In the medical definition, the symptoms of mental patients 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 show similar symptoms.
Medical diagnosis certainly does not mean that it is not something that a layman thinks it is.
In this way, the patient’s family members do not respect scientific medicine and have stubborn opinions, such as the cases mentioned above, which 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 his kindness as a doctor, Professor Pei, the Tong doctor, never gave up on this patient and his family.
Dr. Xie Wanying and others who came together to treat 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 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-reports 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.
The patient's mother accompanied the doctors to see the patient and 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 up immediately.
Doctors stand nearby and observe the patient's breathing and other conditions, while collecting information about the patient's condition from bystanders.
During this period, the patient’s family members showed all the patient’s hospitalization and surgical records to the experts for review.
Doctor 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 glance and said, “postoperative intestinal adhesion?”
Complications of intestinal adhesion after abdominal surgery are 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 that taking too much is ineffective.
The family members are not wrong about this.
Painkillers are not a panacea. 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 and taking it for a long time will not only not relieve pain but also lead to 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 members’ all-round and dedicated efforts to seek medical treatment undoubtedly made the doctors 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 has introduced the patient's case before. She, Dr. Xie, has a general understanding and rough guess of the patient's condition. After seeing the patient today, she feels that this diagnosis trend is correct.
Dr. Xie had to say: The specialist agreed that if he is free today, he will come over to see the patient in person.
The people around him were shocked.
The patient's family members touched their nervous hearts: Oh my God, this doctor is really good. When he comes here, he can immediately tell what is the disease of this patient who has been seeking medical treatment everywhere without getting any results.
Thank you for your support, good night, dear friends~
