Chapter 2577： 【2577】Dilemma
Chapter 2577 [2577] Dilemma
Tan is the teacher who has marked her homework notes.
(Tan Kelin: Hey, this teacher is too authoritative and troublesome, students dare not comment on his homework)
Liu Li was probably amused by her thoughts. Her unsmiling face was broken like her cousin, and she laughed while talking: "Teacher Tan is waiting for you to exchange scientific research assignments with him, don't think too much. During the academic discussion When it comes to the right questions, students and teachers are on an equal footing."
received Teacher Tan's intention, Xie Wanying nodded and said that she would call Teacher Tan later.
"What are you looking for from me?" Liu Li asked about the purpose of her call.
"Mr. Liu, have you informed Li Yaxi's mother that she needs a referral? Her mother's name is Yang Yunjuan."
"Do you know their family?"
"Yes."
"I haven't heard of you before."
This is a long story.
"I told her daughter about the patient's condition. The blood pressure is not well controlled. She is 33 weeks pregnant. It is very dangerous to continue like this."
The 33rd week of pregnancy is the third trimester. At this point in time, the size of the fetus brings heavier and heavier burdens to the pregnant woman's body and the risk increases sharply. On Axi's mother, unstable control of high blood pressure is much more dangerous than healthy pregnant women. High blood pressure in pregnant women has always been a major concern of obstetrics. Parturients who do not control their blood pressure are prone to develop pregnancy-induced hypertension syndrome, which will cause a series of systemic symptoms caused by hypertension during pregnancy: edema, proteinuria, nausea, vomiting, etc., as well as the convulsive coma medicine that everyone often sees in film and television dramas called eclampsia.
Axi's mother initially judged that it was mild pregnancy-induced hypertension syndrome. Occasionally, the edema could subside after rest, but the blood pressure could not be adjusted to below 140/90mmHg.
"Because her systolic blood pressure was higher than 160 and ran to 170 twice recently, the development was too rapid, so she could only be prescribed some antihypertensive drugs, and at the same time urged her to find a better obstetrician." Liu Li said.
I am young and inexperienced in medical practice. The patient is a pregnant woman in her early fifties. In terms of age, she is a "super-senior" pregnant woman. The condition tends to deteriorate from mild to moderate or even severe. Moreover, everyone knows that medication for pregnant women needs to be very cautious. Pregnant women cannot use many medicines for fear of affecting the fetus, and some antihypertensive drugs are the same. Liu Li was flustered and lacked confidence in prescribing medicine for such a puerpera. The only thing she could do was to refer the patient to a higher-level teacher as soon as possible.
Question This patient has a big problem. The patient claims to have a so-called doctor friend to help her.
"I want to transfer her medical records to my superior doctor. Discuss with her. She said to think about it again. If I ask her if she has found other doctors, she is not happy, saying that she has asked her doctor friend, she is a bit high. Blood pressure is nothing to worry about." Liu Li was almost exhausted when he said this.
It is very troublesome to have such a patient on the stall. I would rather trust my doctor friends more than trust the advice of doctors who check and see a doctor for myself. When encountering this kind of patient, the doctor is often in a dilemma. You can't drive the patient away. She didn't say that she would not see a doctor with you. She doesn't listen to what you have to say, she has to follow the advice of her doctor friend again. The doctor who saw the doctor expected that he could only be angry here, thinking: You might as well go to your doctor friend to see a doctor.
Do you think this is so easy? Generally, there is only one possibility for a patient who does not leave. Her doctor friend is not a specialist in this field.
Thank you for your support! ! Good night dears~
(end of this chapter)
Tan is the teacher who has marked her homework notes.
(Tan Kelin: Hey, this teacher is too authoritative and troublesome, students dare not comment on his homework)
Liu Li was probably amused by her thoughts. Her unsmiling face was broken like her cousin, and she laughed while talking: "Teacher Tan is waiting for you to exchange scientific research assignments with him, don't think too much. During the academic discussion When it comes to the right questions, students and teachers are on an equal footing."
received Teacher Tan's intention, Xie Wanying nodded and said that she would call Teacher Tan later.
"What are you looking for from me?" Liu Li asked about the purpose of her call.
"Mr. Liu, have you informed Li Yaxi's mother that she needs a referral? Her mother's name is Yang Yunjuan."
"Do you know their family?"
"Yes."
"I haven't heard of you before."
This is a long story.
"I told her daughter about the patient's condition. The blood pressure is not well controlled. She is 33 weeks pregnant. It is very dangerous to continue like this."
The 33rd week of pregnancy is the third trimester. At this point in time, the size of the fetus brings heavier and heavier burdens to the pregnant woman's body and the risk increases sharply. On Axi's mother, unstable control of high blood pressure is much more dangerous than healthy pregnant women. High blood pressure in pregnant women has always been a major concern of obstetrics. Parturients who do not control their blood pressure are prone to develop pregnancy-induced hypertension syndrome, which will cause a series of systemic symptoms caused by hypertension during pregnancy: edema, proteinuria, nausea, vomiting, etc., as well as the convulsive coma medicine that everyone often sees in film and television dramas called eclampsia.
Axi's mother initially judged that it was mild pregnancy-induced hypertension syndrome. Occasionally, the edema could subside after rest, but the blood pressure could not be adjusted to below 140/90mmHg.
"Because her systolic blood pressure was higher than 160 and ran to 170 twice recently, the development was too rapid, so she could only be prescribed some antihypertensive drugs, and at the same time urged her to find a better obstetrician." Liu Li said.
I am young and inexperienced in medical practice. The patient is a pregnant woman in her early fifties. In terms of age, she is a "super-senior" pregnant woman. The condition tends to deteriorate from mild to moderate or even severe. Moreover, everyone knows that medication for pregnant women needs to be very cautious. Pregnant women cannot use many medicines for fear of affecting the fetus, and some antihypertensive drugs are the same. Liu Li was flustered and lacked confidence in prescribing medicine for such a puerpera. The only thing she could do was to refer the patient to a higher-level teacher as soon as possible.
Question This patient has a big problem. The patient claims to have a so-called doctor friend to help her.
"I want to transfer her medical records to my superior doctor. Discuss with her. She said to think about it again. If I ask her if she has found other doctors, she is not happy, saying that she has asked her doctor friend, she is a bit high. Blood pressure is nothing to worry about." Liu Li was almost exhausted when he said this.
It is very troublesome to have such a patient on the stall. I would rather trust my doctor friends more than trust the advice of doctors who check and see a doctor for myself. When encountering this kind of patient, the doctor is often in a dilemma. You can't drive the patient away. She didn't say that she would not see a doctor with you. She doesn't listen to what you have to say, she has to follow the advice of her doctor friend again. The doctor who saw the doctor expected that he could only be angry here, thinking: You might as well go to your doctor friend to see a doctor.
Do you think this is so easy? Generally, there is only one possibility for a patient who does not leave. Her doctor friend is not a specialist in this field.
Thank you for your support! ! Good night dears~
(end of this chapter)
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