Chapter 812: Misdiagnosis in a Psychiatric Hospital
Zhong Minghao leaned at the window, and saw from a distance that many students on the road were carrying schoolbags to school, and his eyes were full of envy.
Looking at it, his tears fell, wiped it and sat back on the bed.
At this time, Dr. Meng came in to make rounds.
As soon as he entered the room, Dr. Meng saw Zhong Minghao throwing all the fruits on the bedside table to the ground, and he was still swearing.
So he frowned and instructed the little doctor in the back: "The patient has a manic attack, hurry up and control it." ”
The control of the psychiatric hospital, that is not sentimental at all, it doesn't matter if you are an old man or a child, you are tied to the hospital bed when you are sick.
The patient is in the form of a "big" character, and both hands and feet will be tied tightly by straps and fixed to the four corners of the bed.
In some severe cases of mental illness, the head is immobilized and a rubber sleeve is inserted into the mouth to prevent the patient from biting off his tongue.
It's hard to say how long it will be fixed, but it won't be as short as one day or two.
As for feces and pee...... Generally, there is a nurse to help deal with it, but the nurse is not a diligent person, and it is good to change it for you once a day.
Therefore, in unsupervised mental hospitals, some patients have a worse life than a scum hole, which is very miserable.
Anyway, the patient's family can't see it, can't visit, and the doctor is not afraid of being complained.
Of course, from the doctor's point of view, there is no way, if people can't control it, patients will be smashed and injured, and the personal safety of doctors and nurses cannot be guaranteed.
The point is that if you are beaten by a mentally ill person, or if you are killed in a serious way, it will also be a vain death.
Mentally ill patients are all "documented" and do not have to bear legal responsibility, and there is no way to deal with them, so the best way is to tie them up and fix them, so that everyone can worry about it.
Zhong Minghao didn't know what happened to him at first, but when his feet and hands were tied, he was scared.
After all, I was only 10 years old, and I cried when I was scared: "I want my mother, I want my mother~~~"
The more excited the patient became, the more excited the doctor became, and Dr. Meng taught to the little doctor next to him:
"Look, this is a typical seizure period for patients, it is very dangerous at this time, in addition to preventing the patient's risky behavior, we must quickly control the patient's agitation, so at this time we need sedative drugs."
The nurse immediately walked to Zhong Minghao with chlorpromazine needles and diazepam injections.
"Don't come here, I don't want injections, I want my mother, I want my father~~~~"
This stimulus, Zhong Minghao was even more excited, his eyes were wide open, his whole body was struggling, and he looked very terrible.
Doctor Meng shouted: "Quick, you guys hold down the child, Xiao Li, and get an injection immediately." ”
Bang, two stitches down, Zhong Minghao immediately quieted down, and muttered in his mouth: "I want my mother, I want my father......"
Fell asleep.
Dr. Meng wiped the fine sweat from his forehead and said proudly to the little doctor, "See, isn't the patient stabilized?" ”
A few doctors nodded and recorded the patient's symptoms and medications in their own notebooks.
Suddenly, Zhong Minghao's child, who had fallen into a coma, sobbed again on the hospital bed, and quieted down after a few strokes.
This made Dr. Meng muttered a little in his heart, thinking to himself what was the matter with this cramp? If the brain is abnormally discharged, is there still brain damage?
Brain injury belongs to neurosurgery, while the Seventh Hospital looks at mental illness, the two words are reversed, but the treatment method is safe and different.
I don't understand that Dr. Meng is not ready to think about it, but just admonishes his doctors:
"In this way, in addition to the routine use of sulpiride and clozapine every day, and then add a little anti-epileptic carbamazepine tablets to the patient, I don't believe it, I can't cure a little child."
A week has passed.
Xiao Minghao has also been tied to the hospital bed with his hands and feet for a whole week, unless he is sedated by drugs, and when he is awake, he has been shouting for his father and mother.
Even his young age began to be a little distorted, thinking that it was his parents who brought him to this devil-like place and let him suffer.
Coupled with the side effects of psychiatric drugs on the human body, Zhong Minghao was not mentally ill in the first place, but now he is really a little mentally ill.
The turnaround came on Monday's executive rounds.
Lin Zhenghong, the vice president of the Seventh Hospital and the chief physician, came to the ward for rounds.
When Vice President Lin came to Zhong Minghao's ward, Dr. Meng, as the attending doctor, was making a report on the medical records.
