The Enhanced Doctor-Chapter 830: Improper Sleeping Posture Is Also a Symptom
(Thanks to Xin Jing Shen Yi for the monthly vote encouragement)
Liu Banxia has always been somewhat unable to let go of Rou. Moreover, he always felt that when he just performed the bronchoscopy on Rou, the scene he saw looked familiar.
A familiar medical case jumped to his mind: granulomatous vasculitis.
Back then, when Chen Hongyang consulted him about a young patient, he diagnosed it directly.
However, the associated symptoms of that child were too obvious—ear canal infection, easy allergies, nasal mucosa bleeding, rashes, extensive lung necrosis, and blood clots.
But Rou? Her symptoms are not like that.
Currently, Rou is showing signs of mental disorder and extensive lung necrosis, but she doesn't have nasal mucosa bleeding, easy allergies, or associated rashes.
There are pimples on her scalp, but that should result from not washing her hair for a long time. The ear canal has an infection because it got water in it.
Therefore, this diagnosis can't be made; we have to start from other aspects.
"Did we perform a urine test on the patient?" Liu Banxia asked Liu Yiqing hurriedly when he saw her.
Liu Yiqing shook her head, "She fell asleep, I tried talking twice, but she didn't respond at all. Teacher Liu, what do you think the disease might be?"
"We're still investigating, but we have to wait for the lab results to understand." Liu Banxia said.
"Teacher Liu, could it be some kind of virus that affects the nerves? She doesn't wash her hair or bathe, right? Isn't hydrophobia a symptom of rabies?" Liu Yiqing asked.
"It's not just hydrophobia, but photophobia and fear of wind too. It's a neurological symptom. But she can drink water, seeing water is fine; she just doesn't bathe or wash her hair." Liu Banxia explained.
"This could be an outward manifestation of her mental disorder, which is why the previous hospital diagnosed it as schizophrenia. The symptoms are varied, and we need further analysis."
"This situation may be useful, or it might be an additional result of some syndrome, not very helpful. Did the patient's mother reveal any more information?"
Liu Yiqing shook her head, "Actually, they brought her home only after she fell ill at school. It's the kind of expensive private school abroad where students live on campus."
"Teacher Liu, do you think she might have encountered something abroad? Things are quite chaotic there, and all sorts of things are rampant."
"Uh… This seems like new information. Let me contact Old Qiu." Liu Banxia frowned. 𝒇𝒓𝙚𝒆𝔀𝓮𝓫𝒏𝓸𝙫𝓮𝓵.𝓬𝙤𝙢
He always thought the patient was studying domestically, but it turns out the school they mentioned is abroad. It shows his limited knowledge and narrow thinking.
"Banxia, did something else come up?" Qiu Huaili asked directly after the call connected.
"Brother Qiu, is Rou studying abroad?" Liu Banxia asked.
"Yeah, she left for middle school." Qiu Huaili replied.
"Brother Qiu, let me ask directly. Is there any chance Rou experienced something unpleasant abroad? I just learned this information; I always thought she was studying at a domestic school." Liu Banxia asked bluntly.
"Many anesthesia drugs are rampant abroad, and she might have faced exclusion or other issues, possibly due to life pressure. Is it possible this caused the mental disorder?"
"Also, improper medication might have caused some degree of lung damage. It's uncertain; we just want to understand the basic situation, and Chairman Bao doesn't like to mention it."
"Sigh… I heard Old Bao mention this once. They both flew over and had her checked at a local hospital; the school conducted an investigation." Qiu Huaili said.
"According to them, no drug components were detected, nor was there any assault. That school is indeed a boarding school with strict management, but the atmosphere is nice."
"It was Rou's mother who insisted on sending her abroad, which caused some conflict between the couple. So they don't want to talk about it, believing their decision led to Rou's current situation."
"Got it, I understand the situation, and I'll pay attention to this aspect." Liu Banxia said.
"But for now, we've only found multiple lung necrosis; we don't know what caused it. We aren't ruling out autoimmune diseases or a special bacterial infection."
"Banxia, I'll leave it to you. Old Bao values his daughter dearly. Now, for her sake, they're traveling nationwide, staying in one place for no more than a month." Qiu Huaili said.
