Plague Doctor

Chapter 309

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“Help, itchy … A lot of insects crawl in my face …”

In the isolation ward, Xie Yiman walked around painfully, hitting his head against the pillow of the bed from time to time, or pinching his arm fiercely, but still couldn’t stop, still had to scratch his face, even if that face It’s scarred already.

Suddenly she hit her head hard against a wall, and was immediately stopped by the nurse who came in. After all, she was only an 18-year-old girl, and she sobbed helplessly.

There is a surveillance camera in the corner of the ward, and what is happening is being played in a medical conference hall in real time.

Gu Jun, Egg Uncle, Zhang Haidong and other white lab coats looked at the conference screen, and they all saw that Xie Yiman’s mental state was getting worse.

“The patient’s self-mutilation behavior has increased, and it is necessary to increase protection measures.” Zhang Haidong said with a frown.

“Professor Zhang, if the patient is fixed,” Gu Jun asked, “is it more stimulating her mental state?”

What is the cause? They are not sure yet and can only do some exclusion.

If this is a skin disease, it is not viral, bacterial, fungal, parasitic, nor allergic, autoimmune, skin tumors, etc.-the patient’s physical indicators and filming results are not significantly abnormal, and Even the numbness can’t stop itching.

Faced with this situation, the eyes of doctors in various countries have been directed at the type of “neuropsychiatric dermatosis”.

Gu Jun has been worried about this type for a long time, because this is also the category of psychiatry, and the treatment method has become uncertain.

If it is caused by microorganisms, then kill the microorganisms, skin disease will probably be cured, there is a treatment way “how to kill microorganisms”.

But neuropsychiatric dermatosis is different.

There is no need to have anomalous forces to do the blame, humans have many such diseases. The patient had no primary skin damage, but suddenly felt a paroxysmal itch somewhere on the body, and then scratched it, but the more itching, the more itchy, and the symptoms of rash, edema, and scales appeared.

There is also a “parasitic paranoid disorder”, in which there are no parasites in the skin, but the patient stubbornly feels that he is infected with the parasite, even if he is not convinced of the consequences of the clear examination, that is, he thinks that there are a lot of insects in his skin. Crawling.

And abnormal behaviors such as plucking hair, biting nails, hitting the head, etc., are not uncommon in such diseases.

So if it is not the shape of those erythema like a brand, and the occupations of these patients are similar, this can be a common disease.

“It must be a stimulus to the patient’s spirit.” Zhang Haidong said suspiciously, “A Jun, still need you to tell the patient, you trust her more.”

“If it doesn’t work, let’s look at it as a manual worker?” Uncle Egg put forward an idea, and everyone thought about it.

Artificial coma is mainly used to treat patients with brain trauma, but sometimes in order to prevent some patients from disturbing, this kind of deep anesthesia can also be performed.

“I will try to persuade her to hold on first,” Gu Jun said, thinking.

“Neuropsychiatric disorder” refers to the malfunction of the nervous system, or mental disorder, which is now more inclined to the latter, and it is useless without local anesthesia.

The key lies in how to correct the patient’s psychological state.

“To treat this type of skin disease, you usually have to find a way to relieve itching.” Zhang Haidong also said that he is in his 50s. As an expert in dermatology, he is rich in various skin diseases such as ordinary, abnormal, large and small. experience of. “The psychology of such patients is very strange. They seem to have a switch in their hearts. When they are turned on, they will become ill. If they are turned off, they will have nothing. Be closed. “

How to stop itching is exactly the problem now.

For general neuropsychiatric dermatosis, medicine can still have an effect on physiology, more or less.

In patients with mild illness, even if you apply dexamethasone ointment to the affected area, it can also relieve itching.

Anti-inflammatory and antipruritic medicine If it doesn’t work, it can be given a sedative, or local anesthesia if it doesn’t work. For example, the procaine block therapy they have given to Xie Yiman can reduce itching and pain through local anesthesia and cooperate with psychological treatment, so that they can recover.

Nowadays, probably because of the influence of abnormal forces, these methods are useless.

Xie Yiman should not feel the existence of the face, but she still feels itchy, and there are still many insects crawling.

Gu Jun even used the raw material of gold aloe as a topical application. It still does not work. Maybe the live gold aloe is useful. Maybe the related medicine developed in the future is useful. But now the laboratory is still analyzing ingredients and extracting materials. stage.

He inquired in his dream, Zugiri’s report is that there is no problem on the side of the worm house, and the relevant physical channel has not been found temporarily.

“I’ll talk to her.”

After the meeting, Gu Jun came to the isolation ward again.

The patients are now isolated in the local hospital, and the Tianji Bureau will transfer and concentrate as appropriate. All aspects of the work require more time to determine and carry out, but if no way to relieve itching, patients may not be able to survive like this.

“Gu Captain, help!” Xie Yiman immediately saw him and immediately rushed up to hug his air-tight protective suit, begging: “Save me …”

Gu Jun silently took a deep breath. Every time he faced the patient for help, his heart seemed to be torn.

