Among a few pregnant won talking, the sound of a quarrel suddenly ca from the adjacent consultation room.
"How can you handle things like this? What test did you just ask to do? Didn’t you clearly see what’s written on my dical record? Isn’t it irresponsible to casually say you didn’t check carefully?"
"Alright, alright, you don’t need to argue. I didn’t say I didn’t look carefully."
"You just said that!"
"I’ll assign you to a different prenatal doctor. You can see Doctor Liu. —Dr. Guan, please escort this patient and her dical record to the next room to see Doctor Liu, and explain the situation to Doctor Liu."
The reputation of obstetrics and gynecology as a hotspot for dical disputes is well-earned. Just this morning, we witnessed one case with Teacher Li, and within half an hour of arriving at the prenatal clinic this afternoon, there was another incident. Thought Xie Wanying and Student Geng.
Soon, a young dical student, Dr. Guan, brought a pregnant woman to find Doctor Liu Li next door.
The pregnant woman was very upset, complaining about Doctor Chen in the neighboring room nonstop as she walked to Doctor Liu’s room.
"Not even looking at the dical record. It’s written so clearly that it’s IVF but she didn’t see it, and she just advised to do the Tang screen. No idea where her eyes are. Why the Tang screen, mine’s IVF."
Dr. Guan approached Doctor Liu Li, leaning close to her ear to report the situation: "She’s quite old, over fifty. So, according to procedure, Doctor Chen wanted to prescribe a Tang screen. However, she’s not happy after hearing it. Maybe she misunderstood from what the doctors at our reproductive technology center said earlier, thinking that with IVF, there wouldn’t be any deformities."
"Which generation of IVF did she have?" Liu Li asked.
"The third generation. So Doctor Chen is just being cautious, but this lady doesn’t like it. Doctor Chen said, she can only trouble you, Doctor Liu, to decide whether or not to schedule it first, and wait for the higher-ups to make a decision."
With third generation, embryos with chromosomal abnormalities are screened out, which sounds like there shouldn’t be deformities. However, human dicine’s understanding of genetic disorders is not a hundred percent, only the tip of the iceberg. No dical procedure can guarantee a hundred percent against unexpected risks. Therefore, prenatal doctors recomnd these tests to avoid any unforeseen situations.
"The Tang screen, if to be done, should be at 16 weeks."
"Right, Doctor Chen just ntioned it out of concern, and she got so upset like that." Dr. Guan said. Sotis, doctors really don’t understand why certain words suddenly beco sensitive for so patients.
"If she doesn’t want to do the Tang screen, then she doesn’t have to. At that ti, we can directly order an amniocentesis screening." Doctor Liu Li said.
The Tang screen has lower accuracy; if the patient doesn’t want it, she doesn’t have to do it. To confirm, an amniocentesis is required, and that accuracy can reach nearly a hundred percent. Therefore, generally clinical doctors will suggest amniocentesis screening for pregnant won with high-risk factors rather than just a simple Tang screen.
This patient’s primary concern is being fifty years old. Any doctor would worry about sothing going wrong. If she actually gives birth to a child with Down syndro, that would be disastrous.
It’s not unheard of for won in their fifties to give birth. Doctor Zheng curiously glanced at the patient’s dical record nearby and asked, "Is it a bereaved parent?"
The only child is gone, so one would only try hard to have another one as compensation.
"She said she has a daughter." Dr. Guan, who knows more about this patient, said, "It’s just that her daughter is ill."
Clinically there are mothers like this, who have another child to save the first one.
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