Crazy Psychologist

Deng Li, a cardiologist, recognized Muchun at a glance.

"I am, I am Muchun."

"Xiao Feng, this is Dr. Muchun, please have a nicer attitude towards me."

"Mu Chun? Is that the psychosomatic doctor?"

Muchun: Why do more and more people know me? When did I become so famous?

"But it's useless, Dr. Deng, we need family members, family members. No matter how great Dr. Mu is, a psychosomatic doctor can't save heart disease, right?"

Muchun thought, this is true, treating heart disease and treating heart disease are really not the same thing.

I can untie the knot in my heart, but I can't remove the blood clot in the patient's blood vessel.

Unable to find Li Mu and not knowing how to contact Qiu Tong's parents, Muchun was extremely worried.

Muchun at the door of the emergency room didn't know what to do.

Li Mu's purpose for calling him was very clear, that is, he did not want the police to know about Qiu Tong. Although Mu Chun understood that paper could not keep fire, the police continued to investigate Liu Mei's case, and Qiu Tong was already among the police's suspects. .

What Muchun was worried about was that maybe Qiutong sent Ikeda Kon's heart to Ningyuan Cemetery.

If this is the case, it is to help Liu Mei move the body. How can he not accept legal sanctions?

Everyone has compassion. Li Mu begged because he couldn't lose Qiu Tong. Now he couldn't live without Qiu Tong even more than when he was healthy.

It sounds counter-intuitive. How could a husband still be full of affection for his wife after her wife pushed him downstairs?

Unless he is an abnormal person or has a mental problem, under normal circumstances, the person who murders him cannot be easily let go.

But from another perspective, because Qiutong did something very excessive to Li Mu, but Li Mu survived, he lost a lot, not only his legs, but also the huge losses to the company during the long recovery period.

These losses include financial, physical and all aspects of life. In short, Li Mu's life was completely changed because of this fall.

A person who has lost a lot does not want to lose more. For him, if Qiu Tong is well, he will not lose Qiu Tong.

Muchun could imagine Qiutong seeing the news about Ikeda on the TV hanging on the wall in the corridor of the ward when he was cooking in the corridor.

The content of the news may be very simple. It just tells the public that the police found Ikeda Chika's heart in the Ningyuan Cemetery. The heart was stored in a plastic bag. After the air was removed, the bag was in a vacuum state, so the heart has not yet suffered from serious decay. There was a problem.

Just one or two minutes of news was enough to send Qiu Tong into a state of collapse.

It turns out that these women, whether Geng Meng, Qiu Tong, or even Liu Mei, have something in common including having had an unpleasant past, experiencing domestic violence, or being full of hatred for their partners. In addition, these women have other things in common. One thing they all have in common is that they are easily influenced by others.

When the same ideas are mentioned again and again around people who are easily influenced by others, and if the people who promote these ideas are relatively high-status or have high prestige in a certain group, these people who are easily influenced by others will It is easy for people affected by this to rationalize other people's consciousness as "I want to do something", "I should want to do this", "I will get better if I do this".

By constantly rationalizing and internalizing some concepts, it finally became - brainwashed.

To put it simply and popularly, it is - brainwashed.

Zhang Mei vaguely understood why Geng Meng said she hated Zhang Mei. The reason was precisely because although Geng Meng resented her married life and Chen Feng's rough treatment from time to time, Geng Meng also gained something from this relationship, a kind of The sad and ulterior "gain" is that every time Chen Feng beats Geng Meng, he will treat Geng Meng better than usual, be more obedient, repent, beg for mercy, and speak better than usual. More sweet words.

This is "gain", a "gain" mixed with pain.

Many times, people ask why there are so many women who have experienced domestic violence, but less than 1% of women actually take the matter to court. This emotional "gain" is one of the reasons.

Chen Feng's domestic violence was discovered by an aunt from the community committee and forcefully exposed by Zhang Mei. Zhang Mei even made Geng Meng's divorce case appear in the women's newspaper at the time.

Why does Geng Meng hate Zhang Mei?

It seems there is no reason, but if you think about it carefully, there are many reasons.

Generally speaking:

First, once divorced, Geng Meng lost Chen Feng. Although she lost her violent husband, she also lost her husband who would beg for mercy and who would be obedient to her.

