Chapter 310: Preoperative Psychological Intervention of Patients
Gu Jun put on protective clothing again before rushing to the ward. Now the contagiousness of Xie Yiman's disease has become uncertain again.
After all, this is not an ordinary skin disease, but may be the prodromal stage of some kind of transformation disease.
When he came to the hospital bed, he saw that Xie Yiman was a little clearer and seemed to be able to recognize people. When he saw him, he shouted: "Captain Gu, Captain Gu!"
Gu Jun has already seen the new symptoms that Uncle Egg just described on the road. The lesion area on the patient's face has expanded. The irregular red skin that originally only appeared on the cheeks on both sides of the patient's nose is spreading to the surrounding areas, including the nose and chin.
, all over the forehead. At this rate of development, it may cover the entire face tomorrow.
Moreover, scaly dander appears on the red skin. Those areas that are not damaged are divided into small red scales by white dander.
It's just scaly skin flakes now, but Gu Jun seems to be able to see that such lesions are spreading to the patient's whole body. The edema that is currently mild will intensify, and eventually the skin will fall off from a large amount to completely, just like exfoliative dermatitis.
, like the anchor girl in the fantasy.
But after the old skin is removed, new skin will grow, which is scaly keratinized skin with other pigments.
"It's so itchy, so many bugs..." Xie Yiman's turbulent words showed that her spiritual world was also changing, "They crawled to other places, ah, help me..."
Gu Jun did some checks on her, but for the time being he could only turn around and walk away with a frown.
"The patient should have entered the second stage." He communicated with the command center in a deep voice, "It was indeed the prodromal stage before. This is an increased possibility of heterosquamia."
At present, only one patient, Xie Yiman, has new symptoms, but it has been 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 has not yet understood much, and the brain.
nervous system.
Heteroderma, if this really develops into Heteroderma.
That's definitely not good news.
Gu Jun reminded the command center and immediately took Xie Yiman's current scaly skin to compare with the deep diver and the scale he brought back from the dreamland for DNA testing to see if there was any
There are no identical pieces.
He felt that the Deep Ones would be a breakthrough, but that bastard system's abyss mission still hadn't spawned the Dissecting Deep Ones in the past two days.
Since the emergence of Xie Yiman's new symptoms, experts at the command center and experts at Beihe Municipal People's Hospital have been discussing new treatment plans.
"Ajun, we must consider surgery." Zhang Haidong said to Gu Jun, "The patient's condition is progressing very quickly and cannot be delayed."
There are two main possibilities now.
One is to cut off the mental connection between the patient and the source of the disease, but the patient can still get better and recover.
The other is that the diseased skin cannot be saved, so all the diseased skin must be removed and new skin transplanted.
To find the correct treatment path for new diseases, various clinical trials are needed.
"First perform radiofrequency damage on her trigeminal nerve and facial nerve to see the effect." Zhang Haidong added.
When treating nightmare disease, they performed a lobotomy on the patient to destroy the central nervous system, thereby destroying the patient's mental connection with the nightmare house, greatly slowing down the development of the patient's disease. Now, the suspected abnormal scales are
If the patient undergoes nerve damage, there may be curative effect.
The second method, surgical removal of the diseased area, may also be effective.
There have been successful experiences in this regard for diseases such as banyanosis and some other diseases. If the diseased tissue is removed in time, the disease will be cured. However, there are also failures. If this is indeed a problem of the nervous system, if the old skin is cut away, the disease will be cured.
It will continue to be affected as new skin replaces or grows out.
Therefore, when the prospects of both approaches are unclear, the medical team wants to try the first treatment first.
The main reason is that radiofrequency damage surgery is quick to operate, has low risks, and has less difficulty in postoperative recovery, so it is more suitable for initial attempts.
"Well..." But Gu Jun's heart sank when he heard it. Even for ordinary people, the consequences of this kind of radio frequency damage surgery would be difficult to bear.
Take the trigeminal nerve, for example, which is a mixed cranial nerve with three nerve fiber functions: pain, touch, and motor functions.
Destruction surgery can roughly control which part is damaged. For example, radiofrequency destruction of the trigeminal nerve semilunar segment is mainly used to treat patients with trigeminal neuralgia. The treatment principle is very simple. This nerve causes you pain. If the pain is unbearable, then block it.
Cut off its pain nerve conduction, leaving only part of the tactile and motor functions. Your brain cannot receive the pain information from it, and you will no longer feel pain there.
However, the results of surgery are not always so ideal. There are also patients who have sequelae after surgery. The pain is gone, and all other sensations are gone. From then on, the face becomes severely numb, and it also affects the tongue, eyes, nose and other motor functions, such as speech.
