I run a clinic in the United States

Chapter 368 Don’t Want to Work Syndrome

Diagnosis is a technical job, and sometimes it is not as simple as imagined.

Some people say, isn’t it easy to diagnose a disease? Especially for this kind of tumor, wouldn’t it be clear as soon as the film is taken? Even an ordinary doctor in a county-level hospital can diagnose it!
In fact, this is not the case. This requires doctors to have rich experience and deep comprehensive strength.

Just like now, when Chiba Nanako got the film, the image features were not obvious, it could be said that there were almost none. If it were an ordinary doctor, he might doubt or even overturn the previous judgment, and then think it was another disease, leading to missed diagnosis or misdiagnosis.

But Chiba Nanako didn't. After careful consideration, she felt that her judgment was not wrong.

In order to be responsible for the patient and find the "culprit" as quickly as possible without delaying the patient's treatment, I invited several other friends to review the details.

Zhou Qiao, Murphy, Stephanie, and Chiba Nanako were discussing together in the conference room. When they were playing in private, they were very relaxed, but isn't it work now?
So everyone is very serious and serious.

Work is work, play is play, one code is another code.

Everyone expressed their opinions, and after half an hour, a consensus was reached.

"The patient is very likely to have a tumor. The next step is to undergo a PET-CT examination and go to the community hospital to collect blood from the bilateral inferior petrosal sinus veins to identify the source of ACTH and clarify the location of the lesion in order to formulate a precise treatment plan."

Zhou Qiao looked at Chiba Nanako and said, "You will be responsible for collecting blood from the lower sinus."

"Ah?" Chiba Nanako was stunned and said, "I have never done it before." What she is good at is medication, but this kind of surgical operation is slightly inferior.

"It's okay. Let's work separately. I'll teach you step by step later." Zhou Qiao said with a slight smile.

Chiba Nanako couldn't help but look forward to it. Mr. Zhou taught me how beautiful it would be. Of course, learning is the most important thing, but it helps to improve learning efficiency.

If possible, she would like to sit on Zhou Qiao's body and study.

Inferior petrosal sinus blood collection is actually a minimally invasive surgery. It collects blood from deep in the brain, super-selectively intubates catheters from the bilateral femoral veins into the bilateral inferior petrosal sinuses, and collects blood from different parts to measure ACTH levels in different parts.

If it comes from the pituitary gland, then the level of ACTH in this section of the inferior petrosal sinus is high, which can make an accurate diagnosis of the cause and location of Cushing's syndrome, which can be said to be the gold standard for the diagnosis of this disease.

Because the children are relatively small, the surgery will be done under general anesthesia and microcatheter intubation.

However, there are many variations in venous vessels, and retrograde venous cannulation cannot predict the vascular structure ahead, which requires that the operating doctor must be highly skilled and experienced.

What's more, the child is only 4 years old, and the inferior petrosal sinus and drainage vein are very small. Only a microcatheter with an inner diameter of about 0.5 mm can be used for intubation and blood collection. As you can imagine, the difficulty of the operation is high.

Zhou Qiao teaches seriously, and Chiba Nanako also studies seriously. Men and women are matched, so you don’t get tired of studying.

Zhou Qiao didn't hold anything back, and he gave everything to everyone.

The teaching only lasted for less than forty minutes, and Chiba Nanako practiced it six times before the system popped up a prompt dialog box: "Chiba Nanako's level of rock sinus blood collection surgery has reached the primary level of expertise. Congratulations to the host, for obtaining six Points for reward.”

"Zhou Jun, do you think I'm really good?" Chiba Nanako asked.

Zhou Qiao smiled slightly, stroked Chiba Nanako's hair, and cast an encouraging look at her: "Believe in yourself, you can definitely do it!"

The group came to the community hospital and the operating room. Chiba Nanako took a deep breath and went on stage!

If you want to gain a foothold at Iris Clinic, you really have to have real skills. Chiba Nanako also wants to achieve something in the field of surgery.

She is still young and has plenty of time to further her education. She doesn't have to worry about many arts, she also wants to be an all-rounder.

From another perspective, she was involved by Murphy and Stephanie, and she felt that relying solely on her expertise in using drugs was somewhat untenable.

Although the operation was difficult and it was Chiba Nanako's first real-life operation, this Japanese girl was really talented. With the cooperation of the anesthesia team of the community hospital and Zhou Qiao's personal guidance, Chiba Nanako performed very smoothly. The operation was completed on the child.

"Awesome!" Stephanie gave a thumbs up.

Even Murphy blinked slightly, thinking that this Japanese girl is better than me before.

Murphy recalled that when she first came to Iris Clinic, Zhou Qiao taught her how to perform operations step by step every day. Her improvement in medical skills at that time was simply amazing.

