3579 Chapter 3579 [3579]
"But I don't feel sick."
Clinically, it is not uncommon for patients to insist on their own opinions after being preached by doctors. Their mantra has always been how I feel, what your doctor said is inconsistent with my feelings, and they think your doctor is wrong.
This phenomenon is attributed to the fact that patients like to judge their own condition based on their self-feeling. It cannot be said that patients are deliberately making things difficult for others. Through the previous study in neurosurgery department, I have a deeper understanding that the reason why patients have such cognition is determined by the cognitive mechanism of the human brain.
The human brain of a normal person is mainly self-awareness. The generation of human self-awareness is based on the anatomical structure of the human brain. It is located in the medial prefrontal cortex of the brain, which is part of the social brain of the human brain.
According to the words of materialists, you can imagine that the "soul" of a person resides in the human cerebral cortex. When a person dies, the self-awareness of the brain will disappear.
This is what doctors often mean by living in the present moment. Unless there is a new breakthrough in future scientific research to prove that the soul is separated from the brain.
For medical staff, doing such basic knowledge research is conducive to understanding patients and maintaining effective communication with patients. Treatment requires the cooperation of patients, and the "soul" communication between medical staff and patients becomes essential.
Effective communication based on medicine should be like this: I am a doctor and I know what is the condition of your body that causes you to have such a cognition, and you have to find a way to get rid of your brain's cognition.
It is not easy to achieve the above-mentioned fruitful communication in clinical practice. You will find that many times the medical staff argue with some patients again and again, and the stubborn patients are so angry that they even give up and give in.
In the doctor's words, this is an arduous task to bring the soul of the patient who is led by the nose back to the right track, and there is a long way to go. Think about it, in the days before the death of the rumored teacher Zhang Yuqing, his soul was taken away by illness. Brother Cao did the right thing but in the end he couldn't turn back the trend.
In order to have a good conversation with the patient, Xie Wanying squatted down.
Looking down does not give people a friendly feeling from the visual angle of communication between people, and looking down is a respect for others. It is often seen in the hospital that some medical bosses like to bend over and talk to patients. It is for this reason that they try to look at the patient's eye level as much as possible. It is for this reason that they tell patients that the doctor is not someone who wants to dominate you, but a comrade-in-arms who fights with you.
Because you have to know that some patients are very concerned about this point, perhaps influenced by some past life experiences, the human brain will have a defense mechanism for fear of being dominated by others. You will find that such a patient is a bit like a child.
"Many diseases are diseases that develop subtly. They invade your health unconsciously, manipulate your physical sensations, and make you mistakenly think that the disease is normal. It cannot be denied that you have a fever." He said , Xie Wanying reached out and took the forehead temperature gun, and asked the patient to look at the value again, "After you get into the ambulance later, if we monitor you with a monitor, we will get your blood oxygen value soon. These numbers we It’s impossible to fake it in front of you.”
"Then—" The patient's expression softened a little.
Taking advantage of the victory, Xie Wanying continued: "The ultimate hazard of hypoxemia is death, if it is not corrected in time. You should have interstitial pneumonia, which is a major pathogenic factor of silent hypoxemia. I I haven't seen your medical records yet."