Why do women always come by themselves in the clinic? "The obstetrics and gynecology department will inevitably have to contact sex and pregnancy. Under a high level of civilization, sex is the most private thing. But even if the two people in a marriage have the most private and loyal sex, they may not be truly honest with each other." The story of each clinic, let the obstetrician and gynecologist Lin Jingyi write the book "The Woman in the Clinic 2".
In the face of illness, women’s bodies are still within the limits of a hundred years ago; the people closest to them are often the least able to see them who are asking for help, and they have forgotten that we, as relatives and partners, are actually the answer. The following is an excerpt from this book:
"Doctor, um...I don't feel well there." She sat down with a shy and troubled expression.
The various symptoms of the perineum are actually quite unspeakable. When I have a cold, I don’t evade telling my colleagues, "I sneezed all day yesterday," but the perineum is itchy all day, so no one should tell my colleagues, "My vagina is itchy." The problem under the crotch is very annoying and embarrassing.
Why do women always come by themselves in the clinic? "The obstetrics and gynecology department will inevitably have to contact sex and pregnancy. Under a high level of civilization, sex is the most private thing. But even if the two people in a marriage have the most private and loyal sex, they may not be truly honest with each other." The story of each clinic, let the obstetrician and gynecologist Lin Jingyi write the book "The Woman in the Clinic 2".
In the face of illness, women's bodies are still within the limits of a hundred years ago; the people closest to them are often the least able to see them who are asking for help, and they have forgotten that we, as relatives and partners, are actually the answer. The following is an excerpt from this book:
"Doctor, um...I don't feel well there." She sat down with a shy and troubled expression.
The various symptoms of the perineum are actually quite unspeakable. When I have a cold, I don't evade telling my colleagues, "I sneezed all day yesterday," but the perineum is itchy all day, so no one should tell my colleagues, "My vagina is itchy." The problem under the crotch is very annoying and embarrassing.
"Fortunately, my sleep is normal," she replied.
"I'll do a bacterial culture for you." The secretion is not like the typical Candida, nor is it like the typical E. coli infection (Note). Her symptoms lasted for so long. I would like to have more tests to exclude the special antibodies. Medicinal flora. Vaginal bacterial culture examinations are often deleted by the health insurance review committee as "unnecessary", and the fine is even doubled. Sometimes I find it very hot. It is not the health insurance review committee that itches. It is really easy for them to criticize "not necessary."
After the internal consultation, when I returned to the consultation room, I first prescribed vaginal suppositories and anti-itch ointment to her, and made an appointment for a week later.
A few days later, my mobile phone received a special condition notification from the laboratory: "Your patient's OOO bacterial culture report shows that it is Gonorrhoeae. Please inform the patient as soon as possible."
Uh... Gonorrhea is a third-level statutory infectious disease that must be notified. The main way of transmission is unprotected sex.
Two days later, she will come back to the clinic.
"Is it better?" The suppository given last time was for general bacterial vaginitis and cannot treat gonorrhea. However, the ointment has anti-inflammatory and antibacterial ingredients, which should make her symptoms slightly better.
"It's better." She smiled.
"The bacterial culture report is out." I was a little worried about her reaction to the report.
She nodded, staring at the germ report on my hand. In fact, the main information in the report was in English, so she probably couldn't understand it.
"The culture report is not a common bacteria." I pointed to the report sheet and slowly said to her, "It's gonorrhea."
She was stunned.
"Fortunately, we have a bacterial culture. The antibiotic I gave you last week is a broad-acting antibiotic for common bacteria, and it is not effective against Gonorrhea." I pointed to the report on the bacterial and antibiotic reaction on the report sheet, "Gonorrhea has Certain antibiotics can be used, as long as you finish taking it according to the time, it will be fine." I tried to provide positive information.
She was still stunned.
"This is a statutory infectious disease that must be reported to the local health bureau according to the regulations, so oh, we will report it to the health bureau." She was shocked, and my nurse and I were a little embarrassed. "When you receive a call from the Health Bureau, don't worry, we must notify them to follow up and make sure that you and your sexual partner are treated."
She nodded slightly, indicating that she had heard everything.
"This..." I was about to explain the part of the sexual partner.
"How did I get this?" she said to herself.
"This is usually transmitted from a sexual partner." I always say straight.
Bacteria will not "crawl" into the vagina from the thighs
In order to prevent the patient from embarrassing or trying to help the male partner who has made a mistake to cover up the "failure", some doctors will give some very strange statements about what is "done in the toilet" or "infected in hot springs", but they do not let women know about sexual transmission. The illness came from her sexual partner, how can they protect themselves?
"This is a statutory infectious disease that must be reported to the local health bureau according to the regulations, so oh, we will report it to the health bureau." She was shocked, and my nurse and I were a little embarrassed. "When you receive a call from the Health Bureau, don't worry, we must notify them to follow up and make sure that you and your sexual partner are treated."
She nodded slightly, indicating that she had heard everything.
"This..." I was about to explain the part of the sexual partner.
"How did I get this?" she said to herself.
"This is usually transmitted from a sexual partner." I always say straight.
Bacteria will not "crawl" into the vagina from the thighs
In order to prevent the patient from embarrassing or trying to help the male partner who has made a mistake to cover up the "failure", some doctors will give some very strange statements about what is "done in the toilet" or "infected in hot springs", but they do not let women know about sexual transmission. The illness came from her sexual partner, how can they protect themselves?
