Before Gu Jun rushed to the ward, he put on the 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 is likely to be the prodromal period of some transformational disease.
When he came to the side of the hospital bed, he saw that Xie Yiman's mind was clearer, and he 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 Dan just described on the road, the lesion area on the patient's face has expanded. The irregular red skin that originally appeared only on the cheeks on both sides of the patient's nose is spreading to the surroundings, including the nose, chin, and forehead. According to this speed of development, it may cover the entire face tomorrow.
Moreover, scaly skin appeared on the red skin, and those parts that were not damaged were divided into small red scales by white skin.
It is only scaly skin now, but Gu Jun seems to be able to see that such lesions spread to the patient's whole body, and the slight edema will intensify, and finally the whole body's skin will peel off from a large amount to complete peeling off, just like exfoliative dermatitis , like the anchor girl in the phantom.
But when 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 restless 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 frowning.
"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, and the possibility of heterosquamosis has increased."
At present, only Xie Yiman has new symptoms, but it has already explained something. This is not just a mental disorder, but also an abnormality of the nervous system. Therefore, they have to face the nervous system, which is not well understood by human medicine, and the brain nervous system.
Heterosquamia, if this does develop into Heterosquamia.
That's definitely not good news.
Gu Jun reminded the command center to immediately take Xie Yiman's current scaly skin and compare it with the deep diver and the scale he brought back from the dreamland for dna testing to see if there is any difference. Nothing is the same fragment.
He felt that the deep diver would be a breakthrough, but the abyss task of that bastard system still didn't generate an anatomical deep diver in the past two days.
After Xie Yiman's new symptoms appeared, the experts from the command center and Beihe People's Hospital were discussing a new treatment plan.
"Ah Jun, we have to consider surgery." Zhang Haidong said to Gu Jun, "The patient's condition is developing rapidly, and there is no delay."
Now there are mainly two possibilities.
One is to cut off the spiritual connection between the patient and the source of the disease, or he can get better and recover.
The other is that the diseased skin can no longer be saved, and all the diseased skin must be excised and then transplanted with new skin.
To find the right treatment path for new diseases, various clinical trials are needed.
"Give her a radiofrequency lesion of the trigeminal nerve and facial nerve first, and see how it works." Zhang Haidong added.
When treating nightmare disease, they perform lobotomy to destroy the central nervous system of the patient, thereby destroying the spiritual connection between the patient and the nightmare house, and greatly slowing down the progression of the patient's disease. Now it may be effective to do nerve damage to patients with suspected heterosquamia.
The second approach, surgical resection of the lesion, may also be effective.
There have been successful experiences in this area, such as fig disease and some other diseases. If the diseased tissue is removed in time, the disease will be cured. But there are also failure experiences. If it is indeed a nervous system problem, the old skin will be cut off, and the new skin will continue to be affected if it is replaced or grown out.
Therefore, when the prospects of both approaches are uncertain, the medical team wants to try the first therapy first.
The main reason is that the operation of radiofrequency lesion is quick, the risk is small, and the postoperative recovery is less difficult, so it is more suitable for the initial attempt.
"Hmm..." But Gu Jun's heart sank when he heard it. Even for ordinary people, the consequences of this radio frequency destruction technique are hard to bear.
Take the trigeminal nerve as an example. This is a mixed cranial nerve with three nerve fiber functions: pain, touch, and motor functions.
The destruction technique can roughly control which part is damaged. Like the trigeminal nerve semilunar radiofrequency lesion, it is mainly used to treat patients with trigeminal neuralgia. The principle of treatment is very simple. This nerve makes you feel pain, and the pain is unbearable. Then block its pain nerve conduction, and only retain part of the touch and motor functions. If your brain cannot receive the pain information from it, it will no longer Feel the pain there.
However, the surgical results are not always so ideal. There are also patients with postoperative sequelae. The pain is gone, and other sensations are gone. Since then, the face has been severely numb, and it will also affect the tongue, eyes, nose and other motor functions. , swallowing, and even breathing become difficult.
