The Enhanced Doctor

Chapter 1123: Chapter 1123: Psychological Intervention Provided

(Thanks to book friend 131124211550932, Tao Xiaoyao Qian, 17953018, book friend 160620115906100, Anlin Xiaoxiao for the monthly ticket encouragement)

"Qiaoqiao, let me introduce someone to you. This is Director Miao from our neurology department. He’s here to help with the consultation, and came specifically to see you."

After arriving at Qiaoqiao’s ward, Liu Banxia began the introductions.

"Oh, Director Miao, please have a seat," Qiaoqiao quickly greeted.

"I’ve heard you’re quite the remarkable woman, truly impressive," Miao Yuqiang said with a smile.

"Hehe, at the time, I don’t know what I was thinking. Actually, when I gave birth to them, I did regret it a bit. Later, I thought I’ve gone through so much, I can’t let it be for nothing," Qiaoqiao said.

"I managed to get through it, and Sister Huang really helped a lot. She massaged my belly and encouraged me; otherwise, it would have been really tough for me."

After exchanging pleasantries, the conversation turned to the two little ones.

They are quite considerate, sleeping so peacefully without any fuss. Otherwise, if they transformed into crying babies, it wouldn’t be easy to take care of them.

Miao Yuqiang personally came to visit, which was quite an honor. Even if Liu Banxia is quite capable, there are still many levels of hierarchy between them.

After staying upstairs for a while, he returned to the consultation hall.

"Teacher Liu, the drip and enema have finished. Now we’re heading for the MRI," Xu Yino said.

"Alright, call me directly when it’s done," Liu Banxia nodded.

"Okay." Xu Yino responded and led the child and Wulei’s family to do the MRI.

"Director Miao, here’s the EEG we just did. The child’s EEG was indeed more active when blinking," Chen Hongyang approached with the EEG.

"This is the main reason why previous doctors commonly diagnosed it as PANDAS," Miao Yuqiang said after reviewing it.

"I haven’t personally treated PANDAS patients, but based on my experience, the fluctuations on the EEG aren’t very strong."

"I think it might be due to the onset of compulsive episodes, resulting in such readings. Also, take a look at this almost forty-minute footage, there were two occurrences."

"The first blink aligns well with the time on the EEG, while the second lags by about a second. You’ll need to endure a bit tonight and mostly compare the times."

"Observational times have been short, so it could be a recording delay. A second can be really hard to pinpoint."

"Alright, leave this to me. After dinner, I’ll keep an eye on it. Do you personally believe that the likelihood of a mistaken diagnosis of PANDAS is high?" Liu Banxia asked.

Miao Yuqiang nodded, "We can actually make a diagnosis now. Doing an MRI is just to see if it’s behavior changes due to organic lesions, but I think the likelihood is low."

"A two-year history, right? If there were an organic lesion, there would definitely be other symptoms. But we must be meticulous. Later, you should communicate with the couple and create a good family atmosphere."

"Otherwise, even with medication, the effect might not be ideal. Psychological intervention is quite effective for this illness, including compulsive disorders. The child is still young and has room for adjustment."

"Alright, that’s also on me." Liu Banxia said.

"Since they’re friends, we should also have a meal at the cafeteria tonight. I’ll handle it appropriately. Family environments really have a huge impact on child development."

"That’s quite normal. Children’s minds aren’t mature, and they’re greatly influenced by externalities. Why do we speak of Mencius’s mother moving thrice? Why do parents hope their children attend major schools?" Miao Yuqiang said with a smile.

"Not just because schools have strong faculty, but also because they offer a good learning atmosphere. Even if someone wants to slack off in class, no one would accompany them."

"But often, people overlook the family’s influence, thinking kids don’t understand anything because they’re young. But they stay home for long periods, and even minor atmosphere changes can be felt even if not understood."

"That’s absolutely true. I’ve had similar cases with kids I’ve treated before," Liu Banxia said with a bitter smile.

"Couples maintain their marriage, thinking it’s good for the kids. Ultimately, it was the child who pointed out the issue—it’s the child who suffers."

"Many times, this might be a way for adults to escape responsibility. Emotional matters are really complex and hard to articulate."

"We just treated a case of domestic violence—where the girl knew it was wrong but chose to endure for the man’s affection."

"The end result? She was the one harmed. Captain Shen from the city bureau mentioned that the reporting rate of such cases has significantly increased."

