What is the most unforgettable AIDS patient you have ever seen?

I have seen two AIDS patients, one is probably in 2009, and was called up by a nurse at six o'clock in the morning to go to the operating room for consultation. At first glance, it was a male patient with a fall, about 25 years old. The police sent it, saying that a thief climbed the window and fell from the fifth floor. The initial diagnosis was skull fracture, chest and abdomen bleeding and thigh fracture. Several departments are here, ready to give: the patient catheterization, pants off, see both groins are pinholes, I immediately said: 1. The patient is taking drugs. 2. It may be AIDS. When matching blood in a blood bank, priority should be given to checking immunity. Finally, AIDS. General surgeons wear an extra layer of gloves when performing laparotomy. Finally, the patient died of hemorrhagic shock due to splenic rupture.

The second time was the winter emergency in 20 15, and a patient was sent in the middle of the night, saying it was because of a car accident. With the police. Said he checked his identity. He is a registered AIDS patient. My heart thumped at that time. When I saw the patient, I found that he was only a boy of 19 years old, and his height was between 172 and 175. He is very thin, but he is only 50 kilograms visually. He is wearing medium-heeled boots, hippie black tights, earrings on his ears and very white skin. He still seems to have a fashionable young hairstyle. Surprisingly, when he was given a physical examination, the young man spoke politely. My heart tightened and I slowly relaxed. Luckily, I just hit my leg. There was nothing serious about filming after debridement, so the police took him back.

As a doctor, I have met many AIDS patients, but the most unforgettable one is a 25-year-old man who had a strong desire to survive at the last moment.

He comes from a rural family and is the only child in the family. Although only admitted to two ordinary schools, every child is the pride of his family, and so is he.

He just turned 18 and left his family to study alone in Guangxi. When he first arrived in Guangxi, he undoubtedly played best with his roommates, but in the end, it was these roommates who hurt him.

Because two roommates in Guangxi took them out to play, he said he had been out three times and had not been there since. Universities are peaceful. After graduation, he returned to our place to take the civil service exam. I didn't pass the exam in the first two years, and I have been studying at home full-time. In the third year, he finally passed the exam, and the whole family would jump for joy.

But what I didn't expect was that just after the interview, he had a high fever and it continued, so he went to the hospital. He was very, very weak when he arrived at the hospital. He fainted in the fever clinic and was rushed to the emergency room.

When the emergency room doctor measured his blood pressure, it was only 80mmHg. Considering the shock, he immediately added plenty of water and improved the blood test.

CRP is greater than 300, and procalcitonin has reached 63. All the examination results show that this is a patient with septic shock, but because there is a bed in the infection department, he is directly admitted to the infection department for further treatment.

The patient was puzzled by two points:

When more blood test results came out the next day, it was a critical result directly, and HIV was positive. This patient is suffering from AIDS.

According to the rules of AIDS diagnosis, I immediately drew a tube of blood to send it to the disease control, and at the same time tested lymphocytes. Sure enough, CD4 lymphocytes are extremely low, and this patient is an AIDS patient.

After chest CT and abdominal CT examination, the lungs became commonly known as "white lungs" and the infection was serious. Abdominal CT showed a large amount of exudation and serious infection in the abdominal cavity.

After the results came out, we went to ask him again. He said that he had played several times in college, and only a few times.

Syphilis, AIDS and hepatitis B are really infectious diseases.

His parents were really in tears, just like his only son.

More unfortunately, the patient's condition continued to deteriorate after admission and the infection could not be controlled. He died in the intensive care unit two weeks after admission, and all the anti-inflammatory drugs were taken, but the infection was really uncontrollable.

He was in tears before he entered the intensive care unit. He regretted it, but there was no chance.

How far is HIV from us? To tell the truth, HIV is still far from most people. As long as safety measures are taken to lead an honest and clean life, the probability of HIV infection in China is still very low, but low probability does not mean that there is no HIV.

Nowadays, more and more college students are infected with HIV, which is related to many factors, but the most important thing is that they have not taken protective measures.

Protecting yourself is more important than anything else.

I have been a doctor for so many years. For some private diseases, as an infectious doctor, the important principle is not to remember too much information about the disease, but to remember other information about the patient.