Second, there is a "shared secret" that no one knows about and only exists between two people. Domestic violence is a "shared secret". If Geng Meng does not tell anyone about it, a kind of "shared secret" will gradually form in her heart. Thoughts - Only I know the other side of Chen Feng. Only I know that Chen Feng will lose control when he is angry.

These things are the ugly side of Chen Feng. Naturally, he does not want his family and friends to know about them. Geng Meng controls them, so on top of this secret, Geng Meng has the right to "negotiate terms" and she occupies the active position.

Third, this account is very bad. For Geng Meng, the pain he has suffered is like a yellowed book page that cannot be restored to its original color. Most people choose to swallow their anger and forgive after experiencing domestic violence, not entirely out of love and attachment to their partner, but a more obscure psychological state, "Since I have lost, if I let you leave my side , I will never have a chance to win it back.”

This mentality is somewhat similar to a person who has lost chips at a gambling table and is unwilling to leave, because once leaving, it means real failure in the gambler's mind, and giving up is a complete loss.

It also corresponds to the old saying, if you gamble, you are not afraid of losing. This is the mentality of gamblers.

Once divorced, bridges return to bridges and roads return to roads. Once they turn around, they will be strangers to each other from now on. When we meet again on the road to hell, we have already drank Meng Po soup. Who owed whom back then, who owed whom, where to start? ?

In this life of two clear things, wouldn't it mean that the loss is a foregone conclusion and there will be no chance of repayment?

Sometimes, what people think is soft-hearted is actually based on choice, but there are some trade-offs and calculations under the surface, hidden in the deepest part of the cream cake, which you may not be able to discover.

Many things are decisions after choice, but the choice is no longer the questions printed on the test paper during the primary and secondary school examinations.

Geng Meng hated Zhang Mei, and what she hated was that she could no longer fight back after the Qing Dynasty. Zhang Mei didn't want to think of Geng Meng for more than 20 years, because she didn't want to know what she might have done wrong at that time, whether she was young and energetic or had her own way of doing things. Made decisions for others.

This is why Dean Jia felt that Geng Meng was very strange at the time. Geng Meng was hesitant when it came to whether there were wounds elsewhere on his body, and he was also hesitant when it came to mentioning domestic violence.

No matter what the reason is, for Muchun, Chen Feng has left, and he cannot judge whether Chen Feng was fully conscious during the domestic violence, or as Chen Feng's mother said - this child never lies, he does not Know what you have done.

Maybe Chen Feng did suffer from some kind of mental disorder, but he passed away, so everything is just speculation.

The only one who may know the truth is Geng Meng, and she may not be able to tell clearly.

Li Mu's feelings for Qiu Tong are similar to Geng Meng. For people who have lost too much, if they continue to lose, then the previous losses may have been wasted. This loss cannot bring new "gain", so It is not incomprehensible that Li Mu chooses to forgive.

It contains many layers of complex emotions, including love, attachment, and if Qiu Tong also leaves, who will he ask for compensation in the future?

So Li Mu didn't want anything to happen to Qiu Tong. He was willing to keep everything Qiu Tong had done to him rotten in his stomach, face the pain slowly by himself, and never tell anyone about it.

Muchun is not an ordinary outsider. Muchun is the only person Li Mu can count on. He counts on Muchun to save Qiutong.

When Qiu Tong returned to the ward with rice, Li Mu saw Qiu Tong's fear from her panic and rolling tears, and also saw Qiu Tong's confession.

This confession not only contains everything that happened, but also contains the information that Qiutong wanted to destroy herself.

Li Mu, who has experienced too many things, clearly grasped the dangerous atmosphere, but he could not go to the police or tell others, because that would make him lose Qiutong.

Qiu Tong's self-destruction and being taken to prison by the police are both "losses" to Li Mu. He does not want such a loss. What he wants is to keep Qiu Tong by his side.

This is man, a complex and unpredictable creature.

No one can escape this kind of complexity, because the world is never simple.

Nurse Ding Feng walked up to Muchun and told him that the patient had agreed to the operation and was now undergoing examination. Director Deng wanted to ask Dr. Muchun to come in and take a look.

Mu Chun followed nurse Ding Feng to the emergency room. When he saw the ECG monitor on the bedside, Mu Chun immediately realized how serious the situation was.

"She could still understand what I said just now, but now she can't, you see."

