Chapter 407: If You're Really Tired
Sometimes, I don't understand even more, why do people have stomach discomfort, why do they talk so much and don't directly let patients go to see gastrointestinal diseases? Is it to keep the examination fee in the cardiology? I really don't understand why the teacher would treat him like that.
But when it came to me, I was basically sitting stupidly, really stupidly, either I was pressed and speechless by a strong patient like Li Xiaoyun, or I met a patient like Li Mu, he did say a lot, and even emphasized his condition repeatedly later, but I didn't seem to find a solution, so I listened, really, I listened, listened, I listened to him, I poured water for him after he finished speaking, and then he continued.
Later, I could only ask him, do you think there is a reason for these things? Did you not sleep well, or were you too tired from work lately?
He told me that he was really tired recently, not only did he have a headache about the company, but he also inexplicably agreed to participate in a reality show, which is the very popular [Strange - Wonderful Showdown], saying that he was going to record the show after work, recording four days a week, fortunately, the filming location was around the sea.
looked helpless, but he also said that this show might help him get through this difficult time for the company.
I feel that Li Mu is very hardworking and serious, but he is very tired, and he himself says that he will get angry if he can't control it, and sometimes he will suddenly be angry without knowing what the reason is.
I suggested that he go for some physical examinations, which I also learned from Mr. Mu, I was worried about whether he also had thyroid dysfunction, he said that he had just done a comprehensive physical examination recently, and no problems were found. That's pretty much it, and then when I don't have anything to say, I ask, what do you think is the reason? When did these things begin, and what might have caused all this, or was it a beginning? ”
After Chu Sisi finished speaking, his heart was pounding, and his brain was getting more and more excited.
Mu immediately praised Chu Sisi, "Very good, the progress is very fast, the last time was just a preliminary learning [listening], this time it has been able to make patients say so much and collect so much useful information." ”
"No, no, don't say that, teacher, are you encouraging me? This time, it was obvious that he was treating this patient himself, and he really wanted to get help, so he tried his best to help me understand his illness, not that I used any useful techniques to make him talk a lot, which is not the case at all, and the teacher should not praise me so much, it is better to be strict. Chu Sisi finished speaking in one breath, and his shoulders relaxed a little.
"Then I'll just say it, it's really good, it may be from the talent of a female therapist, or it may just be the talent of Doctor Chu, I haven't taught you in particular, but you have a method without a teacher, since you have no teacher, then it is good to do more professional improvement in this area in the future, there are two questions that Doctor Chu asked very well, and it is very professional.
First: You asked Li Mu what you think caused these terrible thoughts, and this question is a good question.
Second: You told Li Mu that there will always be a beginning, which is very professional.
That's why I said Chu Sisi did very well today. ”
"Teacher Mu's analysis is so good, it's really like this, you really say that, Sister Sisi's performance today is very good, very effective to help patients think and understand their own disease, in fact, we often ask such questions at the beginning of internal medicine treatment, such as patients say, 'I haven't slept well recently', I will immediately ask, 'How long has it been?' Since when. 'When does this start is really important, but the problem that the cardiologist may encounter is not an obvious symptom, not [Chief complaint: headache 5, taking painkillers is ineffective], this kind of record is too familiar to me, but cardiology patients may not talk like this, they always say a lot of symptoms, some symptoms cannot be described at all, and there is no reference to the disease manual, so it is really necessary for Sister Sisi to remind the patient that he needs to recall what may have caused the current state of chaos. ”
Liu Tiantian's analysis was the first to say, Liu Tiantian could only clap his hands on the side and encourage: "I'm a complete scumbag, and now Sister Sisi has caught up, I still don't seem to have made progress, and I'm completely an intuitive detective myself." Forget it, I'm still interested in reasoning, and it's okay to guess what is going on in the patient's mind, so it seems a little difficult for me to ask so patiently. ”
"It's not difficult, and both patient therapists and intuitive therapists have their own strengths, and there is no good or bad thing." Mu encouraged Liu Tiantian.
Liu Dan then said, "What Mr. Mu said is good, and I was about to say a good news, when I went to Jingyi University to inquire about the graduate course, I met one of Professor Chu's students, what is Liu Shihua, said that Professor Chu is a student of Professor Chu, he told me that Professor Chu is preparing for a master's degree in social work in the direction of heart medicine, and this course may be more for students majoring in law, medicine, pharmacy, and nursing, and students who have graduated. ”
"That's a good choice, and it's better to go to graduate school while working, after all, I still like to be a nurse in a hospital, albeit a less specialized nurse." Liu Tiantian smiled awkwardly.
"So what happened to Li Mu's illness? Teacher, I think he's in pain, he's in a lot of pain. Chu Sisi asked.
"Did you ask him to come back for a follow-up appointment?" Mu asked.
"He said that he may not be able to come recently, and it will be next Thursday at the earliest, because he will have to record the show almost every day, and he can't find time to come to the hospital once during the day, and he has to be busy with a lot of things, and he wants to come back after he is done." Chu Sisi told Mu the original words 1510.
"I'm also worried, since I've already said I'll come back on Thursday, I can only wait, let's get ready for the afternoon." After Mu finished speaking, he half lay on his rest chair and took out a copy of "Sandman" from the drawer.
Liu Dan reluctantly looked at the "Sandman" in Mu's hand, and still couldn't help asking, "Teacher Mu, can you lend me this copy of Neil Gaiman's "Sandman" to read." ”
"Liu Dan, you won't be able to afford a book, right, I heard that you took Sisi to eat potstickers for a few yuan and a tael, and what kind of hot and sour soup are there? It is said that doctors have good incomes, why do I think that Teacher Mu is poor, you are also poor, and you are all more poor than the other. After Liu Tiantian finished speaking, he pulled Liu Dan out of the cardiology outpatient room.