Chapter 642: Diagnosis consistent Chapter 642: Diagnosis consistent Shen Xifei’s head drooped.
Doctor Xin’s gaze turned very stern in an instant, “What are you doing? No wonder General Surgery Department Two came to complain. Such a simple examination and yet you don’t know how to perform it?”
Hadn’t she said it? She couldn’t remember. And she had seen, just a moment ago, Mingming Xie Wanying did not answer her classmate’s question, probably because she didn’t know how to do it either. How did Xie Wanying suddenly manage to give the answer? Shen Xifei bit her lip hard, her head still lowered.
Alright, let’s say appendicitis isn’t something they typically deal with in gynecology and obstetrics, and a student might forget, but what about the prenatal palpation? After all, the pregnant woman was experiencing abdominal pain. You should at least try to feel if the pain is from the uterus. And after palpating, why didn’t you dare report your diagnosis?”
Doctor Xin was at a loss for words regarding the students’ perplexingly unconfident silence and had to re-conduct the palpation herself, finding that the small limbs of the fetus were more discernible, and said, “We must consider the possibility of a multiple pregnancy. Is the pregnant woman aware that she’s carrying twins? Logically, at this stage of pregnancy, she should have already had her first ultrasound examination.”
Hearing this, Sun Yubo turned to his own student, “Student Xiao Xie, are you a natural? You’re already able to touch the small limbs of a fetus without having been to gynecology and obstetrics?”
“Teacher Sun, our group’s embryology teacher is the director. He took us students to the gynecology and obstetrics outpatient clinic for a learning experience,” Xie Wanying revealed the reason.
Having a group embryology teacher who is also a director makes a difference. Typically, embryology classes wouldn’t include outpatient learning sessions. But with a director as their teacher, he directly took his class of students for a visit to the gynecology and obstetrics outpatient clinic, which aided in their understanding of the embryology course material.
Li Qi’an remembered this occasion. Back then, the teacher said they could learn on-site. No one dared to approach and touch a pregnant woman, except Xie Wanying in their class. Later, the male students unanimously agreed it was because she was a girl, and she didn’t have the same reservations as they did in gynecology and obstetrics; if a pregnant woman needed to be touched, she would just do it.
Returning to the current patient’s case, the main concern was the patient’s thin figure and large abdominal girth, which caused some worry that there might be a problem with the uterus, hence the need to palpate during the examination.
“So you’ve learned in our clinic before,” Doctor Xin said, impressed upon hearing her explanation. As long as a student could remember after learning, they were a good student.
Seeing her own teacher praising another student, Shen Xifei regretted complaining.
After consulting, the doctors from both departments made a preliminary diagnosis for the patient, judging that the patient did not exhibit symptoms of miscarriage at the moment and could be sent for an ultrasound examination. Once the results were back, if appendicitis without perforation was confirmed, surgery should be carried out promptly, as the second trimester was the optimal time for an appendectomy, to avoid further increased risks. The ultrasound examination request was issued, and the patient was to be taken for the scan immediately.
The general surgery doctors went to talk to the patient’s family.
The patient’s husband had gone out for work and wasn’t in town, unable to return for the time being.
Aunt Li said, “Her husband can only rush back the day after tomorrow. He and my husband went to another city to work together.”
“In that case, you’re the only one who can sign for the patient’s surgery,” Sun Yubo said as he handed over the informed consent form for the family to read, explaining, “This surgery must be done urgently. Otherwise, if it’s perforated, it would be too late. Of course, there are risks involved with the surgery. Should an emergency occur, we cannot guarantee the survival of the fetus, because at this stage the mother’s life is most important. As doctors, we need to focus on saving the mother’s health first. Therefore, the doctors from gynecology and obstetrics will also be on standby.”