Chapter 458: If you can't let her think for herself
When Mu Chun returned to the office, Chu Sisi's driver had already come. There are plenty of food neatly arranged on the table, including salmon sushi, shrimp rolls, tempura, and piping hot eel rice in a Japanese lunch box.
The Japanese cuisine produced by Chu Sisijia is not only fresh but also very good at keeping fresh and keeping warm, and the color, aroma and flavor are no different from the dishes freshly served in the Japanese restaurant.
"Do you want to wait for Liu Dan to come back and eat together?" Chu Sisi asked while placing the food box.
"No need, you eat first, I'm not hungry, I'll eat later." Mu Chun replied.
"How can you not be hungry? Let's eat a little first, there will be an outpatient clinic in the afternoon. Chu Sisi cared and handed a box of eel rice to Mu Chun.
"Wow, Doctor Mu Chun, eat it quickly, this eel rice is even more delicious than 188 servings, if you don't eat it while it's hot, it's a tyrannical thing." Liu Tiantian happily praised Chu Sisi's eel rice while enjoying the food heartlessly.
Chu Sisi still has some worries, and always feels that Liu Dan's personality should not be so unstable, how could he make such a big deal today and provoke everyone to the hospital.
Mu Chun saw Chu Sisi's thoughts and comforted: "Eat first, and then think about things after eating." ”
After speaking, Mu Chun took the eel rice and ate it in a big gulp, and seeing that Mu Chun was eating it very fragrantly, Chu Sisi also ate it.
Liu Tiantian quickly finished eating and began to attack the sushi, and when she grabbed a salmon sushi, she looked at Mu Chun, and then asked, "Didn't Doctor Mu Chun go to buy orange juice?" What about orange juice? ”
"Drunk." Mu Chun replied casually.
"Drunk?" Liu Tiantian repeated in surprise.
"Well, I drank it." Mu Chun repeated.
"Wow, this is talking nonsense with your eyes open, Doctor Mu, you didn't buy it at all, it's obviously in your heart that Liu Dan specially sent him to the dean's room, and he still wants to save face in front of our girls, saying what is going to buy orange juice at a convenience store, how can there be orange juice, I think Doctor Mu Chun is a knife mouth tofu heart, no, it's just a girl's heart."
Liu Tiantian pouted and bumped Chu Sisi with his elbow, "Isn't it, Doctor Chu." ”
"Ah, I don't know, what are you talking about? What orange juice? Chu Sisi looked at Liu Tiantian innocently, and said: "Now it is popular to say marshmallow heart, otherwise Teacher Mu Chun is probably a marshmallow heart." ”
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Until the eel rice was cold to the same temperature as sushi, Liu Dan did not return to the physical and mental department, perhaps because it was particularly noisy before lunch, the Garden Bridge Community Center after lunch seemed to become very quiet, and there were no patients in the physical and mental department, Chu Sisi talked to Mu Chun about the patient who had a collecting habit, and said that it was the second follow-up, and the patient was still very polite, basically he was talking about how he secretly collected the women's underwear he could find, and how he secretly slept with his aunt's underwear when he was a child.
Chu Sisi's cheeks were slightly hot when he said this, Mu Chun praised Chu Sisi for having no problems with the treatment process and skills, and the case records were also very thorough, but Mu Chun vaguely felt that this case seemed to be a little too smooth.
He asked Chu Sisi if he had any questions. Chu Sisi shook her head, as if she had gained a lot of confidence from the two treatments, and Mu Chun was embarrassed to say anything.
"Did you feel like it was going too well?" After Chu Sisi finished speaking, Mu Chun still asked.
"It went too well?" Chu Sisi didn't understand what Mu Chun was referring to.
Mu Chun shook his head and said cautiously, "I mean, do you feel that this patient seems to be telling a story when he talks about these things?" ”
Chu Sisi blinked a few times, subconsciously flipped through a few pages of the notebook, and said hesitantly: "It seems to be ...... I didn't think anything, but it was relatively smooth, and now can you judge that he is [hoarding syndrome]? ”
Chu Si thought that Mu Chun had asked her if she had any questions during the case discussion last time, and this time the teacher had such a question, what did she mean?
