Crazy Psychologist

Chapter 64 The pain in my heart
Chu Sisi nodded and looked at Li Nan with concern.

Li Nan went on to say, "I feel really scared. Sometimes, I sweat, my body gets stiff and I can't move, and my brain buzzes."

"Then how did you deal with it?"

"A voice also told me to wash my hands. Sometimes I just went back to the laboratory table after washing my hands, and my brain said, this will knock the reagents over, so 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? I know how stupid this thing is, I know I know. But I can't resist, I can't, I can't, I've always been submissive, again and again ."

Tears welled up in Li Nan's eyes, and a big man burst into tears.

Chu Sisi hurriedly handed over a tissue. "Would you like to drink some hot water, it will be better."

"OK, thanks."

"I don't think I can explain it clearly. I saw an article posted by the forum owner on the forum. There is a very good sentence in it."

"What kind of words, do you remember?"

Chu Sisi was sure that the forum Li Nan was talking about was the one where she knew Mu Chun at that time. At that time, Mu Chun only sent a small text, and the screen name was just an email address.Chu Sisi tried to send him an email, but unexpectedly, the other party really replied, and every time it was serious.

"What that paragraph said was that I knew the fear was false, but I couldn't refuse it."

"It's not your fault."

Chu Sisi spoke in a trance.

When she regained her senses, she ran into Li Nan's eyes looking at her, and there was indescribable clarity and pain in those eyes.

"How do you know this sentence?"

"What?" Chu Sisi hurriedly denied, "I don't know, what are you talking about? I'm just talking casually, I want to say, I can't blame you for this disease, don't blame yourself too much."

"oh, I see."

Li Nan's expression suddenly dimmed, "Is that so."

A moan repeats.

"Otherwise, let's do it today, thank you very much."

Li Nan got up to leave, Chu Sisi stood up to see him off, and wanted to say more, but couldn't say anything.

If this goes on, Li Nan will not come again.

"It won't come again." Mu Chun lay on the chair helplessly.

"I'm sorry, teacher, I don't know what to do. But I think I should probably know."

"Why do you say that? If you are not suitable to be a doctor, you can go back. You are not suitable for this job, and you did not graduate from this major. After so many years of studying law, it is not easy to read. Why give up? If you don't want to be a lawyer, do it. Judges are not bad, and if you don’t want to be judges, it’s also good to do legal affairs in a big company, otherwise, you can become a law professor in a university, and you can learn something.”

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 a patient alone, and realized that everything was not like watching Mu in this outpatient room. It's as simple as spring treatment.

When I sit there as a doctor, it is unnatural to say anything or not to say anything. What should I do to make the patient willing to continue to share his thoughts, and how to ask the patient's condition clearly? , and how to arrange examination and treatment, these are not easy.

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 understand the patient's mood.

It was as if Li Nan's mood was riddled with holes.

Although it was only about 20 minutes, Chu Sisi clearly felt Li Nan's mood, riddled with holes and exhausted.

What can I do to help him?
"No medicine?"

Mu Chun almost threw ice cubes on the ground. As soon as Chu Sisi mentioned that Li Nan was coming, he chatted for a while, and went back without any medicine. Mu Chun shook his hand, and the ice cube box knocked over on the table. superior.

"I'll get a rag."

"Don't go, why didn't Dr. Chu give Li Nan some medicine?"

"Because you said there was no medicine."

Chu Sisi looked at Mu Chun, wanting to test whether he remembered encountering such a case on the forum.

"Did I say it? What did I say?"

"You said there was no medicine to use. There is no medicine for such a patient."

"When did I say that?"

Mu Chun stretched the sleeve of the white coat and pushed the ice cube into the glass, which fell to the ground accidentally.

"Didn't you say it? That's my memory, 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 medicine, the right medicine and the placebo."

"What is a placebo? Why should you take something that doesn't help your symptoms? It's a three-point poison. Even health supplements need to be metabolized by the body, so it's not good for the body, right?"

"Having said that, the right medicine is naturally the best, but for many diseases, there is no way to prescribe the right medicine, not to mention that there is no special medicine, just like Li Nan, Li Nan's problem is very complicated and may be very simple.

Judging from a regular doctor's point of view, Li Nan's current physical condition is not a big problem. Maybe it's because of his good health.

These should still be clear, and there may be hidden chronic diseases that need to be discovered, which is also what psychiatrists need to pay attention to.

For example, chronic gastrointestinal diseases, some chronic gastrointestinal diseases are not within the scope of medical or surgical diagnosis and treatment. Some people eat well when they are happy, but they do not digest when they are unhappy. It is also very common in ordinary people.

But long-term unhappiness and indigestion are worth noting. This patient may need more psychosomatic treatment. After the mood is cured, we can see if the stomach will be better. If the stomach is not good for a long time, it will also reverse. Come over to affect people's mood, and have a bad stomach all the time, how can they be happy? "

Chu Sisi nodded, Mu Chun's words she intends to keep firmly in mind, it is best to record them immediately.

"Take a gastrointestinal patient as an example. At this time, you need to know what drugs other doctors have given him, and you need to know the history of drug use. In addition, it is the sleep situation and the episodes of gastrointestinal discomfort.

At this time, you need to cooperate with some sleep aids, or antiemetics, antidiarrheals. "

"Anti-diarrheal medicine? The last time you gave Chu Shen the medicine for motion sickness."

"Yes, motion sickness medicine, Chu Shenming has no gastrointestinal problems at all. He has a typical stressful gastrointestinal reaction, so give him the medicine and tell him that the medicine is useful."

(End of this chapter)