"Okay, the gentleman must also be treated. Is he in Taiwan now?" I said back to the disease treatment.
"He...just went back...no...not long." She answered hard.
"Okay, after he comes back, I want him to go to the urology department for treatment." Both the nurse and I felt her embarrassment and pain.
"...Okay." She will probably collapse when she gets home.
"Oh, I know that my husband goes abroad to work, and it's hard for my wife not to worry. I suggest you, instead of worrying and taking risks, it is better to tell your husband for nothing and put a condom in his suitcase. It's a bad thing to do, so don't bring the sick back. "Really, I have seen a lot of similar cases in clinical practice. "If the money comes back, people don't come back with illness, or there are no more people who recognize their ancestors and return to their ancestors, that's fine." I patted her. She gritted her teeth and was speechless.
"Come on, let me tell you how to take the medicine." I still have to pull her to face reality.
She silently listened to my explanation, and silently accepted the medicine receipt leaflet given to her by the nurse. Head down and leave the clinic.
The nurse gave me an expression of "a man is such a bastard", sighed to each other, and shook his head for the patient's situation. Then, press a call number bell.
Three months later, she appeared in the clinic again. "Doctor...my side seems to...have grown one by one." She had that expression of indescribable expression again. However, perhaps because of her trust in me, she was less cautious than she was when she first visited the doctor.
"Will it itch?"
Shook his head.
Gee, I have probably guessed what diagnosis it is. "Okay, let's take a look at the internal consultation."
"Okay." She quickly walked into the internal clinic, wanting to face reality as soon as possible.
"Uh...this...like cauliflower." There are several small lesions scattered in the vagina. Like gonorrhea, cauliflower mainly comes from sexual transmission.
She sighed while lying on the clinic table. "The scope is not large. I will give you a local anesthetic and burn it directly, okay?" I don't want her to face the problem for several days.
"Okay." She sighed again.
After processing, I prescribe ointment to her and make an appointment for a return visit at the same time.
The "good mother" of a lifetime got a venereal disease
"The infection last time, did your husband come back for treatment?" I asked.
"Well, I went to get the medicine." She was vaguely angry, "I was infected by him, right?"
"Will it itch?"
Shook his head.
Gee, I have probably guessed what diagnosis it is. "Okay, let's take a look at the internal consultation."
"Okay." She quickly walked into the internal clinic, wanting to face reality as soon as possible.
"Uh...this...like cauliflower." There are several small lesions scattered in the vagina. Like gonorrhea, cauliflower mainly comes from sexual transmission.
She sighed while lying on the clinic table. "The scope is not large. I will give you a local anesthetic and burn it directly, okay?" I don't want her to face the problem for several days.
"Okay." She sighed again.
After processing, I prescribe ointment to her and make an appointment for a return visit at the same time.
The "good mother" of a lifetime got a venereal disease
"The infection last time, did your husband come back for treatment?" I asked.
"Well, I went to get the medicine." She was vaguely angry, "I was infected by him, right?"
"He actually said that the girl over there is so beautiful, why would you want to wear a condom!" She seemed to spit out something disgusting and huge with all her strength. After she finished speaking, her spine seemed to be taken away, her head hanging down. , The originally straight back also collapsed.
"It's too much!" It is difficult for the nurse and I to disagree with her, and share the same hatred with her.
"My son and daughter were very angry when they heard him like this. Now the whole family doesn't talk to him." She was actually very angry, but there was a trace of distressed feelings that her husband was disliked by the whole family for many years.
"Such a thing must be difficult for their young children to accept." Young children still don't know that betrayal and selfishness are actually the norm in marriage.
"I'm so angry, and I feel so embarrassed!" She whimpered. The crumpled toilet paper covered half of his face. "It's not your fault." The nurse hurriedly comforted her.
"Yes, not wearing a condom to infect his wife, and he is justified, he is really a bastard." Doctors are usually more acceptable to curse, and I will play this role.
"I can't sleep well at all, can you give me sleeping pills?" She was really shocked. To be honest, for any woman, how can she be calm in her situation. "I understand. It's been a tough time, we can use medicine to help." I chose medicines to help stabilize her mood, hoping to make her sleep better and relax a little bit. "But it's impossible to rely on medicine for a long time. You still have to prescribe it yourself."
"Okay." She was like a sad child. Alas, I sighed several times in my heart.
"I suggest that we check on AIDS and syphilis? It doesn't seem to have these infections at the moment. However, since the husband has admitted to having unsafe sex, it is better for us to confirm it." Even if other sexual infections are considered professionally I should be sick, but seeing her sad, I'm really afraid of giving her a bigger impact, and making this suggestion made me feel very tossed.
She was stunned for a moment. She probably hadn't thought about the possibility of other diseases, and tears flowed from her eyes again.
"Okay." When a "good family woman" faced the suggestion of "testing STDs," the answer was really painful.
"Just to be on the safe side, don't think too much, really." In fact, doctors shouldn't give such guarantees to patients, but I'm really afraid that she can't bear it.
"Yeah." She nodded and sniffed. "I'll check."
I lowered my head and quickly opened the checklist, and couldn't bear to look at her sad face again.
Decades of trust has been ugly betrayed, and it has brought such real and humiliating consequences. Which woman can bear this kind of pain?
Note: The vagina is not sterile. Some bacteria are often found in the flora, such as Candida, Escherichia coli, and Staphylococcus. As long as the body's immunity is normal and the vagina has enough lactic acid flora to protect it, it can maintain a balanced and healthy state.