Since 1981 Health School

Chapter 809 Misdiagnosis in a mental hospital

Zhong Minghao stood at the window and saw from a distance that many students on the road were carrying schoolbags and going to school, and his eyes were filled with envy.

As he watched, his tears fell, he wiped them away and sat back on the bed.

At this time, Dr. Meng came in for ward rounds.

As soon as he entered the room, Dr. Meng saw Zhong Minghao throwing all the fruits on the bedside table to the ground, cursing.

So he frowned and told the little doctor behind him: "The patient is having a manic attack, get it under control quickly."

 The control of the mental hospital is not merciful at all. No matter whether you are an old man or a child, if you are sick, you will be tied to the hospital bed.

The patient is in a "big" shape, and his hands and feet will be tied tightly with straps and fixed to the four corners of the hospital bed.

 In some cases of severe mental illness, the head will be fixed, and a rubber sleeve will be put in 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 or two days.

As for the urine and feces...usually there are nurses to help deal with it, but the nurses are not hard-working people. It is good to come and change it for you once a day.

 So in unsupervised mental hospitals, the lives of some patients are worse than those in Zhazidong, which is very miserable.

Anyway, the patient’s family cannot see or visit him, and the doctor is not afraid of being complained.

Of course, from a doctor's point of view, there is nothing that can be done. If people cannot control it, the patients will smash and injure others, and the personal safety of doctors and nurses cannot be guaranteed.

 The key point is that if you are beaten or killed by a mentally ill person, your death will be in vain.

Mental patients are all "certified" and do not bear legal responsibility. There is nothing you can do about them, so the best way is to tie them up and immobilize them, so that everyone can worry less.

Zhong Minghao didn’t know what was happening to him at first, but when his feet and hands were tied up, he became frightened.

  After all, I am only 10 years old. When I am scared, I cry: “I want my mother, I want my mother~~~”

The more excited the patient is, the more excited the doctor is. Dr. Meng taught the young doctor next to him:

“Look, this is a typical attack period for the patient. It is very dangerous at this time. In addition to preventing the patient’s dangerous behavior, we also need to quickly control the patient’s agitation, so we need sedative drugs at this time.”

The nurse immediately walked towards Zhong Minghao with a chlorpromazine injection and a diazepam needle.

“You guys don’t come here, I don’t want injections, I want my mother, I want my father~~~~”

Zhong Minghao became even more excited by this stimulation, his eyes widened with anger, and his whole body struggled, looking very scary.

Doctor Meng shouted: "Quick, you guys hold the child down, Xiao Li, get the injection right away."

　　　Pop-pap, two needles went in, and Zhong Minghao immediately calmed down and murmured: "I want mom, I want dad..."

Fell asleep.

Dr. Meng wiped the sweat from his forehead and said proudly to the young doctor: "See, the patient has stabilized now."

 A few young doctors nodded and recorded the patient's symptoms and medication in their notebooks.

Suddenly, the child Zhong Minghao, who had fallen into a comatose state, started twitching again on the hospital bed. He twitched a few times and then became quiet.

This made Dr. Meng a little bit murmuring, wondering what was going on with this cramp? Abnormal brain discharge, could there be brain damage?

Brain injury belongs to neurosurgery, while the Seventh Hospital treats mental illness. The two words are reversed, but the treatment methods are safe and different.

 Doctor Meng didn’t understand and didn’t want to think too much. He just told his doctor:

“In this way, in addition to the regular use of sulpiride and clozapine every day, I also add some anti-epileptic carbamazepine tablets to the patient. I don’t believe it. It can’t cure a little kid.”

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. When he is awake, he has been shouting for his father and mother.

 Even at a young age, he started to get a little distorted, thinking that his parents brought him to this devil-like place and made him suffer.

 Coupled with the side effects of psychiatric drugs on the human body, Zhong Minghao was originally not mentally ill, but now he is really suffering from some mental problems.

 The turning point came from the administrative rounds on Monday.

 Lin Zhenghong, the vice president and chief physician of the Seventh Hospital, came to the ward for rounds.

When Vice President Lin came to Zhong Minghao's ward, Dr. Meng, the attending doctor, was making a medical record report in Jili Guala.

Because of the use of sedative drugs, Xiao Minghao on the hospital bed was actually in a comatose state. All the doctors present knew this.