Sometimes on the road, you will meet some AIDS patients and try not to say hello. If possible, it's best to pretend not to know each other. Because this is not an occasion to see a doctor, and I was infected as a doctor, which may also bring trouble to others.

In fact, I have seen a lot of AIDS, some serious and some mild. Some people are really hard to remember. Watching the patient until the end of his life can't do anything at all.

What impressed me deeply was that when I was studying, I saw a boy of sixteen or seventeen. The child was diagnosed with AIDS because of Kaposi sarcoma. At that time, Kaposi's sarcoma was almost all over the body: skin, mouth and face. ...

After antiviral treatment, these manifestations magically disappeared. The patient is completely different. At that time, the teacher asked us to film it and said that we could look at it and review it later.

But because of the change of mobile phone, the picture has been deleted. Now the child is still taking antiviral drugs and is in good condition.

A middle-aged HIV-infected person was found out because of herpes zoster accompanied by fever and cough. With the consent of the patient, he told the child about his illness.

After hearing this, the patient's children were very shocked and said that his father was honest. How did he behave like this? How did he get this disease? A mystery. Up to now, they are still unwilling to accept this reality, but patients seem to have understood it for a long time.

There is also a female patient who has seen a doctor in the dermatology department of many hospitals because of itchy skin and rash. Some consider allergic dermatitis, and some consider skin fungal infection. However, there is no obvious effect after medication.

The patient is a person with a formal occupation and is highly respected in the local area. He still has some fame in the local area. Finally, I tried to check her AIDS antibody, and the result showed positive, and then she was diagnosed by the CDC.

Considering opportunistic fungal infection, some antifungal drugs need to be treated, and the rash has not subsided. After two months of antiviral treatment, the rash completely subsided, which was considered to be an AIDS-related rash.

There is another child, who was about 12 years old when he saw the doctor. The child was adopted by adoptive parents in some way (it is hard to say specifically), and the biological mother seems to be from Yunnan. Because of a minor operation, I checked the preoperative infectious disease project and found myself infected with AIDS.

After children take antiviral drugs, the effect is very bad, the viral load can't go down, and CD4 can't go up. Due to limited conditions, we can't afford the latest international antiviral drugs. Finally, children are getting more and more serious. After two years of antiviral treatment, I still died!

This is the process of different people discovering AIDS and their therapeutic effects. It can be said that some people have a good effect and can return to normal life, while others are very sorry, although active treatment can not stop the development of the disease.

I am an infectious disease doctor. Normal cD4 is about 65,438+0,000. I have seen this patient's cD4 is only 7, and his immunity is almost zero. At the same time, he was admitted to the hospital with pneumonia, tuberculosis and high fever. He was admitted to the intensive care unit for a few days because of a fungal infection. Later, the patient actively cooperated with the treatment, and his family knew that he had the disease and did not give up on him. They all actively cooperated with the treatment. Later, after our antifungal treatment, he went from fluconazole to amphotericin. The treatment effect of anti-fungal infection is remarkable. Taking high-dose compound sulfamethoxazole to treat lung entrapment, and then the patient developed extrapulmonary tuberculosis. Surgical resection of tuberculosis department and anti-tuberculosis treatment for one year. At the same time, patients and relatives actively cooperate with antiviral treatment. Now CD4 is 1.

Qian You, cD8 is around 800, the ratio is above 1, and the viral load is less than 40, just like normal people. At present, from AIDS patients to HIV carriers,

Lived at the same time 10 years.

We gave birth to a normal baby last month with our intervention.

AIDS is not a terminal disease. There are many drugs that can be used for antiviral treatment now.

As long as your disease load is below 40, you are no different from normal people.

Don't give up when you are sick, and actively tell your family to come to the hospital for antiviral treatment. This is the same as the patient catching a cold. Just take medicine actively.

I have never seen an AIDS patient. A few years ago, some pictures of AIDS prevention were exhibited downstairs. The photos of those patients still have shadows after seeing me. The patient seems to have a lot of tumors in the later stage, especially on his legs, and then fester. One of them was a young beauty who died with beautiful eyes. If she can come back to life, I believe she will stay away from AIDS.

