Chapter 2577 [2577] Dilemma

Teacher Tan is the teacher who corrected 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, with a serious face like his cousin who broke the window, and laughed while talking: "Your teacher Tan is waiting for you to exchange scientific research assignments with him, don't think too much. In the academic discussion When it comes to correct questions, students and teachers are on equal footing."

After receiving Teacher Tan's intention, Xie Wanying nodded and said that she would call Teacher Tan later.

"What do you want from me?" Liu Li asked her purpose of calling.

"Mr. Liu, have you notified 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 you say that before."

It's a long story.

"I've talked to her daughter about the patient's condition. Her blood pressure is not well controlled, and she's 33 weeks pregnant. It's 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 will bring more and more burdens to the pregnant woman's body and the risk will increase sharply. Putting it on Axi's mother, uncontrolled high blood pressure is much more dangerous than healthy pregnant women. High blood pressure in pregnant women has always been a major focus of obstetrics. Women who do not control their blood pressure are prone to develop pregnancy-induced hypertension syndrome, and a series of systemic symptoms caused by high blood pressure during pregnancy will occur: edema, proteinuria, nausea, vomiting, etc., as well as convulsions and coma that you often see in movies and TV dramas. called eclampsia.

Axi's mother initially judged it as mild pregnancy-induced hypertension syndrome. Occasionally, edema would subside after rest, but the blood pressure could not be adjusted back to below 140/90mmHg.

"Because her systolic blood pressure was higher than 160 and quickly went to 170 in two recent checks, the development is too rapid, so I can only prescribe some antihypertensive drugs for her, and at the same time urge 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 alone, she is a "super-aged" pregnant woman. Her condition tends to deteriorate from mild to moderate or even severe. Moreover, everyone knows that it is necessary to be very cautious when administering drugs to pregnant women. Many medicines cannot be used by pregnant women, fearing that they will affect the fetus, as are some antihypertensive medicines. Liu Li was flustered and lacked confidence in prescribing medicine for such a pregnant woman. The only thing she could do was to refer the patient to the superior teacher as soon as possible.

Problem This patient has a big problem. The patient claims that she has a so-called doctor friend to help her.

"I want to transfer her medical records to my superior doctor. Discuss with her. She said she would think about it. If she was pressed to find another doctor, she would not be happy and said that she had asked her doctor friend. Blood pressure is not afraid of trouble." Liu Li almost lost his strength when he said this.

It is very troublesome to have such a patient. I would rather trust my doctor friends more than trust the advice of a doctor who checks and sees a doctor for myself. When encountering this kind of patient, the doctor is often caught in a dilemma. You can't drive this patient away. She didn't say that she won't see a doctor with you. She can't listen to what you say, and she must listen to her doctor friend's advice again. The doctor who saw the doctor expected that he could only get angry here, thinking: you might as well go to see your doctor friend.

Think it's that simple? Generally, a patient who refuses to leave has only one possibility. Her doctor friend is not a specialist in this field.

Thank you for your support! ! ! good night dears~