, swallowing, and even breathing become difficult.
What the medical team now says is to preserve only the motor function and try not to damage the motor function, while everything else will be damaged.
However, if the facial nerve is also damaged, it is a mixed nerve dominated by motor nerves. When the expression muscles it controls lose their function, symptoms of facial paralysis will appear: the mouth and eyes are skewed, and even basic facial movements such as frowning, puffing, and pouting are impaired.
Can't do it.
And Xie Yiman is an actor, a young and accomplished star actor with a bright future, and it is understood that he still has great ambitions.
To damage her two pairs of nerves would almost be equivalent to ending her acting career prematurely. With her current mental state...can she accept it?
"Ajun, do you think we should explain it clearly to the patient?" Tong Ye from the command center asked.
Gu Jun was silent for a moment. This was a difficult problem. If he told Xie Yiman, it would be difficult for her to accept it. It would even be a mental breakdown.
If she doesn't tell Xie Yiman, this may give the dark power an opportunity. When she finds out that she has been concealed and deceived, the consequences may be even worse...
"Let me think about it..." Gu Jun couldn't make a decision at once, "I feel that the patient should make this decision himself..."
"Then you help the patient and let her make a decision." Zhang Haidong expressed understanding and encouragement, "We doctors have this kind of job."
How to deal with the patient's psychology well, explain to the patient the necessity of surgery, and relieve the patient's anxiety before surgery. This is one of the doctors' responsibilities.
This matter was left to Gu Jun, because Xie Yiman was his patient.
Although most of the other 155 patients in the country are celebrities, the country will not accommodate them. The command center has selected 45 of them and divided them into groups to prepare for destructive surgery. The status, gender, and
The severity of the disease is evenly distributed to have a more comprehensive sample.
There are three groups, each with 15 people. One group has only the trigeminal nerve, one group has only the facial nerve, and the other group has both pairs of nerves.
There is also a blank control group, which does nothing, and also has 15 people.
At the same time, there are more other experimental groups in preparation. One group of 15 people is preparing to undergo trigeminal sensory rhizotomy. This is a craniotomy. If the radiofrequency damage has no effect, it will be upgraded to a self-cutting operation, but
There are also greater risks and more sequelae.
Another group of 15 people were prepared to undergo skin resection. Once the damage operation had no effect, skin incision and skin grafting were started immediately.
However, it is up to Gu Jun to decide how to treat Xie Yiman, and as the only patient with second-stage symptoms, her situation is special.
Maybe in the prodromal stage, nerve damage or skin excision was still useful, but it may not be useful in her now.
Patients may not always have the right to choose whether to undergo surgery, but Gu Jun wanted to give Xie Yiman this right.
However, he also understood that on the other hand, this strange disease was not only a personal matter for Xie Yiman, but also involved the well-being of more people in the world.
Before going to the isolation ward again, Gu Jun talked to Wu Shiyu, and he did not hide his confusion from her.
"Everything is possible, and no one knows what the consequences will be." Wu Shiyu thought for a while, "I finally understand why I didn't study medicine in the first place."
She patted his shoulder and said, "Xianjun, if I were the one to tell him, I would give him some hope. I would show her the photos of you when you were the Nightmare Man, and tell her about Dreamland, Golden Aloe, and more in the future.
If there is a suitable physical channel, take her there to have her face treated, and Elder Atal, who has great magical powers, has many ways to cure her."
"This can indeed make the patient feel better..." Gu Jun thought, "There is hope and hope, and I am not lying to her."
"Yeah." Wu Shiyu nodded, remembering something, "You can still live without your face, but you can't live with your heart dead."
"Okay, let's do 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 awake.
But this awakening was accompanied by an even more intense itching and pain, and a great panic in her heart. Xie Yiman was so excited that she was almost hysterical and asked to look in the mirror, as if she had noticed something. The nurse asked Gu Jun for permission to give her
When she looked in the mirror, she was stunned and stunned.
"I seemed to see a figure when I was unconscious and sleeping..." She murmured, "The skin on my face is falling off, will I do the same?"
Gu Jun first gently comforted her and then asked her some questions.
Xie Yiman didn't know the anchor girl, and he didn't have any conversation with her when she was unconscious. He just saw her looking at her from a distance, but she couldn't move.
The other person looked at her for a while and then ran away. Just when she was so itchy that she couldn't hold on any longer and felt like she was going to explode, she seemed to be pulled by someone. From then on, she became much more relaxed. When Gu Jun asked if she could use a flavor
When describing the power of help, she said it was sweet and it was indeed Deng Ximei who saved her.
