Chapter 307 Neuropsychiatric disorder skin disease
"Help, it's so itchy... so many bugs crawl in my face..."
In the isolation ward, Xie Yiman walked around in pain, occasionally hitting the bed's quilt with his head, or pinching his arm hard, but he still couldn't stop and still wanted to scratch his face, even though the face was already covered with scars.
She suddenly hit a wall with her head and was immediately blocked by the nurse who ran in. After all, she was just an 18-year-old girl, sobbing helplessly.
There is a surveillance camera in the corner of the ward, and what happened here is being broadcast instantly in a medical conference room.
Gu Jun, Uncle Dan, Zhang Haidong and other 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-harm behavior has worsened, so protective measures need to be increased." Zhang Haidong said with a frown.
"Professor Zhang, if the patient is physically fixed," Gu Jun asked, "will it stimulate her mental state more?"
What exactly is the cause? They are not sure yet, so they can only rule it out.
If this is a skin disease, it is not viral, bacterial, fungal, parasitic, nor allergic, autoimmune, skin tumor, etc. - the patient's physical indicators, there is no obvious abnormality in the results of the filming, and even local numbness cannot stop itch.
Faced with such a situation, doctors from all over the world have focused on the type of "neuropsychotic skin disease".
Gu Jun had been worried about this type before, because this is also the category of psychiatry, and the treatment method became uncertain.
If it is caused by microorganisms, then kill the microorganisms and skin diseases will probably be cured. This gives a treatment method: "How to kill microorganisms".
But neuropsychiatric skin diseases are different.
There is no need for abnormal power to cause trouble. Humans have many of these diseases. The patient has no primary skin damage, but suddenly feels paroxysmal itching in one part of the body. Then he scratches it, but the more he scratches it, and there are symptoms such as rash spots, edema, scales, etc.
There is also a kind of "parasitic parasite". Although there are no parasites in the skin, the patient stubbornly feels that he is infected with parasites. Even if he is clear about the consequences of the examination, he just thinks that there are a large number of bugs crawling in his skin.
As well as abnormal behaviors such as hair plucking, nail biting, and hitting the head, etc., are not rare in this type of disease.
So if it weren't for the erythema that looked like a branding, and the occupations of these patients with the same incidence, this could be a common disease.
"It must be a stimulation to the patient's spirit." Zhang Haidong said in a stern voice, "Ajun, you still need to tell the patient that you will gain her trust."
"If it doesn't work, let's have an artificial coma?" Uncle Dan put forward an idea, and everyone had thought about it.
Artificial coma is mainly used to treat patients with brain trauma, but sometimes such deep anesthesia can be performed in order to prevent some patients from moving around.
"I'll try to convince her to hold on first." Gu Jun said thinking.
"Neuropsychiatric disorder" refers to neurological disorders or mental disorders. Now it is more inclined to the latter, and it is useless without local anesthesia.
The key is how to correct the patient's psychological state.
"To cure this type of skin disease, you usually have to find a way to relieve itching." Zhang Haidong also said, in his fifties, he is an expert in dermatology, and has rich experience in various skin diseases, both ordinary, abnormal, and large and small. "The psychology of such patients is very strange. They seem to have a switch in their hearts. When they turn it on, they will have nothing to do. This requires them to truly believe that it will not be itchy. Only when it is cured will the switch be turned off."
How to relieve itch, this is the problem now.
For general neuropsychiatric skin diseases, drugs can still have physiological effects, more or less.
For patients with mild conditions, even if they apply dexamethasone ointment to the affected area, it will have the effect of soothe itching.
If anti-inflammatory and anti-itching drugs do not work, they can also be given sedatives, and local anesthesia is given if they do not work. For example, they have already given Xie Yiman the closed therapy for procaine, which reduces the sensation of itching, pain and other sensations through local numbness, and cooperates with psychological treatment, so that they can recover.
Now, perhaps because of the influence of abnormal forces, these methods are useless.
Xie Yiman shouldn't feel her face anymore, but she still felt itchy and there were still many bugs crawling.
Gu Jun even applied the raw materials of gold aloe vera, but it still did not work. Maybe the living gold aloe vera is useful, and the related drugs developed in the future are useful, but now the laboratory is still in the stage of analyzing the ingredients and extracting substances.
He had inquired about it in his dream that Zuggeli's report was that there was no situation in the Worm House and no relevant physical channels were found yet.
"I'll go talk to her."
After the meeting, Gu Jun came to the isolation ward again.
The patients are still quarantined in the local hospital, and the Tianji Bureau will transfer and concentrate as appropriate. All aspects of work will take more time to determine and carry out, but if you cannot find a way to stop itching, the patients may not be able to survive.
"Captain Gu, help!" As soon as Xie Yiman saw him, he immediately rushed up like crazy and hugged his airtight protective suit, begging: "Save me..."
Gu Jun took a deep breath, and every time he faced the patient's request for help, his heart felt like he was being torn.
The most serious patient condition was Xie Yiman in front of her. The erythema on her face did not spread, but she was so itchy that she was about to collapse.