What the medical team is saying now is to keep only the motor function, try not to hurt the motor function, and destroy everything else.
However, if the facial nerve is also damaged, this is a mixed nerve mainly composed of motor nerves. When the facial muscles controlled by it lose their function, symptoms of facial paralysis will appear: the mouth and eyes are crooked, and even basic facial movements such as frowning, puffing, and pouting are lost. can't do it.
As for Xie Yiman, he is an actor, a young and promising star actor, and it is understood that he still has a long-term ambition.
To damage her two pairs of nerves is almost equivalent to ending her acting career early. With her current state of mind... can she accept it
"Ah Jun, do you think we should explain it clearly to the patient?" Master Tong from the command center asked.
Gu Jun was silent for a while, this is a difficult problem, if she told Xie Yiman, it would be very difficult for her to accept it, and it was more likely that she had a mental breakdown.
If she didn't tell Xie Yiman, this might have given the dark power a chance. When she found out that she was being concealed and deceived, the consequences might 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 by 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 the operation to the patient, and relieve the patient's anxiety before the operation is one of the responsibilities of the doctor.
This matter was handed over to Gu Jun, because Xie Yiman was his patient.
As for the other 155 patients in China, although most of them are celebrities, the country will not accommodate them. The command center has selected 45 of them and divided them into groups for amputation treatment. The status, gender, and disease severity of the 45 people were evenly distributed to have a more comprehensive sample.
Three groups, 15 people in each group, one group only does the trigeminal nerve, one group only does the facial nerve, and the other group does both pairs of nerves.
There is also a blank control group, who do nothing, also 15 people.
At the same time, there are more other experimental groups in preparation. One group of 15 people is preparing for sensory rhizotomy of the trigeminal nerve. This is a craniotomy. There are also greater risks and more sequelae.
The other group of 15 people were preparing for skin excision. Once the damage was ineffective, skin incision and skin grafting would be started immediately.
But how to treat Xie Yiman is up to Gu Jun to decide, and as the only patient with the second stage symptoms so far, her situation is special.
Perhaps in the prodromal period, nerve lesion or skin excision was useful, but not necessarily in her now.
Patients may not have the right to choose whether to undergo surgery, 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 Xie Yiman's personal matter, but also involves the well-being of more people in this world.
Before going to the isolation ward again, Gu Jun found Wu Shiyu for a conversation, and he didn't hide his bewilderment from her.
"Anything is possible, but no one knows what the consequences will be." Wu Shiyu thought for a while, "I finally understand why I didn't study medicine back then."
She patted him on the shoulder, "Xianjun, if I were to tell it, I would give him some hope. I will show her the photos of you when you were a nightmare, and tell her about the dreamland, the golden aloe, and the future. A suitable physical channel will take her there to treat her face, and Elder Atal, who has great powers, has many ways to cure her."
"This can really make the patient feel better..." Gu Jun thought, "I have hope, I have hope, and I'm not lying to her."
"Yeah." Wu Shiyu nodded, thinking of something, "You can live without a face, but you can't die if you die."
"Okay, let's do it like this." Gu Jun decided, "Just do what Goddess 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 accompanied by this kind of sobriety, there is a more intense itching and pain, and it is a great panic in my 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 to allow her to look in the mirror, and she was stunned in a daze.
"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 comforted her gently first, and then asked her some questions.
Xie Yiman didn't know any anchor girl, and she didn't have a conversation with her when she was in a coma, she just saw the other party looking at her from a distance, and she couldn't move.
The other party ran away after looking at it for a while. Just when she was so itchy that she couldn't bear it anymore and felt like she was about to explode, she seemed to be pulled by someone. Since then, she has been much more relaxed. When Gu Jun asked if she could use a flavor to describe the helping force, she said it was slightly sweet, and it was indeed Deng Ximei who saved her.
"Yiman, look at these photos." Gu Jun handed Wu Shiyu's cell phone to her again, and let her look at the photos of his nightmare period.
