"Doctor, I think I have pneumonia," the man stressed again.


    He raised his hands before his eyes and looked carefully again.


    His hands were black, as if he had just come out of a coal mine, covered with coal powder. Even he sometimes thinks about whether he is black. If he just looks at his hands, there is nothing wrong with this idea.


    As for chemotherapy... In the limited experience of patients, we have not encountered or heard of similar situations.


    "It should not be a new type of pneumonia. Don''t think too much," Wu Mian said. "Pigmentation will appear only after the treatment of pneumonia. The specific pathological and physiological principles have not been studied and understood, and you don''t even know whether it is accidental or inevitable.


    But looking at your symptoms, I can be sure it''s not pneumonia. "


    "Really?" the man worried for a long time. After listening to Wu Mian''s affirmative words, he took off his shoes with dubious confidence.


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


    "It''s basically certain that the pigmentation of your hands and some soles is caused by chemotherapy," Wu Mian said. "Take a blood routine and let me see neutrophils."


    "Er... Really?" the patient obviously didn''t believe Wu Mian''s words.


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


    "Really." Wu Mian didn''t worry, but comforted the patients. "A variety of chemotherapeutic drugs can cause skin pigmentation, such as fluorouracil, cyclophosphamide, ifosfamide, bleomycin, hydroxyurea, baixiaoamine, cytarabine, etc."


    "But your situation is still special. Pigmentation is so obvious, and it is rare in clinic. Take a look at neutrophils. I think we should change the chemotherapy regimen."


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


    "Doctor, I haven''t heard of this." the man looked at his hands like black charcoal and quickly put on his gloves.


    This way, even he didn''t dare to see more.


    "There are many possibilities. For example, chemotherapeutic drugs directly stimulate the formation of epidermal melanocytes; toxic effects on adrenal glands lead to excessive secretion of adrenocorticotropic hormone and melanin stimulating hormone; chemotherapeutic drugs destroy tyrosinase inhibitors; chemotherapeutic drugs form melanin complexes..."


    Wu Mian simply said many possibilities, which men have never heard of.


    "There is a possibility that your psychological pressure is not too great." Wu Mian comforted. "It''s a tumor and this epidemic. You haven''t thought about it lately."


    "Don''t mention it, you''re right. I''ve been under too much psychological pressure recently." the man sighed and said, "doctor, I''ve reached the time of the third chemotherapy, but I don''t dare to go to the hospital."


    Wu Mian nodded.


    "I''ve been to the hospital, but at a distance, people in the outpatient and emergency lines lined up on the road... Sometimes I think ah, this is life." the man sighed and said with a melancholy face, "I was dying of illness, and I met such a thing again."


    "Your reaction is very serious. You just need to stop taking medicine for observation. It''s a blessing in disguise." Wu Mian said with a smile.


    "Ah?!" the patient was stunned.


    "You are using FOLFOX regimen. The chemotherapy drugs are mainly folic acid, fluorouracil and oxaliplatin. I think it is fluorouracil intolerance that leads to pigment deposition." Wu miandao said, "the color of your hands can gradually recover two months after stopping chemotherapy."


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


    Men''s tangle is always pneumonia, and cancer seems to be ignored for the time being.


    "We haven''t done the test yet. We can''t confirm whether it''s pneumonia, but judging from the immediate symptoms, it''s just a side effect of chemotherapy." Wu Mian said, "you can choose other chemotherapy regimens, but now it''s not suitable."


    "Why?"


    "Your hands are this color, which proves that your body''s bearing capacity has been affected to some extent. It will take 2 months to change the dressing. It''s safer to do so."


    The man hesitated.


    "Just in time for the epidemic, you can rest at home quietly. Don''t worry too much. When the epidemic is over, the pigmentation of your hands is basically good, and you won''t delay the treatment," Wu Mian explained.


    The man thought and asked carefully, "doctor, do you mean that the epidemic will end in about a month?"


    "Almost." Wu Mian said, "after all, the national expert group has already arrived in Tianhe. Don''t worry. It''s no use thinking too much. No matter how much we think, we can have old Zhong and old Li who know more?"


    "Yes," the patient nodded.


    "When I went to school, I felt my stomach ache when I learned about abdominal diseases; I felt out of breath when I learned about chest diseases, which is a typical self suggestion," Wu Mian continued.


    "Yes! I haven''t said yet. I feel hard to breathe."


    Wu Mian smiled, looked at the examination list and said, "you go to have an examination first, I''ll have a look when you come back, and then you can contact your attending doctor. How about it?"


    "OK!" the man nodded.


    Nothing affected. It was not a new type of pneumonia. The man was slightly relieved.


    After Wu Mian saw 22 more patients, the man came back with the list.


    After looking at the test sheet, Wu Mian pointed to a data on the sheet and said, "neutropenia, accompanied by fatigue and fatigue, coupled with pigment deposition on both hands, can be determined to be a side effect of chemotherapy."


    "I''ll simply write a medical record and send it to your attending doctor."


    Wu Mian knocked the keyboard, briefly described the patient''s situation, and then attached his own diagnosis and treatment opinions. At the bottom, Wu Mian signs his name.


    The patient left the hospital with the list.


    His hands were as black as carbon, which had been in his mind for a long time. Today, I came to the hospital with the determination to die and was ready to make it clear to the doctor. Men are even ready to be pulled away directly by 120 ambulance.


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


    But that''s it? Just a side effect of chemotherapy?


    He looked at the brief medical record. At the bottom, there were two big characters Wu Mian.


    The little doctor was very interesting. Finally, he signed as if he were a big hand.


    The man was not in a hurry to go home. He was worried that he had pneumonia. It was meaningless to go home. Find a shelter from the rain, take photos with your mobile phone, take photos of your hands one by one, and send them to your attending doctor.


    "Hello, Dr. Sun..." the man briefly described his situation and sent it to the doctor together.