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cover of episode Ep. 88 | 15,000 Coughs/The Putrid Smell

Ep. 88 | 15,000 Coughs/The Putrid Smell

2025/6/10
logo of podcast MrBallen’s Medical Mysteries

MrBallen’s Medical Mysteries
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Mr. Ballin
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Narrator
一位专注于电动车和能源领域的播客主持人和内容创作者。
Topics
Alejandra Soto: 作为Maggie的母亲，我一直尽力照顾她的健康。当她反复咳嗽，各种治疗方法都无效时，我感到非常焦虑和无助。我尝试了各种方法，从西医到针灸，只希望能够减轻她的痛苦。我甚至开始怀疑是否有什么潜在的、未被发现的疾病在折磨着她。为了Maggie的健康，我愿意付出一切，包括牺牲我的工作和个人时间。 Maggie: 我也不知道为什么我会一直咳嗽，虽然吃药和针灸可以暂时缓解，但很快又会复发。我感觉我的鼻子、喉咙和胃都不舒服，这让我更加烦躁。去看医生已经成了我生活的一部分，但我并不觉得他们真的能帮我解决问题。有时候，我觉得妈妈比我还担心我的咳嗽，这让我感到内疚，但又忍不住希望她能多关注我。 Dr. Daniela Vega: 作为一名心理学家，我注意到Maggie的咳嗽行为与她的情绪状态密切相关。当她谈论自己感兴趣的事情时，咳嗽会明显减少。这让我怀疑她的咳嗽可能是一种心理上的表达，是她潜意识里寻求关注的方式。通过详细的病史分析和心理评估，我最终诊断她患有声带抽动症，并制定了相应的治疗方案，包括低剂量的抗精神病药物和心理治疗。看到她的咳嗽逐渐减轻并最终消失，我感到非常欣慰。

Deep Dive

Chapters
An 11-year-old girl's persistent cough baffled doctors until a psychologist uncovered a surprising cause: a vocal tic stemming from a subconscious need for attention. The case highlights the complex interplay between physical symptoms and psychological factors.
  • 11-year-old girl's cough (15,000 times/day)
  • Initially diagnosed with bronchitis
  • Various treatments failed (inhalers, allergy meds, acupuncture)
  • Psychologist identified a vocal tic as the root cause
  • Treatment with antipsychotics and therapy resolved the issue

Shownotes Transcript

“15,000 Coughs”: When an 11-year-old girl develops a worrisome cough, her workaholic mom drops everything to get her help. But nothing seems to work. Soon, her daughter is coughing almost constantly – 15,000 times a day – and doctors have no idea how to stop it.

“The Putrid Smell”: A woman spends her life dealing with an embarrassing and infuriating problem: she smells like dead fish. But she can’t smell it herself – and she can’t fix it. It’s so bad, she can’t form any meaningful relationships or keep a job she enjoys. Isolated and alone, she begins to worry she’ll spend her life on her own…

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