Chapter 57 Section 3

The next morning, Ding Yi had a meeting with his tutor. Her supervisor is a Korean, surnamed Jiang, who is quite young, younger than her. He is a nice person and has a good academic level. Although he got a doctorate in Korea, he has published many papers in the United States. He used to work in another university. It hasn't been long since she was a researcher and was recruited to her school as an assistant professor. She originally asked Professor Se to be her mentor, and Professor Se also agreed, but she always procrastinated, saying that she didn't have a project in hand, and told her to find a project by herself.But where would she find the project?Professors with projects would not give their projects to other students, so she had to find another supervisor. Finally, she saw that Dr. Jiang had several projects in his hands on the department's webpage, probably because he had just arrived and hadn't She was snatched away by other students, so she went to find Dr. Jiang, and became the first graduate student Dr. Jiang led in the United States.

Disciples who opened the door, Dr. Jiang took it very seriously, and taught everything by hand.This time, J State needed to write a recommendation letter, and Dr. Jiang did his best. Not only did he write it right away, but he also wrote it very well. When he sent it to J State, he specially gave her a backup. She was flattered to have such a high evaluation. She felt that she was able to get the on-site interview in J State because of the recommendation of her mentor, because the other two referees, she and Lu Ping were looking for the same person, but Lu Ping did not get the on-site interview.

When she met her mentor today, the first thing she did was to report the interview process and express her sincere thanks, but she did not dare to give gifts because she heard that the United States is not happy to give gifts to mentors, and she dared not accept gifts from her mentors. The tutor listened to her interview process with great interest, and said confidently: "You should be able to get this job." "real?" "At least 80% possible. You have to hurry up and write your thesis now, because you may have to go to work in J state soon." She had never seriously thought about going to work, and it was beyond her expectations to be able to go to the on-site interview, and she didn't even dare to imagine that she could get this job.When filling out the form, one item asked her when she would start working. She heard from Lu Ping that she should fill it out earlier, because since the employer is recruiting people, it means that they are waiting to use them, and they will not be willing to recruit people who will not start work until half a year later. , so she filled in the end of this semester.

Now when the tutor mentioned it, she became anxious: "I haven't finished my thesis yet, and I won't be graduating until next semester. How can I go to work now?" "You've finished all your courses. It's no problem to go to work in the past. Just come back when you're defending." "But what about our weekly meetings?" "It can be done by e-mail." "I haven't got a master's degree yet, will people want me? They're not afraid to want me, but I didn't get a degree in the end?" "No, many people go to work before answering."

She was so excited that she didn't know what to say. The instructor instructed: "You'd better finish all the data analysis and write the first draft before you leave, then you only need to revise the thesis after passing, otherwise there is no guarantee that you will graduate next semester, because once you go to work, there will be no So much time has been spent on dissertations, especially if you have just passed here and you are a novice at work, you will be busy, so you must hurry up now." She quickly nodded in agreement, and immediately felt a strong sense of urgency.

After meeting with the tutor, she went directly to the computer room, where she was busy until the afternoon when she picked up her daughter. After taking her home, she was busy cooking and washing. It was not until after dinner that she thought about the medical examination. My mood suddenly became heavy. What she wants to know most now is the test results of Dr. Jiang's side. If Dr. Jiang's test results are the same as Dr. Z's side, then just do the "funnel" honestly. Having a baby is destiny, so she doesn't have to worry about it. But if the test results from Dr. Jiang's side are different, it will be difficult to make a decision, and a third hospital may be needed.The more she thought about it, the more anxious she became, and she couldn't wait until tomorrow, so she called the Korean: "Do you know the test results from Dr. Jiang's side?"

"Just got it today." "Is there a problem?" "Uh--" Seeing the Koreans who are always brisk and quick-witted also "uh—" she got up with an ominous premonition in her heart, and asked, "Is there a problem?" "Uh—it's more complicated, and I can't explain it clearly on the phone. Well, if it's convenient for you, I can come to your house and explain it to you in detail." She originally wanted the Koreans to go to the laboratory to supervise the two guys, but she wanted to know her condition more, so she immediately agreed and said, "It's convenient, it's convenient, come here."

After a while, the Korean drove over and exchanged some pleasantries. She asked impatiently, "What's the result of the test? Is it cancer?" The Korean didn't answer, took out a few fax-like things from his bag, and explained: "This is your medical record, with test results on it, and I have an information authorization letter signed by you, so they sent you these things. Faxed it all to me." "Is it cancer?" "Listen to me explaining slowly. The test results of the two hospitals are the same. You may have atypical hyperplasia, that is to say, there are some cells in your cervix that shouldn't be there."

"Is it cancer?" "It's hard to say now, maybe I'll know after a cervical cone section." Her first reaction was that the Koreans made a mistake, or were trying to intimidate her for some shady purpose."Let me look at the medical records myself," she demanded. She took the medical records and looked at them for a while, but she didn't see the name. "Oh, that's right, atypical hyperplasia is the old name, we are used to it. Now there is a new name, cervical intraepithelial neoplasia, which is a precancerous lesion closely related to invasive cervical cancer, referred to as CIN, look, it's written here."