Ten years ago, a relative not far from the countryside took one of her neighbor girls to the city to see a doctor and dropped in on me. I also heard from relatives about the girl she took away. Very sad. Her father was stoned to death for a living, and her mother was insane. She grew up with hundreds of meals from snack relatives, and no one sent her to school. At this age, she can't write her own name. The girl is actually very beautiful and thin, with eyes like a pool of lake water and melancholy. I am more enthusiastic about her because I know her situation. I took some relatively new clothes and gave her several hundred dollars. Later, she went to see a doctor, and her relatives came again and said that she had rheumatism. The third time, the girl came by herself. I was at the door when she knocked. I opened the door and saw her with long hair. It was summer, and her knocking arm had not been put down. The whole body is bare, and it seems that pieces of red skin are still there. She may have been beaten and left without knocking. Six months later, she heard that she had passed away. When she died, it was said that someone asked her if she had any wishes. She shook her head silently. Now that I think about it, she may have AIDS because she didn't study when she was a child. When she was sixteen or seventeen, she went to the city as a nanny. She is young, illiterate and uneducated, and it is too hard to be a nanny. Later, she went to the hair salon to be a shampoo girl. She also wears a low-cut mini skirt in winter, which is very popular with men. She was only 23 when she died. At that time, AIDS was still a new term in our small city, and it might be misdiagnosed as rheumatism by doctors. And the incubation period of AIDS has reached more than ten years.

People with AIDS wake up every day to face death. I hope everyone lives an honest and clean life, so that they won't get this terrible disease. What I wrote is true. I hope that people nowadays will not engage in high-risk behaviors at will, but should be responsible for themselves and others.

What is the most unforgettable AIDS patient you have ever seen? I have been meeting two AIDS patients in the dermatology clinic of the hospital. Both of them came to see a doctor because of other skin diseases. Both of them have the same feature, and they don't know that they are infected with the virus.

What impressed me the most was a 2 1 year-old boy, about 180 cm tall, thin, but still a little energetic. Dressed in fashion and somewhat handsome, the intern next to him made a fool of himself: "So handsome", and the chief doctor next to him replied: "Don't just look at appearance, but look at bloodline. Many handsome guys who come to dermatology are old GAI. " Of course, this is a joke.

There are many small scales on the trunk and limbs, and the surface seems a little round and red. It's been 10 days, and I don't feel anything. The young man took his time in telling the story of his illness. After seeing this rash, the director asked him if he had sex and where he worked.

Working in a bar, having sex, having no fixed girlfriend, sometimes wearing condoms, sometimes not wearing them;

Blood tests are needed, and diseases such as pityriasis rosea and syphilis are not excluded. Take a blood test first to see the results, and then consider taking drugs; The young man agreed, so check it first, leave your phone number and let you know the result;

A week later, the results were unexpected, but for the director, these seemed to be known in advance, and the director said that this was clinical experience;

Syphilis test results were positive, and HIV screening results were positive. I dialed the phone right away, but no one answered. Continue to call the next day, I can feel that he is sleeping, and he knows the result with a blank face. He came out to work after graduating from junior high school and didn't understand these things. I quickly asked him to come to the clinic and needed further examination. The general hospital provides preliminary screening and confirms that the experiment should be carried out in the CDC.

Confirmed that the experiment was positive, he still looked blank. What is HIV infection? What is AIDS? What is syphilis? Why am I infected with these diseases? Will AIDS definitely die? Is there a cure?

I talked with him for about half an hour and kept explaining these problems. He's a little confused.

Lead an honest and clean life and cherish your health. This is my work since my internship in dermatology. No matter in class or clinical teaching, every time I talk about the chapter on sexually transmitted diseases, the teacher will write the words "lead an honest and clean life" on the blackboard. Everyone is familiar with it, but it is very difficult to really walk into everyone's heart.

I like+pay attention to @ 丫丫丫丫丫丫丫丫 200011roughly on 20 14. I received a case of a rural woman in her sixties who was honest. Her calluses and simple clothes are simple farmers, sent by her eldest son from the outer court. At that time, she was obviously infected with AIDS because her husband had an affair outside and then infected her. At that time, the bleeding of lower abdominal pain lasted for more than 1 month. At that time, relevant examinations were done in the provincial cancer hospital to consider early cervical cancer. While waiting for other tests, I wanted to move a stool to sit down because I was exhausted, but the nurse in the first place saw her diagnosed as "AIDS" and refused to let her sit on the stool. Because of infectious diseases, I went back to the local hospital for surgery, but as expected, I was stopped by various hospitals. Even some gynecologists didn't even do the basic gynecological examination, and they missed the opportunity of surgery when they were sent to the hospital specializing in AIDS treatment in the south. Finally, the patient transferred from the neck tumor to the whole body and needed to take a lot of painkillers every day. According to her eldest son, she died painfully at home.

