Chapter 122: Drunkenness

The reaction of "......" was naturally something Xu Jiannan did not expect. She said so much professional knowledge so that Cao Li could correctly understand the damage of alcohol to the brain, but she didn't expect that this man who was obsessed with alcohol would treat her as a fellow practitioner......

Looking at Cao Li's expression, he fell to the ground with admiration for everything Xu Jiannan just said. If it weren't for the fact that this is a hospital, there would probably be eighteen bowls on the table and pull Xu Jianan's worship.

Xu Jianan smiled awkwardly: "No...... Mr. Cao, I think you misunderstood. I know this because alcohol addiction, alcohol dependence, is one of the conditions that we must understand. It's not because I'm also addicted to alcohol......"

Hearing Xu Jiannan say this, Cao Li pouted regretfully and said, "Oh, so that's the case." Well, I'll just say, how many women in the world know so much about wine? Even if there were, it wouldn't be my turn to sit across from me and listen. ”

Xu Jiannan looked at Cao Li, who had "lost his confidant" opposite, and had no choice but to persuade: "Mr. Cao, you see the damage to the brain caused by alcohol when I said it, it is irreversible. You don't feel too much discomfort now, that's because the harm of alcohol to the human body is divided into acute and chronic, and the acute effect is acute gastric bleeding, esophageal bleeding, etc. The chronic effect is that through years of drinking, it causes damage to various organs, and the lesions are manifested in the central nervous system and peripheral nervous system, muscles, heart, liver, pancreas, digestive system, etc. You...... Didn't you find that you had poor physical fitness, memory loss, difficulty concentrating, and so on?"

Cao Li thought for a while and said, "...... Isn't that normal? As you get older, you have to have these problems. And how tired people are now, who hasn't had a little problem?"

Xu Jiannan shook his head again and said, "No, Mr. Cao, the injury caused by alcohol has nothing to do with the age you said. Even if you are only 39 years old, you should not be able to reach the level of memory loss, right? Most of the alcohol we usually ingest through the mouth is absorbed in the small intestine, after blood circulation, and enters the organs of the whole body, only 2 to 10 percent of the alcohol can be excreted through exhalation, urine, and sweat, and all the rest will be metabolized into acetaldehyde, acetic acid, and finally into water and carbon dioxide in the body. And the liver you just mentioned is the largest place of metabolism. In the process of metabolism, some intermediate products are produced, such as hydrogen ions, pyruvate, purines. Therefore, in clinical practice, we can often see patients with hyperlactic acidemia, hyperuricemia, that is, gout after drinking a lot of alcohol. Long-term heavy drinking will hinder the oxidation of fat in the body, and the accumulation of fatty acids and neutral fat in the liver will form fatty liver, hyperlipidemia, arteriosclerosis, alcoholic hepatitis, liver cirrhosis and so on......"

Without waiting for Xu Jianan to finish speaking, Cao Li interrupted her as if begging for mercy and said, "Okay, okay, Doctor Xu, please, don't say it again!" What you said is so professional, although I can't fully understand it, but I know what you want to express, you just want to tell me that you must cooperate with the treatment, otherwise it will be a matter of time before you will die sooner or later!"

Xu Jianan thought about it for a while and said: "If you think it's easier to understand like this, then it's not impossible to understand it this way." ”

Xu Jiannan and Cao Li talked about the present, and they have just passed the first hurdle. In the process of treatment, the first thing to overcome is the patient's "denial", denial of his own alcohol addiction, denial of the harm of alcohol, and so on. Cao Li is a complete denial. He doesn't feel that alcohol has any effect on people, he doesn't think that he has to reach the stage where he needs to quit drinking, and even from what he said, he still has a feeling that "wine is the essence of food, and the more you drink, the younger you are". Therefore, if Xu Jiannan started to directly enter the treatment stage for him from the beginning, he would not be able to listen to anything. must hit him again and again, deny him, and make him clearly realize that his denial is all wrong, so that Xu Jiannan can let him know what is right.

I only heard Cao Li sigh and say, "Okay, since you have already sentenced me to death, I will admit to dying sooner or later." All I know is that I've heard of quitting alcohol and suddenly quitting to death. Dr. Xu, why would my family rather me die like that than let me live happily?" he suddenly showed a somewhat sad expression.

