Medical road ahead

Qin Xiao frowned and asked, "How old is Wei Wei, and how does he behave specifically?"

Huang Zhi didn't answer right away, but sat back in front of the computer, retrieved Wei Wei's medical records, pointed to Qin Xiao, "Last year, when she was eight years old, her secondary sexual characteristics had already appeared, not only menstruation Menarche and breast development. Examinations showed that her serum gonadotropin level had reached puberty standards, B-ultrasound showed ovarian volume > 1ml, and multiple follicles with a diameter > 4mm were seen, and the gonads were obviously enlarged."

"There are many causes of precocious puberty in children, which one does Wei Wei belong to?" Qin Xiao asked again.

Huang Zhi said: "The preliminary diagnosis is partial precocious puberty. I suspect that it is caused by long-term use of estrogen-containing drugs or food. Moreover, someone gave her food on purpose, not by mistake."

Qin Xiao frowned and guessed: "Do you suspect that her mother did it?"

Huang Zhi nodded, and said, "I didn't think too much about it last year. After all, there are many cases of precocious puberty in children nowadays, and Wei Wei is not a special case. Later, I heard from Dr. Lu that she had paid for Wei's mother during the time when Wei's mother paid the fee. Wei Wei inquired about her eating habits. It seems that Wei’s mother likes to cook soup for her, and bought a lot of oral liquids for her to grow taller and stronger or to increase appetite. Only then did I realize that Wei Wei’s precocious puberty is caused by humans. , However, I didn't delve into it in detail at the time, but I just felt that Wei's mother was a bit counterproductive in raising children."

Qin Xiao was curious: "Then how did Dr. Lu find out that Wei Wei was being abused by his mother? There are always signs to look for, and it is impossible to rely solely on the experience and intuition of a pediatrician."

Huang Zhi recalled: "The first time, Wei Wei was injured in a wrestling, and Wei's mother went to the emergency room. At that time, she felt that Wei Wei's wrestling was the same as that of her precocious puberty. She thought it was not a special case, but a common problem, so she didn't take it seriously. I just thought that this little girl looked gentle and gentle, she didn't look like a boss, how could she fall so badly that she broke a bone directly.

Thinking of this, she asked casually, why the child fell so badly, Mother Wei said that Wei Wei fell down the stairs accidentally, and Wei Wei also nodded in agreement, so she didn't ask any more questions.

But within two months, Wei Wei was sent to the hospital again, and it happened to be Dr. Lu again.This time she was not wrestling, but had diarrhea, and Dr. Lu diagnosed it as acute gastroenteritis.However, there are many causes of acute gastroenteritis in children. Even lifting the quilt at night may cause acute gastroenteritis due to a cold. Therefore, Dr. Lu is still not suspicious, but because he has treated her before, he is particularly concerned. In other words, Mother Wei took the opportunity to ask for Dr. Lu's contact information. In the days to come, she would chat with Dr. Lu about parenting experience every now and then, and complain about how difficult it is for her to be a mother. "

"Where is Wei's father? It seems that you haven't heard anything about him bringing Wei Wei to the hospital."

Qin Xiao interrupted suddenly and raised his own question.

Huang Zhi immediately said: "You asked the key point."

"What? Mother Wei is a single mother?" Qin Xiao asked again.

Huang Zhi shook her head, and continued: "Dr. Lu thought so at first, because after listening to Wei's mother's complaints, she felt that she was either divorced or widowed, but after looking at her circle of friends, she found that she has a husband. And it seems that her husband treats her and Wei Wei pretty well.

By the way, she is remarried, and Wei Wei is not this husband's child. "

"Then if that's the case, why didn't you suspect that Dad Wei might be abusing the child?" Qin Xiao was puzzled.

Huang Zhi explained: "Because Dad Wei is away on business for a long time, he will only be at home for at most one week a month, and when Wei Wei came to the hospital, it happened to be the time when Dad Wei was on a business trip."

"That's why you suspect that Wei's mother may have intentionally hurt Wei Wei while Wei's father was away, in order to gain the attention of others?" Qin Xiao continued.

"That's right!"

Huang Zhi nodded affirmatively, "As for the things that Dr. Lu doubted, I was finally sure when Wei Wei's mother and daughter appeared just now.

Because Wei Wei's precocious puberty has not improved. If she insists on taking the medicine I prescribed and pays attention to her living and eating habits, her symptoms will not be improved. "

"and also."

As she said that, Huang Zhi took out her mobile phone, "Mother Wei also added WeChat to me."

Then, she opened Wei Mama's circle of friends and handed the phone to Qin Xiao, "Take a look."

"Well, a standard full-time mother, posting selfies, daughters, husbands, and delicacies, huh? Why did she post Wei Wei's inspection results and photos of her injuries on Moments? Is it a bit too much?"

Flipping through it, Qin Xiao seemed to find something suspicious.

"There is also Wei Wei's aunt's scarf from menarche." Huang Zhi added.

"what?"

Qin Xiao was stunned. Looking at Wei's mother's circle of friends three or four times a day, and her sometimes complaining and sometimes excited copywriting with pictures, combined with the things Huang Zhi said, he also felt that something was wrong with her mother.

"She's not a sadist, but she's acting like a proxy for Munchausen syndrome."

After looking through Mama Wei's hundreds of Moments, Qin Xiao became more and more sure that Mama Wei suffered from this rare mental illness.

"Director Huang, what are you going to do?"

Qin Xiao returned the phone to Huang Zhi, asked her what she thought, and said, "If I remember correctly, Meng Qiaosen syndrome is not easy to treat."

"Correct!"

Huang Zhi frowned and nodded, "Especially the pretentious obstacles imposed on others. Besides, the victim is still a child. If we don't stop it as soon as possible, I'm worried that Wei Wei will suffer even greater harm."

Qin Xiao immediately asked: "Have you told Director Xu and them about this?"

"Without conclusive evidence, we can't just let the psychology department come forward to deal with this matter casually. Besides, this kind of mental illness is very rare. I don't know whether Director Xu and the others have experience and measures to deal with it." Huang Zhi said somewhat Why?

Qin Xiao suggested: "Since both you and Dr. Lu have doubts about this matter, and it has lasted for nearly a year, it means that it is not the two of you who are suspicious, but there are traces to follow, why not collect evidence first , and then contact Director Xu to discuss this matter."

"Okay, just do as you say."

Huang Zhi immediately agreed, and followed Zhan Yan with a smile, "Director Qin, thanks to you, I am at a loss when encountering difficult problems. Doctor Lu also wanted to call the police directly at first, but he was afraid that there would be insufficient evidence. , instead of scaring the snake, it made Wei's mother suspicious. You also know that child abuse cases are the same as domestic violence. The speculation of a pediatrician and an endocrinologist is very difficult for the police to file."

"But thanks to you and Dr. Lu's professional acumen, as well as the unique intuition of women, we were able to discover signs of abuse in Wei Wei. Otherwise, I might not have thought so much." Qin Xiao said with a smile.

Huang Zhi said with a smile: "Because you don't have children, you naturally don't know. Some children's illnesses may be caused by human beings."

Qin Xiao rubbed his nose and whispered, "Actually, I have a son."

"What?"

Huang Zhi was shocked.