The most enlightened doctor

Facing Du Bing, who treated him as a big deal, Yu Zhiming did not coddle him and told this guy directly.

Dr. Ding Ye does not need his sacrifice.

Even if an unexpected situation occurs and he is unable to study abroad, it will be easy for Ding Ye to transfer to the center with his ability and the help of Dr. Liu Yun.

Yu Zhiming also made it clear that since he is Ding Ye's friend and Ding Ye does not like Du Bing's pursuit, he will not recruit Du Bing as a medical assistant.

It is suggested that Du Bing should continue to study in the UK.

Perhaps Yu Zhiming's reasons were very strong. After Du Bing confirmed that Dr. Liu Yun would transfer to the center, he left with a tangled expression on his face.

After the guy left, Yu Zhiming called Ding Ye, briefly explained what had just happened, and asked: "What's going on with Du Bing? He doesn't seem very smart?"

Ding Ye sighed softly during the call: "Doctor Yu, this guy is actually quite smart, and his medical skills are among the best among young doctors. It's just that he was too well protected by his parents and had a strong sense of superiority, which made him self-righteous and annoying. character."

"As for people, they're not bad."

Yu Zhiming snorted and joked: "So, Du Bing can be considered a high-potential stock."

"Why don't you think about taking him into your pocket, transforming him, and maybe getting an obedient future famous doctor?"

Ding Ye chuckled softly during the call and said, "I won't ask for trouble!"

"Dr. Yu, you don't know that his parents want to find him a wife who puts him at the center of everything..."

After lunch, Yu Zhiming hurriedly returned to the central building, took out the thin quilt and pillows he had left in the locker, and hurriedly went to the bed cart parked in front of the small building to take a rest...

He lay in the carriage for a total of nineteen minutes.

For Yu Zhiming, a patient with difficulty sleeping, this short period of time is simply not enough for him to fall asleep.

But after these nineteen minutes of closing his eyes and recuperating, he felt refreshed and resurrected with full blood.

This made Yu Zhiming feel that even if the workload in the afternoon doubled, it would not be a big deal.

He opened the door and got out of the car, and was surprised to find Zhou Mo standing guard outside.

"Zhou Mo, is something wrong?"

Zhou Mo said softly: "A security guard came over and asked whose car this is, and asked him to drive away quickly."

This made Yu Zhiming realize that this was not a parking area and only vehicles transporting patients were allowed to park temporarily.

Zhou Mo's voice continued, "I'm worried that someone will come and disturb me, so I'll stay here."

After a pause, she added: "Dr. Yu, you don't have to be too moved. This is the job that my little assistant should do."

"Besides, I only stayed in the biting cold wind for seventeen minutes and forty-eight seconds, and I'm not tired or cold at all."

Yu Zhiming threw the car keys to Zhou Mo.

"Don't worry, I'm not moved."

"First park the car in the teacher's parking space in the underground parking lot, and then go to the logistics office to apply for a pass."

After Yu Zhiming finished his instructions, he turned around and entered the small building without hesitation.

Zhou Mo waved his fist towards his back...

Yu Zhiming's work schedule this afternoon can be said to be quite tight.

In addition to his original job, he also took over the follow-up treatment of some of the teacher's patients after he took leave.

It was busy until three o'clock in the afternoon, and the family of Fu Xiaoxue's previous interview teacher came on time.

A white couple in their forties and their three children, two boys and one girl.

After a thorough inspection, Yu Zhiming made two main findings.

First, they used a bronchoscope to remove a small fragment of a deciduous tooth from the bronchus of their seven-year-old son who often had colds and fevers.

Second, he felt that the interviewing teacher's heart was not very good.

Yu Zhiming learned that as a financial practitioner in London, this teacher stayed up all night watching the market and analyzing data, which was his normal work routine.

Yu Zhiming solemnly warned him that he must have a regular schedule, avoid staying up late, exercise appropriately, and eat healthily.

If he continues like this, he will have major heart problems in the next year and may go on strike.