Xu Jiannan explained to him: "I admit that if you already have an addiction and alcohol dependence, then there will be some reactions after withdrawal. If you drink alcohol for a long time and suddenly stop or reduce the amount of alcohol, it will only take a few hours at the earliest, and tremors will appear in the hands, tongue, eyelids, etc. It is accompanied by symptoms such as insomnia, nausea, vomiting, headache, anxiety, emotional instability, etc. There may also be autonomic hyperactivity, such as rapid heartbeat, increased blood pressure, and sweating. A small number of patients also have transient delusions or hallucinations. ”

Cao Li looked at Xu Jianan in surprise and asked, "It's so terrible, do you still have to quit? I think the symptoms you mentioned are much more painful than I am now! On the contrary, I feel very happy now! It is my family and them who think I am unhappy!"

"Is it convenient to talk to me about your family?" Xu Jiannan gradually entered the topic.

Cao Li wiped his face and said very tiredly: "Actually, there is nothing to say, both parents have a wife, a child, and more than one child." As for myself, I contracted a courier point, receiving and sending mail every day, and there was no rest in spring, summer, autumn and winter. In the summer, I rode my little electric tricycle to deliver couriers, and the sun baked the seats like a stove, and at the end of the day, my butt was blistered! haha...... It's hard for me to imagine how I'd survive a day like this without this little bit of wine to support me. ”

Xu Jiannan could see that what Cao Li said was from his heart, and he was indeed a hard worker. But if you carefully observe Cao Li's facial features, skin, hands, etc., you will find that his foundation is not a hard worker, and he may even have lived a worry-free life since he was a child.

What caused his life to change dramatically? At this point, it may be the cause of his alcoholism.

So, Xu Jiannan asked casually: "I don't think you seem to have suffered since childhood, your family conditions should be good, right?

Cao Li looked at Xu Jiannan for a while, and said with interest: "Doctor Xu, I am a person with little knowledge, and it is the first time I have seen a psychiatrist...... Are you psychiatrists so terrible? Even if I tell you about my current life, you can still see how I lived a long time ago? Yes, you're right. My grandfather was the vice president of so-and-so university, and my parents were also good civil servants. But I can't do it anymore, I didn't have a serious job since I was a child, and I didn't get into a good university, but thanks to my family, I did do a small business. Growing up, there wasn't anything I needed to worry about, and there wasn't anything I had to worry about. So I'm more willful, and I belong to the kind of person who lives more selfishly. Haha, now that I think about it, in those years, I probably used up all my life of self. Later, in my twenties, I met my girlfriend, I liked her very much, and for the first time I was so serious about women. ”

"But she's not your current wife. Xu Jianan interjected.

Cao Li's eyes widened again and asked, "How do you know?!"

Xu Jianan smiled: "Because your narrative is 'girlfriend', if they are the same person, you will say 'my wife', which is very simple." ”

"You're amazing...... Well, I'll admit, they're not alone. At that time, I was young and vigorous, I bought a sports car, I bought a house, and I was ready to marry my girlfriend. She was the first and only woman who made me want to get married. But then one day...... On my birthday, I drank a little wine, and at that time I didn't drink enough, and I couldn't drink a few bottles before I was confused, let alone liquor, and I would vomit when I smelled it. That night......" Cao Li suddenly couldn't speak, he moved his lips twice with difficulty, but he still didn't speak.

However, Xu Jiannan had almost thought of what was going on, but at such a moment of emotional ups and downs, she was unwilling to disturb Cao Li or give him greater stimulation. So Xu Jiannan waited patiently, quietly waiting for Cao Li to calm down his emotions and be able to face the facts bravely.

It is not an easy task to reflect on the scars and pains of your past. It is not easy to face the irreparable and fatal mistakes you have made in the past. Cao Li no longer has a heartless smile at this moment, nor does he have the "open-mindedness" of early death and early relief. He became nervous, restless, even so anxious that his hands trembled, and for the first time, his eyes were so attentive and unslackened, staring very intently at the ground, his eyes full of pain and guilt.

Xu Jiannan still didn't urge him, she just waited quietly. Until, Cao Li slowly raised his head, looked at Xu Jianan, and said in a low voice: "That day...... After I had a drink, I drove her for a ride...... There was a car accident. ”

Although Xu Jiannan had already thought of such a result, after listening to Cao Li's trembling voice at this time, he still nodded to him with deep regret, and then signaled that he could continue.

But Cao Li swallowed his saliva at this time and asked Xu Jianan, "Doctor Xu...... I...... I'm very uncomfortable, can I drink saliva?"

"Absolutely. Xu Jiannan poured two glasses of water for Cao Li. A cup was placed in front of him, and a cup was handed to him. I saw him take the paper cup with trembling hands, and then tilted his head as if he was pouring wine, and drank it all.