Chapter 543: Chinese medicine for abortion, weak female patient
Even though he had already determined that Li Quan's diagnosis made sense, Professor Liu still did not make a final decision.
But it was said very euphemistically.
"Professor Liu, you are an authority in the field of obstetrics and gynecology. Can you tell me how you can test whether President Li's diagnosis is correct?" Ms. Shang was scared and nervous at the moment, but at the same time she hoped to solve this problem that had troubled her for more than eleven years.
She visited countless hospitals and consulted countless famous obstetricians and gynecologists, but no doctor ever told her that she was pregnant with a false pregnancy.
Li Quan's crazy remarks gave her a glimmer of hope.
"It's very simple to verify Dean Li's diagnosis. Just check whether there is meconium in the uterus to determine whether it is a real or false pregnancy."
Professor Liu has rich experience in diagnosis and treatment and proposed a very authoritative verification method.
"After the 20th week of pregnancy, meconium will slowly form in the fetus' intestines. Simply put, meconium is the secretion of the fetal intestines, and it is also a product that must appear in the amniotic fluid of every pregnant woman. If there is no meconium, there are only two possibilities. Either it is early pregnancy, or the fetus is stillborn, or it is a false pregnancy."
After listening to Professor Liu's professional discussion, Ms. Shang nodded repeatedly.
"Please check me now!"
She actually seemed more anxious than the doctor.
"In order to ensure the accuracy of the test results, I will prescribe an amniocentesis for you." Professor Liu is very steady in his work.
Li Quan wrote an application for amniocentesis .
Special note: it is necessary to test whether there is meconium in the amniotic fluid.
Ms. Shang took the list and walked out of the outpatient clinic with difficulty.
"Xiao Li, you really have the potential to take on important tasks. You are bold and careful, and you have extensive medical knowledge. Your future achievements will definitely far surpass those of me, your teacher. Under your leadership, the obstetrics and gynecology department of Huier Hospital will surely shine and reach new heights."
Professor Liu praised Li Quan sincerely.
To be honest, if Li Quan had not given such a bold and novel diagnosis, Professor Liu might have been helpless in the face of Ms. Shang's condition like other famous doctors.
About an hour later, Ms. Shang came back after the examination.
This time it was her husband who helped her in.
Ms. Shang's face was extremely pale, with traces of fresh tears on it, and her eyes were red.
It seems that she has already cried just now.
"Doctor, is my wife really pregnant with a false fetus?" Ms. Shang's husband asked anxiously.
"Let me check the amniotic fluid test results first."
Professor Liu took the test report and read it.
"We really didn't detect any meconium. We can now basically conclude that Dean Li's diagnosis is correct. Your wife was pregnant for eleven years, but it was not a real fetus.
It could be a piece of placenta, or a deformity."
Professor Liu gave his own diagnosis.
In fact, it means agreeing with Li Quan's diagnosis.
"Wow..." When Ms. Shang heard the result, she lost control of her emotions again and covered her face and cried.
She was pregnant for eleven years, bore countless insults, and was looked at and laughed at by others with all kinds of strange eyes.
But what I got was such an unacceptable result.
No matter how strong Ms. Shang's heart is, she can't resist.
"Well, how should my wife's condition be treated?" Ms. Shang's husband couldn't help but ask.
When they get to the hospital, they can only trust the doctor.
There is no good solution for me.
"You can try surgery to remove foreign bodies from the uterus. However, the risks are high, and a uterus that has undergone surgery may not be able to get pregnant again within three years. Your wife is 41 years old now. If you wait another three years, she will be 44 years old. Some women who have menopause earlier may have already started menopause at this age.
In addition, even if she successfully becomes pregnant in the future, because she is an elderly mother, the risks in all aspects will be very high.
You must be mentally prepared for this.”
Professor Liu knew that the couple must be particularly eager to have a child.
However, considering various angles, it is difficult to realize this wish.
After listening to Professor Liu's advice, both the couple were devastated.
Ms. Shang's husband, a grown man, also shed tears in front of them. He had suffered so much over the years.
"Teacher, I have a Chinese medicine prescription that Ms. Shang can try. It may be able to successfully remove the abnormality in the uterus without surgery."
Li Quanxue's medical skills of pharmacology and dialectics just happen to contain such a Chinese medicine prescription that can remove the remaining placenta in the uterine cavity.
