Chapter 127: The Youngest Patient
Xu Jiannan looked at the medical records in his hand again, and his brows furrowed even deeper. Because she will take over the youngest patient she has treated, who is just eight years old. Mental retardation is suspected with autism in children.
Usually, these two conditions occur at the same time. Children with autism have normal intelligence, but 70 to 80 percent of them are accompanied by mental retardation. This kid is not surprised. The patient, an eight-year-old girl who had just entered the second grade of primary school, first presented to the doctor because of particularly poor academic performance. When he entered school at the age of seven, the teacher found that the patient could listen quietly during class, but his reaction speed was very slow, his memory was also very poor, and he often could not complete the classwork alone, and he had to be repeatedly tutored by the teacher. Homework also needs to be done with the help of your mother. Academic performance is a failure in every exam, very quiet in school, know how to respect teachers, discipline, docile at home, obey the education of parents, but just don't like to talk, and this situation is getting worse and worse from the age of seven. Since the age of three in kindergarten, I don't like to play with children very much, and I rarely have contact with classmates after school. She avoids eye contact with those around her more and more, rarely shows emotional reactions, and when something is needed, she does not say it verbally, but takes the hand of an adult and walks in front of what she wants. I like to play cardboard boxes and cards quietly alone, sometimes for hours at a time, without talking or ignoring my parents' calls. Her parents once thought she was deaf or had hearing and speech impairments, but after an ear visit, she found that her hearing was normal and there was no abnormality. During the mental examination, it was found that the child could only speak some simple words, knew about 100 words, and it was difficult to say a complete sentence. There is no major medical history, family history of psychiatric and neurological disorders. Parents are not close relatives to marry, the first child, the mother's pregnancy is normal, and the umbilical cord is around the neck during childbirth. Wechsler Children's Intelligence Test, IQ 50, is already in moderate mental retardation.
Such a special patient did make Xu Jiannan temporarily put down Zheng Yan's matter and focus on this child. She was only eight years old, and if she could not be treated, her adult mind would have remained between six and nine years old. And autism will affect her for the rest of her life, and she will never be able to live like a normal person. It's still a bud, but it never blooms, and it withers before it even opens.
Lin Weizhou's words just now seemed to sound in his ears again: "In my opinion, this patient needs you more than Zheng Yan at this moment." Xu Jianan settled down, carefully read the medical records of this little patient, and was ready to wait for her to come, diagnose and treat her well, and strive to make her a normal girl in the future.
At the appointed time, the child's mother took her to Xu Jianan's office on time. The girl's name is Li Yating, and Yating's mother is a woman who looks healthy and beautiful, and she is very worried about her daughter's condition. As soon as they introduced each other and sat down, Xu Jiannan looked at the girl in front of him.
Although she is only eight years old, Li Yating is very good-looking, and it is conceivable that she combines all the advantages of her parents' appearance. The pointed melon seed face, the skin that can be broken by blowing, the complexion is snow-white like a porcelain doll, the small and straight nose bridge, the eyes are almost perfectly proportioned, light and transparent, and the flickering long eyelashes, smart and lovely. A thin little mouth was tightly pursed, not daring to look at Xu Jianan, only staring nervously at the table. Except for being a little thin, unlike other children's chubby, the rest of the conditions are definitely a little fairy.
Looking at such a beautiful girl, plagued by that kind of disease, Xu Jianan's heart was very uncomfortable. She first greeted Li Yating in a friendly manner, and although she knew that she would not get any response, she did so anyway. First of all, you have to treat her as a normal child, so that you can slowly make her a normal child. Moreover, she can't hear or see, although she doesn't respond, but she understands it in her heart. Even if her IQ is stunted, she definitely has the psychology and IQ of a six- or seven-year-old child now. Therefore, as a doctor, Xu Jianan's attitude is very important, which will determine the future course of treatment, and whether the child will be hostile to her.
Xu Jianan looked at Yating's mother and asked, "How is Yating's eating and resting on weekdays?"
