If you're coming to the hospital for a run, that's an exaggeration. But it is likely that this is the most reasonable assumption.

So why do you have to race against the clock?

The reason is probably two giant puffs.

Because he ate two puffs and was worried about sugar, he wanted to reduce the conversion of sugar into fat by running, which is why the big star appeared at the Garden Bridge Community Health Center.

I was lucky enough to meet the big star thanks to this treadmill.

Thinking of this, Mu Chun couldn't help laughing.

"What are you laughing at, by the way, teacher, how should we start treatment when we encounter such a patient?"

"First of all, we have to evaluate ......," Mu Chun corrected Chu Sisi's question.

"Oh, yes, yes, I found that I couldn't start a period of treatment, how to say, Teacher Mu Chun always seems to be very methodical, one, two, three steps, and I often have a feeling that I don't know the treatment steps, as if I will be taken away by patients from time to time."

"Taken away by a sick person?" Liu Tiantian didn't understand Chu Sisi's words, as a nurse, it was impossible for her to be taken away by the patient, because she took the patient away.

"Well, for example, there have been cases before, where a patient came to my clinic, and then I tried to talk to the patient, and the conversation became that the patient was talking, and I was completely listening to the patient, and it even happened that I couldn't interject."

This question has been buried in Chu Sisi's heart for a while, because Mu Chun has been very busy before, busy cooperating with the police to deal with the case, busy with the case and busy with the mental health annual meeting, Chu Sisi can't find time to ask the teacher for advice, it happened to be raining heavily today, and there are no patients in the outpatient clinic, Chu Sisi finally found an opportunity to seize Mu Chun to study hard.

Seeing that he has been interning in the hospital for more than a year, although he can already receive patients independently, Chu Sisi is still hesitant every time he faces a new patient, he doesn't know how to start, and he doesn't know how to progress correctly, he is now anxious to want a set of scientific processes to help her control the pace of treatment.

I don't know if through my own efforts and serious study, one day I will be like Mr. Mu Chun, I will always want to know what to do when facing patients, calm and calm, and not surprised.

"It's not the worst-case scenario, it's even a better situation, it's better for the patient to talk than not to talk at all, and if a patient comes to the hospital and sits in front of you and doesn't say a word, then the assessment becomes extremely difficult.

Developing a treatment plan for a patient starts with a thorough understanding of the person. ”

"Comprehensive?" Liu Tiantian's eyes widened, "Wait, Doctor Muchun, wait a minute, I want to find a piece of paper." ”

"What are you looking for paper for?"

Mu Chun was puzzled.

"Of course it's note-taking, I've never heard of a doctor treating a patient needs to have a comprehensive understanding of the patient, and then Dr. Chu will definitely ask what a comprehensive understanding includes, right, Dr. Chu?"

"Well, I'm going to take notes too. Although I know that the teacher is going to say that I should remember it first and wait a few hours before trying to remember it and write it down in my notebook, I think it is easier for me to take notes on the spot. ”

After Chu Sisi finished speaking, he took out a blue notebook.

"Let's get started. Information that needs to be assessed and available includes:

Demographic characteristics

Mental condition

Cultural and religious background

Physiological characteristics and abilities, medical conditions

Behavior

Emotions and emotions

Intelligence, thinking, and learning styles

Family structure and family background

Other relevant histories and experiences

Social behavior

Lifestyle

Education and professional experience

Family history of mental disorders

Other related fields

and the patient's description of the current condition. ”

"Do you have to gather all of this from the talks?" Chu Sisi had a headache, and Liu Tiantian directly suspected that he was a scumbag.

"It seems like a lot of items, but these things are very important, and if you think about it, you will find that these are necessary, and if you don't collect the data well, the diagnosis and treatment in the future are likely to go in the wrong direction.

For example, a doctor who is completely unaware of the patient's cultural environment thinks that the patient's daily prayer for food is a compulsive ritual, and it is likely to be a joke to treat the patient according to the method of obsessive-compulsive disorder.