Just as Liu Banxia finished speaking, his phone rang.

"Done already?" Liu Banxia asked after answering.

"Yes, others ahead of her saw Yuanyuan’s condition and let her go first," Xu Yino cheerfully replied.

"Teacher Liu, we haven’t found any problems either. Could you and Director Miao take another look? Does this mean PANDAS can be ruled out?"

"Come back first, let’s discuss together," Liu Banxia said.

He felt quite good, a stark contrast to his emotions when he first received the case.

"Director Miao seems to be almost done. There’s nothing wrong on the current scans. Shall we go in and have a look?" Liu Banxia asked.

"Alright, I’ll need to carefully consider the medication later." Miao Yuqiang nodded.

The image pulled up on the computer was clear and straightforward.

People from the radiology department didn’t spot any issues, nor did they label anything as suspicious. The chance of a missed diagnosis is very low.

"Teacher Liu, we’re back," Xu Yino said cheerfully.

"Wulei, you two come in," Liu Banxia gestured.

"Director, Director Liu, can we confirm the diagnosis now?" Wulei asked quickly.

Miao Yuqiang smiled and nodded, "The diagnosis is confirmed. Currently, the child’s psychological symptoms are obsessive-compulsive disorder and neurological eye blinking."

Ding! Patient’s eyelid task completed.

Earned 600 experience points, Glory Points +10

This task received a perfect rating, earned 1000 experience points, Glory Points 15+15, one fixed stone

This reward surprised Liu Banxia. Why so generous? Are they going crazy? It’s the first non-surgical task with such high rewards.

But after reconsidering, he felt the system was a bit stingy.

Why?

He remembered, Yuan Yuan’s symptoms fall into two categories, one neurological and the other toxic megacolon. It’s a combination, hence the high reward.

"Tonight, let Director Liu help monitor the EEG for supplementary data. As for medication, don’t rush. Once the child adjusts physically, we’ll start medication."

"Thank you, really thank you. I just feel like such a relief in my heart," Wulei said with a grin.

"Haha, happy? Director Miao also has a lot of work. I’ll help convey the rest," Liu Banxia smiled.

"Director Miao, thank you so much," Wulei repeated.

Miao Yuqiang smiled and nodded, then left the area.

He wouldn’t mind Wulei’s praise being a bit "unoriginal". The fact that Wulei wasn’t jumping and yelling was already a good sign.

"Happy, right? Now I’m going to talk about some unhappy things. After I’m done, you might lose your appetite," Liu Banxia said.

"Director Liu, does the child have more illnesses?" Wulei suddenly became tense.

Her wife’s smile froze too, her hands clutched tightly together.

"From your reactions, it’s clear you’ve had conflict in your relationship," Liu Banxia said.

At his words, the couple looked surprised, not expecting Liu Banxia to talk about this.

"The child may show symptoms to some extent, possibly influenced by changes in the family environment," Liu Banxia continued.

"The family environment is the child’s world. If the family isn’t harmonious, conflicts naturally affect the child’s mood."

"Pay more attention in the future, for the child’s sake. I’m not saying you have to smile every day, but aim to create a happy environment."

"Talking about Yuan Yuan’s condition, whether it’s OCD or neurological eye blinking, medication can help adjust them. But whether Director Miao, myself, or Dr. Chen, we lean towards psychological intervention."

"The child is so young, already having undergone too much medication treatment. Director Miao will likely prescribe supplements like vitamins to help with physical adjustment."

"Director Liu, is not using medication really okay?" the child’s mom asked.

"Try psychological intervention for a while. If it doesn’t work, then we’ll try medication," Liu Banxia said.

"But I don’t think it’s a big issue. The child is young and absorbs external knowledge quickly. Their thought process isn’t fixed, so I believe it’s fine."

"But one thing I must stress is the family environment. No matter the past or present reasons, you must genuinely think about the child."

"Sigh... a few years ago I got into gambling," Wulei sighed.

"Don’t dwell on it, it’s just one possibility. Go accompany Yuan Yuan. You’re treating me to dinner tonight, and I get to choose the dishes," Liu Banxia said with a smile.

"Okay, okay, definitely will treat. Happy, really happy today. If I ever touch gambling again, I’ll chop my hand off," Wulei said.

"Don’t self-harm. If there really is an addiction, consult with a psychological counselor, maybe with your daughter," Liu Banxia joked.

The office atmosphere relaxed, and everyone felt pretty good.