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墨書 Inktalez
3.
Illness, especially this kind of self-immune disease, mood and living environment are very important for patients. Although there is no data to reflect the importance of these factors, they constitute the patient's treatment enthusiasm and will to survive.
But it seems that my words cannot evoke the sunshine in her heart.
Once a person loses the will to live or loses hope for the future, the disease will progress very rapidly, and even medication may not necessarily be effective or feasible.
After being diagnosed with systemic lupus erythematosus, instead of offering comfort, her husband not only directly threatened divorce but also resorted to physical violence. This is not just adding insult to injury, but also completely extinguishing her hope for life.
She lies on the sickbed, staring blankly at the ceiling, completely indifferent to her own physical condition. She follows the nurse's instructions to take medication and do whatever is asked, but she has lost all fighting spirit.
There is no greater sorrow than a heart that has died! She, who originally had a not very serious illness, rapidly developed into a critical condition in just two days. The first step in treating systemic lupus erythematosus according to the textbooks is to maintain an optimistic attitude, but her current emotional state is already considered good if it's not seeking death or suicide. This disease can affect many organs and tissues, but it is generally controllable to a certain extent. However, she has now developed thrombocytopenic purpura.
"It's not very optimistic, and there's even urinary tract bleeding!" Deputy Director said to me as he looked at the test report.
"The medication doesn't seem to be very effective either," I sighed.
"Yes, I reviewed her medical records. You've used the medications properly - methylprednisolone (steroid), immunoglobulin, colchicine, and danazol - but her platelet count continues to decline."
"I'll go take a look!" I put down the medical records and went to the ward. When I went in, I saw a lifeless woman. Her lips were so dry that they were peeling, and her eyes were dull. " sister Liu, how are you feeling?" I walked to the bedside, but she didn't react. I had to speak softly.
She turned her head slowly and greeted me reluctantly. In that instant, I noticed that there was already blood between her gums, staining the tooth socket red. With each movement of her mouth, it seemed to slowly drip! She hadn't said much because as she got up, dark blood began to slowly flow from her nostrils! The blood flowed slowly, dripping onto the bed! It seemed like she had noticed something, as she gently wiped the blood from under her nostrils onto her face and mouth.
sister Liu Looked at the blood on the back of her hand, raised her head, and smiled gently. With red spots on her face and blood wiped on her face, her miserable smile gave me a chilling feeling. This is the breath of death.
" sister Liu, don't sit, lie down slowly, and let me examine you. This disease is not a big deal, as long as you take your medicine on time, you will get better slowly," I comforted softly, afraid to let her make any big movements!
After sister Liu lay down, I quickly performed a physical examination. Large areas of purpura had appeared on her arms, chest, abdomen, and lower limbs, which is a classic manifestation of decreased platelets. This situation is like a bomb.
Maybe a sneeze could cause a massive nosebleed! This kind of bleeding is extremely terrifying, as if all the blood vessels in the body were ruptured, and the bleeding is particularly severe. Once there is a massive bleeding, there is no chance of rescue.
After helping her lie down slowly, I turned and went out, immediately telling the nurse, "Primary care, critical condition, contact the family. Now she is not allowed to get out of bed no matter what she does! Change her diet to semi-liquid."
In less than half an hour, two elderly people with white hair arrived. "Doctor, we are Liu Yan's parents. What's wrong with her?" sister Liu left two phone numbers, one for her husband and one for her parents. When her husband's phone was answered and it was the hospital calling, he hung up without saying a word. When called again, he didn't answer at all!
"Please have a seat first. Uncle and aunt, this is the situation now," I paused for a moment, really not wanting to tell the two elderly people that sister Liu's condition is very serious. If they can't handle the shock, it could be a tragedy!
Seeing my hesitation, sister Liu's father said, "Doctor, please tell us. No matter what Yan'er's situation is, we can handle it. We just hope you can save Yan'er. She's had a tough life!"
As he spoke, the two elderly people's cloudy eyes filled with tears. They were prepared, and sister Liu's husband didn't come. There's no way around it. No matter how cruel it is, I have to explain the situation to the family clearly.
"Sir, the situation with your daughter is very critical. She could experience a major hemorrhage at any time, and if that happens, it would be beyond our ability to save her. So, we have two options now. One is to continue the internal medicine treatment, but it's quite risky. The second option is surgical treatment, which also carries risks, but relatively lower than internal medicine, although it would involve removing the spleen. Please discuss these options with the patient as soon as possible. There's no time to delay."
In this situation, surgery is the only option, to remove the spleen. The internal medicine treatment hasn't shown significant effects. The human body is complex, and this situation is not absolute; the family needs to make the decision based on the doctor's advice.
Because the internal medicine treatment hasn't been effective, it doesn't mean it won't work tomorrow, but it also doesn't guarantee that it will. Therefore, the risks involved must be clearly communicated. Personally, I lean towards removing the spleen. Regardless, between death and removing the spleen, I choose to remove the spleen!"
At this time, sister Liu is too dangerous, like a fully inflated balloon perched on a needle, ready to explode at any moment. And this kind of explosion is unpredictable and cannot be prevented. Blood vessels are all over the body, and any gap could lead to severe bleeding. She can only lie quietly in bed, reduce activity, and minimize the possibility of bleeding!
"Doctor, please help us persuade Yan'er, she, she..." The two elderly people seemed a little embarrassed.
I felt something was off, "This is a decision for the family and the patient to make. I suggest surgery as the best treatment. You should go and discuss it, and once you've made a decision, come back to sign the consent form."
"Ah, okay." Two elderly people, one supporting the other, slowly and laboriously made their way to the hospital room. I felt a bit strange about it, but didn't think much of it, and then started busying myself with preparing the surgery consent forms and contacting the operating room. Just as I was printing the surgery consent forms on the computer, I heard a "bang!" sound of glass breaking. Then I heard what sounded like a desperate voice: "Go!" It was very loud! I immediately got up and hurried over!
When I hurried to the ward, the first thing I saw was a floor full of broken glass. sister Liu's parents were standing by the bedside, supporting sister Liu as he turned to look out the window, pushing his parents with all his might.
"Don't move, don't move, lie down quickly, lie down quickly." Although I didn't see sister Liu's face, I could tell that he was pushing with all his strength. I was so scared that I broke out in a cold sweat! This is suicidal!
I took three quick steps and shouted loudly when I saw sister Liu's expression: "Nurse! Quickly, bring the ambulance over. Hurry!"
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