Chapter 59 Section 5

The next day, Ding Yi called two gynecologists and made an appointment to meet. Dr. Z works in two hospitals. He is very busy and hard to catch. He can only call the front desk.She had no choice but to ask the front desk to make an appointment for her at the earliest, but it turned out that she had to wait until next week at the earliest. Dr. Jin was a little better. He only worked in one hospital and was a researcher. He was much more relaxed, and the appointment was made two days later. She managed to make it to the day of meeting with Dr. Jin, and ran there half an hour early, but the result disappointed her.

Regarding the test report, Dr. Jin's statement is exactly the same as that of the Koreans. It is not as easy to understand as the Koreans. It is full of terminology, and it does not explain or draw pictures. If the Koreans did not read her before, and she herself After a few days of searching the Internet for relevant information, she may not understand what Dr. Jin is saying. She was most concerned about the source of the HPV virus, so she eagerly asked the reasons she thought of one by one, but was rejected by Dr. Jin: "Impossible, the HPV virus is difficult to survive outside the human body, and the possibility of transmission through objects The sex is minimal."

She was anxious: "But I only had one sexual partner!" "It only takes one sexual partner to be contagious." "Even with this sexual partner, we don't spend much time together..." She didn't care about being ugly, and described her sexual history in detail. But Dr. Jin only said one sentence: "This can be infected with only one-time activity." "Then you mean it can only be passed down to me by my husband?" Dr. King shrugged noncommittally. She said angrily, "I'm going to kill him!" She thought that if she said this, Dr. Jin would definitely say "don't kill it, it may not be passed on to you by your husband", but Dr. Jin didn't say anything.

She was desperate and no longer expected Dr. King to prove her husband's innocence. Dr. Jin did not make an appointment with her for the next meeting, and suggested that she still see Dr. Z for treatment.She didn't object, because she didn't feel good about Dr. Kim, and considering Dr. Kim's relationship with Koreans, she thought it would be better to find Dr. Z. The next few days were even more difficult. Every day felt like a year, and I didn’t have the heart to write a thesis or find a job. The only thing I didn’t dare to neglect was taking care of my daughter. Although I was very anxious, I had to pretend that everything was normal in front of my daughter.

As for her husband, since he dropped the phone that day, the two of them haven't spoken to each other. He comes back every night when she falls asleep, and he slips away when she goes to drop off the child in the morning.The weekend was no exception. Before she and the child got up, she heard the sound of him opening and closing the garage door, and then disappeared all day, and did not go home until midnight. She knows that he is avoiding her, and she doesn't want to meet him, because she has no conclusive evidence to prove that HPV was brought back by him, and there is no conclusive evidence to prove that HPV was not brought back by him, and the two will definitely quarrel when they meet , but there is no result in the quarrel, it is better not to meet.

The only communication between them was that he was still eating the food she cooked, and she was still using the money he earned. When it was time to meet with Dr. Z, she still went early, knowing that it was useless to go early, but she would feel restless if she didn't go, she might as well go to the hospital and wait, and feel more at ease. Finally hearing the nurse calling her name, she walked into Dr. Z's consulting room. At first, she measured her height, weight, blood pressure, temperature, etc. as usual. It turned out that she was eight pounds lighter than last time. The overweight nurses were amazed: "Wow, eight pounds lost in less than a month, how did you do it?"

She smiled wryly and said, "There is no trick, just be anxious." After measuring his height and weight, he waited for a while before seeing Dr. Z. Dr. Z’s analysis of her condition is exactly the same as that of the two researchers, and she has been cramming up on this knowledge on the Internet these days. She has read a lot of related articles in Chinese and English, and she feels that she has quickly become a cervical cancer degree. , almost to the point where Dr. Z is still speaking the above, she already knows the following, and she is bilingual. She asked: "I also asked Dr. Jin from St. Mary's Hospital to examine me, but her test result was CINⅡ, and yours was CINⅢ. Why is it different?"

Dr. Z didn't seem to be angry because she went to another doctor, and patiently explained: "That's right, the current pathological test report adopts a new classification method, and the previous CINⅡ, CINⅢ and cervical carcinoma in situ are all classified in In high-grade squamous intraepithelial lesions. Some doctors feel that this division is very general, or out of habit, they will use terms like 'atypical hyperplasia' or 'cervical intraepithelial neoplasia' when writing medical records." "But I read on the Internet that CINⅢ is 'carcinoma in situ of the cervix', so is it grade II or grade III?"

