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Surgery helps critically ill patients achieve Mid-Autumn Festival family reunion dream

Time:2022-12-08 07:41:17 source:psychiatricethics.com author:Depression Read:456次
Surgery helps critically ill patients achieve Mid-Autumn Festival family reunion dream

Original article, the Mid-Autumn Festival on the 15th day of the eighth month of the lunar calendar is a day for the reunion of every family in China, and for Xiaohua, a girl from Nanchang, Jiangxi, this reunion day is not easy to come by. On the eve of the Mid-Autumn Festival, with the help of the surgical team of the functional neurology department of Shanghai Oriental Hospital, Xiaohua finally succeeded in eliminating years of stubborn diseases and restoring normal family, cognition and social functions. Finally waited for the day when all the hardships came. Eight years ago, Xiaohua, who just graduated, was affected by her many job-hunting failures. She couldn't sleep at night, and she had many dreams and woke up easily when she fell asleep. She was not interested in anything. She communicated with people and was diagnosed as "depression" by the local mental health center. She was given oral olanzapine, sertraline and other drug treatment, but her condition did not improve significantly. After taking the medicine for more than 2 months, Xiaohua detected that the level of sex hormones was abnormal, and the symptoms were significantly relieved after the doctor adjusted the medicine. In 2015, Xiaohua felt that she had been cured. After stopping the drug, her condition relapsed. She talked a lot, exaggerated and bragged. She felt that she was omnipotent and spent a lot of money. She also heard someone talking to her out of thin air, ran around without sleep in the middle of the night, yelled for no reason, was short-tempered and irritable, beat and scolded her family members, and dropped things. She went to the doctor again and was diagnosed with "bipolar affective disorder" and was given lithium carbonate. , Sodium valproate and other drug treatment, the patient's condition control is still unstable. In the past year, Xiaohua's symptoms have recurred many times, and sometimes she is excited and manic. She yells in the community at night, throwing stones at the family members and security guards who discourage her. The neighbors are also complaining about this. Affected, she does not eat, feels weak, thinks that life is meaningless, and often has thoughts of suicide. The family members did not want to live such a frightening life, so they resolutely took her to our hospital for inpatient treatment. Affective Disorders" received from the Department of Functional Neurology. After admission, after preoperative physical examination and evaluation, Xiaohua was re-diagnosed as bipolar disorder, with surgical indications and no contraindications. After the operation, her mood recovered. Her original auditory hallucinations, talking to herself, being sensitive and suspicious, persecutory delusions, negative world-weariness, short temper, and aggressive behavior disappeared. Her attitude towards her parents improved, and she cooperated with the daily examination and drug consolidation treatment by the medical and nursing staff. , was discharged home a week before the Mid-Autumn Festival with the approval of the doctor. Psychiatric patients like Xiaohua who recover their cognition and symptoms after surgery can be seen in our department every day. Some patients take medicine regularly for many years after the disease, but the effect of the medicine is getting worse and worse. Taking the medicine, some of them have weight gain and abnormal blood sugar after taking the medicine, as long as the age is over 18 years old, the medical history is over 3 years, and the symptoms are still repeated after treatment by the internal medicine system, such as regular and full-scale medicine, psychological counseling or electrical stimulation. , If the desired curative effect cannot be obtained, the surgical treatment can be completed in our department with the consent of the family. The video is loading... After the operation, most of the intractable mental symptoms of the patient can be effectively controlled and eliminated, the human nature and emotions return to normal, and the insight is restored, and they voluntarily accept the follow-up treatment, which opens a door for the patient to continue. The door to a wonderful life. Therefore, for patients with drug-refractory diseases, actively carrying out neuromodulation surgery is conducive to improving the quality of life of these patients; for patients troubled by drug side effects, actively carrying out neuromodulation surgery is beneficial to patients as soon as possible. relieve pain.

To our readers:

Hi, my name is Dr. Wu Jingwen, and I would like to thank you all for reading my article. If you have a disease and consult me, you can contact me through the platform "private message". You can also leave a message under the article, and I will answer your questions as soon as possible.

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