On the night shift of the emergency room, the nurse called in the middle of the night:
"Come to the rescue room, there is a drunken head trauma patient in the rescue room, you come to look at it"
Quickly run to the rescue room, not yet to the door, I heard inside the loud noise and cursing, probably means: I'm almost I'm not sure if you know how to save me or not, I'm going to smash the hospital and let my little brother hack you to death
On entering the door, I was a little frowned, a group of bare-chested lads full of tattoos screaming and cursing towards the nurses, and some of them even picked up stools to beat the nurses
"Give me a break, I'm going to take a look at the wounds! " I said as I forced my scalp to squeeze into the middle of this group of social people
In the middle of the chair did a forty-something years old, bare-chested full back, flower arm tattoos of middle-aged people, very fat, a fat fat. There is a wound on the head, has been bandaged by the nurse, face, hands and neck with already dried blood stains.
Sure enough my voice just fell heard a variety of curses and threats:
"You damn not hurry up, did not see my big brother injured and bleeding, you can hurry up not"
"Hurry up to my big brother to stop the bleeding, or I'll get you dead! "
"I fucking tell you ~~~"
I really scared big, this is going to get me killed, I do not know I have died a few hundred times
"Back site, do not block my line, let me not see the wound! "
Social big brother is social big brother, said a harsh words to me, I heard almost not out of joy,: "I tell you, I'm afraid of pain, afraid of injections, if you hurt me, my group of brothers can not spare you."
I go, you an outside mix of the big brother even in a group of little brother in front of the words, I really do not know how you set up the prestige, which so big face out to bring brothers? I thought in my heart, I did not dare to say out
I slowly uncovered the wound, the wound is not big, 4cm or so, need to be stitched up
"How hurt?" I asked while checking the wound
"What do you care how I hurt, hurry the damn to stop me from bleeding", the social big brother opened his mouth is the smell of hoo-hoo alcohol: "Tell you what, I just knocked with a grandson, beer bottle ballast."
Then a group of minions on one side and then I was a scolding
"I asked you how to hurt is a moment to deal with the wound when good to help you clean up the glass ballast, can not speak properly?" I said very calm
Social brother stood up, good guy one meter eight big, a fat, I estimate how to have a small 300 pounds, fast top my two and a half, he stared at me like that, a look to eat me
Later listened to the nurse said: look at that scene, the nurse directly pressed the security section of the alarm
I turned around, took a large piece of cotton pads, with saline soaked in water, and the nurse said: "I'm not sure if you're a good person, I'm not sure if you are. The cotton pads, soaked with salt water, wrung out on the side of the medical bucket, so that he sat on the stool again, as if to wipe the face of a child to wipe away the social brother's face, neck, hands have dried blood stains
Then I rushed to the side of the gibberish of the group of juniors said loudly: "Do not make a noise, all the from the resuscitation room to give me out of the hospital how you come to the hospital on the I'm not going to be able to do that. Just now your big brother and outside the fight where did you go? I didn't see any of you get hurt, but you're all big men in the hospital, right? Your brother a face blood you do not know to wipe, you so heartbroken brother out to find injured your brother's people to go ah, with me this quarrel over what addiction ~ ~ ~ "
Instant extraordinarily quiet, I just looked at them, surrounded by them in the middle of the face and even with a disdainful expression
"You are all Don't fucking scream, here is the hospital know not, all calm down a bit, just who cursed people with, with the doctor to apologize, called big brother." This sentence is from the mouth of the social big brother, the attitude is simply a 180 ° change, and then very gently took my hands for him to wipe the blood of the gauze pads continue to wipe their own ~ ~ ~ ~
After this, the gang of little brothers are out, and do not quarrel noisy, and then the social big brother of the mouth of a "big brother, big brother," called!
My answer: when I gave the so-called social brother to wipe the blood stains on his face, I saw his eyes softened down, I know, I this move touched him. Besides, what am I afraid of? Resuscitation room a room of patients and family members are watching it, which we did not do right? Which sentence I said wrong? The world is clear, how can we tolerate evil people in the way? The first thing you need to do is to get down on your knees and look at the patient.
In the hospital encountered patients do not want to communicate with you, such a situation of any hospital of any doctor may encounter it, tell me how to do
I am a psychiatrist who has been working for more than a decade, daily work contact is the most various types of diagnosis of mental disorders patients, there are some serious mental disorders patients themselves are not self-awareness, so do not recognize their own diagnosis and disease, there are also some severe mental disorders patients, so do not recognize their own diagnosis and disease, so do not recognize their own diagnosis and disease. There are some patients with severe mental disorders who have no self-awareness, so they do not recognize their own diagnosis and disease, and there are also some patients who have some knowledge of their own disease, but they still refuse to be treated out of some ideological concepts, and refuse to communicate with the doctor, especially some of the patients with severe suicidal concepts of major depression.
We know that people with depression can have self-awareness, that is, able to understand their own disease, but because most of the self-enclosed, refused to socialize, refused to communicate, so want to start an effective communication with them in itself is a very difficult thing, but often such a serious depression is likely to have stubborn thoughts of suicide, not in the hospital treatment is a very dangerous thing. So, it may be that severe depression requires closed hospitalization under the supervision of a family member.
