I'm just a veterinarian! You've unlocked the Great Physician System!

The young woman on the screen looked to be about twenty-seven or twenty-eight years old. She was quite pretty, wearing a light-colored knit sweater, and her hair was draped over her shoulders.

Since it was the first time they logged in, they probably didn't expect to be so lucky.

I was incredibly excited.

"Hello Dr. Zhang, hello Dr. Zhang, I actually got connected! I feel so lucky! You know, I've been following you for a long time, since last September, when you first came to Northeast China."

The young woman blinked very frequently when she spoke.

It wasn't a normal blink; instead, it was a series of forceful blinks followed by sudden opening of the eyes.

Sometimes, when she says a sentence, her eyelids twitch uncontrollably several times in a row.

Zhang Lingchuan took a sip of water and stared at the female netizen. The female netizen spoke strangely and would blink unconsciously, as if something had entered her eyes. Zhang Lingchuan looked at her with a serious expression.

Song Wanqing frowned slightly from behind.

She was now all too familiar with Zhang Laoshi's expression. Whenever he showed that expression, it meant that something was definitely wrong with the person on the other end, and it was probably not a minor problem.

"I'm also very happy to connect with such a supportive fan. May I ask your name?"

Zhang Lingchuan looked at the camera; the other person appeared to be in an office or a study at home.

The background is a white cabinet with a potted plant next to it.

Overall, he seemed quite normal, except for his eyes, which were really strange.

"Hello Dr. Zhang, my name is Qiao Wanning, you can just call me Xiao Qiao."

The female netizen said with a smile, blinking her eyes several times as she spoke.

It wasn't a normal blink; instead, my eyelids seemed to suddenly and uncontrollably close rapidly and continuously.

Sometimes the closure lasts a little longer, and she even has to forcefully open it herself.

But she seemed to have gotten used to it, and after blinking, she continued talking very naturally.

"I don't actually have any serious problems. I just tried it out to see if I could connect, and it actually connected. I think I should be fine!"

Qiao Wan Ning finished speaking with a smile on her face.

She seems to be a very lively girl.

Viewers in the live stream quickly noticed her.

"This girl is quite pretty! Finally, someone who looks normal has come along today?"

"Girl, don't make any wild predictions. This live stream is really weird."

"I'm curious, everyone, does this girl keep blinking?"

"I noticed it too, they're blinking so frequently."

"Maybe it's nervousness. Suddenly facing more than ten million people, I would blink too."

"Not necessarily. I feel like she's not nervous; it's more like her eyes are genuinely uncomfortable."

"The girl's makeup is pretty, but her eyes look a little strange."

……

The comments section was flooded with messages.

Zhang Lingchuan ignored the comments and looked at Qiao Wanning.

"Xiao Qiao, are your eyes feeling a little uncomfortable?"

He asked earnestly.

Upon hearing this, Qiao Wan Ning paused for a moment, then laughed.

"Wow, Dr. Zhang, you're amazing! You even noticed that my eyes were a little uncomfortable."

She smiled a little shyly.

When she laughed, her eyes closed uncontrollably a few times, and even her brows furrowed slightly, as if something had suddenly tugged at the muscles around her eyes.

"Because what I saw was a bit abnormal."

Zhang Lingchuan chimed in.

"Is something wrong? I do feel a little unwell."

Qiao Wanning said.

"Tell me about any symptoms you may have."

As I said before, there's no way to scan it.

Therefore, he can only judge possible diseases based on some symptoms.

"The symptoms... are that I've been blinking a lot lately, and my eyes feel dry, like there's sand in them. I went to see an ophthalmologist a while ago, and the doctor said it was dry eye syndrome. He prescribed artificial tears and some eye drops, and told me to reduce my screen time. I used them, and they seemed to feel a little better at first, but then the symptoms returned."

As she spoke, she blinked several more times.

Then I gently rubbed the corner of my eye with my hand.

"See, that's it."

Qiao Wanning said with a hint of helplessness.

Zhang Lingchuan frowned slightly upon hearing this.

