Chapter 310: Preoperative psychological intervention

Before Gu Jun hurried to the ward, he put on protective clothing again, and now Xie Yiman's infectiousness of the disease became uncertain again.
After all, this is not an ordinary skin disease, but it is likely to be the precursor of some transformation disease.
When he came to the bed, he saw that Xie Yiman's consciousness was clear, as if he could recognize the person, and when he saw him, he shouted, "Gu captain, captain Gu!"
Gu Jun has already seen the new symptoms described by Uncle Egg on the road, and the affected area of ​​the patient's face has expanded. The irregular red skin that originally appeared only on the cheeks of both sides of the patient's nose spread to the surroundings, including the nose, chin, and forehead. At this rate of development, the entire face may be covered tomorrow.
And scaly dandruff appeared on the red skin, and those locations that were not injured were divided into small red scales by white dandruff.
It is still scaly dandruff, but Gu Jun seems to be able to see that such lesions spread to the patient's body, and the current slight edema will increase, and finally the whole body skin will fall off from a large amount to complete shedding, just like exfoliative dermatitis , Like the anchor girl in the illusion.
But when the old skin is removed, the new skin will also grow, which is a scaly keratinized skin with other pigments.
"Itchy, a lot of bugs ..." Xie Yiman's disturbed words showed that her spiritual world was also changing. "They crawled elsewhere, ah, save me ..."
Gu Jun made some checks for her, and for the time being, she turned around and frowned.
"The patient should be in the second phase." He Shen Sheng communicated with the command center. "It was indeed the prodromal phase before, which is an increased possibility of heterozygous disease."
At present, only Xie Yiman's patient has new symptoms, but some cases have been explained. This is not only a mental disorder, but also a nervous system abnormality. Therefore, they have to face the nervous system that human medicine has not yet understood much, but also the brain nervous system.
Heterospermia, if this really develops into heterospermia.
That is definitely not good news.
Gu Jun gave a reminder to the command center, immediately took Xie Yiman ’s current scaly dander and compared it with the deep dive and the scale he brought back from the dream, and did a DNA test comparison to see if there was Nothing is the same.
He feels that the deep dive will be a breakthrough, but the systemic abyss mission of that has not brushed out the anatomical deep dive for these two days.
Since the emergence of Xie Yiman's new symptoms, experts at the command center and experts here at the Beihe City People's Hospital are discussing new treatment options.
"Ajun, we must consider surgery." Zhang Haidong said to Gu Jun, "The patient's condition is developing very quickly and cannot be delayed."
There are two main possibilities now.
One is to cut off the spiritual connection between the patient and the source of the disease, but it can still be improved and recovered.
The other is that the diseased skin can no longer be saved. All the diseased skin must be removed and then transplanted with new skin.
To find the correct treatment path for new diseases, various clinical trials are needed.
"Make her a radiofrequency damage to the trigeminal nerve and facial nerve first, and see how it works." Zhang Haidong said again.
When treating nightmare disease, they destroy the central nervous system by performing leukoencephalectomy for the patient, thereby destroying the mental connection between the patient and the nightmare house, which greatly slows the patient's condition. Now that nerve damage is done to patients with suspected heterosquamous disease, it may be effective.
The second method, surgical removal of the lesion, may also be effective.
Like Irong disease and some other diseases have had successful experience in this regard, timely removal of the diseased tissue, the disease will be cured. But there are also experiences of failure. If this is indeed a problem of the nervous system, if the old skin is cut, the new skin will continue to be affected if it is replaced or grown.
Therefore, in the case of uncertain prospects for both approaches, the medical team wants to try the first therapy first.
The main reason is that the operation of radiofrequency damage surgery is fast, the risk is small, and the postoperative recovery is difficult, which is more suitable for the initial attempt.
"Um ..." But Gu Jun's heart sank. Even for ordinary people, the consequences of this radio frequency damage surgery were hard to bear.
Take the trigeminal nerve as an example. This is a mixed brain nerve with three nerve fiber functions: pain, touch, and motor function.
Destructive surgery can roughly control which part of the damage. The radiofrequency ablation of the trigeminal nerve in the meniscus is mainly used to treat patients with trigeminal neuralgia. The principle of treatment is very simple, this nerve makes you pain, and the pain can't bear it, then block its pain sensory nerve conduction, only retain part of the tactile and motor functions, your brain can't receive the pain information from it, and it won't Feel the pain there.
