"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 the quilt pillow of the hospital bed with his head from time to time, or pinching his arm fiercely, but he still couldn't stop, he still had to scratch his face, even if the face was already scratched with scars.

She slammed her head against a wall and was immediately stopped by the nurse who ran in, and she was only an 18-year-old girl after all, and she sobbed helplessly.

There are surveillance cameras in the corners of the wards, and what is happening is being broadcast in a medical conference room in real time.

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

"The patient's self-injurious behavior is aggravated, and more protective measures need to be taken." Zhang Haidong said with a frown.

"Professor Zhang, if the patient's limbs are immobilized," Gu Jun asked, "will it stimulate her mental state even more?" ”

What exactly is the cause? They are not sure yet and can only do 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 film are not obvious, and even local anesthesia cannot stop the itching.

Faced with such a situation, doctors from all over the world have focused on the type of "neuropsychiatric skin disease".

Gu Jun had been worried that it would be this type before, because this was also the category of psychiatry, and the way of treatment became uncertain.

If it is caused by microorganisms, then kill the microorganisms, and the skin disease will probably be cured, which has a treatment method "how to kill microorganisms".

But neuropsychiatric dermatoses are different.

There is no need for anomalous forces to blame, humans already have a lot of these diseases. The patient has no primary skin lesions, but suddenly feels paroxysmal itching somewhere in the body, and then scratches it, but the more he scratches, the more itchy, and the symptoms such as rash, edema, and scales appear.

There is also a kind of "parasitic paranoia", in which the patient stubbornly feels that he is infected with a parasite even though there are no parasites in his skin, and he does not believe in the clear results of the examination, that is, he 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 head slamming, etc., are not uncommon in this type of disease.

So if it weren't for the fact that the erythema is shaped like a brand, and the occupations of these patients are similar, it can be a common disease.

"It's definitely a mental stimulus for the patient." Zhang Haidong said solemnly, "Ah Jun, I still need you to tell the patient, you have more trust from her." ”

"If it doesn't work, let's do a coma?" Uncle Dan put forward an idea, and everyone has thought about it.

Artificial coma is mainly used to treat patients with traumatic brain injury, but sometimes this deep anesthesia can also be used to keep some patients from moving.

"I'll see if I can convince her to hold on." Gu Jun thought about it and said.

"Neuropsychiatric disorder" refers to a dysfunction of the nervous system, or a mental disorder, which is now more of a preference for the latter, and is useless without local anesthesia.

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

"To treat this kind of skin disease, you usually have to find a way to stop itching." Zhang Haidong also said that he is in his fifties, and as a dermatologist, he has rich experience in common, abnormal, large and small skin diseases. "The psychology of such patients is very strange, they seem to have a switch in their hearts, turn it on and get sick, and when it is closed, there is nothing. This needs to make them truly believe that the switch will be turned off when it stops itching and is cured. ”

How to stop itching, this is the problem now.

For general neuropsychiatric skin diseases, drugs can still have a physiological effect, more or less.

For patients with mild disease, even if you take a dexamethasone ointment and apply it to the affected area, it will have the effect of soothing itching.

If anti-inflammatory and antipruritic drugs do not work, then sedatives can also be given, and local anesthetics can be given if they do not work. For example, the procaine occlusion therapy they have already done for Xie Yiman can reduce itching, pain and other abnormal sensations through local anesthesia, and cooperate with psychological treatment, so that they can recover.

Now, probably due to the influence of anomalous powers, these methods are useless.

Xie Yiman shouldn't have felt the presence of her face, but she still felt itchy, and there were still a lot of bugs crawling.

Gu Jun even used the raw materials of golden aloe vera for external application, but it still did not work, maybe the live golden aloe vera was useful, and maybe the related drugs developed in the future were useful, but now the laboratory is still in the stage of analyzing the ingredients of the raw materials and extracting the substances.

He inquired in his dream, and Zugogir's report was that there was no situation on the other side of the Worm House, and that he had not found the relevant physical passage for the time being.

"I'll talk to her."

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

At present, the patients are still isolated in the local hospital, and the Tianji Bureau will transfer and concentrate as appropriate. All aspects of the work will take more time to determine and carry out, but if there is no way to relieve the itch, patients may not be able to survive.

"Captain Gu, help!" As soon as Xie Yiman saw him, he immediately rushed up and hugged his airtight protective suit like crazy, begging: "Help me......"

Gu Jun silently took a deep breath, and every time he faced the patient's plea for help, his heart felt like he was being torn apart.

Among the patients, the most serious condition was Xie Yiman in front of her, the red spots on her face did not spread and expanded, but she was itching to the point of mental breakdown.

