Chapter 403 If You Are Really Tired

Sometimes, I don’t understand even more. It’s clear that someone has gastrointestinal discomfort, why do you go around so much and don’t just ask the patient to see a gastroenterologist? Is it to keep the examination fee in the Department of Psychosomatics? I really don't understand why the teacher treated me like that.

But when it came to me, I basically sat there stupidly. I really sat stupidly. Either I was suppressed and speechless by a strong patient like Li Xiaoyun, or I met a patient like Li Mu. He did say He talked a lot, and even emphasized his situation repeatedly later, but I couldn't seem to find a solution, so I just listened, really, I just listened, listened, I listened to what he said, and after he said it, I Pour him some water and he continues.

Later, I could only ask him, do you think there is a reason for these things? Did you not sleep well, or have you been too tired from work recently?

He told me that he was really tired recently. Not only was the company a headache, but he also inexplicably agreed to participate in a reality show, the very popular one [Qi-Pa Duel]. He said he would go to record it after get off work. The program is recorded four days a week, and fortunately the filming location is around the sea.

He looked quite helpless, but he also said that this program might help him get through the company's difficulties.

I feel that Li Mu is very hard-working and serious, but he is very tired, and he said that he gets angry when he can't control himself. Sometimes he gets angry suddenly without knowing the reason.

I suggested that he go for some physical examinations. I also learned this from Teacher Muchun. I was worried that he might also have thyroid dysfunction. He said that he had just had a comprehensive physical examination recently and no problems were found. That was pretty much it. Later, when I had nothing to say, I asked, what do you think is the reason? When did these things start? Is there possibly a reason for all this, or a beginning? "

After Chu Sisi finished speaking, her heart was beating loudly, and her brain was getting more and more excited.

Muchun immediately praised Chu Sisi, "It's very good. The progress is very fast. Last time I only learned [listening] initially, but this time I can make the patient talk so much and collect so much useful information."

"No, no, teacher, don't say that. Are you encouraging me? This time it was clearly the patient who was treating himself. He just wanted help, so he tried his best to help me understand his condition, and It's not that I used any useful techniques to make him talk a lot, that's not the case at all. Teacher, don't praise me so much, it's better to be stricter." Chu Sisi finished speaking in one breath and relaxed her shoulders.

"Then let me tell you, you did a good job indeed. It may be due to the talent of the female therapist, or it may just be the talent of Dr. Chu. I have not taught you in particular, but you have learned a method without a teacher. Since you have no teacher, Once a teacher has mastered the skills, he will just do more professional improvements in this area in the future. There are two questions Dr. Chu raised very well and very professionally.

First: You asked Li Mu what do you think caused these terrible thoughts. This is a good question.

Second: You told Li Mu that there will always be a beginning. This is very professional.

So I said Chu Sisi's performance today was very good. "

"Teacher Muchun's analysis is so good. It's really like this. It's true when you say it. Sister Sisi performed very well today and was very effective in helping patients think about and understand their condition. In fact, we in the Department of Internal Medicine Questions like this are often asked at the beginning of treatment. For example, if the patient says, "I haven't been able to sleep well recently," I will immediately ask, "How long has it been since?" When did this really start? It is very important, but the problems that psychosomatic doctors may encounter are not obvious symptoms, not [Main Complaint: Headache for 5 days, taking painkillers is ineffective]. I am very familiar with this kind of record, but patients in the psychosomatic department may not be like this. When talking, they always talk about a lot of symptoms. Some symptoms cannot be described at all, and there is no disease manual to refer to. Sister Sisi really needs to remind the patient that he needs to recall what may have caused it. The current state of chaos.”

Liu Dandan's analysis was clear and logical. Liu Tiantian could only clapped his hands and encouraged him: "I'm a complete scumbag. Now that Sister Sisi has caught up, I still don't seem to have made any progress. I'm just an intuitive detective myself. Forget it. , I am still interested in reasoning, and it is okay to guess what the patient is thinking, but it seems a bit difficult for me to ask so patiently. "

"This is not a difficulty. Both patient therapists and intuitive therapists have their own strengths. There is no distinction between good and bad." Muchun encouraged Liu Tiantian.

Liu Dandan then said, "What Teacher Muchun said is absolutely right, and I was just about to say a piece of good news. When I went to Jingyi University to inquire about graduate courses, I met a student of Professor Chu, named Liu Shihua, who said... A student of Professor Chu told me that Professor Chu is preparing a master's degree course in social work in the direction of mind-body medicine. This course may be more oriented to current and graduated students in law, medicine, pharmacy, and nursing. According to Liu Shihua, you may be able to apply for the exam next year.”

"That's a good choice. A postgraduate course where you can study while working would be better. After all, I quite like being a nurse in the hospital, even though I am a less professional nurse." Liu Tiantian smiled awkwardly.

"So how is Li Mu's condition? Teacher, I think he is in pain - very painful." Chu Sisi asked.

"When did you ask him to come for a follow-up visit?" Mu Chun asked.

"He said he might not be able to come recently, and the earliest would be next Thursday, because he has to record a program almost every day. He can't spare time to come to the hospital during the day. He has a lot of things to do and wants to come after he finishes his work." Chu Sisi told Mu Chun everything.

"I'm also worried. Since he has said he will come on Thursday, he can only wait. Let's prepare for the afternoon work." Mu Chun said, half lying on his lounge chair, and took out a copy of "Sleeping Man" from the drawer.

Liu Dandan looked at the "Sleeping Man" in Mu Chun's hand reluctantly, but still couldn't help asking, "Teacher Mu Chun, can you lend me this "Sleeping Man" by Neil Gaiman?"

"Liu Dandan, you can't afford to buy a book, right? I heard that you took Sisi to eat pot stickers and hot and sour soup for a few yuan a tael? It is said that doctors have a good income. Why do I feel that Teacher Mu Chun is poor, and you are also poor. You are both poorer than each other." Liu Tiantian said and pulled Liu Dandan out of the outpatient department of the Department of Psychosomatic Medicine.