45 Lying Have you had sex recently?
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"Doctor, I want to prescribe some pain-removing tablets, my stomach hurts so much!" The girl's words were urgent, but her voice sounded a little weak.
Xiao Ya, who was still a little nervous, sat up in an instant and gathered all her emotions.
Shi Yu also stood quietly behind her, ready to observe how others diagnosed the disease.
The girl who came to see the doctor didn't look big, she was very young, and she was probably still in college. In the middle of the night, in fact, she didn't come alone, and there was another female classmate accompanying her.
"Stomach ache? What is the specificity, menstruation or simple abdominal pain? Xiao Ya asked very professionally.
The girl's face became more and more pale, and she pinched the arm of the female classmate next to her before replying: "Well, I am coming to my aunt, and I have long-term menstrual pain." I took both ibuprofen and painkillers, but this time I took ibuprofen two or three times and it didn't work, but the painkillers just ran out. The school hospital didn't prescribe pain tablets, so I had to come to the hospital. ”
Shi Yu said in his heart, this girl looks like a person who has been suffering from menstrual cramps for a long time, and when she talks about ibuprofen and painkillers, it seems that they are not painkillers, but like a cold powder.
Xiao Ya didn't jump to conclusions, but asked, "How old are you?" ”
Girl: "20. ”
Twenty, at the same age as Shi Yu himself, he should be in college, and if he happens to be smart, he may be in graduate school or something. She thought.
Shi Yu carefully observed everyone in the room.
The girl seemed to be in a lot of pain, and after answering Xiao Ya's question, she snuggled up to the shoulder of her female companion, and the relationship looked very good, maybe it was a roommate.
Xiao Ya nodded lightly and asked again, "Are you married?" ”
……
The girl was silent for a moment, looking very embarrassed, and her face became worse, "No, no...... Do I look that old? ”
The female classmate who accompanied her burst out laughing, "Doctor, you are so humorous, we are only 20 years old, and we are still in school." We're still babies, how can we get married! ”
This time it was Xiao Ya's turn to be embarrassed, but Shi Yu understood that in the obstetrics and gynecology department, this had to be asked.
"In China, women are 20 years old and have reached the legal age of marriage, so it is not surprising that they are married, and Dr. Xiao does not want to judge her condition." She explained to two students.
Xiao Ya smiled at her, and then asked an even more embarrassing question: "Did you have sex then?" ”
As soon as this question was asked, the faces of the three women in the room turned red except for Shi Yu.
It's a very embarrassing question......
The girl blushed, and her voice was louder than just now: "Of course not! Doctor, how do you ask questions like this? I'm suffering from menstrual cramps, and I've had this problem since the third year of junior high school, so please prescribe me some pain relief tablets, I'm about to cry bitterly......"
But Shi Yu knew that obstetrics and gynecology cases required marriage and pregnancy history, contraceptive methods, menstrual conditions and other elements, and was about to explain to the patient, but Xiao Ya shook her head lightly.
So she had no choice but to give up and explain to the patient that so much was indeed out of bounds.
Xiao Ya did not give up asking because of the girl's words, and patiently said to the patient: "Although this is the case, you still have to ask carefully, abdominal pain is not necessarily dysmenorrhea." Even if it is menstrual cramps, there are many causes. So, when did you last have your period? ”
The girl is a college student after all, so she didn't mess around, so she answered honestly: "Just a month ago, the time was quite accurate, and I really forgot what day it was." ”
Xiao Ya paused and asked, "What about the amount, is there any obvious change?" ”
Girl: "It's okay, I usually have a small amount, but this time it looks similar." Because I seem to have some uterine cold, menstrual cramps and a small amount, I have seen a lot of old Chinese medicine doctors, but it is useless. Western medicine has also checked, saying that it will slowly get better when you get married and have children. Doctor, no, my stomach is starting to hurt again, please don't ask, prescribe medicine for me, thank you! ”
Shi Yu saw that she was in such pain that cold sweat came out, and her hands pinched each other, a little distressed. But everything is normal during her menstrual period, and she doesn't feel very empathy.
She thinks that the patient's symptom should be ordinary dysmenorrhea, and Lin Yuwen also has dysmenorrhea, sometimes so painful that she can't even go to work in bed, just like this girl.
But Xiao Ya estimated that it was the reason for the first visit, so she was very cautious, and still let the girl lie on the examination bed and touch it herself.
Although Shi Yu felt that Xiao Ya was a little too nervous, he still followed her very seriously and watched her palpate.
In fact, this kind of palpation can distinguish between dysmenorrhea and acute abdomen at most, but Shi Yu doesn't understand why Xiao Ya has such suspicions, it is impossible for the patient to hide his condition. If the patient did, he wouldn't have come to the hospital in the first place.
But soon, Shi Yu slapped himself in the face.
Normally, even if the menstrual cramps are rolling on the ground, when the doctor palpates it, there is no response to the tenderness, but this girl is not.
When Xiao Ya pressed her abdomen, she would reflexively tense and dodge, and even blurted out that it hurt when she pressed near her belly button.
