Free Web NovelChapter 1122: Chapter 1122: Request Miao Yuqiang for Consultation
(Thanks to Tianluo for the encouragement with my Yida reward, and to Brother Can 110 and xuyica for the monthly ticket encouragement)
Liu Banxia didn’t dare to hesitate; this matter was too important, so he directly ran to the neurology department of the inpatient ward.
Normally a phone call would suffice, but that’s just the standard procedure, showing respect for Director Miao Yuqiang from the neurology department.
"From your description, the signs of neurological blinking do seem stronger. Anyway, I don’t have much going on at the moment, so I’ll go over and take a look with you," Miao Yuqiang said after listening to Liu Banxia’s explanation.
"Thank you, Professor Miao. The child’s symptoms are indeed quite complex. I don’t even know if it’s affected by the compulsive disorder, which might be making her blink more frequently," Liu Banxia said.
"That’s very possible. For children, it’s always about what feels comfortable. Psychologically, she must feel that this is more comfortable, but corresponding tests are still necessary."
"Children’s expressions are unclear, and sometimes their responses can only be considered as references. Is the toxic megacolon under control?"
Liu Banxia nodded, "So far, it looks pretty good. Later, we’ll take an X-ray to check the gas accumulation in the intestines."
"We discovered it early and provided examination and treatment as soon as the child showed a reaction. There’s some advantage to that; otherwise, I really can’t dare to imagine the consequences. But there’s no real gold standard for diagnosing PANDAS?"
"Indeed not. Currently, research on this disease is in an early stage, with not many cases available for reference," Miao Yuqiang said.
"Moreover, children with PANDAS often have many complications, and those complications are also quite frightening. Truly receiving effective care and treatment, well, it’s not as common as we’d imagine."
"Even some clinically experimental drugs are, well, they’re just that. Antibiotic treatment remains the primary approach because once those secondary symptoms occur, they can become quite dangerous."
With this conversation, they arrived at the emergency center, where the two attending doctors from neurology, Peng Bo and Zhang Ping, were also waiting.
Back in the day, they were Director Miao’s favorites; only those who are really skilled could be transferred to the emergency center.
"The child is sleeping soundly now, so let’s not disturb her. I’ll chat with her parents for a bit," Miao Yuqiang said.
"Hello, Director, I’m Yuan Yuan’s dad," Wulei quickly identified himself.
"Don’t be so tense; currently, the toxic megacolon is controlled, and that’s what we should be most happy about," Miao Yuqiang said.
"When the child first showed symptoms, who was beside them? Did you notice any other symptoms in the eyes? Such as tearing, dry eyes, irritation, or excess eye discharge?"
Wulei looked at his wife.
"Well... we didn’t pay attention to that situation. At the time, she just had a fever, and the hospital diagnosed it as pneumonia, the streptococcal infection kind," Wulei’s wife said nervously.
"Then came the blinking and twitching at the corners of the mouth. The doctor at the time said we should visit a more authoritative hospital to see if it’s PANDAS."
"You don’t need to be so nervous; we’re just trying to recall what the initial symptoms were when the child first got sick," Miao Yuqiang said with a smile.
"Our colleagues also mentioned to you that neurological blinking is quite common in children, with causes varying widely."
"Mimicry is one reason; eye conditions like dryness and irritation can cause blinking as well. Additionally, children love to move and play, sometimes accidentally hitting their eyes, making them uncomfortable."
"They don’t have much ability to discern, so blinking helps them feel comfortable, leading to more blinking. Due to this lack of discerning ability, they might find blinking comforting, which is a form of psychological suggestion."
"According to Director Liu, the child also showed signs of compulsive disorder. Research over the years has shown that this disorder can impact many mental illnesses."
"In this regard, I agree with Director Liu’s idea because the influence of primary compulsive disorder makes the neurological blinking more pronounced."
"Hence, my judgment also leans towards this possibility being quite high, but I need to wait until the child wakes up, see for myself, and then perform an EEG."
Even though a definitive message wasn’t given, Wulei and his spouse felt excited nonetheless.
Actually, neither Miao Yuqiang nor Liu Banxia normally would reveal something so soon to them. However, if this disorder is indeed confirmed, then all problems would be resolved.
The child having compulsive disorder without tic disorder doesn’t make a rigorous PANDAS diagnosis; the signs aren’t very clear. In the future, the child won’t need to take antibiotics anymore, nor will there be concerns about affecting intestinal health.
The current primary task is to adjust the child’s toxic megacolon symptoms. Otherwise, everything said would be in vain, having a significant impact on the child’s future life.
