Mrs. Yang's reaction is what a normal person should have. In order to transplant bone marrow, Yang Jianqiang once underwent whole-body radiotherapy to kill all autologous bone marrow in the body. Therefore, Mrs. Yang herself is not unfamiliar with radiotherapy. But the problem is,
Before preparing for chemotherapy, doctors would explain in detail the location of radiation, the time of each radiation, the total dose of radiation, possible sequelae, etc.
To put it bluntly, this behavior is like having a navigation map when there is a traffic jam on the highway. You can see how far ahead the jam is. Although the prompt may not be accurate, and it will definitely not be of any help to the traffic jam itself. But you probably know
If you can know what has happened and have a rough estimate of the congestion ahead, whether you are the driver or the bored passenger sitting in the car, you will feel much more comfortable.
For medical decisions, fully and thoroughly explaining the patient's condition and possible risks of treatment to the patient and his or her family is not just a simple matter of meeting legal requirements. Obtain the consent of the patient and the patient's family before treatment.
There is no doubt that this is beneficial to the treatment itself.
However, Sun Lien and Yuan Pingan were unable to explain to Mrs. Yang the content of the treatment method they chose. Because even they did not know how many times Yang Jianqiang would need to be irradiated to curb the further invasion of Toxoplasma gondii.
"It's like this..." Yuan Pingan was going to use ambiguous words to confuse the issue. Anyway, many of the contents would not be understood even if the patient's family members were told. They only need to know that this treatment plan is beneficial to the patient, and it is also the only plan at present.
That’s it.
"We're not sure exactly how far the radiation will go." Sun Lien interrupted Yuan Pingan's speech and completely confessed the uncertainty in the treatment plan. "His immune system is gradually recovering, and suppressing immunity through drug adjustments
The speed of the system is too slow. The reactivated immune system may cause the edema in his brain to rapidly expand and abscesses to appear. Due to the specific causes of abscesses, it is impossible for us to detect those factors that may cause abscesses before they occur.
The cause of the disease is resolved.”
Mrs. Yang was a little dizzy from this series of explanations. She hesitated and asked, "What is the cause of the disease?"
"Toxoplasma gondii." Sun Lien and Yuan Pingan answered in unison. Yuan Pingan explained first, "The patient himself had received a bone marrow transplant and then took immunosuppressants for a long time, which increased the possibility of him being infected with Toxoplasma gondii..."
"Moreover, Yang Jianqiang is very likely to have been a carrier of Toxoplasma gondii or even a latent infection." Sun Lien added, "The volunteer who donated bone marrow has not been exposed to Toxoplasma gondii, so the immune cells produced by his bone marrow cannot
Effectively curbing Toxoplasma gondii infection, so in more than a year, Toxoplasma gondii has widely infected tissues and organs in Yang Jianqiang’s body. Since there is no immune system attack and threat, Toxoplasma gondii mainly transfers infection. There is no production of resistance
It is a substance of the human immune system, so it does not trigger a widespread inflammatory response."
"But the damage still exists." Yuan Pingan took over. He seemed a little surprised at Sun Lien's diagnosis at first, but following Sun Lien's words, Yuan Pingan immediately realized that this might be the real course of the disease. "The patient's immune system
After the cerebral edema appeared, he gradually became active..." He did not mention that after the adjustment of the immune plan, the decrease in the level of immune system suppression may be the main reason for the deterioration. Although the doctors did not make any deliberate or omissions during the treatment process, this
If you don't talk about this matter, you might be able to avoid a medical incident. "It will take about ten hours for the reactivated immune system to be re-suppressed, but... Yang Jianqiang may not have these ten hours.
It’s time to work. If we cannot prevent Toxoplasma gondii from further invading surrounding tissues through gamma knife irradiation as soon as possible, widespread brain abscesses may squeeze and damage Yang Jianqiang’s brain. This will cause death.”
Sun Lien glanced at Yuan Pingan, sighed and added, "But there is no precedent for this treatment plan. No one has ever used gamma knife irradiation to kill Toxoplasma gondii in the human body before. We are currently
Most of the information that can be used for reference are test records used to manufacture Toxoplasma vaccines thirty or forty years ago."
From the moment Yuan Pingan said "the damage is still there", Mrs. Yang began to sob 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, hunched over and cried bitterly.
stand up.
The conversation was held in a small conference room in the emergency room. There were only three people in the room, Sun Lien, Yuan Pingan and Mrs. Yang. When Mrs. Yang cried, Yuan Pingan suddenly panicked. Sun Lien remained silent and lowered his head.
Sighed softly.
Sun Lien sympathized with the woman in front of him. She was no longer young. The status bar showed that she was already thirty-three years old. She was supposed to be starting a family and starting a business, and she was at the age when she should be troubled by the pressure of life and children's homework. But those are the lives that others seem to avoid.
Daily life has become a luxury in her eyes. She and her husband have tried hard for many years but still have not been able to conceive a child. The repeated failures have made her almost frightened. Every time before and after trying to get into bed, she would find it difficult to sit or stand due to even the slightest discomfort.
