I run a clinic in the United States

Chapter 25 Phobia due to insufficient medical knowledge
You may not be able to imagine that, according to statistics, in every one hundred pregnancies of human beings, there is a child who is both a cheater and a cheater. He is conceived outside the uterus, which is an ectopic pregnancy, which is scientifically called ectopic pregnancy.

Of course, this child cannot be born normally and usually does not survive 50 days.Some people with extraordinary talents can survive for two to three months, or even five to six months. Those are rare.

Among them, the location of the fallopian tube has the highest probability, with 11% in the fimbria, 12% in the isthmus, and 70% in the ampulla.

The remaining parts, such as the ovary only 3%, the interstitium and uterine horn 2-3%, the abdominal cavity 1%, the uterine scar < 1%, and the cervix < 1%.

The ampulla is where fallopian tube pregnancy most often occurs.This is the case with this female patient.

Once a fallopian tube pregnancy occurs, the closer the gestational sac is to the uterus, the easier it is for the embryo to survive and develop, but it is also more likely to cause serious complications!
In an ectopic pregnancy, you usually don't feel anything.A small number of people may experience pain, abnormal bleeding, and abdominal and pelvic tenderness.However, this tenderness is not present before rupture.

Once it ruptures, blood pressure decreases and heart rate increases, which are the two most significant indicators!
With the change of modern life style, the incidence of ectopic pregnancy is increasing year by year.

Anyone who is pregnant wants to give birth to the baby safely, and wants to protect the baby, but you must never close your eyes to protect the baby. You must first know where the baby is and whether it is in the right place!
However, this woman is probably an accident, because she is not married yet.

When she heard that it was very likely to be an ectopic pregnancy, the woman was terrified and begged Zhou Qiao to have it removed immediately. She didn't want to give birth.

Zhou Qiao collected the samples and sent Ava to a testing company to test her blood hCG. At the same time, she comforted her that the fetus is gone now, and ectopic pregnancy is not safe because it is impossible to keep it. Now, the key is to save her life!

"Do you have any family members? Can you tell them to come over?" Zhou Qiao asked.

The woman shook her head and said, "I only have one father, and I probably can't make it in Illinois, and I haven't been in touch with him for many years."

Illinois is in the eastern part of the United States, and San Francisco is on the west coast. The distance between the two is nearly [-] kilometers.

Zhou Qiao said: "Then you sign the operation agreement yourself."

The woman endured the pain, picked up a pen, and quickly signed her name on the document prepared by Zhou Qiao, called Sandrine Blanc.

Zhou Qiao carried the girl up to the second floor and put her on the bed in the ward. Elena had already prepared according to the doctor's instructions. At this moment, she quickly established an intravenous channel, hung up the liquid medicine bottle, and started the infusion.

After finishing the infusion, I went to prepare for the operating room.

Establishing a venous channel means puncturing a superficial vein, or even a deep vein or a central vein, and placing a needle or tube, not just for infusion, but also for the convenience of subsequent blood transfusion.Especially for critically ill patients or patients with acute blood loss, after the establishment of intravenous access, a large amount of fluid and blood volume can be replenished quickly.

Ava has already contacted the community hospital, which happened to have an anesthetist available, and said that she would come over in about half an hour.

Ava took the sample and hurried to the testing company. A few minutes later, an imaging doctor from the testing company arrived at the Iris Clinic with a portable B-ultrasound machine.

Of course, door-to-door service charges will be more expensive, but this is also necessary. Given the current situation of the patient, it is incapable and unsuitable to travel back and forth, which will aggravate the condition!

This situation is very common, so commercial testing institutions have corresponding supporting mobile services. It is very convenient for B-ultrasound to come to your door. For other tests such as CT, DR, MR, etc., due to their larger size, you usually have to drive here. Park directly in front of the clinic to provide services.

Such mobile medical services are quite common in the United States.

In China, this kind of "crown jewel" in medical services is also gradually emerging, but it is still in its infancy. Usually, the most common people see is the health checkup car. Some units arrange medical checkups without going to the hospital. They will come to the door do it!

For example, some factories are located in remote locations and do not want workers to waste too much time on physical examinations, which will affect production, so they organize such physical examinations in the factory.The health examination vehicle will come to your door.

Soon, transvaginal ultrasonography revealed that the patient's endometrium was thickened, there was no obvious gestational sac reflection in the uterus, mixed echoes around the left ovary, and pelvic effusion.

The blood test report was also quickly faxed, and the blood HCG>50000U/L was diagnosed as a ruptured ectopic pregnancy.

Due to the rupture and massive bleeding, there was no way to undergo conservative treatment and surgery was necessary.

Preparing blood for transfusion.

Preoperative preparation.

The Iris Clinic has been connected to the California Blood Center a long time ago, and enjoys a set of telemedicine technology called ConnectMD, which is actually a blood distribution system.

Specially trained medical staff simply enter the patient's information into the blood delivery device, and a suitable blood source is obtained, delivered quickly.Even rare blood can be prepared within 24 hours across North America and delivered to the patient's bedside.

Of course, the further away it is, the rarer it is, the more difficult the deployment process is, and the more expensive the charge is.This is also what it should be.It’s the same everywhere!
This patient didn't need any special blood, so when the anesthetist and the nurse from the community hospital arrived, the blood source was also delivered at the same time!
Zhou Qiao immediately performed emergency surgery on the patient!
Laparoscopic salpingectomy under general anesthesia.

In this case of the patient, Zhou Qiao could only choose this operation because he needed to stop the bleeding as soon as possible to ensure the safety of his life.

If the fallopian tube fenestration and suture operation is forced, even if it is cured, it will be difficult to achieve better fallopian tube function after the operation, and there will be a risk of another ectopic pregnancy.It's better to cut it off directly, and the future trouble will be smaller.

Fortunately, there are two fallopian tubes in the human body. If one side is removed and one side is left, you can still get pregnant normally in the future.

This time, Zhou Qiao exchanged for a master-level laparoscopic salpingectomy, which consumed a full 10 medical points!There is no perfect level, mainly because the balance of his medical point account is only 15 points!
"It's so useless!" Zhou Qiao sighed.

After exchanging the master-level medical skills, Zhou Qiao's account is only left with a pitiful 5 points. If there is another serious illness in the afternoon, he will not be able to heal it. Elena will continue to struggle hard!

If it is serious and requires emergency surgery, you can only be referred to a community hospital or the University of California Medical Center!That is undoubtedly sending money out!I feel bad!
Zhou Qiao's heart couldn't help becoming restless, and the phobia of insufficient medical knowledge rose again!
He secretly vowed to save more when he had time!There are some medical mysteries in my account, so I won’t panic!
(End of this chapter)