Chapter 541: Eleven Years of Pregnancy, Rare Freak
Obstetrics and Gynecology Clinic No. 1 is the only comprehensive clinic.
Other outpatient clinics are divided into gynecology, obstetrics, and reproductive health departments, which means they only treat diseases in those departments.
After all, for many doctors, even specializing in just one subcategory of disease is already very strenuous.
It takes a lot of skill to be able to diagnose and treat all categories of obstetrics and gynecology diseases at the same time.
At present, in the entire Department of Obstetrics and Gynecology of Huier Hospital, the only person who has this ability is Professor Liu.
At this moment, there are already more than a dozen patients waiting in line outside Clinic No. 1.
They all came here for Professor Liu's reputation.
Li Quan knew that the teacher was in poor health, so as the dean, he personally acted as an assistant and was responsible for writing medical records, issuing examination applications, and other tasks.
Professor Liu is specifically responsible for diagnosing the condition, making analysis and judgment, and then providing treatment plans.
Unlike before, every time Professor Liu sees a patient, he will deliberately have some discussions with Li Quan, or do condition analysis and treatment plan guidance.
This was his preparation to pass on to Li Quan all that he had learned in his life.
The Provincial People's Hospital, Women and Children's Hospital, and Ocean Hospital have been charging hard in the field of obstetrics and gynecology recently, constantly building momentum and snatching patients from the obstetrics and gynecology department.
Suddenly, several major hospitals learned that Professor Liu of Huier Hospital had made a comeback, and they were paying close attention to it.
After all, a person's reputation is like the shadow of a tree.
Professor Liu is a leading figure in the field of obstetrics and gynecology.
The influence of such famous doctors is enormous.
However, everyone relies on their own abilities, and no one uses shady or harmful tricks like Jiang's Orthopedic Hospital.
The three major hospitals all have their own advantages.
For example, the Provincial People's Hospital is strong in terms of equipment and medical team, and is both civil and military.
The Women's and Children's Hospital is known as the aristocratic hospital and is famous for its first-class and considerate service.
The Ocean Hospital claims to have the most advanced equipment in the country and a team of foreign doctors.
The obstetrics and gynecology department of Huier Hospital has advanced equipment and superb medical skills, which is similar to that of the Provincial People's Hospital. However, with the death of Professor Liu, the obstetrics and gynecology department of Huier Hospital is leaderless and its medical skills can no longer lead the way.
Therefore, Professor Liu's comeback this time has made all major hospitals very nervous.
…
In outpatient room No. 1, a pregnant woman in her forties walked in with difficulty.
Look at her belly, it is bulging high, round and the sagging is very obvious.
With such a big belly and such difficulty in moving, Li Quan dared to conclude that the pregnant woman was at least eight months pregnant. He didn't know if it was an illusion, but Li Quan always felt that this older pregnant woman looked a little weird.
He couldn't tell the details.
I just feel that she doesn't look like a normal pregnant woman.
"Hello, Professor Liu. I'm very happy to hear that you are back to see patients again. I came here from the Shanghai Women's and Children's Hospital specifically to ask you to diagnose me." The pregnant woman sat down next to Professor Liu's desk.
Li Quan stared at the pregnant woman, and his diagnosis skills were quietly put into practice.
Observational diagnosis is to observe the patient's skin color, expression, complexion, body shape, and body movements.
The pregnant woman had a sallow complexion and didn't look as plump as other pregnant women. Instead, she looked a little thin. Her hair was dry and dull.
Li Quan also noticed that her dark circles were particularly obvious and slightly blue.
According to his experience of diagnosis by observation, the deep blue skin around the eyes, forming the so-called panda eyes, is often seen in people who suffer from long-term insomnia or very poor sleep quality.
When a pregnant woman sits down, her legs are spread apart.
Normally, this is somewhat indecent.
Therefore, most pregnant women will subconsciously try to keep their legs together when sitting down, and then choose to sit sideways to resolve the embarrassment.
But the pregnant woman had no such awareness when she sat down.
It's like doing something that is done every day.
How to say it.
It feels like a habit that has been around for years.
"Don't be anxious! What's your name? How old are you this year?" Professor Liu asked in a gentle voice.
"Shang Meizhen, 41 years old this year."
The pregnant woman is so old that she is already an elderly mother.
"Tell me about your illness!"
Professor Liu nodded.
Li Quan was quickly recording the patient's information.
