There are mostly women in our department, and I mean the medical staff. Of course the nurses are all women. Among the doctors, only Lao Hu and I are men. The department is the same as in other units. When there are too many women, many things will happen. Most of them are for
Disputes arose over trivial matters. Even though Su Hua has the same personality as a man, today I found that she is also as suspicious as other women and likes to care about everything.
Lao Hu is more than ten years older than me, and he is already close to forty years old. He has a gentle personality and a kind face. He has a fair and fat face with little beard. When he wears a medical hat and a mask, it is impossible to tell them apart.
His gender is unknown, and I found that his voice is a bit sharp, like the tone of eunuchs in movies and TV shows.
There is one thing that everyone is tacitly aware of: Men tend to become more feminine as they work in obstetrics and gynecology for a long time. However, such topics are taboo in our department because speaking out would hurt the dignity of our male doctors.
.Actually, I am also very uneasy because I am also worried that I will become like Lao Hu in the future. But I don’t say it, I just bury this worry deeply in my heart. But I often think in my heart
Sadly, I will be sad that I chose this major.
However, I have no choice but to accept this reality - besides seeing obstetrics and gynecology, what else can I do? You know, this is my only job. Not to mention our income is pretty good.
Now I suddenly thought of this matter, so I felt even more depressed.[
After lunch, I went back to the dormitory to rest for two hours, and then went to work in the afternoon.
I performed several abortion surgeries in the afternoon.
Abortion surgery is originally a job performed by nurses, but for someone like me who has just graduated and just started working, this surgery is the most basic training.
My first surgery was on a newly married woman.
The outpatient clinic has already examined them who need surgery, and today’s surgery time was scheduled yesterday. However, I still have to check it again before the surgery, and I also have to ask them to sign. This is both a rule and a kind of right.
Their responsible attitude.
We are a tertiary hospital and a teaching hospital. We have clear regulations for each level of patients. Sometimes these regulations are almost rigid and harsh.
"Are you sure you want to have surgery?" I asked looking at the thin, fair-faced woman in front of me.
"Yeah." She said softly.
"I read the records of the outpatient doctor. It seems that you have had an abortion for the second time, and you are already married. Why don't you want this child?" I asked again.
"Not ready yet," she replied.
"You mean you and your husband aren't ready to have kids, right?" I asked.
She nodded, "Yes. Our wages are very low, and we don't have a house."
I sighed in my heart, so I put the surgery notice in front of her and said, "Sign it. But you should pay attention in the future. If you do too many surgeries like this, it may cause infertility. You should always take contraceptive measures. Do it.
The thinner the uterine wall becomes after one operation, the more likely it will be spontaneous miscarriage in the future. Do you understand?" I said to her softly.
"Well." Her voice was very small, "We can't help it. Several generations of a family are crowded into one room, and we can only do it quietly every time. So..."
I sighed even more. "You sleep on the examination bed. I have to do an examination on you before the operation." I told her. Then I asked the nurse to prepare the instruments for examination.
Then I started to examine her carefully——
First check her vulva - the tips are pointed downward, triangular in distribution, the large vagina is pigmented, the small vagina is reddish, there may be ulcers, dermatitis, vegetations and hypopigmentation, the mucosa around the urethral opening is pale pink, vegetations are present, and the hymen
There were old cracks. I asked her to look down and hold her breath, but no signs of bulging of the front and rear walls, uterine prolapse or urinary incontinence were found;
The second step is breast examination - the vaginal wall mucosa has turned into the purple-blue color unique to pregnancy, and there are wrinkles, ulcers, vegetations, cysts, vaginal septum and double breasts and other congenital malformations. The breast secretion is egg white-like and has a fishy smell.
, small amount.
Then check her cervix. There are bulges around the cervix and a hole in the middle. The cervix is round, tough, red, and has a smooth surface. This shows that she is still a nulliparous woman, because the cervix of a pregnant woman will be in the shape of a "one".
.[
The last step was to examine the uterus and appendages. Her uterus was inverted pear shape, tilted forward, with medium hardness and good mobility. The ovaries and fallopian tubes were movable, and she said she felt a slight soreness when touched. This step of the examination
The main thing is to clarify the position of the uterus to facilitate the next surgical operation.
After the examination, it was found that there were no major problems, so she was asked to sleep on the operating table.
"Are you sure? Do you really need surgery?" I asked her again.
She didn't answer me. I stood beside the operating table and waited quietly for her to make the final decision. In fact, I knew in my heart: She must be in pain now.
I sighed slightly in my heart and immediately asked the nurse to start the operation.
Instruct her to lie on her back, spread her legs, and place her legs on the leg frame. This is the "vesical lithotomy position" in medical terms. This can fully expose the perineum and facilitate perineal examination or surgery.