Dry eye syndrome? This diagnosis is certainly not impossible. Nowadays, dry eye syndrome is very common among young people who stay up late, use their phones and computers, and wear contact lenses.

Dry eyes, a feeling of something in the eye, a burning sensation, and frequent blinking are all possible symptoms.

The problem is that Qiao Wan Ning's blinking doesn't seem like simple dry eyes; her eyelids aren't blinking naturally because of dryness.

It was more like the orbicularis oculi muscle contracting involuntarily in waves, and there seemed to be slight twitching at the corners of her mouth and jaw when she spoke.

The change wasn't significant, and an ordinary person might not notice it, but Zhang Lingchuan, who had trained intensely in the system space, could sense that something was wrong.

"Xiao Qiao, how long have you been blinking like that?"

Zhang Lingchuan inquired.

"It's been about half a year."

Qiao Wanning thought about it carefully.

"At first it wasn't that obvious, I just felt my eyelids twitching, especially my right eyelid. My mom said that twitching left eye means good fortune and twitching right eye means bad luck, and told me to stay up less late. Later I started blinking frequently, especially when I was looking at the computer at work. My eyes would be very sore after an afternoon. It got worse in the last month, so I went to see a doctor."

Qiao Wanning paused for a moment after saying this.

"The main problem is that sometimes I don't want to blink, but my eyes just close on their own."

She said this in a relatively relaxed tone, as if it was just because her eyes were too tired.

But after hearing the words "his eyes closed on their own," Zhang Lingchuan's expression became noticeably more serious.

"Does it open normally with a blink, or does it suddenly close more tightly, requiring you to try to open it?"

Zhang Lingchuan pressed for an answer.

Qiao Wanning was taken aback, seemingly not expecting Zhang Lingchuan to ask such detailed questions.

"It's like this: sometimes I suddenly close my eyes tightly, like something is pinching them, but it doesn't happen every time."

She blinked repeatedly as she spoke.

"See, just like this."

In the live stream, viewers also began to sense that something was amiss.

"Holy crap, that wasn't a normal blink, was it?"

"At first I thought it was nervousness, but the more I look at it, the less it seems like it."

"It feels a bit like an eyelid twitching? Can dry eye syndrome cause this?"

"I also blink a lot because I have dry eye, but not as much as she does."

"She just said her eyes closed by themselves, which sounds a bit scary."

"Is everyone in this live stream room hiding something?"

"It's not that people are hiding illnesses; it's that ordinary people simply don't know which signs are warning signs. That's why having a doctor friend can be a lifesaver in a critical moment!"

Song Wanqing was also staring at the screen.

indeed.

Qiao Wan Ning's blinking wasn't ordinary blinking; it was too frequent.

Moreover, some of the eye-closing movements look very forceful, as if the eyelids are out of control.

Are you afraid of light?

Zhang Lingchuan continued to ask.

"Have!"

Qiao Wanning nodded immediately.

“I’m particularly afraid of strong light. It wasn’t this bad before, but now when I go out in the sun, I want to wear sunglasses. Also, when the white lights in shopping malls are really bright, my eyes feel uncomfortable and I keep blinking.”

"And what about when the wind blows?"

Zhang Lingchuan's expression was somewhat solemn.

"The wind is uncomfortable, especially when I'm riding an electric bike. When the wind blows, my eyes blink more easily."

Qiao Wanning said.

You still ride an electric bike?

Zhang Lingchuan's eyes narrowed slightly when he heard about riding an electric bike.

"Ride."

Qiao Wanning nodded.

"My commute to work isn't far from home; it only takes about ten minutes by electric bike, which is more convenient than driving."

Then he added another sentence.

"Xiao Qiao, have you ever experienced a situation where your eyes suddenly close while you're riding your bike, affecting your ability to see the road?"

After Zhang Lingchuan asked that question, Qiao Wanning's smile faded a little, as if she had suddenly thought of something.

"Yes, it has."

She spoke slowly.

"Once, I was riding my bike across an intersection when my eyes suddenly closed for a second and I almost hit someone in front of me. It was just a moment, but I was still startled. Later, I thought it was because the wind had made my eyes too dry."