"Don't worry; I'll definitely strive to diagnose. I've already started consulting, and next is to find doctors skilled in lung diseases." Liu Banxia said.
"Alright, take care of it. Old Bao is worrying about his child, so try to be understanding with him." Qiu Huaili said.
"It's already very good; I've seen much worse attitudes from patient families." Liu Banxia said.
"Let me go upstairs and take another look, perform a physical examination myself, see if anything was overlooked. This child has indeed suffered a lot, reduced to skin and bones, I wonder how she's endured."
"Let's leave it like this for now, call me directly if there's any development." Qiu Huaili said before hanging up.
"Let's go, follow me for another round to check and record the situation, then we can consult cardiology. We have to cure the lung disease, or else it'll be tough to handle." Liu Banxia said.
"Teacher Liu, do you think the lung disease is related to the mental state?" Liu Yiqing asked.
Liu Banxia shook his head, "I'm now inclined to think poor mental health affects eating, hygiene, and consequently the patient's health."
"Now the patient's mental state is poor, her physical condition is weak, her immunity is significantly lowered, resulting in a bacterial lung infection."
"If her health wasn't affected, we could have administered broad-spectrum antibiotics even before pathological results. But it's different now; we must be cautious."
Both girls nodded in agreement; this is knowledge for receiving patients.
Especially in the use of antibiotics, one must not use them indiscriminately; otherwise, bacteria resistant to drugs will become even stronger.
Upon arriving at the upstairs ward, Liu Banxia faintly smelled smoke.
Just pretend you didn't smell it; this is VIP, what can you say?
If the disease is cured, then maybe you can pretend to be a big shot.
"How is she sleeping? Peacefully?" Liu Banxia asked Rou's mother.
Rou's mom nodded, "She seems fine now, but it's uncertain when she'll wake up. She doesn't sleep through the night like us, it's waking sporadically."
Liu Banxia nodded, "Does she usually sleep with her head covered?"
Rou's mom nodded, "Since she got ill, she always sleeps like this, covering her head, as if afraid we'll sneak in to wash her face and hair."
"What about her eating habits? Is there any special food she loves? We can arrange for something special from our canteen." Liu Banxia continued.
"Rou is very thin now, so her resistance is poor. Our aim is to try adjusting her body first, and once the pathological results are out, we'll directly administer medication."
"She doesn't have any special food preferences, and she doesn't have much appetite now. Sometimes we feed her, but we're cautious not to give too much." Rou's mom said.
While speaking, tears welled up in Rou's mom's eyes.
Who doesn't feel pain for their child? Even Liu Banxia feels a bit worried. Despite the good family condition, facing special illnesses, they are like any ordinary family.
Many times, it's really not much about how much money one has.
Liu Banxia initially came to perform a thorough examination on the patient, but with the current situation, he can only wait and observe.
Rou's mom mentioned that her sleep quality is usually poor, so this is a rare sleep interval.
Observing, Liu Banxia slightly frowned, feeling the sleeping posture of Rou is very peculiar. It's not just about her covering her head.
"Does she usually keep her legs up while sleeping?" Liu Banxia asked.
"She only started doing that after falling ill." Rou's mom said.
"Initially, she slept and raised her legs; now she covers her head and raises her legs while sleeping. The doctor said it's a body's self-defense, lacking a sense of security."
"Liu Yiqing, lift the blanket; I want to check her legs." Liu Banxia instructed.
Liu Yiqing hurried to the bedside and gently lifted a corner of the blanket while Liu Banxia quickly observed and furrowed his brows.
The patient's knees are close together, feet turned inward, somewhat like a spasm symptom. But she's sleeping steadily, why such a sleeping position?
After a while, he lifted more of the blanket to observe Rou's hands.
Similar to her feet, her palms are semi-clenched, fingers turned inward.
Normally, people relax when sleeping, palms usually lay flat when turned down. Even if slightly bent, the curve isn't as significant as now.
As he watched, Liu Banxia's face brightened.
Luckily, he came to observe, thus noticing symptoms in Rou that were overlooked.
Actually, when he first saw Rou today, her hands looked odd too. This sleeping posture is indeed a manifestation of bodily symptoms.







