其中有个兽医的回帖，看看原来现在兽医比医生更具同情心，更有Sense。
Amy Morris
When he mentioned the doctor telling him that he had a psychotic episode, I stopped in my tracks and my jaw dropped as I was listening to this video. I also flashed back to several years ago when a friend of mine had a similar problem at the ER. I am a veterinarian and I have a strong interest in neurology. I don't work on humans, but I know basic neurological symptoms when I see them. My vet tech and friend had been complaining of not feeling well recently, she was getting tired all the time and sometimes dizzy. She had a history of skin cancer but hadn't had any new lesions in years. She'd had a full workup with her doctor including a cardiac stress test and was told she was fine, maybe it was just stress. One day, I asked her to weigh the cat I was examining, the scale was on the table a foot away. She froze and said she couldn't. I asked why, thinking maybe she could feel the cat was getting upset and was concerned that moving him would make him more upset in that moment (most vet techs and assistants are good at reading stuff like that from our patients). Her eyes filled with tears and she said she didn't know how. She literally couldn't think to pick up the cat, move it a foot along the table, and onto the scale. I called someone else to take the cat and took her into my office for privacy. I knew she was under a lot of stress, and wanted her to take a few minutes to calm down. She was crying and shaking, she said she didn't know how to do anything. I asked her to look directly at me and touch her finger to her nose. She couldn't do it. I gave her a piece of paper and asked her to write her signature. She could do that. Again, I don't work on humans, but her ability to do something by muscle memory but not to do something that required actively processing the action sounded pretty neurologic to me. I called an ambulance. The EMTs were patronizing and told her it was probably stress, but agreed to take her to the hospital. The ER doctor was even more patronizing, and insisted she was either stressed or making things up to get attention (she was not that kind of person). She had to raise her voice and threaten to make a scene in the middle of the ER lobby if they didn't do an MRI. She said she had good insurance but even if she didn't, she'd pay for it out of pocket if she had to, but she wanted a brain MRI. Her father died of brain cancer, she had a family history. She had a history of malignant melanoma. They thought she was crazy for insisting she get an MRI. Until they reluctantly agreed to shut her up, and saw the scans. Multiple masses in her brain. Further scans showed masses in her lungs. About a year later, despite aggressive therapy, she was dead. She was maybe 30 years old. I'm not sharing her story to say "ER doctors are stupid and lazy and mean people" because I think the majority of them are not. And I don't work on humans so I can't comment on how they should be treated. But I do a lot of behavior work with animals. When a patient presents to me with a behavior problem, even if I'm 99% sure it's a behavioral problem (usually based on anxiety), I still do a full physical and neurologic exam, and I recommend bloodwork. Because a behavioral diagnosis for me is a diagnosis of exclusion. I rule out other medical reasons before I assume it's behavioral. I have treated significant spinal pain in young cats who appeared otherwise healthy but inexplicably aggressive with no warning at home, and the aggression resolved almost immediately with treatment. I had a young dog who attacked her housemate with no warning, and found she was hyperthyroid. That is an extremely rare conditions in dogs in general, and unheard of in a dog so young. Her owner had given her "organ meat jerky treats", and some of those organs included thyroid. As soon as he stopped giving her the treats, her levels returned to normal and her aggression problems ceased. It would have been easy to write these cases off as behavioral or psychological, and I would have missed the underlying problems. I know ERs are busy even when there isn't a pandemic. But to write someone off with psychological problems without doing a single thing to rule out an underlying cause is incomprehensible to me. I hope Kyle's story and my friend's story encourage you to advocate for your own medical care, and speak up if you are concerned something isn't being addressed. I tell my clients that if any doctor, veterinarian or MD, is offended by you asking for a second opinion, it probably means you should be getting one!
