573 Androgen insensitivity......
Director Zhou sat next to Li Sumei and asked politely, "Director Li, how many cases of this disease have you treated?"
"I did research in the magic capital, and the research group did 22 cases. Li Sumei smiled and replied very gently: "After returning home, I completed one case independently." ”
"You did it yourself?"
"Hmm. Li Sumei nodded, her expression a little proud.
It is very awesome to be able to complete 1 case independently, and Director Zhou is even more relieved.
At first, he was worried that Li Sumei would also ask a professor to complete the treatment, so that the understanding of the disease would solve it in the future, and I was afraid that there would be some problems.
After many places invited professors from the imperial capital and the magic capital to do a difficult operation, they never touched it again. Director Zhou was worried about Li Sumei's side, which was also the case.
The hospital in the provincial capital is much stronger than the first hospital in Haicheng. However, compared with the large tertiary hospitals in the imperial capital and the magic capital, it is far from enough.
For a rare disease like Reifenstein's syndrome, this is a real possibility.
Fortunately......
Director Zhou felt that his luck didn't seem so bad today.
The courseware is very large, the network speed is very slow, and it seems that it will take a minute or two to download, Director Zhou picked up the phone and called the operating room, asking Director Sun to wait for him.
Zheng Ren and Su Yun were sitting in the back, very bored.
Again, so much anticipation for the emergency to come.
But Zheng Ren knew that Hu Hai and Li Sumei were here to thank him. For the sake of his own face, he went all out to help the first hospital of the city.
At this time, if you turn around and leave, it is a bit too much.
After downloading the courseware, Li Sumei began to give Director Zhou a brief introduction to Reifenstein's syndrome.
This disease, to put it simply, is the patient's genetic test, and the karyotype is 46XY, which is the gene of males. But the physical signs are completely feminine.
Male pseudohermaphroditism caused by androgen insensitivity syndrome requires psychological counseling. But Li Sumei suggested that psychological counseling should not be carried out at all, and the mistake would be wrong.
Since the patient has been considered female since childhood, the patient is modified according to the woman.
In this case, there may be problems if you don't tell the patient, but is it really good to tell the patient?
Questions like this in medical ethics are never thought about by Zheng Ren.
Everyone has their own reason, and Zheng Ren subconsciously refuses to think about such things that have no answers at all.
Energies and attention should be put in places that matter, such as TIPS surgery.
After listening to Li Sumei's brief introduction, Director Zhou opened his eyes.
And Li Sumei's suggestion, Director Zhou also took it into consideration. He was going to call the patient's parents here individually, explain the condition to them, and then let them make up their own minds.
After all, psychological counseling is a ...... Director Zhou has never seen a professional.
Most of the clinics in the Northeast that have psychological outpatient clinics are actually nonsense.
And the South, I don't know, can't just say it.
A plan was formulated, and then Director Zhou began to get busy.
The abdomen is temporarily closed on the operating table, and the patient returns to the ward. The patient's parents were called to the classroom and then introduced to them Li Sumei's identity.
At first, the patient's family expressed dissatisfaction, and some relatives and friends who didn't know how far away even began to push and shove, scolding.
However, at Director Zhou's repeated insistence, the patient's parents agreed to the arrangement of Haicheng First Hospital.
When I entered the classroom, I heard that it was the director of the gynecology department of the Affiliated Hospital of the Medical University, and the patient's parents were obviously more nervous.
Originally, the operation was delayed, and they had a hunch that something big was about to happen. And the arrival of the director of the medical university confirmed this.
Mr. Meng first explained the operation process, and then made a judgment. When they heard him say that their daughter turned out to be a boy, the parents were stunned.
I didn't expect it to be so big.
However, it is necessary to truthfully explain the condition, or else...... You can't think of it as an ostrich.
At this moment, the patient's parents realized why it meant to call only the two of them in.
No one but their parents can keep their mouths shut.
Once the people around the patient know that he has this disease, both men and women will definitely look at the patient with colored glasses.
And this "gossip" will boil out in a short time.
That is the real irreparable harm to the patient.
And now, everything is still under control.
Because the patient has stepped down and the emergency is dealt with, it is up to the patient's parents to decide whether to tell the patient about it, and there is the issue of gender selection in the future.
Li Sumei finally gave her business card to the patient's parents, saying that if she needed consultation, she could come to the medical university to find herself, and there was no need to register.
If you have surgery, you can choose to have it done at the Medical University, or you can choose to go to the magic capital to do it. If you want to go to the magic capital, Li Sumei can introduce them to professors, but the cost is correspondingly higher.
In the face of such thoughtful and considerate care, the patient's parents tearfully expressed their gratitude.
It took more than two hours to send the patient's parents away.
A catastrophe was nipped in the bud.
In fact, from a normal point of view, this is not a big disaster at all.
But judging from the current social situation, Director Zhou knows that Li Sumei has done him a great favor.
Mr. Meng sent the patient's parents out to take care of the postoperative patient.
Director Sun's face is still miserable white.
In the past few days, Director Sun has had a lot of things on his side, and many of them make him feel that it is the end of the world.
Make a hernia, and you can encounter this rare disease......
Although the results of the treatment were good and the explanation was in place, the patient's family also expressed their approval and actively sought future treatment. But Director Sun's whole body was out of strength, he sat on the chair with a pale face, and poured half a bottle of mineral water, which made him feel a little better.
Hu Hai expressed his understanding of Director Sun's performance.
The moment he pushed the guidewire along the contrast agent, Hu Hai felt that the sky had fallen.
"Director Li, Director Hu, on behalf of the First Municipal Hospital, I would like to express my gratitude to the two of you for your help. Director Zhou had a thousand words in his heart, and he didn't know what to say.
"Director Zhou, you are too polite. Li Sumei smiled: "It's just a convenient thing, it's not a big deal." We are also here to thank Mr. Zheng, if you are too polite, what should we do? ”
Zheng Ren is so embarrassed, at this time, logically speaking, he should stand up and say something to make everyone feel like a spring breeze.
Can...... What do you mean......
Seeing that Zheng Ren was slightly embarrassed, Hu Hai immediately stood up and said with a smile: "Director Zhou, we are all our own people, what is not to thank or not, it is not interesting to say too much." You're frightened, so find a place to rest. ”
That's a heart-wrenching statement.
Director Zhou sighed with emotion and said, "To tell you the truth, what I hope most now is to go up half a block and hand over the work of the medical office." Now every day is like sitting on a volcanic crater, and I don't have a dream of it. ”
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Case studies were selected from the journal Hernia.
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