Her body was shaking, and I knew she was afraid.
"Stop shaking! Are you scared now? What have you done?" the nurse next to me scolded her.
I hurriedly stopped the nurse from scolding her, and then said softly: "Don't be nervous, it will be over in a while. I will try to be gentler." I couldn't help but sigh: Why can't women often sympathize with their own kind?
"Let's get started." Seeing that she slowly calmed down, I told the nurse. The nurse went to cover her vulva with a sterile towel. I rechecked the position, size and attachment of her uterus again. After I had a good idea, I used a vaginal voyeur.
The instrument was used to expand her vagina and wipe away the accumulated fluid in her vagina, and the cervix was immediately exposed. Next, the cervix and cervical canal were disinfected, and then the anterior lip of the cervix was clamped with a cervical forceps, and the probe was directed towards the uterus.
Detect the depth of the uterine cavity and gently expand the cervix with a cervical dilator. After completing all this, start curettage. Connect the suction tube to the negative pressure device prepared before the operation, and then slowly send the suction tube into the uterine cavity according to the direction of the uterus until it reaches the uterus.
After the bottom, withdraw a little to find the implantation site of the embryo. Release the clamp on the negative pressure bottle device. After you feel the negative pressure, rotate the straw in the counterclockwise direction and move it up and down, and then you will feel something flowing to the straw....
..
She began to groan in pain. I understood it very well, because the operation process is indeed the most painful time for the patient. At this time, the patient will feel abdominal distension and pain, and even experience heartbreaking pain. At the same time, I also
I felt her uterus begin to contract.
"Hold it, it will be over soon." I still said to her softly, "The operation has been completed, but I still have to check it because I have to shave you clean, otherwise there will be heavy bleeding."
Her mouth was closed tightly, her face became even paler, and beads of sweat covered her thin face.
I carefully explored her uterus with the probe, and the feeling on my hands told me: it was clean.
After gently wiping her vulva with a sterile gauze, he said, "Okay. Nurse, please help her get up and take a rest."
She got off the operating bed with difficulty, and the nurse supported her. I turned around and went outside, and suddenly her thin, grateful voice came from behind me: "Thank you."
I turned around and smiled at her, "Go back and have a good rest."
My heart is sad because I have seen too many women's pain. I have always lamented that God gives women beauty but also creates a lot of pain for them.
When I finished writing the operation record, the patient had already left. "Next one," I said to the nurse.
After a while, a beautiful woman came in. I was surprised because this was the first time I paid attention to the appearance of my patient.
"Why is he a male doctor?" The beautiful woman said in surprise in front of me.
As a male doctor in the Department of Obstetrics and Gynecology, I often encounter this kind of thing. So I didn't feel embarrassed. I just smiled at her slightly and said, "There is a female doctor working in the operating room next to me. Do you need me to contact her for you?
?"[
She was stunned for a moment, then smiled and said: "It's nothing, I was just a little surprised when I saw you."
I could tell from her words that she was a cheerful person. However, the nature of my work required me to remain calm here, "Please sit down and bring me your outpatient medical records."
She came and sat down across from my desk, obviously a little nervous, because she didn't seem to know where to put her hands. I smiled at her again and said, "Please give me your medical records."
.”
She smiled self-deprecatingly, "Hey! This is the first time I met a male doctor in the obstetrics and gynecology department. Sorry, here it is for you." As she said this, she took out the outpatient medical record from her bag and handed it to me.
I casually glanced at the cover of the medical record. Shen Danmei, female, 28 years old.
I just stayed on the cover of the medical record for a moment, and then turned to the inside. There are only a few pages with records: the first page is about fungal vaginitis half a year ago, and the second page is still about fungal vaginitis that came to our hospital a month ago.
Outpatient clinic. The third page is the last page. The record is from yesterday. From the information recorded above, it seems that the diagnosis of early pregnancy is very clear.
"Are you sure you want surgery?" I still followed the procedure and asked her.
"Yes." She nodded. Her beautiful eyes were looking at me. I thought her eyes were a little strange, but I couldn't tell what was wrong with her eyes for a while.
"Is this your first pregnancy? Why don't you keep the baby?" I asked.
"I'm not married yet. I can't have it," she replied.
I nodded, thinking that her reason no longer required me to persuade her. Right? How can an unmarried woman have a child? But I think I should still remind her, "You must pay attention to safety measures in the future. You are a lesbian,
You should take good care of your body. After all, such surgery is a trauma to the body, and repeated surgeries may cause infertility."
She looked at me, her eyes still strange, but the strangeness now was different from the previous one, "I know." She said in a low voice.