And Xiao Minghao on the hospital bed is actually in a coma because of the use of sedative drugs, which the doctors present all know well.
But at this moment, Xiao Minghao's body began to twitch again without warning.
Dada~~~
The little sick man cramped, and even the hospital bed made a continuous sound, which instantly attracted everyone's attention.
The convulsions lasted only 10 seconds before they stopped, and the little patient fell into a coma again, as if nothing had just happened.
Helping as a professional, Lin Zhenghong immediately realized that something was wrong, personally opened the medical record, and looked at the medication on it:
"Supride, clozapine, carbamazepine are all on the table, and there are also tranquilizer injections every day, and the patient will have convulsions, which obviously cannot be explained by psychiatric diseases, and it is the use of these drugs that may aggravate the patient's convulsions.
Xiao Meng, I read that the medical record clearly states that the patient had convulsions before being admitted to the hospital, and now you have been taking the medicine for a week, you tell me, why haven't the convulsions disappeared? Or has the frequency decreased? ”
Dr. Meng Khan also came down, in fact, after a week of treatment, he also realized in his heart that he had overturned.
But he is not the kind of bad doctor who hides his illness for the sake of his own face, so he says matter-of-factly:
"Dean Lin, the patient's convulsions have not decreased after being admitted to the hospital, and when he is awake, there will still be scolding, emotional and wanting to get rid of the shackles, and the effect is not obvious after a week of treatment, so I still want not to change the dressing."
Dean Lin looked at this subordinate doctor angrily:
"What kind of medicine do you change, the patient is not a mental patient, and your remedication is ineffective, the patient's problem is in the brain, this is a disease of brain surgery or neurosurgery, let him be discharged, change the hospital and see."
Dr. Meng nodded hurriedly: "Okay, I'll notify the parents immediately." ”
Zhong Hengyuan and Du Wenjuan rushed to the hospital, and when they learned from the doctor that their son was not mentally ill, they were happy and worried.
If it's not psychotic, it's not the worst-case scenario.
The concern is that the diagnosis is not clear, and there is no way to treat it without finding the cause.
Dr. Meng said seriously:
"You better take the patient to the People's Hospital to have a look, now that the People's Hospital has just opened, all the examination equipment is imported, and it is also the most advanced in China, and you may be able to find out what disease your son has."
Zhong Hengyuan nodded heavily: "Okay, I'll take my son to the People's Hospital." ”
Du Wenjuan hugged her son and comforted her softly, but she found that her son seemed to have become more timid and introverted, and even faintly resisted his mother.
On the contrary, the condition is getting worse and worse.
Zhong Hengyuan and Du Wenjuan, who were eager to treat their son's illness, immediately took Xiao Minghao to the Yuezhong People's Hospital.
As soon as they entered the outpatient building of the hospital, the two couples were shocked by the magnificent hall inside, and behaved like several rural uncles and aunts next to them.
This feeling is the same as those huge high-speed rail station waiting halls in later generations.
Du Wenjuan came back to her senses and was a little worried: "Husband, which subject should we show Xiaohao?" ”
Zhong Hengyuan thought for a while and said:
"Dr. Meng suspects that it is a brain problem, so he should go to the neurology department (at this time, Shennei and Shenwai are not separated, and Shenwai general doctors do not set up, because craniotomy is unbearable)."
"Neurology, which doctor is better?"
"Trouble, there's a doctor's briefing over there, let's take a look."
In order to facilitate the doctor's medical treatment, and also to promote the doctor personally, Chen Qi took photos of each doctor.
This kind of photo is not a very earthy ID photo, the face is wearing work clothes, wearing cards, and then posing one by one, just like the promotional photos of the dental hospital in later generations.
The doctor's photo below will give a detailed description of the doctor's job title, graduate school, work experience, and areas of expertise.
Chen Qi himself was in the first position at the top, a handsome young doctor, wearing gold-rimmed glasses, looking very handsome and very confident.
If these photos are only the doctors of the Vietnamese Central Hospital, they will definitely not be enough, after all, the background of the Vietnamese Central Hospital is too poor.
Therefore, Chen Qi put all the photos of the experts and professors who came to Haidong Medical University for consultation, and there were also two members of the only two faculty members in Haidong Province.
Good guys, the professors and associate professors in that row can definitely bluff the vast majority of patients and make the Vietnamese and Chinese Hospital even more lofty.
Zhong Hengyuan and Du Wenjuan searched for a long time in the photo, and finally found Dr. Xia Hua, director of the Department of Neurology, in the photo.
