White armor

Chapter 486: Diagnosis before Coming Out

"What did you say?" Luo Hao looked at the person in front of him in surprise.

What the hell is going on? Luo Hao originally just wanted to ask about the medical history, but he never dreamed that he would hear the "patient" conclude that his xp was abnormal.

What does this have to do with anything? How did it get to XP?

"Professor Luo, please don't laugh at me. In the past, I thought lesbian relationships between girls were okay, but relationships between boys were particularly awkward."

"..." Luo Hao was silent and looked at this person deeply.

He seemed to have made a mistake and was reflecting on himself. It was more like he was mumbling to himself and confessing rather than stating his medical history.

Luo Hao looked at the diagnosis given by the AI ​​again and felt that something was wrong.

Similar diseases are rare even in the medical records of Peking Union Medical College. Luo Hao does not have much reference material and can only keep searching for relevant literature in his mind.

But there is very little relevant literature, which is different from the current situation.

Xiao Hua stammered and was silent for a while before seeming to muster up the courage to say, "Professor Luo, what I told you is true. Please don't laugh at me."

"I'm a doctor, how could I make fun of my patients? Do you want me to recite the Hippocratic Oath to you?" Luo Hao said with a smile, trying to lighten the topic.

"Well, ever since I had an orgasm, I've felt an itch inside my anus, and I can't wait to scratch it."

Gan!
Luo Hao racked his brains but couldn't think of such a statement. After having an orgasm... is there still such a sequelae? !

What a ghost.

"I think I have become a bottom..."

"Don't be like this." Luo Hao hesitated and pondered, but only said three words. Even he didn't know how to continue the topic.

The two were silent and the scene was awkward for a while.

About 20 seconds later, Luo Hao sighed and said, "Xiaohua, please continue. Tell me about your situation."

"Professor Luo, I just feel itchy. I was afraid I might be sick, so I went to the hospital for a gastroscopy."

"How to say?"

"The doctor who performed the gastroenteroscopy said I had mild internal hemorrhoids and didn't see any problems with my intestines. I told him about my situation and he suggested I see a psychiatrist. He had a weird look on his face when he said this to me, and I knew he looked down on me."

By this time, Xiaohua's face had turned red.

Luo Hao frowned.

Luo Hao strongly disagreed with seeing a psychiatrist for everything. Besides, even if it became 0, what was there to be ashamed of?

"Then what?" Luo Hao suppressed his anger and continued to ask.

"Later, I didn't dare to tell anyone. I always felt that there was something wrong with my sexual orientation. I was absent-minded when doing things, so the accident happened. I shouldn't have come to Handong, but I asked my leader to tell me that I wanted to have some peace and quiet, so I went through the process and came to Handong for a few days of research."

Luo Hao smiled. Xiao Hua was probably a man with connections, otherwise how could he come to Hadong for research as soon as he was told?

Although this matter is not a big deal, there are still many obstacles if it is to be realized.

"How does it compare now to the beginning?" Luo Hao asked.

"It's getting worse and worse. Now I can hardly stop. If I stop and don't move, I will feel itchy and uncomfortable. I don't think it's a psychological disorder, but a strange disease." Xiaohua said, his legs twisting involuntarily.

Like a Tianjin hemp twist.

"you……"

"Professor Luo, do you think I really have mental problems? Should I come out?" Xiaohua had just said that he felt he had a disease, and then he said another statement in a conflicted manner.

It seemed that he himself was not sure and was wavering.

"Depend on!"

Luo Hao cursed directly.

"Professor Luo, everyone says that your diagnostic skills are very high, at least in the top five in the province. I have been thinking about asking you for advice, but I am worried that after asking you for advice, you will also say that I have a mental illness."

Xiaohua said this, almost crying.

He had a sad face, and his whole body seemed to be twisted by a pair of invisible hands, into strange shapes.

And this shape is constantly changing.

It is said that women are made of water. Xiaohua now seems to have too much water, and her body keeps twisting.