This case was a great shock to me at that time. Even medical staff discriminate against AIDS patients, and even AIDS patients are not allowed to sit on their stools. This shows the degree of social discrimination against AIDS.

Therefore, popularizing AIDS is the unshirkable responsibility of our infectious disease doctors!

Aids is not so easily transmitted to others!

The most unforgettable thing I have ever seen should be on network TV. Because AIDS patients are not written on their faces, the state has not informed them, and they themselves are well hidden! So it is difficult for ordinary people to see AIDS patients.

The first time I saw AIDS patients was on TV. At first, the family didn't know that they were infected with AIDS, and they also gave birth to two more children. That woman is weak because she gave birth to a child. Because the poor farmer had no money to buy medicine for treatment, she died soon, and it was difficult to move. Every noon, her husband puts her on a wooden two-wheeled cart to bask in the sun, and flies lie on her face, eyes and mouth. . .

That scene. . . It's terrible.

The other one is online, and the AIDS carrier with glasses and a fat face is hateful! It's obviously a scum with some money and a glamorous job! ! Why do you say that about him? ! Because he was obviously infected by his own disorderly behavior and became a carrier! ! And began to retaliate against society! When he misbehaved again, he deliberately took off the condom. And spread on the internet how he infected other young girls! !

Such people are a danger to society! !

Especially hateful! Without proper treatment, he deliberately infected others, but the problem is that he is still alive! There is no law to arrest him! I don't know how we ordinary people who are deeply involved deal with such unscrupulous people! How irritating!

We should really cut such ancient people to pieces!

20 15, hospital intern, cardiovascular department.

At that time, I met a patient with no expression and no desire to survive. His eyes are full of indifference. At that time, the head nurse whispered to me, an intern, "You may be a little unfamiliar when you first came, but you need to pay attention to stay away from that patient, who will move out soon." In the face of other people's suggestions, everyone has a resistance, so curiosity and curiosity drove me to open the patient's medical record (fuzzy memory).

At this moment, I suddenly understood what the head nurse meant.

Just after I checked the patient information, the ward outside the corridor seemed to explode. I closed the case and walked out of the office, only to hear the head nurse's loud voice, "Bed 48 is full of hemoptysis."

Except the attending doctor and the head nurse, everyone else left the ward. The thin, indifferent and godless patient seemed not curious about his symptoms, nor did he have any fear. Calmly spit out the blood in his mouth, wiped the blood from his mouth and fainted in the hospital bed. We put on masks and looked at a lot of blood on the ground from a distance. We think the patient's condition is not good.

This patient suffers from pulmonary embolism and massive hemorrhage caused by AIDS complicated with tuberculosis, and syphilis infection at the same time. Before the vehicle was delivered, the patient showed dangerous symptoms of massive hemoptysis, and the doctors were very flustered.

Due to the emergency, several department directors immediately put into surgical intervention. The patient suffered from blood vessel rupture and massive bleeding. Few nurses dare to go up and help several directors who are indifferent to life and death. Everyone has to bite the bullet. I huddled in the corner of the ward and looked at the nurses wearing 3-4 layers of gloves. I can't help but get scared.

You know, in this case, no matter how many layers of gloves you wear, you can't stand the puncture of pinholes. If you are not careful, you will be the next infected patient. Few doctors in this municipal hospital have experienced such a great risk of occupational exposure.

But under this risk, doctors and nurses successfully completed the operation, stopped the bleeding and stitched up the blood vessels. Although everyone is afraid, no one chooses to back down. No matter how pessimistic the patient is about life and death, saving him has become the doctor's default criterion.

Later, the patient woke up and began to cry when he saw the doctor. He always felt that he had spoken all his life that day. However, what he repeated most was, "I am a dying man. Why did you save me? " The dean comforted that AIDS was not a terminal disease, and we didn't give up. What did you give up? The patient struggled with a twisted expression, and after hearing the director's comfort, his eyes felt hope and endless tears.