However, the surgical effect is not always so ideal, and some patients have post-operative sequelae, the pain is gone, and all other feelings are gone. From then on, a serious numbness in the face will also affect the tongue, eyes, nose and other motor functions. , Swallowing, and even breathing become difficult.
Now the medical team is talking about keeping only the motor function, trying not to hurt the motor function, everything else is destroyed.
However, if the facial nerve is also damaged-this is a mixed nerve based on motor nerves. When its inner facial muscles lose their function, facial paralysis symptoms will appear: the eyes and mouth are skewed, and the face is basically frowned, puffed, and pouted. No action can be done.
And Xie Yiman is an actor, a young star actor with a promising future, who is known to have great ambitions.
To destroy her two pairs of nerves is almost equivalent to ending her acting career ahead of schedule, in her current state of mind ... Can it be accepted?
"Ajun, do you think you should explain it clearly to the patient?" Tong Ye from the command center asked.
Gu Jun was silent for a while, which was a problem. Telling Xie Yiman that it would be difficult for her to accept it, and it was more likely to be a breakdown.
Without telling Xie Yiman, this may have given the Dark Force a chance. When she found that she was being concealed and deceived, the consequences might be worse ...
"I think about it ..." Gu Jun couldn't make a decision at once, "I feel that the patient should still make this decision ..."
"Then you help the patient let her make a decision." Zhang Haidong expressed understanding and encouragement, "Our doctors have this kind of work."
How to deal with the patient's psychology, explain the necessity of the operation to the patient, and relieve the patient's anxiety before the operation is one of the doctor's duties.
This matter was left to Gu Jun, because Xie Yiman was his patient.
At present, although most of the other 155 patients in China are celebrities, the country will not be able to move. The command center has selected 45 people from them to be divided into groups and is ready for treatment of damage. The status, gender, and severity of the 45 people are evenly distributed to have a more comprehensive sample.
There are 15 people in each of the three groups, one group is only for trigeminal nerve, one group is for facial nerve only, and the other group is for both pairs of nerves.
There is also a blank control group, which does nothing, also 15 people.
At the same time, there are more other experimental groups in the preparation state, a group of 15 people is preparing to perform trigeminal nerve sensory root excision It is also more risky and has more sequelae.
Another group of 15 people was preparing for skin resection, and once the damage surgery had no effect, they immediately started skin cutting and skin grafting.
However, Xie Yiman's treatment was determined by Gu Jun, and as the only patient presenting with stage 2 symptoms, her situation is special.
Perhaps in the prodromal period, nerve damage or skin resection is still useful, but it may not be useful in her now.
Whether to undergo surgery or not, patients may not have the right to choose, but Gu Jun wants to give Xie Yiman this right.
However, he also understood that on the other hand, this strange disease was not only Xie Yiman's personal affair, but also involved the well-being of more people in the world.
Before going to the isolation ward again, Gu Jun found Wu Shiyu to talk with him, he didn't hide her daze.
"Everything is possible, and the consequences are unknown to everyone." Wu Shiyu thought for a while, "I finally understand why I didn't study medicine."
She patted him on the shoulder, "Xianjun, if I say it, I will give the other party some hope. I will show her the picture of your nightmare and tell her the dreamland, the golden aloe, Appropriate physical channels will take her to face treatment, and Elder Atal, who has a lot of magical powers, is more than a way to cure her. "
"It really makes the patient feel better ..." Gu Jun thought, "There is hope, there is a hope, and it is not a lie to her."
"Huh." Wu Shiyu nodded, remembering something, "I can live without my face, and I can't do it if I'm dead."
"Okay, just do it." Gu Jun decided. "Just do what the Goddess of Hope said."
When the two entered the isolation ward together, Xie Yiman was already able to move by himself, and his mind was basically awake.
But along with this sobriety, it was a more intense feeling of itching and pain, and a great panic. Xie Yiman was so excited that he approached hysterically and asked to look in the mirror, as if he had already noticed something. The nurse had to allow Gu Jun to look at her in the mirror, where she suddenly lost her heart.
"I seemed to see a figure when I was in a coma ..." she murmured, "the skin on her face is falling, will I do the same?"
Gu Jun comforted her gently before asking her some questions.
Xie Yiman did not know any anchor girl, and had no conversation with him when she was in a coma. She just saw the other person looking at him from a distance, and she couldn't move.
The other party looked away for a while and ran away. Just when she felt itchy and felt like she was about to explode, she seemed to have been pulled by someone, and it has been much easier since then. When Gu Jun asked if he could describe the helping power with a taste, she said that it was light and sweet, and indeed Deng Ximei saved her.
