Psychiatric Internship Records
Chapter 30 Case 8 ● The person in memory
It is said that Lytasia and Lucas went to the United States arm in arm on the third day after their blind date, and a few days later, Gener came to the Third Hospital to discharge Chaen from the hospital.When he left, Cha En still thought he was a werewolf, but after Jiang Mu's psychological counseling, his symptoms had improved a lot, and Gener decided to take him back to the vampire's territory to continue treatment.
It was another Monday, and there was no Jiang Mu to deliver food to Zha En in the morning, and Qi Fen was still a little unaccustomed to it for a while.It was only when he ran to the door of the ward that he remembered that Cha En had already been discharged from the hospital.
He slipped back to the ward in self-embarrassment, and followed Wei Kai for daily rounds.
The corridor was quiet, only the hurried footsteps of medical staff came and went, Qi Fen suddenly realized that it had been so quiet for several days.How can a mental hospital be so quiet?
"What's wrong?" Seeing Qi Fen looking around, Wei Kai asked.
"Uh..." Qi Fen looked around hesitantly, "Why is it so quiet recently?"
Wei Kai laughed and said, "You just found out! Isn't it the Chinese New Year? Many family members take patients whose condition has improved to celebrate the New Year. Didn't even the 'National Anthem' be discharged from the hospital recently!"
Qi Fen suddenly realized: "No wonder I haven't heard the national anthem recently!"
"By the way," Wei Kai asked, thinking about the arrangements for the afternoon, "to see Zhou Bin in the afternoon, are you going?"
Qi Fen immediately agreed: "Go, go."
Zhou Bin is a former patient of Wei Kai, and his niece is the leader of Wei Kai's wife. With this relationship, Zhou Bin has been looking for Wei Kai to see a doctor in the outpatient clinic.
Zhou Bin was diagnosed with Alzheimer's disease three years ago, and another name is more familiar to the public - Alzheimer's disease.There is currently no effective cure for the disease, and only intervention can be used to alleviate the symptoms of the disease.Three years later, Zhou Bin's symptoms became more and more serious. From the beginning, his niece was still able to accompany him to the outpatient clinic, but now he hardly dares to let him go out.
Because of the friendship developed in the past few years, Wei Kai often went to Zhou Bin's house to visit him in his spare time.
When he first came to practice, Qi Fen followed Wei Kai and met Zhou Bin once in the outpatient clinic.
In that outpatient clinic, he was assigned to help maintain order in the corridor. A woman in her 40s was going to the bathroom and ran over to ask him to take care of her uncle.
It was already September at that time. Although the sun was scorching outside and the outpatient building was steaming, the medical staff were still wearing short-sleeved white coats and nurse uniforms, but the elderly had already put on long-sleeved trousers.Different from the patients dancing wildly around him, Zhou Bin was wearing a dark linen jacket and loose cotton slacks. He stayed quietly at the door of the consulting room, sitting upright, and kept stroking a white notebook with yellow edges in his hand.
Qi Fen nodded to the woman to reassure her, and the woman left in a hurry.
Zhou Bin carefully touched the cover of the book little by little, and then opened it to touch the inside pages.The inside pages of the book had been drawn with pencils, but they had obviously been touched so many times that the original pictures were no longer recognizable.
It seems to be a person?
Zhou Bin is 70 years old, his face is loose and wrinkled, but when he smiles, the corners of his eyes are raised, and his eyes are squinted to reveal tenderness.He touched one page after another, and each page was the same as the first page, with only faint traces of drawing remaining.
The notebook was very thin, and he quickly finished touching one side. He closed the notebook and held it tightly in his arms, returning to his previous expressionless face, sitting in a daze without moving.
The woman who went to the bathroom came back and thanked Qi Fen: "Thank you."
At that time, Qi Fen had just come to the Third Hospital for an internship and was full of curiosity about mental patients. He asked the old man what his illness was.
"My uncle has dementia for several years."
Qi Fen was a little surprised: "Alzheimer's disease? Shouldn't this be linked to neurology?"
"He has mild mental illness, so he has been seeing Dr. Wei for treatment." The woman explained, then sighed, "Dr. Wei is really kind."