If Luo Hao hadn't used AI to assist in diagnosis, he might have believed certain things.

"Professor Luo... This is my colonoscopy report. Please take a look at it for me." Xiaohua took out his cell phone, found his report and handed it to Luo Hao.

"How can it be relieved?" Luo Hao asked.

"Walking around can help. I can't sleep well at night now. I have been suffering from insomnia for several months."

"Then let's talk about it while we're walking. Don't be too stressed. I think it's most likely a disease." Luo Hao took out his phone and sent a message.

"I'm troubled, Professor Luo. Every day I wonder if my XP is wrong, so the backdoor is always itching. Just kidding, I even start to empathize with those 0s."

"Don't." Luo Hao stopped immediately, "I'm just asking, your situation is quite special."

Xiaohua's expression twisted.

Luo Hao was stunned for a moment, then sighed, "You misunderstood. How can a doctor treat your case as a joke?"

"What about you!" Xiao Hua frowned and looked deeply at the phone in Luo Hao's hand.

"Call someone." Luo Hao shook his phone and showed it to Xiaohua to chat.

The huge word "Help" appeared in the field of vision.

Xiaohua was stunned for a moment.

"Here, look down."

Xiaohua continued watching.

[Male patient, 30 years old, initially diagnosed with restless legs syndrome, but the patient complained of proximal rectal pruritus and central nervous system symptoms. Which senior brothers and sisters who are willing to help others have encountered similar clinical patients? Please help. 】

Below this sentence, there are three emojis with hands clasped together.

Xiaohua was stunned after reading it.

This is so humble, isn't it? Did I misunderstand? Did I misunderstand! Professor Luo really thinks he is sick!

What the hell is restless legs syndrome?

"It just so happens that you are suspicious, so let's watch it together."

Luo Hao smiled and held the phone between the two of them.

"Excuse me, Professor Luo, what is restless legs syndrome?"

"Willis-Ekbom disease is a common clinical neurological sensory motor disorder. Restless legs syndrome is a common but underappreciated neurological disease with an incidence of 1% to 15%."

Restless Legs Syndrome is characterized by a strong, almost irresistible desire to move the legs, which usually occurs in the evening or at night, worsens when quiet or resting, and improves with activity.

Restless legs syndrome seriously affects the patient's quality of life, especially leading to insomnia, depression and anxiety.

Epidemiological studies have shown that restless legs syndrome is significantly correlated with neuropsychiatric diseases, cardiovascular and cerebrovascular diseases, kidney diseases, nutritional and metabolic diseases, and pregnancy.

Luo Hao explained to Xiaohua in detail what restless legs syndrome is.

Even the explanation is a bit long-winded and complicated.

"Uh...but it's not my legs that are causing it."

"It's mainly a disease of the central nervous system. Sigh." Luo Hao sighed, "It's probably the virus that attacked your central nervous system, leaving behind sequelae."

"Ah?" Xiaohua was stunned.

He has always been dismissive of claims of poisoning, believing them to be persecution mania, conspiracy theories and attention-grabbing.

But I didn't expect that Professor Luo spoke about this matter so naturally, as if it was something that everyone in the world knew.

"The virus created by the Americans is very insidious. I know some people who developed varying degrees of diabetes after testing positive."

“And diabetes?”

"Yeah, it's really scary. You see, a young man in his 30s who was fine before would just think he had a fever. Who would think there's something wrong with his blood sugar, right?"

Xiaohua seemed to have forgotten his question and nodded.

"Later... Let me give you an example. There was a nurse in our department, 32 years old, who went to Lin'an in April. She thought it was warmer there, so she wore a miniskirt when she got there."

"I caught a cold and had a high fever of 41°C. I had no choice but to come back to the hospital for an IV drip. When I checked my blood sugar level, it was 36!"

"Oh my god!" Xiaohua was shocked.

Blood sugar level is 36, that means death is imminent.

"Yes, I have seen four or five similar cases in the past few years, all of which were sequelae of COVID-19." Luo Hao sighed, "Your case is quite special. I think the virus has attacked your central nervous system, leading to another classification of restless legs syndrome."