Later, the transfer bus arrived and transferred him to a higher hospital for treatment. Although the patients and nurses were still wary of him, I saw him smile and wave away that day.

This is the first time I have met an AIDS patient with tuberculosis, and it is also the AIDS patient with the brightest smile I have ever seen. What is unforgettable is not his tragic pathological changes inside and outside, nor is it that everyone is curious to spy on his mentality. What impressed me most was his yearning for life and his awe of life. Sometimes I have to say that living is the greatest happiness.

AIDS is not a terminal disease, even if it is combined with a variety of bacterial and viral infections, it can be alleviated and eliminated under the current medical technology. Therefore, we should not be afraid and fearful, face up to its existence and believe that doctors believe in science. Only by active treatment can we live a healthy life and have our own happiness and happiness. At least your medical staff will always support you silently!

I met a very beautiful girl the year I graduated. We got along very well, but several confessions were rejected. Later, I learned that she was taken by her father to sell blood and was infected with AIDS. Rejected me because she didn't want to hurt me.

I didn't know she had AIDS unless her father said. I saw the despair in her eyes when her father told me that she had AIDS in front of me. Then I squatted on the ground and cried hysterically. I really want to hug her, but I don't have the courage.

Although I knew about AIDS at that time, I didn't know what the consequences would be if I was infected with AIDS.

After graduating from college that year, I went back to my hometown to prepare for the civil service examination. For economic reasons, I found a small building with only two floors. The structure is very simple, there are only two rooms on each floor, which belongs to the old house and is rented on the second floor. The girl who lives on the same floor with me is a few years younger than me. She also lives alone.

During that time, except for eating, I basically read books in the house every day. The girl is also at home during the day, and she goes out at 6 o'clock in the evening and doesn't go home until the early hours of the night.

Because it is an old house, there is only one faucet on the first floor. You can often meet them when you use water. Say hello politely if you have more times, and you will get familiar with it slowly.

One day at noon, I went down to eat and met them. When asked, they all went to dinner and went with each other. Because they are all about the same age, there is no generation gap in chatting. After the first time, we often go to dinner together. After a while, they became friends. When she knew that I was preparing for the exam, her words were full of envy.

She told me that she was a single-parent family and left society very early. Now working in a bar, my monthly income is very limited. I really envy that we have the opportunity to pursue the life we want. I smiled as soon as I heard it. I told her that my family had raised me for more than 20 years, and now my future is uncertain and the pressure is very great. She smiled and said nothing.

I was reading a book that day when a man knocked on her door. Calling her name while knocking at the door, I knew she was at home and went out to see what was going on. The man is in his fifties, scrawny and with sunken eyes. Seeing me open the door, he looked at me very warily.

I asked him what he was doing, and he said he was looking for his daughter. I think I heard our conversation. She opened the door, and I saw my dislike for that man in her eyes. Seeing embarrassment, I walked back to my room.

I heard their conversation through the door. That man should be his father. The purpose of looking for her is to ask for money, saying that she has no money recently and wants to ask her for some living expenses. She seems to dislike her father. First of all, she said she had no money. After repeated urging, the man took out hundreds of dollars, but her father was not satisfied. She didn't leave swearing until she began to get angry.

After the man left, I heard her crying in the room. I want to comfort, but I don't know what to say, so I can only keep watching. At 5 o'clock in the evening, I heard her go out. At 2 o'clock in the morning, I heard her come back. I didn't seem to see anything that day.

At lunch time the next day, I was not ready to go out. She knocked at the door and invited me to dinner. Walking on the road, I don't know what to say to enliven the atmosphere. She spoke first.

It turns out that the man is his father, lazy. At the age of 8, her mother couldn't stand the domestic violence and ran away from home and never came back. His father hasn't changed because of the competition. He has been cheating all day. She also started social work very early, because she has income. Most of them were taken by his father for various reasons. She moved several times because of this, but her father can find it every time. She didn't want to give him money, but she couldn't stand his constant beating. When she spoke, I saw the helplessness and loneliness on her face. I didn't know what to say, so I told her to come back later or not. You have to think of yourself. But deep down, something was touched, and a very strong desire for protection seemed to emerge from generate. I looked at her and she just looked at me. We looked at each other for a second and were embarrassed to look back. But we all see different things in peacetime from our own eyes.

After that day, I felt that her attitude towards me had changed. I think I want to protect her, too Tell people I like her.