"Yiman, look at these photos." Gu Jun handed her Wu Shiyu's cell phone again and asked her to look at the photos from his Nightmare Man period.
"Is this?" Xie Yiman was confused. It seemed to be more serious than hers, another kind of seriousness.
"This is me." Gu Jun said.
He has already reported this approach to his superiors, who approved it, but the Golden Aloe must be kept secret, otherwise the news will be leaked, and they are afraid that all the tribes will suffer.
He agreed with this, so he only told Xie Yiman about Dreamland, where there were miracle medicines, and there was Great Elder Atal. Those evil believers could try to go to Usa Town to cause trouble. He thought Usa Town could stand there.
After such a long time, it is not as simple as it seems. Those cats, who knows what those cats are.
"My face can be cured, and yours can be cured as well."
Gu Jun first gave Xie Yiman hope, and then talked about the surgical plan. Sure enough, Xie Yiman suddenly burst into tears and almost broke down and cried.
"Listen to me!" he said quickly, "Atal knows everything and has many methods. The most important thing now is to save your life! Don't let your self-consciousness dissipate, and don't let you
Turn into another alien creature. As long as I keep you, there will be other opportunities for the face problem."
Wu Shiyu next to him nodded repeatedly, "Although I have never met Great Elder Atal, I heard that that guy lived to be three hundred years old, and he still looks the same as when he was a hundred years old. It can be seen that Elder Atal has a lot of skin problems.
In terms of maintenance, he is very good at it.”
Is there any difference in skin between one hundred and three hundred years old? Gu Jun really doesn't know the answer to this question.
But he took a long breath and nodded in agreement: "Atal looks very young."
"But..." Xie Yiman was still very excited and confused, and that little ray of hope was about to be killed by huge despair at any time.
Two days ago, she was still filming a youth comedy movie starring the female lead. There were so many announcements that she couldn't handle it. Her online popularity and real traffic allowed her to secure her position as a first-line star. She also competed for the Tianji Bureau movie.
role...
I still have to win awards, I still have to win the box office championship, I still have to become a movie queen, and I still have to go down in film history...
In less than two days, she may have become a facial paralysis, a thing where it is difficult to turn her eyes or move her mouth... something.
"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 were just unlucky." Gu Jun said seriously. Many times when diseases come, they have no cause and effect, and the finality of death...
He shook his head and said attentively: "Yiman, you are very unfortunate, but you are not the only one who is unfortunate this time. Many people in the performance industry are preparing to undergo this operation." He listed some names on the patient list.
After reading it out, they are all well-known people, "Yiman, this is a war, we must win it together."
Although Xie Yiman was still crying, he was no longer so excited, but more confused.
And the comfort that you are not the only one who is unlucky... If you are the only one who is unlucky, it would be too uncomfortable.
Gu Jun knew a little about this. He did not long for other people's misfortunes, but hoped that others could truly understand his own pain.
If no one understands those sufferings and tortures, and all you get is silence and solitude, as well as peace of mind, this is too difficult to achieve...
He didn't ask Xie Yiman to do it, nor did he ask the girl in the fantasy to do it...
What is that girl looking at? Is it the pain that has happened to her but no one cares about? Seeing others doing the same, does she feel... her own existence? Her current self? Her past self?
At this moment, Gu Jun thought a lot and had more feelings about "Liya Ji"'s mood. He didn't know whether it was right or wrong.
But no matter what, he tried his best to save this Xie Yiman.
"Yiman, I heard that our Tianji Bureau and GoA are planning to set up a new department in the future to be responsible for presenting our image to the public."
Gu Jun is not talking nonsense, it is true. The new department is similar to a cultural troupe. "This department is responsible for shooting movies about the Bureau of Secrets. Directors, actors and other talents are recruited. Yiman, as long as you survive, you can
Join this. Even if you have facial paralysis, there is still a way to perform with facial paralysis. You know Takeshi Kitano? You can still perform successfully even if you have facial paralysis. Survival is the most important thing, and it is possible to survive."
"Yes." Wu Shiyu responded, "That's right."
"Doctor Gu..." Xie Yiman choked, how could she not feel the enthusiasm and care between 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 just that I really can’t make this kind of decision by myself…
"I don't understand medicine, nor do I understand abnormal powers..." Xie Yiman scratched his face and cried, "I believe you, help me decide, you know better."
"Okay." Gu Jun took a deep breath. In the current situation, there is definitely no chance without surgery. He planned to do her trigeminal nerve surgery first, but if that didn't work, he would do the facial nerve surgery. "You should be well prepared. We will perform the first stage of surgery in two hours.