"Help, it's so itchy...there are so many bugs crawling in my face..."
In the isolation ward, Xie Yiman walked around in pain, hitting his head on the pillow of the hospital bed from time to time, or pinching his arms hard, but he still couldn't stop, and still wanted to scratch his face, even if that
His face was scratched and covered with scars.
She suddenly slammed her head against a wall and was immediately stopped by a nurse who ran in. After all, she was only an 18-year-old girl. She sobbed helplessly.
There is a surveillance camera in the corner of the ward, and what is happening here is being broadcast in real time in a medical conference room.
Gu Jun, Uncle Dan, Zhang Haidong and other people in white coats looked at the conference screen and could see that Xie Yiman's mental state was getting worse and worse.
"The patient's self-mutilation behavior has worsened, so protective measures must be taken." Zhang Haidong said with an old frown.
"Professor Zhang, if the patient's limbs are immobilized," Gu Jun asked, "will it further stimulate her mental state?"
What is the cause? They are not sure yet and can only make some exclusions.
If this is a skin disease, not viral, bacterial, fungal, parasitic, allergic, autoimmune, skin tumor, etc., the patient’s physical indicators will show no obvious abnormalities in the X-ray results, and even the results will be normal.
Even numbness can't stop the itching.
Faced with this situation, doctors from all over the world have focused their attention on the type of "neuropsychiatric dermatoses".
Gu Jun has been worried about this type before, because this is also the scope of psychiatry, and the treatment method has become uncertain.
If it is caused by microorganisms, then killing the microorganisms will probably cure the skin disease. Here is a treatment method: "How to kill microorganisms."
But neuropsychiatric dermatoses are different.
There is no need for an abnormal force to cause trouble. Human beings already have many such diseases. The patient has no primary skin damage, but suddenly feels paroxysmal itching somewhere on the body, and then scratches it, but the more he scratches, the more it itches.
, and symptoms such as rashes, edema, and scales appear.
There is also a kind of "parasite paranoia". Although there are no parasites in the skin, the patient stubbornly believes that he is infected with parasites. Even if he faces clear examination results, he does not believe it. He just thinks that there are a large number of parasites in his skin.
Climbing.
Abnormal behaviors such as hair pulling, nail biting, head banging, etc. are not uncommon in this type of disease.
So if the shape of the erythema is not like a mark, and the occupations of these patients are similar, this can be a common disease.
"It will definitely stimulate the patient's spirit." Zhang Haidong said solemnly, "Ajun, you still need to tell the patient that you have her trust more."
"If that doesn't work, let's do an artificial coma?" Uncle Dan came up with an idea, and everyone has thought about it.
Artificial coma is mainly used to treat patients with brain trauma, but sometimes this kind of deep anesthesia can also be performed to prevent some patients from moving.
"I'll try first to see if I can convince her to hold on." Gu Jun said thoughtfully.
"Neuropsychiatric disorder" refers to nervous system dysfunction or mental disorder. Nowadays, it is more inclined to the latter. It is useless without local anesthesia.
The key lies in how to correct the patient's mental state.
"To treat this kind of skin disease, you usually have to find a way to relieve itching." Zhang Haidong added. He is in his fifties. As a dermatologist, he has experience in treating common, abnormal, and various skin diseases.
Rich experience. "The psychology of such patients is very strange. There seems to be a switch in their hearts. If they turn it on, they will get sick. If they turn it off, nothing will happen. This requires them to truly believe that the itch is gone and cured.
That switch will be turned off."
How to relieve the itching, that is exactly the question now.
For general neuropsychiatric skin diseases, drugs can still have physiological effects, more or less.
For patients with mild illness, even applying dexamethasone ointment to the affected area can relieve itching.
If anti-inflammatory and anti-itching drugs don't work, you can also give sedatives, and if that doesn't work, give local anesthesia. For example, they have given Schei Yiman procaine block therapy, which uses local anesthesia to reduce itching, pain and other strange sensations.
, combined with psychological treatment, recovery can also be achieved.
Nowadays, probably due to the influence of abnormal power, these methods are useless.
Xie Yiman should not be able to feel her face anymore, but she still felt itchy and there were still a lot of bugs crawling around her.
Gu Jun even used the raw materials of golden aloe vera for external application, but it still didn't work. Maybe the live golden aloe vera will work, maybe the related drugs developed in the future will work, but now the laboratory is still analyzing the ingredients of the raw materials and extracting the substances.
stage.
He had inquired in his dream, and Zugeljili's report was that there was nothing going on at the Worm House, and no relevant physical passage had been found yet.
"I'll go talk to her."
After the meeting, Gu Jun came to the isolation ward again.
The patients are still isolated in the local hospital, and Tianji Bureau will transfer and concentrate them as appropriate. All aspects of work will take more time to determine and carry out, but if no way to relieve the itching can be found, the patients may not be able to endure this.
.
"Captain Gu, help me!" As soon as Xie Yiman saw him, he immediately rushed forward like crazy and hugged his airtight protective suit, pleading: "Help me..."
Gu Jun took a deep breath silently. Every time he faced a patient's request for help, his heart felt like it was being torn apart.
