I didn't expect that she would arrive when I just arrived at the department. I guessed that she must have not eaten breakfast. "Zhuang Qing, you have a bad habit of skipping breakfast. You may be even busier in the future. If you continue like this for a long time, you will get a stomachache."
Yes." I went to criticize her quietly.
"Well," she said, "I'll go to the head nurse right away, and then I'll go to my uncle's place."
I suddenly remembered something, "Does your uncle know about Song Mei?"
She nodded, "I understand. But she still doesn't know about our divorce until now."
"Will he agree to your resignation?" I asked again.
"So what if he doesn't agree? Anyway, I won't come to work, so there's nothing he can do to me," she said with a pout.
"You should try your best to speak to him properly." I reminded her.
"Yeah." She nodded, and then looked around, "Feng Xiao, would you like to move out after a while? After you left this morning, I suddenly felt lonely and couldn't sleep anymore."
I shook my head, "I'd better move back. If you really miss me, or if I miss you, just call me."
She immediately became happy and said, "That's good."
I couldn't help but sigh: Some things are easy to say, but not so easy to do.
Then the obstetrician-gynecologist's day's work began again.
Let’s do the ward rounds first. I found out that the night shift doctor admitted a new patient to me last night.
This is a young patient with a sallow complexion. The first impression she gave me was that she was depressed. Because her hair was disheveled, she didn't even bother to look at me when I went to her bed. But I felt her
The look once came to my face.
"Tell me about your situation." I guessed that she was acting like this because she was extremely uncomfortable, so my voice became softer.
"..." She didn't answer me.
"What's wrong? Where do you feel uncomfortable? Tell me, please?" I asked again.
"Doctor, I don't want to talk. Please take this for a look." She said, and then took out a notebook-like thing from under her bedside and gave it to me. I was secretly surprised and confused, but I took it immediately.
After looking at the cover, I immediately discovered that it turned out to be her record of her own illness.
This patient is so strange. I thought to myself, and then said to her: "Well, I'll go take a look at your medical records first, and then I'll check you out."
She coughed twice, then closed her eyes and fell asleep.
After all the other patients had been examined, when I went to the single ward, I was surprised to find that the patient I received when I went to the outpatient clinic on the weekend was actually on the bed in my care. I remember her name seemed to be Tang Xiaomu.
Infection after Y tract contraction.
"How come you were transferred to my hospital bed?" I was a little surprised.
"Didn't I tell you? I only stay in your bed. You are the doctor with the best attitude I have ever seen. The key is that he is a man." She replied, smiling at me at the same time.
"Female doctors are the same." I said, secretly wondering: Is there nothing wrong with this person? Why does he like male doctors so much?
"It's different," she said. "Male doctors don't talk about patients casually outside. Female doctors are too talkative."
I immediately understood: her situation may involve a very special privacy that she did not want to be known to the public. I couldn't help but smile bitterly in my heart: many female patients actually do not accept male doctors in their hearts, and now she has to ask male doctors to take care of her.
On the contrary, I felt that it was abnormal.
"Let's do this, follow me to the examination room right away, and I'll take a look at your current situation. I just looked at the medicine that the doctor on duty gave you yesterday, and now I want to see the effect of the treatment." So I said to her.
She followed me to the examination room. I immediately asked her to take off her pants and get on the examination bed.
When I separated her Y part, I found that the infection was still very serious and the stench was bad. After extracting her secretions, I quickly asked the nurse to bring saline solution to rinse that part of her body. After the nurse rinsed it several times, I could basically see her vagina.
The true appearance of the part. Her part was very red and swollen, like fermented steamed buns. Moreover, this patient’s hair was particularly thick. I couldn’t help but frown.
"Prepare a skin for her. Otherwise, it will be inconvenient to treat her in the future." I told the nurse.
When we were in the outpatient clinic, we didn't shave her hair because she was going to be hospitalized. The doctor on duty yesterday probably thought it was troublesome, so he just prescribed antibiotics for her. Now it seems that the antibiotics used by this patient are not symptomatic.
.I have just extracted the secretions from that part of her body. Next, I will conduct bacterial culture on her secretions and do a drug sensitivity test. In this way, it will be easy to find the most suitable drug for her.
The wound inside her vagina is also red and swollen, but I can't deal with it now because her infection must be controlled first. However, I filled her vagina with gauze strips soaked with antibiotics. This is called topical medication.
After handling all this, I asked her to go back to the ward. But she looked at me and hesitated to speak.