"Director, does that imply that Yuanyuan suffered these hardships due to misdiagnosis?" Wulei asked.
"Well, to some extent, there is a causal relationship," Miao Yuqiang thought for a moment and said.
"But I have to say, there’s no very clear standard for diagnosing PANDAS; it’s merely based on a synthesis of currently summarized symptoms,"
"Moreover, the child’s symptoms were indeed quite consistent, which is why I asked if there were other symptoms when the child first became ill."
"Let’s talk about the primary diagnosing doctor; he noticed some associated symptoms and therefore reminded you,"
"The following doctors, after admitting the patient, will definitely focus on these symptoms first. For now, let’s wait and see, and after the child wakes up, we can assess the situation."
Wulei nodded in understanding of Miao Yuqiang’s words.
"The child probably won’t sleep for long. She’s just exhausted from the illness and fell asleep due to the electrolyte imbalance," Miao Yuqiang continued.
"Anyway, I don’t have any other matters today; I’ll clock out after the child’s diagnosis is complete. You shouldn’t rush either, stay inside with the child."
"Waking up to see her parents beside her provides great psychological comfort to the child. Kids these days need to maintain a good mood."
"Thank you, director," Wulei quickly said.
"Director Miao, why don’t you come sit in my office for a bit?" Liu Banxia suggested.
"Alright, if there’s enough time, you can give me a tour of your emergency center," Miao Yuqiang nodded with a smile.
Seeing the smile on Miao Yuqiang’s face, inexplicably, Wulei felt a strong sense of reliance.
This can’t be helped, even though Liu Banxia is highly recommended by Bao Chunlai and discovered the unusual blinking of Yuanyuan.
But Miao Yuqiang was invited by Liu Banxia for the consultation as the senior director, respectfully called Miao the teacher. In Wulei’s eyes, his status is very high, and his gentle manner makes it easy for people to accept.
"Teacher Miao, did you notice the child’s mother’s condition just now?" Liu Banxia asked after arriving at the office.
Miao Yuqiang nodded, "I’m afraid the child’s compulsive disorder might have some connection to her mother. She appears excessively tense, extremely anxious."
"Now I can’t even determine if the child’s blinking was triggered unintentionally by seeing some of her mother’s expressions."
"But let’s not mention this to her parents right now. The child needs a happy family. A household filled with laughter is beneficial for her condition."
"Don’t worry, it’s just a curiosity of mine," Liu Banxia replied with a smile.
"Now my mind is somewhat at ease. During admission, watching the little one be so well-behaved yet tormented by such an illness really made my heart ache."
"It’s the same for all of us; children naturally occupy a special place in our hearts," Miao Yuqiang said with a smile.
"This couple, surely had some issues in their relationship before. Once we’re done here, I’ll also take a look at your two little ones,"
"Great, I’ll take this opportunity for a visit then. I miss them, really miss them," Liu Banxia said.
This honest sentiment amused Chen Hongyang.
After chatting for a bit, about twenty minutes or so, Xu Yino came running over; Yuanyuan had already woken up.
Without delay, everyone followed Miao Yuqiang to head over.
In terms of diagnosis and observation, Miao Yuqiang proves to be much more professional than Liu Banxia.
However, the general approach was similar; they spent some time chatting with Yuanyuan, observing the frequency of her blinking.
"It’s basically about right. Later, we’ll supplement it with an EEG, have someone record the child’s blinking time for reference," Miao Yuqiang stated.
"Director, this...this..."
Wulei stuttered a little.
"From the onsite observation, I also lean towards it being neuropathic blinking," Miao Yuqiang replied with a smile and nodded.
Wulei clenched his fists tightly, waved them vigorously, tears mixed with snot, truly crying tears of joy.
"The other piece of good news is that the accumulated gas in the child’s intestines has mostly been cleared. Although we’ve used steroid pulse therapy, the side effects are minimal," Liu Banxia continued.
"With the current situation, I’ll make an exception for your family. We won’t send her to ICU, instead, we’ll arrange a VIP room upstairs; they have more devices, and we can find a nurse to accompany her."
"Then later tonight, we’ll take an MRI for the brain to see if the cause of the symptoms is an organic pathology. Director Miao, is this the plan?"
"That’s correct. Instruments are mainly for reference, but they allow us to have a more comprehensive diagnosis," Miao Yuqiang said.
"Thank you, thank you, I... I don’t know how to express my gratitude," Wulei said, wiping away his tears.
"Stay with Yuanyuan," Liu Banxia patted his shoulder.
At this moment of joy, this family of three should thoroughly savor it.