Among the patients, the one who was currently in the most serious condition was Xie Yiman. The red spots on her face did not spread, but she was itching so much that she was about to have a nervous breakdown.
"Yiman, in fact, the situation has been basically clarified now. My wearing of protective clothing is just a procedure. Your disease is not contagious. It is not caused by bacteria, viruses or bugs. There is some kind of supernatural force that affects your perception.
"
Gu Jun patted Xie Yiman on the shoulder and gently and patiently explained to her what neuropsychiatric skin disease was, being very careful not to irritate her.
Professor Zhang has already reminded him that these patients have great mental fluctuations and are easily agitated. They especially don’t like to hear other people say, "You are not sick at all, you just have a mental problem." After working in clinical practice for a long time,
We know that patients are very hesitant, and doctor-patient communication must first achieve respect and empathy for the patient.
So when Gu Jun talks about it, he always uses a way to express "I know you are a victim."
"That kind of power has a certain spiritual connection with you, so that it can continue to pass this idea into your mind like now, making you feel itchy on your face, no matter what. But if we put this connection
Cut it off and the disease may be cured."
Gu Jun's inference is not nonsense, the nightmare disease has such a spiritual connection.
"Then...what should I do?" Xie Yiman asked confused and anxiously, trusting Gu Jun very much.
"We will increase the dose of sedatives for you and fix you on the hospital bed with your hands and feet tied up. You are responsible for using your will and endure it!" Gu Jun said encouragingly, "No matter how itchy it is, don't worry about it.
It won’t scratch it even once, endure it, endure it today! Let’s see what happens.”
Let the patient face that connection. If he can endure it, he may be able to reversely destroy the abnormal power.
"No, no, no..." Xie Yiman immediately became anxious after hearing this, almost screaming and crying: "No, no, I will die! Captain Gu, it's not that I don't want to bear it, it's that I can't bear it.
, do you understand, it’s too itchy, I can’t bear it..."
Seeing how excited she was, Gu Jun knew that this method would not be successful for her, because the focus was not on calming down, but on psychological treatment.
"Captain Gu, if you want me to die." Xie Yiman's tone became agitated, "Then I might as well die quickly!"
She was about to rush over and hit the wall, but Gu Jun quickly grabbed her and said, "Don't! We have other treatment plans. If you can't change this, don't worry."
"What plan?" Xie Yiman asked breathlessly, grabbing his face hard, hope rekindled in his eyes.
"Artificial coma." Gu Jun said, now he can only give it a try, "We will give you general anesthesia, and you will fall into a coma and won't feel anything."
"Okay!" Xie Yiman nodded happily, "This is good, I want to take a nap, this is good!"
"But there is a risk that you will never wake up." Gu Jun told her this clearly. In ordinary cases, the patient can be awakened at any time as long as the dose of anesthesia is reduced. But patients with abnormal banyan disease cannot have full recovery.
He is numb and comatose, otherwise it would be just a unconscious body if he could wake up.
He does not strongly advocate artificial coma. Firstly, there are risks; secondly, when the patient loses self-consciousness, will there be new changes in the condition?
However, these are uncertain. If you just endure it, it might make the patient go crazy.
The treatment path for every new disease needs to be explored, and for every path, there must always be one patient who is the first to try it.
"I..." Xie Yiman was a little confused and might not wake up? "Can I call my mother?"
"Okay." Gu Jun obeyed her request. It doesn't matter. Her family is controlled by the Secret Bureau.
Xie Yiman choked up and had a long phone call with her parents. No one would want to take such a risk. But less than an hour later, she decided to try this because the itching became more and more intense. She really couldn't stand it.
I can’t go on anymore, it’s good as long as I can rest for a while...
The treatment plan was decided and implemented quickly.
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. The popular star actor slowly succumbed to pain and expectation.
Close your eyes and fall into coma.
It was two o'clock in the afternoon that day. Xie Yiman performed the world's first artificial coma treatment during this epidemic.
Her condition after coma continued to be monitored throughout the entire process. Gu Jun, Deng Ximei, Uncle Dan and others stayed beside the hospital bed together with the anesthesia team, watching her quietly and sensing the surroundings...
Gu Jun was not inclined to artificial coma from the beginning, but at this time, there was always an uneasy feeling in his heart, which became more and more serious.
When Xie Yiman was in coma for just half an hour, she was still lying motionless on the hospital bed, but the indicators monitored by the equipment next to her suddenly changed. The electroencephalograms of coma and wakefulness are different.
At this time, the slow waves in the electroencephalogram increased, and her consciousness became active again.
"Wake up the patient quickly!" Gu Jun said hurriedly, inhaling to steady himself.
Several anesthesiologists have already taken action. Uncle Dan patted his head regretfully: "Oops, I shouldn't have said this idea. I really shouldn't have..."
"Uncle Egg, we have to try a way." Gu Jun knew that this was no one's fault and Uncle Egg was not to blame. He just hoped that the patient could be awakened smoothly.
At this time, Deng Ximei, who was standing next to him, said softly to him: "Maybe, we can give it a try... and see what Xie Yiman is going through now?"