I can talk to my internal organs

Chapter 214 Behcet's Disease
"Director Feng, the patient's body temperature is still rising, it's already 39 degrees."

"Is it still the same after taking antipyretics?"

"Well, there was a brief drop in temperature after taking the medicine, but it still rose at night."

"The patient's diarrhea and ulcers are still getting worse, right? Then check from multiple angles such as diarrhea and ulcers, targeting infectious causes such as viruses, bacteria, tuberculosis, parasites, immune deficiency, and inflammatory bowel disease. Disease, eosinophilic gastroenteritis and other non-infectious causes were excluded one by one."

"Okay, I'm going to notify the family now."

……

"How about it?"

"Director Feng, all the results have come out. Viruses, bacteria, parasites, and infectious causes of immunodeficiency have been ruled out. The patient does have inflammation, but the inflammation is in the eyes, and the patient's mouth and genitals also have inflammation. Ulcers, diarrhea and inexplicable fever, the cause is not yet known."

"In the past three days, has the patient's body temperature still fluctuated?"

"Well, it's okay during the day, but it starts to heat up at night, and the highest time reached 40 degrees."

"Diarrhea, fever...mouth ulcers, genitals...wait, is it Behcet's disease!?"

"Behcet's disease?"

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

Behcet's disease, also known as Behcet's syndrome, is clinically characterized by recurrent oral ulcers, genital ulcers, and ophthalmia. At the same time, multiple organs such as the digestive system, cardiovascular system, and nervous system may be involved. Chronic variable systemic vasculitis.

The cause is currently unknown, but may be related to genetic factors.

In Feng Yuan's memory, this disease usually occurs in the north, and the number is very small.

There seems to be no case of such a disease being cured in medicine.

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

"Give me the inspection report."

After saying that, Feng Yuan came to his office.

Checked Behcet's disease carefully, and then checked the results.

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

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

"Director Feng, why did I hear from Xiao Qin that Behcet's disease is in our department?"

Feng Yuan put down the examination report, lay back, and leaned back on the chair, "Yeah, I didn't expect to see this kind of patient in our hospital. The symptoms are too complicated, oral ulcers, genital ulcers, skin lesions, and eye problems. Inflammation, digestive tract, nervous system, cardiovascular, etc., and arthritis."

"Except for oral ulcers, these symptoms are very difficult to deal with. As a result, they are all concentrated on one person. By the way, the patient always has a fever, and the medicine can't bring it down at all."

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

Feng Yuan said, "The side effects of these drugs are a bit big, and the damage to the liver, kidney and blood system is irreversible."

Wang Kun said, "Hey, which medicine has no side effects? As long as it can control the disease and prevent it from getting worse." Feng Yuan shook his head, "I just checked the most cutting-edge papers on Behcet's disease, whether it is hormone treatment or immunity. Suppressive intervention has little effect on Behcet's disease, and the disability and mortality rates are particularly high. In that paper, among the 51 patients with Behcet's disease, none of the [-] patients had their disease effectively controlled."

Wang Kun frowned, "Then what should we do? Just tell the patient's family that there is no cure for this disease?"

Feng Yuan said, "The medicine can be prescribed, and the words must be explained clearly. You can't let the patient spend more money knowing that the cure is not good."

Wang Kun sighed, "I'm afraid that the patient's family members still won't leave after hearing this. You know, many people come to the hospital these days. Even though they know it can't be cured, they still like to come and buy comfort."

Feng Yuan stood up, "It's up to the patient's family to decide, let's go."

The two then left the office together.

Not long after, the two of them, a doctor and a nurse also walked towards the ward of the Behcet patient.

This is a 60-year-old aunt who is extremely haggard lying on the hospital bed at the moment. Sitting next to her are her son-in-law and daughter.

My aunt is from the Northeast, and it's her first time in Jianghan.

Since my daughter is married far away, she hasn't been back to the Northeast for seven or eight years.

This year, my aunt missed her daughter very much, so she thought of coming to Jianghan to celebrate the New Year.

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

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

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

Feng Yuan nodded, and then said, "After several days of examinations, we have a preliminary judgment on your mother's condition. I'll just say it here. The combination of the three is a very rare chronic disease in the world, and there is basically no possibility of cure."

"Even with drug treatment, the control of the disease is limited. We called you out because we didn't want your mother to hear this. But as doctors, we have to explain it clearly 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 walked out was that his mother-in-law was terminally ill.

"No, Director Feng, I don't understand the Behcet's disease you're talking about at all. Why can't it be cured?" Xu Lang's breathing became rapid.

Wang Kun immediately added, "Let me explain to you this way, Behcet's disease is similar to diabetes, and you must take medicine for life, but the control of Behcet's disease is more complicated than diabetes. It must be able to alleviate the pain of patients, can you understand?"

Xu Lang paused, and then said, "Then taking medicine can cure it, right?"

Feng Yuan said, "Cure can certainly be cured, but the curative effect is minimal. If you insist, we can prescribe medicine, but we can't guarantee the curative effect, and it is difficult for us to give a judgment on how long the condition will worsen, because this disease It’s so rare, and it’s the first time I’ve encountered it in my career.”

"Besides, our hospital's medical resources are limited after all. Maybe you can find a solution by going to a larger hospital. After the New Year, you go to a big doctor in the province... Hey, let me ask, do you believe in traditional Chinese medicine?"

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

Chinese medicine?

Xu Lang looked at Feng Yuan with some doubts in his confused eyes...

(End of this chapter)