Sure enough, Yating's mother sighed and said, "She doesn't eat well, she eats very little, no matter what she likes to eat, she will be there to play with the food in the bowl." Reason with her, and she won't listen. It's useless to say her. Until the food is cold, if I reheat it for her, she will still stir the rice in the bowl with a spoon, and she just won't eat it. There is no way to withdraw the food, and if it is withdrawn, it will be withdrawn. The child didn't seem to know how to be hungry, she never said she was hungry, or wanted to eat anything. She never said she wanted to eat, so she was able to eat almost every time I forced her to feed. Until now it's so big, it's still so. I can't help it, she goes to kindergarten and school, and I can't always follow her to feed her, so I am also very anxious to see her not growing meat day by day. As for sleeping...... I don't know very well because sometimes we watch her sleep and she closes her eyes as if she is really asleep. But one day I went to her room in the middle of the night, and I saw that she was looking at the roof with her eyes open, and I didn't know what she was thinking. In the dark night, a seven or eight-year-old girl, she didn't know how to be afraid, just looked straight at the ceiling...... I was frightened and asked her what she was looking at, but she didn't say anything, closed her eyes again, and it was as if she was sleeping again. The elderly in the family...... When I was old, I loved to think crankily, and I had to say that the child was fascinated by something, and asked me to find some great immortal to see. Of course I couldn't go, what age was this, and where were there so many goblins?, so I took her for a psychiatric test and an intelligence test...... You know the results. Dr. Xu, will my daughter ever be able to return to normal? She's only eight years old...... Her life hasn't started yet......" As she spoke, Yating's mother couldn't help crying.
Xu Jianan handed over the tissue, looked at her very sympathetically and said, "Out of professional ethics, I can't completely give you an accurate answer to tell you whether Yating can be completely cured." But I want to tell you, have faith, because the results of autism are quite good. As for mental retardation...... It depends on the patient's final level of intelligence and social adaptability, depending on special education and rehabilitation. Because once various disease factors cause irreversible structural or functional damage to the brain, it is generally impossible to completely return to normal levels once intellectual damage occurs. But she's still young, and a lot of things are still uncertain, and there's still a chance!"
Xu Jianan's firm tone seemed to give this cruel result a little confidence and warmth. Yating's mother hugged her daughter and cried bitterly: "I don't understand why, her father and I are both clean and responsible people, there are no strange diseases, there is no terrible family history, her father does not smoke or drink, and we don't have any vices! Why would our daughter suffer such a sin? Every time I think of her, I feel like I have done evil." When I gave birth to her, did I make her suffer? In the future, when my father and I are gone, she will be left alone, how will she live......
The mother's blood and tears are worried, and what she can't forget is what her daughter will do in the future. Yes, their husband and wife are young now, and they can always take care of her and accompany her, but if one day, they both die one after another. This is the worry and pain of a mother, she has already begun to imagine her daughter's future, and when she thinks of her future, her heart aches.
Xu Jiannan glanced at Li Yating's mother's injured ring, as well as her hands. Simple judgment, the relationship between them should be good, at least she has not done any tiring work, the living conditions are quite good, the ring is like new, but the style is what it was ten years ago, and there are not many couples who have not taken off their wedding rings for ten years. And it can also be seen from her dressing and state that in addition to her daughter being a pain in her heart and a disease, she should live a very smooth life, and her husband is also very fond of her. Sometimes I always feel why God just refuses to be beautiful, perfect. If Li Yating did not have such a condition, their husband and wife and this beautiful daughter would be an enviable and happy family.
But her daughter's illness shattered all the goodness.
The reason why Xu Jiannan wants to observe Li Yating's mother is because she wants to judge what the child's growth environment is. If she has some congenital problems, then coupled with the acquired environmental factors, it will definitely be a hopeless and sad life. Moreover, it is not an easy thing to treat such a disease for a long time...... This requires a lot of manpower and financial resources, and as Li Yating grows up, her self-living standard will remain the way it is now, at most she can only live semi-independently, and she must be taken care of. That means that there is one person who cannot work, and the whole focus must be on the child. And Yating's drugs, psychotherapy, and rehabilitation are not a small expense...... Think about it, day after day, will this kind of pressure completely crush an otherwise perfect family?