Gafner G
Veterans Administration Medical Center, Tucson, Arizona.
J Med Ethics. 1987 Dec;13(4):195-7. doi: 10.1136/jme.13.4.195.
The 84-year-old man's incessant yelling caused him to be unmanageable in all settings--at home with his aged wife, in nursing homes, and on the medical and psychiatric floors of a Veterans Administration Medical Center. A host of behavioural and pharmaceutical interventions were attempted unsuccessfully. Finally, it was proposed that a single, recurrent laryngeal nerve be crushed in order to 'render his voice to be a very acceptable soft tone'.
这位84岁的男子不停地叫嚷，导致他在任何环境中都难以管束——无论是在家里与年迈的妻子相处时，在养老院里，还是在退伍军人管理局医疗中心的内科和精神科病房。一系列行为和药物干预措施都尝试过了，但都没有成功。最后，有人提议挤压一根单侧喉返神经，以便“让他的声音变得非常柔和，易于接受”。