Jokes are not forgotten, if the treatment is not in line with the condition, the patient will be delayed. ”

"But it's really difficult to collect so much information just through conversations, if you encounter the kind of patients who come to the hospital and talk endlessly, it may be better, but if you meet some patients, they shake their heads three times and don't answer any more questions, isn't it at the stage of conversation, can't we grasp useful information at all, if so, wouldn't we have no clue about the treatment plan for patients?"

"Yes, generally speaking, patients come to the hospital in the hope of being able to get help, except in some special cases.

Let's start with the fact that in most cases, after a long period of pain and suffering, when the disease progresses to the most serious time, it is also the best time for treatment, and at that time, the patient will think of seeking help and completely get rid of the psychological disorder that has tormented him for a long time. ”

"Will there be such a point in time?" Liu Tiantian asked.

"It depends on a lot of factors, first, the patient needs to know that there is a place to go for help; Secondly, he is no longer afraid to tell others that he is a weird person and that there are some unspeakable questions. ”

"The main reason is that many people still don't know about physical and mental health, and even if some people do, they still have a lot of misunderstandings, such as Fang Jia's mother before, the family was very fierce, obviously her child had a problem, but she still said that the doctor was wrong, and Xie Xiaofei's mother also said that the doctor was wrong." Liu Tiantian pouted unhappily, feeling a little uneven.

"It doesn't matter if there is a misunderstanding, the misunderstanding will always exist in this world, and there will be no day when it will completely disappear, not to mention that individuals are separated from each other, no one can really understand what the other person is thinking, and the difference in professional fields is impossible for everyone to understand what is going on in physical and mental health, or what is going on in a person's mental health.

Generally speaking, patients will take the initiative to inform some basic information, including a description of the current situation and their occupation, family, etc.

A lot of people's distress comes from the conflict between people, between people and the environment, and when patients describe their depression, they often mention for example - I feel bad every time I get home, or I am fine when I am at home, but I am very depressed when I am at work. There is often always a specific environment that helps us to get a complete picture of our patients.

In addition, some assessment scales can be used to make it easier for us to collect data. ”

"It turns out that there is still a tool like a scale, Dr. Mu Chun is really good at hiding, and he didn't tell us until now."

"The teacher said at the end that there must be a reason for the scale, right, teacher."

"Dr. Chu is really good at thinking from the perspective of others, which is very good! Here's what you'll all learn in graduate school, take your time and don't rush. ”

"But what if the patient is particularly uncooperative, and he just can't explain it clearly?" Liu Tiantian has a lot of questions.

Chu Sisi also wanted to know, "What if the patient himself can't speak clearly at all?" ”

"So when we are in the physical and mental health department, the information provided by the people close to the patient is also very important, and the other point is - generally speaking, I refuse to go to the clinic, if the patient is not willing to receive physical and mental treatment, our work is very difficult, and formulating a treatment plan is almost equivalent to fishing for the moon in the water or scratching the itch in the boots?"

"I see, no wonder the teacher decisively rejected Xiaoying's assistant's request to visit last time."

"Yes, the patient's trust in the doctor and the patient's expectation of improving their condition are both significant to psychosomatic treatment, sometimes more useful than medicine.

It is critical for clinicians to raise their hopes and expectations for positive outcomes early in the treatment process, and there is a correlation between the patient's personal characteristics and the outcome of the treatment.

In therapy, individuals who are friendly, open, emotional, and express thoughts and emotions are more likely to develop positive expectations for treatment; Patients who are actively involved in treatment are more likely to improve regardless of which treatment intervention is used.

Patients who have good object relationships, exhibit great self-strength, and are able to take responsibility for problems are more likely to have positive outcomes than those who see these problems as external difficulties because they are motivated to change.

For example, Xiaoying's own willingness to treat is not strong, and she does not pay much attention to headaches and whether she has other psychological disorders, in this case, even if the assistant is in a hurry, the treatment may not be able to develop in a positive direction. ”

In the end, the patient's willingness to be treated is still very important.

Liu Tiantian quietly summed up in his heart.

On the other side, as soon as they arrived at the radio station, the staff ran over, walked through the long aisle, ran to Xiaoying and bent down to salute, with a very polite attitude.