The little old lady in the photo is smiling at the camera with her hands on her chest, and at first glance she looks like a big professor, which makes the patient feel good.
Zhong Hengyuan looked back, and on the other side of the hall was the registration window, so he hurried over:
"Hello comrade, do you still have a number for Dr. Xia Hua today?"
"Hello, Dr. Xia is out of number today." The registration staff has a very good attitude, not like the previous love to ignore the look.
"And what about tomorrow?"
"Tomorrow is gone."
"What about the day after tomorrow?"
"There is no one the day after tomorrow, and there will be a small number of numbers in a week at the earliest."
Zhong Hengyuan sighed lightly, and complained a little in his heart, why is this Yuezhong Hospital so famous, there are too many patients from other places, so that they locals can't register if they want to see a doctor.
"Then give me a number for next week."
"Dr. Xia belongs to the expert number, and one account costs 10 yuan."
"So expensive?"
Zhong Hengyuan was startled again, in the past, it only cost 1 yuan to see a doctor, but this is still the result of the price increase, it used to be 2 cents or 5 cents, and the good guy Yuezhong Hospital rose to 10 yuan.
In fact, this was Chen Qi's idea, and he deliberately set it up like this.
The ordinary number is cheap, 1 yuan per number, and those who are encouraged to have minor illnesses and disasters are registered with the ordinary number, and there is no need to occupy the expert number and give the expert number to the serious patients who need it more.
In this way, young doctors also have more opportunities to receive patients, have more opportunities to exercise, and their clinical level can be rapidly improved.
As for the condition that the little doctor can't handle, what should I do?
That's not simple, shake people, any director, expert, and even Chen Qi, the dean, can shake it, as long as the condition is serious enough.
Zhong Hengyuan gritted his teeth, "10 yuan is 10 yuan, this shows that Dr. Xia has a high level, and the sky-high price of 10 yuan will be lined up in a week." ”
The staff at the registration window didn't say much, and asked the family to fill in the medical records and type them directly on the computer.
That's right, that is, the computer is connected to the printer, and the registration list is no longer the previous handwritten number, and now the printed registration list has the patient's name on it, which is also to prevent scalpers from hoarding the number to the greatest extent.
In 1991, it was registered with a microcomputer, and the Vietnamese Central Hospital was at the forefront of China.
Of course, the computerized office is limited to registration, drug depots, logistics warehouses and other places, and doctors still use traditional handwritten prescriptions to prescribe.
Because the current foreign medical software system has not been Chinese, and doctors generally have not learned computer knowledge, computerized office can not be realized for the time being.
Another week passed, Zhong Hengyuan and his wife took their son to Vietnam Hospital for medical treatment again.
When Xiao Minghao just sat down, before Director Xia could ask for a consultation, Xiao Minghao began to get sick, and directly threw all the things on the table to the ground, still scolding:
"Stupid pigs, you're all stupid as pigs!"
Director Xia is not a good-tempered old lady, she was so angry that her eyebrows rose all of a sudden, and she was about to make a fu, when suddenly she found that the little boy who was still smashing things just now had become a quiet appearance again.
was even a little scared, hiding in the arms of his parents and not daring to see anyone.
Director Xia, as a veteran doctor, immediately realized that the child's previous smashing seemed to have a hidden secret, so he looked at the parents and asked:
"He's sick here?" Director Xia nodded his brain.
Zhong Hengyuan hurriedly explained: "No, no, Director Xia, we came out of the Seventh Hospital a week ago, and the diagnosis there is not a mental illness. ”
Now the old lady is interested:
"It's not a mental illness, one moment he's furious, the next he's quiet, and it seems like he's not in a rage he's controlling, is this epilepsy? By the way, does this child have a history of traumatic brain injury? ”
"It shouldn't have been, it happened for no reason around 7 years old, at first we thought it was naughty, and the teacher thought so too, but I observed that my son was unconscious every time he had a seizure, and he felt very guilty after each seizure, so I thought it should be a condition."
Zhong Hengyuan replied seriously, but he trusted his son very much in his tone.
Director Xia took out the neurologist's favorite hammer, knocked here and there, and repeatedly checked whether there were any positive symptoms.
Even when Director Xia was checking, Xiao Minghao still kept making all kinds of strange movements, either standing up suddenly, or scolding suddenly, or suddenly twitching.
This gave Mrs. Xia a strong desire to solve the case.
(End of chapter)