"I heard that Xiaoying ate two such big puffs this morning!" Liu Tiantian opened the takeout box and made a surprised sound.

Mu Chun heard the sound and looked around, only to see that the puffs in the box were much larger than the ones he usually saw.

"You will definitely gain weight if you eat such big puffs." Chu Sisi shook her head, "You mean Xiaoying ate two of these puffs?"

"Yes, maybe as she said herself, her figure is natural and she will not gain weight from eating sweets at all."

Liu Tiantian tilted her neck, admiring the delicious puffs. She didn't care that she would gain weight after eating them. She worked so hard in the hospital, so she wanted to reward herself by eating more.

"Well, I'll try the raspberry flavor too, I've never had it before." As she said that, Chu Sisi also picked up a puff and started eating it.

The two girls were chatting while eating, talking about some gossip news in the entertainment industry, looking happy.

Muchun looked at the happy looks of the two people and thought about the possible problems in Liu Xiaoying's body.

So far, Muchun has not seen Liu Xiaoying's physical examination report, but according to Kerr, Liu Xiaoying's physical examination should be detailed and comprehensive.

Basically, the relationship between headaches and brain diseases can be ruled out.

So what is the cause of Liu Xiaoying’s headache? Is it caused by excessive exercise? Or does it just happen after exercise?

Among more than 200 kinds of headaches, some are related to psychological disorders.

Here, psychological disorders refer to affective mental disorders, which are disorders whose basic characteristics are emotional changes. Such as anxiety, fear, depression, etc., are characterized by high or low emotions, accompanied by corresponding cognitive and behavioral changes.

During the brief half-hour contact, Muchun did not find that Xiaoying had problems such as high mood and easy irritation. However, it could not be ruled out that such situations did not exist in her daily life and work.

No psychotic symptoms such as hallucinations and delusions of coordinated or incoordinated moods were found.

This still makes Muchun feel more at ease.

On the other hand, Xiaoying's depression level does not seem to be particularly manifest.

Depression is characterized by low mood, accompanied by loss of interest in daily life, loss of energy, psychomotor retardation, low self-esteem, self-blame or even self-guilt, slow thinking, little speech, loss of appetite, insomnia, depression to grief, etc.

In severe cases, psychotic symptoms such as stupor, hallucinations, and delusions may occur.

Xiaoying's condition doesn't look serious. From the outside, it seems that the only problem is a headache.

The headache affected her sleep, and also affected her mood and ability to handle daily work.

Muchun also noticed an important piece of information. Xiaoying never had any headaches at work, which is worth noting.

The occurrence of psychological disorders is not only related to certain biological factors, especially genetics, and psychosocial factors such as traumatic life events, such as the death of relatives, major economic losses, etc., but also closely related to chronic psychosocial stimuli, such as unemployment, chronic diseases, etc.

.

What Muchun needs to consider now is that in an environment like the entertainment industry, the possibility of external events triggering mental fatigue is very high.

The sense of competition faced by a female artist may be omnipresent, and while working, it will reduce the excitement brought by this sense of competition. Once she stops or takes a rest, it will actually cause anxiety.

This is a bit counter-intuitive, but it is probably the cause of Xiaoying's headache.

In addition, Muchun also needs to consider whether Xiaoying may be depressed. During the one-hour free time between the two jobs, Xiaoying has to rush to the hospital to run. Does this mean that she is too strict with her figure?

Can’t you delay keeping in shape?

If this is the case, why does Xiaoying have no food taboos?

Maybe it's disguised?

Muchun is worried that another reason why Xiaoying might be depressed is that she has regular headaches.

You won’t have a headache when you’re working, but you’ll have a headache when you’re not working.

This can be regarded as regular symptom attacks, and regular symptom attacks are a common manifestation of depressed patients.

Some patients report that they only experience depression in the morning or evening, but not at all during the day while at work.

However, it is still impossible to judge Xiaoying's specific situation based on the current information alone.

Regular changes in mood can be used as diagnostic criteria for psychological disorders, and are not limited to depression.

Anxiety and fear may cause changes in mood patterns.

For another example, patients with anxiety disorder may have difficulty falling asleep, while patients with depression often wake up in the middle of the night and then have difficulty falling asleep again.

In nature, people follow a diurnal pattern, with higher activity during the day and lower activity at night.

Not only that, most people can classify themselves as morning people or night owls. People's awakening level during the day is driven by the body's biological clock, which is manifested in the peak and estimated changes in hormone levels, which cycle every 24 hours. Hormone levels

It can also be affected by daily habits, such as sleep patterns, physical activity and medications.

Xiaoying's situation is quite special. The artist's work and rest are more irregular than ordinary people. Xiaoying's symptoms are obvious when she is not working. This is a pattern of changes between working time and non-working time. Mu Chun suspects the cause

Is it possible that some kind of mental illness will gradually trigger the onset of symptoms as the day goes by, and the symptoms of this onset are headaches.

So at present, the most likely reason is-stress.

After temporarily finding the cause, it is necessary to further analyze the pressure.