Qi Fen nodded to express his understanding, and continued to stare at the old man who started a new round of stroking the notebook.
"This is the notebook he drew in when he was young." The woman noticed Qi Fen's gaze and explained, "It turned out that when he was not sick, he would often read it in front of the notebook, and he would fall into memories while reading it. Now that he is sick, it is even more so every day. All I have to do is read this book."
Qi Fen: "What's in the book?"
The woman hesitated a bit, and smiled wryly in embarrassment, Qi Fen quickly waved his hand: "If it's inconvenient to say it, don't say it."
"It's not inconvenient. Now that it's open, everyone doesn't think there's anything wrong with it." The woman opened the chatterbox, "My uncle had a hair boy when he was young, and now it seems to be called a bamboo horse? That notebook was written when he was learning to paint. , he acted as a model when he was a child, and the whole book was filled with paintings.
"When I was young, I secretly flipped through this picture book. He was a very handsome guy, wearing the student uniform of his era, with a split hairstyle. I was very impressed, that is, every picture was smiling. I could even feel the model smiling. The painter is also laughing. You said, it was a pity that the book, which was originally protected by my uncle, was so touched that the original painting could not be seen."
Qi Fen asked: "Where is Fa Xiaoren?" Why do you keep relying on paintings to remember? Could it be that he has passed away?
"Who knows!" The woman shrugged, "My mother left early and didn't tell us about my uncle. But I heard that my uncle mentioned it a few times. After the two separated when they went to the countryside in the 60s and [-]s, I have never seen them again. They are all so old, they may have died long ago."
"He's not dead!" Zhou Bin retorted suddenly and fiercely, his eyebrows raised coldly, and his voice was sonorous and forceful, "He, he must still be alive."
"Live alive." The woman hurriedly comforted her.
Zhou Bin stared at the woman: "I will be able to see him in a few days after the school holidays."
The woman cooperated: "Yes, yes, good."
Only then did Zhou Bin relax, he turned his head and forgot about the episode, opened the notebook and continued stroking.
The woman said to Qi Fen helplessly: "He started to lose his memory a few years ago. At first, he just asked a question several times. Later, even his relatives began to forget, but he only remembered his childhood. Recently, my uncle thought he was just a child. Go to school and live on campus, and go home after the holidays.”
Qi Fen: "What about other aspects? Can I still take care of myself?"
"It turned out to be okay, but it's not working out recently. I can't eat by myself and defecate anywhere." The woman said sadly, "But as long as the book is in hand, he is at ease. So we tried to hide the book to see if his illness will go away." It will get better, but he almost tore down the house, crying while looking for it, and we quickly returned it to him.”
Wei Kai called Zhou Bin in the consultation room, interrupting the conversation between Qi Fen and her.The woman pulled Zhou Bin into the consultation room. Zhou Bin followed obediently while holding the drawing book tightly.
"Sister Wang," Wei Kai greeted the woman familiarly, "how is he?"
"At least he didn't go out anymore. Last month, he went to the station every day to wait for him to send him a baby. You know, the station was demolished long ago. He couldn't find it, so he just walked around the world. Once he missed it and almost lost it. Fortunately, he was met by the neighborhood committee and sent back, scaring us to death. This month, he now feels that Fa Xiao will come back to find him soon, and waits at home every day." Sister Wang pressed Zhou Bin on the chair, Passed over the medical insurance card and medical records, "The medicine is almost finished, I have to trouble you to prescribe some more medicine."
"Have you insisted on eating?" Wei Kai opened Zhou Bin's medical record and asked.
"Yes, now my husband and I take turns to take care of him, but we are both busy with work recently, so we decided to hire a nanny."
Wei Kai nodded: "Alright, but we must find someone in charge."
"Yes, yes. But, Dr. Wei, his condition has been getting worse and worse recently, and this medicine can only be prescribed for a month at a time. He has to come every month. It's really..." Sister Wang didn't say anything later. , but Wei Kai understood.
"It's okay, after the medicine is finished, you can give my wife the medical insurance card, and I will prescribe the medicine for you directly, and then bring it to you." Wei Kai opened the back door for Sister Wang as if nothing had happened.
