If he came to the hospital for running, this is really an exaggeration. But it is probably the most reasonable speculation.

Then why do we have to race against time to run?

The reason should be the two giant puffs.

Because he ate two puffs and was worried about sugar, he wanted to run to reduce the amount of sugar converted into fat, so this big star showed up at the Garden Bridge Community Health Center.

I am lucky enough to meet big stars thanks to this treadmill.

Thinking of this, Muchun couldn't help laughing.

"Teacher, what are you laughing at? By the way, teacher, how should we start treatment when we encounter such a patient?"

"First we have to evaluate," Mu Chun corrected Chu Sisi's question.

"Oh, yes, yes, I found that I can't start a treatment. How should I put it, Teacher Muchun always seems to be very organized, one step, two steps, three steps, and I often have a situation where I don't know the steps of treatment.

It feels like I am being taken away by the patient from time to time."

"Being taken away by a patient?" Liu Tiantian didn't understand what Chu Sisi said. As a nurse, it was impossible for her to be taken away by a patient, because she was the one who took the patient away.

"Well, for example, something happened before. A patient came to my clinic, and then I tried to chat with the patient. As a result, the conversation turned into the patient talking, and I was completely listening to the patient, and even interrupted.

The situation of not being able to talk."

This problem has been buried in Chu Sisi's mind for a while, because Muchun had been very busy before, busy cooperating with the police to handle the case. After finishing the case, he was busy with the annual mental health conference, and Chu Sisi could not find it.

It was time to ask the teacher for advice. It was raining heavily today and there were no patients in the clinic. Chu Sisi finally found the opportunity to study hard with Muchun.

Seeing that she has been practicing in the hospital for more than a year, although she can already receive patients independently, Chu Sisi still hesitates every time she faces a new patient, not knowing how to start or how to proceed.

He is now eager to find a scientific process to help her control the pace of treatment.

I don’t know if through my own efforts and serious study, one day I will be like Teacher Muchun, who always wants to know what to do when facing patients, is calm and calm, and is not surprised when things change.

"This is not the worst situation. It can even be said to be a better situation. It is better for the patient to speak than not to speak. If a patient comes to the hospital and sits in front of you, he does not say a word.

, then the evaluation work will become extremely difficult.

Developing a treatment plan for a patient begins with a thorough understanding of the person."

"Comprehensive understanding?" Liu Tiantian opened his eyes wide, "Wait a minute, Doctor Muchun, wait a minute, I need to find a piece of paper."

"What are you looking for paper for?"

Muchun said in confusion.

"Of course I'm taking notes. I've never heard that a doctor needs to have a comprehensive understanding of the patient to treat a patient. Next, Dr. Chu will definitely ask what aspects a comprehensive understanding includes, right? Dr. Chu?"

"Well, I have to take notes too. Although I know the teacher said to memorize it in my head first and wait a few hours before trying to recall it and write it down in my notebook, I think it's easier for me to take notes on the spot.

"

After Chu Sisi finished speaking, she took out a blue notebook.

“Then let’s get started. Information that needs to be evaluated and mastered includes:

·Demographic characteristics

·Mental condition

·Cultural and religious background

·Physical characteristics and abilities, medical conditions

·Behavior

·Emotions and moods

·Intelligence, thinking and learning styles

·Family structure and family background

·Other relevant history and experiences

·Social behavior

·lifestyle

·Education and professional experience

·Family history of mental disorders

·Other related fields

and the patient’s description of the current situation.”

"Do all these have to be collected from the meeting?" Chu Sisi had a headache, and Liu Tiantian immediately suspected that he was a scumbag.

"It seems like there are a lot of items, but these things are very important. If you think about it carefully, you will find that these are all necessary. If the data collection is not done well, the subsequent diagnosis and treatment may go in the wrong direction.

For example, a doctor who has no understanding of the patient's cultural environment believes that the patient's daily prayer for meal money is a compulsive ritual, and it is likely to be a joke to treat the patient according to the method of obsessive-compulsive disorder.

Forget it’s a joke, if the treatment is completely different from the condition, the patient will be delayed.”

"But it's really difficult to collect so much information just through talking. It might be better if you meet the kind of patients who talk endlessly as soon as they come to the hospital, as Dr. Chu said. But if you meet some patients, you'll have to ask three questions.

If you shake your head and don't answer any more questions, wouldn't it mean that you are completely unable to grasp useful information during the conversation? If this is the case, wouldn't it mean that we have no clue and no way to start with the patient's treatment plan?"

"Yes, generally speaking, patients come to the hospital hoping to get help, except for some special cases.

Let us first say that in most cases, after a patient has experienced a long period of pain and suffering, when the condition reaches its most serious stage, it is also the best time for treatment. At that time, the patient will think of seeking help and get rid of the torture completely.