"Yiman, in fact, the situation has been basically ascertained now. I'm wearing a protective suit just a program, your disease is not contagious, it's not caused by bacteria, viruses, insects, or anything, it's some kind of supernatural force that affects your perception. ”

Gu Jun patted Xie Yiman's shoulder, gently and patiently explained to her what a neuropsychiatric skin disease is, and was very careful not to provoke her.

Professor Zhang has already reminded him that such patients have great mental fluctuations and are easily agitated, especially they don't like to hear others say that "you are not sick at all, you just have a mental problem". After a long time in clinical practice, I know that patients are very hesitant, and doctor-patient communication must first achieve respect and empathy for patients.

So when Gu Jun said it, he used a way to express "I know you are a victim".

"That kind of power has a kind of spiritual connection with you, so that you can keep this idea in your head like it is now, and make you feel itchy on your face, itchy at all. But if we cut off that connection, the disease may be cured. ”

Gu Jun's inference is not nonsense, like nightmares, it has that kind of spiritual connection.

"That's... So what do I do? Xie Yiman asked blankly and anxiously, he trusted Gu Jun very much.

"We will increase the dose of sedatives for you, and at the same time fix you in the hospital bed, tie your hands and feet, and you are responsible for taking out your will and endure it!" Gu Jun said excitedly, "No matter how itchy it is, don't bother it, don't scratch it, endure it, endure today!" See what happens. ”

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

"No, no, no......" Xie Yiman suddenly became anxious when he heard this, and almost screamed and cried: "No, no, I will die in that case!" 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 that she was so emotional, Gu Jun knew that this method could not succeed for her, because the focus was not on sedation, but on psychotherapy.

"Captain Gu, if you want me to die." Xie Yiman's tone became agitated, "Then I might as well die happily!" ”

She was about to rush over and crash into the wall, but Gu Jun hurriedly grabbed her, "Don't!" We have other treatment options, this one can't be replaced by another one, don't worry. ”

"What's the plan?" Xie Yiman asked with a breath, grabbing his face hard, and hope was rekindled in his eyes.

"Artificial coma." Gu Jun said, now he can only give it a try, "We will implement general anesthesia on you, you will fall into a coma and feel nothing." ”

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

"But you run the risk of never waking up." Gu Jun told her this clearly. In normal cases, the patient can be awakened at any time as long as the dose of anesthetic is reduced. But patients with Anyana disease cannot have a coma under general anesthesia, otherwise they will only wake up unconscious.

He is not very much in favor of artificial coma, first, because he has this risk; Second, when the patient's self-consciousness is lost, will there be any new changes in the patient's condition?

However, these are uncertainties, and if you just endure it, you may also drive the patient crazy.

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

"I ......" Xie Yiman is a little blind, maybe he won't wake up?" Can I call my mom? ”

"Yes." Gu Jun complied with her request, it was out of the way, her family was controlled by the Heavenly Machine Bureau.

Xie Yiman choked up a phone call that he had been talking to his parents for a long time, no one would want to take such a risk. But less than an hour later, she decided to try it because the itch became more and more intense, and she couldn't hold on anymore, as long as she could rest for a while......

The treatment plan was set and implemented quickly.

All kinds of monitoring instruments and equipment were sent to the isolation ward, the rescue room was also prepared, and the anesthesia team prepared the medicine and gave Xie Yiman inhalation anesthesia. In pain and anticipation, the popular star actor slowly closed his eyes and fell into a coma.

It was two o'clock in the afternoon of this day, and Xie Yiman did the world's first artificial coma treatment in this epidemic.

Her situation after she fell into a coma continued to be monitored throughout the process, and Gu Jun, Deng Ximei, Uncle Dan and several others stayed next to the hospital bed with the anesthesia team, quietly watching her, and sensing the surrounding ......

Gu Junda was not inclined to artificial coma at the beginning, and at this time, there was always an uneasy entanglement in his heart, which became heavier and heavier.

When Xie Yiman's coma had just completed half an hour, she was still lying motionless on the hospital bed, but the indicators monitored by the instrument next to her suddenly changed. The EEG of consciousness is different from that of being conscious, and the EEG is different, and at this time, the EEG slow wave increases, and her consciousness is reactivated.

"Wake up the patient!" Gu Jun hurriedly said, inhaling to stabilize himself.

Several anesthesiologists have already taken action, and Uncle Dan patted his head regretfully: "Oh no, I shouldn't have said this idea, I really shouldn't have ......"

"Uncle Dan, you have to try it." Gu Jun knew that it was not anyone's fault, and he couldn't blame Uncle Dan, he just hoped that the patient could be woken up smoothly.

At this time, Deng Ximei next to him whispered to him: "Maybe, we can, give it a try...... Look at what Xie Yiman is experiencing now? ”

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