In Haicheng, Mr. Wang was sitting in his office dejectedly in a daze.
Recently, a strange patient was admitted, and he had a headache because of it. The patient's main complaint was epilepsy, and he had been admitted to Haicheng City No. 1 Hospital several times.
However, the patient's mental state was particularly good after admission, and the examination did not reveal any signs of epilepsy. The city's first hospital only had a 32-channel video EEG test and found no problems. Later, the patient was advised to go to the Affiliated Hospital of Provincial Medical University for a 64-channel video electroencephalogram, but no problem was found.
In the end, it can only be considered that the patient has epilepsy occasionally, and symptomatic treatment is provided.
Nothing happened when I was hospitalized. At least during my hospitalization, I never had any major epileptic seizures.
For this old patient, the Department of Neurology of the First City Hospital really had no solution and could only recommend that the patient go to a higher-level hospital for treatment.
Some doctors even suspect that the elderly are pretending to be ill.
Later, the patient's family had no good solution, and the provincial capital did not give a clear diagnosis, so they could only observe it at home.
A few days ago, the family members who had been waiting for epilepsy discovered that the old man started talking to the air inexplicably, saying weird things, many of which they could not understand, so the whole family was frightened.
This must be mental illness. They immediately sent the old lady to the city mental hospital.
But before she got there, the old lady "returned" to normal, and there was no problem with her speech.
She spoke in an organized manner, but as soon as she heard that she was going to be sent to a mental hospital, the old lady burst into tears.
She complained bitterly that her child refused to take care of her in old age and wanted to throw her into a mental hospital. I burst into tears and cried miserably. They also said there were aliens and other random things, and then there were robots.
There was nothing the family could do, so they had to go to Haicheng No. 1 Hospital.
Nothing happened, and it was difficult for Mr. Wang to admit him to the neurology department. Finally, at the begging of the patient's family, the patient had to be kept in the emergency department for observation.
In fact, Mr. Wang is also very curious about what the patient's problem is and how often he suffers from major epilepsy.
According to the patient's family, the attack should occur once every 2-3 months, and now it is estimated that the time will be faster.
But after coming to the emergency department for observation, Mr. Wang immediately discovered something abnormal. The patient seems to have two or three people living in his body at the same time, constantly changing his personality.
For example, today, during the ward rounds early in the morning, the patient told Director Pan that someone asked her not to take carbamazepine, saying it was poison. But after careful questioning, we found that the person the patient mentioned was simply a person of air and did not exist at all.
Patients and family members of patients in the same ward were afraid of her, and kept asking Director Pan and Mr. Wang to change wards.
It was said that this was an obvious mental symptom, but a few minutes later, before Director Pan had finished watching the other patients and leaving the ward, the patient's mental state returned to normal.
Mr. Wang just performed surgery and went to observe the patient's condition. As a result, the patient grabbed his arm and said that he was here to kill someone.
Before Mr. Wang could react, the patient said to him mysteriously: "Young man, I think you are honest. I want to tell you something, and you have to help me."
Mr. Wang was helpless at the time and really felt that the patient should be sent to a mental hospital.
But as soon as he saw her gray hair, Mr. Wang's heart softened, and he agreed reluctantly.
"I was abducted by aliens and they dissected me," the patient said mysteriously.
Although Mr. Wang had expected this to be the case, he was still shocked.
It scares people to death.
"Young man, they left a robot in my body. I don't know what it is used for. But I can feel its existence and when it works." The patient continued to tell Mr. Wang a story.
"It's called Wang Canlan, but you can't tell others." The patient continued to tell Mr. Wang many stories about Wang Canlan.
It's really dumbfounding. Mr. Wang's head turned into two big ones. He finally "exited" from the ward and sat in the office in a daze.
Does the patient have Alzheimer's disease? Some symptoms are similar, but some symptoms are not.
Degenerative brain changes? It seems not. The short-term mental symptoms will return to normal immediately.