Nowadays, technology is more advanced, and patients need their ID cards when registering. Li Quan asked the patient for his ID card and scanned it directly, recording the patient's ID number, name, age and other information.
In addition, you can also check the patient's previous medical history in this hospital.
“Woo woo…”
The pregnant woman couldn't help covering her face and crying before she even started to describe her illness.
This made Professor Liu, Li Quan, and the nurse next to them a little confused.
"Ms. Shang Meizhen, don't worry. Our hospital will definitely find a way to treat you no matter what disease you have. Drink some water first, calm down, and then tell us about your condition. Only after we understand your condition can we do further examination and diagnosis. Don't you agree?"
Professor Liu signaled to the nurse to pour a glass of water for the pregnant woman.
After she drank two sips of water, she calmed down a lot.
"I got married at the age of 29 and got pregnant at the age of 30. I thought I would soon be a happy mother like other women. But the fetus in my belly has been staying in my belly for 11 years and still refuses to come out.
I saw my former colleagues and classmates who got pregnant later than me and have become mothers. They enjoy the joy of having children around them, but I am alone with my husband and have never been able to have children.
Although my husband has never blamed me, as a wife, I blame myself and feel guilty for not being able to give birth to children.
My parents-in-law also quarreled and made a fuss about this matter, and they have both passed away now.
There were even some vicious neighbors who called me a monster.
Woohoo...If I wasn't so reluctant to leave my husband and my elderly parents, I would sometimes think that I might as well just die."
This pregnant woman named Shang Meizhen must have been under tremendous pressure from her family and the outside world over the years.
Insomnia, sensitivity, anxiety, these emotions must have been with her for a long time.
It was the first time that Li Quan heard of a pregnant woman who had been pregnant for eleven years without giving birth.
A normal pregnant woman will usually give birth normally after about ten months of pregnancy.
In that kind of TV series, Nezha stayed in his mother's womb for three years and six months before he was born. This is a plot that only mythological TV series dare to have.
It doesn't exist in reality.
What is the reason for this pregnant woman?
Maybe she wasn't pregnant at all, but had a tumor in her stomach.
When many people hear the word tumor, their first reaction is cancer.
In fact, this is a very one-sided view.
Most tumors are benign, such as breast hyperplasia, which many women are afraid of. In fact, breast hyperplasia is a far cry from breast cancer.
As long as it is properly controlled, it generally will not deteriorate and develop into breast cancer.
As for other tumors, such as those in the back of the neck, which are most likely to grow, they are often benign.
If the tumor is benign, life is generally not threatened.
There is no problem living with the tumor for decades.
Li Quan suspected that there was a high possibility that the woman had a tumor in her stomach.
The abdomen has a lot of room for expansion, unlike the head or some other key parts. If the tumor grows bigger, it will compress the blood vessels and nerves, causing obvious impact and physical discomfort.
Oftentimes, patients cannot feel a tumor growing in the abdominal cavity.
"Ms. Shang, haven't you gone for ?" Li Quan asked curiously.
Modern medical examination equipment is already very advanced.
Whether it is a fetus or a giant tumor in the belly, it can definitely be detected.
"Of course I have! How could I not have done it? I have gone through so many checkups in the past eleven years that I can't even remember how many times I have done them. But every time I have a checkup, I am disappointed."
When the pregnant woman mentioned the examination, she shook her head and sighed repeatedly, her face looking gloomy.
"I've done the check-up. Have you ruled out a false pregnancy? Is it a tumor or other organ or tissue abnormality?"
Professor Liu must have also suspected that Ms. Shang might have a tumor in her stomach.
But I didn't expect that she had already had countless examinations in the past eleven years.
If there is a tumor, it can be easily detected.
"I am really pregnant, not with a tumor. After examinations at several large hospitals, the doctors clearly told me that they detected a heartbeat in my abdominal cavity, and that the outline of the fetus could be seen during the 4D scan."
Ms. Shang’s words once again shocked everyone.
She was carrying a real fetus with a heartbeat, which meant that the fetus in her belly was still alive after eleven years.
But how is this possible?
It really goes against medical common sense.
"Professor Liu, I am from another province. My hometown is in a remote rural area. In order to treat this strange disease, I have been to the big hospitals in Beijing three times in these years. Over the years, I have never given up. A while ago, I accidentally learned that you are very good in the field of obstetrics and gynecology. I came here specifically to see you for treatment.
Who knew that you were no longer seeing patients because of illness.
