耐心学习

Q Medicine

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-12-22 DOI:10.1136/jfprhc-2016-101659

A. Berger

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引用次数: 0

摘要

“我怀孕了吗?”她紧张地问。我当然不知道，但从她的历史来看似乎不太可能。她决定不参加考试，只想让我说“不”。我不能。“嗯，也许只是我的荷尔蒙的问题?”她满怀希望地又问了一遍。这一点我也不能肯定。她是一名32岁的全职城市工人，从事着一份要求非常高的工作。她看上去筋疲力尽，浑身散发着紧张的活力。生活中有很多东西可能会导致她的月经不规律和疲劳，但只要我确定她不怪自己的荷尔蒙，她就不想检查任何东西。接下来是一位23岁的久坐不动的秘书，面部有轻微痤疮，还有一定程度的肥胖。她确信自己……

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Learning with patience

“Am I pregnant?” she asked nervously. Of course I had no idea but it seemed unlikely from her history. She was determined not to take a test and just wanted me to say “no”. I couldn't. “Well maybe it's just my hormones?” she asked again, hopefully. I could give her no certainty about that either. She is a 32-year-old full-time city worker holding down an intensely demanding job. She looked exhausted and exuded nervous energy. There was plenty of life stuff that might be causing her erratic periods and tiredness, but nothing she wanted to examine, as long as I was sure she couldn't blame her hormones. Next up was a 23-year-old sedentary secretary with mild facial acne and a degree of obesity. She was sure she had …

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