My medical skills add experience

Chapter 480 False Pregnancy

"It's so rare that the fetal heart rate matches the mother's heart rate!"

Although we are not obstetric professionals, we usually work in the emergency department and often have the opportunity to see various pregnant women.Normally, a pregnant woman's heart rate is much lower than the fetal heart rate.

"Doctor Zhou suspects that the fetal heart rate is actually the mother's heart rate?"

Yang Chan asked as if she had realized something.

"It should be! I have encountered a case of this kind of situation, which belongs to pseudopregnancy. The fetal heart rate you measured just now is probably just the pulse of a pregnant woman."

[Pathological diagnosis experience value +1, reward pathological diagnosis experience value +100. 】

The harvest was quite good, and he was awarded 100 pathological diagnosis experience points.

Earning experience points for pathological diagnosis is not easy.

Fortunately, he often receives some consultation tasks. As long as he successfully diagnoses, he can basically get good experience rewards.

At present, his pathological diagnosis medical skills are advancing towards the sixth level at a steady speed.

Pharmacological syndrome differentiation is far behind. In fact, there are quite a lot of doctor's orders every day.There are also many opportunities for medication.

However, the medications are basically routine medications, and a doctor's order will add at most one or two points of experience in pharmacological syndrome differentiation.It is rare to get a big reward like a pathological diagnosis.

It is really not easy to successfully diagnose this pregnant woman as a pseudopregnancy.

This kind of thing is so weird that most people have never heard of it.

However, Zhou Can heard that a hospital once admitted a pregnant woman, because at that time the pregnant woman had a seizure and her amniotic fluid broke.It was too late for an examination and was sent directly to the delivery room.Later, the mother only bleed out a large amount of bright yellow liquid, but no fetus was produced.

After investigation, the maternal body only simulated the pregnancy process, and there was no fertilized egg.

Later, the family members believed that the hospital had stolen the child, so they called the police, even the higher authorities, and even sued the court.The hospital is full of grievances because of this matter.

At that time, the amniotic fluid of the mother had broken, and she insisted on sending her for prenatal examination, which was a little unreasonable.

In line with the principle of emergency treatment, the pregnant woman was only given a blood draw, and then sent to the delivery room for emergency delivery.

At that time, blood was drawn to detect the blood type of pregnant women and whether there were blood-borne diseases.

Since then, it has become the key evidence for the hospital to prove that the mother is not pregnant.

Whether a woman is pregnant can be diagnosed not only by B-ultrasound and color Doppler ultrasound.

By testing the hcg in the blood, it is also possible to more accurately diagnose whether a woman is pregnant.

After a woman is pregnant, the level of human chorionic gonadotropin in the blood will increase rapidly.

HCG examination can not only diagnose pregnancy, but also find out whether there is ectopic pregnancy in pregnant women.

Because ectopic pregnancy belongs to the situation after pregnancy, but the blood hcg test results will be different from those of normal pregnant women.A doctor with a little experience will be able to spot the problem with blood test results.

"What fake pregnancy? Could my belly be fake?"

Although the pregnant woman suffered multiple injuries, including a broken right leg, she was very vicious.hot.

Hearing Zhou Can say that she had a fake pregnancy, he immediately questioned Zhou Can angrily.

"Doctor, you must have made a mistake. In the first three months of my girlfriend's pregnancy, she vomited very badly. Now that her belly is so big, how could it be a false pregnancy?"

The woman's wronged boyfriend also denied Zhou Can's diagnosis.

"If you have doubts, you can test the blood human chorionic gonadotropin. Then do an abdominal color ultrasound." Zhou Can said to the two.

Because it was a car accident, both of them were migrant workers in the city.

Family members have not rushed to the hospital.

"Just do it. When the time comes to find out that my mother is pregnant, you must apologize to me."

Women are particularly fierce.

In the face of such a fierce female patient, Zhou Can has always kept a respectful distance.

"Squad leader, if there is nothing else, I will go back to the operating room to work. Before this patient is found out, please do not enter the delivery room."

Zhou Can can be regarded as giving her a piece of advice.

Because pregnant women are more seriously injured, in case of uterine contractions and the like, it is not clear to advance to the delivery room.

In Zhou Can's eyes, Yang Chan is a novice doctor.

It's very easy to act too patiently in an emergency.Soft-hearted doctors and nurses are actually not suitable for survival in the current harsh medical environment.

"Go get busy!"

She glanced at Zhou Can resentfully, obviously dissatisfied with him leaving in such a hurry.

With her cleverness, she probably discovered that Zhou Can was avoiding her on purpose.

It's just love, no one can tell.

Especially as she gets older, the pressure to urge her to marry is also increasing.But the man she met couldn't compare with Zhou Can at all.

