We recently treated a patient with advanced cancer pain.
On admission, the patient pretended to be fine and not in pain. So the physician just gave her some regular painkillers.
You can persist mentally, but your body cannot deceive people.
Pain, this peculiar condition is precisely the perfect connection between the body and the mind. From the definition of pain in modern medicine, we can understand the meaning. Pain is an unpleasant emotional experience in the human body.
That is, pain is actually sensation. In other words, if you don’t feel pain, it won’t hurt.
However, the release of pain-causing factors and emotional anxiety in patients with pain are beyond the control of ordinary people.
This patient only lasted the first day. The next day, she started quietly taking the painkillers she brought with her.
However, painkillers need to be prescribed, and she can only ask the doctor for help.
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 had two metastases.
The doctor was taken aback when she saw how much she was actually taking: In all, she was taking six powerful painkillers a day.
Such a large dose, if it goes on like this, will cause problems with the digestive system. If you don’t eat or drink, you will have no resistance.
The tumor seems to have intelligence: it comes into this world with people. For the most part, it lives peacefully with its owner and accompanies its owner to death.
Explain: Everyone has oncogenes, but they are constantly monitored by our body’s tumor surveillance system, so it is difficult to develop them.
However, it has a mean side. There is a saying “take your life while you are empty”, and it can’t be more apt to describe it!
As long as your immunity is weakened, as long as you don’t pay attention to your health, it will quietly evade the tumor surveillance system and make waves.
Faced with such severe cancer pain, physicians are well aware that medication alone cannot solve the problem. So he called the anesthesiology department.
He knew that the anesthesiology department was the “birthplace” of the pain doctor. If the anesthesiologist can’t solve it, it can be difficult.
Our anesthesiology department immediately advised her to receive intrathecal analgesia.
Intrathecal analgesia is the injection of analgesic drugs directly into the spinal canal, allowing the drugs to stop at the center of pain integration—the spinal cord. When pain signals are no longer sent to the brain, there is no pain.
The cost itself is as high as more than 10,000 yuan, but the patient agreed to it all at once.
After the preoperative preparation, our anesthesiology department successfully performed the implantation of the intrathecal infusion system for her.
Despite what should have been a small amount of medication for the first few days, she was already experiencing significant pain relief. This effect made everyone happy for her.
Such patients need not only treatment for their physical illness, but also psychotherapy.
Such patients lose confidence in life and almost all have anxiety disorders.
For mental problems, in addition to anti-anxiety, we should pay special attention to enlightenment. Therefore, we have to enlighten her every day after that.
With the increase in communication, this 30-year-old life finally opened up. From her illness experience, it is said that she used to be full of ideals. He even talked about how difficult it was to treat the disease.
Other cases, we just listen. But for the treatment she said was denied, we immediately noticed the problem.
First reaction: Could it be that this family is not easy to mess with? It stands to reason that we, as doctors, will hardly reject patients, except for those that cannot be cured.
However, in recent years, the social atmosphere is not good, and doctors lose money and “slap in the face” often happen. Doctors will also become very hesitant for some treatments with high risk of disputes.
When asked why, everyone breathed a sigh of relief. It turned out that the hospital’s medical insurance had just been fined. This infusion system is not cheap, and they dare not use it for her.
Once it is used, the medical insurance can give the doctor a “slap”. Seriously, it may even threaten to revoke your professional qualifications! Which doctor is so stupid?
The surgery has been done, and there is no fear or regret. Seeing this patient who may not have a few months, we can only stick to our original intention to help her spend the last period of her life with less pain.
Calm down: Isn’t the essence of our medical treatment to cure the disease and save the life? In itself, we should not distinguish the value of the patient. Don’t choose to give up because of “priceless”.
Perhaps, it is precisely to let these people who are difficult to see a doctor and who are desperate for medical treatment get treatment, is the greatest meaning of medical treatment.
However, current restrictions are holding doctors back.
Sincere hope: Don’t turn doctors into economists!
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