Sleepless Doctor

"Doctor, I think I have pneumonia." The man emphasized again.

He raised his hands in front of him, and looked at it again.

His hands were dark, as if they had just come out of a coal kiln, covered with coal powder. Even he sometimes wonders if he is black or not. If he just looks at his hands, this idea is not wrong.

As for chemotherapy... In the limited experience of the patient, I have not encountered or heard of a similar situation.

"It should not be a new type of pneumonia. Don't think too much." Wu Mian said, "Pigmentation will only appear after pneumonia is treated. The specific pathology and physiology have not been studied yet, and it is not even known whether it is an accidental or inevitable condition. appeared.

But looking at your symptoms, I can be sure that it is not caused by pneumonia. "

"Really?" The man worried for a long time. He took off his shoes dubiously after hearing Wu Mian's very affirmative words.

The plantar part of his foot was slightly affected, but the rest of the skin was normal.

"It is basically certain that the blackening of your hands and part of the soles of your feet is due to the pigmentation caused by chemotherapy." Wu Mian said, "Be a blood test. I will look at neutrophils."

"Uh...really?" The patient obviously didn't believe Wu Mian's words.

He didn't want to be infected with the new type of pneumonia, but what happened around him told him that it was very likely. Just like a medical student, he subconsciously put his situation on the new type of pneumonia.

"Really." Wu Mian did not worry, but calmed the patient. "A variety of chemotherapy drugs can cause skin pigmentation, such as fluorouracil, cyclophosphamide, ifosfamide, bleomycin, hydroxyurea, and busulamide. , Cytarabine, etc. have this effect."

"It's just that your condition is still quite special, the pigmentation is so obvious, and it is not common in the clinic. Taking a look at the neutrophils, I think the chemotherapy should be changed."

Wu Mian skillfully typed out a blood routine receipt and handed it to the patient, as if he were an old doctor here.

"Doctor, I haven't heard of this." The man glanced at his hands that looked like charcoal again, and quickly put on his gloves.

He didn't even dare to look at this kind of appearance.

"There are many possibilities. For example, chemotherapy drugs directly stimulate the formation of epidermal melanocytes; toxic effects on the adrenal glands cause excessive secretion of adrenergic hormone and melanin-stimulating hormone; chemotherapy drugs destroy tyrosinase inhibitors; chemotherapy drugs- Melanin complex formation..."

Wu Mianjian simply talked about many possibilities, even men have never heard of it.

"There is a possibility that your psychological pressure is not too great." Wu Mian comforted, "It's another tumor. You have encountered this epidemic again. You haven't been thinking about it lately."

"Don't mention it, what you said is really right. I have been under too much psychological pressure recently." The man sighed and said, "Doctor, I have reached the time for the third chemotherapy, but I dare not go to the hospital."

Wu Mian nodded.

"I've been to the hospital, but when I looked from a distance, the people in the outpatient department and emergency department lined up on the road...Sometimes I think, this is fate." The man sighed and said with a gloomy face, "Originally. Getting sick is killing me, and encountering such a bad thing again."

"Your reaction is very serious, just to stop the drug for observation, it is a blessing in disguise." Wu Mian said with a smile.

"Huh?!" The patient was startled.

"You are using the folfox regimen, and the chemotherapy drugs are mainly leucovorin, fluorouracil and oxaliplatin. I think it is the pigmentation caused by fluorouracil intolerance." Wu Miandao, "Two months after stopping chemotherapy, The color can be gradually restored."

"Doctor, are you sure it's not a new type of pneumonia?"

Men’s entanglement is always on pneumonia, and cancer seems to be temporarily ignored.

"I haven't tested it, and I can't determine whether it is pneumonia, but based on the immediate symptoms, it is just a side effect of chemotherapy." Wu Mian said, "You can choose other chemotherapy regimens, but they are not suitable now."

"why?"

"Your hands have this color, which proves that your body's ability to withstand it has been affected to a certain extent. It will be two months later to change the dressing. It is safer to do so."

The man hesitated.

"Just in time for the epidemic, you can rest at home quietly, don't worry too much. After the epidemic is over, the pigmentation of your hands is basically better, and treatment will not be delayed." Wu Mian explained.

The man thought for a while and asked carefully, "Doctor, do you mean this epidemic will end in about a month?"

"Almost." Wu Mian said, "After all, the national expert team has already arrived in Tianhe, don't worry. It's useless to think too much, no matter how much we think, there are still Zhong Lao and Li Lao they know. ?"

"Yes." The patient nodded.

"When I was in school, I felt a pain in my stomach when I learned about abdominal disease; I felt that I couldn't breathe when I learned about chest disease. This is a typical self-suggestion~www.wuxiaspot.com~ Wu Mian continued to explain.

"Yeah! I haven't said yet, I find it difficult to breathe."

Wu Mian smiled, glanced at the check-up list, and said, "You go for the check-up first, and I'll take a look when you come back. How about contacting your attending doctor again?"

"Okay!" The man nodded.

Nothing affects, and it's not a new type of pneumonia, the man is slightly relieved.

After Wu Mian saw 22 more patients, the man returned with the slip.

Taking a look at the test sheet, Wu Mian pointed to a data on the sheet and said, "Cytocytopenia, accompanied by fatigue, fatigue, and pigmentation in the hands, can be judged to be a side effect of chemotherapy."

"I will simply write a medical record, and you will send it to your attending doctor."

Wu Mian typed the keyboard, briefly described the patient's condition, and then attached his own diagnosis and treatment opinions. At the bottom, Wu Mian signed his name.

The patient ran away from the hospital with a slip.

His hands were as black as if they had touched carbon, which he had been thinking about for a long time. Today, I came to the hospital with a determination to die, and prepared to speak clearly to the doctor. The men are even ready to be pulled away directly by the 120 ambulance.

I just don't know if there are beds in designated hospitals.

But just came out like this? Is it just a side effect of chemotherapy?

He looked at the brief medical record. At the bottom, Long Feifengwu had two characters written by Wu Mian.

This little doctor is quite interesting, and finally signed, as if he was some kind of big hand.

The man was not in a hurry to go home, he was worried that he also had pneumonia, and there was no point in going home. I found a shelter from the rain, took pictures with my mobile phone, and took pictures of both hands one by one, and sent them to my attending doctor.

"Doctor Sun, hello..." The man briefly described his situation and sent it to the doctor together.