When she was studying, Zhou Can chased her, and she looked down on this rich second generation from the bottom of her heart.

Now that I am a little older, have a certain amount of social experience, and my mind has gradually matured, I understand what a pity it is to miss Zhou Can.

Today's Zhou Can is not only rich, but also has a high reputation in the hospital for his medical skills.

And it has an excellent reputation in terms of medical ethics.

In addition, Zhou Can stood up for the front-line clinical doctors and nurses of the whole hospital, protesting the inaction of the security department, and the hospital's disregard for the personal safety of clinical doctors and nurses, which left an epic heroic image in her mind.

The family forced her to go on a blind date, and she followed Zhou Can's standard to find another partner, fearing that it would be difficult to find someone she liked.

……

After Zhou Can's operation at noon, he went to the cafeteria for dinner and heard Ma Xiaolan talking about the pregnant woman.

"Do you know? A pregnant woman who was injured in a car accident in our emergency room in the morning was not pregnant. The nursing team said that this is the first time they have seen such a thing. It was our Doctor Zhou who diagnosed it first!"

Ma Xiaolan often flatters Zhou Can intentionally or unintentionally.

To put it more vulgarly, she should be a scheming whore.

Of course, her intentions are quite decent.He usually looks very aggressive towards other doctors and patients, with sharp teeth and sharp mouth, but his heart is not bad.At least Zhou Can secretly observes at work, and she sometimes has a caring side in some specific things.

"Which nursing group? Did I join?"

It was also the first time for Qiao Yu to hear such an anecdote, and she was immediately full of curiosity.

"It's group 1 of the nursing team in our emergency department. You must be in the group."

Ma Xiaolan replied while scrolling through the news in the group.

After Qiao Yu opened WeChat, she saw that the nurses were talking about it.

"That's true! Look at the pregnant woman's belly. I can't believe it's a fake pregnancy. The world is so big, there are so many wonders. Doctor Zhou, please share with everyone how you diagnosed it!"

Qiao Yu looked at Zhou Can with bright eyes.

"Actually, it's nothing. The injured woman had a B-ultrasound, which showed a shadowy object with a diameter of more than ten centimeters, suspected to be a gestational sac. But the fetus could not be seen. The doctor from the obstetrics and gynecology department, and our emergency doctor , have been measured, and it is said that there is a fetal heart rate. Later, I found that the fetal heart rate was consistent with the mother's heart rate, so I suspected it was a false pregnancy."

Zhou Can smiled and shared the diagnosis process with several people.

It can also be regarded as adding some experience in diagnosis and treatment for them.

"Did it finally come out?"

Yang Zhi is usually a dull middle-aged man who doesn't talk much.

Unlike many men who are married and spend their hearts everywhere.He never took the initiative to hook up with young female colleagues in the department, whether doctors or nurses.

Don't think that he is a man who doesn't understand style.

Several times, Zhou Can took everyone to dinner. At the dinner table, Yang Zhi told Ma Xiaolan and Qiao Yu about nasty jokes.

"I didn't have an autopsy. They didn't believe our hospital's diagnosis results, so they directly asked to be transferred to another hospital for treatment."

Ma Xiaolan replied.

The injured woman herself had syphilis and AIDS, and I hope the medical staff in other hospitals will not be careless.

The patient voluntarily asked to be transferred, but Tuya Hospital had no power to stop it.

Patients choose which hospital to treat, which itself is their right.

……

After getting off work in the evening, Zhou Can went to the cafeteria to eat and hurried to the cardiothoracic surgery department.

I don't know if I was too tired and had an illusion.

He always felt that someone was watching him secretly.

I haven't offended anyone recently. If I offend family members or patients at work, there is no way to avoid it.

Some family members ask some weird questions and make some impossible requests, and there is definitely no way to satisfy them.

Then some patients have been cured after surgery, or have achieved significant therapeutic effects, but the patients just think that the doctor didn't cure them, and they have other diseases.

It's useless to explain this kind of thing.

Basically, this type of patients has a common feature, stubbornness, and loves to dig into dead ends.

Zhou Can sometimes encountered this kind of particularly difficult patient, and was annoyed by the question, so he replied with one sentence: "If you think our hospital has cured you, you can apply for a medical appraisal. As long as it is our responsibility, we will never shirk."

There is really no way to meet this kind of patient, but to push back.

If you keep quiet, the patients will think you are weak and wronged, and they will dare to push forward and make a fuss in the ward.All kinds of complaints made the heads of the medical department ache.

As for the purpose of such patients, sometimes some new symptoms may indeed appear after surgical treatment.

Or they deliberately made such a fuss in order to pay off medical expenses.

So, in either case, it doesn't make sense to reason with them.

There is a famous saying: You can never wake up a person who is pretending to be asleep.

