Why not strict enough?

The only explanation is that the diagnostic process is not standard enough.

This cannot be blamed on other doctors. Agency syndrome itself is a rare disease, and there are few confirmed cases in China. The performance of Lu Ruping and Xiang Kai and her son is too typical. The classic combination of strong mothers and obedient sons makes it difficult not to let the doctor lean on this.

"Have the inspection results come out?" Xu Qiu said.

"It's out." Shi Lian quickly handed over the printed report.

Xu Qiu swept it and found that except for the low hemoglobin blood, other indicators of other indicators are normal.

Other checks also showed no obvious abnormality.

This is reasonable... If you can diagnose it with just a few casual examinations, you won’t go to thirteen hospitals.

"By the way, the patient should be better now and can undergo examination." Shi Lian reminded.

Reduced sensitivity?

Xu Qiu nodded, got up and rushed to the ward.

...

Regular physical examination.

The patient's face is pale, his hair is dry, his skin is relatively elastic, and he has a thin and transparent feeling.

"Joint stiff?" Xu Qiu tried to palpate.

Indeed, the patient's limbs and joints are limited to varying degrees. Although the degree is not obvious, the range of motion does become smaller.

And if you look closely, some of the thin skin have atrophy to some extent under the subcutaneous tissue.

"It's getting worse again." As soon as Xu Qiu saw the shrinkage, he frowned.

A few weeks ago, I had a diagnosis of joint stiffness a few weeks ago. The doctor at that time did not find any atrophy of the subcutaneous tissue.

But now it appears!

The speed of the disease course has exceeded Xu Qiu's expectations.

Xu Qiu tried to lift Xiang Kai's calf.

As soon as I was lifted halfway, the popliteal muscles, the flexor muscles of the longitude of the calves, the posterior tibial muscles, etc. quickly twitched, and the knee joints were also flexed, and the entire calf rotated inward.

"Muscle tissue twitches are likely to be accompanied by osteoporosis..." Xu Qiu made a judgment.

"pain!"

At this moment, Xiang Kai roared in pain again, and immediately withdrew his calf back and retracted into the quilt.

Lu Ruping's eyes suddenly showed a look of heartache.

Xu Qiuze's eyes changed.

pain?

Logically speaking, even the pain caused by muscle twitching or Xiang Kai's own sensitivity should appear the moment he lifted his lower limbs.

However, Xiang Kai's painful reaction only occurred after the calf was rotated inwardly!

Although the time gap is less than one second, a pain that should have happened instantly has a moment of delay, which is already very wrong.

"Have you been injured in your feet?" Xu Qiu thought of a possibility in an instant.

Lu Ruping denied: "It should not have been injured."

Xu Qiu nodded and asked Xiang Kai to stretch his legs out.

Although the other party was reluctant, he still cooperated to do it.

At this glance, Xu Qiu discovered an abnormality.

The patient's ankle has an inward curve, and although the angle is not large, it still exists.

Xu Qiu looked at Lu Ruping and said, "It shouldn't be? If you think about it carefully, it's just a sprained ankle."

Lu Ruping recalled carefully, and suddenly her expression changed, saying, "He has participated in Taekwondo and football courses. Because he is young and has a very small amount of exercise, he sprained his ankle for the first time when he played football two months ago, but after rubbing it, it was fine, so I didn't care."

These words made Xu Qiu more convinced of the rationality of his doubts.

If you are really a proxy for Meng Qiaosen syndrome, you can treat it as a disease if you are not sick. If you sprain your ankle and don’t go to the hospital for a few days, is it possible?

But she just rubbed and stopped paying attention.

This is not the case that patients with surrogate syndrome should have.

It is not an exaggeration to say that it is free to raise children.

"It still hurts now, right?" Xu Qiu asked.

"Yes, a little..." Xiang Kai finally spoke. He looked at Xu Qiu in surprise. This was the first time that a doctor noticed his ankle pain since he saw so many times.

However, Xiang Kai didn't care. He mentioned this point to other doctors before, but in the end they were summarized into "whole body pain" and did not pay much attention to it.

However, Xu Qiu was the first doctor to find out that his ankle was hurt by physical examination and asked about the sprained two months ago.

"Is this... effective?" Lu Ruping looked self-blame.

If the child's illness is related to this spraining ankle, she may feel guilty for a long time.

But I hope that this is the final answer in my heart.

As long as you can keep your son from illness, it doesn’t matter if you feel guilty.

"Unsure." Xu Qiu said frankly.

It was just that I found an ankle injury. How could it be so simple to overturn the diagnosis of thirteen hospitals?

For a time, Xu Qiu was also in a situation where he could not advance the diagnosis and treatment process.

There were no obvious abnormalities in the examination results, and no special areas were found in the examination.

"You can only use the stupidest method." Xu Qiu said helplessly.

He originally planned to brute-force cracking, and rely on his familiarity, experience and other aspects of rare diseases to directly diagnose the disease.

However, on the one hand, the patient has no obvious symptoms, and on the other hand, the agent Meng Qiaosen syndrome does not have a clear diagnosis process and diagnosis criteria. It is difficult to directly lock in the disease.

"First rule out the agent Meng Qiaosen syndrome." Xu Qiu said.

If even he cannot rule it out, he can only recognize the diagnosis of the other thirteen hospitals!

"How to rule it out?" Lu Ruping was very surprised.

After so many medical treatments, this is the first time she has heard a doctor who wants to rule out the Meng Qiaosen syndrome.

For this, her husband and her in-laws almost broke up with her, and every time she went to another hospital, her family became more convinced that Lu Ruping had a problem.

However, Xiang Kai said that he was really in pain, and also said that his mother was not sick...

Because of this sentence, Lu Ruping took her children to many hospitals under the pressure of her family, and she felt more and more desperate.

It can be said that Xu Qiu is her last hope. If even Xu Qiu gives this diagnosis, she may be completely collapsed!

She is not worried about being misunderstood, not afraid of being regarded as a control freak, but is only afraid that her son is really sick and cannot receive timely treatment!

Thinking of this, Lu Ruping's eyes slowly turned red.

She wiped her tears and sobbed, "It doesn't matter if I'm treated as a mental illness, but if you treat me, you will ignore my son... If he is really not sick, how can he feel pain? I believe he is really in pain. If he doesn't cure him, how can I feel at ease?

"I also accepted the medicine for me, but I was afraid that no one would believe in the pain in my son anymore, and I still felt that my mother had mental problems. What should I do if his treatment was delayed?"

After hearing these words, everyone in the ward was silent.

At this moment, they finally understood Lu Ruping’s thoughts.

What she feared was never misunderstood or worried from beginning to end, but what should she do if her son was really sick and could not be treated?

"If you want to eliminate the agent Meng Qiaosen syndrome, you need your cooperation first." After a long time, Xu Qiu stood up and said to Lu Ruping.

——
Chapter completed!