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【3579】can't fake

"But I didn't feel uncomfortable."

In clinical practice, it is not uncommon for patients to persist in their opinions after being lectured by doctors. Their mantra is always how do I feel? What your doctor said is inconsistent with my feelings, and they conclude that your doctor is wrong.

This phenomenon is attributed to the fact that patients like to judge their own illness based on their own feelings. It cannot be said that the patient is deliberately making things difficult for others. Through the previous study in the neurosurgery department, I have a deeper understanding of why patients have such a perception.

Knowledge is determined by the cognitive mechanism of the human brain.

The human brain of normal people is mainly based on self-cognition. The generation of human self-awareness is based on the anatomical structure of the human brain. It is located in the medial prefrontal cortex of the brain and is part of the social brain in the human brain.

If you follow the words of materialists, you can imagine that the "soul" of a person is stationed in the human cerebral cortex. When a person dies, the self-consciousness of the brain will disappear.

This is what doctors often say about living well in the present. Unless there are new breakthroughs in scientific research in the future that prove that the soul is separated from the brain.

For medical staff, doing such basic knowledge research is helpful to understand patients and maintain effective communication with patients. Treatment of diseases requires the cooperation of patients, and the "soul" communication between medical staff and patients has become indispensable.

few.

Effective communication based on medicine should look like this: I am a doctor and I know what is going on in your body that causes you to have such a cognition, and I want to find a way to get rid of this cognitive error in your brain.

It is not easy to make the above-mentioned communication fruitful in clinical practice. You will find that many times medical staff and some patients argue and argue again and again, and the stubborn patients are so angry that they almost die or even give in.

In the words of doctors, this is an arduous task of bringing the souls of patients who have been led by the disease back to the right track. There is a long way to go. Think about it, the rumored teacher Zhang Yuqing was led away by the disease in the days before his death.

Soul. Senior Brother Cao did the right thing but ultimately failed to reverse the adverse trend.

In order to have a good conversation with the patient, Xie Wanying squatted down.

Looking down does not give people a friendly feeling in terms of visual communication between people. Looking down is a sign of respect for others. It is often seen in hospitals that some medical experts like to bend over to talk to patients, and try to be at eye level with the patients.

For this reason, tell the patient that the doctor is not someone who dominates you, but a comrade who fights with you.

Because you have to know that some patients are very concerned about this, and perhaps influenced by some past life experiences, the human brain will develop a defense mechanism for fear of being dominated. Such patients, you will find, are a bit like children.

"Many diseases are diseases that develop subtly and unknowingly, taking over your health and controlling your body's feelings, making you mistakenly think that the disease is normal. It cannot be denied that you have a fever."

, Xie Wanying reached out and took the forehead thermometer over, asking the patient to check the values ​​by herself, "If we put a monitor on you after you get into the ambulance, we will get your blood oxygen values ​​soon. We will get these values.

I can't lie in front of you."

"Then--" The patient's expression relaxed a little.

Taking advantage of the victory, Xie Wanying said again: "The ultimate harm of hypoxemia is death, if it is not corrected in time. What you should get is interstitial pneumonia, which is a major pathogenic factor of silent hypoxemia. I

I haven’t seen your medical records yet.”

(End of chapter)


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