Recently, we admitted a patient with advanced cancer pain.
When admitted to the hospital, the patient pretended that nothing was wrong and not too painful. As a result, the physician only gave her some regular painkillers.
Mentally you can persist, but the body can't deceive people.
Pain, this peculiar illness, connects the body and the spirit seamlessly. From the definition of pain in modern medicine, we can understand the meaning. Pain is an unpleasant emotional experience of the human body.
That is, pain is actually the feeling. In other words, if you don't feel pain, it won't hurt.
However, the release of pain-causing factors and emotional anxiety in the body of pain patients is no longer controllable by ordinary people.
This patient only lasted for the first day. The next day, she began to quietly take her own painkillers.
However, painkillers all need to be prescribed, and she can only ask the doctor truthfully.
At this time, the problem that bothered the doctor was finally solved - looking at her condition, it should be very painful! Because, the tumor has obviously metastasized in two places.
After seeing the actual amount of medicine she was taking, the doctor was really shocked: In addition, she had to take six powerful painkillers a day.
Such a large dose, and if it continues like this, the digestive system will have problems. If you don't eat or drink, you will be even more resistant.
The tumor seems to have the same wisdom: it comes to this world with people. Most of the time, it is at peace with its owner and has been accompanying the owner to death.
To explain: everyone has oncogenes, but they are always monitored by our human tumor surveillance system, so it is difficult to get sick.
However, it has a despicable side. There is a saying called "take advantage of your falsehood to kill you", which is apt to describe it!
As long as your immunity drops, as long as you don't pay attention to health, it will quietly evade the tumor surveillance system and make waves.
In the face of such a serious cancer patient, the physician is very clear that taking only medicine cannot solve the problem. So he dialed the anesthesiology department.
He knew that anesthesiology was the "birthplace" of pain doctors. If the anesthesiology department can't solve it, it can be difficult.
After our anesthesiologist saw it, we immediately recommended that she undergo intrathecal analgesia.
Intrathecal analgesia is the injection of analgesic drugs directly into the spinal canal, causing the drugs to stop at the spinal cord, the center of pain integration. When the pain signal is no longer transmitted to the brain, the pain is not felt.
Itself was as high as more than 10,000 expenses, but I did not expect that the patient suddenly agreed.
After preparing for the operation, our anesthesiology department successfully performed the implantation of the intrathecal infusion system for her.
Although the amount of medication for the first few days should have been small, she had clearly felt a reduction in pain. Such an effect makes everyone happy for her.
Such patients not only need to treat their physical diseases, but also pay attention to psychological treatment.
Such patients, who have lost confidence in life, almost all have anxiety disorders.
In view of mental problems, in addition to anti-anxiety, we must also pay special attention to enlightenment. So we had to enlighten her every day after that.
With the increase of communication, this life in his 30s finally opened the conversation box. From her experience of illness, it is said that she was also full of ideals. He even talked about the difficulty of the treatment process along the way.
In other cases, we just listen to it. But for her treatment rejection, we immediately noticed the problem.
First reaction: Shouldn't it be that the family is not good? Logically, except for those that are truly incurable, we as doctors will hardly reject patients.
However, in recent years, the social atmosphere is not good, and doctors lose money and such "punching the face" has occurred from time to time. For some high-risk disputes, doctors will also become very hesitant.
When asked why, everyone breathed a sigh of relief. It turned out that the hospital's health insurance had just been punished. This infusion system was not cheap, and they did not dare to use it for her.
Once used, Medicare can ignore three seven twenty-one, give the doctor a "snap". Seriously, there may also be a threat to revoke your professional qualifications! Which doctor is so stupid?
The surgery has been done, and there is no fear or regret. Seeing the patient in front of us who may not have a few months, we can only stick to her original intention to help her spend the last period of her life in less pain.
Calm down: Isn't the essence of our medical treatment the cure and save people? In itself, we should not distinguish between the value of the patient. You can't just give up because you're "priceless."
Perhaps, it is precisely to let these people who are difficult to see a doctor and are extremely eager for medical treatment be treated, which is the greatest meaning of medical treatment.
However, the current restrictions are keeping doctors tied.
Sincere hope: don't turn doctors into economists!
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