In ancient times, there were no conditions for surgery.
At that time, it was difficult to give birth and it was hard to save both adults and children.
Even if the placenta does not come out after delivery, it is enough to kill the mother.
Therefore, ancient Chinese medicine practitioners could only try their best to research prescriptions that could clear out the uterus, placenta and other substances.
"Are your Chinese medicine prescriptions risky?" Professor Liu asked.
"There are definitely some risks, but they are manageable. Even if it fails, she can still undergo surgery immediately. If it succeeds, she can quickly return to normal and have the conditions to get pregnant again."
Li Quan's traditional Chinese medicine treatment is unique and can definitely beat Western medicine in terms of safety.
"President Li, Professor Liu, I want to try Chinese medicine treatment first." Ms. Shang took the initiative to request.
"Teacher, you see..." Li Quan asked for the teacher's opinion.
"Let's try your Chinese medicine prescription first! For this couple, this is the most ideal treatment plan as it allows them to have another child." Professor Liu's caring heart as a doctor and a parent silently influenced Li Quan.
A good teacher not only teaches medical skills, but also the noble medical ethics of setting an example himself.
"Ms. Shang, for your safety, you need to be hospitalized for observation during the few days you take the medicine, so that if you are in danger, we can treat you immediately. If everything goes well, the placenta in your abdominal cavity will be expelled in three to five days."
Li Quan has never verified the efficacy of this prescription.
However, the prescriptions recorded by Shen Kuo must have been verified.
Because Shen Kuo was a very rigorous person, he would not easily include untested prescriptions in his medical books.
Next, Li Quan prescribed Chinese medicine for Ms. Shang and arranged a bed for her in the observation area.
Ms. Shang took the medicine according to the prescription and naturally did not mention it.
Just wait until she has taken the medicine for a period of time and then observe the specific effects.
…
We have received more than a dozen patients with obstetrics and gynecology diseases, almost every one of them had difficult and complicated cases.
If it is just an ordinary gynecological and obstetric disease, you can just go to another doctor to solve it.
Whether it is the registration window or the emergency department, they will consciously screen out patients for Professor Liu.
There is a saying that goes, "Good steel is used on the blade."
Professor Liu's medical skills are top-notch and he specializes in treating patients that other doctors cannot cure.
Li Quan studied along the way and learned a lot of useful obstetrics and gynecology experience, medical skills and knowledge.
Near noon, a thin female patient walked into the outpatient department.
The weather is still warm enough now, and ordinary people only need to wear a long shirt.
She was dressed like a mummy.
He was wrapped up tightly all over his body and seemed a little unsteady when he walked.
In ancient times, a young lady was described as being weak and frail. This young female patient really could be blown down by a gust of wind.
Li Quan didn't even need to use his diagnostic skills to know that a very difficult patient had arrived.
In fact, every department will see some difficult patients.
However, these patients are basically all taken away by chief physicians.
Many young residents envy the chief physicians because they earn much higher salaries than themselves, as if the work they do is similar.
Even residents do a little more work.
This can cause residents to feel unbalanced.
In fact, they have no idea that a large proportion of the patients seen by these highly paid chief physicians are those who are extremely difficult to diagnose and treat.
The difficulty of diagnosis and treatment also means high risks.
Take any patient like this and none of the resident doctors will be able to cure him.
"Oh my, why are all the doctors male?"
It was obviously the first time for the young woman to see Professor Liu for a consultation, and she didn't know in advance that the doctor sitting inside was a male.
Her face suddenly turned red, and looking at her expression, she seemed to want to turn around and run away.
"Girls, don't be shy to seek medical advice. There are actually many male doctors in the obstetrics and gynecology department. In the eyes of our doctors, you patients, men and women, are the same, we are all patients."
Professor Liu's tone was gentle but his expression was serious.
"Oh well!"
The young woman sat shyly next to Professor Liu's desk.
She put her knees together, clasped her hands together, and clamped them between her legs. She lowered her head, not daring to look at anyone, and looked very reserved.
"Please describe your age, name, and main medical condition." Professor Liu took the initiative to ask about the woman's medical condition and basic information.
Looking at her appearance, I guess if I don't ask her, she won't tell me about her illness all day.
"My name is Nian Xiaohong, I'm 21 years old. For some unknown reason, I've been pregnant many times. Every time I get pregnant, I'll miscarry within three months..."
