Facing up to “empty nose” – the “real culprit” of medical violence tragedies Recently, several violent killings of doctors have attracted widespread attention. The cases of killing doctors are always related to the disease “treatment but not good”, some patients can not stand the pain and suffering. So, what kind of disease is easy to “treat but not good”, making some patients lose their minds? At this point, “empty nose”, a disease that has not received enough attention, gradually came into view and became a term that could not be avoided. Ear, nose and throat department has become a “high-risk” department In the circle of doctors group circulated such a folk rhyme, here only intercepted one paragraph: “…… gynecological dirty, pediatric chaos, four aunts and eight aunts scurrying up and down; internal medicine miscellaneous, five official departments The doctor is most likely to be killed! It is mentioned that the five senses (ear, nose and throat) of the doctor’s career risk is the greatest. This summary of the industry will make the layman quite surprised, but the facts confirm what the doctors say. Last year, the ENT department of Pengcheng Hospital in Shenzhen, the ENT department of the People’s Hospital of Peking University, and the ENT department of the People’s Hospital of Baoxiang County in Hebei were all hacked to death by patients. Ear, nose and throat department has undoubtedly become a “high-risk” department. It is impossible to explain why the patients went berserk. This time, the nation was shocked by the Zhejiang Wenling murder case, which happened in the ENT department. The murderer Lian Enqing’s actions have so far left people scratching their heads – why did he kill the doctor? Was he a psychopath? It is natural to suspect that he has a mental illness, because the man who had a septum correction surgery in Wenling First People’s Hospital last year, has been saying after the surgery that his “nose is not working and people are uncomfortable”, “headache”, “can not sleep all night I can’t sleep”. But repeated reexaminations did not reveal any problem with his nose. The family suspected that Lian Enqing had a “brain problem” and forced him to be admitted to the mental health center. But Lian Enqing was a completely normal person before he had the nose surgery last year. I am a patient whose inferior turbinate has been treated too large, and I am in pain. So said one netizen. While the whole country is either deploring or puzzling over the bloodshed in Wenling, a group is discussing the matter in a corner where they belong. In their opinion, there is no barrier to understanding this matter, because they have experienced the same story. They are the group of people with empty nose syndrome. The independent statements of more than one of them point to a roughly the same experience: first, they went to the hospital to see rhinitis; then, it was a minimally invasive surgery such as the need to repair the turbinates, but after the operation, there were symptoms such as dry nasopharynx, uncomfortable lungs, blocked nose, mental discomfort, sleeplessness, etc.; then, various re-examinations, the diagnosis were normal, so there was a lack of understanding from family members, suspected of mental illness, etc.; then, some people In order to seek medical treatment national hospitals run around, and the Internet query, after using a variety of methods, know that they suffer from empty nose disease, and then a variety of complaints arbitration, but often to no avail. In the end, some people are depressed and really have a mental illness; some commit suicide; and some yell to kill the doctor. When describing their condition, these people almost always use the word “life is worse than death” – “think about it, breathing is every moment, and every breath is a pain for me. ” In order to relieve the pain, they set up various patient groups to try to keep warm, however, the effect is limited. One patient said, “I’ve quit groups like this because it’s too much emotional frustration from shouting and screaming all day long.” Emotional frustration can indeed lead to big problems. In the Pengcheng Hospital bloodbath in Shenzhen, the murderer took revenge because the doctor treated him for rhinitis and the results did not meet his expectations, and when he was caught, he said he “wanted to die. In the bloodbath at Xinxiang Second People’s Hospital, the murderer killed his own attending doctor five years after the surgery because the nasal septum surgery was “unsatisfactory” …… Demystifying Empty Nose Syndrome Empty Nose Syndrome may have indirectly “murdered” many doctors. “The disease is still very “new” in mainland China. It is new, not because there are not enough patients, but because the entire Chinese medical community lacks proper attention to it, and very little has been described about it. Huang (17), director of rhinology at the Department of Otolaryngology at Taiwan’s Lin Kou Chang Gung Hospital, said that the disease is a delicacy in the cupboard coated with felt invasion of the footwear. “. Most of these patients undergo surgery for prior allergic rhinitis, hypertrophic rhinitis or rhinitis], where the inferior or middle turbinates are excessively trimmed, resulting in excessive nasal passages. In this case, patients often complain of dry throat or foreign body, nasal congestion, dizziness, poor sleep quality, chest tightness and depression. A few otorhinolaryngologists from the Union Hospital of Tongji Medical College of Huazhong University of Science and Technology also published a paper stating that the cause of empty nasal syndrome is related to the most common destructive surgery of the nasal mucosa and that about 20% of patients develop empty nasal syndrome after inferior turbinate removal. The paper also “concluded that destructive procedures involving the mucosa of the turbinates, such as laser ablation and severe electrocautery, should be prohibited” and “urged otorhinolaryngologists to perform turbinotomy with caution to prevent the sequelae of empty nose syndrome after turbinate surgery”. The murderer of the Wenling doctor, Lian Enqing, underwent a minimally invasive resection of the submucosal portion of the bilateral inferior turbinates. The above paper also points out that Empty Nose Syndrome is a subjective disease that needs to rely on the patient’s description of the symptoms to be determined and cannot be detected by examination alone. This explains why patients with Emphysematous Rhinitis repeatedly show normal results on reexaminations and why even Enqing has taken dozens of CTs without proving that he has the disease. Unfortunately, the appeal of a few doctors in China ripples, according to patients with Emphysema, when they seek medical advice everywhere, most doctors do not know much about this disease, and only a few doctors with the level of major hospitals may know. It is undeniable that the popularity of minimally invasive nasal turbinate ablation surgery, such as plasma, has increased the prevalence of empty nasal disease and created a potential problem for medical disputes. How can we ignore the cries of “help us, have some hope” from patients with empty noses? While severely punishing those who injured doctors, we should not keep quiet because of the sensitivity of the incident, but more importantly, we should “trace the root of the problem” to effectively solve the problem and avoid the recurrence of the tragedy!