Rebirth 1977 Great Era

Chapter 642: The first pee is different from the other pee? Can’t fall behind the Zhou family

During this period, Fangyan would give the couple a thorough check-up every week, and the rest of the time the doctor on duty would check on them.

Not only traditional Chinese medicine examinations are done, but also Western medicine examinations are done.

From 1978 to this time, the pregnancy urine test done by Western medicine mainly detects human chorionic gonadotropin (hCG) in urine.

Commonly used methods include biological methods and immunological methods.

The biological method is to use the physiological reaction of animals (such as frogs, toads, etc.) to hCG in the urine of pregnant women to determine whether they are pregnant. For example, the urine of pregnant women is injected into the body of frogs to observe whether the frogs ovulate. This method is actually also used in traditional Chinese medicine.

However, this method is no longer used in Union Hospital, and another immunological method is now used.

That is to use the latex agglutination inhibition test to detect hCG in urine through antigen-antibody reaction. If the test results show that the agglutination reaction is inhibited, it indicates possible pregnancy.

Urine hCG testing is usually more accurate when the menstrual period is delayed by about 7 days, because the hCG concentration in the urine is relatively high at this time and is easier to detect.

The previous tests were all done on Huang Huijie’s morning urine every morning. The test kit would produce results very quickly, and so far, the results showed no pregnancy.

However, there are some factors that may affect the results of the examination.

For example, common endocrine abnormalities.

Hu Daohu's wife had been very anxious before, and her endocrine system was abnormal at that time. Adjusting her body during this period may be the reason.

However, after Fangyan's treatment for a period of time, her physical condition is basically back to that of a normal person.

Huang Huijie previously diagnosed the condition as liver depression and qi stagnation, dysfunctional drainage, and obstructed uterine vessels, which resulted in the inability to retain semen and achieve pregnancy.

Now all these conditions have disappeared.

In addition, with daily checks, the probability of misdiagnosis due to endocrine factors should actually be relatively small.

That leaves two other possibilities.

The first is testing too early. In the early stages of pregnancy, especially shortly after the fertilized egg implants, urine testing is performed. At this time, the hCG concentration in the urine may still be low, lower than the sensitivity of the detection method, which can easily lead to false negative results, that is, the woman is actually pregnant, but the test results show that she is not. If this is the case, of course everyone is happy.

The second type is more dangerous, and that is ectopic pregnancy.

Ectopic pregnancy is one of the common acute abdominal diseases in obstetrics and gynecology, and people are more accustomed to calling it ectopic pregnancy.

In an ectopic pregnancy, the amount of hCG secretion is usually less than that in a normal intrauterine pregnancy, and the growth rate is slow, which may lead to low hCG levels in urine testing and false negative results.

When Fang Yan arrived at the ward, he saw that Huang Huijie was obviously very excited.

She spoke into the dialect:

"Doctor Fang, I feel like I'm pregnant. My period didn't come this month, and I just had morning sickness."

For most pregnant women, morning sickness symptoms usually begin to appear around 6 weeks of pregnancy, usually reaching a peak around 8-10 weeks of pregnancy, and then gradually begin to ease until they disappear around 12 weeks.

This is a morning sickness reaction caused by various hormonal changes in a woman's body after she becomes pregnant, which stimulates the gastrointestinal tract.

As the gestational age increases, the hormone levels in the pregnant woman's body will gradually stabilize and adjust, the body will gradually adapt to the state of pregnancy, and the gastrointestinal function will slowly recover. Therefore, early pregnancy reactions such as morning sickness will gradually ease.

If Huang Huijie was talking about morning sickness, then the timing of her pregnancy would be just right.

Fang Yan nodded and said to Huang Huijie:
"Well, don't get excited yet, let me take your pulse."

We also hope that nothing unexpected will happen to the dialect.

Of course it would be best if you could detect pregnancy.

Fang Yan felt Huang Huijie's pulse and found some differences from before.

Now her pulse is flowing and smooth, like beads rolling on a plate. The pulse rate is about 90 beats per minute, which is slightly faster than that of a normal person.

Fangyan touched both hands and it was the same.

Then, in order to rule out ectopic pregnancy, Fang Yan carefully observed her complexion.

There is no obvious abnormality in complexion.

Then start tongue diagnosis.

There is no yellow tongue coating that is caused by the combination of yellow, greasy, blood stasis and heat.

There is no dark redness, petechiae, or ecchymosis.

The tongue coating is thin white and the tongue is light red.

Then Fangyan pressed his abdomen with his hand and found no abdominal pain.

In the early stages of ectopic pregnancy, there may be no obvious mass felt in the lower abdomen, or only slight tenderness in the adnexal area on one side.

As the disease progresses, a soft mass with unclear boundaries can be felt in one side of the lower abdomen, with obvious tenderness. If internal bleeding occurs, the lower abdomen may have tenderness, rebound pain, and abdominal muscle tension. In severe cases, positive shifting dullness may occur.

When everything went normal, Fangyan breathed a sigh of relief.