"That was such a wonderful memory." Murphy missed it very much.

Now, Murphy has grown up and no longer needs Zhou Qiao's guidance.

This opportunity is Chiba Nanako's turn.

And through real-person practice, Chiba Nanako’s level of surgery has improved to a small level. It has been upgraded from the previous entry-level specialization level to the mid-level specialization level.

The progress is also considerable.

The test results came out, and sure enough, the child had Cushing's disease caused by a pituitary tumor.

Confirmed! Case solved!
The "cunning culprit" has been found!

However, the new challenge has just begun. That is, how to safely remove the tumor while protecting the pituitary function so that a 4-year-old child can grow better?

The pituitary gland is the headquarters of human endocrine system and is very important for the future growth and development of children.

It requires precise resection and precise preservation, and the various organs of young children are very small, so it is understandable that the operation is difficult.

Chiba Nanako had never performed such a difficult operation before, so Zhou Qiao did not dare to ask her to perform the surgery this time.

Instead, Zhou Qiao went into battle in person, with Murphy, Stephanie, and Nanako Chiba as assistants. Nanako Chiba mainly followed and learned.

When Zhou Qiao takes action, it must be a masterpiece.

He led a team of beautiful women to patiently, carefully and extremely accurately follow the child's nasal cavity, enter through this tiny passage, reach the pituitary gland, and peel off the tumor entrenched in the child's pituitary gland.

The patient is only four years old, and the nasal cavity is not fully developed. The sinus cavity is mostly made of cartilage and other tissues and is not fully formed. The nasal cavity space available for surgery is very small. It is necessary to accurately remove the tumor without damaging other pituitary glands, and at the same time. To reduce bleeding, the technical requirements are not generally high.

But in the end, Iris Tiantuan successfully completed the operation.

Especially Chiba Nanako, benefited a lot.

After surgery, the child was transferred to the intensive care unit of a community hospital.

Two days after the operation, he was transferred to the general ward. Chiba Nanako led Park Soo-joo and Kim Hee-jin to actively monitor the children's endocrine hormone levels.

The results were fantastic: the child’s electrolyte levels were stable, hormone levels dropped, and pituitary function was fully preserved!

The quality of this surgery can be said to be the best among the best. Many doctors in the neurosurgery department of the community hospital learned about it and were once again impressed.

"Doctor, thank you so much. But, will my son be able to catch up in the future?" The patient's mother was very worried, and his father frowned.

They regretted not detecting the abnormality earlier and taking their son to Iris Clinic for examination earlier.

Now that the growth period has been delayed for half a year, will we fall behind step by step in the future?

Chiba Nanako comforted him: "It's okay. I will adjust his growth hormone later. The child's height will catch up and his blood pressure will gradually drop to normal."

Sure enough, after the later treatment of Nanako Chiba, the "little expert on medication", the child's condition became more and more stable. The child's parents are relieved.

... Iris Clinic, psychological consultation room.

"Doctor Stephanie, I've been in so much pain lately that I don't want to go to work every day!" An urban beauty looked sleepy. Today was a working day, but she specifically asked for leave and came to see Silk. Delphine goes to counseling.

"Oh? Tell me." Stephanie likes to give people psychological counseling. In addition to helping others, she can also "listen to some gossip". There are thousands of people with different faces. Understanding the hearts of different people also helps to examine themselves. heart.

"I'm so annoyed. I just don't want to go to work anyway. I don't think about it in the morning, so I reluctantly go to the company. I rely on cups of strong coffee to survive, otherwise I can't work awake at all."

"There is a lot of pressure at work during the day, and I feel that it is getting harder and harder to earn money. Not to mention the money, there are all kinds of messy intrigues in the office. It is simply...indescribable, a mess!"

"At night, I can't sleep, and I will have all kinds of depression, depression, and extremely bad negative emotions. I have no choice but to rely on alcohol to anesthetize myself and help me fall asleep. Day after day, night after night, and then it becomes It’s a vicious cycle, it’s a mess, it’s like a nightmare.”

"This situation has caused my monthly menstruation to be irregular." The haggard woman complained.

Stephanie thought about it for a moment and then reassured her: "It's not your fault actually. In your situation, consider yourself suffering from burnout."

"Burnout syndrome? Is it a disease?" the woman's eyes lit up and she asked.

If it is really a disease, then it will be cured.

Because if it is a disease, Dr. Stephanie may have a very good way to help solve it. Judging from the look on Dr. Stephanie's face, there should be a solution.

Stephanie, with her bright blond hair and gem-like eyes, nodded and said, "Yes, it can be understood as a disease, or it can also be jokingly called the syndrome of not wanting to go to work."