"Yiman, the situation has been basically determined now. I wear protective clothing just a procedure. Your disease is not contagious. It is not caused by bacteria, viruses, or bugs. It is because some supernatural force affects your perception."
Gu Jun patted Xie Yiman on the shoulder and gently and patiently explained to her what a neuropsychiatric skin disease is, and was very careful not to provoke her.
Professor Zhang has mentioned him that these patients have great mental fluctuations and are prone to anxiety, especially dislike hearing words like "You are not sick at all, you have mental problems." After doing it for a long time in clinical practice, you will know that patients are very confused. First of all, they must respect and empathize with the patient.
So when Gu Jun talks about it, he always uses a saying that "I know you are the victim."
"That power has a certain spiritual connection with you, so that you can keep passing this idea in your mind like you are now, making you feel itchy on your face and itchy. But if we cut off this connection, the disease may be cured."
Gu Jun’s inference is not nonsense, it is like a nightmare disease that has such a mental connection.
"Then...what should I do?" Xie Yiman asked in confusion and anxiety, and he trusted Gu Jun very much.
"We increase the dose of sedatives for you, and at the same time fix you on the hospital bed, tie your hands and feet. You are responsible for taking out your will and endure it!" Gu Jun said excitedly, "No matter how itchy it is, don't worry about it, don't scratch it all at once, endure it, endure it today! Let's see what will happen."
If the patient can face that connection, if he can endure it, he may be able to destroy the abnormal force in reverse.
"No, no, no..." Xie Yiman was anxious when he heard this, and almost screamed and cried: "No, no, I will die then! Captain Gu, it's not that I don't want to endure, I can't bear it, do you understand, it's too itchy, can't bear it..."
Seeing that she was so excited, Gu Jun knew that this method would not be successful for her, because the focus was not on sedation, but on psychological treatment.
"Captain Gu, if you want me to die." Xie Yiman's tone became excited, "Then I might as well die more!"
She was about to rush over and crash into the wall. Gu Jun quickly grabbed her, "Don't! We have other treatment plans. If this one doesn't work, don't worry."
"What plan?" Xie Yiman asked gasping, holding his face hard, and hope rekindled in his eyes.
"Artificial coma." Gu Jun said, now he can only try it. "If we perform general anesthesia on you, you will fall into a coma and feel nothing."
"Okay!" Xie Yiman nodded happily, "This is good, I want to sleep for a while, this is good!"
"But you are at risk of never waking up." Gu Jun told her this clearly. In ordinary cases, as long as the dose of anesthetic is reduced, the patient can be awakened at any time. However, patients with qibandisease cannot have general anesthesia coma, otherwise waking up will only be a loss of consciousness.
He doesn't advocate artificial coma very much. First, there is this risk; second, when the patient's self-awareness is lost, will there be new changes in the condition?
But these are all uncertainties. Just tolerating them may make the patient crazy.
The treatment path for every new disease needs to be explored, and patients always have the first to try each path.
"I..." Xie Yiman was a little confused, maybe he couldn't wake up? "Can I call my mother?"
"Yes." Gu Jun followed her request. This was not a problem. Her family was controlled by the Tianji Bureau.
Xie Yiman choked up and talked to her parents for a long time. No one would want to take such a risk. But less than an hour later, she decided to make this attempt because she became more and more intense. She really couldn't hold on anymore, and it would be good if she could take a rest for a while...
The treatment plan was decided and it was implemented soon.
Various monitoring instruments and equipment were sent to the isolation ward, and the rescue room was also ready. The anesthesia team prepared the medicine and gave Xie Yiman anesthesia. In pain and expectation, this popular star actor slowly closed his eyes and entered into a coma.
It was two o'clock in the afternoon that day, and Xie Yiman underwent the world's first artificial coma treatment during this epidemic.
Her condition after she was unconscious continued to be monitored throughout the process. Gu Jun, Deng Ximei, Uncle Dan and others were guarding the hospital bed with the anesthesia team, watching her quietly, and sensing the surroundings...
Gu Jun was not inclined to be artificial insomnia from the beginning, but at this time, he always felt uneasy and entangled in his heart, which was getting heavier and heavier.
When Xie Yiman's coma had just been half an hour, she was still lying on the hospital bed without moving, but the indicators monitored by the instruments next to her suddenly changed. The coma and consciousness were awake, and the electroencephalogram showed different performance. At this time, the slow waves of the electroencephalogram increased, and her consciousness became active again.
"Wake up the patient!" Gu Jun said hurriedly, inhaling to stabilize himself.
Several anesthesiologists have already taken action. Uncle Dan patted his head regretfully: "Oh no, I shouldn't have said this idea, I really shouldn't..."
"Uncle Dan, you have to try the method." Gu Jun knew that this was not someone's fault. He couldn't blame Uncle Dan for being, and he just hoped that the patient could be awakened smoothly.
At this time, Deng Ximei next to him whispered to him: "Maybe, we can, give it a try... see what Xie Yiman is experiencing now?"
vertex
Chapter completed!