Doctor: It's reasonable to perform surgery on yourself.

This is...

Extremely sensitive to external stimuli?

There are too many diseases that can cause similar symptoms, such as tetanus, rabies, and even cat's claw disease that Xu Qiu had diagnosed before.

And these diseases are very harmful, especially rabies, which is 100% fatal once it breaks out.

At first glance, Xu Qiu first ruled out rabies, tetanus, etc.

The reason is very simple.

The boy's main symptom is extreme sensitivity, while tetanus is severe pain, and rabies should be accompanied by systemic discomfort in addition to severe pain. For both, extreme sensitivity is just one of their manifestations, not the main symptom.

Obviously, this extreme sensitivity should come from other diseases.

"What's wrong?" Xu Qiu began his routine inquiry.

The boy just shrank in the woman's arms.

Seeing this scene, the woman shed a few more tears in her eyes, and said in a somewhat sad voice: "Doctor Xu, my son keeps saying that he hurts!"

Son?

Xu Qiu and Shi Lian were both startled.

The woman looked only in her twenties, like a pure college student. I didn't expect that she was already the mother of a ten-year-old child...

"Pain?" Xu Qiu glanced at the woman and focused on this word.

Then he asked, "What kind of pain?"

"I can't tell, he just said it hurts!"

As the woman was talking, the boy suddenly screamed, and then his whole body trembled. From his expression, he seemed to be enduring severe pain.

Xu Qiu's eyes were stern.

He had been observing the boy, so he witnessed it all happen.

Just now, when the boy's mother was talking, her hair hit the boy's face. At this moment, the boy's pupils suddenly dilated, as if he felt a sharp pain.

"Hair?"

Xu Qiu was a little surprised.

He glanced at the patient's name, Xiang Kai, male, eleven years old...

There was no useful information on the registration record, but just a hair hitting the face could cause this level of pain. It was no longer a matter of pain. It could only be related to neurological diseases.

"Can you cooperate with the physical examination?"

Xu Qiu said, and tried to do the examination at the instruction of Xiang Kai's mother.

However, before he could exert any force and just wanted to roll up Xiang Kai's sleeves, the other party dodged again, and the painful expression on his face was even more exaggerated than before.

"Don't hide, Dr. Xu is very good, you ask him to do an examination, just bear with it!" Xiang Kai's mother comforted.

Xu Qiu gave up the physical examination.

This situation triggers the patient's stress response, which may make the condition worse.

Just as he was about to continue asking questions and wanted to find some clues from the past medical history, Xiang Kai's mother flipped through her handbag and took out a thick stack of diagnosis opinions from it.

Xu Qiu nodded calmly.

But Shi Lian's eyes lit up behind him.

Most patients, if they go to different hospitals for treatment, are likely to conceal the test results, diagnosis results, etc. in another hospital, in order to determine whether the diagnosis of the two hospitals is the same.

Willing to hand over the diagnosis sheet of other hospitals directly to the doctor is a great trust in the doctor.

And patients who can do this, regardless of the complexity of the disease itself, are destined to be a successful medical behavior of mutual trust and cooperation.

"Doctor Xu, this is the diagnosis sheet I got from other hospitals. They all confirmed it, but I don't believe it. I want you to help me take another look!"

As Xiang Kai's mother spoke, her voice became smaller and smaller, and there was a hint of crying in her tone.

In the end, her eyes were completely red. While wiping her tears, she looked at her child with distressed eyes.

Xu Qiu said calmly: "Since you are here, I will be responsible to the end. You don't have to worry."

This sentence from his mouth immediately made Xiang Kai's mother feel relieved.

"Thirteen hospitals?" Xu Qiu was a little surprised when he opened the diagnosis record.

For the same disease, even if it is a rare disease, it is rare to go to thirteen hospitals.

In general, it is community hospitals, prefecture-level city tertiary hospitals, and provincial capital tertiary hospitals.

Some people will skip community hospitals, and some people will choose to go to top domestic hospitals such as Union Medical College Hospital and West China Hospital for treatment after being unable to do anything in provincial capital tertiary hospitals, or even go to top global hospitals such as Miaoyou Hospital.

Xu Qiu has been a doctor for so many years, but he has not seen many people who can go around and visit thirteen hospitals.

Xiang Kai's mother explained: "I was really worried, so I went to many hospitals for examinations and reexaminations, but the results were all the same..."

Xu Qiu received the information given by the patient's family while flipping through the diagnosis records.

What surprised him was that there was even a diagnosis from Union Hospital on it.

"Have you been to Union Hospital?" Xu Qiu pulled out one of the reports.

Xiang Kai's mother said with tears in her eyes: "We have been to all the top hospitals we can go to, but I want to try again. I want to hear your opinion, Dr. Xu!"

Xu Qiu's eyes fell on the last few lines.

Proxy Munchausen syndrome.

This is the diagnosis given by Union Hospital.

In other words, the thirteen hospitals basically recognized the diagnosis of Union Hospital. They said they had visited thirteen hospitals, but in fact the results given were the same, except for some differences in details, but the disease they ultimately pointed to was Proxy Munchausen syndrome.

...

Proxy Munchausen syndrome, an extremely rare disease.

In fact, this disease has been controversial so far. It is too special. Whether it is a disease, whether it should be included in the scope of treatment, as well as the diagnostic criteria and diagnosis process, have not been determined.

It also has a more intuitive name-

Factitious disorder imposed on others.

To put it more bluntly, it is to deliberately disguise family members as having a disease, so that healthy family members receive unnecessary treatment.

This disease is derived from Munchausen syndrome.

In Munchausen syndrome, patients are similar to children who seek attention. They often deliberately disguise their illnesses to gain the attention of their families or medical care.

Proxy Munchausen syndrome is just the opposite.

The patient is not the patient, but his family.

The real patients are often mothers who are overly concerned about their children's health, or for various reasons, they are paranoid that their children are sick and must be treated...

In fact, their children are very healthy, and they are the ones who should receive medical intervention.

Such cases have happened in reality.

The mother stubbornly believed that her daughter had problems with her eyes, hearing, and muscles. She forced her daughter to sit in a wheelchair from the age of eight, and then she became more aggressive and gradually forced her daughter to use a gastric tube to eat.

In order to prevent her daughter from stealing food, she even pulled out all her daughter's teeth.

And in order to cure her daughter's "disease" in her eyes, she arranged 20 identical operations for her daughter.

In the end, the daughter couldn't bear this hellish life, and she and her boyfriend killed her mother.

After this incident, the proxy Munchausen syndrome has attracted widespread attention, and as similar families continue to appear in various countries, it has finally been accepted by the medical community.

"Is it really the proxy Munchausen syndrome?" Xu Qiu frowned slightly.

——

Remember to vote for love!