Xiao Ya took her hand away violently, and the girl bowed her back, almost bouncing up.
Shi Yu was stunned.
The place where Xiao Ya presses is the "McSs point", which is the projection position of the base of the appendix on the body surface.
The girl's body reacted more honestly than her mouth, and she had symptoms of peritoneal irritation, and there must be something in her stomach, either inflammation or bleeding.
She's lying.
Xiao Ya, as a palpator, knew that the truth was definitely not what the girl just said, this was definitely not ordinary dysmenorrhea.
At the same time, she also saw Shi Yu's doubts, but gave her a look and asked her not to pierce it.
Although Shi Yu's heart was full of suspicions, he was still a little calm and didn't say anything.
Xiao Ya didn't ask the girl any more questions, but signaled the female companion who accompanied her to go out first, saying that the next topic was more private, and asked her to wait outside for a while.
"Huh? Why? My friend has answered everything he should have answered, why are you trying to break me up? The female companion looked at Xiao Ya very vigilantly, lest she be unfavorable to the girl.
It's a righteous friend.
But to Shiyu's surprise, the girl patted her friend and said, "It's okay, it's okay, you go out and wait for me, I'll be fine!" ”
The female companion glared at Xiao Ya and Shi Yu before turning her head and going out.
"Is there any abnormality in the timing of your menstrual period, such as delaying?" Xiao Ya asked again.
The girl didn't care, "It's normal, it's only delayed for eight or nine days, and it's been advanced before." However, when I used to see doctors, they all said that it is normal for girls to have menstrual periods. ”
Xiao Ya asked again: "What about the amount and color of menstruation, are they all the same as before?" ”
"Hmm......," the girl pondered, presumably earnestly, "this time the amount seems to be less, but I've always had a small amount, but the color is darker than before." ”
Xiao Ya was silent for a moment, and then couldn't help asking, "Have you had sex recently?" ”
"Didn't you just say that," the girl's face turned red again, "really not! Doctor, why do you keep going around this question? ”
Xiao Ya was extremely calm, and said with a straight face: "It's different, your friend was here just now, and now it's me and you." As she spoke, she glanced at Shi Yu beside her, "And this Doctor Shi, we all have professional ethics and will not disclose your personal information, including your friend." So, you can safely answer, really not? ”
"But I really don't......" the girl looked helpless.
After entangled in this question for so long, coupled with the results of interrogation and palpation, Shi Yu suddenly understood Xiao Ya's suspicions in his heart.
The girl's symptoms are indeed quite similar.
*
When Shi Yu faced the first gynecological emergency, the plane that Lin Yuwen and Su Chen were on was already hovering over Shucheng, and at the same time, Han Zhaonian had already arrived at the airport pick-up gate.
For a whole week, Su Chen was stunned whether he didn't answer a phone call, or Shi Yu told him that Su Chen really found Lin Yuwen.
Han Zhaonian still admires these two children, although he is angry in his heart, he still can't help but pick him up. After all, he is the world champion who brought it up single-handedly, and he can't make a mistake.
The plane landed rapidly, and Lin Yuwen's heart also fell, and this decade-long willfulness finally ended at this moment.
From now on, give up on that person and start over on your own. Tiannan Haibei, as long as you know that he is still here, it is enough.
And Su Chen seemed to have a sense, he glanced sideways at Lin Yuwen, and a strong confidence rose in his heart. Cheng Dong may be an obstacle, but it has also indirectly achieved his pursuit.
"Lawyer Lin, how do you go back, I'll send you first." Su Chen and Lin Yuwen walked side by side on the passage.
Lin Yuwen walked on the outside of the passage to avoid the crowd, she knew that it was all Su Chen's credit, but she didn't feel that she could accept Su Chen's good with peace of mind.
She smiled and said, "Shi Yu will come to pick me up, you can go back by car first, otherwise Han Zhaonian should come to me to settle accounts." ”
Su Chen: "No, Boss Han is not such a stingy person. And Shi Yu is obviously in the emergency department, so you can come with me, let Boss Han send you first. ”
"Don't." Lin Yuwen didn't want to refuse, "I saw that Han Zhaonian was under great psychological pressure, so I still took a taxi by myself." ”
She avoided talking about why Su Chen knew Shi Yu's movements, but she was telling the truth, Han Zhaonian was a little embarrassed after all.
Su Chen was naturally obedient to her, first sending Lin Yuwen to a taxi, and then turning on the phone to call Han Zhaonian.
"Su Chen, don't think about leaving the club in the next month." Han Zhaonian opened his mouth as a threat with a bad tone.
No, to be exact, the punishment is announced.
Su Chen breathed a sigh of relief, asked his coordinates, and hurriedly ran over.
Since Han Zhaonian is still willing to punish her, it means that he has not given up on him yet.
Su Chen ran wildly all the way, and he didn't dare to delay for a moment, and when he arrived at the place the other party said, neither the person nor the car was there.
At that time, Han Zhaonian answered a phone call and turned his head to rush to another place.