 But at this moment, Xiao Minghao's body began to twitch again without any warning.

Tatata~~~

  The little patient had cramps, and even the hospital bed made a continuous sound, which instantly attracted everyone's attention.

This convulsion only lasted for 10 seconds and then stopped, and the little patient fell into sleep again, as if nothing had happened just now.

As a professional, Lin Zhenghong immediately realized something was wrong. He opened the medical record himself, looked at the medication on it and said:

"Sulpiride, clozapine, and carbamazepine are all taken, and diazepam injections are given every day. The patient still has convulsions. This obviously cannot be explained by mental illness, and it is the use of these drugs that may cause convulsions." Aggravate the patient's convulsions.

Xiao Meng, I see that it is clearly written in the medical record that the patient had convulsions before admission. Now that you have been taking the medicine for a week, tell me, why have the convulsions not disappeared? Or has the frequency decreased? "

Dr. Meng Khan also came down. In fact, after a week of treatment, he realized in his heart that he had overturned.

 But he was not that bad doctor who concealed his illness for the sake of his own face, so he said matter-of-factly:

"Dean Lin, the patient's convulsions did not decrease after he was admitted to hospital, and when he was awake, he would still curse, get emotional, and want to get rid of his restraints. After a week of treatment, the effect was not obvious, so I am still thinking about whether Change the dressing."

Dean Lin looked at the subordinate doctor angrily:

“Why should we change the medicine? The patient is not a mental patient, and your medication will be ineffective. The patient’s problem is in the brain. This is a disease caused by brain surgery or neurosurgery. Let him be discharged from the hospital and try another hospital.”

Dr. Meng nodded quickly: "Okay, I'll notify the parents right away."

Zhong Hengyuan and Du Wenjuan rushed to the hospital and were happy and worried when they learned from the doctor that their son was not suffering from mental illness.

 Happily, if it’s not mental illness, it’s not the worst case scenario.

What is worrying is that the diagnosis is not clear yet, and there is no way to treat it until the cause is found.

Dr. Meng said seriously:

“You’d better take the patient to the People’s Hospital to have a look. Now the People’s Hospital is newly opened. All the examination equipment is imported and is the most advanced in the country. It may be possible to find out what disease your son has.”

Zhong Hengyuan nodded heavily: "Okay, I will take my son to the People's Hospital."

Du Wenjuan held her son in her arms and comforted her softly, but she found that her son seemed to have become more timid and introverted, and even had a faint resistance to his mother. Instead, the condition got worse with treatment.

Zhong Hengyuan and Du Wenjuan, who were eager to treat their son, immediately took Minghao to the Vietnam-China People's Hospital.

As soon as they entered the outpatient building of the hospital, the couple was shocked by the majestic hall inside. They behaved like the uncles and aunties in the countryside next to them.

This feeling is the same as those of the 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 Xiao Hao?"

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, the internal and external departments of neurology are not yet separated, and general doctors do not set up neurology because they cannot afford to perform craniotomy).”

“Neurology, which doctor is better?”

“Hey, there’s a doctor’s profile over there, let’s go take a look.”

 Chen Qi took photos of each doctor in order to make it easier for doctors to seek medical treatment and also to promote individual doctors.

This kind of photo is not a very vulgar ID photo. It is an artistic photo of the face wearing work clothes and a card, and then posing in various poses, just like the promotional photos of dental hospitals in later generations.

 Under the doctor’s photo, the doctor’s professional title, graduate school, work experience and areas of expertise will be introduced in detail.

 Chen Qi himself is ranked first at the top. He is a handsome young doctor wearing gold-rimmed glasses. Looking back from the side, he looks very handsome and very confident.

If these photos were just about the doctors from Yuezhong Hospital, they would definitely not be of enough weight. After all, the reputation of Yuezhong Hospital is too poor.

 So Chen Qi put up all the photos of the experts and professors who came to Haidong Medical University for consultation, including the only two members of the academic department in Haidong Province.

Good guy, that row of professors and associate professors can definitely intimidate most patients and make Yuezhong Hospital look more prestigious.

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.

In the photo, the little old lady has her arms folded on her chest and is looking at the camera with a smile. She looks like a great professor, which makes the patient feel good.

Zhong Hengyuan looked back and saw that the registration window was on the other side of the hall, so he hurried over:

“Hello, comrade, is Dr. Xia Hua’s number available today?”