Among the patients, Xie Yiman was the most severely ill for the time being. The erythema on her face did not spread, but she was itching and she was about to collapse.

“Yiman, in fact, the situation has been basically determined. I wear protective clothing only for procedures. Your disease is not contagious. It is not caused by poisonous insect insects. It is because some kind of supernatural power affects your perception. Now. “

Gu Jun patted Xie Yiman’s shoulder and explained to her gently and patiently what a neuropsychiatric dermatosis is, being very careful not to irritate her.

Professor Zhang has already mentioned him. Such patients have large mental fluctuations and are prone to anxiety. In particular, they do not like to hear people say that “you are not ill at all, you have a mental problem”. It has been known for a long time in the clinic that the mood of the patients is very anxious. The communication between doctors and patients must first respect and empathize with the patients.

Therefore, when Gu Jun speaking of which, all use a kind of expression that says “I know you are the victim”.

“That kind of power has some kind of spiritual connection with you. Only in this way can you pass this idea to your mind continuously, making you feel itchy and how itchy. But if we cut this connection If it breaks, the illness may be cured. “

Gu Jun’s inference is not nonsense, like nightmare has such a spiritual connection.

“Then … what shall I do?” Xie Yiman asked in a daze and anxiety, trusting Gu Jun.

“We give you an increased dose of sedatives, and at the same time fix you on the bed with your hands and feet tied up, you are responsible for taking out your will and enduring!” Gu Jun said motivatedly, “no matter how itchy it is, don’t worry It did not scratch at all, endure, endure today! See what happens. “

Let the patient face that kind of connection, if they can tolerate it, they may be able to reverse the abnormal force.

“No, no, no …” Xie Yiman hearing this, immediately anxious, almost screaming and crying: “No, no, that way I will die! Gu Captain, it’s not that I don’t want to endure, it can’t endure. , You understand, it’s too itchy, I can’t bear it … “

Gu Jun saw her emotions so excited that she knew that this method was successful for her because the focus was not on sedation, but on psychotherapy.

“Gu Captain, if you want me to die.” Xie Yiman’s tone became more agitated, “Then I might as well die as happy!”

She was about to rush over and hit the wall, Gu Jun quickly pulled her, “Don’t! We have other treatment options, this one can’t change one, don’t worry.”

“What plan?” Xie Yiman asked breathlessly, holding his face hard, and hope rekindled in his eyes.

“Artificial coma,” Gu Jun said, and now I can only try it. “We will numb you and you will fall into a coma and you will feel nothing.”

“Good!” Xie Yiman was nodded happily, “This is good, I want to sleep for a while, this is good!”

“But you have the risk of never waking up.” Gu Jun told her clearly. Under normal circumstances, as long as the dose of anesthetic is reduced, the patient can be awakened at any time. But patients with isospermia disease cannot have general anesthesia, or they will wake up and lose their consciousness.

He is not very advocate of artificial coma. First, there is this risk; 2 is when the patient’s self-consciousness is lost, will there be new changes in his condition?

However, these all are uncertain, but if you endure it, you may drive the patient crazy.

The treatment of each new disease needs to be explored, and every way, the patients must always have the first try.

“I …” Xie Yiman was a little confused, maybe he could not wake up? “Can I call my mother?”

“Yes.” Gu Jun complied with her request, which did not hinder her family from being controlled by the Tianji Bureau.

Xie Yiman choked on a phone conversation with his parents for a long time, no one would want to take this risk. But less than an hour later, she decided to make this attempt because she became more and more itchy. She could not sustain it, as long as she could rest for a while …

The treatment plan is set and will be implemented soon.

Various monitoring instruments and equipment were sent to the isolation ward, and the rescue room was also prepared. The anesthesia team prepared the medicine and gave Xie Yiman an inhalation anesthesia. In the pain and expectation, the expert star actor slowly closed his eyes and entered into a coma.

It was 2 pm on this day, Xie Yiman did the world’s first artificial coma treatment in this epidemic.

The situation after her coma continued to be monitored throughout the process. Gu Jun, Deng Ximei, Uncle Egg and other people were guarding the bed with the anesthesia team, watching her quietly, and sensing the surrounding …

Gu Jun playing at first does not tend to be artificially comatose, and at this time, there is always an uneasy entanglement in his heart, which is getting heavier and heavier.

When Xie Yiman’s coma time was only half an hour, she was still lying motionless on the bed, but the indicators monitored by the instruments nearby suddenly changed. Consciousness is comatose and conscious, the performance of the electroencephalogram is different, and at this time, the slow wave of the electroencephalogram increases, and her consciousness becomes active again.

“Quickly wake the patient!” Gu Jun hurriedly inhaled to stabilize himself.

Several anesthesiologists had already acted, and Uncle Egg patted her head regretfully: “Oh, I shouldn’t say this idea, I really shouldn’t …”

“Uncle Egg, always try it out.” Gu Jun knew that it was not his fault. No wonder Uncle Egg’s head, only hope the patient could be awakened smoothly.

At this time, Deng Ximei next to him said softly: “Maybe, we can, try it … See what Xie Yiman is experiencing now?”

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