"Go to the operating table. I'll examine you there first." I told her, and then I looked at the nurse.
The nurse came over and said to her: "Please come with me."
"Do you need to take off your pants?" she asked.
I was startled because I didn't expect that she would ask such a low-level question. "Of course." But I still answered her.
But she suddenly laughed, "I made a mistake. I originally wanted to ask if I needed some clothes."
The nurse was laughing next to her. It was probably her first time encountering such a situation. In fact, I couldn't help but want to laugh, but I tried my best to hold it back and said to her with a slight smile: "It's not necessary."
The nurse took her to the operating table, and I went to wash my hands and put on plastic gloves. I don't know why, but I suddenly wanted to laugh, but I didn't dare to laugh out loud. I suppressed it, but the laughter was buried in my heart.
, it was scurrying around in my body, and my body suddenly started to tremble. This was the result of not being able to vent my laughter. This result made me very uncomfortable.
I quickly ran out of the operating room because I found that I could no longer restrain my laughter. I ran to the toilet, and the laughter accumulated in my body suddenly poured out like a river bursting its banks, "Haha!"
I laughed heartily in the toilet.
Suddenly, a man walked out of a squatting space in the toilet. He looked at me in surprise, with confusion and fear on his face.
I couldn't help but feel ashamed and hurriedly ran out of the toilet.
He must have thought I was mentally ill. I couldn't help but smile bitterly.
To be honest, this patient's vulva is perfect.
As obstetricians and gynecologists, under normal circumstances we do not pay attention to the beauty or ugliness of patients' parts, but today, I really saw a kind of beauty.
I am a doctor, and of course I believe that besides beauty, health is the first priority for women. As far as I am concerned, I don’t pay attention to women’s appearance under normal circumstances, because I am an obstetrician and gynecologist.
I only see their most direct organs and the diseases attached to their organs. When I examine and diagnose their diseases, I don’t pay too much attention to the specific shape, beauty and ugliness of their parts.
.In my eyes, they are just an organ. That's all.
The more I see it, the more numb I become.
Medically speaking, we believe that the standard for a beautiful and healthy female vulva is: the width of the middle part of the vagina is within two centimeters, the curve is natural and beautiful, the inner surface is pink, and the top and outer sides are brown and yellow-brown...
However, the patient's vulva in front of me now is completely different, because it is so beautiful, blooming there like a flower.
Of course it's not genital warts. Genital warts are a disease, a viral infection, and a cauliflower-like change. This change looks disgusting. But she is not, she is really a healthy beauty, and
This kind of beauty is something I have never seen before.
But I just think it's beautiful, and I don't have any evil thoughts. Maybe it's because it's rare and strange.
I gently separated her beautiful pink petals and carefully checked whether there was anything abnormal. Of course, this is purely a routine in the textbook. The teacher taught us that we must do this. I have already put it in my heart.
As a kind of perfection.
I gently parted it, parting the cluster of pink that protruded outside the vulva like petals...
Suddenly, I found that inside them, a few white dots appeared in front of my eyes!
I began to think that my eyes were deceived, but after blinking a few times, I was convinced that I had seen it correctly, and I quickly determined what kind of disease she was suffering from.
Genital warts are a common sexually transmitted disease caused by unclean sex. They can also be transmitted indirectly through contact with contaminated clothes, toilets, etc. Generally speaking, genital warts are not suitable for abortion before they are cured. Because abortion will cause Traumatizes the endometrium, making it possible for viruses to invade, leading to infection, viral endometritis and salpingitis. After pelvic infection occurs, there may be fever, lower abdominal pain radiating to the waist, and the * may be bloody and Purulent secretions flow out. If the symptoms in the acute phase are not treated thoroughly and the disease becomes chronic, it will not only cause infertility, but also seriously affect physical and mental health. Pregnant women suffering from genital warts can terminate the pregnancy only if the STD is cured.
"Ms. Shen, I'm sorry, you can't have surgery today." I sighed in my heart and said to her.
The sigh in my heart was a kind of disappointment, an extreme disappointment. Because I didn't expect that such a beautiful woman with such beautiful organs would suffer from such a disease. At this moment, I suddenly thought of something like a mushroom, a bright and beautiful mushroom. There are also other beautiful animals and plants in nature. It is said that the more beautiful they are, the more toxic they are.
She didn't know why, and asked me in surprise: "Why?"
"Ms. Shen, you have a sexually transmitted disease. It should be the early stage of genital warts. Now it is just herpes. It will become more serious as time goes by. Surgery is not suitable under the current circumstances, because it will easily cause you to have a larger area of genital warts." Infection." I explained to her.
"What?!" Her voice suddenly became loud and panicked.