Three years ago, due to the need of policy, every health center asked each town to have a fine prevention doctor in charge of the management of severe mental patients, so a doctor was sent to study psychiatry. None of the doctors in our hospital wanted to go at that time. After all, they are dealing with mental patients, and they are not hot potato.
Later, the lottery was decided. I just won, and I will go whether I like it or not. At that moment, my heart was particularly resistant, and I almost cried. Colleagues comforted me and said nothing, and I soon got used to it.
In fact, I'm not so afraid of contacting mental patients, but I think the child is so young, less than one year old. I'm going to study abroad for a few months, so sad.
Life is like this, not everything goes well, so does work. Study and life still come as scheduled. It turns out that psychiatry is not so terrible, but also very interesting.
It turns out that psychiatry is a caring field, and only caring people can do this work. I just went to the mental hospital where I studied for a few days, and I really admire the medical staff there from the bottom of my heart. Their sense of responsibility and love are vividly reflected, and they have an interesting soul.
Communicating with mental patients is a technical job. You have to keep up with his thinking logic to fall in love with a patient. This requires an interesting soul to cooperate with patients, win their trust and open their inner world. So, we make rounds every day, which is very interesting. A group of really stupid people are chatting with a group of people who play dumb.
And our nurses are also very caring. They finish the medical work at hand every day, and also take time to take patients to sing and dance and engage in some activities and games. After all, it is boring for such a large group of people to do routine activities in this space, and there is no electronic entertainment. Therefore, we need medical staff to interact with patients.
In fact, psychiatric medical staff are more patient and caring than kindergarten teachers. Every nurse has developed a skill, because mental patients are not hospitalized for three to five days, usually for more than three months, and some stay in hospital for a long time. Therefore, nurses need to regularly help patients with nails, help them shave and cut their hair, which are all done by our all-round nurses.
There are many "three noes" who have lived in mental hospitals for a long time, that is, those who have no identity and can't find their families. These people are generally vagrants with mental or physical disabilities and are sent to hospitals by government departments for treatment. These people regard the hospital as their master and the medical staff as their family. They rely on the medical staff and listen to them.
I remember once, a patient named A Jiu was lying on the windowsill of the doctor's office. My teacher saw him and let him in. He took an apple out of the drawer and washed it for him. A Jiu looked at my teacher with an apple and giggled. I took the teacher and made a gesture to send something to my mouth with my hand. Then, A Jiu slowly put the apple in his mouth and began to eat. It turns out that A Jiu is deaf and mentally retarded.
Learning life is very enjoyable. People who have a new understanding of mental patients also have a new understanding of this field. Six months passed quickly, and I successfully got the certificate of job transfer training, returned to my hospital, and registered a fine prevention doctor with a psychiatric prescription.
It's not that easy to get back to my job. Working at the grass-roots level usually involves several jobs. I am not a full-time manager of mental patients. I am also a clinical first-line doctor. I need to work in a clinical post and attend a 24-hour ambulance class.
So my main duty is not to be a preventive doctor, but a preventive doctor is just part of my job. Occasionally go to the countryside to make a follow-up visit and physical examination for mental patients, or call for follow-up, understand the general situation and medication of patients, and tell patients to take medicine on time. If their condition changes, you can consult me or go to a specialist hospital.
As a meticulous preventive doctor, the patients I am responsible for are relatively stable, all of whom are discharged from hospital to take medicine at home or mentally retarded. However, this work is also affected by many factors and it is difficult to carry out.
Most of the patients were teenagers and their condition was stable after discharge. Family members are very shy to visit us, and even their phone numbers are often changed. Family members are afraid that others will know that their children's illness will affect their later life and marriage. These are understandable, but we are afraid that the evasive attitude of family members will lead to changes in the patient's condition.
There are also some mentally retarded patients who generally don't take medicine and need guardians to watch or lock them. Every time I go to the countryside for follow-up, my family members generally refuse to visit and feel that it is unnecessary.
I usually go to the countryside to help mental patients do follow-up and physical examination. Some patients' families will talk to us a lot about patients, and often feel very sad and helpless. There will also be some family members crying when chatting. It is really hard for good children to spread this disease, which is fatal to families.
The family situation of most mental patients is not optimistic. We will give them free medication on a regular basis to reduce the burden on patients, so that the medication rate of patients will increase.
Looking at those families who are dragged down by mental patients, our medical staff and community members provide as much help as possible and guide them to apply for reimbursement and subsidy funds for special clinics.
I feel this way every time I go to work in the countryside with my colleagues. I remember a patient who was a young man when he went to the countryside. His family said that he had been an excellent student at school before his illness, and then he became like this. Afterwards, one of our colleagues said, don't expect children to be excellent in the future, try not to put pressure on them, and be healthy.
Usually, you need to call frequently to find out the general situation of patients, ask them if they have any difficulties, tell them to take medicine on time, make them believe in scientific treatment and increase their confidence in recovery.
The treatment of mental illness is a long process, and many patients just can't insist on taking medicine, and then their illness recurs. Therefore, the follow-up work of our fine prevention doctors is mainly to understand the drug use of patients.
Psychopaths are vulnerable groups in society and need more care. This is not discrimination. As doctors, we try our best to provide these people with physical and psychological help, so that these people can recover as soon as possible and return to society.
May all mental patients in society be treated gently.