Chu Si didn't understand, but this treatment was obviously very smooth, and the patient also said a lot of things about himself little by little, isn't it a good thing to confide?
At the end of the treatment, the patient also said that it was indeed much easier to say it, and he was able to sleep well at night.
What's wrong with these parts?
Chu Sisi shook his head and repeated, "I don't think there's anything special about it, teacher, so if he comes back next time, how should I provide treatment advice?" ”
"Well, judging from the amount and time he hoarded underwear, it is indeed possible to consider [hoarding disorder], from your description, it seems that this patient is purposefully collecting these items, and thinking of losing these underwear will feel very painful, anxiety, even insomnia, headaches, etc., isn't it?"
Mu Chun asked.
"That's right, he said that he had been in this pain and torture for a long time, and from time to time he felt that it was not the way to go on, because his whole room was already stuffed with these things, and he said that the amount of this underwear almost exceeded the amount of clothing he normally needed, and it was all in his closet." Chu Sisi said.
Mu Chun nodded reluctantly, and said: "Listening to it this way, he has a pain in collecting women's underwear, and this pain has affected his life to some extent, such as whether it affects his social interaction or having a girlfriend?" ”
"One thing, as if he said so, said that he felt that he might be a little perverted, and he was worried about whether he was perverted, whether he was abnormal, and it was precisely because of this that he came to the psychosomatic department for treatment." Chu Sisi pondered.
"So how do you judge his [self-knowledge] about collecting underwear? Intact, damaged, or ? Mu Chun asked.
After hearing this question, Chu Sisi immediately opened his notebook and wrote it down.
"Well, this question must be clear when diagnosing, the doctor needs to clearly determine whether the patient [has or does not] self-awareness, but also judge and record the level of [self-awareness], [intact], [damaged], [none] or [delusional], [self-awareness] is very important in differential diagnosis.
Many problems in the physical and mental department will have similar manifestations, this is a case record template, you can take a look at it, and today you can focus on learning the judgment of [self-knowledge]. ”
After Mu Chun finished speaking, he opened the drawer, took out a well-printed case report from it and put it in front of Chu Sisi.
Chu Sisi took it and flipped through it a little, and exclaimed, "So many notes? ”
I didn't expect that the current Teacher Mu Chun was as serious as before?
Chu Sisi looked at Mu Chun and couldn't help but think, it should be said that the teacher was more serious than before.
As soon as I was a little moved, I felt that I would be able to make progress quickly with Teacher Mu Chun, and I heard Mu Chun say, "Note? It's all written casually, don't take it too seriously, everything still has to be based on your observations, don't follow the script, and make the mistake of Zheng Ren's purchase. ”
What's what?
Chu Sisi's just rising touch and warmth suddenly seemed like a bubble chasing the sun, po! Shattered.
"The patient's [self-awareness] should be intact, he has a clear understanding of his own behavior, and his expression is very clear, so to speak, very clear." Chu Sisi raised his chin and said confidently.
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Mu Chun saw Chu Sisi's confident expression, so he didn't say much, just reminded Chu Sisi to go back and look at the case more and carefully read a few textbooks compiled by Professor Chu, "Try to go through all those textbooks in half a year, if you don't understand something, you can ask me, if you think I can't say it clearly, you can also go to Zhinan Affiliated to find Senior Sister Xiao, Senior Sister Xiao has always been a master of answering." ”
Chu Sisi heard that he could go to study with Senior Sister Xiao, not to mention how happy he was, "Really? I also think sometimes it's better to have a female teacher teach. ”
Mu Chun nodded, he had already thought about this, indeed, as Chu Sisi said, female teachers have more advantages than men in many professional understandings of physical and mental science, and female students can also learn more with female teachers, with less resistance.
For example, in this case of collecting underwear, Mu Chun suspects that this patient has no defects in self-awareness, but he cannot be diagnosed as [hoarding disorder] because his story seems to be too smooth, and the follow-up consultation is too smooth, so smooth that it makes people suspicious.
This suspicion may be excessive or appropriate, after all, it is not his own patient, and Mu Chun cannot help Chu Sisi analyze all the points to the end, if she tells Chu Sisi her suspicions too early, it will not only have an impact on her judgment in the treatment process, but also may discourage Chu Sisi's enthusiasm, in short, it is not easy to supervise teaching.
