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Chapter 3

I had once devoutly read the Hippocratic Oath, and I would treat every patient who needed treatment carefully and responsibly.

What I love most and am best at is curing diseases and saving people.

"Dr. Liu, let\'s go. There are referral patients in the outpatient clinic today!" Liu Chief Physician looked at me with a smiling face, just short of taking my hand.

This respected old lady was about to retire soon. Rarely, she still had a young heart. In front of her, it seemed that only the sky falling down counted as a big deal. So no one in our department disliked her, and everyone respected her.

I took paper and pen and took the medical record folder from Liu Chief Physician\'s hand.

"Where did you go last night? Why is your face so grey? Look, the ash on your face is thicker than the powder on my face." Liu Chief Physician pinched my face with her hand.

"I was at home reading ancient Chinese medical texts." I said.

"Young people who only read books instead of falling in love, I think you\'re going to crash in our department. You won\'t be able to marry then."

She glanced at the person across: "My big red envelope is waiting for Juan."

The nurse Juan across wasn\'t polite at all: "Okay, Chief Physician Liu, I\'ve already said that if it\'s not a four-digit number, I\'ll cry right in front of you."

Liu Chief Physician loved Juan\'s frank and open way of chatting. She laughed with delight: "Then you\'d better hurry. That young man who treated us to dinner last time wasn\'t bad. Don\'t let others snatch him away."

Juan: "You\'re welcome to snatch. I was complaining that he\'s too clingy."

Juan was the prettiest in our fifth floor obstetrics department. She had an optimistic personality, slender figure, harmonious family, and loving parents. I had eaten the braised pork ribs brought by her mother more than once. As the beloved only daughter in her family, she had confidence to say such things.

The medical record in my hand was actually very thin, but I had to read it carefully. For referral patients, if I carelessly missed any test result, I might make the wrong judgment.

The patient, Ms. Lin, was 42 years old, female, 14 weeks + 2 days post menopause, G2P1. Her first delivery was by cesarean section, resulting in scar uterus. Ultrasound showed the lower edge of the gestational sac was only 6mm away from the scar. Coagulation function, liver and kidney function, blood type, blood cell analysis, ECG and other results were normal. Tests for hepatitis B, AIDS antibody, syphilis antibody and hepatitis C antibody were negative. It was a simple case. Uterine artery embolization would be performed by the intervention department before artificial abortion, followed by artificial abortion.

The reason for referral was that the ultrasound showed uneven echoes in the uterine muscle layer, with abundant blood flow signals visible.

My heart skipped a beat. Just as I looked up, I saw Liu Chief Physician giving me a meaningful look. “Do you know why a referral is needed?”

I shook my head. “It’s unnecessary. Doing a panel of five tumor markers and color Doppler ultrasound would generally confirm the diagnosis.”

Liu Chief Physician sighed. “Yes, no referral is needed. So why a referral?”

By the time Dr. Shen came over, the referral meeting was in her office. In addition to Dr. Shen, there was also Chief Physician Zhao, as well as the patient and family members.

It was a middle-aged couple who were particular about their clothing. The man\'s Rolex could probably buy a mid-range compact car, so let\'s call him Rolex. The female patient looked younger than her actual age, probably just over thirty.

Rolex was very excited. “This baby is my son. I’ve been longing for him for years. This child must be kept anyway.” Chief Physician, I heard that many people have had children after cesarean section. How dangerous can it be as you said? "

It seemed that in addition to the scarred uterus, suspected uterine sarcoma had not been confirmed yet, so the patient had not been notified.