I can see the status bar

Chapter 807 Suspect List (Blood Donation Plus Series 035)

This chapter is updated to thank the book friend "YOLO" for donating 2021ml of whole blood for free on January 1, 19.

Any illness, when it persists for a full five years, can feel like death.And when the symptoms are an uncontrollable cough and persistent, recurring fever, the pain is multiplied.It even developed to the point where people would seriously consider whether to die.

As a 59-year-old woman, Ji Xiuying has much less abdominal fat than women of the same age.And the lines of the muscles are also obvious.This is evidence of a five-year cough—the sudden contraction of the abdomen triggered the cough, and the almost uncontrollable cough that lasted for five years made her abdominal muscles extraordinarily developed.

Since she was a patient who had been misdiagnosed many times, Sun Lien's first treatment plan for Ji Xiuying was to find out what medicines she had taken before.In addition, he had to figure out what these medications meant, and it was best to figure out what impact these medications had on Ji Xiuying in the end.

Such studies can be extremely difficult without the cooperation of patients.But fortunately, Ji Xiuying really went to the hospital more than three or five times in the past five years.The case records she can provide are very comprehensive, which allows Sun Lien to quickly find the content that he needs to focus on from the middle.

In September six years ago, Ji Xiuying was diagnosed with endometrial adenocarcinoma in a local hospital.So, she quickly had a radical operation in the local hospital - total resection of the uterus and both sides of the appendages.

About a year after the operation, Ji Xiuying started to have a cough and a low-grade fever.This made her very nervous-the doctor said before the operation that even after a total resection, there may be recurrence of metastasis at other locations.If you feel unwell, you must come to the hospital as soon as possible for further consultation.

Arriving at the hospital with a nervous mood, and after hearing the news that "there may be multiple lung metastases", Ji Xiuying was almost prepared for her imminent death, leaving only the patient who had just entered the university. Daughter, and her husband's preparation.

The news that Ji Xiuying got later in the capital made Ji Xiuying feel as if she had regained her life—it wasn't a recurrence of the tumor, it was just tuberculosis!

In order to live a good life, in order not to be absent at important key points in the second half of her daughter's life.She takes her medicine seriously, exercises actively and cooperates with all the treatment plans of the doctor.I just hope that I can live another ten or twenty years.Let the daughter not become a child without a mother.

Nine months of treatment passed.She wished with all her heart that she had recovered.She is even ready to take her daughter to travel that summer vacation and take a cruise to see the sea.

However, two days before her daughter returned, she started to have a fever and cough again.Because she was worried that her tuberculosis was not cured and transmitted to her daughter, she quickly called her daughter not to come back.

Then it's time to see a doctor again.This time, she chose to go to a hospital in Shanghai.The hospitals in Shanghai gave completely different suggestions—they thought there might be a problem with the diagnosis of tuberculosis, so they prescribed Methylprednisolone 28mg QD for Ji Xiuying.

After being hospitalized and taking hormones orally for a month, the hospital in Shanghai also performed a CT scan for her. CT showed that her lung disease had improved again.Therefore, the hospital in Shanghai decided to discharge Ji Xiuying.And the oral dose of methylprednisolone was adjusted.Gradually reduce the dose to completely stop the drug after six months.

However, half a month after methylprednisolone was stopped, when Ji Xiuying had her fifth CT scan, her lung lesions progressed again.This time, there were multiple consolidations in both lungs.After some consideration, the hospital in Shanghai decided to use prednisone for Ji Xiuying at a dose of 30mg, which is also a once-a-day QD usage.

One month later, the sixth CT examination showed that Ji Xiuying's lung lesions had improved.The hospital once again made a gradual reduction plan for her medication.

One and a half years later, that is, one and a half years before the current time point, Ji Xiuying suddenly felt that the movement of her right leg was restricted, and she would experience obvious pain and restricted movement after exercising and exertion.She came to the hospital again for an examination and found that her right femoral head was completely necrotic.

The hospital in Shanghai immediately stopped prednisone for her and performed a right femoral head replacement for her.Half a month after the operation, the hospital in Shanghai performed another CT examination for her.Compared with the sixth CT scan, there was no further sign of deterioration.Although the lesion was not completely absorbed, it was at least stable.

"Scarred" Ji Xiuying returned home from hospital.She seriously considered the rest of her life that might not last long.She had been admitted to the hospital many times for treatment, and she had only one thought at the time, she wanted to see her daughter find a partner who could be with her for life.In this way, even if she dies, she knows that there is still someone in this world who can continue to take care of and love her.

A year ago, Ji Xiuying began to take prednisone again because she was worried that her condition would relapse again—these were mainly the medicines prescribed by the Shanghai Stock Exchange but had not been finished yet.After taking the medicine continuously for half a year, she started to have fever and cough again.This time, she didn't want to bother anymore.Ji Xiuying decided to go to Ningyuan to see a doctor.This is where she met her husband.Before coming to Ningyuan, Ji Xiuying had already written her will.She hoped that she would be buried in the cemetery next to Ning Lake after her death.It was very close to Ninghu Lake where I and my husband met.

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"In short, there are two most noteworthy points in this case." Sun Lien held a consultation with the whole group.He wrote two large characters on the whiteboard in the conference room, "nature of lesion" and "response to hormones".

"The first is the nature of the lesion. The properties of the two biopsies are actually contradictory but unified. The main symptom of organizing pneumonia is that the fibrin in the alveoli has not been completely absorbed, and there is a large amount of fibrous tissue hyperplasia. The second The second biopsy revealed chronic inflammation of the lung tissue and epithelioid cell granuloma." Dr. Pascale said in the audience, "From this point of view, both biopsies remind us that these lesions are closely related to the immune system."

"If it has something to do with the immune system, it can explain the fact that her condition has improved after using hormones several times." Dr. Brunn asked with some disapproval, "But she started taking the medicine again a year ago and has been using it for half a year. The prednisone, but the attack again - how to explain this?"

If it's an immune system disorder, it's less likely to relapse with continued steroid use.Moreover, the dose Ji Xiuying took was not too small—20mg QD.This dose will definitely suppress the immune system to a fairly low level.

It can't be because Ji Xiuying's physical condition is extremely special, she even developed resistance to prednisone, right?

"That's the second question." Sun Li'en turned to look at the whiteboard. After being silent for a while, he suddenly said leisurely, "The first time is a coincidence, the second time is accidental, and the third time is inevitable." He suddenly turned and looked at the whiteboard. Dr. Pascal asked, "What if... it was really a coincidence?"

"No way?" Dr. Pascal quickly understood what Sun Lien meant.He asked in disbelief, "Is it just a coincidence that hormones didn't help her from the beginning?"

"It's just a group discussion right now. We can think freely. But after making bold assumptions, we must carefully verify them." Yuan Pingan frowned and asked, "How do you prove your assumptions?"

"I don't have a clue yet." Sun Li'en sighed, and then quickly cheered up, "But...if my hypothesis is true, it at least shows...this disease is chronic, it will improve on its own and then progress again Disease. In this way, the list of suspects can be narrowed down a lot.”

(End of this chapter)