I still feel a little scared when I think about the last time.

My eyes suddenly closed uncontrollably.

That was terrifying!!

Zhang Lingchuan didn't speak, he just stared at her, as if he was thinking about something.

"Dr. Zhang, is my dry eye condition quite severe?"

Qiao Wanning asked subconsciously.

Because she always felt something was wrong.

"Don't rush, let me ask a few more questions."

It's still difficult to judge Zhang Lingchuan's situation.

"Dr. Zhang, please ask! I will definitely answer!"

Qiao Wanning nodded.

"First of all, do you still blink when you're sleeping?"

Zhang Lingchuan asked the first question.

"sleep……"

Qiao Wanning thought for a moment.

"I don't think so. My boyfriend said it's normal for me to fall asleep."

After all, she's almost 30, and she still has a boyfriend.

They're just not home today.

"Wouldn't the tension, fatigue, talking, or facing others make it even worse?"

Zhang Lingchuan asked the second question.

He is moving in the direction he wants to go.

"meeting!"

Qiao Wanning immediately said.

"Especially during meetings, the more I'm afraid of blinking, the more I blink. Sometimes when my boss is talking to me, I keep blinking, which makes me feel embarrassed. It's also annoying when taking photos. When the photographer tells me to open my eyes, I just can't open them."

At this point, Qiao Wanning looked a little troubled.

“My friend even joked that I was flirting with her too much, but I really didn’t mean to.”

The viewers in the live stream initially wanted to laugh.

But seeing Zhang Lingchuan's increasingly serious expression, many people could no longer laugh.

"The more I hear about these symptoms, the more suspicious they seem."

"You haven't been sleeping, and the tension is getting worse. This sounds like a neuromuscular problem."

"My mom used to have facial muscle spasms that were worse when she was nervous."

"She said she almost hit someone while riding her bike, which is dangerous. I'm wondering if dry eye syndrome can cause the eyes to be unable to open?"

"I don't think it's just simple dry eye syndrome, Dr. Zhang, please tell me quickly, you're making me nervous."

At this moment, everyone felt that something was wrong.

They even became nervous.

"Besides your eyes, do your mouth, chin, or face twitch involuntarily?"

Zhang Lingchuan continued to ask.

"A little."

Qiao Wan Ning was stunned. She subconsciously touched the corner of her mouth and lowered her voice.

"I thought it was because I was under too much stress lately. Sometimes my mouth would twitch, my jaw would tighten, and sometimes when I was talking, my mouth would suddenly not obey me, but I didn't think it was serious."

After she finished speaking, she looked at Zhang Lingchuan.

"Not serious? Then what would be considered serious!?"

Zhang Lingchuan countered with a question.

This is already so outrageous, and you're saying it's not serious?

Is it more serious to carry it up the mountain and bury it?

"Dr. Zhang, my blinking isn't really that serious, is it?"

Qiao Wan Ning felt a little guilty and blinked a few more times.

"Don't rush. Do you ever have trouble clenching your teeth, opening your mouth, or feel like you can't control your mouth naturally when you eat?"

Zhang Lingchuan continued asking.

no way.

Without scanning, it's just a matter of constantly asking questions.

Then, match these symptoms to the appropriate treatment.

"Occasionally, I sometimes bite my lip while eating lately, and I don't know why I've been so hard to concentrate lately."

Qiao Wanning said helplessly.

Hearing this, Zhang Lingchuan was basically certain that this was definitely not ordinary dry eye syndrome.

At least it cannot continue to be treated as simple dry eye syndrome. Involuntary eyelid spasms, repeated eye closing, accompanied by abnormal muscles in the mouth and jaw, worsening of tension and fatigue, disappearing after sleep.

The direction is already quite clear.

However, he could not give a final diagnosis directly in the live broadcast room; he could only offer warnings and medical advice.

"Xiao Qiao, when you went to the ophthalmologist before, did the doctor suggest you see a neurologist or a neuro-ophthalmologist?"

Zhang Lingchuan asked.

"No."

Qiao Wanning shook her head.

