Surgeons dressed as poor people in the Republic of China

"You called me?" Hu Le quickly ran into the medical room.

Ye Yibai looked up at him strangely, nodded, "Yes, as a second assistant, have you ever been on the operating table?"

"No... no."

Ye Yibai raised his head and glanced at the young man in a white coat in his thirties who seemed a little nervous, and said "hmm".

What does "um" mean?Still let him be the second assistant?Hu Le murmured in his heart, and at the same time couldn't help showing a nervous look on his face. He had just confirmed the identities of the three people in front of him from the people outside.In a small medical room, there are actually big doctors who are responsible for the epidemic situation in Pingjin from three countries. No hospital in Pingjin city has such a ostentation.

"Look carefully, the blood transfusion will stop when it reaches 500ml. And is there a breathing bag here? The patient needs assisted breathing." Ye Yibai observed the state of the parturient carefully, and said without raising his head.

Hu Le subconsciously looked at Gail who was seriously checking the disinfection items, and immediately realized that Ye Yibai was talking to him, and he immediately said: "Breathing bag? No...no, I will look carefully at the blood transfusion!"

The absence of a breathing bag means that the mother does not even have the most basic assisted breathing conditions, and every breath of her air must be absorbed by her already weak respiratory system, which is extremely dangerous for a patient who is close to shock of.

Ye Yibai is clear about this matter, as are Dr. Brooke and Dr. Gail.

"Doctor Ye, what are you waiting for? The longer it takes, the more dangerous the baby will be. We must have a caesarean section immediately." After checking the only disinfectant items in the medical room, Gail couldn't help but look serious when he saw that Ye Yibai hadn't moved He opened his mouth to remind.

Ye Yibai looked up at the wall clock on the wall of the medical room, "Wait a minute."

"Wait a minute, what are you waiting for?" Dr. Gail clearly showed disapproval on his face, "Saving the child's life is the most important thing now!"

"Wait..." Gail seemed to realize something, he raised his head and looked at Ye Yibai with disbelief, "Ye, do you want to keep both?"

A woman whose bleeding exceeds 1500ml, and the reality is so bad that even the basic medical environment and equipment cannot be guaranteed. This young Huaguo doctor actually wants to have the best of both worlds and keep both of them. Does he think he is God?

Gail thought so, and said so, "Do you think you are God? If this continues, neither of them will be able to survive. The bleeding volume of the parturient is more than 1500 milliliters, and Brooke can transfuse up to 500 milliliters of blood. It’s not enough, not to mention that the normal blood loss in caesarean section is about 600 milliliters, Ye, even if you are one of the best surgeons in the world, you still can’t save a pregnant woman who lost half of her body’s blood!”

Ye Yibai observed the mother's condition without blinking, "No, as long as the blood loss during the operation is controlled at about 400 milliliters, the baby is taken out, and the bleeding is stopped, there is still time."

"I'm also type O blood. After hemostasis is completed and the baby is taken out, you can do the stitching work in time." Ye Yibai said "in time" twice, not sure whether he was convincing Gale and the others or himself.

Dr. Gale opened his mouth and was speechless for a moment.

At this time, hurried footsteps came from the door, and someone said loudly at the door: "Doctor Ye, here are the things."

Ye Yibai breathed out subconsciously when he heard the words, "Okay, come in!"

Several team members quickly moved ventilators, scalpels and other medical equipment and medicines into the medical room. After they left, Ye Yibai and others quickly performed disinfection work.

It is impossible for the medical room at the train station to achieve a sterile environment like the operating room, but at this moment, I can’t take care of that much anymore. The consciousness of the parturient is clear from beginning to end, but the pain and excessive blood loss make her speechless Come on.

"Don't be afraid, it's okay, it'll be fine soon. Do you still feel any pain in your stomach?" She heard the doctor in front of her with a mask and gentle eyes say so.

