Chapter 4512 [601] Is It True or False?

In the medical definition, the symptoms of mental illness are certainly not the only kind of madness. Some are called smiling patients.

Smiling all day without getting angry, the medical diagnosis turned out to be a proper patient symptom called Angelman Syndrome, a neurodevelopmental disorder caused by genetic abnormalities.

In addition, patients with depression may also exhibit similar symptoms.

Medical diagnosis certainly does not mean that if a layman thinks it is wrong, then it is wrong.

In this way, the patient's family does not respect scientific medicine and is stubborn in their opinions, as in the cases mentioned above, they are ignorant.

Clinicians need to have a sympathetic heart and not be too troublesome, and try their best to distinguish the actual situation and analyze specific cases in detail.

Because of such a benevolent doctor, Professor Pei, the Tong doctor, never gave up on this patient and his family.

Dr. Xie Wanying and others who came together 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 said to be scientific, but it is by no means cold and merciless. Medicine is all about human emotions.

This is reflected in the fact that clinicians attach great importance to the self-reporting of patients’ families. Family members get along with patients every day and have an intuitive sense of the patient's mental state, which doctors cannot ignore.

As the patient's mother accompanied the doctors to see the patient, she whispered: "He said he had depression, but we didn't think he did. When he didn't feel pain, he kept telling us that he would get up and start a new career on his own."

Entering the room, the doctors saw the patient sleeping.

The patient's family revealed that he was unable to fall asleep because of the pain last night, and this morning the patient fell asleep to catch up on his sleep.

In this situation, it is not easy to wake the patient immediately.

Doctors stood nearby and observed the patient's breathing and other conditions, while collecting information on the condition provided by bystanders.

During this period, the patient's hospital surgery records and other medical records were presented to the experts for review by the family members.

Dr. Xie Wanying and others looked through the information, and it was basically as described by Professor Pei and the patient’s family members.

"This seems to be——" Dr. Fan Yunyun took a second look and said, "postoperative intestinal adhesions?"

Complications of intestinal adhesion after abdominal surgery are all too common clinically.

Generally, if the symptoms are not serious, just wait for the patient to recover slowly.

This patient's self-recovery has not worked for five or six years. Should he consider another surgery?

The problem is that apart from the strange pain, this patient has no other indications for surgery. If the stool is smooth, there is no abdominal distension, and there is no intestinal obstruction, can another operation ensure that other complications will not occur? Doctors would not make such a suggestion after much thought.

It's better to give the patient some painkillers.

The patient's family members said that taking too much painkillers is not good, and taking too much is ineffective.

The family members were not wrong about this.

Painkillers are not a cure-all. Painkillers have the mechanism of analgesics. The most common analgesic in clinical practice is also one that ordinary people can buy in pharmacies outside. They are non-steroidal analgesics, which have a well-known law of efficacy called the ceiling effect.

Eating too much or taking it for a long time will not only not relieve pain but also cause drug dependence and pain. For example, during the last period of his mother's illness and pain, Mr. Zhang knew that Western medicine had come to an end, so he turned to Chinese medicine for pain relief.

The patient's family member said: "I have seen a Chinese medicine doctor, taken Chinese medicine, and done moxibustion, but it was of no use."

The results of the family's all-round and dedicated medical treatment undoubtedly made the doctors feel even more frustrated.

The most difficult thing about being a doctor, such as the multidisciplinary joint diagnosis and treatment center MDT advocated by Dr. Xie, is to solve the most difficult problem in clinical practice.

When Dr. Tong heard that she was the deputy director of such a department, it was right for Dr. Xie to help the patient find her.

Dr. Xie Wanying said to the family: "Yesterday I had a phone call with a doctor in our team."

Dr. Tong had introduced the patient's case before, and she, Dr. Xie, had a general understanding and rough guess of the patient's condition. After seeing the patient today, she felt that such a diagnostic tendency was correct.

Dr. Xie has to say: The specialist has agreed to come over and see the patient in person if he is free today.

The people around were shocked.

The patient's family members touched their nervous hearts: Oh my god, this doctor is so good. When he comes here, he can immediately tell what is the disease of this patient who has been seeking medical treatment everywhere but with no results.

Thank you for your support, good night, dear friends~