She saw that the medical record did say a CIN followed by a Ⅱ, but the other medical record showed a CIN followed by a Ⅲ. She asked, "Then what does the II and III mean?" While drawing a schematic diagram on the paper, the Koreans explained: "II is the second grade, and III is the third grade. CIN is divided into three grades. The first grade of CIN only has a small amount of abnormal cells in the surface layer of the cervix, and the second grade has more abnormal cells. Normal cells, the third grade is also called carcinoma in situ of the cervix, all of which are abnormal cells, but they are still limited to the full layer of cervical epithelium and have not invaded deeper layers. If it develops further, it may become invasive cervical cancer, then it is more Trouble."

She was flustered and couldn't hear clearly, but she also heard the word cancer, and asked eagerly, "What should I do?" "CIN I generally does not need treatment, and many people will heal naturally after a period of time. For CIN II, a cervical circumcision or cervical conization can be cured." "What is Circumcision?" "Cervical circumcision is to use a high-frequency electric knife to remove the lesion of the cervix. This knife has a coil in the front and a handle in the back. After the electricity is turned on, the lesion can be cut off." "But didn't you say that a cervical cone is a slice?" "It's a slice, but it's also a kind of treatment. If it's atypical hyperplasia, when doing the cervical cone slice, cut off the lesion and it will be cured." "Am I cancer?" "If it is CIN II, it is not called cancer, but it can be called cancer in the third grade, and it is called carcinoma in situ." "What level am I?" "One pathology report said it was grade two, and the other one was grade three." "Is it level two or level three?" "It's all possible." She was in a hurry: "How can this be? If it's level two, it's level two, and if it's level three, it's level three. How can you be ambiguous? You say level three is cancer, am I level two or level three?" "This pathological examination is not easy to be so accurate. Different pathologists may get different results, and there are often discrepancies. The possibility of CIN I mistakes is very high, up to 40%, and it is also possible for second-level and third-level patients. Mistake." "Then how do you know which of the two test reports is wrong?" "So further inspection is required, a circumcision or conization is performed, and then tests are performed." "What's the difference between circumcision and conization?" "Circumcision is performed with a radio-wave knife, and conization is performed with a scalpel; circumcision generally does not require general anesthesia, and the incision is smaller; conization is often performed under general anesthesia, and the incision is larger." General anesthesia is a big deal in her mind, if it is not a last resort, why would the doctor use general anesthesia?She said timidly, "Then I'll do the circumcision." "However, sometimes the circumcision is not clean, and if there is some leftovers, a conical cut may be necessary." "Then I'll do the coning." The Korean said comfortingly: "Don't worry, discuss it with Dr. Z first, and see what she says. Whether it's circumcision or conization, she will do it, so you have to discuss it with her." She remembered that her husband said that "all women who get cervical cancer are women who fuck", and felt very puzzled, but it was hard to say that it was her husband who said it, so she asked vaguely: "I heard someone say that cervical cancer is only for those who have a lot of sex. Only those who have a partner will get it, but I only have one sexual partner in my life, why would I get cervical cancer?" The Korean looked at her for a while and asked, "Dr. Man is the only sexual partner you have in your life? Then he must have more than one sexual partner." "why?" "Because your test results show that you have HPV." "What is HPV?" "HPV is human papillomavirus, which is a virus transmitted through sexual activity. There are many kinds of HPV viruses, among which HPV16 and HPV18 can cause cervical cancer." As soon as she heard that she had contracted it through sexual activity, she felt angry: "He must have passed it on to me." "Who?" "Who else? My husband, of course. I've only had sex with him, and if he didn't pass it on to me, who else could it be?" "This sexual activity does not necessarily refer to recent sexual activity, it can be sexual activity from a long time ago, such as when you did not know your husband." "I didn't have sexual activity with anyone when I didn't know my husband." The Koreans were speechless. She said angrily: "He must have heard from that Xiaowen. No wonder Xiaowen is so familiar with seeing specialists. It turns out that she always sees specialists." "Don't jump to conclusions, let alone argue with your husband about it. I didn't want to tell you about HPV, but you said you only have one sexual partner, so I have to say it. In fact, many people are infected With HPV, maybe 70 percent of women in the U.S. have HPV at some point in their lives, but most get better without treatment or symptoms, so a lot of people don’t know.” Seventy percent of American women have been infected with HPV. She doesn't think it's strange, because their sex life is so open. They have sex partners since they were in middle school, and they will continue to change them in the future. There must be three or five in a lifetime individual.But how wronged she is!A total of one sexual partner, also infected with HPV.What's even more embarrassing is that when someone was infected, she was cured without treatment, but she was infected, but she didn't recover without treatment, and she became CINⅡ or CINⅢ.Koreans say that CINⅢ is cancer, that is to say, she has at least 50% chance of getting cancer. The more she thought about it, the more angry she became, and tremblingly said: "I'll listen to you, don't make trouble with him, but I have to tell him to go to the hospital for a checkup, otherwise he won't admit it." "What did you ask him to go to the hospital for?" "Check for HPV." "It's useless for him to check. There is no way to check whether a man is infected with HPV." "What? The man can't find out?" The Korean nodded. She thinks this is too unfair?Men search for flowers and ask willows, and they can't find out if they are infected with sexually transmitted diseases, but they are not ambiguous at all when they are transmitted to women. She asked: "What should I do then?" "I do not know either." "When you were a doctor, you must have encountered such a thing. How did those women deal with it?" The Korean shrugged: "I don't know, maybe both of them have more than one sexual partner. I haven't encountered this situation with you."