A sleepy joke

It is said that 2020 is special. 1 1 year-old Guoguo (a pseudonym) struggled with the epidemic for a long time at home before returning to school, but there were strange symptoms of "how to ensure adequate sleep". Obviously, I can sleep at night. After waking up during the day, you still have to fall asleep from time to time. Sometimes I can fall asleep while eating, walking and closing my eyes. I woke up in ten seconds after this sleep, and I was full of energy after waking up. At first, these symptoms appeared, joking with the horse that it was a spring sleep, but after a few days, the symptoms of drowsiness became more and more obvious. Sometimes she can sleep 6-7 times an hour, falling asleep for more than ten seconds each time, sometimes accompanied by severe shaking of her lower limbs.

This frightened Guoguo's mother and quickly took Guoguo to the Affiliated Hospital of Hangzhou Normal University. It happened that Wu Guangsheng, deputy director of pediatric neurology, received Guo Guo. Dr. Wu carefully analyzed the strange disease of the fruit: "Listening to parents' description is a bit like narcolepsy, but there are differences, which need to be carefully examined! "Dr. Wu said that typical narcolepsy type I can indeed have cataplexy attacks, but the frequency of fruit attacks seems to be too dense and the time to fall asleep is too short. In order to solve the mystery, Guoguo was admitted to the Pediatric Department of the Affiliated Hospital of Hangzhou Normal University, and had a series of examinations, such as cerebrospinal fluid examination, video electroencephalogram and head magnetic resonance imaging. Strangely, a series of test results were negative! In other words, no organic problems were found, but the symptoms of drowsiness of fruits were getting worse. Not only does it take longer to fall asleep, but every time you fall asleep, it will cause irritating cough, and occasionally the jitter of both lower limbs will increase.

Dr. Wu immediately realized that the real cause of the fruit disease may be the "heart knot" repeatedly asking about the medical history. Fruit said that she was beaten by her brother on the day of her illness, but she also repeatedly stressed that she didn't take it to heart. With questions, Dr. Wu had in-depth communication with the parents of the children. Guo Maguo recalled that when he was sleepy at first, Guo Guo really didn't take it to heart, but also took some water and spilled the fruit jokingly. After waking up, the whole family laughed at her in high spirits. Now that I think about it, it may be that my "little farce" has become the fuse of my child's illness.

Although the fruit is usually cheerful, it is much earlier than children of the same age. Parents are always busy with work and don't have enough time to take care of fruit. Therefore, the fruit is basically a childhood spent in my hometown. In fact, she is eager to be with her parents. I always have nightmares in the evenings these days, and I often whisper, "Mom and Dad don't want me."

After solving the mystery, Dr. Wu told his parents that the fruit is actually "children's hysteria", which is professionally called separation and conversion disorder. It is caused by mental factors, such as life events, inner conflicts, hints or self-hints, which act on children. The symptoms of hysteria are functional, so psychotherapy plays an important role. The prognosis of this disease is good, and if it is fast, it will relieve itself within one year. For the treatment of fruit, Dr. Wu and her parents reached an agreement and plotted a "specific medicine". Soon a miracle happened. After eating fruit, the symptoms of drowsiness are gone forever, and I repeatedly said that I feel much better. In addition to medication, Dr. Wu also suggested that heart disease needs a psychotherapist, and the whole family should go to the psychological clinic to receive family therapy, and do more communication and emotional exchanges to solve the problem of insecurity.

12-year-old girl suddenly gasped in class, and she also had "worries" when she asked.

Coincidentally, a few days later, a little girl Jingjing (a pseudonym) with chest tightness and shortness of breath was admitted to the pediatric emergency department of the Affiliated Hospital of Hangzhou Normal University. Jingjing, 12 years old, suddenly gasped in class, then her hands became numb, and she was immediately sent to see a doctor by the teacher. Deputy chief physician Zhu noticed that although the girl had obvious wheezing, her face was rosy and there was no hypoxia, and there was no obvious abnormality in her heart and lungs during auscultation. According to clinical experience, it is probably hyperventilation syndrome, which is also one of the clinical manifestations of separation and conversion disorder.

Sure enough, Jingjing's imaging examination, electrocardiogram and lung function were not obviously abnormal, and her blood test was only low in carbon dioxide, without hypoxia. Dr. Zhu immediately persuaded Jingjing to slow down her breathing and gently covered Jingjing's nose and mouth with a mask. After a few minutes, Jingjing's numbness symptoms were obviously relieved!

Dr. Zhu conveniently asked, "Are you happy at school? How many good friends do you have? " Jingjing said gloomily, "My classmates at school don't talk to me. I have no friends! " In response to Jingjing's "worry", Dr. Zhu privately communicated with her parents and suggested appropriate psychological intervention.