The young woman lowered her head and described her condition in a low voice.
Frequent miscarriage is a common phenomenon.
They are usually weak and sickly adult women who are in sub-health conditions. Some women also have too many abortions because they were young and ignorant.
All of these may lead to miscarriage.
"Ms. Nian, may I ask when was your first pregnancy? Have you ever had an abortion?"
Professor Liu asked questions and Li Quan was responsible for taking notes.
The female nurse stood by to help ease the patient's tension and embarrassment.
If there was only a male doctor and no female nurse, she would probably be so scared that she would turn around and run away from the clinic.
"My first pregnancy was when I was about 18 years old. I had never had an abortion before. But because it was my first pregnancy and I wasn't married at the time, I was very nervous and didn't know how to protect the fetus. After I got pregnant, I didn't say to avoid sex or eat things that were harmful to the fetus. Anyway, I didn't take it seriously.
Later, when I was about eleven weeks pregnant, I suddenly started bleeding.
She was then sent to the hospital for treatment, but the fetus could not be saved.
I felt young at the time, and I hadn’t married my husband yet, so the baby was gone, and I didn’t take it too seriously. I was just a little sad at the time.
Later, I got pregnant several more times, but each time I had a miscarriage.
The obstetrician who treated me told me that I would not be able to get pregnant in the next two to three years.
Otherwise, you might even lose your life.”
When Nian Xiaohong talked about her pregnancy history, she looked very embarrassed.
Getting pregnant when she was just over 18 years old is a typical example of losing virginity during adulthood.
There are many ignorant girls who like to invite a group of friends to sing and drink on their 18th birthday. Then they are coaxed into a frenzy by their boyfriends and eventually lose their virginity.
Nian Xiaohong was very unfortunate as she got pregnant at such a young age.
Then, due to her youth and ignorance, she did not pay attention to any aspects, which eventually led to miscarriage.
Women must be especially careful during their first pregnancy.
Because once you have a miscarriage, even if you get pregnant again in the future, the chance of miscarriage is much higher than that of a normal pregnant woman.
"Are you trying to treat the disease of easy miscarriage now?"
After Professor Liu understood her situation clearly, he asked her why she came.
"I seem to be unable to get pregnant now!" As she said this, her hands were clenched tightly together, her face full of pain and self-blame.
For a 21-year-old woman, not being able to get pregnant means she will never be a mother.
"Ms. Nian, don't worry. I'll write you a few test requests to check the condition of your endometrium and see if it's seriously damaged. Then I'll check your hormone levels and whether your fallopian tubes are blocked. By the way, let me ask you one more question: Is your menstruation normal?"
Professor Liu asked seriously.
Generally speaking, as long as menstruation is normal, it means that ovulation is normal.
"My menstrual cycle is normal, but the amount of bleeding is very small and the duration is very short. I heard from others that the menstrual period usually lasts about seven days. But my period only lasts three days."
Nian Xiaohong's menstrual blood is very little, which may be related to her excessively thin body.
"A woman's menstrual period can last from 3 to 8 days. Your period is only 3 days, which is not abnormal. Go get the checkup done first, and I'll do further analysis and diagnosis!"
Professor Liu asked Li Quan to apply for several examinations for her.
She went out with the inspection application form.
…
At two o'clock in the afternoon, Li Quan and Professor Liu went to the outpatient department again to see patients.
Around four o'clock in the afternoon, Nian Xiaohong finished all the examinations and came over.
There are many examinations, and if it is not an emergency, you need to queue up.
So she has only just now done all the checks.
Professor Liu took the inspection receipt and examined it carefully.
Li Quan was also watching along.
"Hey, the endometrium is normal! The hormone levels are normal, the fallopian tubes are not blocked, and the uterus is not inflamed, so how can I not get pregnant?"
After Professor Liu read all the test results, his brows were tightly furrowed.
I thought the young woman might have uterine inflammation or too many miscarriages, which caused damage to the endometrium.
I have done several tests now and all are normal.
"Professor Liu, have you found the reason why I can no longer get pregnant?" Nian Xiaohong asked expectantly.
"The results of all the tests you did were normal."
Professor Liu felt a little embarrassed.
"Then, have you found the reason why I keep having miscarriages?" she asked again.
"Uh... not yet." Professor Liu's face turned red.
