Medical road ahead

"Post-embolism syndrome? What kind of disease is this?"

After lying back on the hospital bed, Wu Lu covered his lower abdomen, looked at Dr. Tang with frown, and asked doubtfully, "Is it the sequelae of the interventional treatment?"

Before, Liu Ming told him that any surgery has unpredictable risks, even interventional treatment, there will be certain sequelae.

"Correct."

Dr. Tang nodded, and ordered the nurse to take painkillers and fever-reducing belts for Wu Li, then sat down and talked with him about his current problems in detail, "Actually, the definition of post-embolism syndrome is not very clear, because there are large Individual differences, which are related to the patient's tumor diameter, chemotherapy dose, embolization times, and the patient's own constitution, the incidence rate is 15.1%-100.0%, and the three most common symptoms are fever, abdominal pain, nausea and vomiting, You happen to have all three."

"I'm so fucking lucky!" Wu Li raised his head and laughed at himself.

Dr. Tang smiled and shook his head, "It's not entirely unfortunate that this happened. Generally speaking, within 3 days after TACE, the patient's body temperature exceeds 38.0°C, which is not caused by infection. This is actually a sign of good treatment effect. .”

"Then why do you have a fever? There must be a reason." Wu Li said again.

Dr. Tang explained: "For patients with tumors larger than 5 cm in diameter, fever may occur when the postoperative alanine aminotransferase and lipiodol doses are greater than 7 mL."

"do not understand."

Wu Li frowned, apparently not understanding Dr. Tang's technical terminology, and then asked, "Then what's the matter with my stomachache?"

"The embolization agent causes acute ischemia and necrosis of the liver parenchyma around the tumor tissue, which leads to swelling of the liver area, swelling and stretching of the liver capsule, and finally pain symptoms. After you take analgesics, the pain will be relieved.

As for nausea and vomiting, this situation mostly occurs within 48 hours after interventional treatment, and after 48 hours, it will be automatically relieved, and it can basically disappear completely within a week.The reason for this situation is mostly due to the toxic and side effects of chemotherapy drugs and the excitation of the vagus nerve caused by the reflex of embolic agents.So, no need for medication, just wait for it to subside on its own. "Doctor Tang said patiently.

Soon, the nurse brought painkillers and fever-reducing tape, and Wu Li's abdominal pain and fever eased, and he slowly closed his eyes.

Seeing this, Dr. Tang finally breathed a sigh of relief, and prepared to get up and leave.

"Doctor Tang, in this case, is my treatment a success or a failure?"

Wu Li, who had fallen asleep with his eyes closed, suddenly opened his eyes, and asked Dr. Tang who turned and left.

Dr. Tang said truthfully: "It's hard to judge now. We can only be sure when Dr. Liu comes to examine you tomorrow."

"Oh."

Wu Li replied vaguely, then turned his head and fell into a deep sleep.

Looking at Wu Li's sleeping face with frowned brows, the nurse said with some distress: "I hope he can sleep well in the second half of the night, otherwise he will be mentally weak all the time, which will also affect the treatment effect."

Dr. Tang immediately ordered: "When the shift is handed over tomorrow morning, tell the colleague who takes over his situation and ask her to contact the nutrition department to adjust the nutritional diet in time for Wu Li's post-embolism syndrome."

"Ok."

The nurse nodded and followed him to other wards to continue rounds
"Now, you can give Wu Li some refined protein, high vitamin, high carbohydrate, and low-fat food as appropriate. In addition, in order to promote his appetite and prevent vomiting, you can increase the color, aroma, and taste of the food. However, it is still a small amount. Eat more meals. For his nausea, you can add a little ginger to the food. Also, add some vegetables and fruits that help defecation to prevent constipation.”

In the early morning of the next day, after learning about Wu Li's condition from the nurse in the inpatient department, Qiao Tan immediately adjusted his nutritional diet, gave instructions to the nurse in the nutrition department, and then asked: "By the way, apart from the post-embolism syndrome, what else can he do? Is there any urinary retention?"