Once I had a young female patient, college did not graduate, because of severe depression many times self-injurious behavior hospitalized, every time they communicate with their performance is very closed, excluded from communicating with me, but after regular with their knowledge of the disease about depression, told her depression is completely treatable, told her that the despair and anorexia she felt, is not from themselves, but from the morbid thoughts of the disease, and the depression is a very dangerous thing. I told her that the despair and misanthropy she felt was not from herself, but from the morbid thoughts of the disease. I told her that she was not the only one who felt this way, and that there were many others like her, all of whom were trying to fight against depression, and that as long as she didn't bow down and didn't admit defeat, she would have a chance to overcome her depression. Later, under my daily encouragement, she finally gradually opened her heart, although the words are still very slow, very little, but at least gradually with me to establish an effective communication, and then after a long time of treatment, and now most of the social function has been restored, although not yet in school (has been suspended), but I believe it is not far away.
Another patient was an elderly paranoid schizophrenic with significant delusional content who was very resistant to hospitalization and contact with the doctor, believing that the police and I were working together to victimize her. The initial contact was hardly pleasant, but the patient's paranoid symptoms were difficult to alleviate simply by medication. So first of all, I first avoided talking about the content of the paranoia and the content of the conflict in which the family sent her to be hospitalized, and simply made friends with the patient, shushing her and showing my concern, and then, when we could communicate briefly, mildly questioned the patient's insistence on the obvious logical errors and loopholes in the content of the delusions, and finally allowed the patient herself to gradually feel skeptical and shaken by the delusional symptoms she was convinced of, and then finally put forward her own scientific opinion and the scientific meaning of the delusion. It was only through this series of maneuvers that the patient's persistent delusional notions were pried open and a strong, reliable and trusting doctor-patient relationship was ultimately established to help the patient get rid of the effects of the delusional symptoms.
Although I work in psychiatry relative to other branches of medicine is relatively niche, but in fact, a lot of the truth is similar, such as the basis of communication, the premise of the doctor-patient relationship should be mutual trust, perhaps due to the impact of psychiatric symptoms, short-term no way to accept the doctor's concept, but you are good to her, she is able to feel it all the time, a lot of patients because of the doctor's Many patients are more willing to communicate with their doctors because of the doctor's kindness, telling them their true thoughts and strange ideas, so that the doctor can help them analyze and see if they need to adjust their treatment plan.
In any medical discipline, a good doctor-patient relationship can help the patient's treatment and can positively affect the outcome of the treatment. So, communicating with patients who come to the hospital, or who are in the hospital, is, to a large extent, also a reflection of a doctor's ability to do his or her job.
Dr. Trudeau's famous words ring in my ears: Occasionally to heal, often to help, always to comfort ! Your patients will surely benefit from this. Today, on Physician's Day, I hope that all 360w practicing physicians across the country will have a happy holiday and continue to work hard to ensure the physical and mental health of the nation's people!
If the doctor and patient can't gain trust, then the treatment has already failed and I would suggest a change or transfer.
I do not know whether the patient and this do not want to communicate with the doctor or nurse. Many patients in the hospital and the doctor to communicate are smiling, and nurses are often expressionless. In their hearts I beg the doctor with the nurses have nothing to do
Then do not communicate with him. ！！！！
So many years of work in the hospital, if it is really unreasonable or is to see you do not see the eye of the patient must not provoke him, in case you hit you scolded you, you said that the crime is not, to change a colleague he looked at the eye on the line, do not twist hard to come. To be flexible
The doctor's pathology judgment is not through communication to the conclusion. The first thing you need to do is to get the patient to talk to the doctor. Except for psychologists.
Doctor communication I personally think
First, soothe the patient, reduce psychological pressure, such as the dentist, don't worry about nothing, don't bite me.
Second, to understand the patient's habits, in order to draw conclusions, such as contraindications, triggers habits.
Third, to confirm that the patient is more suitable for the treatment, listening to the patient's words of the doctor I have never met.
What to do
As with the law, immediate family members, **** with the object of life indirectly obtained, the first to make a basic judgment. The first thing you need to do is to make sure that you have a good understanding of what you are talking about. The first thing you need to do is to get a good understanding of the situation and how it will affect you.
This is a very good question to ask, and it is safe to say that this question is not a doctor, at least not a qualified doctor! Perhaps the popularity of modern diagnostic and treatment equipment, many doctors do not know another title of pediatrics, pediatrics, also known as the mute section is the meaning of the inability to communicate. A doctor who encounters a patient who is not willing to communicate, it is possible to understand the patient's situation through the pulse cutting in the examination and sniffing and questioning! But many doctors will say that we will not cut the pulse of Western medicine, then I have to ask a question if the doctor even cut the pulse will not, then I can not understand you as a ticket waiter, your career as long as the students can do, the patient came to open a large number of checklist on it.
As a doctor, on the medical ethics of the patient even if you do not like not willing to face also have to go to the medical treatment, unless you do not have medical ethics. The patient does not want to communicate, this patient is most likely to be stubborn can not think of, either is not reasonable, let him go! The first thing that you need to do is to get your hands on a new one, and then you'll be able to get your hands on a new one!
Chinese medicine is okay, there is a look and smell; Western medicine can only rely on various test reports. Patients want to express a lot, because it is not a professional, often express unclear, not to mention the mute and small children, how can the doctor ask the patient to express.
Busy batch,, not willing to communicate things, self-righteous, all want a way to kick the ball, it's very simple