Judging from what the patient just told himself, the short-term mental symptoms were when Wang Canlan was sleeping. Thinking of this, Mr. Wang was startled for a moment, and then sighed.
I was led astray by the patient. What the hell Wang Canlan, even if there are alien robots,
Just as he was thinking about the patient's condition, Mr. Wang suddenly saw the patient appearing at the door.
He was startled for a moment and stood up immediately.
For elderly patients, there is really nothing I can do. He was beaten and scolded no matter what, but he didn't dare to fight back.
It has been half a year since I came to Haicheng, and I will soon be changing jobs and returning to the imperial capital. Mr. Wang does not want to cause trouble at the last moment. If there is a collision, it will definitely become entangled in the end.
Seeing Mr. Wang's cautious face, the old lady asked with a strange expression, "Doctor Wang."
Instead of being called a young man or a young man just now, Mr. Wang felt that the patient's personality seemed to have changed again.
"Old man, what do you want to see me for?" Mr. Wang felt that the patient had returned to normal or had gotten worse again.
"It's nothing. I just want to ask when I can be discharged from the hospital." The old man asked with a smile. "I have nothing to do. Just leave the hospital when it's time. It's inconvenient to stay in the hospital and there's no one to talk to." .”
Mr. Wang sighed. Other patients and patients' family members avoided the old lady and did not dare to talk to her at all.
No wonder it's lonely.
But when you get home, someone talks to you? According to the patient's family, the old man in the family passed away a few years ago, and the old lady lived with her nanny.
Maybe the nanny usually talks to her more.
Is this considered normal now? Mr. Wang is not sure either. As a doctor in general surgery and gastrointestinal surgery, I am really not good at psychiatry.
"Old man, please sit down." Mr. Wang said with a smile: "If you really have nothing to do, please wait for me to discuss it with your child."
"Don't mention those white-eyed wolves!" As soon as she mentioned the child, the old lady became angry. "You must send me to a mental hospital. Dr. Wang, can you tell me if there are such children?"
Mr. Wang looked at the old lady silently, feeling that the patient's family's approach was correct.
"The mental hospital, I heard, is so scary. Good people can't come out well even if they go in. They are just afraid that I will live longer!"
"Don't think so, I think your child cares about you." Mr. Wang glanced at an embarrassed middle-aged man following behind the old lady and said softly.
There was an air of embarrassment in the office.
"Old man, they poisoned my food and wanted to kill me." The old lady's tone did not change at all, but Mr. Wang felt like she had changed. "Young man, I will take all the medicine you gave me." Don’t dare to eat it, you must have taken money from these little bastards and want to kill me together.”
“…”
Is this an illness again? Or has he changed his personality again? Mr. Wang looked at the patient in astonishment and was speechless for a long time.
"None of you are good people, but if you want to kill me, it's impossible!" The patient looked at Mr. Wang and said leisurely.
Mr. Wang felt that her gaze was sinister and made his scalp feel cold.
"Why don't you transfer to another hospital? The Department of Neurology of the First City Hospital can't understand it." Mr. Wang said helplessly to the patient's family members who were following behind.
He had no idea how many times the patient had switched personalities in a short period of time.
"Doctor Wang..." The patient's family members sighed.
He didn't know what to do. He went to several places and didn't see the problem. They only prescribe carbamazepine to control epileptic seizures, but this kind of thing makes me confused...
Or maybe he is really old and confused.
After persuading the patient for a long time, she was finally sent out while her consciousness was recovering.
Mr. Wang looked at the patient's rickety back with some confusion.
It is said that if people are old and confused, they will indeed talk nonsense. But the patient in front of him switched between talking nonsense and speaking clearly too quickly.
What a difficult patient.
When Mr. Wang thinks of the patient being sent to a mental hospital, he will think of her with white hair. Maybe it's because the person is really old and not mentally ill.
Does taking a lot of psychotropic drugs have an impact on organ function? Mr. Wang couldn't bear it, but he had no good solution.
While hesitating, an idea appeared in my mind. How about asking Boss Zheng? Mr. Wang thought to himself.