In the medical definition, the symptoms of mental patients are definitely not limited to madness. Some are called smiling patients.
Smiling all day long and never getting angry, the medical diagnosis turned out to be a typical patient with Angelman Syndrome, a neurodevelopmental disorder caused by genetic abnormalities.
In addition, patients with depression may also show similar symptoms.
A medical diagnosis certainly doesn’t mean that just because you, as an outsider, think it’s not the case, it’s not the case.
In this case, the patient's family members are disrespectful of scientific medicine and are stubborn in their opinions, such as those mentioned above, which is ignorant.
Clinicians need to have empathy and compassion, not be bothered by the trouble, and try their best to distinguish the actual situation and analyze specific cases.
Because of his compassionate heart, Dr. Tong and Professor Pei never gave up on this patient and his family.
Dr. Xie Wanying and others who came to see the patient this time admired the kindness of their predecessors and felt that the feelings of the family members should not be ignored.
Medicine is a science, but it is by no means cold and emotionless. Medicine pays attention to human emotions everywhere.
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This is reflected in the fact that clinicians attach great importance to the self-reporting of patients' family members. Family members spend every day with patients and have an intuitive understanding of the patients' mental health, which doctors cannot ignore.
The patient's mother whispered as she accompanied the doctors to see the patient: "They say he has depression, but we don't think he does. When he wasn't feeling the pain, he kept telling us that he wanted to get up and start his own business."
Entering the room, the doctors saw the patient sleeping.
The patient's family revealed that he was in so much pain last night that he couldn't fall asleep, and he fell asleep on his own this morning to make up for his sleep.
In this situation, it is not a good idea to wake the patient up immediately.
Doctors stood by and observed the patient's breathing and other conditions, while collecting medical information provided by bystanders.
During this period, the patient's family members took out all the patient's hospitalization and surgical records for the experts to review.
Doctor Xie Wanying and her colleagues looked through the information and found it was basically the same as what Professor Pei and the patient's family had said.
"This seems to be..." Doctor Fan Yunyun said after taking a look, "Postoperative intestinal adhesion?"
Complications of intestinal adhesions after abdominal surgery are all too common in clinical practice.
Generally, if the symptoms are not serious, you just need to wait for the patient to recover slowly on his own.
This patient has been recovering on his own for five or six years with no results. Should he consider another surgery?
The problem is that this patient has no other indications for surgery except for strange pain. If the patient has smooth bowel movements, no abdominal distension, and no intestinal obstruction, can surgery ensure that no other complications will occur? After much deliberation, the doctors decided not to make such a suggestion.
It would be better to just give the patient some painkillers.
The patient's family said that taking too much painkillers is not good and will not be effective.
The family members were not wrong about this.
Painkillers are not omnipotent. Painkillers have their own mechanisms. The most common painkillers in clinical practice are also the ones that ordinary people can buy at pharmacies. They are non-steroidal analgesics, which have a very famous law of efficacy called the ceiling effect.
If you take too much or take it for a long time, it will not only fail to relieve the pain, but also form drug-dependent pain. For example, when Zhang Da Lao's mother was in pain during her last illness, he knew that Western medicine had come to an end, so he turned to traditional Chinese medicine for pain relief.
The patient's family said: "We have seen a Chinese doctor, taken Chinese medicine, and had moxibustion treatment, but it didn't help."
The family members' all-round and dedicated efforts in seeking medical treatment undoubtedly made the doctors feel even more frustrated.
The most difficult thing about being a doctor is that the multidisciplinary joint diagnosis and treatment center (MDT) advocated by Dr. Xie is precisely to solve the most difficult problem in clinical practice.
When Dr. Tong heard that she was the deputy director of such a department, he thought it was right to help the patient find Dr. Xie.
Dr. Xie Wanying told the family: "Yesterday I spoke to a doctor in our team on the phone."
Dr. Tong had introduced the patient's case before, and Dr. Xie had a general understanding and rough guess about the patient's condition. After seeing the patient today, she felt that this diagnostic tendency was correct.
Dr. Xie had to say: The specialist agreed and would come and see the patient in person if he was free today.
The people around were all shocked.
The patient's family member touched his chest with tension: Oh my God, this doctor is so amazing, he can immediately tell what disease the patient has who has sought medical treatment everywhere without results.
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