“Hello, Dr. Xia has no appointments today.” The registration staff had a very good attitude and was not as rude as before.

 “What about tomorrow?”

 “There’s no tomorrow either.”

 “What about the day after tomorrow?”

“There won’t be any the day after tomorrow, and there will still be a few numbers in a week at the earliest.”

Zhong Hengyuan sighed softly and complained a little in his heart. Why is the Yue Traditional Chinese Medicine Hospital so famous? There are too many patients from other places, so locals like them can't get an appointment if they want to see a doctor.

 “Then give me a number for next week.”

“Dr. Xia is an expert account, and one account costs 10 yuan.”

 “So expensive?”

Zhong Hengyuan was shocked again. In the past, it only cost 1 yuan to see a doctor. This was the result of the price increase. It used to be 20 cents or 50 cents, but the price increased to 10 yuan at Yueyue Traditional Chinese Medicine Hospital.

 Actually, this was Chen Qi’s idea, and he set it up like this deliberately.

Ordinary accounts are cheap, 1 yuan per account. People with minor illnesses and disasters are encouraged to use ordinary accounts. There is no need to occupy expert accounts and give up expert accounts to serious patients who need them more.

 In this way, junior doctors will have more opportunities to treat patients, have more opportunities to exercise, and their clinical level can be improved quickly.

 As for the conditions that little doctors can’t handle, what should we do?

That's not easy. Just call someone. Any director, expert, or even the dean Chen Qi can come, as long as the condition is serious enough.

Zhong Hengyuan gritted his teeth and said, "10 yuan, just 10 yuan. This shows that Dr. Xia is of high standard, and the sky-high price of 10 yuan will not be available until a week later."

The staff at the registration window didn't say much. After asking the family members to fill in the medical records, they typed it directly on the computer.

That’s right, the computer is connected to the printer, and the registration form no longer contains the handwritten numbers before. Now the printed registration form has the patient’s name on it. This also prevents scalpers from hoarding numbers to the greatest extent.

  In 1991, microcomputer registration was used, and the Vietnam Traditional Chinese Medicine Hospital was once again at the forefront of the country.

Of course, computerized offices are limited to registration, drug depots, logistics warehouses and other places. Doctors still use traditional handwritten prescriptions when writing prescriptions.

 Because currently foreign medical software systems do not have Chinese culture, and doctors generally have not learned computer knowledge, computerized office work cannot yet be realized.

 Another week passed, Zhong Hengyuan and his wife brought their son to the Vietnam Hospital of Traditional Chinese Medicine again for medical treatment.

As soon as Xiao Minghao sat down, before Director Xia could ask for a consultation, Xiao Minghao started to get sick. He threw all the things on the table to the ground and was still cursing:

 “Stupid pigs, you are all as stupid as pigs!”

Director Xia was not a good-tempered old lady. She was so angry that her eyebrows suddenly stood up and she was about to get angry. Suddenly she noticed that the little boy who was smashing things just now became quiet again.

 Even a little scared, I hid in the arms of my parents and didn’t dare to see anyone.

As a veteran doctor, Director Xia immediately realized that the child’s previous beating seemed to have a hidden agenda, so he looked at the parents and asked:

“Is he sick here?” Director Xia nodded.

Zhong Hengyuan quickly explained: "No, Director Xia, we came out of the Seventh Hospital a week ago, and the diagnosis there was not a mental illness."

Now the old lady became interested:

"It's not a mental illness. He behaves furiously at one moment and quiet at the next, and it seems that he can't control the rage. Is this epilepsy? By the way, does this child have a history of brain trauma?"

"It shouldn't happen. It happened for no reason when he was around 7 years old. At first we thought it was because he was being naughty, and the teacher thought so too, but I observed that my son was unconscious every time he had a seizure, and he was very special after every seizure. Guilt, so I think it should be a disease."

Zhong Hengyuan answered seriously, but his tone was very trusting of his son.

Director Xia took out the neurologist’s favorite hammer and tapped here and there, repeatedly checking whether there were any positive symptoms.

While Director Xia was inspecting, Xiao Minghao kept making various strange movements, either standing up suddenly, swearing suddenly, or twitching all of a sudden.

This gave Mrs. Xia a strong desire to solve the case.

 (End of this chapter)