"It's really hard for Xiaoying to rain so hard, this season is really annoying." Xiao Fang, the staff member in charge of reception, smiled flatteringly.

Yes, it rained all day today, and it rained for a while in the early morning, and then I thought it was clear, but I didn't expect it to be past lunch time after I came out of the set, and it was still raining.

After arriving at the lounge, Xiaoying said hello to the radio host, the host said that he would go first, ready to let Xiaoying rest for a while, Xiaoying said politely: "It's okay Baiyun, we've known each other for so long, you are busy and let your colleagues call me." ”

Bai Yun smiled and patted Xiaoying's shoulder and leaned into Xiaoying's ear, "It's really getting more and more beautiful." ”

The two have a good personal relationship, when Xiaoying first debuted, Bai Yun was already a well-known radio host, several times there were big stars on the radio, Bai Yun helped Xiaoying to participate in the show, and the star talk show hosted by Bai Yun has always been a gold medal program from two to five o'clock in the afternoon on Friday, and the listening rate has been very high.

Now the limelight of Internet radio is getting bigger and bigger, and it has overshadowed traditional radio stations, as if the ratings of Internet celebrity live broadcasts have surpassed many variety shows, but the listening rate of Baiyun's program is still very high, also because Baiyun himself has its own traffic.

As soon as Xiaoying walked into the lounge, she saw two artists with similar coffee positions to herself, and after seeing Xiaoying come in, the artists who arrived first took the initiative to say hello to Xiaoying.

"Xiaoying, come and sit here, it's raining so hard, we are not late, it is really the conscience of the industry."

Speaking with humor is Wang Tao, who debuted with a talk show, and is now a hot star in various variety shows, as long as Wang Tao is in the show, the ratings can often bring surprises.

Wang Tao himself is also happy, a pair of slender eyes smile really like the moon in the pen of a literati, and he is full of witty words when telling jokes, as if he also knows the balance of the interactive link, and rarely steals the limelight from other guests.

Artists don't like to be robbed of the limelight, people who know how to measure can usually go more smoothly and go farther, among the younger generation of male artists, Wang Tao is a newcomer that everyone likes, so he has also made a lot of good resources over the years, and now he can participate in radio programs with Xiaoying.

Suddenly, Xiaoying secretly sighed, and I don't know if I rubbed Wang Tao's popularity or Wang Tao's popularity in today's show.

Am I as hot as Wang Tao now?

The question suddenly looked like a piece of chewing gum stuck to the wall, and Xiaoying tried to ignore the idea, but she couldn't ignore it anyway, as if she was being targeted.

She felt her heart beat fast and her head seemed to start hurting.

Oh no, it's good to stay in the hospital for two more minutes just now, the doctor Mu Chun also said that I want to prepare some painkillers, I believe with experience that I won't have a headache when I work, what if I have a headache now?

"Sister Xiaoying, are you okay?" Wang Tao's mind was quick, and he saw that something was wrong with Xiaoying, and immediately asked with concern.

"I ...... It's okay. After Xiaoying finished speaking, she took off her sunglasses and squeezed out a bright smile, she smiled a little exaggeratedly, but it was beautiful.

It must be beautiful.

Sure enough, Wang Tao was immediately persuaded by her smile, "Sister Xiaoying is really better than a girl's complexion, speaking of which, it's the first time we've worked together, I'm really lucky, seeing Sister Xiaoying so closely, it's really like a girl from the second dimension." ”

"The second dimension is too exaggerated, I don't want to be the wife of otaku."

Xiaoying replied humorously, the temperature is neither lukewarm nor hot, which is just right for her temperament.

Wang Tao finished saying hello, and Luo Shanshan, who was preparing on the side, also took the initiative to find a time with Xiaoying.

Luo Shanshan has suddenly become popular recently, the red is inexplicable, people in the circle don't know what her backstage is, Xiaoying is the first time to see Luo Shanshan real person, more than 170 cm tall, with a palm-sized face, Wang Tao's two-dimensional praise just now is just right for her.