It was almost ten o'clock after washing the doll.

Feng Shuang then did the cleaning of the baby room, and Yu Ruyi returned to the doctor's office.

Although the obstetrics and gynecology matters are very complicated, as long as you understand it, it is not difficult, Yu Ruyi is very fast, and she can get the stack of medical records properly in just a short time.

Dr. Gao happily closed his mouth.

Yu Ruyi really wanted to tell Dr. Gao that as long as you do things in one go, don't waste time complaining, things will be done soon.

Director Xu said to Yu Ruyi with concern: "The inpatient department is fine for the time being, you can go and familiarize yourself with the work of the outpatient department." ”

"Good!" Yu Ruyi happily walked towards the outpatient clinic.

Although she usually goes to Feng's mother's department to play, today is the first time to go as an obstetrics and gynecology professional, and Yu Ruyi is excited.

Ten o'clock is the busiest time for outpatient clinics.

There was a lot of noise in the outpatient hall, people who ran to register, those who were busy going to the laboratory department, and those who were hurrying to get medicine...... Almost everyone is in a hurry.

Looking at Yu Ruyi, Dr. Feng raised his head and smiled: "Is the inpatient department okay?" ”

"Not yet."

Dr. Feng gave the prescribed examination application form to the girl sitting in front of her: "Let's go for a check-up first!" ”

After the girl left, Yu Ruyi asked in a low voice, "What patient?" ”

"I'm going to be a human/stream."

Yu Ruyi was excited: "Can I enter the human/flow room?" ”

Dr. Feng smiled: "Of course. ”

Another patient entered the office with a registration slip, and Yu Ruyi quickly moved out of the way.

The person who came was a patient with pain in the lower abdomen.

That's not good for small hospitals. Gynecology and obstetrics are not separated, both outpatient and inpatient, and the same doctor treats both obstetric and gynaecological patients.

This requires doctors to have a wide range of knowledge and a clear understanding of all diseases in obstetrics and gynecology.

Yu Ruyi stood respectfully behind Dr. Feng to see how Feng's mother saw the doctor.

Dr. Feng carefully asked the patient about the time, nature and area of pain, and then asked about the patient's menstrual period, and then took the patient to the examination table inside for a gynecological examination.

After the gynaecological examination, Dr. Fung prescribed a B-ultrasound application form and a stool/stool test form for the patient to go for further examination.

As soon as the patient walked out of the door of the diagnosis room, Yu Ruyi couldn't wait to say the question in her heart: "Mother Feng, what disease did you preliminarily diagnose this patient?" ”

"Pelvic inflammatory disease."

"The ultrasound is done to see if there is any problem in the pelvis. I know it's necessary. But why do you want to do a small / urine pregnancy real yàn? ”

Yu Ruyi firmly believes that Dr. Feng is not a quack doctor who prescribes random checklists.

Dr. Fung replied succinctly, "Pregnancy is ruled out." ”

"But, she's just after her period!"

Dr. Feng earnestly said to Yu Ruyi: "We can refer to the patient's narrative, but we must judge objectively, for example. Threatened miscarriage and uterine/extrauterine/pregnancy can also bleed. Will the patient think it's a period? ”

"Oh yes!" Jade Ruyi suddenly. "Patients only know that they have bled before, but bleeding is not necessarily menstruation!"

"Although this patient has other diseases, although it is unlikely." Dr. Fung said, "It's better to be cautious. Spending a few more dollars on the examination fee, the patient can rest assured, and the doctor is also at ease. ”

Yu Ruyi asked curiously, "Have you ever encountered a misdiagnosis before?" ”

"Twelve beds, that ectopic pregnancy." Dr. Fung prompted, "Have you seen her medical records?" ”

"No, the few medical records I just compiled are all born babies."

