Chapter 39 Chapter Thirty-six Two-Faced Man

First of all, this case is not my contact. Second, the cause of the patient's illness is ominous.And after 4 years and 3 months, the patient recovered on his own, and the reason is unknown.So far, there has been no recurrence. Finally, I have seen most but not all of the patient's medical records, records, and related videos. If memory is correct, the patient initially developed symptoms at the end of the first quarter of 1995.The initial symptoms were discovered by the patient's wife, and the symptoms were rather special. The patient's work and life were normal. One day, the patient's family members found that the patient had an extremely ferocious expression in his sleep, and he was still talking, but it was in a silent state.At first I thought it was the patient having a nightmare, but it was still the same after a few days, and the patient didn't pay much attention after being told.About a month later, the patient, accompanied by his family members, went to the relevant hospital for facial nerve examination.The test result was normal.

About one year after the patient's onset (1996), the family members filed for divorce. The reason for the divorce was the patient's sleepy expression: ferocious. About one and a half years after the onset of the disease (1996), the patient divorced.The patient was transferred to the psychiatric department for examination and began to receive psychological counseling and treatment. Two years after the onset of the disease (1997), the patient was hospitalized. During the hospitalization, no matter it is taking medicine, electrotherapy, relaxation therapy, anesthesia therapy, counseling therapy, hypnotherapy are all invalid.And it got a little worse.

Three years and three months after the onset of the disease (at the end of the second quarter of 1998), the patient was discharged from the hospital for recuperation treatment because of no behavior that endangered the public.During the recuperation treatment, the condition was relieved—but after repeated confirmation by several doctors, it was admitted that the relief of the condition had nothing to do with the medication. In the middle of 1999, the patient recovered completely by himself, and there is no sign of recurrence so far. The above is a timetable based on my medical records.And it looks rather boring.

The following is the dictation of a physician who participated in the treatment of the patient at that time: Me: "What kind of hideous expression did the patient have at that time?" Physician: "When you find the video later, you will understand. I have been in this industry for so long, and I dare not see all kinds of strange diseases, but I am well-informed. But, that expression also scared me." Me: "Well, I'll take a look later; isn't it caused by the patient's own psychological problems?" Physician: “He can’t say that he’s completely fine psychologically, but he shouldn’t have such a serious situation anyway. I’m not the only one who thinks so. There are many respected colleagues who participated in the diagnosis and treatment at that time, and everyone thinks the same way. At first, they didn’t think so about this case. It is very important, but after watching the video, I am interested, and I want to know what kind of psychology the patient has to have such a terrifying expression."

Me: "Is there a conclusion?" Physician: "The results of hypnosis, psychoanalysis, ink blot analysis, and induction analysis all show that this person is basically normal. That is to say, there is nothing particularly dark about his psychology." Me: "Could it be caused by a facial nerve problem?" Physician: "We thought so too, so we went back and did a neurological examination again, and it was still normal. Because neurological problems are not as complicated as psychiatric problems, especially those with obvious symptoms. In this regard, we invited several doctors who came to China at that time. A foreign neurosurgery expert also conducted an analysis, and it can be basically concluded that it is not a neurological problem, including cranial nerves."

Me: "You mean, there is no brain wave abnormality in the scan?" Physician: "Yes, this is very strange. Because the particularity of this case is that although there is no threat, almost everyone thinks it is morbid and problematic after seeing his expression when he sleeps. Because that expression is really It's scary. And I can't imagine how a human could have that look." Me: "You aroused my curiosity, I'll take a closer look later." Physician: "I don't think you'll be able to watch all those videos. I'm not alarmist. You'd better be prepared. If you think about it, his wife divorced him because of it, and you know it's What a feeling."

Me: "Well... By the way, I mentioned in the medical records and pathological analysis that anesthesia is useless?" Physician: "So this is contrary to common sense. Assuming that the patient only has a facial nerve problem or a cranial nerve problem, then anesthesia and electrotherapy can definitely solve this problem, but the fact is not that anesthesia and electrotherapy do not seem to affect the patient's night-time onset. Let’s put it this way, as long as the patient’s brain is in a state of sleep or lethargy, there will be expressions on the face.” Me: "Has the patient seen the video?"

Doctor: "I saw it, and I was terrified. The first video tape was recorded by the patient himself. It is precisely because of this that the patient agreed to divorce and was transferred to the psychiatric department for treatment." Me: "The drug problem..." Physician: "Drugs are nothing more than sedation, nerve suppression, or excitatory suppression, but those can't slow down the condition." Me: "I heard you mentioned the issue of paying attention to patients. This case is not a serious case, right? How could it attract the attention of so many doctors?"

Physician: "I still say the same thing: you will understand after seeing that expression." Me: "I think the more I talk about it, the more atmosphere I have. I can make a horror movie trailer." Physician: "...I'm not kidding." Me: "Excuse me... so, what about the patient's self-healing?" Physician: "I don't know why. We did a lot of inquiries and investigations later, including medication. It seems that there is nothing abnormal. Of course, it is not ruled out. But at that time, our unified judgment was: self-healing." Me: "It has been several years now, do you think there is an explanation for this incident?"

