"It's so rare that the fetal heart rate is the same as the mother's heart rate!"

Although you are not obstetric professionals, you usually work in the emergency department, and you often have the opportunity to see all kinds of pregnant women. Normally, a pregnant woman's heart rate is much lower than the fetal heartbeat.

"Dr. Zhou suspects that the fetal heart rate is actually the mother's heart rate?"

Yang Chan asked as if she had realized something.

"It should be! I've had a case of false pregnancy. The fetal heart rate you just measured is most likely just the pulse of the pregnant woman. ”

[Pathological diagnosis experience point +1, reward pathological diagnosis experience point +100.] 】

The harvest was quite good, and he was awarded 100 pathological diagnosis experience points.

Earning experience points in pathological diagnosis is quite not easy.

Fortunately, he often receives some consultation tasks, and as long as he is successfully diagnosed, he can basically get a good experience point reward.

At present, his pathological diagnostic medical skills are advancing towards level six at a steady rate.

Pharmacological syndrome differentiation is much behind, in fact, there are quite a lot of medical orders prescribed every day. There are also many opportunities to take medication.

However, the medication is basically routine medication, and if you prescribe a doctor's order, you will add one or two points of pharmacological syndrome differentiation experience value at most. It is rare to receive such a large reward as a pathological diagnosis.

It was not easy to successfully diagnose this pregnant woman as a pseudopregnancy.

This kind of thing is so weird that most people have never heard of it.

Zhou Can heard that a hospital once received a pregnant woman, because the mother had already had a seizure at that time and broke her amniotic water. I didn't have time to do an examination, so I was sent directly to the delivery room. Later, the mother only exuded a large amount of bright yellow fluid, and the fetus was never delivered.

After investigation, the mother's body only simulated the pregnancy process, and there was no fertilized egg.

Later, the family believed that the hospital had stolen the child, reported it to the police, and even sued the higher authorities, and even sued the court. The hospital is also full of grievances for this.

At that time, the mother's amniotic fluid was broken, and she insisted on sending her for prenatal checkups, which was a bit unkind.

In line with the principle of emergency treatment, only a blood was drawn for the pregnant woman, and she was sent to the delivery room for emergency delivery.

At that time, blood was drawn to test the blood type of pregnant women and the presence of blood-borne infections.

Since then, it has become a key piece of evidence in the hospital to prove that the mother is not pregnant.

Whether a woman is pregnant or not can be diagnosed not only by B-ultrasound and color ultrasound.

By testing the HCG in the blood, it is also possible to accurately diagnose whether a woman is pregnant.

When a woman becomes pregnant, the amount of human chorionic gonadotropin in the blood increases rapidly.

With HCG, it is possible to diagnose not only whether you are pregnant, but also whether you have an ectopic pregnancy.

Because ectopic pregnancy is also a post-pregnancy condition, the blood HCG test results will be different from those of normal pregnant women. A doctor with a little experience will be able to detect the problem with the results of a blood test.

"What false pregnancy? Could my belly be fake? ”

Although the pregnant woman suffered multiple injuries on her body and even fractured her right leg, she was very spicy. Hot.

Hearing Zhou Can say that she was fake pregnant, she immediately questioned Zhou Can angrily.

"Doctor, you must be mistaken. My girlfriend was throwing up a lot in the first three months of her pregnancy. Now that the belly is so big, how can it be a fake pregnancy? ”

The woman's unjust boyfriend was also next to him denying Zhou Can's diagnosis.

"If you have any doubts, you can test the blood for human chorionic gonadotropin. Then do an abdominal ultrasound. Zhou Can said to the two.

Because it was a car accident, both of them were migrant workers in the city.

The family has not yet rushed to the hospital.

"Just do it, when the time comes, I find out that my mother is pregnant, and you must apologize to me."

The woman is particularly fierce.

In the face of such a fierce female patient, Zhou Can has always stayed away.

"Squad leader, if there is nothing else, I will go back to work in the operating room first. The patient should not be admitted to the delivery room until it is identified. ”

Zhou Can can also be regarded as giving her a piece of advice.

Because the pregnant woman is seriously injured, in case of contractions and the like, push into the delivery room, it is not clear.

In Zhou Can's eyes, Yang Chan is a novice doctor.

It's easy to act too patiently in an emergency. Soft-hearted doctors and nurses are not fit to survive in the current harsh medical environment.

"Go get busy!"

She glanced at Zhou Can resentfully, obviously dissatisfied with him leaving in such a hurry.

With her cleverness, it is estimated that Zhou Can has already discovered that Zhou Can is deliberately avoiding her.

It's just love, no one can tell.

Especially as she gets older, the pressure to get married is getting more and more. But the man he met couldn't compare with Zhou Can at all.

