When Dr. Tao Zhijie heard what Junior Sister He said, there was a strange expression on his face.
Dr. He Xiangyu immediately knew from the familiar change in his expression that he had most likely said something wrong again.
What did she say wrong?
“You can come in and see the doctor now.” The nurse opened the door and invited the next patient to come into the clinic for treatment.
There are only three people waiting at the door.
As a doctor, he will give up his seat to the patient without knowing it. Dr. Xie Wanying and Dr. He Xiangyu immediately stepped aside and said please.
Thanks to the two junior sisters, Dr. Tao accompanied his patient and the patient's family members to the consulting room first.
Not long after, dong dong dong, Dr. Xie saw his classmate Dr. Gu Hongnian running over, holding a bunch of things in his hands. He should be delivering the patient's newly copied medical records to his superior teacher, Dr. Tao.
Without enough time to say hello to classmate Xie, Senior Brother Cao and others, Gu Hongnian walked into the clinic to deliver things, and then the door of the clinic was not completely closed.
The sounds in the consulting room trickled out intermittently outside the door.
I heard Dr. Litou An asking the patient and colleagues in the hepatobiliary surgery department: "Dr. Tao, does this patient have liver disease?"
“Yes.” Dr. Tao replied.
"What disease?" Dr. An, who asked, opened the patient's medical record at the same time and saw the results of the examination report written in it, with a look of concentration on his face.
HBsAg (Hepatitis B surface antigen), HBeAg (Hepatitis B e antibody), and anti-HBc (Hepatitis B core antibody), the above three data are positive. In the hepatitis B two-and-a-half examination, this type of result represents a major three positives.
Great three yang usually means that the patient will develop liver cirrhosis and eventually liver cancer with a high probability.
The female patient asked the obstetrician herself: “Do I need an abortion?”
“Do you want this child?”
“The child’s father is gone.”
gone? divorced? Abandoning wife and children?
Or another, more horrific tragedy.
“He passed away.” The female patient added the complete sentence.
Doctor An continued to ask: “Does the child have other relatives?”
Although medically speaking, giving birth is a matter for the mother alone, in fact, because the child is related to other relatives, clinical matters related to childbirth will be linked to two families. If not handled properly, countless disputes will arise.
To prevent this matter from causing unnecessary trouble in the hospital, experienced obstetricians must ask these questions clearly.
“Yes,” the female patient said, “the child’s grandparents do not want this child to be born.”
It is conceivable that the child's grandparents do not want the child because they know about the situation and know what diseases the child will inherit, and it is not cost-effective to give birth to the child.
The female patient’s mother who accompanied the female patient and the child’s grandmother said to the obstetrician: “Dr. Tao said, we can ask your obstetrics department’s opinion first. From what we heard outside, it’s not impossible for the child to stay if he wants to. Pregnant women suffering from hepatitis B can receive injections to prevent their children from hepatitis B.”
"Whether to get an injection, or to choose to take medicine, or wait until the child is born to see what to do. There are many methods to choose from for medical intervention. Specifically, it does not depend on the size of the three positives, but on the viral load. In the end, the child Whether hepatitis B can be inherited from the mother also depends on the final actual results, and doctors cannot be 100% sure," Dr. An said.
Because of this, the first thing Dr. An asked was what all the child's relatives thought about whether to keep the child or not.
There may be a lot of trouble if the child needs medical treatment after birth. Has everyone discussed this?
No family is willing to give birth to a sick child.