“I just went to a regular ophthalmology clinic. The doctor looked at me and said my eyes were indeed dry, so he told me to use eye drops. I didn’t mention anything about my mouth and chin at the time. I only answered when you, Dr. Zhang, but that shouldn’t have anything to do with my eyes, right?” Qiao Wan Ning looked at Zhang Ling Chuan.

"To be honest, Xiao Qiao, you can't just treat this as dry eye syndrome anymore."

Zhang Lingchuan sighed. That was the problem; many patients' symptoms were scattered.

They think this is unimportant and that doesn't matter, so when they go to the hospital, they only tell the doctor part of the story, and the doctor can only make a judgment based on that part.

If you have dry eyes and blink frequently, an ophthalmologist will naturally first consider dry eye syndrome.

However, if we add "involuntary forced closure of the eyelids," "increased tension," "loss of sleep," and "involuntary movements of the corners of the mouth and chin," then the direction becomes completely different.

"Isn't it dry eye syndrome?"

Qiao Wanning was stunned for a moment.

"Based on your current symptoms, in addition to dryness around your eyes, you should be more alert to involuntary spasms of the eyelid muscles and abnormal facial muscle control."

Zhang Lingchuan answered very cautiously.

"Involuntary spasms of the eyelid muscles?"

Qiao Wanning clearly didn't understand, so she repeated it.

"My eyelid just twitched on its own?"

However, it seems that it can be understood literally.

"Yes, that's one way to understand it."

Zhang Lingchuan nodded.

But this girl's problem isn't as simple as an eyelid twitch. If it were just a regular eyelid twitch, resting for a while and reducing caffeine, staying up late, and stress would probably relieve it on its own.

However, this has been going on for six months and is getting worse. She even experiences sudden eyelid twitching while riding a bicycle, which is not a normal eyelid twitch but a very serious condition.

"Dr. Zhang, which department should I see?"

Qiao Wanning's expression changed slightly.

Having asked so many questions, she must have realized that something was off about what Zhang Lingchuan said.

"I suggest you go to the neurology department."

Zhang Lingchuan said.

"In addition, it is best to have a neurology department or neuro-ophthalmology department with a special clinic for movement disorders. Of course, you can continue to see an ophthalmologist, but you can't just stop at dry eye syndrome. You need to have a doctor evaluate whether it is blepharospasm and whether it is accompanied by oromandibular dystonia."

As soon as he said that, many medical viewers in the live stream immediately realized what he meant.

But ordinary netizens were even more confused.

"Blepharospasm? Oromandibular dystonia? These terms sound very technical."

"Isn't it dry eye syndrome? Why are you in the neurology department?"

"I knew today would be anything but simple."

"If you can suddenly close your eyes while riding a bike, you definitely need to get checked out."

"Don't ride your bike! It's really dangerous!"

……

Qiao Wan Ning panicked a bit when she saw the comments. She had only meant to play around with the live stream, and she never expected that this issue would be brought up.

After all, Zhang Lingchuan's live stream is so popular right now, it would be quite interesting to connect with him, but who knew that the more questions I asked, the more something seemed off.

The conversation went from dry eye syndrome to neurology—that's quite a leap.

"Dr. Zhang, is my condition serious?"

Qiao Wanning asked cautiously.

"Tell me first, how much of an impact is this having on your life?"

Zhang Lingchuan did not answer immediately.

"The impact is quite significant."

Qiao Wanning told the truth.

“I feel awkward in meetings at work now because people keep staring at me. Sometimes I feel like closing my eyes after looking at the computer for a while, and I also tend to close my eyes when taking pictures. A few times when I was crossing the street, my eyes suddenly closed, and I was scared. But I always thought it couldn’t be that serious.”

After she finished speaking, she looked at Zhang Lingchuan with some unease.

"Xiao Qiao, this is seriously affecting your life."

Zhang Lingchuan said.

Adults know how dangerous it is to suddenly close your eyes, especially when crossing the street or riding a bicycle.

"I suggest that from now on, you should not ride an electric bike, drive a car, or walk alone on complicated roads."

So he added a sentence.

