Chapter 310: Preoperative Psychological Intervention for Patients [Asking for a Monthly Pass, Asking for a Subscription]
Before Gu Jun rushed to the ward, he put on protective clothing again, and now the contagiousness of Xie Yiman's disease has become uncertain again.
After all, this is not an ordinary skin disease, but most likely a prodromal period of some kind of transformation disease.
When he came to the side of the hospital bed, he saw that Xie Yiman's mind was a little clearer, as if he could recognize people, and when he saw him, he shouted: "Captain Gu, Captain Gu!" ”
Gu Jun had already seen the new symptoms that Uncle Dan had just described on the road, and the lesion area on the patient's face had expanded. The irregularly shaped red skin, which originally appeared only on the sides of the patient's nose and cheeks, is spreading in all directions, including the nose, chin, and forehead, and at this rate, it may cover the entire face tomorrow.
And there are scaly flakes on the red skin, and those that are not injured are divided into small red scales by white flakes.
It's still just scaly flakes, but Gu Jun seems to be able to see that such a lesion spreads to the patient's whole body, and the current slight edema will intensify, and finally the skin of the whole body will fall off from a large amount to completely falling off, just like exfoliative dermatitis, like the anchor girl in the illusion.
However, when the old skin is removed, new skin will grow, and it will be a scaly keratinized skin with other pigments.
"It's so itchy, there are so many bugs......" Xie Yiman's restless words showed that her spiritual world was also changing, "They crawled to other places, ah, help me......"
Gu Jun did some examinations on her, and for the time being, she could only turn around and walk away with a frown.
"The patient should be in the second stage." He communicated with the command center in a deep voice, "It was indeed a prodromal period before, and this is an increase in the possibility of heteroscalosis. ”
At present, only Xie Yiman, a patient, has new symptoms, but it has already explained that this is not only a mental disorder, but also a neurological abnormality. Therefore, they have to face the nervous system, which human medicine does not know much about, and the cerebral nervous system.
Heterosmosis, if this does develop into heteroscoposis.
That's definitely not good news.
Gu Jun reminded the command center, and immediately took Xie Yiman's current scaly dandruff to the deep diver and the scale he brought back from the dream realm, and compared it with DNA testing to see if there were any similar fragments.
He felt that the Deep Diver would be a breakthrough, but that bastard's systematic abyss mission had not been brushed out of the dissecting Deep Diver in the past two days.
Since the appearance of Xie Yiman's new symptoms, the experts in the command center and the experts here in the Beihe People's Hospital have been discussing new treatment options.
"Jun, we have to think about surgery." Zhang Haidong said to Gu Jun, "The patient's condition is developing very quickly and cannot be delayed. ”
Now there are two main possibilities.
One is to cut off the patient's spiritual connection with the source of the disease, or to get better and recover.
The other is that the diseased skin can no longer be saved, and all the diseased skin must be removed and then transplanted with new skin.
Finding the right path to treatment for a new disease requires a variety of clinical trials.
"Let's do a radiofrequency damage of the trigeminal nerve and facial nerve for her first, and see how it works." Zhang Haidong said again.
In the treatment of nightmares, they destroy the patient's central nervous system by lobotomy, thereby destroying the mental connection between the patient and the nightmare house, and the patient's disease progression is greatly slowed. Nowadays, nerve damage in patients with suspected heteroscopic disease may also be effective.
The second option, surgical resection of the lesion, may also be effective.
For example, Banyan disease and some other diseases have had successful experiences in this regard, and the diseased tissue is cured if the diseased tissue is removed in time. But there are also failures, if it is really a nervous system problem, cut the old skin, the new skin will be replaced or grow out of the same will continue to be affected.
So when the prospects for both paths were uncertain, the medical team wanted to try the first treatment first.
The main reason is that radiofrequency damage surgery is fast, the risk is small, and the postoperative recovery is difficult, which is more suitable for the initial attempt.
"Hmm......" But Gu Jun's heart sank when he heard this, even for ordinary people, the consequences of this RF destruction technique were difficult to bear.
Take the trigeminal nerve as an example, this is a mixed cranial nerve with three nerve fiber functions: pain, touch, and motor function.
Destruction can roughly control which part is damaged. Radiofrequency damage like trigeminal nerve meniscus is mainly used to treat patients with trigeminal neuralgia. The principle of treatment is very simple, this nerve makes you painful, the pain is unbearable, then block its pain nerve conduction, only retain part of the touch and motor functions, your brain can not receive the pain information it transmits, and you will no longer feel the pain there.
However, the effect of surgery is not always so ideal, and some patients have sequelae after surgery, the pain is gone, and all other sensations are gone, and the face is severely numb, which will also affect the tongue, eyes, nose and other motor functions, and it will become difficult to speak, swallow, and even breathe.
