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Chapter 310: Preoperative Psychological Intervention of Patients(1/2)

Before Gu Jun rushed to the ward, he put on protective clothing again. Now the contagiousness of Xie Yiman's disease has become uncertain again.

After all, this is not an ordinary skin disease, but it is likely to be the prodromal stage of some kind of transformation disease.

When he came to the hospital bed, Xie Yiman was a little more awake and seemed to be able to recognize someone. When he saw him, he shouted: "Captain Gu, Captain Gu!"

Gu Jun had already seen the new symptoms that Uncle Dan just described on the road, and the lesions on the patient's face had expanded. The irregular red skin that only appeared on the cheeks on both sides of the patient's nose was spreading around, with its nose, chin, and forehead. At this rate of development, it might cover the entire face tomorrow.

Moreover, scaly dander appeared on the red skin. Those places that were not damaged were divided into small red scales by white dander.

It's just scaly dander now, but Gu Jun seems to be able to see that such a lesion spreads to the patient's body. At present, the slight edema will intensify, and the skin of the whole body will eventually fall off from large amounts to complete loss, just like exfoliating dermatitis, like the anchor girl in the illusion.

However, if the old skin is removed, the new skin will also grow, and it is a scaly keratinous skin with other pigments.

"It's so itchy, so many bugs..." Xie Yiman's chaotic words showed that her spiritual world was also changing, "They crawled to other places, ah, save me..."

Gu Jun did some examination for her, and for the time being, he could only turn around and walk with a frown.

"The patient should have entered the second phase." He communicated with the command center in a deep voice. "It was indeed the prodromal stage before, and the possibility of heteroscal disease increased."

Now only Xie Yiman, a patient, has new symptoms, but it has already explained some of the situation. This is not only a mental disorder, but also an abnormal nervous system. Therefore, they have to face the nervous system that human medicine does not yet understand much, and the brain nervous system.

Aliphatic disease, if this really develops into aliphatic disease.

That is definitely not good news.

Gu Jun reminded the command center and immediately took Xie Yiman's current scaly dandruff to the deep dive, and compared it with the scale he brought back from the dreamland to see if there were any similar fragments.

He felt that the Deep Diver would be a breakthrough, but the abyss mission of the system still did not produce anatomical Deep Diver in the past two days.

Since Xie Yiman's new symptoms appeared, the experts from the command center and the experts from Beihe People's Hospital were discussing new treatment plans.

"Ajun, we must consider the operation." 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 patient's mental connection with the source of the disease, and it can still improve and recover.

Another is that the lesions cannot be saved, and all lesions must be removed and the new skin must be transplanted.

To find the right treatment path for new diseases, various clinical trials are needed.

"First give her a radiofrequency damage to the trigeminal and facial nerves to see how the effect is." Zhang Haidong said again.

When treating nightmare diseases, they destroy the central nervous system by performing lobe leukotomy on the patient, thereby destroying the mental connection between the patient and the nightmare house, greatly slowing down the patient's disease development speed. Now, nerve damage to patients suspected of radiosquamous disease may be effective.

The second method, surgical removal of the lesion area may also be effective.

Like banyan disease and some other diseases, we have had successful experience in this area. If the lesion tissue is removed in time, the disease will be cured. But there are also experiences of failure. If this is indeed a neurological problem, if the old skin is cut, the new skin will be replaced or grown, it will continue to be affected.

Therefore, when the prospects for both paths are unclear, the medical team wants to try the first treatment first.

The main reason is that the radio frequency damage surgery is fast, the risk is small, and the difficulty of postoperative recovery is less, which is more suitable for the initial attempt.

"Well..." But Gu Jun's heart sank as he heard this. Even for ordinary people, the consequences of this radio frequency damage technique are difficult to bear.

Take the trigeminal nerve as an example. This is a mixed brain nerve with three types of nerve fiber functions: pain, touch, and motor functions.