"Thank you so much!" Sister Wang thanked gratefully, "Then let's go first and don't bother you!"
"Don't be so polite," Wei Kai stood up to see off the guests, "Let's have dinner together when you have time."
At that time, Wei Kai and Qi Fen had just met each other, and Wei Kai didn't explain much to him. It wasn't until after a while that the two became familiar with each other. After a certain meal, Wei Kai told Qi Fen about Zhou Bin, including Wang The relationship between sister and his wife.
Wei Kai: "When I first met Zhou Bin, he was still able to communicate normally, and his MMSE (Dementia Status Evaluation) score was 13, which is mild. It has only been a few years, and he has developed to the point where he can't take care of himself? Maybe he doesn't want to Got it.
"He, he has been delayed by that childhood all his life. From young to old, he is now demented, and he is still waiting.
"An old man like him who is in his 70s, has no wife, lives alone, does not communicate with others, has nothing to do every day, and hardly uses his brain, is the most likely to suffer from Alzheimer's.
"So the elderly should cultivate some hobbies, such as calligraphy, flower arranging, or even square dancing! It's okay to be in a daze. But in fact, this thing is also inherited, hey..." Wei Kai sighed, "It's all life.
"Thankfully, Zhou Bin has a good niece who takes care of her every day. It's almost as if Zhou Bin is her own father. Now there are a few juniors who can not dislike the seriously ill relatives! Just for this, I have to do my best Help them."
"What's the matter with him when he was young?" Qi Fen asked.
Wei Kai leaned back on a chair like a big boss, and talked eloquently: "In my opinion, it's just that Lang has a concubine and has no intentions. Zhou Bin likes him when he is young, but he really treats Zhou Bin as a young man when he is young, and has no other affections." , or just leave without saying anything, and don’t contact him, and don’t say come back to see him. Even though communication was not developed in that era, I could get in touch if I really wanted to, but I still didn’t think about contacting him.
"Poor Zhou Bin doesn't marry a wife, and doesn't look for other men, so he has been thinking about making a baby. Sister Wang said that there were several girls who were beautiful and well-qualified, and they all fell in love with Zhou Bin, but they didn't agree with any of them. Later Sister Wang said that women are not good, you and a man are fine, at least you can take care of each other, Zhou Bin is not happy, and insists on hanging on the tree of Fa Xiao."
Wei Kai sighed.
It was another Monday, and there was no Jiang Mu to deliver food to Zha En in the morning, and Qi Fen was still a little unaccustomed to it for a while.It was only when he ran to the door of the ward that he remembered that Cha En had already been discharged from the hospital.
He slipped back to the ward in self-embarrassment, and followed Wei Kai for daily rounds.
The corridor was quiet, only the hurried footsteps of medical staff came and went, Qi Fen suddenly realized that it had been so quiet for several days.How can a mental hospital be so quiet?
"What's wrong?" Seeing Qi Fen looking around, Wei Kai asked.
"Uh..." Qi Fen looked around hesitantly, "Why is it so quiet recently?"
Wei Kai laughed and said, "You just found out! Isn't it the Chinese New Year? Many family members take patients whose condition has improved to celebrate the New Year. Didn't even the 'National Anthem' be discharged from the hospital recently!"
Qi Fen suddenly realized: "No wonder I haven't heard the national anthem recently!"
"By the way," Wei Kai asked, thinking about the arrangements for the afternoon, "to see Zhou Bin in the afternoon, are you going?"
Qi Fen immediately agreed: "Go, go."
Zhou Bin is a former patient of Wei Kai, and his niece is the leader of Wei Kai's wife. With this relationship, Zhou Bin has been looking for Wei Kai to see a doctor in the outpatient clinic.
Zhou Bin was diagnosed with Alzheimer's disease three years ago, and another name is more familiar to the public - Alzheimer's disease.There is currently no effective cure for the disease, and only intervention can be used to alleviate the symptoms of the disease.Three years later, Zhou Bin's symptoms became more and more serious. From the beginning, his niece was still able to accompany him to the outpatient clinic, but now he hardly dares to let him go out.
Because of the friendship developed in the past few years, Wei Kai often went to Zhou Bin's house to visit him in his spare time.
