Disease, especially this kind of autoimmune disease, mood and living environment are very important to the patient. Although there is no data to reflect the importance of these factors, these factors constitute patients' enthusiasm for treatment and desire to survive.
Once there is no desire to live or hope for the future, the disease will progress very quickly, and even medication may not be feasible or effective.
After Sister Li was diagnosed with systemic lupus erythematosus, her husband immediately filed for divorce, let alone comforting her. This was to add insult to injury and cut off her hope for life. It was nothing more cruel than that.
Sister Li was lying on the hospital bed, staring blankly at the ceiling, not caring about her physical condition at all. She took the medicine as the doctor told her, and did whatever the doctor told her to do, but she just had no fighting spirit.
Her condition was not very serious at first, but it quickly developed into severe systemic lupus erythematosus. According to the textbook, the first rule for treating systemic lupus erythematosus is to establish an optimistic mood, but now her mood is good even if she does not seek death or commit suicide.
Zhang Fan was taken to the hospital by Chen Bin's driver. After getting off the car, Zhang Fan started to jog. When he arrived at the department, when he saw Sister Li's examination list, Zhang Fan secretly complained in his heart.
This disease can affect many organs and tissues, but it is usually controllable, but now Sister Li has developed thrombocytopenic purpura.
"I'm not very optimistic, cast urine has appeared!" Hu Jun said while looking at Zhang Fan who was looking at the examination list.
"The effect of the medicine is not obvious!" Zhang Fan said with a sigh.
"Yes, I looked at her medical record. You used the medicine well, including methylprednisolone (hormone), gamma globulin, vincristine, and danazol, but her platelets continued to drop."
"I'll go take a look!" Zhang Fan put down the medical records and came to the ward.
Because he knew Shao Hua and she was very emotionally unstable, Zhang Fan specially found a single room. When Zhang Fan entered, the first thing he saw was a lifeless woman.
My lips were so dry that they were peeling, and my eyes were dull. "Sister Li, how are you? How do you feel?" Zhang Fan walked to the hospital bed, but she didn't respond. Zhang Fan had no choice but to whisper.
"Oh, Doctor Zhang!" Sister Li slowly turned her head, found it was Zhang Fan, and said hello.
At this moment, Zhang Fan discovered that there was bleeding between her gums. The blood stained the grooves red, and seemed to be dripping slowly as she opened her mouth! And before she could say a few words, black blood slowly flowed out of her nose as she stood up!
Slowly flowing and dripping on the bed! As if she had discovered something, she gently wiped the blood under her nose onto her face and mouth with her hand.
Sister Li, looking at the blood on the back of her hand, raised her head and smiled softly. Zhang Fan looked at the red spots on his face and the wiped blood on his face, with a miserable smile. Zhang Fan actually felt a creepy feeling. It feels like this is the breath of death.
"Sister Li, please stop sitting and lie down slowly. I'll check you out. This disease is actually nothing serious. As long as you take the medicine on time, you will get better gradually." Zhang Fan didn't dare to let her Make another big move!
After Sister Li lay down, Zhang Fan did a simple physical examination. There were already large areas of purple epilepsy on the arms, chest, abdomen, and lower limbs. This is a classic manifestation of thrombocytopenia. This situation is like a bomb.
Maybe a sneeze can cause massive bleeding! This kind of bleeding is very terrifying, just like the blood vessels all over the body have been shattered, and the bleeding is particularly fierce. Once there is severe bleeding, there is no chance of rescue.
Zhang Fan slowly helped her lie down, turned around and went out, and immediately said to the nurse: "First-level care, critical condition, contact family members. Now she is not allowed to get out of bed no matter what she does! The diet is changed to semi-liquid."
Less than half an hour later, two gray-haired old men arrived. "Doctor, I am Li Baibing's parents, what's wrong with her!" Sister Li's name is Li Baibing. She left two phone numbers, one for her husband and one for her parents. As soon as her husband's call was answered, I heard it was the hospital, so I hung up without saying anything. If I call again, I won't answer the call!
"Please sit down first. Uncle and aunt, this is how it is now." Zhang Fan pondered for a moment. It was really difficult to tell the two old people that Sister Li's condition is too serious now. If the two old people can't bear the blow, it might be a human tragedy. ! ~
Seeing Zhang Fan looking a little brooding, Sister Li's father said: "Doctor, tell me, no matter what Bing'er's situation is, we can bear it. We just hope you can save Bing'er. Her life is miserable!"
As they talked, the two old men's cloudy eyes shed cloudy tears. They were prepared, and Sister Li's husband didn't come, so there was no way. No matter how cruel it was, the situation had to be explained clearly to the family members.
"Old man, it's like this. Your daughter is in a very dangerous situation right now. She may be bleeding heavily at some point. Once this happens, it will be the end of the road. So now, there are two plans. One is to continue Medical treatment, but it is quite dangerous. The second is surgical treatment, which is also dangerous. Compared with internal medicine, the risk factor is smaller, but the spleen must be removed. You should hurry up and discuss it with the patient. There is no time to delay."
In this case, the only option is surgery to remove the spleen. Because the effect of medical treatment is still not obvious. The human body is so complex, this matter is not absolute, and family members need to make decisions based on the doctor's advice.
Because medical treatment is not obvious now, it does not mean that it will not be effective tomorrow, nor does it mean that it will definitely be effective tomorrow. Therefore, people must be clearly informed of the risks here. Zhang Fan was inclined to cut off his spleen. No matter what, between death and cutting off his spleen, Zhang Fan chose to cut off his spleen!
Sister Li is too dangerous at this time. She is like a full balloon sitting on the tip of a needle. It may explode at any time. Moreover, this kind of explosion is unpredictable and cannot be protected. Blood vessels are all over the body. Now as long as there is a gap, There is a possibility of heavy bleeding anywhere. We can only let her lie quietly on the bed, reduce her activities, and reduce the possibility of bleeding!
"Doctor, please help us persuade Bai Bing, she, she~" The two old people originally looked like they were in tears, but now they looked a little embarrassed.
Zhang Fan felt that something was wrong, and then said: "This is a matter for the family and the patient to decide. I suggest that surgery is the best. You'd better go and discuss it quickly. After we have discussed it, come and sign."
"Hey! Okay." The two old men supported each other and walked slowly and hard to the ward. Zhang Fan felt it was a bit strange, but he didn't take it seriously, and then started busy preparing the surgery signature form and contacting the operating room.
Zhang Fan now has privileges. This disease originally required transfer to the surgery department, and then contact the operating room through the surgical director.
Just as Zhang Fan was printing the surgery signature form on his computer, he heard the sound of "clang!" and the sound of broken glass. Then I heard what sounded like Sister Li’s desperate voice: “Let’s go!”
Very loud sound! Zhang Fan stood up immediately and hurried over!
