Come on, Dr. Wu

Chapter 66 Difficult Patient

ha?
  Wang Junsheng felt that it was really cloudy and sunny today, and he was speechless.

Auntie, do you want to listen to what you are saying? The patient himself does not know his condition, but he still asks the patient to go out and chat with you. Wang Junsheng is recalling whether he has offended this aunt in any way, otherwise , how could you make things difficult for him like this?

"Mom, just let me talk to this doctor. Can you wait for me outside?"

Fortunately, fortunately, this pregnant sister was like an angel descending to earth. She spoke at this time and saved him. She silently looked at the time. A patient cannot exceed ten minutes. He cannot waste time here.

"Auntie, please go out for a while. I'll call you in later."

Seeing that his mother was still reluctant, Wang Junsheng hurriedly continued.

The mother hesitated for a moment and then said, "Daughter, if you have any questions, please remember to call me mom."

When the patient's mother went out, Wang Junsheng and the patient almost breathed a sigh of relief at the same time and looked at the patient, "Hello, can you tell me exactly why it hurts? How long has it been?"

This is when the patient looked sad, "Doctor, you have also seen how my mother looks like this. I am really going crazy. She controls me like this every day at home, leaving me with no freedom at all. I I feel like it's hard to breathe. Every time I open my eyes, I feel like today is another gloomy day. To be honest, I haven't slept well in three days and I have a terrible headache. To be honest, I feel like I'm going to be depressed. Yes."

Ah!
  Wang Junsheng felt even more dizzy at this time. To be precise, this was not a neurosurgery disease, but a neurology disease. No, it could also be a psychiatric disease.

Pregnancy anxiety?
  Wang Junsheng had only heard of it, but he could really understand what the patient said. After all, just like the patient's mother, let alone the patient, even Wang Junsheng felt very depressed. Don't mention it, his head is starting to hurt now. I'm afraid this is not a physiological disease, but a functional disease.

Moreover, he couldn't sleep well for three days, let alone a pregnant woman, he would have a headache even if he called her.

For the first time, Wang Junsheng felt the dangers of clinical life in the future. Wang Junsheng, who was already wavering between scientific research and clinical practice, was really wavering now. He found that it was those little white mice, little white rabbits, and little frogs that communicated better Some.

However, no matter how difficult it is, you have to face it with a smile. As long as you overcome this hurdle in front of you, you will be better in the future.

This was Wu's last lesson. Wu Xiaofu broke it out of context and didn't talk about it later. He probably kept it a secret.

"Have you had any examinations before? For example, a prenatal check-up?"

As he said this, Wang Junsheng also looked at what the patient was holding. Wang Junsheng's eyes were still very sharp. He had just seen what the patient was holding, which seemed to be the hospital's checklist or something like that.

"Oh, yes, I just checked it a few days ago."

The patient handed the bag in his hand to Wang Junsheng. It was really the prenatal checkup report from the obstetrics department of the First Affiliated Hospital. This made Wang Junsheng relieved. To be honest, he felt that if he gave the patient a cranial CT scan now, he would send the patient away. How ugly the score will be.

It would be nice to have a checkup.

B-ultrasound, electrocardiogram, major biochemistry, brain mr, etc. Why do you check brain magnetic resonance? After taking one look at the patient, you can’t be serious, right?

The eyes fell on the patient. You must know that during pregnancy, it is not recommended for pregnant women to undergo radioactive examinations. If it is not possible, they can only do magnetic resonance. After all, the working principle of magnetic resonance is electromagnetic radio waves, not ionizing radiation. At this time Looking again, Wang Junsheng discovered that the patient's eyes were dark and his skin was a little pale. He seemed to be in a state of low energy.

At this moment, Wang Junsheng felt something different. He might have found a real person instead of a standardized patient.

There is nothing wrong with the patient's brain CT. This can rule out pathological factors as Wang Junsheng thought before. It should be functional factors, most likely pregnancy anxiety, coupled with the high-pressure environment created by the patient's mother, causing Headaches caused by psychological factors.