Only then did the parturient realize that she didn't seem to feel the severe pain from her abdomen for a while. Sometimes the pain was so numb that she didn't feel very bright. She hesitated for a moment before pointing hard at those gentle eyes. nod.

After confirming that the anesthetic had taken effect, Ye Yibai raised his hand and walked to the position of the chief surgeon. He quickly glanced at the surgical instruments that Hu Le took out, and then nodded Hu Le lightly, "Knife."

"Hey." Hu Le replied heavily, and at the same time quickly handed over the scalpel.

The sharp scalpel cut across the soft belly, and the moment the uterus was opened, the expressions of Ye Yibai and Gail became serious, a very typical placenta previa with the wall surrounding the cervix.

"Take out the baby first. The mother's bleeding is too much. Once the mother's body can't support it, the baby will be in danger." Gail said in a deep voice.

The pressure bandage must be untied after the laparotomy. Once the abdominal pressure bandage is untied, the mother’s blood will flow out again like an open faucet. Even though Ye Yibai has found the obvious bleeding point as quickly as possible to stop the bleeding, Brooke Most of the [-] milliliters that were injected still flowed out.

Ye Yibai did not speak. The scalpel in his hand entered from the lower part of the uterus, avoiding most of the placental tissue, and then cut open the muscle layer to completely expose the placenta. The moment the placenta was exposed, he quickly retracted the scalpel , handed it to Hu Le, and then bluntly peeled part of the placenta from the incision site with his hands.

Compared with a scalpel, tearing the wound by hand can better protect the skin and soft tissue, and protect the mother's nerves and blood vessels from damage to the greatest extent. The thin placenta is like a piece of paper in Ye Yibai's hands. Hu Le even There was a sound like paper being torn.

Through the thin amniotic membrane, the three of them could already see the fetus curled up in the amniotic sac relatively clearly. Before they had time to marvel at the magic of life, Ye Yibai's hand carefully and quickly ruptured the membrane, "It's time to pick up the baby, remove the hook , with your hands." Ye Yibai said in a low voice.

Gail nodded. He took out a retractor and handed it to Hu Le. At the same time, he took the position of the retractor with his left hand, and the same with his right hand. Even through thin gloves, Gail could feel the slippery texture of the human body in his hand. The feeling and the warm feeling of amniotic fluid flowing through the palm, this is really a novel experience for a physician.

Ye Yibai squeezed the amniotic sac with one hand, and slowly squeezed out the baby like an ointment with the other. With a "boo", the baby's head was squeezed out, "Open the mouth wider, Doctor Hu, it's done. "

Almost trembling, Hu Le stretched his hand into the pregnant woman's belly, and carefully supported the baby's head. The warm and steamy touch made Hu Le's nerves tense.

Ye Yibai's hands were very fast. After the baby's head was squeezed out, he pulled out the doll almost as if he was pulling his intestines. Hu Le had quick eyesight and quick hands, and he supported the baby with one hand almost without a teacher. buttocks.

The newborn was still curled up, her eyes were closed tightly, and her skin was wrinkled from being soaked in the amniotic fluid for a long time, like a cute little old lady.

Hu Le felt the rhythm coming from his palm, and an indescribable feeling burst out from his heart. Is this what it feels like to be a real doctor?

"Placing the children well, we will continue."

Seeing Hu Le in a daze, Ye Yibai glanced at him, and at the same time his tone became a little serious.

Hu Le subconsciously shuddered, and immediately stood at attention and said "Yes" loudly. The stunned appearance made Brook, who was sitting on the chair beside him, laugh dumbfounded.

The arrival of the new life is gratifying, but the white coats in the operating room did not even have time to look at her, and continued to operate. The child was successfully delivered, but the mother was still struggling on the verge of life and death. Now is not the time to relax.