"But similar situations... after all, the prerequisites are special, so I'm asking for help in the group."

Xiaohua was speechless.

No one spoke in the group, and Xiaohua even thought it was a "dead" group.

Luo Hao was also a little worried. He was considered to be quite diligent in writing papers, but he himself didn't even know about it, so it was unlikely that others would know.

But the AI-assisted diagnosis was restless legs syndrome, and Luo Hao still believed in the system.

So what's going on?
Xiaohua can't stand, which is very similar to restless legs syndrome.

It’s just that one is the leg, and the other is the anus and rectum.

[Dr. Xiao Luo, I have seen a related report.]

Suddenly, someone replied.

Luo Hao was cheered up, and Xiao Hua felt inexplicably nervous.

[In a recent case report published in BMC Infectious Diseases, a man in Japan developed severe anal discomfort a few weeks after recovering from COVID-19.

Doctors at the University of Tokyo Hospital diagnosed him with restless anal syndrome, or RLS.

The book's experts explained that this is an unusual variant of restless legs syndrome. 】

[Oh my god, which issue of BMC Infectious Diseases is this? I'll go check it out too.]

The other party gave a journal number, and Luo Hao immediately opened the professional software to start searching.

Sure enough!
This book's case!
[RLS variants have been seen in the abdomen, bladder, and mouth, but this is the first time RLS has been described in the anus.]

[I recently had a patient who had frequent urination for unknown reasons. After all the tests, everything was fine. The only diagnosis was that the frequent urination was caused by prostate hypertrophy. But I don't think it's the case, so I'm still skeptical. So, is it restless bladder syndrome? This is too weird. This is the first time I've encountered this situation.]

【possible. 】

The group, which had been dead silent just a moment ago, suddenly became lively, with messages scrolling up one after another, and everyone's hand speed was extremely fast.

Uh……

Xiaohua felt a little dizzy as every message was flashed by in seconds and he couldn't see what it was before it was swiped past.

It seems that this group is not a "dead" group, but people in it will not speak unless it is necessary.

Restless Retreat Syndrome immediately aroused everyone's interest. These people chatted and typed so fast!

Professor Luo watched with great interest and even stopped to stand.

He didn't dare to disturb Luo Hao and waited quietly.

Restless anal syndrome? Is there really such a weird disease? Xiaohua was a little confused.

But he had seen the doctor's reply just now, and Luo Hao also found the journal in front of him.

Let’s talk about it later.

This wait lasted 20 minutes.

Luo Hao let out a sigh and turned off his phone.

"Xiaohua, it's probably restless anal syndrome." Luo Hao smiled and said, "That's good."

"Very good?" Xiaohua was stunned.

"With a diagnosis, you can give the right treatment. Otherwise, if you keep thinking about coming out, you'll become mentally ill sooner or later. Besides, this is a disease. Can coming out solve the problem?"

Faced with Luo Hao's teasing, Xiaohua's face turned red.

Coming out...emmmm, I don’t know about others, but he just can’t accept it.

"Actually, it's normal. Why did people in ancient times have little book boys to accompany their children to study?"

"Why?" Xiaohua blurted out the question.

"Not all of them. Some people always have problems with their sexual orientation. It can't be said to be a problem. I don't like this kind of thing, but I don't care what others do." Luo Hao said with a smile.

"Restless Anal Syndrome, what is that?"

"Let me tell you about this case." Luo Hao walked slowly in the zoo.

The night was pitch black, but not as solemn as before. Occasionally, a bird's cry was heard, and it was always so cheerful.

"Japanese doctor Nakamura Zou published the latest case report in the journal BMC Infectious Diseases on the 23rd.

Nakamura said that a 77-year-old man was hospitalized after being infected with the new coronavirus. Although his respiratory function has returned to normal after 21 days of treatment, his symptoms of insomnia and anxiety still exist.