When he first came to practice, Qi Fen followed Wei Kai and met Zhou Bin once in the outpatient clinic.
In that outpatient clinic, he was assigned to help maintain order in the corridor. A woman in her 40s was going to the bathroom and ran over to ask him to take care of her uncle.
It was already September at that time. Although the sun was scorching outside and the outpatient building was steaming, the medical staff were still wearing short-sleeved white coats and nurse uniforms, but the elderly had already put on long-sleeved trousers.Different from the patients dancing wildly around him, Zhou Bin was wearing a dark linen jacket and loose cotton slacks. He stayed quietly at the door of the consulting room, sitting upright, and kept stroking a white notebook with yellow edges in his hand.
Qi Fen nodded to the woman to reassure her, and the woman left in a hurry.
Zhou Bin carefully touched the cover of the book little by little, and then opened it to touch the inside pages.The inside pages of the book had been drawn with pencils, but they had obviously been touched so many times that the original pictures were no longer recognizable.
It seems to be a person?
Zhou Bin is 70 years old, his face is loose and wrinkled, but when he smiles, the corners of his eyes are raised, and his eyes are squinted to reveal tenderness.He touched one page after another, and each page was the same as the first page, with only faint traces of drawing remaining.
The notebook was very thin, and he quickly finished touching one side. He closed the notebook and held it tightly in his arms, returning to his previous expressionless face, sitting in a daze without moving.
The woman who went to the bathroom came back and thanked Qi Fen: "Thank you."
At that time, Qi Fen had just come to the Third Hospital for an internship and was full of curiosity about mental patients. He asked the old man what his illness was.
"My uncle has dementia for several years."
Qi Fen was a little surprised: "Alzheimer's disease? Shouldn't this be linked to neurology?"
"He has mild mental illness, so he has been seeing Dr. Wei for treatment." The woman explained, then sighed, "Dr. Wei is really kind."
Qi Fen nodded to express his understanding, and continued to stare at the old man who started a new round of stroking the notebook.
"This is the notebook he drew in when he was young." The woman noticed Qi Fen's gaze and explained, "It turned out that when he was not sick, he would often read it in front of the notebook, and he would fall into memories while reading it. Now that he is sick, it is even more so every day. All I have to do is read this book."
Qi Fen: "What's in the book?"
The woman hesitated a bit, and smiled wryly in embarrassment, Qi Fen quickly waved his hand: "If it's inconvenient to say it, don't say it."
"It's not inconvenient. Now that it's open, everyone doesn't think there's anything wrong with it." The woman opened the chatterbox, "My uncle had a hair boy when he was young, and now it seems to be called a bamboo horse? That notebook was written when he was learning to paint. , he acted as a model when he was a child, and the whole book was filled with paintings.
"When I was young, I secretly flipped through this picture book. He was a very handsome guy, wearing the student uniform of his era, with a split hairstyle. I was very impressed, that is, every picture was smiling. I could even feel the model smiling. The painter is also laughing. You said, it was a pity that the book, which was originally protected by my uncle, was so touched that the original painting could not be seen."
Qi Fen asked: "Where is Fa Xiaoren?" Why do you keep relying on paintings to remember? Could it be that he has passed away?
"Who knows!" The woman shrugged, "My mother left early and didn't tell us about my uncle. But I heard that my uncle mentioned it a few times. After the two separated when they went to the countryside in the 60s and [-]s, I have never seen them again. They are all so old, they may have died long ago."
"He's not dead!" Zhou Bin retorted suddenly and fiercely, his eyebrows raised coldly, and his voice was sonorous and forceful, "He, he must still be alive."
"Live alive." The woman hurriedly comforted her.
Zhou Bin stared at the woman: "I will be able to see him in a few days after the school holidays."
The woman cooperated: "Yes, yes, good."
Only then did Zhou Bin relax, he turned his head and forgot about the episode, opened the notebook and continued stroking.
The woman said to Qi Fen helplessly: "He started to lose his memory a few years ago. At first, he just asked a question several times. Later, even his relatives began to forget, but he only remembered his childhood. Recently, my uncle thought he was just a child. Go to school and live on campus, and go home after the holidays.”
Qi Fen: "What about other aspects? Can I still take care of myself?"
