While several pregnant women were talking, there was a sudden quarrel coming out of the consulting room next door.
"How do you do this? What test did you just ask me to do? Didn't you read clearly what was written in my medical record? Isn't it irresponsible of you to just casually say that you didn't read clearly?"
"Okay, okay, you don't have to argue. I'm not saying that I didn't see clearly."
"You just said this!"
"I'll change your prenatal care doctor. You go to Dr. Liu. - Dr. Guan, please take this patient and medical records to Dr. Liu next door, and tell Dr. Liu what's going on."
The Department of Obstetrics and Gynecology has a well-deserved reputation as an area hardest hit by medical disputes. I only saw one case with Teacher Li in the morning, and within half an hour of coming to the prenatal check-up clinic in the afternoon, there was another case immediately. Xie Wanying and classmate Geng thought to themselves.
Soon, a young medical student, Dr. Guan, came next door with a pregnant woman to see Dr. Liu Li.
The pregnant woman was so angry that she couldn't stop cursing Dr. Chen next door as she walked to Dr. Liu's clinic.
"She didn't look at the medical records. She couldn't read clearly the words "test tube baby" in such big words, and she asked me to do a test tube baby. I don't know where these eyes are. What a test tube baby? Mine is a test tube baby.
.”
Dr. Guan walked up to Dr. Liu Li, put his mouth next to Dr. Liu Li's ear and reported the situation: "She is very old, in her early fifties. Therefore, Dr. Chen will prescribe Tang screen for her as a rule. However,
She was not happy after hearing this. Maybe she had misunderstood what our doctor said at our reproductive technology center, and thought that there would be no deformed babies if IVF was done."
"How many generations of test-tube babies has she done?" Liu Li asked.
"The third generation. So Dr. Chen is kind-hearted and cautious, but this person doesn't like it. Dr. Chen said that I can only trouble Dr. Liu to check later and see if he should stop prescribing it first, and then wait for the teacher above to make a decision."
In the third generation, embryos with chromosomal abnormalities will be screened out, and it sounds like there will be no deformed children. The problem is that human medicine’s understanding of genetic diseases is not 100%, only the tip of the iceberg. No medical operation can 100% guarantee that there will be no abnormalities.
There is a risk of accidents. Therefore, prenatal doctors will recommend these examinations to avoid unexpected situations.
"It takes 16 weeks to do Tang Si."
"Yes, Dr. Chen just mentioned it with concern, and she was so excited immediately." Dr. Guan said. It can only be said that sometimes doctors don't understand why they suddenly touch the sensitive words of certain patients.
"If she doesn't do Tang Screening, she won't do it. When the time comes, she will directly prescribe amniocentesis for investigation." Dr. Liu Li said.
The accuracy of Tang screening is low. If the patient doesn't like it, it doesn't matter. If the diagnosis is confirmed, amniocentesis is required, and the accuracy can reach close to 100%. Therefore, general clinicians will recommend amniocentesis for all pregnant women with high-risk factors in this area.
Instead of simply making a tang sieve.
This patient is mainly fifty years old, and any doctor would be worried about something happening to her. When she actually gives birth to a child with Down syndrome, it will really be over.
It is not uncommon to see women over fifty years old giving birth to children in clinical practice. Dr. Zheng looked at the patient's medical record curiously and asked: "Is it because she lost her only child?"
The only child is gone, so I can only try to have another one to make up for it.
"She said she has a daughter." Dr. Guan, who knew the patient's situation better, said, "It's just that her daughter is sick."
Clinically, there are also mothers who give birth to a second child in order to save the first child.