The Enhanced Doctor-Chapter 827: Strange Mental Disorders

(Thanks for the monthly ticket encouragement from Smashing Sorrow)

"Dr. Liu, this is also one of Rou's symptoms. It happens about four or five times a day, at unpredictable times, and then she calms down on her own." Bao Chunlai said.

"She can recover on her own? No need for sedatives?" Liu Banxia asked.

"No need. We used to use them, but once it got messed up and then Rou calmed down on her own. That's when we realized we didn't need the sedatives." Bao Chunlai said.

It lasted for about three minutes before the once-agitated patient suddenly became calm again.

This made Liu Banxia very curious. Typically, sedatives would be needed; this case is quite interesting.

He made a call to Xu Yino and Liu Yiqing. It was inappropriate for him to examine her himself, so having them check would minimize any overlooked issues.

"Chairman Bao, were there any signs before the child fell ill? Or did she experience some kind of stimulus?" Liu Banxia asked.

"Ah... back then, we didn't know. Initially, her temper just got a bit worse; Rou used to be very easygoing." Bao Chunlai sighed.

"We saw a psychologist, but it didn't help at all. Later, we just took care of her at home, but things got worse."

"When we visited other doctors, we also asked this question, but we really can't remember. We asked her teacher too, but didn't find any evidence of Rou being in a relationship, and her grades were stable."

"We even did genetic screening, and neither my wife nor I have any history of such conditions. The doctor said that during puberty, it's easy to trigger schizophrenia. They suggested continuing medication, and things might improve over a few years."

"You did use instruments for examinations before, right? Everything was normal?" Liu Banxia asked.

Bao Chunlai nodded with a bitter smile. "We've seen several doctors. They all said it's idiopathic schizophrenia. We've done many tests; everything possible, but found no issues."

"It's such a torment for the child to undergo tests, so we kept her at home afterwards. And things ended up like this. It seems she has some pneumonia this time, and I don't want others to know Rou has become like this."

"I understand. As parents, our first thought is always to do what's best to protect our children." Liu Banxia said.

Ding! Task Published: Strange Psychiatric Disorder Patient

Open Task: Patient diagnosed with schizophrenia, witness to the onset of symptoms, sparking the host's keen interest. Task rewards will be based on the diagnostic results.

This task is somewhat of a headache, leaving Liu Banxia feeling a bit conflicted.

Despite his earlier claim of protecting the child, sometimes it's the parents themselves who don't want others to know. And listening to Bao Chunlai just now, it seemed they've given up on the schizophrenia diagnosis.

Bringing it up again might seem like rubbing salt into the wound. Plus, the current situation is indeed complicated and not easy to handle.

He's only mildly curious because the symptoms the patient exhibits are somewhat unconventional.

"Teacher Liu, blood pressure is normal, temperature is 37.8. Auscultation reveals scattered dry rales, and emotions are stable for now." Xu Yino reported upon completing the examination.

"Both ear canals show signs of infection, there are multiple contusions on the body, and papules on the scalp." Liu Yiqing, responsible for checking the head, added.

"Hmm... Rou doesn't really like others touching her now, especially when it comes to washing her hair or bathing. The ear canal infections have been persistent. We coax her to wash her hair, but sometimes she gets upset and ends up with water in her ears." Bao Chunlai said.

"Chairman Bao, the preliminary assessment suggests some pneumonia. But we need to conduct relevant tests, only then can we administer medication." Liu Banxia said.

"The tests needed currently are a complete blood count and a chest CT to see the extent of the pneumonia. Will Rou cooperate during these exams and the blood draw?"

"That's not a problem at all. As long as she's not agitated, she's very easy to get along with. She just really dislikes water, so we wipe her face instead of washing it every day. Sorry for the trouble." Bao Chunlai quickly said.

"That's no problem. Liu Yiqing will handle the blood draw, then we'll change clothes, and contact the CT room. Let's head down when it's almost her turn." Liu Banxia said.

Xu Yino and Liu Yiqing hurried into action. Fortunately, during the blood draw, the patient did not resist.

This too seemed odd to Liu Banxia. Typically, those with schizophrenia exhibit some degree of resistance to invasive procedures, even when calm.

Because the primary symptoms of schizophrenia are mania and delusion, with paranoia being the most common. Hence, they often become more agitated when people come close to them.

