Chapter 2 Placebo
The diagnosis of AIDS patients mainly relies on routine rapid tests in hospitals and re-examination by the disease control department, and as a virus that attacks the helper T cells of the CD4 protein, HIV itself does not cause any symptoms. When the number of helper T cells in the body, which play a role in recognizing and dispatching antibodies, is reduced to a certain level, the human body will be attacked by a variety of infections and even tumors. However, none of these symptoms are directly related to the HIV virus.
AIDS itself does not show symptoms, and many patients are found to be HIV-positive in hospital examinations after being infected with opportunistic pathogens.
Sun Lien squinted at the patient in front of him, his expression was indeed desperate, and it was also painful. This doesn't really look like an actor invited by the treatment team - with such good acting skills, the price must not be cheap.
"Don't worry. Sun Lien thought for a while, poured a glass of water from the water dispenser on the side, and handed it to the other party, "Aren't you hot wearing so many clothes?" He tried to change the topic, first to relieve the other party's nervousness, and then slowly ask for a consultation.
"I'm afraid of catching a cold. Lin Qiang said in a low voice, "If you have my disease, as long as you catch a cold, it may be fatal, so I have to wear a little more clothes." ”
Sun Lien didn't say anything, but walked to his position, wrote down the words "mental compulsion" with a note, and wrote a question mark at the end.
"It sounds like you know exactly what you're sick with. Sun Lien continued to ask the other party's words, "Then can you tell me how you got this disease?" If the other party has a mental problem, then looking back at the "medical history" should be able to know what the root cause is. And this can also make it easier for Sun Lien to judge whether he needs to be transferred to the psychiatric department for treatment.
Lin Qiang's expression changed slightly, and then he lowered his head and said, "I...... When I was on a business trip two years ago...... Picked up a small card once at the hotel. ”
Lin Qiang directly admitted that he had high-risk sexual behavior. And there are no protective measures in place during the whole process. And about two weeks after that high-level sex, he began to feel sick. The feeling of tiredness is getting worse and worse, and there is a rash on the body, as well as low-grade fever, lymphoma, muscle throbbing, joint pain, and even white hairs on the tongue.
"There is a rash, and white hairs can grow on the tongue coating?" Sun Lien stopped his pen and looked at Lin Qiang opposite thoughtfully, "Are you still in this state now?"
Lin Qiang shook his head, "These symptoms occur occasionally, not all the time. He suddenly looked a little excited, "Many of our patients are like this...... Me, I don't really know what to do anymore. ”
"A lot of patients?" Sun Lien raised his eyebrows, "I guess you should have a post bar or WeChat group or something like that, where you can report each other's symptoms and conditions, right?"
For the first time, Lin Qiang showed an expression other than horror and tiredness, and this time the expression was called "surprise". "How do you know?" he looked at Sun Lien with wide eyes and some disbelief, "Have you heard of this disease?"
Sun Lien shook his head, "Unfortunately, I haven't heard of it. He deliberately staggered the topic so as not to expose his view that he "didn't believe the other person was sick" after further questioning. "Do they all have these symptoms? Or do some people have other symptoms?"
"No, everybody's like that. Lin Qiang said very firmly, "It's all the same performance, and everyone is easy to get sick." ”
That's interesting. Sun Lien rubbed his chin, the development of the disease is different most of the time. The same disease occurs in different patients, and the symptoms are generally not exactly the same. For example, influenza A, which is also caused by the H1N1 virus, some people will have high fever, muscle pain, cough, sore throat, and even pneumonia complicated by sepsis, respiratory failure and even multi-organ damage. But not every cold sufferer will have exactly the same symptoms at the same time. On average, about 1~10 out of every 100 patients with influenza A need to be hospitalized, and about 10~25 out of every 100 hospitalized patients will be admitted to the ICU for treatment. Since each person's physical fitness is different, the medication taken during the period and even the degree of rest are also different, so the symptoms exhibited are bound to vary.
Some people with influenza A do not even have severe symptoms from beginning to end.
Differences in symptoms due to physical differences are prevalent in almost all diseases. This is also one of the main reasons for the existence of doctors. If the symptoms of each disease are exactly the same, then there is no need to go to the doctor. As long as you buy your own medication according to your symptoms.
It is precisely because the vast majority of patients suffer from the same disease that the profession of doctor has the meaning of existence.
