Chapter 68: The Bitterness of the Heart
Chu Sisi nodded and looked at Li Nan with concern.
Li Nan continued: "I really feel fear, sometimes, I sweat, my body is stiff and I can't move, and my brain is buzzing. ”
"And how do you deal with it?"
"There is also a voice that tells me, go wash your hands once, sometimes I just come back to the lab table after washing my hands, and my brain says, this will knock over the reagent, you need to wash your hands again."
"And then?"
"I don't want to go, I know I don't want to go, you know what? I know how stupid this is, I know I know. But I can't resist, I can't, I can't, I keep obeying, again and again. ”
Li Nan's tears burst out of his eyes, and a big man shed tears like this.
Chu Sisi hurriedly handed over the tissue. "Would you like to drink some hot water, it will ...... A little better. ”
"Okay, thanks."
"I don't think I'm clear, I saw an article posted by the main forum on the forum, and there is a particularly good sentence in it."
"What kind of words, do you remember?"
Chu Sisi was very sure that the forum Li Nan was talking about was the forum where she knew Mu Chun at that time, and Mu Chun only posted a small text at that time, and the screen name was just an email address. Chu Sisi tried to send him an email, but he didn't expect that the other party really replied, and every time he was serious.
"What that passage says is that you know that fear is fake, but you can't refuse."
"It's not your fault."
Chu Sisi said in a trance.
When she came back to her senses, she bumped into Li Nan's eyes looking at her, and there was indescribable clarity and pain in those eyes.
"How do you know that?"
"What?" Chu Sisi hurriedly denied it, "I don't know, what are you talking about?" I'm just talking about it casually, I want to say, you can't be blamed for this disease, you don't blame yourself too much. ”
"Oh, that's right."
Li Nan's expression suddenly dimmed, "That's it." ”
A sigh repeated.
"Otherwise, let's do it today, thank you very much."
Li Nan got up to leave, Chu Sisi stood up to see him off, wanting to say something more, but he couldn't say anything.
If it goes on like this, Li Nan won't come again.
"I won't be coming again." Mu Chun lay on the chair with a helpless expression.
"I'm sorry, teacher, I don't know what to do. But I guess I probably know. ”
"Why? If you are not suitable to be a doctor, you can go back, you are not suitable for this job, and you are not a graduate of this major, and after studying law for so many years, it is not easy to read, why give up? If you don't want to be a lawyer, it's not bad to be a judge, and if you don't want to be a judge, it's good to be a legal officer for a large company. ”
Chu Sisi shook her head, although there was no progress today, she really felt what it was like to sit in the doctor's chair and face the patient alone, and realized that everything was not as simple as watching Mu Chun's treatment in this outpatient room.
When you sit there as a doctor, what to say and what not to say is an unnatural thing, and it is not easy to do what to make the patient willing to continue to share his thoughts, how to ask about the patient's condition, and how to arrange examinations and treatments.
However, only one thing is clear, only when you sit in that chair and face the patient, can you learn how to help a person, and you can understand the patient's feelings.
It's like Li Nan's mood is full of holes.
Although it was only more than twenty minutes, Chu Sisi clearly felt Li Nan's mood, full of holes and exhausted.
What can be done to help him?
"No medication?"
Mu Chun almost spilled the ice cubes on the ground, and when he heard Chu Sisi talk about Li Nan coming, he chatted for a while, and went back without any medicine, Mu Chun's hand shook, and the ice cube box knocked over on the table.
"I'll go get a rag."
"Don't go, why doesn't Doctor Chu prescribe some medicine to Li Nan?"
"Because you said there was no medicine."
Chu Sisi looked at Mu Chun, wanting to test whether he remembered that he had encountered such a case on the forum.
"I said? What did I say? ”
"You said there was no medicine to use. For such patients, there is no medicine. ”
"When did I say that?"
Mu Chun stretched the sleeve of his white coat and pushed the ice cube into the cup, and accidentally fell to the ground.
"Didn't you say that? That's what I remembered, maybe my dad said it. ”
"Oh, you still have to remember to prescribe medicine to patients, after all, you are a doctor, this is a job."
"What medicine?"
"There are two kinds of medicines, the right medicine and the placebo."
"What is a placebo? Why should you eat it if it is useless for symptoms, it is a medicine that is poisonous, even health products need to be metabolized by the body, and it is not good for the body. ”
"Having said that, it is naturally best to prescribe the right medicine, but there is no way to prescribe the right medicine for many diseases, not to mention that there is no special medicine, just like Li Nan, Li Nan's problem is very complex and may be very simple.
Judging from the perspective of a conventional doctor, Li Nan's current physical condition is not a big problem, perhaps because the original physical foundation is good, he has not gone out much for more than two years, and there is no chronic disease or inflammatory reaction.
These should still be clear, and there may be hidden chronic diseases to be discovered, which is also something that psychologists need to pay attention to.
For example, chronic gastrointestinal diseases, some chronic gastrointestinal diseases do not fall within the scope of internal medicine or surgical diagnosis and treatment, some people digest well when they are happy to eat, and do not digest when they are unhappy, which is also common in ordinary people.
But long-term unhappiness and eating is not digested, it is worth noting, this patient may need more physical and mental treatment, the mood is cured, and then see if the stomach will be better, the stomach and intestines are not good for a long time, it will also affect people's mood in turn, and the stomach has been bad, how can they be happy? ”
Chu Sisi nodded, she planned to keep Mu Chun's words firmly in mind, and it was best to record them immediately.
"Take gastrointestinal patients as an example, at this time, you need to know what drugs other doctors have given him, the drug history needs to be understood, in addition, the sleep situation and the onset of gastrointestinal discomfort.
At this time, it is necessary to combine some sleep aids, or antiemetics, antidiarrheal drugs. ”
"Antidiarrheal drugs? The last time you gave Chu Shen was motion sickness medicine. ”
"That's right, motion sickness medicine, Chu Shenming has no gastrointestinal disease at all, he is a typical stress gastrointestinal reaction, so give him the medicine and tell him that this medicine is useful."