Now the medical team is saying that only the motor function will be preserved, and the motor function will be damaged as much as possible, and the rest will be destroyed.
However, if it also damages the facial nerve, which is a mixed nerve dominated by motor nerves, when the expression muscles innervated by it lose function, the symptoms of facial paralysis will appear: the mouth and eyes are crooked, and you can't even do basic facial movements such as frowning, puffing, and pouting.
And Xie Yiman is an actor, a young and promising new star actor, and it is understood that he still has ambitions.
To destroy her two pairs of nerves is almost equivalent to ending her acting career early, with her current mental state...... Is it acceptable?
"Ah Jun, do you think you should explain it to the patient?" The general master on the command center asked.
Gu Jun was silent for a while, this is a difficult problem, telling Xie Yiman's words, it will be difficult for her to accept it, and it is more likely to have a mental breakdown.
If she doesn't tell Xie Yiman, this may be another opportunity for the dark forces, and when she finds out that she has been concealed and deceived, the consequences may be even worse......
"Think about it......" Gu Jun couldn't make a decision at once, "I feel that it should be up to the patient to make this decision......
"Then you help the patient and let her make decisions." Zhang Haidong expressed understanding and encouragement, "We doctors have this kind of work. ”
How to deal with the patient's psychology, explain the necessity of surgery to the patient, and relieve the patient's anxiety before the operation is one of the responsibilities of the doctor.
This matter was left to Gu Jun, because Xie Yiman was his patient.
At present, the other 155 patients in China, although most of them are celebrities, but the country will not be accommodating, and the command center has selected 45 people from them to be divided into groups and ready to undergo damage treatment. The status, gender, and severity of illness of the 45 people were evenly distributed to have a more comprehensive sample.
Three groups, each group of 15 people, one group only did the trigeminal nerve, one group only did the facial nerve, and the other group did both pairs of nerves.
There was also a blank control group, which did nothing, also 15 people.
At the same time, there are more other experimental groups in the state of preparation, a group of 15 people is ready to do trigeminal nerve sensory rhizometomy, this is a craniotomy, if the radiofrequency damage has no effect, it will be upgraded to a step, self-cutting, but there is also a greater risk, more sequelae.
The other group of 15 people was prepared for skin excision, and if the damage had no effect, skin incision and skin grafting were immediately started.
But how to treat Xie Yiman is decided by Gu Jun, and as the only patient with stage II symptoms at present, her situation is special.
Perhaps in the prodromal phase, nerve destruction or dermatictomy was still useful, but not necessarily in her now.
Patients may not have the right to choose whether to undergo surgery or not, but Gu Jun wants to give Xie Yiman this right.
However, he also understands that on the other hand, this strange disease is not only a personal matter for Xie Yiman, but also involves the well-being of more people in this world.
Before going to the isolation ward again, Gu Jun found Wu Shiyu to talk, and he didn't hide his confusion from her.
"Anything is possible, but everyone doesn't know what the consequences will be." Wu Shiyu thought for a while, "I finally understood why I didn't study medicine in the first place." ”
She patted him on the shoulder, "Xianjun, if I were to say it, I would give the other party some hope." I will show her the photos of your nightmares, tell her about the dream realm, the golden aloe vera, and take her over to cure her face if there is a suitable physical passage in the future, and the great elder of Attar has great powers, and there are many ways to cure her. ”
"This can indeed make the patient feel better...... Gu Jun thought, "There is hope, there is hope, and it is not a lie to her." ”
"Hmm." Wu Shiyu nodded, remembering something, "You can still live if your face is gone, but you can't live if your heart is dead." ”
"Okay, that's it." Gu Jun decided, "Just do what the goddess of hope said." ”
When the two walked into the isolation ward together, Xie Yiman was already able to move on his own, and his mind was basically sober.
But along with this lucidity, there is a more intense itching pain, and a great panic in the heart. Xie Yiman was so excited that she almost hysterically asked to look in the mirror, as if she had noticed something, and the nurse had Gu Jun's permission to look in the mirror for her, and she was suddenly stunned.
"I used to sleep in a coma as if I saw a figure...... "The skin on my face is falling, will I do the same?" ”
Gu Jun first comforted her gently, and then asked her some questions.
Xie Yiman didn't know any anchor girl, and he didn't have a conversation with her when he was unconscious, he just saw the other party looking at him from a distance, and she couldn't move.
The other party looked at it for a while and ran away, just when she was itching and painful and couldn't hold on, and felt like she was about to burst, it seemed like someone had pulled her, and since then it has been much easier. When Gu Jun asked if he could use a taste to describe the synergy, she said that it was faint and sweet, and it was indeed Deng Ximei who saved her.