"When she first had a stomachache, she thought it was inflammation, so she bought a lot of anti-inflammatory drugs outside, and when she came that night, the gestational sac outside the uterus had ruptured." "As an outpatient doctor, as soon as a patient names a symptom, he or she has to reflexively list a list of diseases related to it, and then rule out other diseases one by one according to the patient's accompanying symptoms...... If the same type of disease is misdiagnosed, the consequences are not strict, and if a critically ill patient is sent home as an ordinary patient, the consequences are unimaginable. ”

Yu Ruyi smiled: "If only one day I could go to the outpatient clinic alone......

Dr. Feng smiled: "There must be a day!" ”

"Doctor!" The patient who had previously gone for a check-up walked into the office.

Yu Ruyi took the examination report in her hand and handed it to Dr. Feng.

After carefully reading the examination report, Dr. Feng said, "The general condition is fine...... Are you sure you're going to get rid of it? ”

The girl nodded numbly: "I haven't eaten anything since I got up, and I'm ready." ”

Dr. Feng took out the consent form and explained to the girl: "Since it is an operation, there are risks, and the risks of this surgery are ......

The girl looked down and played with her fingernails.

After Dr. Feng finished speaking, the girl took the consent form and skillfully signed her name.

Dr. Feng silently prescribed the prescription and handed the surgery bill to the girl.

Without saying a word, the girl got up and walked towards the toll room.

"She doesn't seem nervous at all!" Yu Ruyi looked at the patient's back and said to Dr. Feng.

Doctor Feng sighed softly: "These girls treat this as child's play, and they are human beings again and again. ”

Yu Ruyi said sympathetically: "You have exaggerated the danger of people/flow just now, but she didn't even raise her eyelids. ”

"She knows all the risks, she just doesn't mind." Dr. Feng shook his head, "We are just doctors, and we can't intervene too much, and if we annoy patients, we will be complained." ”

Taking the medicine from the girl's hand, Yu Ruyi took the patient to the outpatient operating room.

The outpatient anesthesiologist asked the girl some questions outside the operating room and asked her to sign the anaesthesia consent form.

After signing, the nurse led the girl to change her shoes and go into the operating room to prepare.

Yu Ruyi also put on a mask and hat and followed Dr. Feng into the operating room.

Compared to the large operating room in the inpatient department, the outpatient operating room is really small.

There is no shadowless lamp, no anesthesia machine.

The most conspicuous is the pink operating table in the middle of the operating room, which can be raised and lowered. It is covered with a green disposable surgical sheet.

There is a bottle of oxygen and an ECG monitor at the head of the operating table, and a suction device, a bowl lamp, a stool, and a treatment cart for placing instruments are placed at the foot of the bed from left to right.

On the left side of the operating room is a locker against the wall, next to the locker is an ambulance, next to which is a set of electroresection and electrocoagulation equipment.

Fortunately, there are outpatient operating room rules and a few leaflets about people/flow posted on the wall of the operating room, otherwise, the average person would not be able to see that this is an operating room.

The nurse led the girl to the operating table.

Without waiting for the nurse to speak, the girl took off her shoes and one trouser leg and went to the operating table to set up a standard bladder/bladder lithotomy position.

After the nurse infused the girl with fluids and connected to the oxygen and ECG monitoring equipment. The anesthesiologist also prepared the medicine and walked to the head of the operating table.

The anesthesiologist nodded to Dr. Feng.

Dr. Fung then stepped forward to disinfect the girl's surgical area.

Yu Ruyi took the surgical bag handed by the nurse and put it on the treatment cart to open it.

When the anesthesiologist injects the drug into the girl's body through the guò infusion channel. Dr. Feng began to put on gloves and set up instruments.

The milky white medicine had just been injected into the girl's body, and the girl's legs, which were still nervously cocked first, suddenly drooped.

The anesthesiologist swept the girl's eyelashes with his fingers, and when he saw that the girl was unresponsive, he nodded at Dr. Feng. Dr. Feng knowingly used the instrument to prop up the girl's body.

Internal disinfection, immobilization of the uterine/cervical ...... with rat tooth forceps Yu Ruyi watched Dr. Feng's every move seriously.