Mu Chun thought that when he had doubts and rejection of Professor Chu's supervision, several more complex feelings were often intertwined between students and tutors.
On the one hand, it is the trust in the teacher's authority, and on the other hand, the trust in one's own growth, these two trusts should not be contradictory, but in fact they are contradictory, and this contradiction will cause many other problems, such as: students doubt their own abilities, once the teacher always makes the students in the internship feel that they have made mistakes in judgment, wrong treatment plans, etc., students may have low self-esteem and doubts, so that they cringe during treatment, as if every treatment is like facing a teacher's exam, In this case, there are not two people in the treatment room, but always three people.
In addition, if students always feel that they are wrong, they will have a kind of "but good" mentality, when facing the patient, they do not seek to solve the problem but seek that there is no fault, if the treatment does not progress, at most, the treatment time is not grouped or the best treatment method is not found, but there is nothing wrong in the general direction.
In the long run, this will not only be good for students' growth, but will also lead students astray in the wrong direction.
Another situation is more common, especially for female students, compared with male students, female students are more likely to have stronger empathy or psychological dependence on the tutor, and always subconsciously rely on the teacher's guidance at work, for example, if the teacher mentions [whether the patient's narrative is credible] during supervision, the student is likely to suspect that what the patient says is not credible, and as a result, they feel that it is not credible.
Supervision is sometimes far more difficult than self-treatment.
Therefore, it is especially important to choose a good supervisor, Mu Chun hopes that she can become a good supervisor, and hopes that Chu Sisi can grow as soon as she wishes.
Thinking of this, Mu Chun made another note in the small book in his heart, and he needed to think about and improve the supervision system......
"By the way, what happened to that Bailu? I heard that He Ping was going to be sent to the detention center on Monday, and He Ping didn't even plan to hire a lawyer, does the teacher know what's going on? Chu Sisi asked puzzled.
Mu Chun shook his head, since Bai Lu left last time, he didn't have any news of Bai Lu in the past two days, and Mu Chun was also very worried.
Regarding He Ping's case, the popularity on Weibo has gradually decreased, and Mu Chun has also read a few reports that seem to be internal information, but in fact, there is no updated information, just change the previous article to a few layouts and re-talk about it.
There is no news of Bai Lu, and Mu Chun can only pay attention to the development of things through these articles, Chu Sisi reminded Mu Chun that he should take the initiative to ask Bai Lu about the situation.
When he got off work, Mu Chun deliberately walked to the internal medicine outpatient room on the second floor, and saw that Director Qi Rong was just off work, and since he met him, he could only say hello, Director Qi said expressionlessly: "Doctor Mu is off work." ”
It's bland but it's not polite.
Mu Chun secretly looked inside, but Director Qi didn't pay attention, and packed up his things to get off work.
"Well, Director Qi is also off work." Mu Chun responded.
Qi Rong glanced at Mu Chun after locking the door, "Doctor Mu has been getting more and more popular recently, and the retired old aunts in our community have asked me if there is a neurologist in your Garden Bridge Hospital." ”
"Huh?" Mu Chun looked at Qi Rong blankly.
Qi Rong couldn't help laughing, obviously laughing, but there was still no expression on his face.
Mu Chun thought to himself that such a doctor is not bad, no matter whether the patient's condition is serious or not, anyway, the doctor is an expression - not heavy or light.
"I explained to them that they were psychologists, not neurologists, and I couldn't guarantee that they would understand." After Qi Rong finished speaking, he seemed to squeeze a smile with great difficulty.
Mu Chun also learned to smile back.
The two left the hospital one after the other, and did not wave until the entrance of the hospital.
There is no wind in the streets in the evening, and although the air is full of unfriendly coolness, the air smells crisp and pleasant because there is no north wind to rage.
Mu Chun planned to walk home, if the walking speed was not fast, it would take about forty minutes from the hospital to Mu Chun's residence, Mu Chun planned to walk again and again while thinking about some recent events.
First of all, Liu Dan's sudden situation today, and then he disappeared like this, which is really a little uneasy.
It's a kid after all!
Mu Chun's heart suddenly flashed with worry.