"Yiman, look at these pictures." Gu Jun handed her Wu Shiyu's mobile phone again and asked her to look at those photos of him from his nightmare period.
"What is this?" Xie Yiman was blinded, it looked more serious than her, and the other was serious.
"This is me." Gu Jun said.
He had already reported this practice to the superiors, and the superiors approved it, but the golden aloe vera had to be kept secret, otherwise the news would leak out, and they were afraid that the ancestral tribes would suffer.
He agreed with this, so he only told Xie Yiman about the dream realm, where there was a miracle medicine, there was a great elder of Attar - those evil believers could try to go to Usa Town to do something, he thought that Usa Town could stand there for so long, it would not be as simple as it seemed, those cats, who knows what those cats are.
"My face can be healed, and yours can be healed."
Gu Jun first gave Xie Yiman hope, and then talked about the surgical plan, Xie Yiman suddenly burst into tears, almost breaking down and crying.
"Listen to me!" He said quickly, "Attar knows everything, and there are many methods. The most important thing now is to save your life! Nor will your sense of self dissipate, nor will you become another alien creature. As long as you are saved, the problem of the face has other chances. ”
Wu Shiyu next to him nodded repeatedly, "Although I haven't seen Great Elder Attar, I heard that guy has lived to be three hundred years old, and his appearance is similar to when he was a hundred years old, which shows that Great Elder Atal is very good at skin care." ”
Is there a difference between a hundred and three hundred years old? Gu Jun really didn't know the answer to this question.
But he exhaled a long breath and nodded in agreement: "Attar still looks young. ”
"But......" Xie Yiman's emotions were still very excited and confused, and that little bit of hope was about to be stifled by great despair at any time.
Two days ago, she was still filming a youth comedy movie starring as the female number one, and there were too many announcements to receive it, and the popularity and real traffic on the Internet allowed her to sit firmly in the position of a first-line star. also has to compete for the role of the Tianji Bureau movie......
has to win awards, box office champions, and be a movie queen, and go down in film history......
Now, less than two days later, she may become a facial paralysis, and it is difficult to turn her eyes and move her mouth...... Stuff.
"I don't want that, I don't want that...... her tears couldn't stop falling, "what did I do wrong!" ”
"You didn't do anything wrong, you just got out of luck." Gu Jun said seriously, many times the advent of disease is the finality of death without cause and effect......
He shook his head, and said contemplatively: "Yiman, you are very unlucky, but you are not the only one who is unfortunate this time, many people in the performance industry are preparing to have this operation." He pronounced out some of the names on the patient's list, all of them were people with heads and faces, "Yiman, this is a war, we have to win it together." ”
Although Xie Yiman was still crying, he was not so excited, but even more dazed.
and a consolation that is not just your own misfortune...... It's just that if you're unfortunate alone, it's too uncomfortable.
Gu Jun knows a little about this, not longing for the misfortune of others, but hoping that someone else can truly understand his pain.
If no one understands those sufferings and sufferings, all you get is silence and loneliness, and you also have peace of mind, which is too difficult and too difficult to do......
He didn't ask Xie Yiman to do it, nor did he ask the girl in the illusion to do it......
What was the girl looking for? Is it the pain that happened to her but no one cares about it? Did she feel it when she saw others doing the same...... Own existence? Who you are now? Once a self?
At this moment, Gu Jun thought about it a lot, and he had more feelings about the mood of "Liya Ji", and he didn't know whether it was right or wrong.
But no matter what, this Xie Yiman, he tried his best to save it.
"Yiman, I heard that our Tianji Bureau and the future GOA are preparing to set up a new department, which is specifically responsible for showing the image to the public."
Gu Jun didn't say nonsense, this is true, the new department is similar to the art troupe, "The Tianji Bureau-themed films are shot by this department, and directors, actors and other talents are recruited." Yiman, as long as you survive, you can join this. Even if it's facial paralysis, there is a way to perform facial paralysis, you know Takeshi Kitano, right? The facial paralysis is also very successful. Surviving is the most important thing, and surviving is possible. ”
"Hmm." Wu Shiyu responded, "That's right. ”
"Doctor Gu......" Xie Yiman choked up, how could she not feel the enthusiasm and concern of the two of them.
She knew that they really wanted to save her, and after hearing these words, her imagination of the future was not completely dark.
It's really impossible to make this kind of decision on your own......
"I don't understand medicine, and I don't understand the ...... of abnormal powers," Xie Yiman scratched his face and cried, "I trust you, you help me decide, you know better." ”
"Okay." Gu Jun took a deep breath, the current situation is definitely no chance without surgery, he is going to give her the trigeminal nerve first, not the facial nerve, "You prepare well, the first stage of surgery will be carried out in two hours, we must eliminate the itch on your face." ”
Said the robot Vali
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