"Huh? Not riding a bike? How am I supposed to get to work?!"

Qiao Wanning's expression froze completely.

"Take a taxi or have a family member pick you up."

Zhang Lingchuan replied.

"This……"

Qiao Wanning looked hesitant.

"Seriously, don't gamble with your safety before you have a clear diagnosis and control of your symptoms. You're not just experiencing occasional dryness in your eyes; you may be experiencing uncontrollable eyelid closure, which is not something that willpower can resolve."

After Zhang Lingchuan finished speaking, Qiao Wanning subconsciously touched her eyes, feeling somewhat scared inside.

"But Dr. Zhang, sometimes I feel a little better after using eye drops."

She tried to explain her situation.

Tell Dr. Zhang it's not that serious.

"Xiao Qiao, you must remember that feeling more comfortable doesn't mean the problem is solved."

Zhang Lingchuan's expression was serious.

"If you already have dry eyes, artificial tears may relieve dryness and reduce irritation, but if the core problem is blepharospasm or more complex facial muscle tone abnormalities, eye drops alone cannot solve the problem. It's like having a crack in your wall; you cover it up with a sticker, and it looks better, but the problem with the wall is still there."

The moment the analogy was uttered, the viewers in the live stream understood instantly.

"That's a very vivid metaphor."

"The eye drops are just a sticker; the real problem remains."

"I think this young lady really needs to go to the hospital right away."

"Don't ride your bike anymore, sister, listen to me!"

"Today's live stream topic: Listen to advice."

"Dr. Ogawa is really good at explaining."

"I ignored my eyelid twitching for half a month before, but now I'm suddenly a little scared."

"Don't scare yourself if it's just a normal eyelid twitch, but if it persists for six months and gets worse, you should definitely see a doctor."

……

Netizens also flooded the screen with their comments.

This is visible from the other side.

"Dr. Zhang, can this be treated?"

Qiao Wanning asked, as this was what she was most concerned about right now.

If it's just scary but treatable, that's fine. But if it's incurable, then it's truly devastating.

"It can be treated and it can be controlled."

Zhang Lingchuan answered.

If it is the problem he is thinking of, common treatments include medication and local botulinum toxin injections. Some severely refractory patients may need further evaluation of other treatment options.

However, these decisions must be made after a clear diagnosis by a doctor in person.

"So the biggest mistake you're making right now is to keep treating it as dry eye syndrome and let it drag on."

They were clearly told that they could not delay any longer.

"Dr. Zhang, I have a question. What will happen if this is delayed?"

Qiao Wanning pressed for more information.

When this question was asked, the live stream room fell silent for a moment.

Zhang Lingchuan looked at Qiao Wanning.

"If it's just simple dry eye, delaying treatment may affect the ocular surface and cause corneal damage. But if it's a more serious case of blepharospasm or facial dystonia, the more you delay, the more frequently your eyes will close involuntarily, and the more difficult it will be to open them."

He expressed his opinion.

Qiao Wan Ning's face turned pale upon hearing this.

"It's getting harder and harder to open my eyes?"

She asked in surprise, completely bewildered.

She even forgot to blink.

"Holy crap??"

"Aren't your eyes dry? Why can't you open them?"

"If you can't open your eyes, does that mean you can't see?"

"This is terrifying! It gives me the creeps."

"Miss, go to the hospital right away, don't delay!"

"This live stream is truly redefining our understanding every second."

……

The number of viewers reached 15 million.

"Correct."

Zhang Lingchuan nodded with great force.

He now strongly suspects it is a rare disease.

In severe cases, even though the structure of the eyeball is not damaged and there may be no problem with the retina or optic nerve, repeated eyelid spasms prevent the eyes from opening, making it seem as if the person cannot see in daily life.

Functional blindness may occur.

"Dr. Zhang, does that mean I... I'll go blind?"

Qiao Wan Ning's face was deathly pale, and her voice trembled noticeably.

She had just thought that her eyes were uncomfortable, or at most, that her dry eye syndrome was a bit severe.