In a few days, I will be ready to eat after 6 o'clock. I didn't hear her go to work either. I knocked on her door out of curiosity. She said she was resting, and I will definitely seize this opportunity. She offered to invite her to dinner, and she readily agreed.

After dinner, we made an appointment to go to the park in the small county. That night, I found her smile really beautiful, during which I bought two ice creams. I accidentally touched her hand when I handed it to her. She drew her hand back like an electric shock, and I thought she was shy.

Back in the alley, I tried to hold her hand again. This just touched her and she dodged at once. I saw the panic and anxiety in her eyes. I thought I was too reckless, or I misunderstood her. We were silent all the way, but I stayed to say something. But she went straight into the room without saying anything. I'm going back to my room, too. I'm not in the mood to read. When I was lying in bed thinking, I vaguely heard her crying. I thought about it, but I didn't think it was right, so I gave up.

After that night, she basically stopped calling me. He also deliberately avoided me, which puzzled me. I didn't get a chance to ask her why. Until her father visited again.

It was still noon that day, and her father suddenly appeared, obviously asking for money again. Knocking at her door, she didn't open it. Knock at the door in the meeting and don't open the door, just start kicking. I didn't want to go out at first, but the noise also bored me. I opened the door, looked at him and said nothing. He saw that I stopped kicking the door. Keep knocking at the door with your hand. Knock on the door and say open the door, I know where you are. I'm your father. Did I raise you for nothing?

I was a little angry and went out to ask him what he thought of his daughter. He gave me an empty look and said contemptuously, What do you care? I was just about to say something. She opened the door and saw her daughter open it. The man's expression instantly turned into a smiling face, and he said obsequiously, give me some more money, and the money is tight again. She hates the word "no" popping out of her mouth! Her father asked directly, where is your money? He said, and walked into the room. She closed the door conveniently and I went back to my room.

After a while, the door of her room opened and at the same time there was her father's cry. The curse was so ugly that she kept silent. My little desire for protection has reappeared. When I opened the door, I asked her father why he didn't make money. Do you have to force your daughter?

Facing my sudden attack. He paused for a moment, then looked at me with a sneer and said with a smile, what's it to you? She won't send me flowers. Should I give them to you? See my father want to quarrel with me. She quickly turned around and took out a few hundred dollars and handed it to him. Let him go quickly, and he was shocked when he saw his daughter's sudden change. I thought about it for a few seconds with the money. I looked at my daughter and smiled strangely. Go on, are you afraid you don't like him? You still want to fall in love with AIDS?

As soon as this word came out, I was shocked in an instant. She didn't expect her father to say such a secret thing in front of me. She took one look at me, then covered her face with her hand, fell to the ground hysterically and began to cry. His father was very satisfied and left with the money, leaving me with a daughter who was stunned and cried her eyes out.

I can't believe that she will get AIDS, but her performance convinced me. I didn't know what to say, so I just stood there waiting for her to cry. I want to hug her, but I can't get away. I know I still mind.

She cried for a while and calmed down. Seeing that I was still standing there, she stood up and barely filled my smile. Now that I have said it, I will tell you everything.

It turns out that her AIDS is also thanks to her father. 16 years old, and her father had no money, so he took her to sell blood. As a result, I was infected with AIDS. The second time I went to sell blood, I was caught by the police. Seeing that she is young, she has popularized all kinds of hidden dangers of selling blood. As a result, she didn't know she was infected until she went to the hospital for examination. Knowing the result, she almost collapsed. Later, she heard that the medical level is developing now, and maybe it will be cured in the future. This restored a little confidence. She works hard to make money and has always been frugal, just to cure the disease one day.

Rejected me because she knew the route of transmission of AIDS. I'm afraid I'll be infected by accident, and I don't know what to say after listening to the story. She turned and went back to her room.

While I am sad, I am grateful to her. After a while, she went out. She didn't tell me where to go, and moved out at noon a few days later. You didn't even say goodbye to me, and I couldn't read quietly there. It wasn't long before I chose to go home. But I haven't forgotten her.

I want to say that there are several ways to spread AIDS, not just sexual transmission. Moreover, normal daily contact will not spread, and we should not treat AIDS patients in the same way. I also hope that with the improvement of medical level, AIDS will be cured one day.