There was no choice, so my husband took me to the Maternity and Child Health Hospital in Shanghai.
We thought that since it was a maternal and child specialty hospital and it was in Shanghai, there might be a way to treat my disease.
But I was disappointed again.
The medical skills there were not as good as those of the big hospitals in Beijing. After a series of examinations, the treatment plan they gave was similar to that of many small hospitals.
I was surprised to hear that you were seeing patients again, so I immediately took a taxi and rushed over."
The experience of seeking medical treatment for pregnant women is full of hardships.
There are many large hospitals and a large number of experts and scholars, but there are very few famous doctors with truly excellent medical skills.
"Did you bring the test results? Let me take a look first."
This was probably the first time that Professor Liu encountered such a strange patient.
In the mythological drama, Nezha stayed in his mother's womb for three years and six months. This baby was even more amazing, staying there for eleven years and still refusing to be born.
The pregnant woman showed Professor Liu the examination films and various test results.
Li Quan was watching curiously from the side.
The color ultrasound showed that the fetal outline was no different from that of a normal eight or nine-month-old fetus.
It's just that the fetus is connected to the uterus by multiple arteries.
For safety reasons, if you want to deliver the fetus by cesarean section, you may need to remove the pregnant woman's uterus.
Because this situation is almost 100% likely to cause heavy bleeding.
It will then pose a life-threatening risk to the patient.
"In your case, the best option is a cesarean section. However, your fetus is connected to multiple aortas in the uterus. This is a rare case where the mother and fetus share a large artery.
Cesarean section has very high surgical risks.
In order to ensure your safety, the uterus needs to be removed. In addition, after the fetus is delivered by cesarean section, because the arteries and blood vessels are actually the arteries and blood vessels in the uterus, a cutting operation must be performed.
All this can easily lead to two big troubles.
The first big problem is that the fetus will bleed heavily. With the amount of blood in a baby, it will bleed to death in less than 30 seconds.
The second big problem is that the fetus's vascular system is not complete. Its arterial blood supply is not from its own heart, but mostly from the mother. After the aorta is cut off, the fetus' heartbeat is likely to stop. "
Professor Liu has rich experience in diagnosis and treatment. After reviewing the examination results, he pointed out what was difficult to treat for this pregnant woman.
First of all, there should be no major danger to pregnant women themselves.
But the uterus cannot be preserved.
Then, after the fetus is delivered by cesarean section, it is almost certain to die.
"The two concerns you mentioned have been similarly addressed by major hospitals in Beijing. I have never had a child since I married my husband. If my uterus is removed, it means I will never be able to have children again, which I don't want.
In addition, the fetus in the belly has been carried for so many years that I have already developed a deep affection for it.
It would be hard for him to survive after being taken out by caesarean section. I would rather have him stay in my belly forever."
The pregnant woman was obviously a little disappointed.
She has seen many doctors, and if she was willing to accept this treatment plan, there would be no need to delay it until now.
"Li Quan, what do you think?" Professor Liu asked Li Quan for his diagnosis and treatment opinion.
"Can I take the patient's pulse first and check it out?" Li Quan had never met such a strange patient before. He wanted to confirm the fetus by taking the pulse.
"Yes, of course! As long as you can help me find a safe treatment method, I will fully cooperate."
The pregnant woman took the initiative to stretch out her hand and let Li Quan take her pulse.
Judging from her skillful movements, she must have sought treatment from traditional Chinese medicine many times over the years.
Li Quan took her pulse immediately.
After pressing Cun, Guan and Chi, his eyes widened, it was indeed a happy pulse.
Her pulse was very smooth and bead-like, and at the same time, strong and swirling.
He was sure that Li Quan had master-level pulse diagnosis skills.
This is definitely a sign of pregnancy.
He began to carefully check the pulse of the fetus in the pregnant woman's womb.
Gradually, he made some subtle discoveries: Ms. Shang's pulse looked like a happy pulse, but it was somewhat different from a real happy pulse.
The pulse of a normal pregnant woman should be like beads rolling on a plate.
Ms. Shang's pulse is smooth, but it looks more like beads turning rather than rolling.
A very strange disease name popped up in Li Quan’s mind.
Hydatidiform mole.
Could it be that the fetus in Ms. Shang's belly is the so-called hydatidiform mole?
However, after Li Quan had this idea, his pulse diagnosis skill points did not increase. This means that he misdiagnosed. Ms. Shang's disease may not be hydatidiform mole.
Or maybe there is something else going on.