"It turned out to be okay, but it's not working out recently. I can't eat by myself and defecate anywhere." The woman said sadly, "But as long as the book is in hand, he is at ease. So we tried to hide the book to see if his illness will go away." It will get better, but he almost tore down the house, crying while looking for it, and we quickly returned it to him.”
Wei Kai called Zhou Bin in the consultation room, interrupting the conversation between Qi Fen and her.The woman pulled Zhou Bin into the consultation room. Zhou Bin followed obediently while holding the drawing book tightly.
"Sister Wang," Wei Kai greeted the woman familiarly, "how is he?"
"At least he didn't go out anymore. Last month, he went to the station every day to wait for him to send him a baby. You know, the station was demolished long ago. He couldn't find it, so he just walked around the world. Once he missed it and almost lost it. Fortunately, he was met by the neighborhood committee and sent back, scaring us to death. This month, he now feels that Fa Xiao will come back to find him soon, and waits at home every day." Sister Wang pressed Zhou Bin on the chair, Passed over the medical insurance card and medical records, "The medicine is almost finished, I have to trouble you to prescribe some more medicine."
"Have you insisted on eating?" Wei Kai opened Zhou Bin's medical record and asked.
"Yes, now my husband and I take turns to take care of him, but we are both busy with work recently, so we decided to hire a nanny."
Wei Kai nodded: "Alright, but we must find someone in charge."
"Yes, yes. But, Dr. Wei, his condition has been getting worse and worse recently, and this medicine can only be prescribed for a month at a time. He has to come every month. It's really..." Sister Wang didn't say anything later. , but Wei Kai understood.
"It's okay, after the medicine is finished, you can give my wife the medical insurance card, and I will prescribe the medicine for you directly, and then bring it to you." Wei Kai opened the back door for Sister Wang as if nothing had happened.
"Thank you so much!" Sister Wang thanked gratefully, "Then let's go first and don't bother you!"
"Don't be so polite," Wei Kai stood up to see off the guests, "Let's have dinner together when you have time."
At that time, Wei Kai and Qi Fen had just met each other, and Wei Kai didn't explain much to him. It wasn't until after a while that the two became familiar with each other. After a certain meal, Wei Kai told Qi Fen about Zhou Bin, including Wang The relationship between sister and his wife.
Wei Kai: "When I first met Zhou Bin, he was still able to communicate normally, and his MMSE (Dementia Status Evaluation) score was 13, which is mild. It has only been a few years, and he has developed to the point where he can't take care of himself? Maybe he doesn't want to Got it.
"He, he has been delayed by that childhood all his life. From young to old, he is now demented, and he is still waiting.
"An old man like him who is in his 70s, has no wife, lives alone, does not communicate with others, has nothing to do every day, and hardly uses his brain, is the most likely to suffer from Alzheimer's.
"So the elderly should cultivate some hobbies, such as calligraphy, flower arranging, or even square dancing! It's okay to be in a daze. But in fact, this thing is also inherited, hey..." Wei Kai sighed, "It's all life.
"Thankfully, Zhou Bin has a good niece who takes care of her every day. It's almost as if Zhou Bin is her own father. Now there are a few juniors who can not dislike the seriously ill relatives! Just for this, I have to do my best Help them."
"What's the matter with him when he was young?" Qi Fen asked.
Wei Kai leaned back on a chair like a big boss, and talked eloquently: "In my opinion, it's just that Lang has a concubine and has no intentions. Zhou Bin likes him when he is young, but he really treats Zhou Bin as a young man when he is young, and has no other affections." , or just leave without saying anything, and don’t contact him, and don’t say come back to see him. Even though communication was not developed in that era, I could get in touch if I really wanted to, but I still didn’t think about contacting him.
"Poor Zhou Bin doesn't marry a wife, and doesn't look for other men, so he has been thinking about making a baby. Sister Wang said that there were several girls who were beautiful and well-qualified, and they all fell in love with Zhou Bin, but they didn't agree with any of them. Later Sister Wang said that women are not good, you and a man are fine, at least you can take care of each other, Zhou Bin is not happy, and insists on hanging on the tree of Fa Xiao."
Wei Kai sighed.
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