Alien paradise

The sixth day after surgery

Today is the sixth day after the operation. This half month has been like a dream to me, and it still feels unreal to this day. Forgive me for being in the mood to explain the situation now, because before, my mind was in a state of confusion, and coupled with the physical pain I was experiencing, I couldn’t even get up the interest to lie in bed and scroll through my phone.

The source of the problem should be a blood test two months ago. I originally went there with my wife, so I checked my liver function and blood sugar since I didn't have breakfast anyway. It’s no wonder that the aminotransferase is high. This data has been high for almost 10 years, and I have always thought it was the cause of fatty liver. However, this time my blood sugar before meal was 13, which is theoretically considered diabetes. I had a physical examination at the beginning of the year. At that time, my blood sugar was normal, and I usually chose sugar-free drinks, so I felt a little surprised. So I decided to control my carbohydrate intake and check again after half a month.

Then I checked twice and found that my blood sugar was dropping, but still higher than normal. The second time, the aminotransferase also increased significantly (glucose 400+, before it was basically below 200). The doctor recommended hospitalization, which meant taking fluids to protect the liver. The hospital was very close to my home, but the daily intravenous drip would definitely affect my writing, so I didn't make an immediate decision.

Until one morning my wife said my eyes were turning yellow.

It's as yellow as paint.

This is a symptom of jaundice.

Since I had never encountered this kind of problem before, I thought it would be cured by hospitalization. I did a blood test after hospitalization, and all the data exploded. The transaminase level is over 1,300, and the bilirubin is several times higher than the standard. Looking at a series of data, few are normal. It feels like a big collapse in just a few days. The doctor ordered an abdominal MRI, but it happened to be the National Day, so I had to wait four or five days. At that time, I was still planning a single update to see if I could keep the minimum updated chapter while being healed.

When the MRI results came out, I was completely stunned. There was a shadow on the head of the pancreas, and I was suspected of having a tumor. Because it compresses the common bile duct, obstruction and jaundice will occur.

I just remember that when I closed my eyes in those days, my mind was filled with information about pancreatic cancer, the king of cancers, and the 10% survival rate in three years after surgery. There are some things that I really can’t imagine unless I have experienced it myself.

At that time, I had two choices. Although the hospital near my home was also a tertiary hospital, there were differences between the tertiary hospitals. If you are going to have major surgery, it is definitely safer to choose a better one. However, good hospitals are not close to home, and the management is much stricter. Don't even think about going home to sleep at night during hospitalization. (Later, I also discovered that there was no way I could go back. I was given intravenous injections from morning to night, and I had all kinds of tubes on my body. It was difficult to turn over).

After discussing it with my wife and editor-in-chief Dragonfly, they both strongly supported me to seek treatment first, so after I stopped updating, I transferred to Xiangya Hospital for further treatment.

Everything moved forward very quickly. Within two days, I underwent MRI, CT, biliary endoscopic ultrasound and needle biopsy. I had to wait four days for the biopsy results, and the benign report sent over there was one of the few good news in a while. But the chief doctor said that the puncture might be missed or failed, which made my heart sink again.

A week ago, the doctor explained the treatment plan to me. They planned to make an incision on the abdomen. Although the wound would be large and the recovery would be slow, they would be able to create a large enough observation window for a comprehensive examination. They will take multiple pathological biopsies, send them for on-site examination, and then complete the operation based on the results. If it's benign, they remove the tumor and sew up the pancreatic gap with the small intestine. If it is malignant, a standard combined pancreaticoduodenectomy is performed, which is also one of the largest surgical operations.

I didn't have any qualifications to choose, so I went into the operating room the next morning. The operation lasted for almost six hours. The first thing I shouted when I woke up was that it hurt and I couldn't breathe! (Take a break and will write again tomorrow)

(Today should be considered the seventh day after the operation, so I won’t change the title. It is indeed very easy to get tired during the recovery period of the operation, and I feel sleepy just thinking about it)

That is indeed my most direct feeling. Breathing will expand the chest and pull the wound, and people will subconsciously hold their breath, just like suffocation. The nurse asked me to take small breaths, but I still couldn't get relief. Then she said that I can give you pain relief, but you will vomit later. I didn’t even think about it and just yelled for pain relief. She pressed the machine next to my head a few times. Later I learned that it was an analgesic pump, which contained anesthetics and could be given automatically or manually in large amounts. Moreover, the effect of this medicine was not immediate, and it took more than thirty minutes of tossing before the pain at the incision was reduced to a tolerable level. So dying in pain is really not a description, it can really happen.

(In addition, even if you have to vomit later, you can still ask the doctor to prescribe antiemetic injections, so if you encounter a similar choice, you can choose analgesia without thinking, so that you will suffer less torture.)

Everyone should have guessed what happened next. The biopsy during the operation confirmed it was benign. Since the common bile duct had been occluded, the inflamed gallbladder with stones was also removed, and the pancreas was drained, and the operation was considered successful. My stomach, duodenum, and spleen were all preserved, so there was no need to gamble on the survival rate of less than 10% in three years.

After that, we entered the postoperative recovery period. To be honest, this was really torturous. I was at least in a coma during the operation, but I had to survive every second of the recovery period on my own. On the left is a physical monitor, with an oxygen tube inserted in the nose, a hanging needle hanging on the right, two dirty blood drainage bags, and a urine bag. He cannot turn over and breathes painfully. He is no different from a mummy.

The first day was the period when the anesthesia wore off. I suffered from nausea and vomiting, but I was given antiemetic injections to overcome it. The next day I had the tester and urine catheter removed, and I felt indescribably sour. You can turn over on the third day, but the price is so painful that you break into a cold sweat, and you still have to do it to prevent mattress infection. On the fourth day, a drainage tube was removed, and I finally felt the long-lost freedom. Now I can basically walk and eat some rice noodles. The jaundice has subsided significantly, the color of urine is no longer like iced tea, and the blood sugar has basically returned to normal. I hope everything will go well in the future.

Do you want to say that it comes without warning? Not really. In addition to transaminases, I also had itching all over my body and dull pain in my abdomen after staying up late, but I never paid any attention to it. If the mass hadn't just squeezed the common bile duct this time and didn't cause jaundice, maybe I still wouldn't have noticed its existence. By the time it turns evil, it's too late.

While I was hospitalized this time, I also heard the bad news about the new show in July, which made me feel even heavier. So dear friends, don’t ignore warnings about physical discomfort, and be sure to get more checks. Especially those diseases that have few abnormalities in the early stage but are difficult to cure in the later stage. It’s definitely not a bad idea to have a whole-body MRI done once a year. Also, I never dare to stay up late again, never again. Irregular living can lead to a significant decline in immunity. Staying up late is definitely the culprit in this case.

Finally, I wish all readers good health and stay away from diseases.

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