In order to minimize the amount of blood loss during the operation, Ye Yibai abandoned the traditional placental perforation and chose to use the partial stripping of the placenta to rupture the membranes. So far, he has done it very successfully. As long as all the bleeding points are found as quickly as possible, If the bleeding is stopped, the amount of bleeding in this operation can be controlled within 400 milliliters.

Under the simple medical conditions, Ye Yibai almost controlled the amount of blood loss during the operation to a milliliter.

"gauze."

"The operating field is not clean enough, take a breath."

Blood flowed out along the transparent tube, and the condition of the parturient was obviously getting worse. At this time, Brooke had finished transfusing 500ml of blood, and was sitting on a chair with his eyes closed to rest his mind. There was no blood source to inject, and he was bleeding during the operation. , the numbers on the monitor began to jump.

"The patient's blood pressure disappeared, it should be lower than 50mmhg, it can't be measured anymore." Gail said in a deep voice.

"En." Ye Yibai responded, but the movements of his hands were not slow at all, "Hemostatic forceps."

Hurry up, hurry up, Ye Yibai didn't dare to relax for a moment, the only sounds in the operating room were the collision of instruments and the extremely low breathing of everyone.

From the beginning of the laparotomy to the removal of the baby, and then to the completion of hemostasis, the process seemed long but actually only lasted 23 minutes. Looking at the patient's blood pressure data reappearing in the monitor, Gail had to admit that it was a miracle.

There was a crisp sound when the instrument collided with the metal plate. After Ye Yibai confirmed that all the bleeding points of the parturient had been treated, his tense nerves finally relaxed for a moment.

In this wrestling with the god of death, the doctor's side has temporarily gained a slight advantage, but if he wants to win a big victory, he must pursue the victory.

"Dr. Gail, I'll leave it to you, Dr. Hu, take the blood." Ye Yibai took two steps back, giving up the position of the chief surgeon, and rolled up his sleeves at the same time.

"Gail, I'm done resting, let me come." Leaning on the back of the chair and closing his eyes, Brooke got up from his seat when he heard Ye Yibai's voice. Compared with Gail, who has been engaged in internal medicine, Brooke, who once studied under Bonn, is obviously a better candidate for finishing surgery.

Gail and Ye Yibai were also very aware of this, Gail breathed a sigh of relief and nodded in agreement.

Brook walked over to the sink and began to do simple disinfection work.

The medical room at the station was very crude, and there was no suitable place to put the child. Hu Le originally put the child on his usual desk, but it was probably because the desk was too hard and cold. She moved her limbs uncomfortably, and then loudly Howled.

Seeing this, Hu Le hurried forward to pick up the baby. None of them were serious obstetricians. Hu Le, the station doctor, even hugged the baby like he was holding a bomb. Ye Yibai looked amused.

"Give it to me, I still have one free hand." Ye Yibai waved his right hand, signaling Hu Le to hand over the child to him.

At this time, Brooke had finished the disinfection work and stood at the position of the chief surgeon, holding the needle holder and starting to suture. Dr. Gail acted as the second assistant. Two people on the operating table were not enough. Hu Le could not hold the child all the time. But the child was crying so much, he couldn't just throw the child on the desk like this.

Hu Le looked at the blood collection tube in Ye Yibai's left hand, then at the howling newborn in his hand, hesitated for a moment, and handed the child over.

The moment Ye Yibai took the child from Hu Le, a pair of dark eyes met Ye Yibai's eyes.

Only the occasional sound of the aspirator could be heard in the room, and even the little doll on Ye Yibai's lap seemed to feel the serious atmosphere in the room, and stopped crying, and opened its small mouth slightly, but did not utter a single sound. The sound came.

Everyone outside the room listened to the movement in the room, and their hearts were extremely anxious, especially the husband of the pregnant woman. He just heard the cry of the child, and it was too late to be happy. The crying stopped abruptly, and now there is even more silence , I can't hear any sound when I open the door.