Deng Li motioned to Muchun to look at the values ​​on the monitoring monitor. The heart rate was 120 beats/min and the blood pressure was 96/50mmHg. A layer of cold sweat broke out on Muchun's forehead. Qiutong's condition was very dangerous. It could be said that she had almost entered a state of shock.

"Although it is an emergency at night, coronary intervention can be performed immediately."

"Okay, if this continues, the blood supply to the organs will be severely insufficient, and she won't live long."

The electrocardiogram report showed that the ST segment was significantly elevated, and the laboratory report also showed that troponin was elevated. Ding Li was experienced and told Muchun that he still highly suspected myocardial infarction.

"At present, it seems that ischemic necrosis has occurred. If it is really myocardial infarction, the electrocardiogram will change after a while." Deng Li explained.

Based on the electrocardiogram, the occurrence, location, extent and period of myocardial infarction can be determined, and the diseased coronary artery branches can be inferred, which provides an important basis for clinical observation of the condition and judgment of prognosis.

The principle of electrocardiogram is also easy to understand. When electrodes are placed on the chest wall, electrical conduction can be felt. The electrical conduction is recorded on the electrocardiogram paper. Once there is myocardial infarction, it means that part of the blood vessel is blocked. The blockage leads to ischemia. Ischemia The discharge of necrotic myocardium must be poor. At this time, it is reflected on the electrocardiogram. When the doctor reads the drawing, it can be said to be clear at a glance.

"Moreover, the blood test showed that troponin was also elevated, so the diagnosis of myocardial infarction seems to be no problem." Mu Chun frowned as he took the electrocardiogram and blood test report.

Troponin is a protein that exists almost exclusively in myocardial cells. When troponin is elevated and accompanied by severe chest pain, nausea, near-death sensation, mental disorder, arrhythmia, hypotension and other symptoms of myocardial infarction, it can be treated It is inferred that the necrosis and rupture of myocardial cells releases troponin into the blood, so an increase in troponin can be detected in the blood.

"Is it okay to diagnose myocardial infarction? Did the patient have strong chest pain before admission?" Deng Li confirmed some symptoms with Muchun while performing treatment.

"Yes, severe chest pain is accompanied by systemic symptoms and rapid heartbeat." Muchun replied.

"The electrocardiogram also showed signs, troponin increased again, and all the necessary indicators are available. I will go to the cath lab to prepare."

After Deng Li finished speaking, he immediately contacted his colleagues.

Basically, myocardial infarction is caused by the coronary artery being blocked by a thrombus, which blocks the blood flow and causes ischemia. The only way to save the myocardium is to unblock the blood vessels and restore the blood flow.

Muchun looked at Qiu Tong with very complicated emotions, but saving her life was the first priority now, and the rest could wait until she recovered.

This is what doctors do. When facing patients, no matter whether you have committed a crime or not, they must act with the belief of saving lives and healing the wounded.

Nurses Ding Feng and Muchun pushed Qiu Tong to the cath lab together.

Deng Li had already rushed to the cath lab in advance and was racing against time to prepare.

Not long after, Deng Li told Muchun in surprise, "It's not myocardial infarction."

"No?" Muchun was confused when he heard this new diagnosis.

All the symptoms seem to be consistent with myocardial infarction, how could it not be the case?

Deng Li performed a coronary angiography on Qiu Tong and saw that Qiu Tong's coronary arteries were very smooth, with no obvious stenosis and no thrombosis. In this way, it was indeed not myocardial infarction.

How can it be proven that the coronary arteries are severely narrowed or blocked by thrombus? Take a picture. If you can see that there is a blood clot blocking the blood vessel, it will be clear at a glance.

Unfortunately, the X-rays currently used cannot capture thrombus, especially the thrombus in the coronary arteries, which are too small. It cannot be visualized under X-rays, since there is no way to directly see the coronary arteries blocked by thrombus in X-rays. So how to judge whether the coronary artery is blocked by thrombus?

The method was the coronary angiography done by Deng Li before the intervention!

First, an injection is made in the femoral artery at the base of the patient's thigh. The femoral artery is connected to the aorta → coronary artery → left ventricle. A guidewire is inserted from the femoral artery and pushed along the blood vessel. This guidewire can reach the abdominal aorta → thoracic aorta → aortic arch → and then enter coronary arteries.