The road to the rise of great doctors

Chapter 75 Medical Consultation
Liu Dong's current comprehensive score is in the first echelon, and his ranking is hovering between first and second.His characteristics are very outstanding, with solid theoretical knowledge, proficient clinical operations, and above-average scientific research, which is relatively close to clinical practice.

Compared with him, the most competitive classmate also has outstanding characteristics.

That was a female classmate named Zhang Yao, from another class.The theoretical knowledge is equally solid, and the clinical operation is slightly inferior, but compared with others, it is still outstanding.The most competitive thing is scientific research capabilities.

Limited to the scope of the assessment, the theoretical and operational test questions are fixed after all, so overall, if the school increases its efforts in scientific research, it is more likely that Zhang Yao will rank first overall.

Seeing the latest list of rankings, Liu Dong couldn't help but think of the scene when Cai Mingming asked him to have dinner one night last week.During that meal, we mainly talked about two things. One was to consult with him for medical advice, and the other was about Zhang Yao.

There is a food street near the Affiliated Hospital of Medical College, including a private room of a Sichuan restaurant.

After Liu Dong arrived, he told the waiter the private room number and was led there.

"Here, Liu Dong, this is a friend of mine, his name is Wang Peng." When Cai Mingming saw Liu Dong arriving, he called him to sit over with a smile on his face, and introduced the real person who was treating him this time. give him.

"Hello, I'm Liu Dong." Liu Dong and Wang Peng shook hands briefly, and then looked at Cai Mingming, "Sage Qing, why don't you go to the Three Treasures Hall for nothing? We are all brothers, what's the matter? Just say it directly. If I can help, I will definitely help. If I can't help, I can't help it, so please forgive me."

"Eat the food first, eat the food first." Cai Mingming greeted the two of them to sit down, without speaking in a hurry.

After eating for about ten minutes, Cai Mingming winked at Wang Peng.Wang Peng stood up after receiving the look, picked up the cup, and said to Liu Dong, "I really have something to do. I want to ask my brother for help? I wonder if you are in trouble?"

Liu Dong didn't answer, but stood up, clinked glasses with Wang Peng, and waited for him to continue talking.

"I have two things. First, I heard from 'Love Sage' that Dr. Liu has superb surgical skills, especially the 'skin circumcision'. Can you help me see if I need to do it?" "

"The second thing is that I have a girlfriend who forgot to take safety measures some time ago and got pregnant. Later, we were hesitant about having children. This delayed for a while. Now we are 8 months pregnant. I'm still a student now, can I still have an abortion? If I have an abortion, will it have any impact on my girlfriend's health?"

When he heard the first question, Liu Dong's expression did not change.But when he heard the second question, his face became a little colder and his eyes became sharp.He didn't say much, but glanced at Cai Mingming.

Wang Peng was a little flustered when he saw this, but he quickly said, "My girlfriend and I have a good relationship, and we plan to get married after graduation. I also like children myself, but I hid it from my family before, and now I'm also sick I'm in a hurry to seek medical treatment, so I asked Dr. Liu to do me a favor and provide some advice. I asked this time without going behind my girlfriend's back, she knew it. Let's discuss it when we get back. Based on your experience, this kind of thing How to deal with it better?" After hearing this, Liu Dong's face gradually improved.He picked up the cup, took a sip of the drink, and then put it down.

He pondered for a while, and then said, "The first question is, if you can lift it up and expose your head, then don't worry. Let's add our contact information. When you are free, I will show you at the hospital. If there are indications for surgery, I will try to do it for you on the same day. When you come to the hospital, send me a message in advance."

"Second question, you want to ask about abortion. Then I want to talk to you carefully. You also said that you and your girlfriend have a very good relationship, so when making a decision, you must communicate well and be cautious. .”

Liu Dong looked at this person solemnly and said, "Although it's a little 'talking lightly', you also mentioned that it is medical consultation, so I will tell you some knowledge about artificial abortion. Some words are important. Yes, you should forgive me too."

"Artificial abortion is generally divided into two situations. According to the purpose, it includes unintended pregnancy termination and therapeutic pregnancy termination. According to the treatment method, it includes surgical abortion and medical abortion. Surgical abortion is further divided into negative pressure aspiration and forceps curettage. technique."

"Medical abortion is one of the commonly used artificial abortion methods. It is safe and simple. It is mainly suitable for the following situations: first, the pregnancy time does not exceed 7 weeks, ultrasound examination confirms intrauterine pregnancy (normal pregnancy), and the maximum diameter of the fetal sac Within 2.5 cm, the pregnant woman is between 18 and 40 years old. Second, patients at high risk for surgical abortion, such as patients with scarred uterus, multiple abortions or severe pelvic deformity. Third, there are concerns about surgical abortion. Or fearful people.”

"There are two types of surgical abortion just mentioned. Negative pressure aspiration is suitable for those within 10 weeks of pregnancy. Forceps and curettage is suitable for 10-14 weeks of pregnancy."

Liu Dong said to Cai Mingming, "The 'molar pregnancy' I told you before is an artificial abortion done by negative pressure aspiration. It is a therapeutic termination of pregnancy."

Then, he said to Wang Peng, "What I said just now is the basic introduction of induced abortion. Then I will talk to you about fetal development."

"Pregnancy is generally described in units of 4 weeks, and 4 weeks is regarded as a gestation month. By the end of the 8th week of pregnancy, the embryo has initially taken on a human shape and can distinguish eyes, ears, nose, and mouth, and its limbs have also developed in rudimentary form. B-ultrasound can see the early heart and heartbeat. At the end of the 16th week of pregnancy, the external genitalia can be seen, and the gender of the fetus can be determined, and breathing is also possible at this time. At the end of the 28th week of pregnancy, premature birth may cause respiratory distress after birth. Syndrome, but with intensive care, there is hope of survival. At the end of the 32nd week of pregnancy, the fetus is about 40 centimeters long and weighs about 1700 grams, and is basically healthy."

"I said this to tell you. Regarding what you mentioned, the fetus is considered alive after 8 months of pregnancy. Even if it is not full-term, even if it is premature, it is a living person! What happened within a week. Those stillborn babies after cesarean section, those who were not in the stomach without the adults noticing, were also born, not like artificial abortion."

When Cai Mingming heard this, he took over and said, "Brother, I told you, you still don't believe it, and you want to hear other people's opinions. Liu Dong, one of my best brothers, has this medical level ." He praised with a thumbs up.

(End of this chapter)