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¡¾2577¡¿Dilemma

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    Teacher Tan is the teacher who corrected her homework notes.

    (Tan Kelin: Hey, it¡¯s troublesome for this teacher to be too authoritative. Students don¡¯t dare to comment on his homework)

    Liu Li was probably amused by her idea. His stern face was as stern as his cousin's. He laughed and said, "Mr. Tan, you are waiting for you to exchange scientific research homework with him. Don't think too much. In the academic discussion  When it comes to correct issues, students and teachers are equals.¡±

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

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

    "Teacher 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 have discussed the patient's condition with her daughter. Her blood pressure is not well controlled and 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 places an increasing burden on the pregnant woman's body and the risks increase dramatically.  For Aki's mother, uncontrolled high blood pressure is much more dangerous than a healthy pregnant woman.  High blood pressure in pregnant women has always been a major concern in obstetrics.  Maternal women who do not control their blood pressure are prone to develop pregnancy-induced hypertension syndrome, which will lead to 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.  It's called eclampsia.

    Yaxi¡¯s mother was initially diagnosed with mild pregnancy-induced hypertension. Occasionally, the edema would subside after rest, but the blood pressure could not be adjusted back to below 140/90mmhg.

    "Since her systolic blood pressure was over 160 and almost 170 during two recent checks, the development was too rapid, so we could only prescribe her some antihypertensive drugs and urge her to find a better obstetrician," Liu Li said.

    I am young and have little medical experience. The patient is a pregnant woman in her early fifties. She is a "super-elderly" pregnant woman in terms of age. Her condition tends to deteriorate from mild to moderate or even severe.  Besides, everyone knows that you need to be very careful when giving medicine to pregnant women.  Pregnant women cannot take many medicines for fear of affecting the fetus, as are some antihypertensive drugs.  Liu Li was panic-stricken when prescribing medicine to such a pregnant woman and lacked confidence. The only thing she could do was to transfer the patient to a 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 it with her. She said she would consider it again. If I asked her if she had found another doctor, she would not be happy and said that she had asked her doctor friend. She was not satisfied with this.  Your blood pressure won't scare you." Liu Li almost ran out of energy at this point.

    Having a patient like this is very troublesome.  I would rather trust my doctor friends than trust the advice of the doctor who examined and treated me.  When encountering this kind of patient, doctors are often in a dilemma. You can't drive this patient away, because she didn't say she won't treat you anymore.  She can't listen to what you say. She must listen to her doctor friend's advice again.  The doctor who was seeing the patient expected to get angry at this point, thinking: You might as well go see your doctor friend.

    Do you think this is so simple?  Generally, the patient who refuses to leave has only one possibility: her doctor friend is not a specialist in this field.

    ©¤©¤©¤©¤©¤Digression©¤©¤©¤©¤©¤

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