I run a clinic in the United States

Chapter 24 Ectopic Pregnancy, Perfect Class Posterior Cunicentesis
Ava was also shy and inexplicable. When she heard downstairs that her sister seemed to be back, she quickly took off the bracelet from Hao's wrist and threw it on the counter.

She quickly washed the small clothes, stuffed them into the dryer, and then Shi Shiran went downstairs. She was a little embarrassed at first, but her sister didn't notice it, so after a while, she and her sister were chatting and laughing, and they got along quickly.

The two were eating breakfast, laughing and talking, the silver bell-like laughter was particularly captivating.

It's just that Zhou Qiao is embarrassed to go down anyway.I don't know if it's Elena or Ava, they came up and called out several times, but he couldn't take that step.

"This is really a big deal!" Zhou Qiao felt that he really didn't have the face to face them.

Because, once again, he can't tell who is Ava and who is Elena, unless there is a very close contact!Relying on the red bracelet to identify it is unreliable!
Until, a patient came to the door!One of the twin beauties came up to call, so he had no choice but to go downstairs for business!

Downstairs, the patient was howling in pain. It was a slightly fat 27-year-old woman. When she saw Zhou Qiao coming down, she immediately begged: "Hurry up, doctor, give me a painkiller shot, I'm going to be in pain soon." It's too bad, I'm going to die! I'm going to die!"

Zhou Qiao looked solemn and quickly helped her sit down and asked: "Did anything happen before the stomach pain?"

The patient was so painful that tears fell, and he shouted loudly: "It's just diarrhea, diarrhea several times, dizziness, and then stomach pain, and vomiting. Doctor, can you stop asking and just give an injection first." OK?"

Her complexion was extremely pale. Although she was also white, this paleness was different from normal whiteness.For example, Elena and Ava are usually very white, crystal clearer than snow, sometimes slightly red, even if not red, they are very refreshing white, pleasant whiteness, not this kind of paleness like excessive blood loss !
And diarrhea and dizziness?How severe is that to cause dizziness?
Zhou Qiao felt that the condition was very serious, and most likely it was not acute gastroenteritis or appendicitis.

"Eileen, measure your blood pressure quickly!" Zhou Qiao ordered.He glanced at the twins, neither of them were wearing red bracelets, and he didn't know who was who, so his eyes flickered, and he didn't look at any of them, and said vaguely.

Elena immediately went to get the blood pressure monitor and started to measure the patient's blood pressure. Soon, the result came out and it was only 70/50mmHg!Heart rate 123 beats/minute!
Zhou Qiao was shocked. Was he in shock?Although the standards for high blood pressure and low blood pressure vary from country to country, due to regional changes, people in each region and region have different looks, body shapes, and constitutions, and their tolerance to high and low blood pressure is different.

However, no matter where you are, 70/50mmHg is definitely low blood pressure.In addition, because the blood pressure drops sharply, the heart beats too fast!
The normal heart rate standard in the United States is the same as that in China. It is generally considered that the normal range for adults is between 60 and 100 beats per minute.Although the pulse measuring function of the electronic blood pressure monitor is not as good as that of a professional ECG monitor, it can still be used as a reference.

"What color is your stool?" Zhou Qiao asked.

The woman quickly shook her head and said: "I don't know, I didn't pay attention. Doctor, can you stop asking and get the injection quickly? I'm really going to die!"

The patient said in his heart, how can this doctor go so hard that he would not give an injection. If I can't walk anymore, I will immediately change to another clinic or go to a community hospital!

However, for Zhou Qiao, without understanding the situation, this pain relief injection really cannot be given easily!
"Come on, Elena helps, help her to the examination bed, and I'll examine her." Zhou Qiao said.

Ava thought to herself, why are you always looking for your sister and not me?Instead, he took a step forward and helped Elena before she could.

Zhou Qiao was stunned for a while, but she couldn't tell the difference, and she didn't have time to pay attention to this now.

There was business to be busy with, so the embarrassment subsided. Besides, Ava herself was very calm.The beautiful twin girls always have very similar expressions.

The woman had no choice but to lie down on the examination bed obediently. Zhou Qiao opened her clothes and began to examine.

"Does it hurt here?"

"pain!"

"What about here?"

"It hurts, it hurts! My stomach hurts, doctor!" the woman couldn't help but wailed.

Zhou Qiao frowned, he touched the woman's belly again, and was shocked, this belly is really abnormal!It's bulging and swollen, it's unlikely to be water, it's probably blood!

If you bleed so much in a short period of time, the problem is serious!

He originally wanted to rely on his own ability to make a clinical diagnosis and accumulate more medical experience, but now that the patient is in critical condition, he has no time to think about it carefully, so he immediately used the auxiliary diagnosis function of the system!

"System system, start it quickly!"

Soon, after a burst of invisible scanning, the system gave the answer: "The patient's fallopian tube ampullary ectopic pregnancy ruptured and emergency surgery is required."

At the same time, 2 points were deducted from the Yixuan point account, and the account balance: 20 points!
"Elena, arrange rehydration and oxygen!"

"Ava, call the community hospital and ask them to send an anesthesiologist and anesthetist nurse over immediately. Just say it's an emergency and there's no time to make an appointment!" Zhou Qiao thought, hoping that the anesthesiologist at the community hospital would be free today.

"Okay! Do it now!"

"Roger that!"

The twin nurses were about to split up when Zhou Qiao shouted again: "Ava, after making the phone call, ask the testing center to send someone to bring a portable B-ultrasound to the door for service, and tell them that I will pay last month's bill this afternoon."

Before, the inspection company urged the bills of last month several times, and kept making excuses to delay, anyway, the deadline was not reached.Today, Zhou Qiao is rich and powerful, and she has enough confidence to call for service!

In fact, he has already obtained the diagnosis result through the system, but this cannot be put on the table or disclosed to others. He still needs a corresponding test report, otherwise, people will say that he is blind and a quack doctor who harms people.

There will be trouble during the audit, and in addition, there may be medical troubles.

Because of the availability of guns, medical troubles in the United States are not comparable to the petty troubles in the country, and they might get caught out!Of course, most cases are still through lawsuits.

Elena and Ava went to work separately, while Zhou Qiao began to perform posterior fornix puncture on the patient.

This puncture is widely used in the auxiliary diagnosis of ectopic pregnancy. The drawn blood does not coagulate after being placed, and there are small clots in it.However, if the fluid is not aspirated, the diagnosis of ectopic pregnancy cannot be ruled out.

It's less than a month after Zhou Qiao graduated from the medical school. Although he knows about the posterior corporal puncture, he doesn't have practical experience. It doesn't matter. I have the system and I have medical skills!

Since it was just a small operation, after deducting 5 medical mystery points, the perfect level posterior vault puncture was on the upper body.

This is a serious medical examination. The posterior fornix is ​​punctured, and the blood is drawn out for testing.

It's just that the lithotomy position was used in a relatively shy position. Everyone knows that in China, many female patients will squirm and be embarrassed. However, this white female patient is very generous, mainly because it hurts so much. , I hope Zhou Qiao will finish the work quickly and get the results quickly!

With a 10ml syringe, a 12-gauge puncture needle, and perfect operation skills, Zhou Qiao easily reached the target position in an instant, and then the needle was slightly deflected to the side of the disease, and the needle was withdrawn while sucking.

(End of this chapter)