"This is?" Xie Yiman was taken aback, it seemed more serious than her, another kind of seriousness.
"This is me." Gu Jun said.
He has already reported this approach to his superiors, and the superiors approved it, but the golden aloe must be kept secret, otherwise if the news leaks, they are afraid that the tribes of the ancestors will suffer.
He agreed with this, so he only told Xie Yiman about the dreamland, where there are miraculous medicines and Elder Atal, those evil believers can try to make trouble in Usa Town, he thinks Usa Town can stand there After so long, it will not be as simple as it appears on the surface, those cats, who knows what those cats are.
"My face can be cured, and yours can be cured as well."
Gu Jun gave Xie Yiman hope first, and then talked about the surgical plan. As expected, Xie Yiman burst into tears, almost breaking down and crying.
"Listen to me!" he said quickly, "Atar knows everything, and there are many ways. The most important thing now is to save your life! Don't let your self-consciousness dissipate, and don't let you Become another alien creature. As long as you keep you, the face problem has other opportunities."
Wu Shiyu next to him nodded again and again, "Although I have never met Great Elder Atal, I heard that that guy lived to be three hundred years old, and his appearance is almost the same as when he was a hundred years old. In terms of maintenance, it is very skillful."
Is there any difference in skin between a hundred years old and three hundred years old? Gu Jun really didn't know the answer to this question.
But he took a long breath and nodded in agreement: "Attar looks very young."
"But..." Xie Yiman was still very excited and confused, that little light of hope was about to be snuffed out by huge despair at any moment.
Two days ago, she was still filming a youth comedy movie in which she would play the lead actress. There were too many announcements to keep up. The online popularity and real traffic allowed her to secure her position as a first-line star. Also competing for the role in the film of Tianji Bureau...
Still want to win prizes, win the box office champion, be the best actress, and be included in film history...
In less than two days, she might become a facial paralysis, making it difficult for her 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, it's just bad luck." Gu Jun said seriously. Many times when the disease comes, there is no cause and effect, and the finality of death...
He shook his head and said intently: "Yiman, you are very unfortunate, but you are not the only one who is unlucky this time. Many people in the performance industry are planning to undergo this operation." He put some names on the patient list Read out, they are all famous people, "Yiman, this is a war, and we must win it together."
Although Xie Yiman was still crying, he was not so excited, but more dazed.
And a consolation that you are not alone in your misfortune... If you are alone in your misfortune, it is too uncomfortable.
Gu Jun has a little understanding of this, he doesn't yearn for other people's misfortune, but hopes that other people can truly understand his own pain.
If no one understands those sufferings and tortures, all I get is silence and loneliness, and 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 phantom to do it...
What is that girl looking at? Is it the pain that happened to her but no one cares about it? Seeing other people doing the same, did she feel... her own existence? The current self? The former self
At this moment, Gu Jun thought a lot, and felt more about the mood of "Li Ya Ji", and 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 the future Goa are planning to set up a new department, which will be responsible for presenting the image to the public."
Gu Jun didn’t talk nonsense, it’s true, the new department is similar to an art troupe, “This department is responsible for filming the Tianji Bureau-themed movies, and recruits talents from all aspects such as directors and actors. Yiman, as long as you survive, you can Add this. Even with facial paralysis, there are ways to act with facial paralysis, you know Takeshi Kitano? You can act successfully 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 up, how could she not feel the enthusiasm and concern of the two of them.
She knew that they really wanted to save her. After hearing these words, her imagination of the future was not completely dark.
Just make this kind of decision by yourself, really can't do it...
"I don't understand medicine, and I don't understand abnormal forces..." Xie Yiman scratched his face and cried, "I trust you, you help me decide, you understand better."
"Okay." Gu Jun took a deep breath. In the current situation, there is no chance without surgery. He plans to do the trigeminal nerve first, and then the facial nerve, "You should prepare well. The first stage of surgery will be performed in two hours. Make sure to get that itch off your face."
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