An. However, she was disappointed again and again, almost making her fall into the abyss of despair.
At the age of 30, she was diagnosed with depression.
When she was suffering from depression, she was desperate, helpless, and felt that she was of no use at all. She could find a place with few people at any time and end her painful life. In fact, she had tried several times in a row.
But every time he tries, Yang Jianqiang will be keenly aware of it and stop it in time.
At Yang Jianqiang's almost forced request, she began to actively receive drug treatment and psychological counseling. During this period, in order to strengthen care and change her mood, Yang Jianqiang sold her house in Shanghai and took her to settle in Ningyuan.
.And I gave up my original position with a better salary and chose a position with a lower salary but in Soho.
As long as I have you, nothing else actually matters. Yang Jianqiang is a standard straight man majoring in science and engineering. He is shy to reveal his inner feelings to his wife. He usually only proves his love through clumsy actions. But in
When his wife tried to commit suicide for the fourth time, he pulled her back from the high platform and said these words in a trembling voice.
Without Yang Jianqiang, she might have died long ago.
After arriving in Ningyuan, her life gradually stabilized. Her mental condition is getting better and better. Although she still insists on taking medicine, she has never attempted suicide again. No matter how gloomy her heart is, thinking about Yang Jianqiang's confession, it is like watching
When it comes to sunshine, for her, Yang Jianqiang is her sun.
However, her sun is sick.
To this day, she still doesn't want to recall her original experience. At first, she thought it was a common cold, but the cold never got better. Yang Jianqiang, who had always been "slightly injured and unable to leave the line of fire", began to vomit. Even if he forced himself to eat, he fell ill within a few minutes.
He vomited out all the contents in his stomach. Within a few days, he became so thin that he looked like he was naked.
After she called an ambulance and took her to the hospital, Yang Jianqiang's condition worsened. And the test results... were like a thunder that hit her heart.
Acute leukemia.
After all the formalities and other matters were completed and she was sitting alone in the lobby of the Hematology Department of the Second Hospital, she realized that she seemed to be much stronger than before.
Her sun was sick, and she wanted to cure him. With this simple idea, she started a lonely war. Like Yang Jianqiang, she and Yang Jianqiang were both only children, and both of their parents were gone.
She was dependent on each other and would not receive any other help. During the six months of treatment, she was like a superman, traveling between the hospital and home. The fragile woman held in Yang Jianqiang's arms disappeared without a trace, and the woman who once was
The strong woman who dominates Shanghai is back again.
She consulted countless materials. In half a year, she accumulated as many as 8,000 Chinese and foreign documents in her computer. From the beginning, she didn't understand anything. Later, even the attending doctor thought she was from a medical school.
It's only been half a year.
Fortunately, the two seemed to have the protection of gods and Buddhas. Yang Jianqiang found a perfect match for his first bone marrow match. The other party also happily said that he would be hospitalized immediately and injected with mobilization agents to prepare for bone marrow donation.
After the bone marrow transplant was completed and the doctor announced that Yang Jianqiang's transplant was successful, she and Yang Jianqiang held each other's arms at home at night and cried. Nothing else mattered, as long as I had you.
But now, she seems to be losing her sun.
"Is this... the only way?" She cried for a while, and then asked after calming down, "Are there any other solutions?"
"No." Sun Lien shook his head regretfully. "If he still has time, even if there are still ten hours, we can use medicine to reverse the situation. Whether it is suppressing his immune system or using medicine to kill his body
Toxoplasma gondii. This is entirely possible. However, he may not be able to survive that time." Sun Lien took out the latest CT imaging, "When we did the MRI this morning, there was even edema in his brain.
There was no edema in any of the areas. When we checked again in the afternoon, we found eight edema areas. About two hours ago, pus had appeared in four of the edema areas. Although the amount was not large, the speed of progression was too fast.
Soon……"
"How long will he have?" she asked, "If he chooses to be transferred to another hospital instead of Gamma Knife..."
"There is not enough time." Sun Li'en shook his head, "If you want to transfer to a nearby hospital, it is to transfer to Shanghai. The journey alone takes five hours, and the treatment there will take at least ten hours. Just now
We also said that if he had ten hours, we could turn the situation around with medication."
Yuan Pingan interjected, "Actually, it is not impossible if you choose drug treatment. Closely monitor the situation in his brain. Maybe we can use neurosurgery to extract the pus that has formed in his brain to prevent cerebral herniation."
"But... the damage that may be caused during the operation is uncontrollable." Sun Lien sighed, "The human brain is very sophisticated, and several of his edema areas are very deep. Even with the smallest sampling needle, it will be damaged during the operation.
Damage will definitely occur. He may lose his memory, become paralyzed, or lose his will. There are too many possibilities, and every possible injury result is very serious."
Mrs. Yang was silent for a long time. She closed her eyes as if she was praying for something. Then she suddenly opened her eyes.
"Do as you say, use the gamma knife." When he opened his 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!"