"This difference doesn't make much sense. Both belong to high-grade squamous intraepithelial lesions, and they all have the same treatment." The explanation she saw on the Internet was the same as that of Dr. Z. She just used this method to check how good Dr. Z is. Since Dr. Z passed her assessment, she no longer bothered about the "secondary" and "third-level" issues. Turn to HPV: "Is it possible to be infected from other sources? For example, using a public washing machine, sitting in a public toilet, etc.?" Dr. Z shook his head: "Basically impossible. The HPV virus survives for a short time after leaving the human body. It can only be transmitted sexually, not necessarily sexual intercourse, but at least there must be contact with the sexual organs."

"But I read online that HPV can also be contracted through exposure to pollutants." Dr. Z shrugged, noncommittal. She took the trouble to talk about the "Chinese artifact" and "foreign artifact" again, and then asked hopefully, "Could it be contagion from there?" Doctor Z still gave the same answer: "Impossible, because this virus can only survive for a short time outside the body." She said all the reasons she thought of, but Dr. Z denied them all. Dr. Z comforted: "Don't be nervous. Many people have been infected with HPV. Most of them are fine. Even if they develop atypical hyperplasia, it's fine. Just do a cervical conical section."

She felt that Dr. Z could not understand her feelings. Maybe there is no one in the United States who has only had one sexual partner in her life, so no one would care about the question of "Where did HPV come from?" She can understand this point. If she She also had several sexual partners, even if there were only two, she would not dwell on this issue, because she could not know which one passed it to her, so what's the use of dwelling on it? The problem is that she only has one sexual partner, and this becomes very important, she has to find out whether her husband is cheating or not, otherwise she can't live with him. She told Dr. Z what she meant, and Dr. Z seemed to understand. Frankly speaking, she had never met anyone who traced the source of HPV, and she did not do research in this area herself. She remembered another thing: "My husband had a girlfriend before, and they had a sexual relationship. Could it be his girlfriend passed it on to him?" "possible." Once she returned to her husband from external factors such as "artifacts", she immediately remembered that her husband had returned to China, and couldn't help but gritted her teeth and said: "He went back to China some time ago to see his father. There are a lot of sex workers, I wonder if he got HPV from there?" "possible." She hated Dr. Z from the bottom of her heart, why is this man so unprincipled?At first everything was impossible, now everything is possible, so is it possible or impossible? She didn't ask any more questions, knowing that she couldn't find out why, because Dr. Z wasn't sure what was going on.As a gynecologist, Dr. Z is concerned with diagnosis and treatment.As for where the patient was infected with HPV, whether to divorce or not, or to kill or not to kill, has nothing to do with the doctor's diagnosis and treatment. Perhaps this matter should be asked to epidemiologists, but even epidemiologists cannot clearly point out how a certain patient’s HPV came from. At most, they can tell the transmission channels of HPV. How did HPV get infected, but when it came to Ding Yi, they could only shrug their shoulders. She resigned to her fate and no longer entangled in the source of HPV. She only asked the difference between cervical circumcision and cervical conization, and decided to perform cervical conization.General anesthesia is general anesthesia, it is even better if the anesthesia is turned over, lest you know it hurts.If the numbness turns over and never wakes up again, it can only be said to be fate, let her go once and for all. Dr. Z explained to her the basic steps of the operation, and explained while drawing a schematic diagram. Finally, he said: The cut part will be sent for testing. There are three possibilities for the testing results: The first is normal, nothing happened, and the smear test is not accurate, but you will have to do Pap smears regularly in the future, because you have HPV; The second is atypical hyperplasia, so cervical conization is equivalent to removing the lesion, and regular Pap smears will be performed in the future. If there is no problem after several consecutive tests, the number of examinations can be reduced. The third is cervical cancer, which requires one-stop removal of the cervix, uterus and ovaries. Dr. Z said that the biggest possibility is atypical hyperplasia, but the other two possibilities are not ruled out. Her heart was suspended again, because it might be cervical cancer, which she had ruled out by herself in the past few days, and it seemed too early to be optimistic. Listening to Dr. Z's tone, removing the cervix, uterus and ovaries is as simple as blowing your nose. If there is mucus in your nose, just pinch your nose, blow it, and pop it out.But that was her cervix, uterus, and ovaries, and she couldn't possibly take it as lightly as Dr. Z did.She asked worriedly: "I heard that the ovaries secrete estrogen. If the ovaries are cut off, wouldn't it be menopause?" Dr. Z said lightly: "Anyway, the ovaries will stop working one day." "But I'm not yet forty!" "Early menopause is not bad. If menopause arrives late, the possibility of getting breast