Chapter 996 Weird symptoms! Unknown cause!

Chacha——

Bi Guang's wife quickly squatted down, and in the quiet night, the polyester fiber coat on her body made an eye-catching friction sound.

Immediately afterwards, she raised her hands in the air and shouted with great solemnity: "I am a mushroom."

The next moment, the whole place fell into a dead silence.

Staring eyes fell on Bi Guang's wife, and many people whispered... Is this woman planning to pretend to be crazy to avoid the embarrassing situation?

The point is, Bi Guang's father has already planned to let it go, so why does she still need to find a sense of existence?

Xu Qiu frowned. Rather than questioning Bi Guang's wife's motives, he was more concerned about... Could there be other illnesses?

Speaking of which, Bi Guang's wife left a very deep impression on him.

It's not because the other party ate up all the brothers in Bi Guang's family, but because of the disease!

Syphilis has mild or severe symptoms in different patients, but if it develops to the stage of neurosyphilis, it is unlikely that it will be in peace with the body.

Late syphilis has reached the stage of systemic damage, and many important organs will be affected. Although most neurosyphilis has a good prognosis, about 40% of patients with paralytic neurosyphilis, even the most I don’t even have the basic ability to take care of myself...

But Bi Guang's wife seems to be an exception.

The other party's symptoms can be described as silent. If Xu Qiu hadn't noticed the congenital syphilis in the two children, even he might not have been able to tell that Bi Guang's wife had tertiary syphilis.

However, the current scene still made him a little unexpected.

Isn't this a plot point in an old joke... If analyzed in academic language, it is probably the separation of semantics and entities after incorrect association.

Of course, the premise is that Bi Guang's wife is really mentally ill.

Thinking of this, Xu Qiu's mind came to Bi Guang's wife's medical records.

Hu Jingying, female, 27 years old...

The main complaint and history of current illness are not much worthy of attention. The other party has reached the third stage, but there are no obvious characteristics on the surface.

However, Bi Guang's wife still trembled when mentioning the past history, and it was impossible to tell the whole story.

When asked about sexual relations, she only admitted that she had had negative contact with Bi Guang and her two brothers.

This statement can be used as a prevarication for others, but for medical workers, it seems very ridiculous.

Although the manifestations of syphilis are various, its course follows a strict development pattern.

After infection, the incubation period of syphilis is two to four weeks, which is considered primary syphilis.

The typical manifestation is a hard chancre, a solitary, red, round, and raised nodule, which mostly occurs near the external genitalia and can be painless.

Between four and nine weeks, secondary syphilis develops.

The biggest feature of this period is the syphilis rash. At this time, the chancre disappears and turns into a large number of macules, papules, etc., and the onset of syphilis rash is often accompanied by a cold-like prodrome.

In short, when the chancre disappears, followed by headache and fever, and the fever subsides after a rash appears on the skin, it means that it has progressed to the syphilis rash stage.

The course of secondary syphilis is extremely long, with a minimum duration of two years. Only after two to three years of infection without treatment or intervention can tertiary syphilis develop.

Therefore, it can be inferred from the time that Hu Jingying was infected at least two years ago.

Bi Guang is negative.

Bi Guang's younger brother and cousin both have secondary syphilis...it's clear who the source is.

If I say that Hu Jingying has never had a relationship with anyone else, I'm afraid not many people believe it.

However, the patient chose to conceal it, and the doctor could not pry open the patient's mouth. After all, this was not torture to extract a confession.

What confirms that the patient has reached neurosyphilis is cerebrospinal fluid RPR:

The test showed positive, the titer was 1:4, and the cerebrospinal fluid was positive for TPHA, which means that syphilis has penetrated deeply into the nervous system...

Could it be that this caused the patient's abnormal mental state?

However, neurosyphilis causes more substantial lesions, which are painful wherever they hit. For example, if Treponema pallidum invades the optic nerve, it will cause vision loss and even blindness; if it invades the language center, it will cause aphasia, etc...

All in all, these all fall under the category of "neurology."

Hu Jingying's condition is more like a mental illness and belongs to "psychiatry."

Although they sound similar, the responsibilities are actually very different.

At least Xu Qiu has never heard of any neurosyphilis patient treating himself as a mushroom.

Arriving in front of the patient, Xu Qiu looked at him carefully for a moment.

The old man on the side also came over.

He was furious just a moment ago, but seeing his daughter-in-law like this, he felt quite complicated. He felt happy that evil people will be punished, but his kind nature made him unbearable.

"Doctor Xu, she is..." The old man's face remained calm, but he did not scold the woman in the corner again.

Xu Qiu shook his head.

He has little experience in this situation. After all, he is just a surgeon, and he is indeed not very familiar with the mental aspect.

After that, Xu Qiu tried to communicate with Hu Jingying.

However, the patient seemed to be immersed in his own world, completely ignoring all the comments around him, as if he had truly turned into a mushroom that could not communicate with others.

At this time, Liu Susu's eyes suddenly lit up.

She walked up to Xu Qiu and whispered: "Doctor Xu, I read a novel before, saying that in order to communicate with this kind of people, you have to dress up as a mushroom... How about I try?"

Xu Qiu was silent for a moment.

Because the patient has turned into a mushroom, the doctor must also turn into a mushroom to communicate with the other party... This seems to be a reasonable logic, but in fact it is an imagination of the world of mentally ill patients from the perspective of ordinary people.

Although he is not a psychiatrist, he still has a basic understanding of similar diseases.

If you can communicate with the other party by saying that you are also a mushroom, all kinds of mental illness will not be so difficult.

Mental illness is a disease.

Is it possible that malignant tumors can be curbed by saying "I am a tumor too, can you stop growing"?

But Liu Susu was obviously not so easy to convince.

She squatted down on her own, waiting for Hu Jingying to take the initiative to ask.

According to the plot development of that novel, the patient will then be curious about why she is squatting, and then come over to ask her if she is also a mushroom...

However, Hu Jingying's eyes remained blank and dull, and she did not notice Liu Susu squatting next to her at all.

Liu Susu couldn't hold it in any longer. She was silent for a moment, turned around and asked, "Aren't you curious why I'm squatting here?"

"..."

Hu Jingying still turned a deaf ear, and the atmosphere became extremely awkward for a while.

"Get up." Xu Qiu shouted silently.

Liu Susu immediately found the steps, stood up quickly, and returned behind Xu Qiu with her hands on her hips, muttering: "What? It's not reliable at all."

Xu Qiu did not respond to this sentence, but instead said: "Let's ask the psychiatrist for consultation first."

The clinic is a tertiary hospital with a psychiatry department. The number of patients is not as rich as that of a psychiatric hospital, but the professionalism and experience of the psychiatrists are still sufficient.