Doctor: I picked up attributes in the hospital
Chapter 271 "Tree Man"
Chapter 271 "Tree Man"
ten o'clock in the morning.
Zhao Heng is sitting in the office. The anesthesia assistant project has been officially signed. Zhao Heng must produce the first phase of clinical data and related drugs and disease digital models within a month, so the time is still very tight.
Therefore, Zhao Heng must seize every spare minute to complete the digital models of medicines and related diseases. Although he is very busy every day and has almost no time to rest, Zhao Heng still prefers this feeling of fulfillment.
This feeling of achieving your goals through your own struggles is, to be honest, quite addictive.
At this moment, Tian Zhen walked in and said to Zhao Heng: "Doctor Zhao, a patient was transferred from the hospital down below, and the emergency department said they couldn't handle it there, so he has to be sent here."
"Can't handle it? What kind of patient?"
Hearing what Tian Zhen said, Zhao Heng was a little puzzled. The patients who were sent to the emergency department before were sent here because they were too busy there. This is the first time that patients who were clearly unable to be treated were sent here.
"It seems to be a patient with a skin disease."
Tian Zhen said.
"Skin disease? If it's a skin disease, won't the dermatology department treat it?"
Zhao Heng felt even more puzzled. What is this skin disease patient sent to him for?
Although Zhao Heng is already famous for dealing with difficult and miscellaneous diseases in the current Dongfang Hospital, and has been recognized by almost all the medical staff, but the emergency department and the dermatology department say that they can't handle it, and they are sent directly. first time.
"The dermatology department said they couldn't handle it either."
Tian Zhen said again.
"Well, let's go have a look together."
Zhao Heng stood up and left the office with Tian Zhen.
When he came to the ward, Zhao Heng saw a middle-aged man sitting in a wheelchair with a middle-aged woman standing behind him. Zhao Heng looked again and found that the emergency doctor was not there either.
Just send it and leave it alone?
Zhao Heng was even more puzzled.
Getting a little closer, Zhao Heng saw the middle-aged man's legs at a glance, and immediately gasped.
hiss~
It can be said that Zhao Heng has never seen such a terrifying scene.
Because Zhao Heng saw that the legs and feet of the middle-aged man were covered by bark-like "branches". The skin was obviously cracked, and gray-black pus flowed out from between the cracks. There were still some mosquitoes in the gaps between the "twigs" of the feet. Zhao Heng even saw a few flies slamming around the middle-aged man's feet, trying to find the most suitable foothold on his feet.
It can be said that Zhao Heng has never seen this kind of scene before. Although Zhao Heng has seen the legs of a patient with elephantiasis before, it is definitely not what this middle-aged man looks like now.
No wonder the emergency department and the dermatology department didn't accept it. It already looks very scary. No matter what kind of doctor it is, it will basically conclude that there is no cure.
"doctor.."
Seeing Zhao Heng approaching, the middle-aged man greeted him with a very vicissitudes of voice, and looking at his appearance, his face was also full of sorrow and despair.
However, there was still a glimmer of hope in his expression, and this glimmer of hope probably meant that Zhao Heng could treat him.
He had been to many hospitals before, but none of them admitted him. Even if he came to the rumored Eastern Hospital, the doctors in both departments politely refused to admit him, and told him that the final Hope, it is in this ward.
If the doctors in this ward don't accept him, then he has almost nowhere to go to see a doctor.
"How long have you been like this?"
Zhao Heng calmed down and asked first.
Even the most frightening patients, Zhao Heng must be treated. In terms of treating difficult and miscellaneous diseases, after picking up and integrating the experience of almost all the most powerful doctors in Dongfang Hospital, Zhao Heng said that secondly, absolutely not Some people dare to be the first.
So he knew that if he didn't accept this patient, then this patient might indeed have nowhere to go to see a doctor.
In fact, it is not uncommon for patients like this to be treated without doctors. The human body is too complicated, and there are almost no clues about the pathogenesis or treatment methods of many diseases.
"Doctor, it's been 30 years."
The middle-aged man wrinkled his sad face and said slowly.
"Have you seen other hospitals? Have you had any treatment?"
Zhao Heng asked again.
