Who would study psychology unless they had some issues?!
Chapter 245 - 243: It Turns Out the Intervention Has Issues!

Chapter 245: Chapter 243: It Turns Out the Intervention Has Issues!

"In the eighth week, maintain Escitalopram at 10mg/d, Vortioxetine at 20mg/d. On this basis, add Paroxetine at 20mg/d and Bupropion at 150mg/d."

"At the same time, starting this week, provide inhalation of esketamine nasal spray during each consultation to stabilize the visitor’s emotions."

When saying this, Nan Zhubin still used a report-like speaking tone.

But the indignation in his heart was already uncontrollable.

This emotion spread like a mist, filling the surroundings.

[Emotional Infection] is fully on, the effect akin to a passive skill, constantly in play.

Therefore.

"Bang!"

Someone in the first row of professors suddenly slammed the table hard, directly knocking over an open bottle of mineral water, soaking the trousers of the neighboring professor.

"Hey, you... Old Liu, what are you doing?! Why such a temper!"

"You don’t understand, you don’t have a medical background!" The doctor who slammed the table was indeed very angry, and his words were aggressively strong, "This guy surnamed Lin is simply talking nonsense!"

Such offensive words almost indiscriminately provoked the consultants with no medical background who initially weren’t very angry;

And subsequently, the doctor’s words successfully shifted their anger from himself to the medication list on the screen.

The doctors touched by professional knowledge seemed like their backs were set on fire; pointing directly at the photo projected on the big screen, they said:

"Earlier I didn’t know the basis on which Lin Lulin prescribed medicine; after all, the patient’s condition and intervention process are unclear; but I do know that regardless of the type of patient, the prescription he formulated should not be used!"

Doctor Liu spoke resolutely.

And below, other doctors or consultants with a medical background also began to feel stirred emotionally, starting to whisper non-stop.

The Chairman, stern-faced, said: "Old Liu, explain?"

Doctor Liu slammed the table again: "Paroxetine and Bupropion are contraindicated for treating depression, because their mechanism of action excessively activates dopamine and stimulates the sympathetic nervous system, thus achieving a mental excitement for the visitor, helping them escape low moods and incessant fatigue."

The first half of the sentence was incomprehensible to most present, but everyone understood the latter half.

In simple terms, unlike conventional medications that make depression patients feel nothing, these two medications "make depression patients happy."

Upon hearing this medication effect alone, people couldn’t help but frown.

Indeed.

"However, these drugs have very strong side effects; they cause neurological disorder and, in turn, increase the risk of suicide!" Doctor Liu said harshly, "Even in inpatient treatment situations, this medication application needs to be very cautious."

"And look at what the guy surnamed Lin did after prescribing these two drugs? Weekly inhalation of esketamine nasal spray!"

Several people glanced at Doctor Liu, indicating they wanted him to continue explaining what this nasal spray is.

"Esketamine nasal spray is a fast-acting antidepressant; the nasal spray form allows rapid effect on the limbic system, reaching peak blood concentration quickly, which in simple terms means fast effect, typically used for emergency interventions in suicidal behavior!"

Doctor Liu almost laughed coldly: "First prescribe medication that increases suicide risk, then prescribe medication that reduces suicide risk. This is completely redundant, the guy surnamed Lin really calculated well!"

The Chairman asked softly: "It’s not correct to prescribe like that, right?"

"Certainly not!" Involving professional knowledge, even the Chairman couldn’t avoid Doctor Liu’s shout.

"Is there any other possibility? Extremely unique, unavoidable circumstances?"

"Really speaking," Doctor Liu sneered, "These drugs have domestic versions and imported ones. But the guy surnamed Lin not only prescribed these unnecessary drugs but also prescribed the imported, more expensive versions..."

By the latter part, it went beyond the scope of professional knowledge, so Doctor Liu’s voice became smaller.

However, the underlying meaning of the words was very apparent.

The Chairman paused, nodded in understanding, then turned to the Dean of Psychology College: "Can we still verify the signature handwriting on the photos in this PPT belongs to Professor Lin?"

Compared to Doctor Liu, the Chairman’s tone was still relatively courteous.

But the more courteous it was, the less the current dean of Psychology College dared to speak up in response.

He turned to look at the President, but didn’t receive any indication.

Thus, he could only muffle ambiguously: "Looks... somewhat similar. But I’m not very familiar with him..."

"Can you still contact Professor Lin? I’d like to discuss the basis for prescribing that way with him."

...

Some matters are better left offstage.

Once onstage, and surrounded by knowledgeable people, especially having one irascible person among these people to enlighten the others.

Things seem straightforward.

But.

Lin Lulin isn’t supposed to appear just yet.

Judging by the current report outcome, Nan Zhubin merely showcased "Lin Lulin’s medication misconduct and procedural violation," which at best is slightly better than Weng Pinting directly reporting, but definitely isn’t worthy of Nan Zhubin putting on such an elaborate show.

The main point lies ahead.

While Doctor Liu was narrating, Nan Zhubin continued on his own, advancing the slides.

Neither Doctor Liu nor the Chairman was aware that what Nan Zhubin would present next would be truly tumultuous.

"After the ninth and tenth week consultations, at the request of the visitor, take a week’s rest. Medication reduced in this stage..."

"Visitor returned in the twelfth week, conducting the eleventh consultation, medication dose increased..."

"Twelfth, thirteenth, fourteenth, fifteenth consultations, consultation progress stalled, still in self-awareness stage, medication continues in this stage..."

"Twenty-fourth consultation, finally entering the next phase, assisting in correcting irrational beliefs and teaching rational ones."

The twenty-fourth consultation, even with weekly consultations, spans more than six months, or half a year.

None in the front row spoke.

A management member from a consulting company looked around, sought out an older consultant over forty: "Sir, is it normal academically for a case of moderate depression to require twenty-four consultations to reach the transformation phase?"

The old consultant over forty gave him a glance: "Every condition is different; maybe this visitor is more unique?"

Spoken conservatively.

Therefore, the management member sought a doctor: "Based on the medication scheme just prescribed by this teacher, what’s the estimated monthly consultation and medication expense?"

The doctor cast a sideways glance at this person: "I don’t know the professor-level consultation fee, but conservatively one consultation is about two thousand? As for medication... around ten thousand."

Even being conservative, it couldn’t be much lower.

The management member’s eyes flickered — can one fish approximately twenty thousand from a visitor monthly?

That profit?!

Sensitive to figures, many company representatives began initiating similar inquiries and explorations.

Although they dealt with cases less in-depth than consultants, they encountered more and with greater variety.

They understood, seldom or almost no case of [moderate depression] can be treated this long and intensively.

Just by observing, one could notice — something’s amiss.

Either the diagnosis is problematic, or the intervention is!