Chapter 2577 Dilemma



Teacher Tan was the teacher who corrected her homework notes.

(Tan Kelin: Oh, this teacher is too authoritative and that’s a problem. Students don’t dare to comment on his homework.)

Liu Li was probably amused by her idea. His serious face was as broken as his cousin's. He smiled as he spoke: "Your teacher Tan is waiting for you to discuss your research assignment with him. Don't think too much. On the right issues in academic discussion, students and teachers are equal."

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

"What do you want to talk to me about?" Liu Li asked the purpose of her call.

"Teacher Liu, have you informed Li Yaxi's mother that she needs to be referred? Her mother's name is Yang Yunjuan."

"Do you know their family?"

"yes."

"I haven't heard you say that before."

...

...

This is a long story.

"I have told her daughter about the patient's condition. Her blood pressure is not well controlled. She is 33 weeks pregnant. It is very dangerous if it continues like this."

The 33rd week of pregnancy is the third trimester. At this point, the size of the fetus puts an increasing burden on the pregnant woman's body and the risks increase dramatically. In the case of Yaxi's mother, uncontrolled high blood pressure is much more dangerous than that of a healthy pregnant woman. High blood pressure in pregnant women has always been a major focus of obstetrics. Parturients who fail to control their blood pressure are prone to developing pregnancy-induced hypertension syndrome, which will cause a series of systemic symptoms caused by high blood pressure during pregnancy: edema, proteinuria, nausea, vomiting, etc., as well as the convulsions and coma that we often see in movies and TV dramas, which are medically called eclampsia.

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

"Because her systolic blood pressure was over 160 and almost 170 in two recent checkups, the development was too rapid. I could only prescribe some antihypertensive drugs for her and urge her to find a better obstetrician," said Liu Li.

She was young and inexperienced in medicine. The patient was a pregnant woman in her early fifties. Just from the age point of view, she was an "ultra-old" pregnant woman. Her condition tended to deteriorate from mild to moderate or even severe. Moreover, everyone knows that it is necessary to be very cautious when giving medicine to pregnant women. Many medicines cannot be used by pregnant women for fear of affecting the fetus, and some antihypertensive drugs are the same. Liu Li was nervous and lacked confidence when prescribing medicine for such a pregnant woman. The only thing she could do was to transfer the patient to a senior teacher as soon as possible.

The problem is that this patient has a big problem. She claims that she has a so-called doctor friend to help her.

"I want to transfer her medical records to my superior doctor and discuss it with her. She said she would reconsider it. When I asked her whether she had found another doctor, she sounded unhappy and said she had asked her doctor friends and she was not afraid of any problem with her high blood pressure." Liu Li was almost out of energy when he said this.

It is very troublesome to have such a patient. He would rather trust his doctor friend than the doctor who examined and treated him. When encountering such a patient, the doctor often falls into a dilemma. You can't drive this patient away, she didn't say she doesn't want to see you anymore. She won't listen to what you say, she must listen to the advice of her doctor friend. The doctor who is seeing the patient can only get angry at this point, thinking: you might as well go to your doctor friend for treatment.

Do you think this is so simple? Generally, there is only one reason why a patient refuses to leave: her doctor friend is not a specialist in this field.

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