"A few weeks after being discharged from the hospital, he began to experience deep discomfort in his anus, which became uncomfortable if he did not move, but would be relieved if he continued to move.

Finally, Dr. Nakamura diagnosed it as restless anal syndrome, which is also the world's first case related to COVID-19."

"A few weeks after the patient was discharged from the hospital, he suddenly developed anal and anal discomfort 10 cm deep in the perineum, but the relevant symptoms had not occurred during the hospitalization.

The patient said that this uncomfortable feeling did not ease after defecation, and the symptoms would be aggravated if he rested, especially at night.

However, the discomfort can be relieved by taking walks, running and other exercises. As a result, the old man cannot fall asleep well and even has to rely on sleeping pills to stay asleep.

The report mentioned that the patient's colonoscopy confirmed no other rectal lesions.

The patient had no other bladder, rectal, or erectile dysfunction, and neurological examinations revealed no abnormalities, leading to a diagnosis of a variant of restless legs syndrome, also known as restless anal syndrome.

Luo Hao briefly recounted the medical history in the case report, and the situation was basically similar to Xiaohua's.

It’s just that Xiaohua’s lasted longer, after his first orgasm.

"Benzi does have some real skills, that's true." Luo Hao thought intently and muttered to himself.

"How to treat it?" Xiao Hua asked anxiously when he saw that Professor Luo Haoluo was hesitant to speak.

He was really afraid that Professor Luo would suddenly tell him that there was no cure. If he wanted to cure it, he could just remove the rectum.

"One course of oral clonazepam is enough. This medicine is used to treat epilepsy." Luo Hao said, "It doesn't have any serious side effects for ordinary people. You should pay attention to the usage and dosage. Don't increase the dosage yourself in order to cure the disease as quickly as possible."

"Oh oh oh." Xiaohua looked happy.

It's fine as long as it can be cured! There is nothing wrong with your sexual orientation, so don't be upset about it anymore!!

Luo Hao was also a little excited. After all, it was the first time he had encountered restless anal syndrome.

Although it was named by a doctor in the book and has not yet been recognized by most doctors in the industry, Luo Hao had similar speculations before.

It’s just that Luo Hao chose to seek help to solve the problem instead of trying to treat it on his own.

"Professor Luo, thank you."

"As for the medicine, it will probably be available tomorrow." Luo Hao took out his phone, "Add me as a friend, and I'll send you the name and dosage of the medicine."

Xiaohua happily added Luo Hao’s WeChat.

Soon, Luo Hao sent over chlordiazepoxide and the instructions and dosage for use.

"Thank you, Professor Luo, thank you."

"You're welcome. Send me the changes in your symptoms every day after taking the medicine." Luo Hao said seriously, "It's just that the symptoms are a bit similar, and there is only one case in the book. This is a way to treat restless legs syndrome. Give it a try. If it doesn't work, I'll have to ask other teachers for help."

"Yeah, yeah." Xiao Hua nodded repeatedly. He stared at Luo Hao's phone in a daze.

"What are you thinking about?" Luo Hao asked in a good mood.

"I was thinking that I misunderstood Professor Luo just now. I'm so sorry." Xiaohua said honestly.

"Oh, it's normal. Most people think we gossip, but actually, we do gossip, it's human nature. But that's only after we have a solution, and everyone is relaxed and gossiping."

"I have no idea about the situation just now. I only have a guess, so I can only ask other people for help. It's not shameful to ask for help, but it's shameful if I can't cure the disease." Luo Hao answered frankly.

Hu~~~
Xiaohua looked at Luo Hao with gratitude.

"Oh no, just one step away." Luo Hao felt a little regretful.

"what?"

"This disease could be named after you, and it's not fatal."

“……”Xiaohua was speechless.

No one wants to have a disease named after them. No, except for this disease, other diseases don’t want to be named either.

"In the operating room, the most frightening thing is the silence, just like the dead silence in the group just now, you saw it." Luo Hao felt relaxed and ran towards the panda house.

"Yeah, I saw it. At that time, I thought there was no one alive in the group."