When she was studying in the past, Zhou Can chased her, and she looked down on this rich second generation in her heart.

Now that he is a little older, has a certain amount of social experience, and his mind is gradually maturing, he understands how sorry it is to miss Zhou Can.

Today's Zhou Can is not only rich, but also has a high reputation in the hospital for his medical skills.

And the reputation in medical ethics is also excellent.

There is also Zhou Can's disregard for the personal safety of clinical care in the hospital, which left an epic heroic image in her mind.

The family forced her to go on a blind date, and she went to find another partner according to Zhou Can's standard, I am afraid that it will be difficult to find a suitable one.

……

After Zhou Can had surgery at noon, he went to the cafeteria to eat and heard Ma Xiaolan talk about the pregnant woman.

"You know what? A pregnant woman who was injured in a car accident in our emergency department in the morning was not pregnant. The nursing group said that this was the first time they had seen this kind of thing. It was our Dr. Zhou who was the first to diagnose it! ”

Ma Xiaolan often flatters Zhou Can intentionally or unintentionally.

To put it in a vulgar way, she's supposed to be a scheming.

Of course, her mental skills are quite decent. Usually looks very pungent to other doctors and patients, sharp teeth and sharp mouth, but the heart is not bad. At least Zhou Can secretly observed at work that she sometimes had a loving side in some specific things.

"Which care group? Do I have a plus? ”

Qiao Yu also heard this kind of strange news for the first time, and was immediately full of curiosity.

"It's Group 1 of our emergency department, and you must be in the group."

Ma Xiaolan replied while scrolling down the news in the group.

After Qiao Yu opened WeChat, he also saw that the nurses were talking about it.

"Oh! Looking at the pregnant woman's belly, I couldn't believe it was a fake pregnancy. The world is so big that there are no surprises. Dr. Zhou, share with you how you diagnosed it! ”

Qiao Yu's bright eyes looked at Zhou Can.

"Actually, it's nothing, the female injured person did a B-ultrasound, showing a shadow object with a diameter of more than ten centimeters, which is suspected to be a gestational sac. But the fetus is not visible. The doctors from the obstetrics and gynecology department, as well as our emergency doctors, all measured it and said that they had a fetal heartbeat. Later, I found out that the fetal heart rate was the same as the mother's heart rate, so I suspected that it was a false pregnancy. ”

Zhou Can smiled and shared the diagnosis process with several people.

It can also be regarded as adding some experience in diagnosis and treatment for them.

"Did you finally cut it out?"

Yang Zhi usually doesn't talk much, and he is a middle-aged man who is relatively dull.

Unlike many men who are married and spend their hearts everywhere. He never took the initiative to hook up with young female colleagues in the department, whether doctors or nurses.

Don't think he's a man who doesn't understand amorous feelings.

A few times, Zhou Can took everyone to dinner, and at the dinner table, Yang Zhi talked to Ma Xiaolan and Qiao Yu about meat jokes, which were a set.

"I didn't have an autopsy, and people didn't believe the diagnosis results of our hospital, so they directly asked to be transferred to another hospital for treatment."

Ma Xiaolan replied.

The injured woman herself had syphilis and AIDS, and I hope that the medical staff at other hospitals will not be careless.

The patient took the initiative to ask for a transfer, and Tuya Hospital had no power to stop it.

It is in itself a right for patients to choose which hospital they are treated in.

……

After getting off work in the evening, Zhou Can went to the canteen to eat and hurried to the cardiothoracic surgery.

I don't know if I'm too tired, and I have a delusion.

He always felt like someone was watching him in the dark.

I haven't offended anyone lately, but if I offend my family or patients at work, there is no way to avoid this.

Some family members ask strange questions and make demands that are impossible to agree, but they will definitely not be able to meet them.

Then some patients have undergone surgery, and they have been cured, or have achieved significant treatment results, but the patients just think that the doctor has not cured them, and they have other diseases.

It's useless to explain this kind of thing.

Basically, this type of patients have a common characteristic, being opinionated and trying to get into the horns.

Zhou Can sometimes encountered this kind of particularly difficult patient, and he was annoyed by the question, so he replied with a sentence: "If you think that our hospital has cured you, you can apply for a medical appraisal." As long as it is our responsibility, we will never shirk it. ”

When encountering this kind of patient, there is really no choice but to push back.

If you don't keep quiet, the patients will think that you are weak and blameless, and they will dare to make a fuss in the ward. All kinds of complaints have made the people in the medical department feel a pain in their heads.

As for the purpose of such patients, sometimes it may be true that some new symptoms have developed after surgical treatment.

Or in order to pay off the medical bills, he deliberately made such a fuss.

So, in either case, it doesn't make sense to reason with them.

There's a famous saying: you can never wake up someone who wants to pretend to be asleep.