But from Lin Qiang's description, Sun Lien couldn't see any difference in the symptoms of these patients - everyone had a low-grade fever, lymphoma, muscle beating, joint pain and even "white hairs on the tongue", these symptoms were so consistent that Sun Lien's first reaction was "not believing".
It's too coincidental, and at the same time it's too consistent. Sun Lien pondered for a moment and asked, "How long have you been in this situation?
"I've seen it, I've seen it. Lin Qiang nodded again and again, and he took out a stack of pieces of paper and notebooks that looked a little worn out from the bag on the side. "It's all information. ”
Judging from the data, in the past two years, Lin Qiang has traveled to six hospitals and registered more than 20 times. More than 50 tubes of blood were drawn, and all the examination data were readily available. Lin Qiang was tested for absolute CD4 cell count five times by six hospitals, and the values fluctuated slightly, but always ranged from 280 to 330.
"The last inspection was six months ago. Sun Lien quickly skimmed through all the reports, then put down the slip in his hand and asked, "What did you ......do before?" For two years, I went to a hospital almost every three months for check-ups. Why did you suddenly stop seeing patients in the last six months?"
Lin Qiang's expression froze suddenly, as if he had been drained of all his strength, he half-leaned back in his chair and sighed, "The six hospitals are all famous hospitals in China, and they all say that I am not sick...... What can I do if I can't find out? I'm ready to die. ”
"But you're sitting in front of me again. Sun Lien deliberately used some awkward words to form a sentence and said, "Actually, you still want to survive, right?"
"Of course!" Lin Qiang nodded, his face a little more pleading, "Doctor Sun, you are my last hope......
Sun Lien clicked the notebook in front of him with a pen, and for the sake of safety, he couldn't help but glance at the status bar above the other party's head.
Lin Qiang, male, 32 years old, chronic fatigue syndrome (16842.33.22)"
Sun Lien pondered for a moment, "Since you have come to this place, then you should also know that I am not a hospital in the conventional sense. Some tests may need to be done in a different location or at a different time. He made up nonsense while observing Lin Qiang's expression, "I have to discuss the specific arrangements with the leader of the experimental team first, you sit here and wait for me for a while, and I will come back immediately." ”
Lin Qiang nodded, and seemed to rekindle hope.
Sun Lien walked out of the "consultation room", closed the door gently, and then crept to the office on the side, politely ready to knock on the door. It's just that before his hand touched the door, he heard Wu Youqian's voice in the office, "The door is not locked, come in." ”
Sun Lien pushed the door and walked into the office, Wu Youqian's desk was still the kind of large desk with wooden veneer. It's just that there are several widescreen monitors on it, which are showing the picture in the consultation room and the center of the computer room in the operation.
"Sit. Wu Youqian seemed to have known Sun Lien's intentions for a long time, he pointed to the seat and asked Sun Lien to sit down, "You found an excuse to run out, that is, you know it in your heart?"
"Some premature conjectures. Sun Lien replied, "Dean Wu, this person is indeed sick, not the actor you invited, right?"
"A patient who was introduced from the Third Military Medical University. Wu Youqian did not answer directly, but explained the origin of this patient, "They did a lot of examinations on this patient, but the content of those examinations was nothing special. ”
Sun Lien laughed twice, "So many cases that can't be handled by experts, and finally hand them over to me to try your luck?" He glanced at the screen that was flashing with the style of "Calculating" and asked, "Has the old thing figured out the answer?"
"Old thing" is the code name and nickname of the AI being studied. It is said that the reason is that the old thing had a problem with the system time setting when it first ran it, so that it had been running for more than 1,800 years just after he was born. Therefore, it is nicknamed "old thing" by many network engineers and maintenance personnel.
Sun Lien's job is to keep competing with the old things to promote the rapid progress of the old things.
"Judging from the progress, it will take about a dozen hours to calculate the results. Wu Youqian glanced at the screen, shook his head and said, "If you have something, you can just say it." ”
"I don't think the patient himself has any actual organ lesions or infections. Sun Lien expressed his judgment, "He is too consistent with the disease manifestations of this group, and I am more inclined to 'group hysteria' fueled by the Internet than unknown virus infection." ”
Wu Youqian glanced at Sun Lien again, "How sure are you?"
"Half and half. Sun Lien didn't say anything, but proposed, "I think you can try placebo therapy, but placebo can't use ordinary sugar tablets or starch tablets, you may need some placebos with obvious effects and suggestive effects." ”
Wu Youqian was silent for a while and then proposed, "You can try it with Indigo Rouge Injection." ”