"I'm not sure about that." The nurse in the nutrition department shook her head.

Qiao Tan said, "I'll just go over and have a look, and I'll trouble you to follow up on other things."

Afterwards, she went straight to Wu Li's ward, glanced at the haggard Wu Li, and turned to the nurse in the room to ask, "Can he have normal bowel movements after the operation?"

"puff!"

Hearing this, Wu Li, who was drinking porridge, spit out immediately. Fortunately, the nurse had the foresight to get out of the way in advance.

"Still nauseated?" the nurse asked.

"No."

Wu Li wiped his mouth, shook his head at the nurse, then looked at Qiao Tan at the side, and complained: "Dr. Qiao, you didn't see me having breakfast, why are you talking about shit and pee? "

Qiao Tan shrugged, "I'm in charge of your nutrition treatment, so naturally I have to pay attention to your bowel movements. You can't just eat it, but just pull it out."

"Dr. Qiao really reminded me that you haven't had a bowel movement in two days."

The nurse looked at Wu Li belatedly, and asked, "Do you want to urinate? If you want to, just say so, don't hold it in, otherwise you will have urinary retention, you have to press your bladder and apply heat. "

"I"

Wu Li didn't want to urinate originally, but after the two of them sang together and added half a bowl of rice porridge, he really felt like he was going to urinate, and suddenly wanted to urinate.

He rubbed his nose and said to the nurse, "Please help me out of bed, I want to go to the toilet."

"What kind of toilet should I go to? Just settle it on the bed." Qiao Tan said immediately.

"Huh?" Wu Li wrinkled his face into a chrysanthemum.

The nurse quickly took out the urinal from under the bed, and said to Wu Li, "Dr. Qiao is right, you can only defecate on the bed now."

"Why? My feet are fine." Wu Lu was puzzled.

The nurse explained: "In order to prevent local bleeding from the puncture, you have to defecate on the bed for a few days. Of course, if you suddenly change your position, you may not be able to defecate normally, so I can assist you."

As she said that, she took Wu Li's dining table away and helped him to lie on his side, "Lying on your side is conducive to the smooth discharge of urine, try it."

"Sister, men and women are different!"

Wu Li's brows were already wrinkled into an upside-down character. He clutched his trousers tightly, for fear that the nurse would directly take them off for him.

Qiao Tan sneered: "How old are you, and you're still shy?"

Wu Li scratched his neck and defended: "I'm not shy, but men and women are different, even if I want to shit and pee on the bed, I can do it myself."

After saying that, he waved to the nurse and Qiao Tan, "Go out first, I'll try it myself."

Qiao Tan curled her lips and turned to leave. However, before she left, she kindly reminded Wu Li: "If you can't urinate normally, I can only perform sterile catheterization for you."

"What is sterile catheterization?" Wu Lu hurriedly asked.

Qiao Tan raised his lips, "Insert the catheter!"

"what?"

Wu Li turned pale with shock, and quickly asked the nurse for confirmation: "Really?"

"Doctor Joe is right."

The nurse nodded and asked, "Are you sure you don't want me to urinate for you?"

"no no!"

Wu Li shook his head, gritted his teeth and said, "This is my last dignity."

The nurse laughed dumbfoundedly, and handed him the urinal, "Then do your best, and don't pull the wound."

"it is good!"

Wu Li took the urinal solemnly, and after the nurse and Qiao Tan had left the ward, he stretched out his hand to close the curtain, and tried to urinate while lying on his side on the bed.

"Hey"

It's a pity that he was exhausted again and again, and he finally raised his head and sighed, blushing and shouting outside the door: "Nurse sister, come in and help me, I don't want this 'last dignity'!"

"Ha ha!"

The nurse who had been waiting outside the door for a long time couldn't help laughing, and the inpatients in the room also lowered their heads and laughed secretly.

Wu Li's face turned red instantly.