Zhou Can had encountered patients who were particularly violent when he was in rotation in the past, and after the hospital promised to reduce part of the treatment costs, they immediately stopped.

On the way to cardiothoracic surgery, he always felt like he was on his back, but he didn't look back.

If someone is really following, it is easier for him to look back and startle the snake.

If you are free tomorrow, maybe it would be a good choice to go to the security department to check the surveillance video.

After Zhou Can arrived at the cardiothoracic surgery, the first thing he did was to enter the ward to check on the hemopneumothorax patient.

The situation is not bad, there is a noticeable improvement in all aspects.

The bubbles coming out of the water-sealed bottle have weakened a lot.

The bleeding seems to have stopped.

Still bleeding a little.

The patient's left lung breathes a little stronger, which is a good thing.

As long as the current trend continues, the patient should be able to be discharged from the hospital quickly without thoracotomy surgery.

After coming out of the ward, he returned to the doctor's office and logged in to his personal account on the intranet.

Director Xue, Deputy Director He and others recommended several difficult cases to him. There are seven of them, which is considered a good situation. At most, Zhou Can has received eleven difficult cases.

This includes new patients admitted to the Department of Cardiothoracic Surgery, patients with postoperative complications, and patients whose surgical options are difficult to decide.

These are the three main categories.

For these difficult cases, Zhou Can both likes and has a headache.

It is very difficult to stump the case of the director and deputy chief physician. He is also a human being, even though he has some talent and has been taught by Director Hu Kan, but when he encounters difficult cases, he wants to solve them, which is also very laborious.

And sometimes he can't solve it.

In this case, we can only gather the strength of the whole department, and even invite experts from other departments to come over for joint consultation.

Solving these difficult cases has many benefits for Zhou Can.

Improve his personal diagnosis and treatment ability, increase his diagnosis and treatment experience, and earn a large amount of experience point rewards.

It must be noted that not every difficult case solved will be rewarded with a large amount of medical experience.

Some difficult cases are difficult for other doctors.

For Zhou Can, it was relatively easy.

This case will only give him a maximum of 10 additional Healing XP points. Sometimes there are no rewards even at all.

It was close to 7:20 when the nurse came running to urge him.

"Doctor Zhou, please hurry up over there in the operating room, the anesthesia has been completed, and the operation will start soon."

"Okay, I'll be right over!"

There was no way, Zhou Can could only hurry to the operating room.

Entering the operating room, changing clothes and entering the operating room, Director Xue Yan and other medical staff were ready.

Today's first surgery was performed on a patient who had an infection in his chest and sternum who had been transferred from Xinxiang Hospital.

Artificial materials need to be removed, debrided, and the chest wall reconstructed.

It's a big project.

There are many technical difficulties.

If the surgeon is not strong enough, he may even need to operate together with orthopedics.

"Zhou Can, I'm just waiting for you to take charge!"

Director Xue Yan said with a smile.

It can be seen that she is quickly coming out of the shadow of divorce. I wish she could find someone for the rest of her life.

Sometimes marriage in the world is just such a fuck.

A good woman meets a scumbag and a bad person, and a good man meets a scumbag and worships money.

Only when you meet the right person at the right time can you hold hands for a lifetime and both parties will be truly happy.

In recent years, the divorce rate has been increasing, and it is not necessarily all bad.

It can make both men and women cherish their hard-won marriage even more. If you want to say that the divorce rate is the highest, it should be Lao Mei.

As long as you feel that you can't go on, you dare to leave.

Even just because there is such a small contradiction in the placement of the toothbrush, you can get a divorce directly.

Compared with these developed Western countries, the country is good.

"It's no problem to be in charge, just Sister Yan and the directors help me check it." Zhou Can smiled and nodded. Then his gaze fell on the anesthesiologist's face. "Yo, Mr. Yu is here too!"

"Director Xue was afraid that something would go wrong, so he had to call me over to watch it."

Director Yu didn't come alone, he also brought two apprentices.

He didn't accept more than one apprentice, Zhou Can. Compared with these full-time anesthesiologists, Zhou Can can only be regarded as an amateur.

"Let's get the surgery and try to get off work early. I know that your kid's surgery speed has been as fast as Xu Yidao's back then. ”

"Yes!"

Zhou Can smiled and nodded.

After cleaning your hands, put on sterile gloves and stand in the main knife position. Zhou Can quickly cut the sutures of Xinxiang Hospital.

His current level of sutures is the director's primary level, and at a glance, you can see at a glance that the doctors of Xinxiang Hospital are not in place in some of the sutures when closing the chest. Of course, he won't say anything.

The patient's sternal incision is infected with osteomyelitis and does not heal for a long time, and the best way to do this is to surgically remove it and reconstruct the chest wall.

(End of chapter)