In my last life, when I was in college, boys always joked about obstetricians and gynecologists.

For any young boy with strong blood, the job of an obstetrician and gynecologist seems to have a great appeal, so when he first went to the obstetrics and gynecology department for an internship, John was also full of excitement and anticipation. But when I got inside, all illusions were shattered. No matter how beautiful a woman is, when she arrives in the hospital ward, especially after entering the delivery room, her charm quickly disappears, and no obstetrician and gynecologist will notice whether she is beautiful or not.

This is the world of physicians.

By the time John graduated and completed his rotation and eventually became a general surgeon, he became more aware of this. Whether a woman is beautiful or ugly, as long as she is on the operating table, she is a patient waiting for surgery, without any exceptions. For most doctors, they will only appreciate the charm and charm of women when they leave the hospital, but in the hospital......

To put it mildly, they don't have any interest.

Therefore, facing the girl's father with an angry face, John explained calmly: "Mr. Black, I have just found some small spots on Ling Ai's body, these spots may be very important for her diagnosis, so I must confirm the condition of other parts of my body. ”

"Little speck?"

After hearing John's words, the three of them, including Kelly, looked at Miss Black's neck and chest at the same time.

Really!

When the girl was uncomfortable to be looked at, Mr. and Mrs. Black had already seen the spots that John was talking about, and Kelly frowned and asked, "Mr. Huntelaar, I have found these little spots on Miss Black before, but ...... Does it have anything to do with her illness? ”

"Personally, I thought it might be related!"

After a deep groan. John nodded and said, "Mr. Kelly, there are many causes of bleeding in women, it may be caused by tumors and other diseases, it may also be caused by inflammation or trauma, and of course, it may also be due to human factors such as abortion......"

When John said this, the expressions of the Black family couldn't help but stiffen!

Under the nervous gaze of several people. John's expression remained calm, and he didn't even turn his head to see the reactions of several people, but continued to whisper: "But I think there is another possibility, that is, it is related to the damage of blood vessels or the lack of platelets!" ”

"Platelets?"

The Blake's faces were full of doubts, and even Kelly was at a loss. In fact, it is no wonder that the concept of platelets was proposed six or seven years ago, when the Italians had just discovered its hemostatic effect after blood vessel damage, and there were not too many related studies, and it was normal that Kelly had not heard of it.

There is no choice. John had to explain to them the concept and function of platelets.

Frowning after listening to John's explanation, Kelly pondered for a moment before asking, "What ......about What's the deal with these little spots? ”

"Bleeding!"

Taking a deep breath, John then explained: "These small spots may be bleeding spots on the skin and mucous membranes......"

Talking to these "ancient" physicians is really tiring.

Some ideas that would have been common sense to future physicians were absolute scientific frontiers for physicians in the late 19th century. For example, this platelet, many ordinary people in later generations knew that it was used in blood to stop bleeding, but it was just proposed in this era. Another example is Miss Black's massive hemorrhage. What is that called Rosa, I obviously don't know the specific reason. But I have to pull out some illegal abortion......

"So, I'm going to make sure!"

After a brief explanation, John said, "It's just that the spots I see are not very obvious, and if Miss Black has more and more obvious bleeding spots in other parts of her body, it will be very helpful for diagnosis......"

"Mr. Huntelaar, come and check on me!"

This time I didn't wait for John to finish. The young girl stood up suddenly!

"Jasmine ......"

Looking at her daughter with a determined face, Mrs. Black suddenly felt a little distressed, and hurriedly stepped forward and gently grabbed her daughter's right hand.

A slightly pale lip was bitten with a hint of blood, and Miss Black glanced at her father and said stubbornly, "Mom." Please let Mr. Huntelaar examine me, I know what I have in me......"

Meeting the gaze of his daughter and wife, Mr. Black was silent for a moment before finally nodding.

John, who got permission, soon began to examine the girl's body. After lifting the clothes, I looked at it, and sure enough, the purpura on the skin was more obvious, and in some places the spots were even connected into patches, which looked like I had been beaten hard by my fist!

"This ......"

After following John's careful look at these obvious symptoms, Kelly's eyes widened and asked, "Mr. Huntelaar, these ...... Can you determine that it is due to thrombocytopenia? ”

"Of course not!"

With a wry smile, John explained: "If it is just the formation of purpura, there are many reasons, and thrombocytopenia is just one of the possibilities. ”

Purpura disease accounts for a large part of all bleeding disorders, but it can be divided into vascular and platelet disorders, and thrombocytosis purpura can be divided into thrombocytopenia and platelet dysfunction; Thrombocytopenia includes aplastic anemia, leukemia, hypersplenism, immune thrombocytopenic purpura, etc., which is a very complex system.

Merely......

In this day and age, John really couldn't explain it any further.

Possessing medical knowledge that was ahead of his time brought John countless benefits, but also many annoyances. For example, at this time, he can't convince everyone if he doesn't explain, but explaining too much may be counterproductive, after all, there are too many things that medical scientists have not yet discovered, and it is wrong to say too much!

So John simply didn't explain at all, and checked the girl's spleen by the way, and there was nothing abnormal.

"Draw some blood and send it to the laboratory."

After instructing the girl to get dressed, John threw down a sentence lightly.

"Is it going to be bloodletting?"

At this point, Mrs. Black's eyes widened.

"Uh...... Of course not! ”

After a pause, John smiled bitterly again: "It's not about any bloodletting, it's about taking a small amount of blood and sending it for testing...... Well, send it to the lab for a test to see if the number of platelets has decreased......"

Looking at the other party's blank expression, John simply kept silent.

The world's first laboratory was established at Charlotte Hospital, founded by John, and the laboratory department at Heinz General Hospital was the fourth "laboratory" in the world to exist in a hospital - in this era, the laboratory was good enough to be called a laboratory. It was obviously a thankless task to explain the existence of the laboratory department with the Blakes, even if Kelly still didn't understand the department!

So John simply gave up this plan, and said, "Miss Black, let's stay in the hospital first, and I'll ask someone from the laboratory department to draw some blood and send it for examination." In the past two days, pay attention to let her rest more, and don't get hurt......" (To be continued.) )