Doctor: Picking Up Attributes in the Hospital-Chapter 399 - 351: Psychological Inversion - Psychogenic Disorder?

Chapter 399: Chapter 351: Psychological Inversion - Psychogenic Disorder?

"Doctor, are there any issues with these test results?" 𝙛𝒓𝒆𝙚𝒘𝒆𝓫𝙣𝓸𝙫𝓮𝒍.𝒄𝒐𝓶

Seeing Zhao Heng furrow his brows, the young man instinctively felt that something might be wrong, so he asked Zhao Heng somewhat apprehensively.

Since the surgery and the application of the anesthetic gel, the young man’s condition has been much better than before.

It was precisely because the treatment was so effective that the young man was even more reluctant to return to his previous torment.

"Except for the neurophysiological examination upon admission, all other tests showed no problems."

Zhao Heng shook his head slightly and said that apart from the neurophysiological examination, all other tests showed no issues. This meant that the young man’s nervous system did not have any organic lesions. An organic lesion would mean that nerve cells are deformed, or tumors grow, occupying and compressing the normal nerve cell mass.

If there’s no organic lesion, could it possibly be an issue with the brain or psychology?

Zhao Heng couldn’t help but think.

This bizarre situation reminded him of clinical ED (erectile dysfunction) in men, where many cases are not organic issues. That is to say, the male patient’s part X is completely normal upon examination, but it still fails to function normally.

In these types of ED, the clinical generally looks for psychological factors as the issue.

Generally speaking, psychogenic ED can have the following causes.

First, erroneous X education during childhood or adolescence, erroneous X education can induce ED in children or teenagers. For example, discovering a child rewarding themselves instead of being patiently persuaded and educated, they are scolded, beaten, or intimidated instead, which results in the rewarding habit not only persisting but also increasing anxiety, guilt, self-blame, and sensitivity to X issues, which continue into adulthood or marriage, leading to ED.

Second, the influence of the family environment, these patients harbor a fear, insecurity, and reluctance to approach women from a young age. They mostly live in a matriarchal family where the mother is controlling, the father is timid and submissive, and the mother’s dictatorial, irritable character instills fear of women in the patient, naturally leading to ED after marriage.

These two are common, and others, like a fear of the wife leading to inferiority and tension, are also possible.

Another rare situation is congenital impotence, meaning the person is born without X function.

So, reasoning in reverse, could it be that this young man, who experiences a state of heightened X excitement during episodes, also has psychogenic factors?

Although Zhao Heng had already thought of a radical cure, namely the sacral nerve root destruction surgery, which could thoroughly resolve the young man’s issue, he was reluctant to do so unless absolutely necessary.

"Doctor, if the tests show no problems, why am I experiencing this?"

Upon hearing Zhao Heng’s words, the young man asked in bewilderment.

"The absence of test problems indicates no organic lesion, meaning your body is completely normal. Your symptoms might be triggered by psychological factors."

Zhao Heng patiently explained.

"Since there’s no physical problem, the sacral nerve root destruction surgery shouldn’t be performed lightly; once done, it’s irreversible."

After a pause, Zhao Heng added.

"Doctor, what should I do then?"

Upon hearing Zhao Heng’s words, the young man said somewhat desperately.

"When you were a child, in your childhood or adolescence, did you have any special experiences?"

Zhao Heng thought for a moment and asked the young man.

He was integrating the experiences of almost all elite doctors at Eastern Hospital, but none were psychiatrists because Eastern Hospital’s psychiatry department was independently located elsewhere.

That is the dedicated branch of Eastern Hospital, known as Dongfang Mental Health Rehabilitation Hospital, which is said to be quite miraculous, though Zhao Heng has never been there.

In plain words, Dongfang Mental Health Rehabilitation Hospital is what used to be the North City First Mental Hospital, now renamed.

After all, people used to conflate mental illness and psychological diseases, treating both together.

Zhao Heng always asked more tactfully; he couldn’t bluntly ask the young man if he had any particularly perverse habits, suggesting it was long-term psychological needs that went unmet, triggering this condition.

However, given that all other tests showed no issues, Zhao Heng was almost certain that the young man’s strange condition might indeed be caused by psychological factors.

"Special experiences?"

The young man was totally confused; he didn’t know what kind of special experiences Zhao Heng was referring to.

"In that regard, when you were a child or adolescent, did you have any notably different experiences or encounters?"

Zhao Heng continued to ask.

"Well..."

At this point, the young man finally came to a realization and suddenly recalled something, but upon glancing at the female doctor Liu Meng standing beside the hospital bed, he felt a bit embarrassed to speak up.

"We are all here to treat you, there is nothing to be embarrassed about. Speak up, and we can help you. You know that the anesthetic gel is too expensive for long-term use, no one can afford it. If we can find the cause of your illness, we can provide targeted treatment."

Zhao Heng gently reassured the young man.

"Doctor, when I was in elementary school, there was a brother in the village who often took me to his house to watch videos, and then he..."

The young man hesitated, stammered embarrassingly, and seemed unable to finish his sentence.

"What did he do to you?"

Zhao Heng asked directly.

"Well... nothing much, just..."

The young man nodded.

However, his eyes and expression did not show any hatred towards the aforementioned brother, but rather some embarrassment, which was quite peculiar.

"You mentioned you had a girlfriend before?"

Zhao Heng suddenly recalled that the young man said he had a girlfriend before, prompting him to consider a possibility and ask.

"Yes, but I broke up after I got sick."

The young man said calmly, speaking of his breakup with no hard feelings.

"How were things in that regard with your girlfriend?"

Zhao Heng asked again.

"That aspect? There was one time."

The young man replied.

"How long were you together? Was it a long-distance relationship?"

Zhao Heng had some ideas and continued to inquire.

"Three years, I think. Our workplaces were close, and we usually lived together."

The young man thought for a moment before replying.

Upon hearing this, Zhao Heng confirmed his hypothesis.

Considering that young men and women in their early twenties, in love and not in a long-distance relationship, living together daily, and yet only having one instance is very peculiar.

Therefore, Zhao Heng could almost conclude that the young man’s condition was due to reversed X orientation, long-term suppression, leading to inexplicably sustained excitement.

This could essentially be confirmed as a psychological issue, though the young man had yet to realize his own problem.

Moreover, the young man’s psychological issue was severe, buried deep in his subconscious, unnoticed even by himself.

"Doctor, what’s wrong with me?"

The young man, uneasy at Zhao Heng’s odd questions, asked apprehensively.

"I think I know the cause of your illness, but we need to send a consultation request to the branch hospital and wait for the doctors there to conduct a consultation."

Zhao Heng said slowly.

"How long will it take?"

The young man asked urgently, excited at Zhao Heng’s understanding of his condition, eager for a cure.

"We’ll send the consultation request today; they should have a doctor available by tomorrow. Don’t worry, the anesthetic gel’s effects will last for two weeks."

Zhao Heng replied.