Crazy Psychologist
Chapter 557 If he doesn’t know his situation
Liu Tiantian waited until one o'clock on the fifth floor, and was finally called back to the first floor by the head nurse. When Chu Sisi was left alone, she found that her upset was not relieved at all, so she sat on the chair and closed her eyes, thinking about this morning. After recalling what had happened since then, the first thing that came to mind was Hong Ling.
What is the problem with this girl? Chu Sisi suspected that Hong Ling might be experiencing the pain she had experienced before, but the time was too short and Hong Ling said too little. Chu Sisi only vaguely felt that this sophomore girl in high school was somewhat similar to herself.
She was sitting there, looking just like a normal girl, but she was unfocused. How should I put it? It was as if she was sitting there but calculating other things in her mind. There were many, many things that made her unable to focus. Focus your attention.
Thinking of this, Chu Sisi shook her head. It was too scary. Recalling those unbearable times in middle school, Chu Sisi felt that her breathing became harsher, her chest gradually felt irritated, and her head felt dizzy. Then, she couldn't help but lie down. On the table, his eyelids drooped heavily.
She felt so sleepy and wanted to sleep.
When Muchun walked in, Chu Sisi was still dreaming. In just twenty minutes, she had several dreams, but she could only remember one of them clearly.
This dream happened in the international school where Chu Sisi studied. It was summer, and the girls were changing their swimsuits in the locker room of the swimming pool. Chu Sisi saw herself hesitating in front of the locker in the dream. During that time, Chu Sisi only wanted to change her swimsuit. Those little problems would occur when Sisi was alone. She struggled with every step of changing clothes and opened and closed the closet door repeatedly until she could no longer hear the voices of other girls.
Chu Sisi was worried about herself in the dream. She was going to be late. Other students had already queued up at the swimming pool. The swimming class teacher hated students being late. If they were late, they would be punished for swimming 10 times.
Although swimming 10 times back and forth is not very difficult, and Chu Sisi’s swimming skills are not such that she would make a fool of herself due to this kind of punishment, the punishment itself is embarrassing enough. In this international school, the embarrassing things may be more embarrassing than Ordinary schools are still "talked about" by others. Maybe Chu Sisi's mother has already heard about her punishment from the school committee before Chu Sisi returns home. Maybe she has just received a lawyer's letter when she returns home. Send to school.
Chu Sisi really wanted to urge herself in the dream to quickly change clothes, close the door and go to line up at the pool, but she hesitated in the dream, as if closing the closet door was more troublesome than going to heaven.
Chu Sisi woke up because she was too anxious. When she woke up, she was covered in cold sweat. After rubbing her eyes, she saw Muchun sitting opposite her. She panicked and hurried to the water dispenser to pour herself a glass of water and drink it. Go down.
"Does Dr. Chu have something on his mind?"
"Ah, no, no." Chu Sisi was startled by Mu Chun's sudden voice, and poured herself another glass of water in shock.
Mu Chun didn't seem to see anything. He lay on the chair and said: "Maybe Zhou Gang is not as simple as [hoarding disorder]. From now on, he will come to me for follow-up consultations, and Dr. Chu will no longer have to be responsible for this problem." Sick."
Hearing what Muchun said, Chu Sisi felt relaxed at first, and then she became panicked again.
"Teacher, what did you just say?"
"Sit down and talk. Don't look so panicked. You've been restless all morning. If you feel uncomfortable, go home and rest."
"No, I'm fine." Chu Sisi took the cup and sat down on the chair opposite Muchun.
“Remember how [Hoarding Disorder] is diagnosed?”
Chu Si thought for a while and replied: "Remember, the teacher taught me before, and I also reviewed the notes."
"I believe in Dr. Chu's learning ability." Muchun encouraged.
Chu Sisi moved the corners of her mouth slightly, smiling a little reluctantly.
"Dr. Chu should have confirmed with Zhou Gang whether he had any history of brain trauma or anything like that." Mu Chun asked.
Chu Sisi nodded seriously and replied: "Yes, I confirmed this to Zhou Gang when he came for the second follow-up visit. He made it clear that he had no history of brain trauma."
"Then we will believe what the patient said for the time being, unless we later discover that he has other reasons for self-understanding, such as his past medical history that caused him to forget that he had a traumatic brain injury."
Muchun's words were a bit convoluted, and Chu Si thought for a while before she finally figured out what the teacher meant, "What the teacher means is that the patient may not be deliberately concealing certain aspects of his condition, but that he himself doesn't remember it? "
"Yes, this situation is not uncommon. It requires careful judgment by the doctor. Of course, there are many ways to assist doctors in making judgments, such as fully networked medical systems. Doctors can generally learn detailed information by simply checking the patient's medical records. However, our medical system is not yet fully capable of allowing doctors in any hospital to easily check the medical records of any patient in different hospitals, and this is not yet possible."
"That's true. I remember that the teacher asked Dr. Zhang Wenwen to go to Zhinan Affiliated Hospital to investigate the case record of a previous patient." Chu Sisi said.
"Indeed, it is true, but it is true for doctors. For patients, they do not know this, because as long as the medical insurance card is used for treatment, all records can actually be investigated clearly. Patients do not know that doctors cannot investigate them. medical records.”
"What does the teacher mean? To lie to patients?" Chu Sisi didn't understand, and didn't dare to guess, but as soon as she said the words, she felt something was wrong.
Sure enough, Muchun immediately denied her words, "Of course not, what I mean is that there is a cognitive asymmetry. In the eyes of patients, doctors can easily understand their medical history, so patients generally do not need to deliberately conceal their medical history. .”
"Oh, I understand." Chu Sisi nodded in agreement, "So, if Zhou Gang said that he did not have a traumatic brain injury, it is not necessarily because he deliberately lied, but it is possible that he really forgot about it. Don’t you remember being injured?”
"This possibility cannot be simply ruled out." Muchun said.
"Okay, I will confirm this more carefully in the future. But isn't Zhou Gang's [Hoarding Disorder] obvious? According to the diagnostic criteria, he has a problem of long-term storage of items, and there is anxiety and pain in discarding these items. The thought of throwing away those collected things made him feel scared and even anxious; and Zhou Gang also emphasized many times that this incident caused him a deep sense of pain, which had affected his normal social life and work, so he came to the hospital for physical and mental examination. division."
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