"Doctor, I have had seven operations, and this time I relapsed again, but I can't find a hospital or doctor to perform the operation."
The middle-aged man spoke calmly, as if he was not talking about himself. From this, it can be seen that there is almost no hope in his heart.
"Seven operations? What did the previous doctor say?"
Zhao Heng frowned and asked.
Some diseases are relatively easy and complicated, but at most only the second or third operation is required, and more than four operations are required. For the patient, this process is extremely painful.
Every operation, no matter how big or small, causes great damage and consumption to the human body, let alone seven operations.
But judging from the situation of this middle-aged man, perhaps it is because the seven operations were performed on both legs, so this middle-aged man does not look like the kind of exhausted.
"Everyone said I was epidermal dysplasia."
The middle-aged man said.
"Is it verrucous epidermal dysplasia?"
Zhao Heng thought for a while and said.
Epidermodysplasia Verruciformis, (EV/Epidermodysplasia Verruciformis), also known as Tree Man.
This is an extremely rare inherited skin disorder that causes a high prevalence of skin cancer and is extremely prone to recurrence.
For this rare hereditary skin disease, according to the existing inspection data, there is one thing in common in patients, that is, the infection of human papillomavirus (HPV). Studies have shown that the onset of EV is usually related to HPV5 type and type 8 are related.
Moreover, the most important thing is that in the pathogenesis of EV, genes actually play a more important role than viral infections.
Studies have shown that the EVER17/EVER1 gene complex on human chromosome 2 can restrict viral proteins from entering the zinc storage area in cells, thereby limiting the growth of the virus.
In patients with EV, one of the EVER17 or EVER1 genes on chromosome 2 will undergo a PH mutation, causing it to be inactivated, so it cannot inhibit the HPV virus accordingly, resulting in dominant infection.
It is the superposition of the two conditions of virus infection and gene mutation that finally leads to the onset of EV.
Having said so much, smart readers must have come to the conclusion that to completely cure EV, that is, verrucous epidermal dysplasia, we must start from the genetic level.
In other words, repeated operations to remove the branch-like vegetation growing on the patient's epidermis, like weeding and cutting branches, are completely a solution to the symptoms, not the root cause.
(End of this chapter)
ten o'clock in the morning.
Zhao Heng is sitting in the office. The anesthesia assistant project has been officially signed. Zhao Heng must produce the first phase of clinical data and related drugs and disease digital models within a month, so the time is still very tight.
Therefore, Zhao Heng must seize every spare minute to complete the digital models of medicines and related diseases. Although he is very busy every day and has almost no time to rest, Zhao Heng still prefers this feeling of fulfillment.
This feeling of achieving your goals through your own struggles is, to be honest, quite addictive.
At this moment, Tian Zhen walked in and said to Zhao Heng: "Doctor Zhao, a patient was transferred from the hospital down below, and the emergency department said they couldn't handle it there, so he has to be sent here."
"Can't handle it? What kind of patient?"
Hearing what Tian Zhen said, Zhao Heng was a little puzzled. The patients who were sent to the emergency department before were sent here because they were too busy there. This is the first time that patients who were clearly unable to be treated were sent here.
"It seems to be a patient with a skin disease."
Tian Zhen said.
"Skin disease? If it's a skin disease, won't the dermatology department treat it?"
Zhao Heng felt even more puzzled. What is this skin disease patient sent to him for?
Although Zhao Heng is already famous for dealing with difficult and miscellaneous diseases in the current Dongfang Hospital, and has been recognized by almost all the medical staff, but the emergency department and the dermatology department say that they can't handle it, and they are sent directly. first time.
"The dermatology department said they couldn't handle it either."
Tian Zhen said again.
"Well, let's go have a look together."
Zhao Heng stood up and left the office with Tian Zhen.
When he came to the ward, Zhao Heng saw a middle-aged man sitting in a wheelchair with a middle-aged woman standing behind him. Zhao Heng looked again and found that the emergency doctor was not there either.
Just send it and leave it alone?
Zhao Heng was even more puzzled.
Getting a little closer, Zhao Heng saw the middle-aged man's legs at a glance, and immediately gasped.
hiss~
It can be said that Zhao Heng has never seen such a terrifying scene.