Physician: "There is no explanation. But I am deeply impressed that a younger intern at the time assumed a possibility." Me: "How did you assume that?" Physician: "Because the doctor is relatively young, dare to say. He said whether it is a kind of facial sores that directly cover the patient's face, and this kind of facial sores do not have the stratum corneum and dermis. The characteristics of infection and thickening of lesions are simply there, so it is difficult to find out. Only after the patient sleeps can the lesion react and make that kind of expression."

Me: "Hey? Isn't this too ignorant of medical knowledge?" Physician: "Look, you, a layman, said that all the time (laughs). At that time, I remember his master scolded him, saying that he didn't study hard and read too many cartoons." Me: "That's right." Physician: "However, later on, a doctor took a subcutaneous sample of the patient for examination, and there was no virus or any lesion characteristic of sores." Me: "In other words, until the patient recovers on his own, this case is in a state of no solution?" Physician: "Well, that's true. But I thought a lot at the time, and it was idealistic. I recorded some so-called lip expressions by comparing the patient's mouth patterns in the video." Me: "Oh, silent, right?" Physician: "Yes, because the patient's facial expression will say something when he gets sick, but he doesn't make a sound, so I made a random guess based on those videos and made some lip records." Me: "Do you remember what you said?" Physician: "I can't remember clearly, it seems very confusing. At first I thought it was a curse or something, don't laugh, I really wanted to do the analysis, and then I found that there was no logical vocabulary or language , and did not continue to record.” Me: "Understood, I'll try to see if I can read lips or something." Physician: "Let me tell you a method: block the upper part of the screen and don't look into the patient's eyes." Me: "Interesting, let me have a look first and then talk about it." Later, I went to the reference room to watch the video, but the patient did not watch the video, but watched the observation video in the hospital.Honestly, I was taken aback. The picture jittered for a while, then became clear all of a sudden, followed by a face occupying the entire screen (not Sadako).At first that face looked very ordinary, it was the face of a fat middle-aged man.The expression is very calm, the breathing is even, and he is in a deep sleep. I don't know if anyone can stare at a man sleeping soundly for such a long time, more than twenty minutes.Anyway, I watched it, and I almost fell asleep after watching it, but I held back and didn't fast forward.Just when I was drowsy, the face on the screen seemed to frown, and before I could change my mind, the expression on that face changed suddenly, and I was really shocked !The eyes seemed to be opened, and the two corners of the eyes were unimaginably hanging towards the temples, revealing most of the whites of the eyes, and the pupils shrank very small.The eyebrows were almost drawn together, and the wrinkles on the nose were tightly twisted into a knot.The upper lip was turned up, even the gums were exposed, and the muscles of the cheeks were almost completely turned sideways.There seemed to be a smile on the corner of his mouth—it was definitely not kind or anything else, there was only one word to describe it, vicious. I've never seen this expression in a living person, and I've never imagined it in a human being. Those "eyes" (sorry, can only use quotation marks), first looked around, and then stared closely at the camera.Even watching the video, I feel that those eyes seem to be able to shoot out poisonous steel needles, making people afraid to watch more.I think I understand why the patient's family is getting a divorce. As I struggled to look or not to look, the face started talking without sound.Without hesitation, I immediately found a piece of paper with one hand to cover the upper half of the screen, blocking the "eyes", and began to try to read lips. About that afternoon, right?I'm doing this all the time. After repeated confirmation, I filled a piece of paper. I watched the other videos in a hurry because I didn't want to have nightmares.Well, I admit to being scared. After a while, I searched according to the content on that piece of paper, but there was no clue.I showed it to some friends, but there were no useful clues. I don’t need to look through the paper. I still remember the words with the most repetition rate when the patient had that grim expression. Although they are lip language, they are basically the same pronunciation.I'm not sure about the specific words, anyway, I can't get those few sounds, this is the result of repeated verification in front of the mirror many times. 1. Wu Bobo, or Uncle Wu, or Granny Hu, or Bobo Hu. 2. The Merck model demon, or the grinding is grinding. 3. Granny Yu, or Yu Bobo, or Yu Bopo. Many of them have been forgotten, but these few are remembered more clearly because the occurrence rate is relatively high.As for the yin and yang setbacks in pronunciation, I really can't figure it out.If anyone can figure out what it is, please let me know.Please stop if you try to make a funny misinterpretation. I tried to make the patient's expression in the mirror, but I couldn't do it, and it was difficult to persist for a long time-let alone a few hours, the facial muscles were very sore in a few minutes. Frankly speaking, in other cases, I don't agree with many explanations of psychiatrists and psychologists, although I don't necessarily express it, nor do I express my belief.But for this matter, I agree with their attitude: there is no solution for the time being.