Plague Doctor

“Help, it tickles... so many bugs climb in my face...”

In the quarantine ward, Xie Yiman walked around painfully, crashing his head into the pillow of the hospital bed from time to time, or squeezing his arm hard, but still couldn't stop, still going to scratch his face, even though that face was already full of scars.

She suddenly hit a wall with her head and was immediately stopped by the nurse who came in. After all, she was only an 18-year-old girl, and she cried helplessly.

Surveillance cameras are available in the corner of the ward, and what is happening here is being broadcast instantly in a medical conference room.

Gu Jun, Uncle Egg, Zhang Haidong and other white coats looked at the conference screen and could see that Xie Yiman's mental state was getting worse.

“Patients' self-mutilation has increased and protective measures need to be increased.” Zhang Haidong frowned and said.

“Professor Zhang, if the patient is physically fixed," Gu Jun asked, "is it more likely to stimulate her mental state? ”

What is the cause? They are uncertain and can only make some exclusions.

If this is a skin disease, not viral, bacterial, fungal, parasitic, not allergic, autoimmune, skin tumors, etc. - the patient's physical indicators, the results of the films are not obvious, and even local numbness cannot stop itching.

In the face of this situation, doctors in various countries have targeted the type of "neuropsychiatric dermatosis”.

Gu Jun had always feared that it would be of this type, because it was also a psychiatric category, and the manner of treatment became uncertain.

If it's caused by a microorganism, it kills the microorganism, and the skin disease is probably going to be fine, and there's a cure for how to kill the microorganism.

But neuropsychiatric dermatosis is different.

There is no need for unusual forces to be blamed, and humans already have many of these diseases. The patient had no primary skin damage, but suddenly felt a burst of itching somewhere in the body, then scratched it, but the more itching, the more symptoms such as rash spots, edema, scales, etc.

There is also a “parasitic paranoia", in which the patient stubbornly feels infected with a parasite, even if he does not believe in the clear results of the examination, that there are a large number of insects climbing in his skin.

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

So if it weren't for the shape of the erythema as branded, and the occupational similarities of these patients, this could be a common disease.

“The spirit of the patient must be a stimulus.” Zhang Haidong sang, “Arjun, still needs you to tell the patient that you trust her more. ”

“If not, shall we have an artificial coma?” Uncle Egg came up with an idea, and everyone thought about it.

Artificial coma is mainly used to treat patients with brain trauma, but sometimes this deep anesthesia can be performed in order to keep some patients from moving.

“I'll see if I can convince her to hold on.” Gu Jun thought.

“Neuropsychiatric disorder” refers to a dysfunction of the nervous system, or a mental disorder, which is now more favoured than the latter and is useless.

The key is how to correct the mental state of the patient.

“To treat this type of skin disease, an anti-itching solution is usually found.” Zhang Haidong added that he was in his fifties and, as a dermatologist, had extensive experience with various skin diseases, ordinary, abnormal, large and small. “The psychology of these patients is strange, and they seem to have a switch in their mind that turns them on and they get sick, and turns them off and nothing goes wrong. This requires them to truly believe that the switch will be turned off without itching and healing. ”

How to stop itching, that's the problem now.

Generally neuropsychiatric skin diseases, drugs can still have physiological effects, more or less.

Patients with mild conditions, even if applied with dexamethasone ointment, have a soothing effect on itching.

If anti-inflammatory and anti-itching drugs do not work, sedatives can also be given and local anesthesia given if they do not work. For example, they have given Xie Yiman procaine closure therapy to reduce itching, pain and other discomfort through local numbness, combined with psychotherapy, which can also recover.

Today, probably because of the influence of extraordinary forces, these tools are useless.

Xie Yi should not have felt the presence of her face, but she still felt itchy and there were many bugs climbing.

Gu Jun even used the raw material coating with golden aloe vera. It still does not work. Maybe the live golden aloe vera is useful. Maybe the related drugs developed later are useful. But now the laboratory is still at the stage of analyzing ingredients and extracting substances.

He had heard in his dreams that Zukogiri had reported that there was nothing going on at Wormhouse and that no physical access had been found at this time.

“I'll go talk to her. ”

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

Patients are now isolated in local hospitals and will be transferred and concentrated as appropriate. All aspects of the work require more time to be identified and carried out, but if no antiitch solution is found, the patient may not survive.

“Captain Gu, help!” As soon as Xie Yiman saw him, he jumped up like crazy and hugged his airtight protective suit. He begged: “Help me...”

Gu Jun suddenly took a deep breath. Every time he faced the patient's request for help, his heart felt torn apart.

The most serious temporary condition among the patients was Shek Yiman, whose face did not spread, but she was itching for a nervous breakdown.

