Lu Ruping immediately wiped away her tears and said hurriedly: "Doctor Xu, I will cooperate!"

"Ask two nursing staff, and you will leave the hospital in the next few days."

"This is..." Lu Ruping was surprised. She never thought that she would cooperate like this.

Xu Qiu walked out of the ward, and Lu Ruping also realized that she was trying to avoid Xiang Kai's conversation, so she quickly followed.

After leaving the room, Xu Qiu explained: "There is no good way to eliminate agent syndrome. The most effective one is the separation test.

"If you are separated from the patient but the patient's symptoms do not relieve anything, it means that his pain is not caused by you.

“On the contrary, it’s agent syndrome.”

Lu Ruping understood.

She looked at the ward with some helplessness. Xiang Kai was staring outside the door. When he saw his mother, he quickly looked at each other, and a smile appeared on his pale little face.

This made Lu Ruping even more reluctant to leave.

He was already very pitiful when he took Xiang Kai to seek medical treatment across the country. Now he still has to leave him alone in the hospital. She really can't bear to worry about this.

Xu Qiu didn't say much, just waited quietly.

After struggling for a few minutes, Lu Ruping finally made up her mind.

As soon as her voice came out, she cried and said, "Okay, I will cooperate with you!"

...

In the next few days, Lu Ruping disappeared into the hospital as promised.

Two nurses took over her job and took turns to take care of Xiang Kai in one day and one night.

The separation test is cruel to the mother, especially a mother who is on the verge of collapse under tremendous pressure.

However, this is the only way to eliminate agent syndrome exactly.

However, other hospitals did not use this plan, which also shows that the separation test itself has considerable flaws.

For example, it is difficult to quantify.

The patient's high sensitivity and severe pain are actually in fluctuations and may change at all times.

Who can confirm whether the changes brought about by isolating Lu Ruping and Xiang Kai were caused by the separation test or the periodic fluctuations of the patients?

Therefore, except for Xu Qiu, although other doctors also thought of separation tests, they did not dare to practice it easily due to their lack of understanding of agent syndrome.

The first day of separation test.

Nurse Liu Susu came over to summarize and report: The patient's pain in Xiang Kai was relieved.

the next day.

The pain has been reduced a little more.

The pain changed on the third, fourth and fifth days, but it was much lighter than when I was initially admitted to the hospital.

On the sixth day of the morning shift, everyone in the emergency department couldn't help but look embarrassed when they saw the summary conclusion.

The results of the separation test show that when Lu Ruping was not around, Xiang Kai's pain indeed reduced... Could it be that Xu Qiu's speculation was wrong? Is this really a case of agency syndrome?

Xu Qiu was unmoved.

He looked through the medical records repeatedly.

This records all the physical examinations, examination items, drugs used in the past five days after he was admitted to the hospital.

The other stack is the diagnosis records of thirteen hospitals.

The severe pain that a strand of hair can cause...

Extremely sensitive nerves...

The pain of random fluctuations...

And, the sprained ankle two months ago.

All the information is integrated together, combined with medical experience, and the relationship between mother and son, it is actually easy to piece together an image of a patient with proxy syndrome. But if this is the correct diagnosis, why can't you feel the rigorous logical chain of the diagnosis and treatment process?

Suddenly, Xu Qiu was stunned.

He suddenly remembered the delayed pain that Xiang Kai followed when he raised his calf, and then his eyes were fixed on the word "pain".

pain?

Xu Qiu quickly flipped the information in his hand, his eyes swept quickly, and searched for dense information.

Finally, he closed the thick diagnosis and treatment records, and a sudden sense of enlightenment appeared on his face.

They were all misled!

The problem lies in the "extremely sensitive nerves".

Almost all of the thirteen hospitals have given similar diagnoses such as "extremely sensitive to external stimuli" and "nerve sensitivity", but how do they define it?

Union: Resisting examinations and showing pain to various indirect contacts, such as rubbing clothes, fingertips, etc.

Huaxi: Hair falls on your body and causes severe pain.

The other eleven hospitals are also very different.

But they all mentioned a key point: pain, and severe pain.

"Prepare and go to the rounds." Xu Qiu got up immediately, and he wanted to verify his guess.

Everyone who had just finished the morning shift was about to have a cup of coffee, but when they heard this, they quickly followed.

"You..." Wang Ping, who had just made tea, stretched his neck... He had a director teaching rounds again today. Can he give him some face?

"Forget it."

However, when Wang Ping thought of Xiang Kai's special nature, he lost interest in drinking tea and rushed out.

If you slower, you won’t be able to grab the C position in the audience.

...

In the ward, Xu Qiu put on medical gloves and raised Xiang Kai's calf again.

This time he did not exert force, but carefully observed the skin here.

It can be seen that there is still a certain degree of edema at the sprained ankle.

But the degree is very slight, and it is impossible to see if it is not compared with the ankle on the other side.

"Will it hurt if you press it down?" Xu Qiu pressed it gently with his index finger.

Xiang Kai immediately closed his eyes in pain, gritted his teeth and said, "It hurts!"

It still hurts... Xu Qiu's face became a little serious.

This is definitely not the scope of normal sprains. It can last for more than two months. In addition, after the five days of hospitalization, he also gave non-steroidal anti-inflammatory drugs in a targeted manner and combined with drugs to improve microcirculation.

Now it seems that these drugs are of no use at all.

It can only explain two points: either this is not a simple sprain, or... the source of the pain is elsewhere.

"alright."

Xu Qiu let go of Xiang Kai's hand and was about to get up when he suddenly became stunned again.

"etc!"

He asked Xiang Kai to stretch his legs out again, this time he looked at his ankles, but his toenails.

"You have different time to cut your nails on both feet?" Xu Qiu asked immediately.

Xiang Kai was a little puzzled and endured the pain and said, "It's all the same, I cut it myself."

Cut it at the same time?

Xu Qiu's expression changed slightly... Xiang Kai's nail lengths were completely different, and the nails that injured his legs appeared about 2 mm, but the healthy nails on the other side were nearly four mm!

At this moment, Xu Qiu finally felt like he was clearing the clouds and fog and seeing the light.

He let out a long sigh, helped Xiang Kai cover the quilt again, and ordered Shi Lian: "You can let Lu Ruping come back."

"Teacher, do you have any ideas?" Shi Lian was a little surprised.

There was also a commotion around, and the emergency department doctors were also looking forward to it and looked at Xu Qiu.
Chapter completed!