"You go back first. I still have a patient that I haven't finished handling. I will come to ask you about the situation later." I said to her.
She blushed and turned to leave.
After returning to the doctor's office, I first issued today's medical orders, including the one named Tang Xiaomu, and I temporarily changed her to a relatively high-end antibiotic.
After I finished prescribing the doctor's orders, I looked at the medical records of the depressed patient.
This patient has a very nice name, Lilac.
The main complaint was years of leucorrhea, abnormal menstruation, backache, and abdominal pain. The initial diagnosis was pelvic inflammatory disease.
I thought it was probably pelvic inflammatory disease. After reading the medical records, I slowly looked through her notebook.
——January 1st. That day was my birthday, and in the afternoon I started to get sick. I had stomachache, backache, tenesmus, and kept running to the toilet.
——January. I went to the emergency room. The doctor said I had a urinary tract infection. I was given an intravenous drip to relieve the symptoms. I had just finished my menstruation, but there was yellow leucorrhea, and later there was blood in the leucorrhea. The doctor in the emergency room suggested that I go to the gynecologist. I was given an intravenous drip.
After two days of intravenous drip, I went to see a gynecologist. The doctor casually felt it and said it was pelvic inflammatory disease. He prescribed Western medicine and Chinese patent medicine for promoting blood circulation and removing blood stasis. After taking it for a few days, the leucorrhea improved, but I couldn't stand straight, and my ribs were swollen and painful.
I switched to seeing a Chinese doctor, who said it was damp heat. I took compound Houttuynia cordata liquid and Chinese medicine. My ribs were healed and my leucorrhea was also cured, but I had loose stools. I finally got through this month. I thought I had loose stools and slowly adjusted my diet.
It will get better, but I didn’t expect that terrible gynecological diseases would always be with me.
——January 8th. My aunt came again. My period was very heavy and very red. Now that I think about it, I should have liver fever. Fortunately, it disappeared in about four days. I was quite happy. It will come again in a day or two. I'm afraid,
I hurriedly feared to see a Chinese medicine doctor. The Chinese medicine doctor analyzed my illness and said it was caused by dampness and heat, which I think makes sense. The medicines prescribed by this doctor are basically tonic, and they always put some red ginseng in the prescription.
Menstruation, I took it for three days and my menstruation was gone.
——On the 0th day of the month, on the day my aunt came to visit, I woke up and found yellow mucus. My aunt came in the afternoon. This time, I saw that my aunt had not left until the 5th day. I was afraid! I ran to the Provincial Traditional Chinese Medicine Clinic.
I went to the gynecology department and asked someone to call me the chief physician. My symptoms at that time were bloating when I felt pain, unformed stools, excessive farts, and backache. The diagnosis was irregular menstruation. I did a B-ultrasound and found no abnormalities. I did a gynecological examination.
It was said that there was a mass on the left side, but usually it was the right side that made me feel uncomfortable. I felt a little more at ease. After a week of drinking Chinese medicine and taking Chinese patent medicine Zhihe Dan (ingredients: motherwort, blood residual carbon, donkey-hide gelatin), the bleeding finally stopped.
Already.
——On March 1st, when I went to see me for the second time, the doctor asked me to check my sex hormones (later, other doctors said that the time of the test was wrong. I checked it 16 days after my period), and the result was that I was about to amenorrhea.
(I haven’t even given birth to a child yet).
——On the 0th day of the month, the day after my aunt came, I went to see the director for the third time. I remember telling her that the stool was unformed and the stomach was not good, so she prescribed traditional Chinese medicine to nourish the spleen and stomach.
, Actually, my menstrual flow was very heavy today. I thought it was okay the next day, and my stomach didn’t hurt in the morning. However, it started to hurt when I got home at night. On the third and fourth days, my menstrual flow was very heavy, and I had backache and stomachache.
Pain, fear of cold, and blood in leucorrhea.
…
——June 9. The leucorrhea is abnormal and bloody. Up to today, it still occurs in the evening. The lower abdomen and sacrum are cold and painful. I always have the urge to defecate. My thighs are sore and tender. The leucorrhea increases in the afternoon. I am afraid of the cold and dare not blow.
Fan, I went to see a Chinese medicine doctor three days ago. The doctor described my illness like this. My tongue coating is thin and yellow, and my pulse is stringy and weak. She said my system is poor and there is inflammation. I have taken Chinese medicine and Western medicine. I haven’t seen any symptoms in three days.