After the patient changed clothes, Liu Banxia walked up to her and observed closely.

"Chairman Bao, when did the slight head shaking symptom started in Rou?" Liu Banxia asked after watching for a while.

"It started later on, and recently it has become more frequent." Bao Chunlai said.

"Chairman Bao, have you considered doing another head examination for Rou?" Liu Banxia tentatively asked.

"Another head examination? Are you suggesting that Rou's schizophrenia might be due to a brain abnormality?" Bao Chunlai asked in return.

Liu Banxia nodded, "I'm not trying to question previous diagnoses just to show myself off. But I think Rou's symptoms have some conflicting aspects."

"So I believe we can take another look. Typically, schizophrenia patients exhibit mental confusion but not such calmness like Rou."

"And they usually resist examinations more often than not. Rou currently seems to resist only water, which is why I mentioned it."

"Dr. Liu, let's focus on Rou's pneumonia for now. We can worry about other things later." Bao Chunlai said after a slight hesitation.

Liu Banxia nodded without pressing further.

If it were himself, he might make the same decision.

After numerous examinations confirming schizophrenia, doing more tests would put the patient through another round of trouble.

The patient occasionally displays manic behaviors. During dynamic electroencephalography, some control is needed, as well as lumbar punctures, which are also significantly invasive procedures.

As he exited the ward, Liu Banxia felt uncertain.

It's already evident from previous experience that task issuance is determined by one's psychological state, meaning whether the patient is ill or if prior diagnoses were correct is not the task issuance standard.

Even if a task pops up this time, the patient may still only have schizophrenia with some unique traits in symptom presentation.

After pondering, he decided to table the task for now, focusing on resolving the patient's pneumonia first, as that's the primary reason for the patient's referral.

He dialed Qiu Huaili, who answered after just a few rings, "Banxia, is the diagnosis finished?"

"Brother Qiu, it seems like there's some pneumonia. But the child's schizophrenia symptoms seem a bit off, so I mentioned it to Chairman Bao. That's okay, right?" Liu Banxia asked.

"No problem. Old Bao is also quite worried about Rou. It's only because of my closer relationship with him that I know a bit more." Qiu Huaili replied.

"Old Bao's company is publicly listed; any sign of trouble can affect the stock price. Despite it being his daughter's situation, who knows what people might say, so it's all kept confidential."

"They've tried almost everything: blessings, incense, hiring masters, and visited many famous hospitals. A few times, I even helped cover things up."

"Tsk tsk, it seems life isn't necessarily better for the wealthy." Liu Banxia commented with emotion.

"I'll take care of things here first; I'll get in touch with any developments. But in my practice, I focus on the illness, not who the patient is. If I find any new symptoms, I'll bring them up."

"That's good. If you can make Rou's condition better, Old Bao would be overjoyed. Just do as you see fit; you're in charge."

"If I didn't trust you, I wouldn't have given you such a thankless task. Actually, Old Bao just brought his daughter back recently. She lived somewhere else before."

"Alright, let's leave it at that for now. I'll make sure someone looks after her." Liu Banxia said.

After hanging up, Liu Banxia felt a renewed sense of compassion, initially feeling a bit of disdain towards Bao Chunlai.

After all, it's his daughter; was he so afraid of embarrassment or overly disgusted by her sickness?

Now he understood the hidden concerns, knowing that any negative news could be detrimental to a publicly listed company. Otherwise, in an instant, it could really mess up their reputation.

Even in his mind, he felt some sympathy for the patient, who, despite coming from a well-off family, could only be confined at home.

"Teacher Liu, Liu Yiqing took the patient for a CT scan." At this point, Xu Yino came down.

"You two should pay more attention, especially regarding the patient's mental state." Liu Banxia said.

"Teacher Liu, do you think the patient was misdiagnosed with schizophrenia?" Xu Yino eagerly asked.

Liu Banxia gave her a sidelong glance, "What are you thinking? Schizophrenic symptoms are present, so there's no basis for saying it was misdiagnosed."

"However, we can further investigate the cause. If it's not idiopathic but traceable, we could try symptomatic treatment."

"But I'm puzzled as to why she's so afraid of water. Could her condition be triggered by water? Anyway, when you interact with her mother, try discreetly finding out."

Xu Yino eagerly nodded; she loved engaging in these activities, especially diagnosing difficult conditions alongside Liu Banxia.