My Medical Skills Give Me Experience Points-Chapter 1212 - 479: Strange Pregnant Woman—Fetal Heartbeat, No Imaging

Chapter 1212: Chapter 479: Strange Pregnant Woman—Fetal Heartbeat, No Imaging

"Dr. Zhou, does my brother need to have open-heart surgery?"

The patient’s sister standing nearby could only half understand, and she was very worried about her brother’s treatment.

Her family background was not good, and she had just graduated and was interning at a company.

She hadn’t even passed the probation period, and her monthly salary was pitifully small. Nowadays, most unscrupulous bosses set internship periods of over three months, the longest being over a year.

Interns don’t get bonuses; they only receive the minimum basic salary each month, which is essentially a common understanding.

Because the labor cost is much lower than that of regular employees, many hospitals and other organizations favor a long internship period.

The worst should be hospitals, with internships of one year, essentially working for free.

They even need to subsidize the hospital with money.

The following three years of residency training come with only the minimum basic salary.

A large number of undergraduates and postgraduates are used as cheap labor for more than four years.

"From the patient’s current postoperative performance, it should be relatively optimistic. But what the final outcome will be is something no one can predict." Zhou Can gave a typical physician’s answer.

First, give the patient and family hope, then inform them that the final outcome is unknown.

...

After coming back from Cardiothoracic Surgery, barely reaching the Emergency Department’s lobby, Dr. Xie from the triage desk called out.

"Dr. Zhou, Dr. Zhou, this pregnant woman unfortunately encountered a car accident with severe injuries. Please help us decide what to do!"

Zhou Can looked over and found that during the short time he was in Cardiothoracic Surgery, several car accident victims had been brought in. Medical staff were rushing in and out of the emergency room; critically injured patients were likely prioritized for rescue.

The pregnant woman’s injuries were very tricky.

She seemed seriously injured, with blood on her body and her belly protruding high. The fetus was at least eight or nine months along.

Zhou Can wasn’t skilled in obstetrics.

Whether to deliver the baby via cesarean section needed assessment by specialized obstetricians.

"Have basic vitals been checked?"

"Temperature, blood pressure, heart rate, and respiration were measured. Her blood pressure is slightly high, her heart rate is fast, her breathing is short, but everything else seems normal. Based on preliminary checks, her right leg is likely fractured, there is bleeding below, and there are varying degrees of abrasions on her back, right shoulder, and right arm. Her forehead has a visible bruise and hematoma."

Dr. Xie conducted only the most basic checks.

This is a common problem among many novice doctors who only follow textbook procedures.

Experienced doctors ask targeted questions and perform specific examinations.

"Has the fetal heart rate been measured?"

"No! But I listened with a stethoscope, and it seems normal."

Dr. Xie hesitated for a few seconds before speaking.

"Let’s do an abdominal ultrasound first! Do a blood test now! Her right leg definitely needs an X-ray; if she has dizziness, headache, or altered consciousness, it’s best to do a head CT." 𝘧𝑟𝑒𝑒𝘸𝘦𝘣𝑛𝑜𝘷𝑒𝓁.𝘤𝘰𝓂

Zhou Can offered Dr. Xie some guidance.

"She’s bleeding below; should we not address that first?"

Dr. Xie’s concern was for the baby in the pregnant woman’s belly.

"We must do the ultrasound first to clarify the abdominal situation before proceeding with further treatment. Make sure to hurry on the blood test; any time you get such patients, the first thing is a blood test. In case it’s Syphilis or similar, it can be detected promptly. Also, her bleeding means we’ll need to identify her blood type quickly for transfusions."

When Zhou Can mentioned "Syphilis," he meant syphilis.

Front-line nurses in clinical practice are most afraid of infections from syphilis and HIV.

In front of patients, medical staff often speak in code about sensitive issues.

The main aim is to prevent patient dissatisfaction and avoid medical disputes.

"Right, quickly get an obstetric specialist over for a consultation."

After speaking, Zhou Can headed directly to the operating room.

With his Director-level Hemostasis Skill, he could see from observing the patient earlier that the bleeding wasn’t as severe as imagined. There shouldn’t be any immediate life-threatening danger.

Moreover, there was another thing that puzzled him.

From looking at the pregnant woman’s appearance, she did not have typical pregnancy features. Usually, women experience changes in appearance due to estrogen influence during pregnancy.

But this female patient did not display such characteristics.

He took Dr. Xie to check the pregnant woman’s blood count because, using his Director-level Hemostasis Skill and Grade 5 Pathology Diagnosis Skill, he felt there was something unusual about her.

Clinically, one often encounters various kinds of special patients.

Syphilis and HIV patients are prevalent among them.

With these individuals, even professional medical staff sometimes struggle to identify the infectious diseases from appearance alone.

...

In the operating room, Zhou Can had just finished three surgeries when Dr. Xie specifically came to relay a message to Ma Xiaolan, asking her to inform Zhou Can that the pregnant woman had tested positive for both syphilis and HIV.

Among the injured brought in with the pregnant woman, three others also tested positive for these two viruses.

The medical staff in the emergency room were frightened into a cold sweat.

Because one of the victims they were rescuing was one of those three.

Blood transmission is one of the most dangerous methods of infection.

During rescue efforts, medical staff didn’t think much at the time; various emergency procedures inevitably involved contact with the patient’s blood. None of them wore any protective gear, not even the simplest rubber gloves.