The damage surgery can roughly control which part of the damage. For example, the trigeminal nerve half-moon ganglion radiofrequency damage surgery is mainly used to treat patients with trigeminal neuralgia. The treatment principle is very simple. This nerve makes you feel pain and the pain cannot be tolerated, so it blocks the transmission of its pain nerves and only retains part of the tactile and motor function. If your brain cannot receive the pain information it sends, you will no longer feel pain there.

However, the surgical effect will not always be so ideal. Some patients have sequelae after the operation, the pain is gone, and all other feelings are gone. From then on, the face will be severely numb, which will affect the tongue, eyes, nose and other motor functions, speaking, swallowing, and even breathing.

What the medical team now says is to only retain the motor function and try not to damage the motor function. Everything else will be damaged.

However, if the facial nerve is damaged, this is a hybrid nerve mainly composed of motor nerves. When the facial muscles that are controlled by it lose function, facial paralysis will occur: the mouth and eyes are crooked, and even basic facial movements such as frowning, cheering, and pouting are not possible.

Xie Yiman is an actor, a young and successful star actor with a bright future. It is understood that he still has a long-lasting ambition.

To destroy these two pairs of her nerves is almost equivalent to ending her acting career early. With her current mental state... can she accept it?

"Ajun, do you think you should explain it to the patient clearly?" asked Tong Ye from the command center.

Gu Jun was silent for a moment. This was a difficult problem. She would be hard to accept what she told Xie Yiman, and it was more likely to be a mental breakdown.

If she didn't tell Xie Yiman, this might have given the dark power opportunity. When she found out that she was 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 make this decision himself..."

"Then you help the patient let her make a decision." Zhang Haidong expressed his understanding and encouragement, "We doctors have this kind of work."

How to deal with the patient's psychology well, explain the necessity of surgery to relieve the patient's anxiety before the operation is one of the doctor's responsibilities.

This matter was left to Gu Jun because Xie Yiman was his patient.

Currently, although most of the other 155 patients in China are celebrities, the country will not accommodate them. The command center has selected 45 people to be classified as a group and is preparing to undergo damaging surgery. The status, gender, and severity of the 45 people are evenly distributed to have a more comprehensive sample.

There are three groups, each group of 15 people, one group only does trigeminal nerves, one group only does facial nerves, and the other group does both nerves.

There is also a blank control group, who did nothing, and there are 15 people.

At the same time, there are more other experimental groups in the preparation state. One group of 15 people are preparing for trigeminal nerve sensory root severity, which is a craniotomy. If the radiofrequency damage is not effective, it will be upgraded and cut off by itself, but it is also more risky and more sequelae.

Another group of 15 people were preparing for a skin resection. Once the damage was ineffective, they immediately began to cut and graft.

However, it is up to Gu Jun to treat Xie Yiman, and as the only patient with the second stage symptoms, her condition is special.

Perhaps in the prodromal phase, nerve damage or skin resection are still useful, but not necessarily useful 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 the right.

However, he also understood that on the other hand, this strange disease is not only about Xie Yiman's personal affairs, but also involves the welfare of more people in this world.

Before going to the isolation ward again, Gu Jun found Wu Shiyu and talked to him, but he did not hide his confusion from her.

"Everything is possible, but no one knows the consequences." Wu Shiyu thought for a while, "I finally understand why I didn't study medicine."

She patted his shoulder, "Xianjun, if I were to say it, I would give the other party some hope. I will show her the photos of you when you were nightmares, tell her about the dream, golden aloe, and if there is a suitable physical channel in the future, take her to treat her face. There are also the Great Elder Atal, who has great magical powers, and many ways to cure her."

"This can indeed make the patient feel better..." Gu Jun thought, "Have hope and hope, and it is not a lie to her."

"Yes." Wu Shiyu nodded, remembering something, "You can live without your face, but you can't do it if your heart dies."

"It's OK to do it." Gu Jun decided, "Just do it as Goddess of Hope said."

When the two walked into the isolation ward together, Xie Yiman could move by himself and basically woke up.

But with this sober feeling, there was a more intense itch and a great panic in my heart. Xie Yiman was so excited that he approached and asked to look in the mirror hysterically, as if he had noticed something. The nurse asked Gu Jun to allow her to look in the mirror, and she was stunned and stunned.

