life is sweet

Chapter 197 [197] Uterine fibroids plus gestational diabetes mellitus
It is said that after Su Qingchun's flirty communication and Xie Min's disapproval, Huang Xiaopei didn't care so much about what happened this morning.

When it was time to get off work, I went back to work normally. After work, I went directly to Su Zixuan as usual to check on my studies. Su Zixuan acted as if nothing had happened in the morning. When I saw my mother coming, I immediately gave the letter of guarantee I had prepared. Huang Xiaopei, Huang Xiaopei glanced at the one-page guarantee letter, and only said: "Use this as a warning in the future, and don't make the same mistake again."

"Well, I got it!" Su Zixuan handed over the IPAD consciously while speaking, and said, "Mom, we agreed to return it to me after one month is up."

"Well, I agreed to pay it back to you in a month."

Su Zixuan readily gave the IPAD to Huang Xiaopei, and then continued to do homework.

And He Meizhen saw her daughter-in-law went directly to her granddaughter's room after returning home, and imagined her son's words today, so she didn't mention the morning thing again, and the family suddenly returned to calm as usual.

Time is like running water, slowly passing by, and soon it will be July, and the schools will be closed one after another, and the home cram school that Xie Min was working on will be completed as she said. It also started smoothly.

On the opening day of the class, Huang Xiaopei joked that this was the most persistent thing Xie Min did in his life.

This cram school is different from the cram school that Huang Xiaopei attended. This is her share, so she works very hard. She works from dawn to dusk every day. Not only does she have to teach courses, but she is also responsible for recruiting students, day and night. I feel like she It seems that I am holding my mobile phone all the time to answer the never-ending parental questions.

This summer Huang Xiaopei really entered the busy mode, and he didn't have so much time for Su Zixuan's study, so he only enrolled her in the usual cram school, and didn't add much.

This is not so easy as in previous years. In previous summers, Huang Xiaopei would add a lot of summer classes to Su Zixuan. Now she is indeed a little bit powerless, so she can only send her mother-in-law to a cram school that is nearby according to the usual time.

In the hospital, Su Qingchun continued his day-to-day work, and his junior brother Jiang Kuang, who had been in the same group, was also transferred to the emergency department.

Cai Junmei's attitude towards him has not changed, from hot to cold.

After the room inspection this morning, Cai Junmei called Su Qingchun to stop.

"Xiao Su, there is no surgery this morning, right?"

"No."

"Then you and I will take down where Director Feng is."

"Director Feng?" Su Qingchun wondered.

"Yeah, she has a complicated patient. Yuyue has a good impression of you after the operation last time. This time, I specially asked me to call you together."

"Oh."

After Su Qingchun finished speaking, he followed Cai Junmei to the obstetrics office to find Director Feng.

At this time, Feng Yuyue in the doctor's office was talking to another doctor. After seeing Cai Junmei and Su Qingchun, she hurriedly ended the conversation with the doctor beside her, walked up to Cai Junmei and said, "Here we are."

"Well," Cai Junmei said bluntly, "what's the situation?"

"The patient is an elderly primipara, 46 years old this year." Feng Yuyue shouted to the doctor next to her, "Xiao Li, please bring over the patient's information just now." Then she emphasized to Cai Junmei, "The main thing is She also had two huge fibroids plus gestational diabetes."

When Cai Junmei heard this, her face showed embarrassment.

"A primipara at such an advanced age still has two huge uterine fibroids and gestational diabetes?" Cai Junmei gasped and said negatively, "That's really complicated!"

While speaking, Xiao Li had already brought the patient's medical records and other relevant materials in front of them.

Cai Junmei didn't get the medical records, but said to Su Qingchun, "Xiao Su, take a look."

"Oh."

At this time, Su Qingchun quickly took over the patient's information and began to read it.

"Yes! That's why I asked you to help together." Feng Yuyue replied.

"She had surgery before?" Su Qingchun asked with an examination report.

"Yes, her experience is actually very complicated. She had an open surgery for a chocolate cyst in another hospital two years ago, and the cyst was stripped off."

"Did you open your stomach?" Su Qingchun asked.

"That's right! I also asked the patient about this, why didn't he go through a hysteroscopy? The patient didn't know very well, and said that the doctor did it without saying anything, so I guess it might be because the cyst was already very large at that time. The uterine cavity."

"Is there no record of any hospital performing surgery?"

"No, the patient said he couldn't find it."

"Oh!"

Feng Yuyue continued: "It took a long time after the operation for the patient to successfully conceive a child, and then she went to our hospital for an obstetric examination, but the pregnancy did not routinely stop the growth of 'ovarian cyst'."

“她初次产检时就说挂的我的号，当时我就发现了她左侧卵巢10×9×8cm、右侧13×12×10cm大小的囊肿，这当时就完全达到了手术的指征。”

"However, if the operation was insisted on at that time, it would definitely have an impact on the fetus and the mother. However, if the operation was not performed, as the fetus grows up, the pelvic cavity space becomes smaller and smaller, and the ovaries are likely to be squeezed into the abdominal cavity, causing ovarian cancer. Torsion, rupture, or even necrosis, endangering the lives of mothers and babies."

"At that time, I specifically communicated with Director Tao about this matter."

"My master?" Su Qingchun interrupted.

"Yes, your master is very experienced in this field of ovarian cysts. After communicating with him, I also expressed the wishes of the family members, and made a comprehensive assessment of the risks, pros and cons of cyst removal and retention. Finally, according to the final results, we have been Agreeing with the patient's wishes, he still decided to adopt the treatment plan of continuing pregnancy with tumor."

"Afterwards, I have been closely observing the changes of the maternal cyst. The plan is to wait until the child is full-term, perform a cesarean section, take out the fetus, and then remove the cyst together."

"But then I didn't expect that as the pregnant woman's gestational age increased, her weight increased excessively, accompanied by gestational diabetes. I immediately adjusted the maternal diet plan and asked her to recommend her to do pregnancy yoga."

"Fortunately, the mother is still very cooperative, and the weight of the mother and fetus have been effectively controlled in the late pregnancy."

Su Qingchun finally stopped to look through the medical records, and suddenly asked: "Oh, what's the situation now?"

"The current situation is that at 7 o'clock this morning, the mother suddenly showed signs of childbirth. She is only 35 weeks and one day old. The mother was sent to our hospital at 8 o'clock in the morning. I originally planned to ask Director Tao for help. This The patient needs to have a cyst removed, and we don’t know if there are any adhesions in the pelvic cavity. Now that Director Tao has retired, I can only look for you, Senior Sister.”

"The patient had a laparotomy before, so there may be adhesions." Su Qingchun said with a positive tone.

(End of this chapter)