"The examinations are all OK, and the baby is also normal. Well, I suggest you change the environment, which will help the disease." The patient suddenly became excited, "Yes, doctor, I think so too, can you You can't help me persuade my mother, because my mother, my husband and I have divorced. I want to live on my own, but my mother thinks that I am not good enough and can't take care of myself at all, but I really don't want to be with her anymore. I'm really going crazy."

divorced!
  Wang Junsheng was also in a dilemma at this time. After getting divorced, it meant that no one would be able to take care of the patient after leaving his mother. Now that the patient was in the third trimester of pregnancy, he felt that it was inappropriate because there was no one around to take care of him. Only then did I realize that doctors sometimes want to treat not only the disease, but also the heart.

"There are still four weeks until your due date. Have you ever thought about going to a specialized obstetrics and gynecology hospital to be hospitalized first? If you are hospitalized at this time, your mother should also be able to understand you. There is also a good level of care there. As for your mother, I Go and ask your mother to come in."

The patient agreed, and Wang Junsheng got up and called the patient's mother in.

"Go to the maternity hospital? That's right. The due date will be in one month. If you give birth prematurely, it is really dangerous at home. Then we will look for you later. But doctor, we are here to see the headache. How are you doing? ah?"

Wang Junsheng looked at the patient's mother, "Auntie, the patient's headache comes from psychological factors. Pregnant women are prone to anxiety during pregnancy, and the patient often suffers from insomnia. It was also based on this consideration that I admitted the patient to the obstetrics and gynecology hospital. In addition to this , I find that your presence may also cause certain pressure on patients.

Therefore, for the sake of the patient's condition, I suggest that the aunt let the patient stay in the hospital by himself first. The level of care there is very high, and there is basically no need to worry about safety. "

"What! Me! You said I put pressure on her?"

"If it hadn't been for me, she would still be suffering from the cold violence of her husband. If it hadn't been for me, how would she have survived during this time, saying that I put pressure on her?"

"Mom, what else do you want? Why don't you just let me live by myself for a while? Do you have to drive me crazy?"

"you."

When Wang Junsheng saw that there was a quarrel, he quickly pulled the patient's mother aside.

Lesson 9 of Wu’s Little Classroom: When dealing with patients and their families who have fiery personalities, they must be treated with emotion and with reason, and cannot be forced.

"Auntie, I don't blame you for putting pressure on her, but the patient is particularly sensitive during pregnancy, especially when the delivery is approaching, and the mood is more unstable. You have also given birth to a child, so you should be able to understand that it is best not to do anything now. Follow the patient, after all, times are special.

I know you are also doing it for the patient’s benefit, but it’s only for one month. During this period, you should first follow the patient and let the child come into the world safely. Otherwise, if something happens due to emotional reasons, I’m afraid you won’t want to see it. Yes. "

When Wang Junsheng said this, the patient's mother calmed down a bit and looked at her daughter. After all, it was her own child. How could she really not be worried.

After all, he nodded, "Oh, then just listen to the doctor."

call!
  Wang Junsheng also breathed a sigh of relief. It was finally done. He felt less like a doctor and more like a neighborhood committee aunt.

The patient was very happy to see that his mother agreed. With the patient's endless gratitude, Wang Junsheng sent the patient and his mother away. The time was almost up and he looked at the four instructors behind him.

"Don't look at us. If you think it's okay, just go out and call the next one."

Wang Junsheng looked back and felt that it was pretty good, so he left the clinic and returned to the waiting room on the other side. Fu Jie and the others hurriedly gathered around, "How was it? How was it?"

"It's really difficult, but Brother Fu's little class is still useful. Just follow it."

　Question: What do you think of Wang Junsheng’s performance? If there are any omissions or inaccuracies, write them down and we will reveal the answers tomorrow.

　　
  　
  (End of this chapter)