"I seemed to see a figure when I was in a coma..." she murmured, "The skin on my face is falling down, will I do that?"

Gu Jun first comforted her a few words and then asked her some questions.

Xie Yiman didn't know any anchor girl, and she had never had any conversations with her when she was in a coma. She just saw the other person from afar and she couldn't move.

The other party looked at it for a while and ran away. Just as she was so itchy that she couldn't hold on and felt that she was about to explode, she seemed to be pulled by someone, and since then it has been much easier. When Gu Jun asked if she could describe the power of helping with a taste, she said it was light and sweet, and it was indeed Deng Ximei who saved her.

"Yiman, look at these photos." Gu Jun handed Wu Shiyu's phone to her and let her look at the photos of him during his nightmare period.

"Is this?" Xie Yiman was confused. It looked even worse than her, and another kind of serious.

"This is me," Gu Jun said.

He has reported this to the top and approved it, but the gold aloe vera must be kept confidential, otherwise the news will be leaked, and they are afraid that the tribes of the ancestors will suffer.

He agreed with this, so he only told Xie Yiman about the fantasy dream, there were strange medicines, and those evil believers of the Great Elder Atal could try to go to Usa Town to cause trouble. He thought that Usa Town could stand there for so long, and it would not be as simple as the surface. Those cats, who knows what those cats are.

"My face can be cured, yours can be cured."

Gu Jun first gave Xie Yiman hope, and then talked about the surgical plan. Xie Yiman was indeed crying like a spring, almost bursting into tears.

"Listen to me!" he said quickly, "Atar knows everything, and there are many ways. The most important thing now is to save your life! It will not dissipate your self-consciousness, nor will you become another alien creature. As long as you keep you, there will be other opportunities for the problem of your face."

Wu Shiyu next to him nodded repeatedly, "Although I have never seen the Great Elder Atal, I heard that the guy lived to be 300 years old and looked similar to when he was 100 years old. It can be seen that the Great Elder Atal is very good at skin care."

Is there any difference between 100 and 300 years old? Gu Jun really doesn’t know the answer to this question.

But he let out a long sigh and nodded in agreement: "Atar looks very young."

"But..." Xie Yiman was still very excited and confused. The little bit of hope would be strangled by huge despair at any time.

Two days ago, she was filming a youth comedy movie with the leading female lead. There were so many announcements that she couldn't accept. The popularity and real traffic on the Internet allowed her to firmly sit in the position of a first-tier star. She also had to compete for the role of Tianji Bureau movies...

I also have to win awards, box office champions, and become a film queen, and also recorded in film history...

Now that she has been less than two days, she may have to become a facial paralysis, a little turn her eyes, or move her mouth...thing is difficult...

"I don't want that, I don't want that..." Her tears couldn't stop falling, "What did I do wrong!"

"You did nothing wrong, you just had bad luck." Gu Jun said seriously. Many times, the arrival of disease is without cause and effect, and the end of death...

He shook his head and said intently: "Yiman, you are very unfortunate, but this time it's not just you. Many people in the performance industry are preparing to undergo this surgery." He pronounced some names on the patient list, all of whom are well-known, "Yiman, this is a war, we want to win together."

Although Xie Yiman was still crying, he was not so excited, but even more confused.

And a kind of comfort that is not just one person’s misfortune…it would be too uncomfortable if it is just one person’s misfortune.

Gu Jun knows this a little, not because he desires others' misfortunes, but because he hopes that others can truly understand their own pain.

If no one understands the suffering and torture, all you get is silence and loneliness, and peace of mind, it is too difficult to do...

He did not ask Xie Yiman to do it, nor did he ask the girl in the illusion to do it...

What was that girl looking at? Is it the pain that happened to her but no one asked about? Seeing others like this, did she feel... her existence? Her current self? Her former self?

At this moment, Gu Jun thought a lot and felt more about "Liya Ji"'s mood, and didn't know whether it was right or wrong.
To be continued...
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