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Chapter 44 [044] HPV

Chapter 44 [044] HPV
Su Qingchun looked helplessly at the back of the patient leaving, making the mistake just now caused by him and feeling helpless.

"This mother is too irresponsible. I didn't know how many weeks I was pregnant with the baby. I missed the check-up time and blamed others. I am really speechless."

"Hey... It's true that she is too irresponsible as a mother."

"I guess, the first child has not been checked, otherwise how could a pregnant woman not even know the cycle."

"That's right, I don't even know how to be a mother." Jiang Kuang added after finishing speaking, "However, brother, I'm actually a little confused about the distinction between our gynecology and obstetrics clinics."

"Of course it's not like her wondering how to divide," Jiang Kuang quickly explained, "It's just strange, why is the division of gynecology and obstetrics so clear in our outpatient department, but not so clear in the inpatient department?"

"Isn't our inpatient department also divided into obstetrics and gynecology?"

"Brother, I didn't mean that."

"You see, our ward is said to be a gynecological ward, but we didn't get mixed together during our emergency consultation."

"It's like before when we encountered difficult maternal problems in the emergency department, didn't we have to deal with it?"

"And in the end, even the obstetric patients we treated ourselves were sent to our ward. Don't you think it's strange?"

"And it will be messy to manage, right?"

Jiang Kuang articulated all his doubts.

"That's because the obstetrics and gynecology department of the inpatient department of our hospital did not subdivide obstetrics and gynecology. They were all together at that time," Su Qingchun slowly explained, "Actually, I think we had a lot of opportunities to get started when we were together. There are many things."

"However, the development of medical care is definitely going in a more meticulous and professional direction. Subdivision is an inevitable direction. Our hospital should be regarded as relatively late in the subdivision of gynecology and puerpera in the hospital."

"But then again, in fact, how to divide obstetrics and gynecology is still a big category. It is impossible to say that it is completely separated. Obstetrics and gynecology are originally a whole. As an obstetrician and gynecologist, the knowledge of gynecology and obstetrics is both You must understand that it may be more professional to separate out, but you can’t just learn one because of the specialty, just like your regular training, you stay in the gynecological ward, then you can’t say that you have no knowledge of obstetrics in the gynecological ward I understand, or if you are in the maternity ward, you only know about caesarean section, that’s not right, it’s not comprehensive enough.”

"I guess the hospital did not separate us during the emergency consultation for this reason. This is also training doctors and allowing everyone to learn more. Whether it is like you who have just entered the hospital or students who are interns benefit."

As soon as Su Qingchun finished speaking, he realized that patient No. [-] had already entered.

I saw a girl with a fair complexion, wearing thin-rimmed rose-gold-rimmed glasses, and a light-colored dress. She looked about in her early 20s, and she felt very gentle and quiet, standing in front of the consultation desk.

Seeing the doctor stopped, she walked over cautiously and said softly, "Hi, doctor."

"Hello."

"Doctor, this is the test I did a few days ago, please help me to see the result." The girl said softly.

After she finished speaking, she handed over a bunch of inspection reports to Su Qingchun.

Su Qingchun picked up the report and studied it carefully for a while.

The report that found this girl showed that she was infected with other high-risk HPV positives, and E6/E7 was also positive.

He replied calmly: "Your test showed that you were infected with HPV."

"Oh, that's the human papillomavirus." Su Qingchun also explained the Chinese name in case the girl would not understand.

"Oh." The girl replied calmly.

Su Qingchun looked at her with a calm face, and asked curiously: "Did you know that you were infected with this virus before?"

"do not know……"

The girl said calmly,

"But I've heard friends talk about this disease before."

"Doctor, can you prescribe me some medicine?"

"You are a high-risk virus with active replication and need antiviral treatment. The treatment cycle will be longer."

"About how long?"

"A cycle of 3 months, HPV will be re-examined after half a year."

"Well, doctor, please prescribe medicine for me."

After Su Qingchun finished speaking, he turned to Jiang Kuang and said, "Prescribe antiviral medicine, Baofukang Suppository."

Jiang Kuang nodded repeatedly when he heard Su Qingchun's words, and immediately typed on the computer, as if he already knew the treatment prescription for this disease like the back of his hand.

While Jiang Kuang was prescribing the prescription, Su Qingchun continued, "The treatment cycle is relatively long in your case, so you must be mentally prepared and pay more attention to hygiene."

"Oh……"

The girl said and asked again: "By the way, doctor, is this disease contagious?"

"Well, it's contagious."

"What?" Su Qingchun asked suspiciously.

Su Qingchun was wearing a mask at this time, but he could feel a black line on his face.

On the other hand, Jiang Kuang was embarrassed holding the printed prescription.

Although he had just heard from Su Qingchun that there were many strange things in the outpatient clinic, but it was really abrupt for this girl to speak so bluntly in front of two big men with her pretty features and her inexperienced appearance.

Jiang Kuang had never seen this before. As a man, he was a little embarrassed to hear this, let alone say it. He lowered his head in embarrassment, and looked at Su Qingchun secretly with squinting eyes.

Su Qingchun rarely encountered such a thing. He hesitated for a while, and then replied very officially: "Your profession is a high-risk profession."

"As for the rest, you can figure it out yourself."

At this time, Jiang Kuang admired Su Qingchun all over, and his answer in this scene was really awesome.

The girl replied, "Oh, that's fine."

"Xiao Jiang, is the prescription ready?"

"Oh, it's all right." Jiang Kuang hastily handed the printed prescription slip to the girl.

When the girl received it, she replied very quietly and politely: "Thank you doctor!"

then left.

After the girl left, Jiang Kuang was not calm.

"Oh my god, brother, that girl just dropped my jaw in shock."

Jiang Kuang said with a look of disbelief: "Looking at such a gentle and quiet girl, she is actually from the red-light district. When I first came in, I thought she was a college student who just graduated. Look at her speaking so directly just now. I'm even embarrassed by her saying it, it's too awesome, it's really not a person's appearance."

"I was also shocked by this girl today. The one who just came in was a college student who I thought had just graduated. I have seen some sex workers, but it is the first time I have seen someone as quiet and soft-spoken as her." .”

"Exactly! The contrast is too great."

While talking, Su Qingchun suddenly heard a noise from the door.

 Human papillomavirus (human papilloma virus, HPV) belongs to the papillomavirus genus of the Papillomaviridae family. It is a spherical non-enveloped double-stranded DNA virus with a diameter of 52-55nm (Figure 1).The viral genome is double-stranded circular DNA, about 7.8-8.0 kb, divided into early region, late region and regulatory region.The early region encodes proteins related to viral replication, transcriptional regulation, and cell transformation (such as E5, E6, E7), and the late region encodes the major capsid protein L1 and the minor capsid protein L2.

  
 
(End of this chapter)

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