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 cardiology department? I really don't understand why the teacher treated me like that.
But when it comes to me, I basically sit there stupidly. I really sit stupidly. Either I am suppressed and speechless by a strong patient like Li Xiaoyun, or I meet a patient like Li Mu. He really said 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 he having a headache with the company, but he also inexplicably agreed to participate in a reality show, which is the very popular one [Qi-Pa Duel]. He said he was going 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 seemed helpless, but he also said that this program might be able to help him get through this difficult time in the company.
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 examination, which I also learned from Teacher Mu. I was worried about whether he also had 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.
Mu 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 treated himself. He just wanted help, so he tried his best to help me understand his disease, 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 her shoulders relaxed a little.
"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 Mu'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 diseases. In fact, we treat it in internal medicine. I often ask questions like this at the beginning. For example, when a patient says, 'I can't sleep well recently,' I will immediately ask, 'How long has it been? When did it start.' When does it really start? It is very important, but the problem that a cardiologist may encounter is not an obvious symptom, not [Main Complaint: Headache 5, taking painkillers is ineffective]. I am very familiar with this kind of record, but patients in the cardiology department may not talk like this. They always describe 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 the current problem. Chaos."
Liu Dandan's analysis was clear and logical. Liu Tiantian could only clapped his hands and encouraged him: "I am a complete scumbag. Now that Sister Sisi has caught up, I still don't seem to have made any progress. I am just an intuitive detective myself. Forget it. , I am still interested in reasoning, and guessing what the patient is thinking is okay, 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." Mu encouraged Liu Tiantian.
Liu Dandan then said, "What Teacher Mu 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 the postgraduate courses, I met a student of Professor Chu, named Liu Shihua, who said it was Chu A student of the professor, he told me that Professor Chu is preparing a master's degree course in social work in the direction of psychological medicine. This course may be more oriented to current and graduated students in law, medicine, pharmacy, and nursing. Listen Liu Shihua said that 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 still like to be a nurse in the hospital, even though it is a less professional nurse." Liu Tiantian smiled awkwardly.
"So how is Li Mu's illness? Teacher, I think he is very painful." Chu Sisi asked.
"Did you ask him to come for follow-up consultation when?" Mu asked.
"He said that he might not be able to come in the near future, and it might not be until next Thursday at the earliest, because he has to record a program almost every day. He can't spare time to come to the hospital during the day. He is busy with many things, and he wants to come back after he is done. ." Chu Sisi told Mu exactly what she said.
"I'm also worried. Since I said I'd come back on Thursday, I can only wait a while. Let's prepare for the afternoon's work." After Mu finished speaking, he was half lying on his lounge chair and took out a copy of " Sandman".
Liu reluctantly looked at the "Sandman" in Mu's hand, and still couldn't help but ask, "Teacher Mu, can you lend me this copy of Neil Gaiman's "The Sandman" for a while?"
"Liu Dandan, you can't afford a book, can you? I heard that you took Sisi to eat pot stickers and hot and sour soup for a few yuan and a tael? They say doctors earn well, why do I feel that Teacher Mu Poor, you are poor too, each of you is more moneyless than the other." After Liu Tiantian said this, he pulled Liu Dandan out of the cardiology clinic.