cancer and ovarian cancer is greatly increased. If the ovary and uterus are removed, you will never get ovarian cancer and uterine cancer, and the chance of getting breast cancer is also lower. Greatly reduced, what's wrong?" She thought angrily: You might as well cut off all my internal organs, then there will be no cancer. Dr. Z said that cervical conization is just an outpatient operation, and the actual operation time is at most half an hour. It takes a little time to prepare for the front and wait for her to wake up from anesthesia after the operation. It takes about three to four hours. .She does not need to be accompanied during the operation, but after the operation, someone needs to drive her home, because she has been given anesthesia and cannot drive, and she needs someone to accompany her for a few hours, fearing that there will be accidents after the operation, so she has to figure out first, when Someone picked her up in a car to accompany her, and the operation date was set. She had no choice but to call her husband and ask, "Which day are you free next week?" "I have to go to work every day." "But I have surgery next week and you have to drive me home and spend a few hours with me." He was a little scratching his head: "What kind of surgery?" "Didn't I tell you earlier? Make that 'funnel.'" "The results of your review came out?" "Atypical hyperplasia." He didn't suddenly realize, "Oh, it's atypical hyperplasia", but he didn't ask what atypical hyperplasia is, he just said, "Can't we do without surgery?" "How do you know if it's cancer without surgery?" He fell silent. She asked impatiently: "Which day are you free? Tell me soon so I can reply to the doctor. I'm waiting." "Friday." After the operation time was set, Dr. Z told her again: "I will tell the people in the operating room your phone number, and they will contact you and arrange for you to make preoperative preparations." When she returned home from the hospital, the more she thought about it, the more mysterious she became. Preoperative preparation, surgery, general anesthesia, and family members accompanied for a few hours. this operation? What does Dr. Z do?Is it true that as my husband said, American doctors have no actual combat experience and everything depends on laboratory tests?For a doctor like this, she knows how to do things like smears, colposcopy, and slices?With the test report, who wouldn't make a diagnosis? She couldn't help calling the Koreans again to ask for their opinions. The Korean listened to her meeting with two doctors and suggested, "If you are still planning to have a baby, it might be better to do a cervical circumcision." She said dejectedly: "What kind of child is born? I don't even talk to him now." "why?" "He doubts me, and I doubt him." "What do you suspect?" "HPV." The Korean stopped talking and said after a while: "Then do cervical conization, and it will be more thorough." "But Dr. Z said that there may be no problem at all after the incision, and it is completely normal. Then, didn't I get the incision in vain?" "But how do you know if there is a problem?" "Are American doctors so useless? Can't diagnose anything without laboratory tests?" The Koreans hurriedly defended the American doctors: "I can't say that. I think American doctors are relatively advanced in this field. I worked as a doctor in South Korea, and I have more discernment." She recalled that Koreans are striving towards the goal of "American doctors", and of course they don't want to hear anyone speak ill of American doctors.She didn't argue any more, just do the surgery, the worst result is to cut off a piece and find nothing wrong, but so what?It’s nothing more than bad for having a baby. Anyway, the HPV thing made her feel very cold towards her husband, and she didn’t have the enthusiasm to have a baby with him. It’s useless to keep a cervix, and it cuts off a few heart problems. The next morning, when she came back after sending the child off, she found that her husband hadn't left yet and was packing food into a lunch box in the kitchen. When she saw her, she hurriedly covered the lunch box and walked out as if she had seen a ghost. She stopped him: "Don't go! I want to talk to you." "I am very busy." "Where are you so busy? Are you busier than the president?" "About what?" "Talk about HPV." "What's the talk of HPV?" "Of course there's something to talk about, and I'm trying to figure out where it's coming from." "Only you know this best." She was stunned by her husband's shamelessness: "You, are you still blaming me? I have never cheated, and my HPV can only come from you!" "I've never cheated on you, and your HPV can only come from messing with other people." "You're talking nonsense!" "You're talking nonsense." "You haven't had an affair, but you have had at least one girlfriend." "I have never had another girlfriend besides you." "Nonsense! Didn't you graduate from some medical school before me?" He raised his eyebrows: "When did I have a girlfriend from a medical school? I told you, I failed her test." "It's not that one, it's the other one, the divorced one." He was stunned for a while before he said, "That? I forgot." "Who knows how many others you have forgotten?" "No, just this one. But how many years ago was that? And we haven't had a few." She said very expertly: "This virus can be infected only once, and it can take many years to attack." "Who said this?" "Several doctors have said so." He stopped ringing, and after a while he grunted and said, "What a ghost has happened."