Crazy Psychologist

Chapter 382 Between Surgery and Conservation
"If it's BIID, this surgery has a long history. It should have been tried in North America at the earliest. Then, because the law there didn't allow it, as far as I know, it has been mainly in Malaysia since then. It is carried out in Southeast Asia. Thailand has developed very fast in recent years, and Bangkok is almost an international city. More and more people apply for medical visas to go there for medical treatment and treatment of chronic diseases, so if you say you went to Bangkok , I guess it’s probably this kind of amputation surgery.” After Mu Chun finished speaking, he continued to run.

Zhang Wenwen raised his wet wrist and gave Mu Chun a thumbs up, "I suspect there is something in this world that you don't know about."

"Yes, I wonder if you have spent time researching the brain problems of BIID patients and whether they can be corrected through neurosurgery," Mu Chun said.

"The brain region of the right parietal lobe of BIID patients is thinner than that of ordinary people. At present, neurosurgery has no way to improve this problem, and it is almost powerless. Moreover, these patients neither have epilepsy, nor are they conscious. There are no obvious other physical problems, I am actually very troubled." Zhang Wenwen confessed frankly.

Zhang Wenwen, who drank a few sips of Coke, was a little annoyed. This paper straw is definitely a stupid invention that opposes the great pleasure of human beings enjoying carbonated drinks.

Zhang Wenwen simply pulled out the straw, because every time he took a sip, when his lips left the end of the straw, he would be extremely embarrassed by the coke that gushed out immediately.

After disposing of the straws, Zhang Wenwen said again: "I can't find any benefits of brain surgery on [Body Integrity Identity Disorder] (BIID), and I haven't seen any relevant research so far. That's why I want to go to Thailand to have a look. The reason for the patient, after I come back, I also want to know what kind of advice I can give if a patient like Gu Yiping reappears."

"It will definitely reappear, even Gu Yiping may reappear. The body integrity identity disorder is the same as other identity disorders, and it is very difficult to correct, because we have to reconstruct the part of the brain that has no such connection at all, even more than this. It's even more complicated, one part of the brain is convinced that they are in the body, but the other part doesn't perceive their existence at all." Mu Chun ran faster and faster, but his thoughts were not in the slightest.

"It is like this, so the patient should be very clear that he is determined to undergo an amputation operation. If there is no misdiagnosis, I think this type of operation"

"Wait a minute." Mu Chun interrupted Zhang Wenwen.

Gradually slowing down the speed of the treadmill, Mu Chun changed from running to fast walking, and said, "Don't easily say that such an operation should be performed, even if you think so."

"I understand, because this kind of thing is on the edge of the law after all, and there is no way to perform this kind of surgery in our country, so what else can we do? What else can we do when we encounter this kind of patient?" Zhang Wenwen said eagerly want answers.

"It's a long story. The first thing is to improve the assessment, not just the assessment of patients like BIID. This kind of assessment cannot be completed by the physical and mental department. It obviously needs the advice of the neurology department. In addition to a set of standardized subjective assessment and examination , there should also be a long period of observation. In addition, the full content of the amputation operation must be fully communicated with the patient to ensure that the patient fully understands the impact of the amputation operation on his future body and life; strictly speaking, it should be required The patient makes a complete plan for his clothing, food, housing, and transportation after amputation.

How will he cope with several important parts of his life after the amputation, and how will his work continue?Do you want to give up your job because of this?How to guarantee the family economic status?Is it possible to continue to maintain the current family economic level after amputation?
How will patients take care of themselves in daily life?Or whether there is a clear plan for who will be responsible for his recovery and future life after amputation.

In addition, whether to make sufficient preparations and obtain the approval of family members.

All I can think of is to implement all this in a more subtle way to avoid possible problems to the greatest extent.

Of course, as far as I know, most adults who have undergone amputation have gained a higher sense of well-being. "

After Mu Chun finished speaking, Zhang Wenwen fully agreed and nodded, "I believe that all of these have been done perfectly. But how do you know so clearly? Did Teacher Mu Chun think about it himself? Or do you know something?"

In order to avoid Zhang Wenwen's doubts, Mu Chun immediately explained that although he knew a little about these things, he didn't know the people who performed this kind of surgery, nor did he know about the organizations and groups in this field.

As for the others, they were all summed up and thought by him after Gu Yiping's case appeared.

Mu Chun continued, "We should be able to do something other than these, try some other possible effective treatment methods, especially when dealing with teenagers or even children around ten years old, we should be cautious and cautious. What else can be done?"

Zhang Wenwen immediately picked up Mu Chun's words, "The best way to deal with children or young people under the age of 25 is to wait.

Every year to two years, the patient will resubmit an online assessment form, and if he is a minor, his parents will help him fill it out.I don't have anything else on my side, that's all I know. "

"It's very comprehensive. I've told you a little bit about the treatment methods I can think of here. Do you still remember?" Mu Chun's attitude was very modest.

"Okay, don't be so polite to me and tell me what you can do." Zhang Wenwen said.

"No, you are more professional than me in this aspect. After all, I am still initially establishing an evaluation system, one part is the doctor's evaluation, the other part is the patient's self-report questionnaire, and the other part is the medical examination. In addition to the treatment methods we just discussed, Also includes [Aversion Therapy] and [Talk Therapy].

Let’s talk about [Talk Therapy] first. The point is to make patients think with questions. We need to ask clear and simple questions. For example: If there is a medicine in the world that makes you not want to amputate after taking it, would you be willing to take it? Is that medicine? After Mu Chun finished speaking, she looked at Zhang Wenwen quietly.

Zhang Wenwen suddenly had a sense of substitution as a BIID patient, and immediately followed Mu Chun's words to think.

"I don't know, I can't think of it, maybe I should." Zhang Wenwen replied solemnly.

"Dr. Zhang, your sense of substitution is a bit too strong, so you can easily be hypnotized." Mu Chun said and threw a piece of chocolate to Zhang Wenwen.

(End of this chapter)