Occupational burnout has been included in the 11th edition of the International Classification of Diseases (ICD-). It is regarded as a workplace phenomenon, but it has not yet been classified as a disease.

However, it is a state of extreme emotional, mental and physical exhaustion caused by excessive long-term stress, and if left untreated for a long time, it can easily lead to depression.

Stephanie peeled off the details and explained to her in detail. What is burnout?

A feeling of being unable to make ends meet emotionally, mentally and physically, often caused by work.

You obviously have the ability to do things, but you have no motivation to do them.

When job burnout occurs, individuals often show three states: feeling tired (emotional exhaustion), not wanting to do it (depersonalization), and I can't do it (feeling of low efficacy).

Stephanie turned on the computer, called up the "Occupational Stress Measurement Core Scale", and evaluated the current patient.

There are a full thirty questions in it, which need to be answered by the patient based on the actual situation.

Different answers have different scores. Finally, Stephanie counted the scores and found that the patient's score was 56, which was considered moderate burnout.

A score greater than 57 is considered severe.

When it reaches severe levels, this emotion will greatly affect physical health, not just the mental level.

This patient's menstruation has been disrupted due to this, and his score is close to 57. In fact, it is already a bit serious.

"Thankfully you came early, otherwise it would be more troublesome if it delayed and turned into depression." Stephanie said happily.

Depression is not easy to cure. When severe, many people commit suicide.

"Oh my god, I just can't accept it. I never imagined that I would suffer from this kind of mental illness." The patient sighed.

Because she is still very young. Looking back on the few years she just worked, it seems like just yesterday.

"Dr. Stephanie, do you know that at that time I had just walked out of campus, how full of confidence I was, and how longing and longing I had for my job."

Stephanie said: "Yes. Many people will experience this. There are not a few patients with burnout."

Stephanie talked with the other party, helped her with psychological counseling, solved her knot bit by bit, and taught her how to balance work and life.

"Perhaps you should fall in love or take a quick trip. If you want to travel, I recommend China. There are many people in that country. It is said that it is crowded during holidays. For you In this case, it would be beneficial to go to a crowded place and squeeze in." Stephanie gave her own advice.

"Yeah, I will definitely try my best. By the way, Doctor Stephanie, I have a presumptuous question. I don't know if it's appropriate to ask?" The beauty looked at Stephanie and blinked.

Stephanie shrugged and said with a smile, "Just ask, it's okay."

The beauty asked: "Dr. Stephanie, you work here every day. Do you feel job burnout?"

Stephanie smiled slightly: "No, I am very happy every day."

Patient: "..." Confused and full of suspicion.

She looked at Stephanie like a monster, thinking, is this doctor lying to me? I don’t believe it. Are you really happy at work?
Does anyone else feel happy at work?

Doctors, aren’t they also a very stressful profession?

"Really, I won't lie to you!" Stephanie's smile was as bright as the spring breeze. She didn't want to explain, and it was difficult to explain.

It's not that I'm afraid of not being able to explain clearly, but I'm afraid that it will shock this beauty and make her condition worse.

Because Stephanie thinks her current job is very good.

She secretly thought to herself, now I am at Iris Clinic. Not only do I have less work to do, I pay more money, but I am also close to home. I am also in charge of the financial power of the clinic. Not only that, but I also have a high-quality man like Zhou Qiao to play with every now and then. , I don’t know how happy it is.

Even if I were asked to be the president of Johns Hopkins Hospital now, I would not do it!

Am I going to have the syndrome of not wanting to go to work? How can it be? !
Well, even if there was, I asked Dr. Zhou to come over and help me "distance and control", and I immediately became energetic and motivated again!

If this patient knew about Stephanie's condition and took pleasure in going to work, he would probably be envious to death.

After a full hour of Stephanie's psychological counseling, the patient felt much better and left very happily.

However, this kind of thing cannot be cured by one psychological counseling session. It needs to be done several times. Stephanie's charges are quite expensive.

However, the patient felt it was worth it.

Because no matter how important money is, it is not as important as physical and mental health, right?

Nowadays, many companies in the United States have relevant benefits. The company has signed cooperation agreements with third-party psychological counseling agencies. If employees feel uncomfortable, they can call and make an appointment with a psychological counselor at any time for consultation.

Not limited to work matters, even family matters and emotional matters, you can make a call as long as necessary. Moreover, the other party will protect the privacy of the consultee and will never disclose it to a third party.

Even if you are at odds with your boss and say bad things about your boss, it will not be leaked out.

Employees do not need to pay additional fees because the company has already paid for it, usually as an annual service.

For corporate groups with relatively large numbers of people, annual subscription services are more cost-effective.

Some foreign companies in China also have similar benefits, but Chinese people are more reserved and use them less.

(End of this chapter)