find a place where there was no one and end her painful life almost anytime and anywhere. In fact, she has tried several times in a row, but every time she tries, she will be keenly discovered by Yang Jianqiang. And then stop it in time.

At Yang Jianqiang's almost mandatory request, she began to actively receive medication and psychological counseling. And it was during this period of time, in order to strengthen care and change mood, Yang Jianqiang sold his house in Shanghai and took her to settle in Ningyuan. On the other hand, he gave up his original position with a better salary and chose a position with a lower salary, but he could do SOHO.

As long as you are there, nothing else matters. Yang Jianqiang is a standard straight man in science and engineering, and he is ashamed to show his inner emotions to his wife. Usually he only proves his love through some clumsy actions. But when his wife tried suicide for the fourth time, he dragged her back from the high platform and said it in a trembling voice.

If it weren't for Yang Jianqiang, she might have died a long time ago.

When I came to Ningyuan, my life gradually stabilized. Her mental condition is also getting better and better, and although she is still taking medication, no suicide attempts have occurred. No matter how gloomy my heart is, thinking about Yang Jianqiang's confession, it is as if I have seen the sunshine. For her, Yang Jianqiang is her sun.

But her sun was sick.

To this day, she still doesn't want to think back to her original experience, at first she only thought it was a common cold, but this cold is not always good. Yang Jianqiang, who had been "lightly injured and unable to get out of the line of fire", began to vomit, even if he forced himself to eat, and within a few minutes, he vomited all the things in his stomach again. Within a few days, he was thin and took off.

After she called an ambulance and sent him to the hospital, Yang Jianqiang's condition worsened. And the results of the examination ...... It was like a thunderclap that hit her heart.

Acute leukemia.

When Zhang Luo finished all the formalities and other affairs, and she sat alone in the hall of the hematology inpatient department of the Second Hospital, she found that she seemed to have become much stronger than before.

Her sun is sick, and she will heal him. With this simple thought, she began a lonely war alone. Like Yang Jianqiang, both of them are only children, and their parents are no longer there. The two of them depend on each other for their lives, and at the same time there is no other help. During the six months of treatment, she traveled back and forth between the hospital and her home like a superman. The fragile woman who was held in Yang Jianqiang's arms disappeared without a trace, and the strong woman who once dominated the beach came back.

She consulted countless materials, and in half a year, she accumulated 8,000 Chinese and foreign documents on her computer. From not understanding anything at the beginning, to later even the attending doctor thought she was from medical school, and everything was only half a year later.

Fortunately, the two seem to have their own gods and Buddhas in the dark, and Yang Jianqiang's bone marrow found a perfect match for the first time. And the other party also said happily that he would be able to be hospitalized immediately, and he would be injected with mobilizers to donate bone marrow.

After the bone marrow transplant was completed and the doctor announced that Yang Jianqiang's transplant was successful, she and Yang Jianqiang hugged their heads and cried at home at night. Nothing else matters, as long as it's you.

But now, it seemed like she was going to lose her sun.

"It's ...... Is there only a solution?" she asked, after crying for a while, calming down, "Is there any other way to deal with it?"

"Nope. Sun Lien shook his head regretfully. "If he still has time, even if he has ten hours, we can turn the situation around with medicine. Whether it's suppressing his immune system or killing Toxoplasma gondii in his body with drugs. It's all entirely possible. However, it is likely that he will not survive that time. Sun Lien took out the recent CT image, "When I did the MRI this morning, he didn't even have an edema area in his brain. When we did it again in the afternoon, we found eight areas of edema. About two hours ago, pus had appeared in four of the edematous areas, and although the amount was not large, the rate of progress was too fast......"

"How long will he have more?" she asked, "and choose to transfer instead of Gamma Knife......

"There wasn't enough time. Sun Lien shook his head, "If you transfer to the nearest hospital, that is, you will be transferred to Shanghai." It takes five hours to travel alone, and it takes 10 hours to get there for treatment. As we said earlier, if he had ten hours, we would be able to turn things around with drugs. ”

Yuan Ping'an interjected, "Actually, if you choose to be treated through medication, it is not impossible. By closely monitoring the inside of his brain, we may be able to use neurosurgery to remove the pus that has formed in his brain and prevent brain herniation. ”

"But...... The damage that can be caused during the procedure is uncontrollable. Sun Lien sighed, "The human brain is very delicate, and several of his edema areas are very deep. Even the smallest needle can be used to cause damage during surgery. He may have amnesia, he will be paralyzed, he will lose his will, there are so many possibilities, and every possible damage will result in a very serious one. ”

Mrs. Yang was silent for a long time, she closed her eyes and seemed to be praying for something. Then, she jerked her eyes open.

"Do as you say, with a gamma knife. When I opened my eyes again, the strong woman was back. "That's my man, as long as there is a glimmer of hope, I will never give up!"