My Medical Skills Give Me Experience Points Chapter 1215: 480: Pseudopregnancy, Operating on a Hopeless Patient

~4 minute read · 908 words
Previously on My Medical Skills Give Me Experience Points...
Zhou Can and the medical team examine a mysterious pregnant woman infected with syphilis and HIV, whose B-ultrasound shows no fetus despite a detectable heartbeat and a swollen abdomen resembling late pregnancy. While palpating her soft belly, Zhou Can feels sudden fetal movement, heightening the team's unease. Simultaneous measurements reveal the woman's heart rate matching the fetal rate at 112 beats per minute, leaving the staff stunned by the inexplicable phenomenon.

“The fetal heart rate aligns perfectly with the mother’s heartbeat—such an unusual occurrence!”

Even though they weren’t experts in obstetrics, the emergency department exposed them frequently to cases involving expectant mothers. Normally, the maternal pulse stayed much slower than the baby’s heartbeat.

“Does Dr. Zhou believe that what we detected as the fetal heart rate is really the mother’s own pulse?”

Yang Chan inquired, grasping the implication.

“That’s right! I’ve run into a similar situation in the past, and it proved to be pseudopregnancy. The heartbeat you picked up earlier was probably just her pulse echoing through.”

[Pathological diagnosis Experience Points +1, reward Pathological diagnosis Experience Points +100.]

The gain felt substantial; he pocketed 100 points in Pathological diagnosis experience.

Accumulating Pathological diagnosis Experience Points proves incredibly challenging.

Luckily, consultation requests came his way often, and nailing a diagnosis typically yielded a solid batch of experience rewards.

At present, his pathological diagnosis ability marched steadily closer to Level 6.

Pharmacological differentiation trailed way behind, despite the daily stream of prescriptions he wrote. Chances to handle meds abounded.

Yet, those prescriptions stuck to standard treatments, with each one granting at most one or two Pharmacological differentiation Experience Points. Big bonuses like those in pathological diagnosis seldom appeared.

Pinpointing this expectant woman’s condition as pseudopregnancy had demanded real effort.

The whole affair struck as wildly peculiar, something unheard of for the average person.

Zhou Can recalled a story from another hospital where they rushed a laboring woman inside after her water broke, skipping checks for speed straight to the delivery room. In the end, she released only a flood of vivid yellow liquid, no baby in sight.

Further probing revealed her body had simply imitated pregnancy symptoms, lacking any actual embryo.

Afterward, her relatives accused the staff of swiping the infant and alerted the authorities, dragging the mess up to officials and even into a courtroom battle. The hospital fumed with frustration over the ordeal.

Given the broken water, demanding a full prenatal scan beforehand would’ve seemed illogical.

Sticking to urgent care protocols, they merely sampled her blood prior to whisking her into delivery.

That blood draw aimed to verify her blood type and screen for infectious diseases spread through blood.

This step later served as key proof allowing the hospital to demonstrate she hadn’t been pregnant at all.

Confirming pregnancy in females doesn’t rely solely on B-ultrasound or Doppler ultrasound.

Measuring hCG concentrations in the bloodstream offers another precise method to determine pregnancy status.

Post-conception, human chorionic gonadotropin surges dramatically in the blood.

Beyond spotting pregnancy, the HCG exam flags potential ectopic pregnancies too.

In ectopic cases, which follow conception, the blood hCG outcomes deviate from normal pregnancies. Seasoned physicians spot the red flags in those lab results.

“What do you mean fake pregnancy? How could my swollen belly be anything but real?”

Despite her array of injuries—including a broken right leg—the woman displayed remarkable ferocity.

Upon catching Zhou Can’s words about her pseudopregnancy, she fired back in fury.

“Doctor, you’ve got to be mistaken. My girlfriend suffered terrible morning sickness in her first trimester. With a belly this large now, how on earth could it be fake?”

Her boyfriend, feeling deeply wronged, rejected Zhou Can’s assessment outright.

“If you’re skeptical, go ahead with a blood hCG test, followed by an abdominal Doppler ultrasound.” Zhou Can suggested to the pair.

As a car crash victim, the duo consisted of city-based migrant laborers.

Their relatives hadn’t reached the hospital yet.

“Fine, let’s proceed, but once it proves I’m truly pregnant, you owe me an apology.”

The woman radiated intensity.

Dealing with such an aggressive female patient, Zhou Can favored maintaining some space.

“Squad leader, unless there’s more, I’ll return to the operating room duties. Until this patient undergoes full testing, avoid sending her to delivery.”

Zhou Can offered the caution.

Due to her severe trauma, should labor pains start and force her toward delivery, complications would pile up fast.

To Zhou Can, Yang Chan qualified as a greenhorn physician.

She tended to overdo kindness toward patients amid crises. Tender-hearted medics and caregivers struggled to thrive in today’s tough healthcare landscape.

“Go handle your tasks!”

She shot Zhou Can a reproachful look, evidently irked by his haste to depart.

With her sharp mind, she’d probably sensed long ago that Zhou Can dodged her on purpose.

Yet romance defies clear explanation for anyone.

Particularly as her years ticked upward, marriage pressures intensified. But the guys she met fell short of Zhou Can’s caliber.

During school days, Zhou Can had chased her, but she’d scorned the rich kid back then.

Now, seasoned by life and with more refined perspectives, she lamented passing up Zhou Can.

These days, Zhou Can boasted not just fortune, but renown for his healing prowess inside the hospital.

On top of that, his integrity in medicine earned high praise.

Furthermore, his bold push for frontline doctors’ and nurses’ protections—challenging the security team’s lapses and the administration’s indifference to staff safety—carved a legendary hero’s mark in her thoughts.

Her kin urged blind dates, yet locating a match rivaling Zhou Can seemed nearly impossible.

Wrapping up his post-lunch procedures, Zhou Can hit the cafeteria for a meal and caught Ma Xiaolan updating him on the pregnant woman’s case.