When Zhou Can was in the training rotation before, he encountered particularly violent patients. After the hospital promised to reduce part of the treatment fee, they stopped immediately.

On the way to the cardiothoracic surgery department, he always felt a pain in his back, but he didn't look back.

If someone really followed him, it would be easier for him to look back and startle the snake.

If you are free tomorrow, it might be a good choice to go to the security department to check the surveillance video.

After Zhou Can arrived at the cardiothoracic surgery department, the first thing he did was to go into the ward to check on the patient with pneumothorax.

The situation is not bad, and all aspects have improved significantly.

The bubbles from the water-sealed bottle weakened a lot.

The bleeding seemed to have stopped gradually.

There was still a little bleeding though.

The breathing sound of the patient's left lung became stronger, which is a good thing.

As long as the current trend is followed, this patient should be able to recover and be discharged soon without the need for thoracotomy.

After leaving the ward, he returned to the doctor's office and logged into his personal account on the intranet.

Director Xue, Deputy Director He and others recommended several difficult cases to him.There are seven in total, which is considered a good situation.At most, Zhou Can received eleven difficult cases.

Including new patients in cardiothoracic surgery, patients with postoperative complications, and patients whose surgical plans are difficult to decide.

Mainly these three categories.

For these difficult cases, Zhou Can both likes and has a headache.

Cases that can stump the director and deputy chief physician must be extremely difficult.He is also a human being, even though he has some talents and has been taught by director Hu Kan, but when he encounters difficult cases, he still has to work very hard to solve them.

And sometimes he can't solve it.

In this case, we can only gather the strength of the whole department, and even invite experts from other departments to come over for a joint consultation.

Cracking these difficult cases will also benefit Zhou Can a lot.

Improve his personal diagnosis and treatment ability, increase his diagnosis and treatment experience, and earn a large amount of experience value rewards.

It must be explained that not every difficult case solved can be rewarded with a large amount of medical experience points.

Some difficult cases are difficult for other doctors.

For Zhou Can, it was relatively easy.

This kind of case can only bring him an additional 10 points of medical skill experience value reward at most.Sometimes there isn't even a reward.

When it was close to [-]:[-], the nurse ran over to urge him.

"Doctor Zhou, please hurry over to the operating room. The anesthesia is over, and the operation is about to begin."

"Okay, I'll go right now!"

There was no other way, Zhou Can could only rush to the operating room.

Enter the operating room, change clothes and enter the operating room. Director Xueyan and other doctors and nurses are ready.

Today's first operation was the patient who was transferred from Xinxiang Hospital with an infection in the chest incision and sternum.

Artificial material needs to be removed, debridement, and reconstruction of the chest wall are required.

This is a big project.

There are many technical difficulties.

If the strength of the chief surgeon is not enough, it may even be necessary to operate together with the orthopedics department.

"Zhou Can, I'm just waiting for you to take charge!"

Director Xueyan smiled.

It can be seen that she is quickly coming out of the shadow of divorce.I really hope she finds a good man for the rest of her life.

Marriages in this world are so fucked up sometimes.

Good women meet scumbags and bad guys, good men meet scumbags and gold worshipers.

Only when you meet the right person at the right time can you hold hands for a lifetime, and both parties can achieve true happiness.

In recent years, the divorce rate has been increasing, and it is not necessarily all a bad thing.

It can make both men and women cherish the hard-won marriage more.To say that the divorce rate is the highest, it should be Laomei.

As long as you feel that you can't go on, you dare to leave.

Even just because of such a small contradiction as the toothbrush placement, they can directly divorce.

Compared with these western developed countries, China is considered good.

"It's okay to hold the spoon, as long as Sister Yan and the directors help me check it out." Zhou Can nodded with a smile.Then his eyes fell on the anesthetist's face. "Yo, Teacher Feng is here too!"

"Director Xue was afraid that something might go wrong, so he insisted on asking me to come over and take a look."

Director Feng did not come alone, he also brought two apprentices with him.

Zhou Can is not the only apprentice he has accepted.Compared with these full-time anesthesiologists, Zhou Can can only be regarded as an amateur.

"Hurry up and get the surgery, and try to get off work early. I know that your kid's surgery speed is already comparable to that of Xu Yidao back then."

"As ordered!"

Zhou Can smiled and nodded.

After cleaning hands, put on sterile gloves and stand on the main knife position.Zhou Can quickly cut the sutures in Xinxiang Hospital.

His current suturing level is the director's junior level, and at a glance, he can see some places where the doctors in Xinxiang Hospital are not suturing properly when they close their chests.Of course, he won't say anything.

The patient's sternal incision was infected with osteomyelitis, which persisted for a long time. The best way to do this was to surgically resect and reconstruct the chest wall.

(End of this chapter)