"Director Feng, the patient's body temperature is still rising, it is already 39 degrees."

"Is it still the case with antipyretics?"

"Well, there is a short cooling after taking the medicine, but it will still rise at night."

"The patient's diarrhea and ulcers are still getting worse, right? Now, we will examine diarrhea, ulcers and other infectious causes such as viruses, bacteria, tuberculosis, parasites, and immune deficiencies, as well as non-infectious causes such as inflammatory bowel disease and eosinophilic gastroenteritis. ”

"Okay, I'll go and inform the family now."

……

"How?"

"Director Feng, all the results have come out, ruling out viruses, bacteria, parasites, and infectious causes of immunodeficiency, the patient does have inflammation, but the site of inflammation is here in the eyes, and at the same time, the patient has ulcers in the mouth and genitals, diarrhea and inexplicable fever, I don't know what the cause is for the time being."

"In the past three days, the patient's body temperature is still capricious?"

"Well, it's fine during the day, but it starts to heat up at night, reaching 40 degrees at a time."

"Diarrhea, fever...... Canker sores in the mouth, genitals are also ...... Wait, is it Behcet's disease!? ”

"Behcet's disease?"

The reason why Feng Yuan guessed that it was Behcet's disease was because the patient's current symptoms were exactly the same as the information he had seen at the beginning.

Behcet's disease, also known as Behcet's syndrome, is characterized by recurrent oral ulcers, genital ulcers, and ophthalmia, and can involve multiple organs such as the digestive system, cardiovascular system, and nervous system, and is a chronic variant systemic vasculitis.

The cause is unclear and may be related to genetic factors.

In Feng Yuan's memory, this disease generally appeared in the north, and the number was very small.

There do not seem to be any cases of such diseases being cured in medicine.

And because it is a chronic disease, it takes years or even longer for many patients to develop symptoms, so it is difficult to detect the disease at the earliest stage.

"Report the inspection to me."

After speaking, Feng Yuan came to his office.

Behcet's disease was carefully examined, and the results were checked against each other.

Sure enough, this patient really had Behcet's disease.

Knock knock!

At this moment, there was a knock on Feng Yuan's office door, and Wang Kun, who was standing at the door, also walked in directly.

"Director Feng, how did I hear Xiao Qin say that there is a Behcet's disease in our department?"

Feng Yuan put down the examination report, lay back, and leaned back in the chair, "Yes, I didn't expect our hospital to encounter this kind of patient, the symptoms are too complicated, mouth ulcers, genital ulcers, skin lesions, eye inflammation, digestive tract, nervous system, cardiovascular, etc., as well as arthritis." ”

"These symptoms, except for mouth ulcers, are very difficult to deal with, and the results are all concentrated in one person, by the way, the patient always has a fever, and the medicine can't go down at all."

Wang Kun got the examination report, and after reading it, he also frowned, "I remember that Behcet's disease can only be treated with non-steroidal anti-inflammatory drugs and immunosuppressants." ”

Feng Yuandao, "The side effects of these drugs are a bit big, and the damage to the liver, kidneys and blood system is irreversible. ”

Wang Kun said, "Hey, which medicine has no side effects, as long as you can control this disease and don't let it worse." ”

Wang Kun said, "Hey, which medicine has no side effects, as long as you can control this disease and don't let it worse." ”

Feng Yuan shook his head, "I just checked the cutting-edge papers on Behcet's disease, whether it is hormone therapy or immunosuppressive intervention, there is not much effect on Behcet's disease, and the disability rate and mortality rate are particularly high, in that paper, 51 cases of Behcet's disease, none of them have been effectively controlled." ”

Wang Kun frowned, "What should I do then?" Tell the patient's family directly that there is no rule of law for this disease? ”

Feng Yuan said, "Medicine can be prescribed, and words must be explained, and patients can't be allowed to spend more money knowing that the cure is not good." ”

Wang Kun sighed, "I'm afraid that the patient's family will still refuse to leave after hearing it, you know, many people go to the hospital these days, knowing that the cure is not good, but they still like to come to buy comfort." ”

Feng Yuan got up, "It's up to the patient's family to decide on their own, let's go." ”

The two then left the office together.

A short time later, the two men, a doctor and a nurse, also walked towards the room of the Behcet's patient.

This is a sixty-year-old aunt, who is lying on the hospital bed very haggard at the moment, and next to her is her son-in-law and daughter.

My aunt is from Northeast China and came to Jianghan for the first time.

Because her daughter is married far away, she has not returned to the Northeast for seven or eight years.

This year, the aunt missed her daughter very much, so she thought about going to Jianghan to celebrate the New Year.

Who would have thought that within a few days of arriving in Jianghan, he felt extremely uncomfortable, no, after he couldn't bear it, he was sent to the hospital by his son-in-law.

"Xiao Liu, you go to the ward and call her son-in-law out." When he arrived at the door of the ward, Feng Yuan called the nurse in.

When the nurse went in to call someone, when the son-in-law came out, he saw Feng Yuan and the others, and immediately said hello, "Director Feng, Director Wang, Doctor Qin." ”

Feng Yuan nodded, and then said, "After these few days of examination, we have a preliminary judgment on your mother's condition, and here I will say it bluntly, this disease is called Behcet's disease, and the main feature is the combination of oral, eye, and genitals, which is a very rare chronic disease in the world, and there is basically no possibility of cure." ”

"Even with medication, the control of the condition is limited, we called you out, we just don't want your mother to hear this, but as doctors, we have to make it clear to you, I hope you can understand."

Xu Lang was a little confused.

He didn't expect that the first thing he heard when he came out was that his mother-in-law was terminally ill.

"No, Director Feng, I don't understand what you said about Behcet's disease at all, why can't it be cured?" Xu Lang's breathing was a little short.

Wang Kun immediately added, "Let me explain to you this, Behcet's disease is similar to diabetes, and you must take medication for life, but what about Behcet's disease, which is more complicated to control than diabetes, even if you take medication, it may not be able to alleviate the pain of the patient, can you understand?" ”

Xu Lang paused, and then said, "Then taking medicine can be cured after all, right?" ”

Feng Yuan said, "The treatment can definitely be cured, but the effect is very small, if you insist, we can prescribe medicine, but how effective it is, we dare not guarantee, and even how long the condition will deteriorate, it is difficult for us to give a judgment, because this disease is too rare, and it is the first time I have encountered it in my career." ”

"Besides, the medical resources of our hospital are limited after all, maybe you will have a way to go to a larger hospital, and after the New Year, you will go to the big doctor in the province...... Eh, take the liberty of asking, do you believe in Chinese medicine? ”

"If you believe me, I can recommend you to see a Chinese medicine doctor, he may have a way!"

Chinese medicine?

Xu Lang looked at Feng Yuan with a little doubt in his confused eyes......

(End of chapter)