I have a long-term psychological disorder.”

"Do all unions have such a point in time?" Liu Tiantian asked.

"This depends on many factors. First, the patient needs to know that there is a place to seek help; second, he is no longer afraid to tell others that he is a weird person and has some hidden problems."

"The main reason is that many people still don't know about mind-body medicine. Even if some people do know about it, they still have many misunderstandings. For example, Fang Jia's mother had a very cruel family. She knew her child had a problem, but she still said

The doctor was wrong, and Xie Xiaofei's mother also said the doctor was wrong." Liu Tiantian pouted unhappily, feeling a little unfair.

"It doesn't matter if there are misunderstandings. Misunderstandings will always exist in this world and will never disappear completely. Not to mention the mutual differences between individuals. No one can truly understand what the other person is thinking. The differences in professional fields are even more important.

It is impossible for everyone to understand what the mind-body department is about, or what a person's mental health is about.

Closer to home, most of the time, patients will need help. This is the time point for treatment. Generally speaking, patients will take the initiative to tell some basic information, including a description of the current situation, their career, family, etc.

Many of people's troubles come from conflicts between people and between people and the environment. When patients describe their depression, they will most likely mention that, for example, I feel uncomfortable every time I get home, or when I am at home.

Well, I'm very depressed when I'm at work. There's usually a certain environment that helps us understand our patients fully.

In addition, some evaluation scales can be used, which will make it easier for us to collect data."

"It turns out there is such a tool as a scale. Dr. Muchun is really good at hiding it, and he didn't tell us until now."

"There must be a reason why the teacher mentioned the scale at the end, right teacher."

"Dr. Chu is really good at thinking about problems from other people's perspectives. This is great! You will all learn these in graduate courses. Take your time and don't rush."

"But what should we do if we encounter a patient who is particularly uncooperative and refuses to explain clearly?" Liu Tiantian has many questions.

Chu Sisi also wanted to know, "What if the patient can't explain it at all?"

"So when our Department of Psychosomatics collects information about a patient's condition, the information provided by people close to the patient is also very important. Another point is that generally speaking, I refuse to go to the clinic. If the patient is not willing to receive treatment from the Department of Psychosomatics, our work will be very difficult.

It is carried out, and formulating a treatment plan is almost equivalent to fishing for the moon in the water or scratching the itch?"

"I see. No wonder the teacher decisively rejected Assistant Xiaoying's request for a medical visit last time."

"Yes, patients' trust in doctors and patients' expectations to improve their own conditions are of great significance to psychosomatic treatment, and are sometimes more useful than medicine.

It is crucial for clinicians to help patients raise their hopes and expectations for positive treatment outcomes in the early stages of treatment, and there is also a correlation between the patient's personal characteristics and treatment outcomes.

In treatment, individuals who are friendly, open, emotionally accessible, and able to express their thoughts and feelings are more likely to form positive treatment expectations; patients who actively participate in treatment are more likely to improve regardless of which treatment intervention is used.

.

Patients who have good object relations, demonstrate strong self-strength, and take responsibility for their problems are more likely to have positive outcomes than patients who view these problems as external difficulties because they are motivated to change.

For example, Xiaoying herself does not have a strong desire for treatment, and she does not pay much attention to headaches and whether she has other psychological disorders. In this case, even if the assistant is anxious, the treatment may not be able to achieve the goal.

Development in a positive direction.”

After all, the patient's own willingness for treatment is still very important.

Liu Tiantian quietly concluded in his heart.

On the other side, as soon as they arrived at the radio station, the staff ran over, walked through the long aisle, ran to Xiaoying and bent down to salute, with a very polite attitude.

"It's raining so heavily, thank you so much, Xiaoying. This season is so annoying." Xiaofang, the receptionist, smiled in a flattering manner.

Yes, it rained all day today. It also rained for a while in the early morning. Then I thought it had cleared up. But I didn’t expect that it was still raining even after lunch time after I came out of the set.

After arriving in the lounge, Xiaoying said hello to the radio host. The host said that he would go first and was going to let Xiaoying rest for a while. Xiaoying said politely: "It's okay, Baiyun. We have known each other for so long. Please do your best."

Just ask my colleagues to call me."

Baiyun smiled, patted Xiaoying's shoulder, and leaned into Xiaoying's ear, "She's really getting more and more beautiful."

The two have a good personal relationship. When Xiaoying first debuted, Baiyun was already a well-known radio host. Several big stars guested on the radio station. Baiyun helped Xiaoying to participate in the program. Baiyun hosted this celebrity talk show

It has always been a gold medal program from 2 to 5 pm on Fridays, and the listening rate has always been very high.
To be continued...