"This is what I fear most when performing surgery. When I walk in and no one talks, my mood suddenly becomes bad. I know something must have gone wrong without even thinking about it. How to solve the problem next depends on my luck," said Luo Hao.

"Is it?"

"Of course. I saw several rescue operations when I was a doctoral student at Peking Union Medical College. The bloody smell was so strong that it couldn't be dispelled. The patient was bleeding profusely and couldn't be stopped. At the beginning, a professor in his forties came to rescue the stage."

"In another twenty minutes, a director in his fifties will come to save the stage. If that doesn't work, an old man will come out, but my boss Chai won't go on stage. He will stand at the back and watch, telling the practitioner what to do."

"Ah? Shouldn't he come on stage and solve the problem right away?"

"This is not a novel. Whoever lives longer is more powerful. Let me tell you, surgery is like boxing. You need to be at your best with your hands, eyes and body. It's all about comprehensive qualities."

"Boss is indeed experienced, but his eyesight is blurry and his hands are a little shaky. What do you think we should do?" Luo Hao said, "Boss, come in and share your experience. There will be a surgeon on the stage to complete the operation. Isn't that good?"

"What about you?"

"Me? I'm holding a footstool in my hand, and I'm responsible for helping the boss onto the footstool. Hahaha~~~" Luo Hao laughed loudly, his voice echoing in the dark and causing a few tiger roars.

This guy is still not honest, Luo Hao thought to himself.

"That...that's pretty impressive." Xiaohua agreed.

"Oh, it's nothing great, but that was when I was young. If it were now, the boss would talk from the back and I would do it from the front."

When you were young?
Xiao Hua turned her head to look at Luo Hao, who looked as young as a student. What was he like when he was young? Was he the head of the kindergarten?
"That's it. Stay up all night and go get the medicine tomorrow. By the way, if the psychiatrist doesn't prescribe it for you, come to me."

"Why not open it?" Xiaohua was puzzled.

"Because psychiatric drugs are often taken in large quantities, some people who commit suicide do so. When a person dies, the patient's family members go to the hospital and say that the hospital prescribed a large amount of drugs, which is why they died. Otherwise, how could they have died?"

“……”Xiaohua was speechless again.

"So the hospital doesn't prescribe so many drugs. For example, estazolam, which is the former Sulanzapine, has a very average effect. I feel it can only be used as a placebo. But the hospital still doesn't prescribe it casually. You have to have symptoms to use it."

"Then I understand. I guess I'll have to trouble you again, Professor Luo, tomorrow."

As he spoke, Xiaohua stopped and bowed deeply to Luo Hao.

"You're welcome."

"You're welcome. I'm really not being polite. Professor Luo, you don't know that I've been scared lately. I can't sleep at night, and I always have nightmares when I take a nap during the day. I dream of a man on top of me."

"Well, it can be 4i." Luo Hao said with a smile.

"What?"

Luo Hao laughed, and seeing that he didn't know about this, he shook his head and said, "It's okay, I'll go get the medicine and take it tomorrow morning."

As they talked, the two of them came to the outside of the panda house.

Dahei was lying on the bamboo's body, and Da Nizi was rubbing the bamboo's head. Dahei seemed a little dissatisfied and kept nudging Da Nizi's arm with his mouth.

A cat and a dog are competing for favor.

That’s good. Luo Hao no longer has the obsession of who to save first between Zhuzi and Dahei who fell into the water. He watches the scene with a smile.

Zhuzi and Luo Hao had telepathy, and Zhuzi looked up and saw Luo Hao the first moment.

It suddenly stood up, twisted its butt, opened the door by itself, and ran out.

Xiaohua was shocked when he saw this scene.

He had heard that the lock of the panda house could not lock bamboo, but that was just a rumor. Only after seeing it with his own eyes did he realize how powerful it was.

"Are you behaving well?" Luo Hao asked.

Zhuzi came running over chirping, its short tail standing up and starting to shake, just like Dahei.

(End of this chapter)