In addition, Xiaoying's behavior of drinking a lot of water after exercising also attracted Mu Chun's attention. In Mu Chun's view, necessary physical examination is still indispensable.

"By the way, Dr. Chu just said that Dr. Muchun has a book to be published. I don't know what it is. Why have I never heard of it before?"

After eating the puffs, Liu Tiantian finally remembered this matter.

"It's a book about using micro-expressions to judge a person's inner psychology. The teacher actually used it entirely by hand. I didn't even know the teacher could draw."

Chu Sisi's eyes were full of admiration for Muchun, and she had no intention of hiding it.

Liu Tiantian was a little confused, "Why does Dr. Chu seem to know Dr. Muchun very well? Isn't it normal that Dr. Chun can draw that Dr. Chu doesn't know? After all, Dr. Chu comes to Huayuanqiao Community Health Center

It’s only been a year.”

"Yes, yes." Chu Sisi quickly changed her words, "Dr. Kimura and I have not known each other for a long time, so it is normal for me to not know."

Liu Tiantian wanted to say something more but was interrupted by Muchun, "Has the publishing matter been decided yet?"

"Yes, my mother said that the publishing house appreciates such works very much, and hopes that Teacher Muchun can write more books. By the way, it seems that the editor in charge said that she hopes to have a chat with the teacher in person, and there are some details...specifically

I don’t know either, I should contact the teacher soon.”

"That's good. This way I can get a lot of royalties." Muchun smiled and waited for Chu Sisi's answer.

"It seems that there are only royalties. There won't be many new writers. It depends on the printing volume. If the book sells well in the end, you will definitely make more money. If it doesn't sell well, it will only be 20,000 to 30,000 at most. Teacher Muchun doesn't want it.

The expectations are too high, after all, the teacher of this kind of book must hope to popularize some interesting knowledge to everyone, right?"

"Having said that." Muchun was a little embarrassed, with a strange expression on his face, "Anyway, why don't you earn more royalties?"

"Mom will help the teacher fight for it. Why is the teacher so eager to make money?"

"Because I need to develop new application software. As you can see, there are not many patients in the outpatient department. I make money from outpatient fees. Oh my God, my income will always be at the bottom of the hospital."

Chu Sisi and Liu Tiantian, who hadn't seen Muchun crying for a long time, looked at each other and felt helpless for a moment, and even felt a little heartbroken.

"Is it the obsessive-compulsive disorder app we designed together with Li Nan before?" Chu Sisi asked.

“What obsessive-compulsive disorder app, why is it something I don’t understand?”

"Oh, no, doesn't Tiantian know about this? It was a project that the teacher and Li Nan discussed with an investor at a charity reception. This project had already found investors at that time, but because of what happened before

Something happened, so there may be some problems with the investment temporarily."

"Question?" Liu Tiantian couldn't understand it more and more, "Let's talk about it one by one. Let's talk about the charity reception first. What charity reception? Can I attend?"

"Of course you can. Well, there are more charity receptions held every summer. I heard from my mother that there will be another charity reception at the end of this month. This time it seems that several charity organizations and the entertainment industry have been invited.

Because after Liu Mei’s case, Liu Mei’s family’s business was greatly affected, so some of the public welfare projects they had promised to fund have now been stopped, including Li Nan and Teacher’s self-help app for obsessive-compulsive disorder.”

"So it turns out that Liu Mei's case has actually affected public welfare projects. This is really a butterfly effect."

"This word is really hard to describe." Muchun complained.

Liu Tiantian handed Mu Chun the remaining Hokkaido original puff in the box, "Doctor Mu, please eat one too, so that you can have the strength to make money."

Muchun picked up the puffs, put them in front of him and looked at them carefully, and then asked: "Are you stressed about eating this?"

"I don't." Liu Tiantian answered first.

Muchun looked at Chu Sisi again.

"I'm actually fine, but Pan Xiaoqing is very stressed."

"Well, why did Xiaoying eat two in a row without any pressure?"

"Doctor Mu, we are talking about the charity reception and your app." Liu Tiantian rolled his eyes at Mu Chun.

"Making money is one thing, developing applications is another thing, finding sponsorship is another thing, but patients are still the most important thing. At least for patients who come to our outpatient department, we still can't ignore any detail, especially the first conversation.

After that, we must know what information we already know and what information we need to know next time.”

Is this a sudden class? Chu Sisi immediately became serious.

Liu Tiantian stopped joking and listened carefully.

"Just the day before, Xiaoying's assistant came to Huayuanqiao Community Health Center, and Dr. Chu was also there. The assistant seemed to say that he hoped to invite me to visit. Is this the case?"

"Yes, the assistant was very arrogant at the time. He told us many times that he hoped we could understand. After all, he is a famous celebrity. It would be inconvenient to come to the hospital and cause all kinds of troubles. In short, the reason

I have said a lot, just hoping that the teacher can agree to visit me."

"I heard Xia Xiaoying say the same thing about this. She said that the other party's attitude was not very good. It's strange, why did she suddenly come to our hospital today?" Liu Tiantian followed Chu Sisi's words and complained.
To be continued...