"Why is it suddenly silent? Nothing will happen, right?" the mother's husband said to himself. He wanted to seek support from the people around him, but when he looked up, he saw those serious faces with an astonishing momentum. Yes, there are some faces that can only be seen in newspapers, his voice weakened, but the anxiety in his heart did not diminish by half.

About half an hour later, the door of the medical room was finally opened.

Ye Yibai came out of the medical room surrounded by Gail and Brooke from left to right. The three of them were talking, and Gail and Brooke's eyes fell on the small box in Ye Yibai's right hand.

"That medicine just now is sulfonamide? Can it really fight infection?" Gail was very interested in this drug that has caused a huge response in the international medical community.

When sulfonamide caused an uproar in the international medical community, Gail and Brooke were already deeply trapped in the quagmire of Pingjin, and communication was inconvenient. However, in their few communications with the outside world, their colleagues and friends all mentioned Ye Yibai mentioned sulfonamide, which is why Gail came to the station to pick up people with Brooke and others today without saying a word.

Now Ye Yibai injected this drug into the body of a cesarean section woman who was bleeding profusely in front of him, which made him feel as if there was an itch tickling in his heart, wishing to stay by the woman's side 24 hours a day to see if it was there My peers say it's amazing.

"The environment of the operation is too bad, and the incision of the cesarean section is large, even if there is sulfonamide, you can't take it lightly." Ye Yibai said while handing the box in his hand to the young team member.

Gail understood the meaning of Ye Yibai's words, and his curiosity grew stronger. At the same time, there was a faint hope in his heart. If the effect of sulfonamide is really as stated in the peers and journals, then... maybe he can really do it. Take them out of this nightmare.

There were many thoughts in Gail's mind, and he looked at Ye Yibai slowly with solemnity. Ye Yibai didn't know Gail's psychological changes, and he was thinking about what to say to the family of the pregnant woman at this time.

Sure enough, as soon as the three of them stepped out of the door of the medical room, the husband of the pregnant woman rushed up immediately. He clenched his hands into fists and looked at the three of Ye Yibai expectantly, "Doctor, doctor, my wife and How is the child, I just heard the cry of the child, is the child born, is it healthy?"

The man asked several questions in one breath, and then waited with bated breath for the answers from the three white coats.

"The parturient is a typical placenta previa with the wall surrounding the cervix. The child is not affected much because of the timely cesarean section. Whether the specific newborn indicators are qualified or not needs to be judged by a professional pediatrician, but I personally think that the problem is not big. As for the maternity..."

Ye Yibai pondered for a moment, then continued: "The situation of the parturient is relatively serious. The parturient has a lot of bleeding, and has symptoms of shock before and during the operation. Moreover, the environment of the caesarean section is simple and the infection rate is not small. Although Corresponding measures have been taken and medicines have been given, but it cannot be said that she is out of danger. If she is in the hospital, given her current state, she will definitely be pushed to the intensive care unit for 24-hour care."

The pregnant woman’s husband’s mind was buzzing, he hadn’t read many books, and he couldn’t understand many professional terms in Ye Yibai’s mouth. He tried his best to piece together the words he understood, and got “His child survived, His wife was in danger, but she survived," the conclusion.

The expression on his face changed from hesitation to ecstasy, and he couldn't help bowing to the three of Ye Yibai, "Thank you, thank you, thank you doctor."

Seeing the reaction of the husband of the pregnant woman, Ye Yibai immediately realized that there was a communication problem between the two of them. He waved his hand and said, "Don't thank me too early, your wife hasn't passed the critical period yet, and she needs 24-hour care. It should have been done by the hospital, but now you know the situation of the major hospitals in Pingjin, they are unable to accept patients, so this matter can only be done by the family members, that is, you. Of course, Dr. Hu and I have already done it. Well, he will help you."

This is already all that Ye Yibai can do. Now there are almost no medical resources in Pingjin City, and there is not even a list of qualified doctors who have confirmed that there is no infection. Ye Yibai must now focus on controlling During the epidemic, he just left the phone number of the mansion that Pei Zebi bought to Hu Le, asking him to contact him in an emergency.