Because Zhao Heng saw that the legs and feet of the middle-aged man were covered by bark-like "branches". The skin was obviously cracked, and gray-black pus flowed out from between the cracks. There were still some mosquitoes in the gaps between the "twigs" of the feet. Zhao Heng even saw a few flies slamming around the middle-aged man's feet, trying to find the most suitable foothold on his feet.
It can be said that Zhao Heng has never seen this kind of scene before. Although Zhao Heng has seen the legs of a patient with elephantiasis before, it is definitely not what this middle-aged man looks like now.
No wonder the emergency department and the dermatology department didn't accept it. It already looks very scary. No matter what kind of doctor it is, it will basically conclude that there is no cure.
"doctor.."
Seeing Zhao Heng approaching, the middle-aged man greeted him with a very vicissitudes of voice, and looking at his appearance, his face was also full of sorrow and despair.
However, there was still a glimmer of hope in his expression, and this glimmer of hope probably meant that Zhao Heng could treat him.
He had been to many hospitals before, but none of them admitted him. Even if he came to the rumored Eastern Hospital, the doctors in both departments politely refused to admit him, and told him that the final Hope, it is in this ward.
If the doctors in this ward don't accept him, then he has almost nowhere to go to see a doctor.
"How long have you been like this?"
Zhao Heng calmed down and asked first.
Even the most frightening patients, Zhao Heng must be treated. In terms of treating difficult and miscellaneous diseases, after picking up and integrating the experience of almost all the most powerful doctors in Dongfang Hospital, Zhao Heng said that secondly, absolutely not Some people dare to be the first.
So he knew that if he didn't accept this patient, then this patient might indeed have nowhere to go to see a doctor.
In fact, it is not uncommon for patients like this to be treated without doctors. The human body is too complicated, and there are almost no clues about the pathogenesis or treatment methods of many diseases.
"Doctor, it's been 30 years."
The middle-aged man wrinkled his sad face and said slowly.
"Have you seen other hospitals? Have you had any treatment?"
Zhao Heng asked again.
"Doctor, I have had seven operations, and this time I relapsed again, but I can't find a hospital or doctor to perform the operation."
The middle-aged man spoke calmly, as if he was not talking about himself. From this, it can be seen that there is almost no hope in his heart.
"Seven operations? What did the previous doctor say?"
Zhao Heng frowned and asked.
Some diseases are relatively easy and complicated, but at most only the second or third operation is required, and more than four operations are required. For the patient, this process is extremely painful.
Every operation, no matter how big or small, causes great damage and consumption to the human body, let alone seven operations.
But judging from the situation of this middle-aged man, perhaps it is because the seven operations were performed on both legs, so this middle-aged man does not look like the kind of exhausted.
"Everyone said I was epidermal dysplasia."
The middle-aged man said.
"Is it verrucous epidermal dysplasia?"
Zhao Heng thought for a while and said.
Epidermodysplasia Verruciformis, (EV/Epidermodysplasia Verruciformis), also known as Tree Man.
This is an extremely rare inherited skin disorder that causes a high prevalence of skin cancer and is extremely prone to recurrence.
For this rare hereditary skin disease, according to the existing inspection data, there is one thing in common in patients, that is, the infection of human papillomavirus (HPV). Studies have shown that the onset of EV is usually related to HPV5 type and type 8 are related.
Moreover, the most important thing is that in the pathogenesis of EV, genes actually play a more important role than viral infections.
Studies have shown that the EVER17/EVER1 gene complex on human chromosome 2 can restrict viral proteins from entering the zinc storage area in cells, thereby limiting the growth of the virus.
In patients with EV, one of the EVER17 or EVER1 genes on chromosome 2 will undergo a PH mutation, causing it to be inactivated, so it cannot inhibit the HPV virus accordingly, resulting in dominant infection.
It is the superposition of the two conditions of virus infection and gene mutation that finally leads to the onset of EV.
Having said so much, smart readers must have come to the conclusion that to completely cure EV, that is, verrucous epidermal dysplasia, we must start from the genetic level.
In other words, repeated operations to remove the branch-like vegetation growing on the patient's epidermis, like weeding and cutting branches, are completely a solution to the symptoms, not the root cause.
(End of this chapter)
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