But now Zhang Lingchuan says that if we continue to delay, we might not be able to open our eyes, and it will be like we can't see in daily life. What's the difference between that and being blind?
“I’m not saying you’re blind now, nor am I saying you’ll definitely go that far. I’m telling you that you’re already showing warning signs.”

"It lasted for half a year, and it got worse and worse. I couldn't close my eyes involuntarily, I was afraid of light, my tension worsened, and it was accompanied by abnormal muscles in my mouth and jaw. These cannot be explained by ordinary eye fatigue."

"You should go to a regular hospital to see a neurologist or neuro-ophthalmologist as soon as possible."

"It would be best to go immediately."

Zhang Lingchuan shared his views with Qiao Wanning.

And her unusual situation was summarized.

"I have guests at my house today, I'll go tomorrow..."

Qiao Wanning said.

"No, young lady, don't delay getting sick."

Zhang Lingchuan emphasized.

"You should prioritize hospital checkups. You can take time off work, but if something happens to your eyes, it's not a matter of taking time off."

What time is it?

We have guests today.

What if something happens on this very day?
"Okay, I'll make an appointment now and then tell my boyfriend to come with me."

Qiao Wanning was completely dispelled by what she was told.

"Ah."

Zhang Lingchuan nodded.

“After going to the hospital, tell the doctor directly that you have been experiencing frequent blinking, involuntary eyelid closure, photophobia, worsening of tension and fatigue, and relief after sleep for six months, along with involuntary movements of the corners of your mouth and jaw.”

"Don't just say your eyes are dry."

"Otherwise, the doctor might still treat it as dry eye syndrome first."

Qiao Wanning quickly took out her phone to write it down.

"Frequent blinking and involuntary eyelid closure for six months, photophobia, worsening with tension and fatigue, relieved after sleep, and involuntary movements of the corners of the mouth and jaw..."

She read it aloud while typing.

"Dr. Zhang, I've got it."

After she finished writing it down, she reported it to Zhang Lingchuan.

She's still a very cute girl.

Sometimes, I'm just too stubborn.

"By the way, try to reduce exposure to strong light and avoid staring at screens for long periods of time. You can wear sunglasses when you go out, but this is only an aid, not a cure."

Zhang Lingchuan added.

The most important thing now is to get medical treatment.

Let's see what the hospital has to say first.

"Okay, Dr. Zhang, I really didn't expect it to be this serious. I always thought it was just dry eye syndrome."

Qiao Wan Ning's voice was no longer as relaxed as it had been when she first connected. She looked down at her hands and then glanced at the camera.

"Many people think that way, so today's connection is also a reminder to the viewers in the live broadcast room."

Zhang Lingchuan said.

Some things should be explained to the public.

"For example, dry eyes and occasional blinking are common in our daily lives, so don't panic. But if you experience uncontrollable and frequent eye closures, which even affect walking, cycling, or work communication, especially if it is accompanied by involuntary movements of the corners of your mouth and chin, don't just assume it's ordinary dry eye syndrome. If you need to see a neurologist, then see a neurologist. Don't be afraid of the hassle."

As a doctor, he hopes that people will seek treatment immediately when they experience initial symptoms.

Current medical standards.

Many diseases are completely treatable if detected early.

"Dr. Zhang..."

Suddenly at that moment, Qiao Wan Ning's gaze fell on Zhang Ling Chuan, and she looked like she wanted to say something but couldn't.

"Xiao Qiao, is there anything else you want to ask? It's okay, just ask whatever you want!"

Zhang Lingchuan noticed that she seemed to have something to ask.

Actually, it's about live streaming.

He is not afraid of problems.

Feel free to ask anything.

"Dr. Zhang, this isn't dry eye syndrome... I know you must have other suspected illnesses. What exactly is this illness? Could you tell me? So I can be mentally prepared..."

As a long-time fan.

Qiao Wanning felt that Dr. Zhang must have his own guesses.

"Yes! What kind of disease is this?!"

"Curiosity +2, it can actually cause physical blindness!"

"Could it be another rare disease?!"

……

Netizens were in an uproar upon hearing this!! (End of Chapter)