"Yiman, you look at these photos." Gu Jun then handed Wu Shiyu's mobile phone to her and showed her the photos of his nightmare period.
"Is this?" Xie Yimang was awkward, and it seemed more serious than her, another kind of serious.
"This is me." Gu Jun said.
He has already reported this to the top and approved it above, but the golden aloe must be kept secret, otherwise leaked information, they are afraid that the tribes of Zu will suffer.
He agreed with this, so he only told Xie Yiman the illusion of dreams, where there are magic drugs, there are elders of Atal-those evil believers can try to go to Usa town to do things, he thinks Usa town can stand Being there for so long is not as simple as it seems. Those cats, who knows what these cats are.
"My face can be cured, and yours can be cured."
Gu Jun first gave Xie Yiman hope, and then talked about the operation plan. Xie Yiman suddenly burst into tears and almost burst into tears.
"You listen to me!" He said quickly. "Atal understands everything and there are many ways. The most important thing now is to save your life! It will not let your self-consciousness dissipate, nor let you Become a different kind of creature. As long as you keep you, there are other opportunities for face problems. "
Wu Shiyu next to him nodded, "Although I haven't seen Elder Attar, but I heard that the guy lived to be three hundred years old, and it looks like the one when he was one hundred years old. It is very easy to maintain. "
Is there a difference between one hundred and three hundred years old? Gu Jun really does not know the answer to this question.
But he took a long breath and nodded in agreement: "Atal still looks young."
"But ..." Xie Yiman's emotions are still very excited and confused, and the little hope light will be strangled by huge despair at any time.
Two days ago, she was still filming a youth comedy movie starring No.1, and there were too many announcements. The popularity and real traffic on the Internet allowed her to sit firmly on the front line. Also have to compete for the role of the film of the celestial bureau ...
They also have to win prizes, box office champions, and movie history.
Now, less than two days later, she may become a facial paralysis, one that is difficult to turn her eyes and move her mouth ... something.
"I don't want that, I don't want that ..." Her tears fell uncontrollably, "What am I doing wrong!"
"You did nothing wrong, just bad luck." Gu Jun said seriously, many times when the disease comes, there is no cause and effect, the end of death ...
He shook his head and stared again: "Yiman, you are unfortunate, but this time it's not just you alone, many people in the performance industry are going to do this operation." He put some names on the patient list When I read it, there are people with heads and faces, "Yiman, this is a war, we have to win together."
Although Xie Yiman was still in tears, he was not so excited, but a bigger daze.
And a solace that is not just one's own misfortune ... It is just too uncomfortable if it is only one's own misfortune.
Gu Jun knows this a little bit, not because he longs for the misfortune of others, but for others to truly understand his own pain.
If those sufferings and tortures are not understood, all you get is silence and loneliness, but also peace of mind, which is too difficult, too difficult to achieve ...
He did not ask Xie Yiman to do it, nor did the girl in the illusion ...
What is that girl looking at? Is it the pain that happened to her but nobody asked? Seeing others do the same, did she feel ... her own existence? The current self? Once yourself?
At this moment, Gu Jun thought about it a lot and felt more about the mood of "Liya Ji". I wonder if it was right or wrong.
But anyway, this Xie Yiman, he tried his best to save.
"Yiman, I heard that our astronomy bureau and future GOA are planning to set up a new department, which is dedicated to show the image to the public."
Gu Jun did not talk nonsense, this is true, the new department is similar to the cultural troupe, "The film of the theme of Tianji Bureau is filmed by this department, and talents from all aspects such as directors and actors are recruited. Yiman, as long as you survive, Join this. Even if it is facial paralysis, there is also a way to perform facial paralysis, you know Kitano Takeshi? Facial paralysis is like a very successful performance. Survival is the most important, it is possible to survive ~ EbookFREE.me ~ Hmm. Echoed, "That's right."
"Doctor Gu ..." Xie Yiman choked with sobs. How could she not feel the enthusiasm and care of the two of them?
She knew that they really wanted to save her. After listening to these words, her imagination of the future was not completely dark.
It's just that you make this decision yourself, you really can't make it ...
"I don't understand medicine, and I don't understand abnormal powers ..." Xie Yiman scratched his face and cried, "I believe in you, you help me decide, you know better."
"Okay." Gu Jun took a deep breath. In the current situation, there must be no chance without surgery. He is going to give her a trigeminal nerve first, but no facial nerve. Be sure to eliminate the itching on your face. "
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