The husband of the pregnant woman kept nodding, "I know, I know, thank you doctor." The man kept thanking him. Although he was uneducated, he was born in a rural area and he had seen too many such scenes. Stepping into the gate of hell, his mother, his sister, this time his wife bleeds more blood than his sister and his mother. He understands that this is already a miracle. Doctor Wei Ye was full of gratitude.

"Generally, if there is no obvious fluctuation in maternal physical signs within 24 hours, it means that you are out of the dangerous period. You need to work hard during these 24 hours. I also left a phone number. If there is an emergency, Dr. Hu will contact me." Ye Yibai said.

"Okay, okay, thank you doctor."

This time Ye Yibai accepted the family's thanks frankly. He looked back at the simple medical room and sighed softly in his heart. This feeling of powerlessness is really uncomfortable.

"I'll interrupt." Just when this matter was about to end, and the pregnant woman's husband was about to go to see his wife and child after thanking her again and again, Brooke suddenly said: "The Huaguo Hospital in Pingjin City does not accept capacity, but our hospital still has a few beds.”

Surprised expressions were evident on the faces of everyone, especially the officials in Pingjin City. I thought about going to a foreigner's hospital for treatment.

But they found that the foreigner hospital that they can live in if they have money on weekdays, don’t talk about money or even affection at this time, even the foreigners themselves will not accept non-emergency diseases. When this rule comes out, foreigners People made a fuss first, but it's useless to make a fuss. People's hospitals just did what they should do. Seeing this, the dignitaries in Pingjin City stopped thinking and hid at home to pray that the epidemic would never come to them.

But at this time, this Dr. Brook actually took the initiative to invite an ordinary pregnant woman to their hospital?Dr. Ye really has such a big face, the British doctor rushed to please...please?

"No, no, Brooke, your church hospital is too far away from here, go to our hospital, we are close, and our obstetrician is still working, so pregnant women can get better care." Dr. Gail also said suddenly road.

Brooke frowned a little displeased when he heard the words, and Gail was smiling, but the atmosphere between the two obviously became somewhat tit for tat.

British doctors and French doctors are tit for tat about where a Chinese woman should be hospitalized? ? ?How is this possible... that is for... Dr. Ye? ?

Although Zhou Haoren and the others thought it was unbelievable, they couldn't think of any other possibility in the face of this situation. While they thought it was ridiculous, the thought resurfaced in their hearts. If it was Dr. Ye, maybe It can really save Pingjin City.

Ye Yibai didn't know what everyone was thinking. If he knew, he would laugh dumbfounded. Others couldn't see it. He didn't know that the reason why Brooke and Gail competed for this pregnant woman was because they both wanted to observe the effect of sulfonamide up close. .

But no matter what the reason is, it is the best result if they are willing to treat this pregnant woman. After all, there is a huge gap between the medical conditions of the station clinic and the hospital. "Go to a hospital that is closer, and the pregnant woman needs the care of a professional obstetrician." , Newborns also need professional care." Ye Yibai said.

The smile on Gail's face got bigger when he heard this, and he nodded immediately, "Okay, I'll borrow the phone number from the station and let the hospital send a vehicle to pick him up." At the same time, he turned his head and said to Hu Le in the room: "Doctor Hu, you Give me the remaining sulfa first, I need to take it away."

"Thank you, thank you doctor, thank you very much." The pregnant woman's husband didn't know the twists and turns, but said that the doctors were kind enough to save his wife and children, and they were willing to arrange a hospital for his wife. The whole person is full of gratitude, and can only express one or two with continuous bows and "thank you".

At this time, the children in the house uttered a cry of "babbling" at the right time, full of new vitality and vitality.

"What a vibrant new life, this has given us a good start, and the next fight against the epidemic will go smoothly."

"Yes, it will be fine."