Doctor Feng glanced back at Yu Ruyi: "Why don't you wear gloves?" ”

Yu Ruyi said happily: "Right away!" ”

Yu Ruyi asked the nurse for a pair of latex gloves to put on. Eagerly stood behind Dr. Fung.

"First of all, explore the size of the uterine cavity." Dr. Feng slowly entered the uterine cavity with a probe in his hand. "Slow down, and you have to stop when you encounter resistance......

After taking out the probe, Dr. Feng motioned to Yu Ruyi: "Come and feel it!" ”

Yu Ruyi held the probe. Dr. Feng held Yu Ruyi's hand and gently moved inside, and when he encountered resistance, Dr. Feng said: "This is the fundus of the uterus, at this time, we should pay attention to the number marked on the probe -- nine centimeters, isn't it?" ”

"How many weeks is a nine-centimeter-deep uterine cavity?" Dr. Feng's question came up.

"About seven weeks."

"Well, six to seven weeks." "If the size of the uterine cavity does not match the gestational age, it is necessary to consider whether the uterine fundus has not entered or the probe has penetrated out of the uterus. ”

Hearing the words "out of the palace", Yu Ruyi was so frightened that she stopped moving.

"A little more probe into the gestational sac!" Doctor Feng took Yu Ruyi's hand and touched a soft thing: "This is the gestational sac!" ”

After withdrawing the probe, Dr. Feng quickly began to dilate the cervix: "The type of dilator should be from small to large, and in principle, it should not skip the number......

"Under what circumstances can I skip a number?"

"When the mouth of the palace is particularly loose -- how many numbers should this case expand?" Dr. Fung asked the second question.

Yu Ruyi looked at Dr. Feng's expansion to the sixth, and hesitated and said, "Sixth? ”

"Actually, five and a half can also be used." Dr. Feng said, "If dilation is difficult, just five and a half gauges, and use a six-gauge tube to attract a little faster, so for relatively loose cervix, dilating to six and a half can save time." ”

After the expansion was completed, Dr. Feng attached the suction hose to the suction head, and the nurse who was already waiting next to him quickly picked up the other end of the suction hose and connected it to the suction device.

Dr. Feng asked the third question: "Where is the gestational sac we just probed?" ”

"Son/Gonghou Wall." Yu Ruyi replied.

"Yes!" Doctor Feng motioned for Yu Ruyi to step forward, let Yu Ruyi hold the suction head, and hold Yu Ruyi's hand, "Let's aim the suction hole at the gestational sac now-soft, do you feel it?" ”

"Hmm."

Dr. Feng stepped on the pedal of the suction device, and Yu Ruyi immediately felt a hot thing flow from the suction tube held in the palm of her hand.

"That's it!" Dr. Feng held Yu Ruyi's hand, "Let's sweep around the uterine cavity again -- is there any difference now?" ”

"I didn't touch anything soft." Yu Ruyi said while feeling it, "It seems to have become tighter." ”

This means that the child/palace has shrunk! Generally speaking, as soon as the gestational sac is aspirated, the uterus/uterus will shrink naturally. ”

After exiting the suction tube, Dr. Fung disinfects the uterus/cervix again and then withdraws the speculum.

Yu Ruyi looked at Doctor Feng happily: "That's fine?" ”

"Not yet." Dr. Feng removed the suction bottle and walked out of the operating room with the dishes.

Under the water hose outside the operating room, Dr. Fung carefully poured the contents of the bottle into a curved tray to take a closer look.

Yu Ruyi leaned over: "Are you looking for fluff?" ”

"Well, this step must not be saved." Dr. Feng pointed to the fluff that floated in the water like a flower and asked Yu Ruyi to see, "This is this thing, you have to see it with your own eyes." ”

"What if not?"

"Either it's your own leakage, or it's your mistake."

"Is it possible that the ultrasound is wrong?"

"It's possible." Dr. Fung admonished, "As a doctor, you can't leave anything to chance! (To be continued......)