Then Fangyan asked about the history of amenorrhea, whether there was a small amount of bleeding, and whether there was any special odor.

The answers were all that everything was fine.

Fangyan is now basically confirmed that she is really pregnant.

But why wasn't it checked out?

"How is it, Doctor Fang?" Hu Daohu couldn't wait any longer.

Fang Yan did not answer this question. After thinking quickly for a while, he asked Hu Daohu and Huang Huijie:
"Is it morning urine when you check it?"

After saying this, he also specifically reminded:
"I mean, is this the first pee from last night till this morning?"

"Of course!" Hu Daohu nodded.

However, Huang Huijie did not nod. Instead, she hesitated for a moment and asked:

"I often get up at 4 or 5 o'clock before dawn to go to the bathroom. Will this affect the test?" Without even answering in dialect, the nurse next to her said:
“It will definitely have an impact.”

"If it's not the first urine in the morning, the test may not be accurate."

When Fangyan heard this, he finally understood what was going on.

No matter how much I planned, I never expected this situation.

This is due to improper sample collection, and the urine collected is not morning urine.

Because the hCG concentration in morning urine is relatively high, it is more conducive to detection. If urine is collected at other times, the hCG concentration in the early stages of pregnancy is lower, which increases the possibility of false negatives.

When the couple was still a little confused, Fang Yan said to them:
"Although the test results have been affected, it is now basically confirmed that Ms. Huang Huijie is indeed pregnant."

"Congratulations, you two have successfully prepared for pregnancy!"

As soon as Fang Yan said this, everyone else congratulated the two of them.

Hu Daohu and Huang Huijie were feeling like they were on a roller coaster. They were just worried about the impact of the test results, but when Fang Yan said this, they instantly fell into ecstasy.

The couple didn't care about the presence of so many people and immediately hugged each other. Huang Huijie said to her husband excitedly:

"I'm finally pregnant! I'm really pregnant! It feels like a dream!"

Hu Daohu also nodded and said with a smile:

"Yeah, I can't believe it!"

The couple are in their forties and have been looking forward to this day for more than ten years. Today, their wish finally came true.

Fang Yan said to them:

"You're just pregnant now, don't get too excited."

Hu Daohu was so excited that he was already somewhat incoherent. He nodded and said:
"Yes, yes, Doctor Fang is right. The wife in their family is also pregnant. She understands this best."

Fangyan was in a dilemma. He knew whether his wife was pregnant or not, right?
However, one thing can be confirmed now, that is, they were unable to conceive when they were abroad before, so there must be someone involved.

She had been unable to get pregnant for more than ten years abroad, but got pregnant two months after returning to China. This is basically a fact.

Although Huang Huijie was in poor health, it was not a chronic illness. It had only started in the past year or so. Before that, she was a completely normal woman and was definitely able to get pregnant.

Therefore, Fangyan’s previous judgment was absolutely correct. Someone in their Hu family was definitely causing trouble.

Thinking of this, Fang Yan immediately reminded them:
"Now that I'm pregnant, I have to be more careful about what I eat, drink, and use, as well as when I go out on a daily basis."

After Fangyan said this, the couple immediately calmed down.

Yes, it’s just beginning.

Seeing that the couple was a little nervous, Fang Yan comforted them:

"It's okay. At least it's safer at home than outside."

"No matter who wants to come in from abroad, there will be a record, and not everyone can come in here. As long as you are in the hospital, we can guarantee your safety."

Hearing Fang Yan's words, Hu Daohu smiled and said:

"Thank you, Doctor Fang. We've made note of it."

At this time Fang Yan said again:
"If Mr. Hu needs to know about the pregnancy, we can keep it a secret for now."

Hu Daohu waved his hand:

"No, no, there's no need to worry so much."

After that, he looked at his wife and said:

"I think we need to have a big celebration, preferably in the newspapers."

"Yeah." Huang Huijie nodded.

"We had already discussed that once we were pregnant, we would publicize it with great fanfare. We would like to thank Dr. Fang, the Union Hospital, and the Overseas Chinese Affairs Office."

"At the same time, it also lets overseas Chinese know how good our Chinese medicine technology is."

When Fangyan heard what the couple said, he knew that Hu Daohu was probably trying to set a trap for his family.

But this had nothing to do with him, so he nodded and said:
"Since both of you have made up your mind, then let's do as you wish."

Hu Daohu also said:

"By the way, I'll do another test this afternoon and bring out the test report then. This way it will look more convincing."

Fang Yan nodded and said:
"Then arrange a test for Ms. Huang this afternoon. After the results are confirmed, you can feel relieved when you see them."

Hu Daohu nodded and said:

"That's what I meant."

Then he said:

"Once the results are confirmed, we will contact the Overseas Chinese Affairs Office. Then we can talk about thanking the hospital and Dr. Fang."

Fangyan smiled and waved his hands, not really caring about this:

"It is our duty as doctors to cure diseases and save lives."

However, Hu Daohu said:

"Hey, Lao Zhou's family was able to donate two buildings, so we can't fall behind."

"To be honest, we both had thought about this when they donated the building."

(End of this chapter)