Patient name-juthika bhattacharya-25 years old (female) (chronic ?itp july 2019? + ?2020 march sle - mixed connective tissue disease (scleroderma) diagnosed patient)???. Continue medicine -wysolon-20 mg, esokem -40, hcq-200 mg, mmf-500 mg (2+1 dose on a day, domstol, sir/madam, mere wife ko galbladder stone open surgery huya hay (mobile) pg hospital kolkata may. Aur 10 din baad jab stitches cut huya tha tab side se ek dam thora sa blood nikla tha cut area se.??.aur liquid jaisa kuch nikla tha 1dintak. Uske baad hospital doctor check up ke time doctor ne kaha tha stitches thik hay. Koi problem nahi hay. Pain, fever ,vomiting tab vi tha patient ko. Par uske badh se patient ko abhi tak a sab problems chal rahi hay: - 1.fever tha bohut dino tak ???.but pichle 10 din se nahi hay. 2. Altime nausea felling & vomiting 5-6 times a day?.now little bit control vomit 1-2 times a day, but still continue. 3.khasi (cough) vi hay abhi tak surgery ke baad se?. 4.stitches area & abdominal may pain continue kaam nahi ho raha hay. Kya kare sirji??guide me & some suggestion?. mobile all corrent reports:- sgpt/alt-105 u/l.very high sgot/ast-347 u/l.very high bilirubin total-0.87 mg/dl creatinine-0.50 mg/dl????tsh (3rd generation)-4.220 (newly ditect) wbc-2.1, rbc-3.70, hemoglobin-10.4, platelaet count-140000, esr-40.