“One man, in fact, the situation has been largely clarified. I'm wearing protective clothing, it's just a procedure, your disease is not contagious, it's not caused by a bacterial virus bug, there's some kind of supernatural force that affects your perception. ”

Gu Jun patted Xie Yiman on the shoulder, gently and patiently explained to her what neuropsychiatric skin disease was, very careful not to upset her.

Professor Zhang has already mentioned him. This type of patient has a lot of mental fluctuations and is prone to anxiety. In particular, he doesn't like hearing people say, "You're not sick at all, you're just mentally ill”. After a long clinical journey, we know that the patient is in a wandering mood, and that the first thing that doctor-patient communication should do is to respect and empathize with the patient.

So when Gu Jun said it, he used a phrase that said, "I know you're a victim."

“That kind of power creates some kind of spiritual connection with you so that you can keep passing this idea on to your brain like you do now, making you feel itchy on your face and itchy on your face. But if we cut that connection off, it might be good to be sick. ”

Gu Jun's theory is not bullshit, like nightmare sickness has such a spiritual connection.

“So... what am I going to do?” Xie Yiman asked in confusion and anxiety and trusted Gu Jun very much.

“We'll give you a dose of sedative, and we'll fix you to the hospital bed with your hands and feet tied, and you'll take out your will, hold on!” Gu Jun said excitedly, "No matter how itchy, leave it alone, don't scratch it at all, endure it, endure it today! See what happens. ”

Let the patient face that connection, and if he can stand it, he may be able to reverse that abnormal force.

“No, no, no...” Xie Yiman said, suddenly in a hurry, almost screaming and crying: “No, no, that would kill me! Captain Gu, it's not that I don't want to tolerate it, it's that I can't tolerate it. Do you understand? It's too itchy to tolerate it...”

Gu Jun saw that her emotions were so exciting that she knew that the method could not have succeeded because the focus was not on sedation, but on psychotherapy.

“Captain Gu, if you want me to die.” Xie Yiman's tone is getting stronger, “then I'd rather die fast! ”

She was about to rush over to the wall. Gu Jun hurried and grabbed her. "No! We have other treatment options. This can't be changed. Don't worry. ”

“What plan?” Xie Yiman gasped and grabbed his face hard, his eyes rekindled with hope.

“Artificial coma.” Gu Jun said, "We can only try it now," we will impose total hemp on you, you will be in a coma and you will not feel anything. ”

“Yes!” Xie Yiman joyfully nodded, “This is good, I want to get some sleep, this is good! ”

“But you risk never waking up.” Gu Jun told her this clearly and clearly. Normally, patients can be awakened at any time by cutting the dose of the anesthetic. But you can't have a total leprosy coma if you're like Isobronchiosis, or you'll just wake up unconscious.

He doesn't really advocate an artificial coma. First, there is the risk. Second, when the patient loses self-consciousness, does the condition change?

But these are uncertain, they're just words of perseverance, and they might drive the patient crazy.

The cure for each new disease needs to be explored, and each path, the first of the patients, always has to be tried.

“I...” Xie Yiman is a little overshadowed and may not wake up? “Can I call my mom? ”

“Yes." Gu Jun complied with her request. It was no obstacle. Her family was under the control of NASA.

Xie Yiman swallowed and talked to her parents for a long time, and no one would want to take that risk. But less than an hour later, she decided to make this attempt because she became more and more itchy. She couldn't stand it, so it would be nice to rest for a while...

The treatment plan was finalized and will be implemented shortly.

All kinds of surveillance equipment were sent to the quarantine ward, and the rescue room was ready. The anesthesia team prepared the medicine and gave Sherman inhalation anesthesia. In pain and anticipation, the highly popular star slowly closed his eyes and went into a coma.

It was two o'clock this afternoon, and Sherman had the world's first artificial coma treatment for the epidemic.

Her post-coma situation continues to be monitored throughout. Gu Jun, Deng Xie Mai, Uncle Egg and several others stay beside the bed with the anesthesia team, watch her quietly and feel around...

Gu Jun was not inclined to artificial coma at first, and at this time, there was always an anxiety tangle in his mind, which grew heavier and heavier.

When Xie Yiman's coma lasted just over half an hour, she was still lying motionless in the hospital bed, but the indicators monitored by the instrument next to her suddenly changed. Conscious coma is different from conscious sobriety, performing an EEG, which is slowly increasing and her consciousness is reactivated.

“Wake up the patient!” Gu Jun hurried, inhaling to keep himself steady.

Several anesthesiologists have already acted. Uncle Egg shoots his head with remorse: "Oh no, I shouldn't have said this idea. I shouldn't have...”

“Uncle Egg, always try the method.” Gu Jun knew it wasn't anyone's fault. He couldn't blame Uncle Egg. He just wanted the patient to wake up smoothly.

At this point, Deng Xie Mai next to him said softly: “Maybe we can, try… see what Xie Yiman is going through now? ”