Chapter 197: Schizophrenia
Lin Yue's affairs just calmed down.
There is no danger.
At the same time, it is also a wake-up call for Ren and the public, and we must be extra cautious in our work in the future, regardless of the size of the operation, and we must fulfill the responsibilities of doctors.
It must not be ignored or treated differently.
The next day, Li Xiyang came to the emergency room early.
Changing into a white coat, Li Xiyang called Qian Min to go to the ward inspection together.
After all the checks, the patient's condition was quite stable, and he was basically discharged from the hospital after only a few days of recuperation.
In the end, Li Xiyang came to bed No. 28, and the patient's name was Chen Weiguo, but the medical record was not perfect.
Li Xiyang asked Qian Min, "What is the condition of this patient?" ”
Qian Min glanced at the bed number and said with a relaxed face, "Doctor Li, this person is fine, he can be discharged from the hospital today." ”
Li Xiyang glanced at the incomplete medical records, "Didn't he just come in last night?" ”
Qian Min nodded, that's right.
"But this person is not sick, but there is something wrong here."
Seeing Qian Min pointing to his head, Li Xiyang immediately understood.
"You mean schizophrenia?"
"Hmm!"
The key point is that this patient's complaint is unreliable, and the few basic tests I arranged did not find any abnormalities, so I arranged for him to be discharged from the hospital today.
"Forget Dr. Li, this person is very troublesome, leave him alone, go see the next bed!"
Li Xiyang shook his head, how could the doctor treat the ward rounds differently.
"And what do you mean when you say that the patient complains of unreliability?"
"Forget it, I'll go see it myself!"
Li Xiyang immediately walked to the bed and asked, "Mr. Chen, how do you feel?" ”
The patient was lying on the hospital bed talking to himself, and he was also startled when he suddenly saw a person walking in.
However, when he saw the white coat on the other party's body, the patient immediately sat up, "Doctor, are you here to see me?" ”
Li Xiyang nodded and said, "Can you tell me first, where are you uncomfortable?" ”
The patient suddenly became mysterious, and whispered, "Doctor, let me tell you, my face, by the way, and this nose, eyes, and ears are uncomfortable!" ”
Li Xiyang was stunned, "Then how is it uncomfortable?" ”
The patient first looked left and right, and then beckoned to Li Xiyang.
Li Xiyang took a few more steps forward and leaned down.
I heard the patient whisper, "Doctor, these eyes, nose, and ears of mine are not my own." ”
Li Xiyang was stunned, "What do you mean?" ”
"It's all someone else's, I was secretly changed my face!"
Behind Li Xiyang, Qian Min patted his head, "Here we go again!" ”
I said I couldn't come in!
This guy is a psychopath, and he can't talk at all.
Qian Min has been in the emergency department for many years, and it is not the first time he has seen mental illness.
Usually, when encountering such a patient, it is necessary to coax him to follow and then discharge him as soon as possible.
Otherwise, I don't know how much time he will waste on him.
However, Li Xiyang is very patient,
"Patient, are you saying that your face, eyes, and nose are not your own? Is that what it means? ”
The man nodded again and again, yes, yes, that's what it meant.
"But why do you feel that way?"
The patient's face changed, "What's the matter?" The doctor doesn't even believe me? ”
Li Xiyang shook his head, "It's not that I don't believe you, it's that the doctor needs to understand the cause before he can give the medicine, right?" ”
The patient pondered, "as if... No problem! ”
So he turned around and went to his wallet, "Doctor, wait a minute, I have evidence, you see, this is my ID card." ”
As he spoke, he handed his ID card to Li Xiyang.
Doctor, do I look different from what I did on my ID card now?
Li Xiyang took the ID card, and his name was Chen Weiguo.
The words of the avatar...
"Harm, isn't this you!" Qian Min came closer, thinking that he could find something strange, but the result was the patient himself.
Li Xiyang groaned slightly.
While it's true that this avatar is a patient, it's exactly the same...
No, there are some differences.
At this time, the patient explained, "Doctor, be careful, it turns out that I have a big left face and a small right face, and others call me a big and small face, but you are looking at me now, I am a small left face and a big right face, but I have been replaced!" ”
Big and small faces?
Qian Min glanced at the avatar on the ID card again, but still didn't see anything special.
I had no choice but to ask Li Xiyang, "Doctor Li, do you see it?" ”
Li Xiyang smiled and didn't speak.
First, he handed the ID card back to the patient, and then asked, "Mr. Chen, this person can even change his face, which is very powerful!" ”
"Not really!"
"Then tell me in detail, when did this person change your face?"
This question made the patient a little stunned.
"How long..."
"Probably... It seems like... Seem... It should have been half a year! ”
"Yes, that's right, it was half a year ago, I remembered!"
Li Xiyang nodded, "Okay, I already know the time, then tell me what it feels like to be replaced?" ”
Seeing that Li Xiyang was chatting with the patient very speculatively, Qian Min was thinking for a moment, isn't this Li Xiyang also mentally ill?
Looking at the conversation between these two people, where is the consultation, it is clearly coaxing the child!
And just as Qian Min thought, the patient also felt that he finally came to a doctor who recognized him, and he was more energetic when he spoke.
So he really said to Li Xiyang, "Doctor, this feeling is really hard to describe, just like that dream." ”
"Dreaming?"
"That's right, it's just a dream, and when I woke up, my face was changed."
"Actually, I didn't notice it at first, but then I looked in the mirror and stared at it for a long time and found a problem."
"Doctor, I thought to myself, I didn't recruit anyone to mess with anyone, why did you change my face? What the hell do you think that man is trying to do? ”
In the face of the patient's inquiry, Li Xiyang groaned slightly, making a serious thinking appearance.
In fact, Li Xiyang is thinking about the authenticity of the patient's speech.
Psychosis mostly refers to severe mental illness, such as schizophrenia, affective psychotic disorder, etc.
In the case of people with schizophrenia, for example, they can be sensitive, suspicious, convinced that those around them are talking about them, or that they are suspected of others harming them. Some appear to hear people's words out of thin air, or talk to themselves or laugh at themselves.
Patients are often indulged in various hallucinations or delusional experiences of pathology, and have no ability to recognize the state or pathological posture they are in, and the patients themselves believe in their pathological experiences and refuse to admit that they are sick, which is called lack of self-knowledge in psychiatry.
The symptoms currently exhibited by the patient are indeed consistent with schizophrenia.
merely
Li Xiyang said to the patient, "Wait a minute! ”
Then he motioned for Qian Min to come out with him and asked, "What the patient just said is the same as what you heard before?" ”
Qian Min nodded, "The same!" ”
Li Xiyang frowned, "Are you sure it's the same?" And not some similarity? ”
Seeing Qian Min nodding again, Li Xiyang's brows furrowed.
"What's wrong, Dr. Li, what's wrong?"
"Of course not!"
Li Xiyang said with a serious expression, "The real mental illness is not self-aware, some are nervous disorders that cause confusion in the center of language, behavior, thinking, etc., and they are very serious when they express themselves, very convincing, especially vivid, and even crying." ”
Qian Min nodded, which was almost the same as a dime a dozen from a patient.
The story is told vividly, just like the real thing.
If you change to a doctor, maybe you will really believe it.
But
Li Xiyang's voice changed and said, "Their body language is very rich, that's because there will be a lot of information in their heads, but this situation usually lasts for a short time, it will not be connected or matched, and it will not be coherent and continuous.
And he himself didn't know what it was, and after a while he forgot about it.
But this patient, you see, I've been talking to him for so long, and there is no disconnection at all.
And don't you think it's strange that you said that you answered the same as when you first asked for a doctor, that a psychotic person has such a good memory? ”
Qian Min was stunned, "Doctor Li, what do you mean?" ”
Li Xiyang said quickly, "Go, follow me in!" ”