After Yu Zhiming saw off his British family, he also received a Christmas gift from them.

A box of British black tea, a box of chocolates, and a set of silver Western tableware.

At 6:10 in the evening, Yu Zhiming hurriedly completed the breast cancer screening of fifty volunteers.

Later, he didn't bother to eat dinner, but ate a few pieces of chocolate and biscuits to satisfy his hunger on the way to the general surgery department.

When he arrived at the general surgery department, Yu Zhiming met Dr. Cui Zhitan and went to prepare for surgery together.

As for Lu Qiu, the embroiderer who was the subject of the operation, she had already made preparations in advance and was sent to the operating room.

Just as the two of them entered the surgical isolation area, they were suddenly stopped by Zhou Mo's voice.

"Doctor Cui, Doctor Yu, please wait a moment."

Yu Zhiming stopped and saw Zhou Mo, Zhou Mo's mother, and three others walking over quickly.

When several people came closer, Zhou Mo was the first to speak: "Doctor Yu, these three are Aunt Lu's husband, daughter and son-in-law."

Yu Zhiming met Lu Qiu's husband's gaze.

This is a man about fifty years old, tall and thin, with an honest look on his face.

Yu Zhiming frowned and asked, "Is there something unexpected?"

Lu Qiu's husband quickly waved his hand and said: "Nothing has changed, Doctor Yu, nothing has changed."

"Doctor Yu, I just want to say..."

After a pause, Lu Qiu's husband raised his voice and said solemnly: "Dr. Cui, Dr. Yu, if during the operation, you find that the risk of pregnancy is high, it will seriously affect my wife's physical recovery..."

"You can directly make the decision to end the pregnancy. In short, everything is based on the premise of saving adults."

Yu Zhiming didn't like hearing this.

In order to protect the child, only surgery without radiotherapy will definitely make the patient bear a certain risk of cancer recurrence.

What Yu Zhiming and Cui Zhitan have to do is to reduce the possibility of cancer recurrence as much as possible.

Now that the matter has come to an end, you are deeply in love with each other and suddenly say that everything is based on the premise of saving adults.

Why didn't you persuade your wife to end the pregnancy from the beginning and do your best to avoid the recurrence of cancer?

This kind of repetition and ambiguity will make it difficult for doctors to do it.

After all, this so-called risk of cancer recurrence is really difficult to clarify and quantify.

Even if there is only a 1% chance of recurrence, it may come true unfortunately.

At that time, will you blame the doctor for not making a correct risk assessment during the operation?

Cui Zhitan noticed the change in Yu Zhiming's expression and quickly took over the words.

"Ms. Lu received lumbar epidural anesthesia and will remain conscious throughout the entire operation."

In the early stages of pregnancy, pregnant women should avoid anesthetic surgeries as much as possible unless necessary.

The fetus is too weak and sensitive, and anesthesia will have a greater or lesser impact on the development of the fetus.

The extent of the impact of anesthesia on fetal development is related to the method of anesthesia.

Relatively speaking, local anesthesia or spinal anesthesia has less impact on pregnancy.

This is because local anesthesia or spinal anesthesia drugs do not pass through the blood circulation and have very little impact on fetal brain development.

If intravenous or general anesthesia is used during pregnancy, it may affect the health of the fetus and be detrimental to pregnancy.

During general anesthesia or intravenous anesthesia, the anesthetic will directly affect fetal brain development through blood circulation.

In order to reduce the impact of anesthesia on the fetus in Lu Qiu's belly, Cui Zhitan did not use the anesthesiologist he often worked with for this operation. Instead, he specially invited a senior anesthesiologist who was proficient in gynecological anesthesia.

Cui Zhitan said loudly: "Everyone, if during the operation, we discover something that was not discovered in the previous inspection, and the surgical plan must be changed, we will first seek Ms. Lu's opinion before making a decision."

His words were clearly told to the people in front of him.

If no unexpected events occur during the operation, the surgical plan will be carried out strictly in accordance with the previously established one.

If special circumstances arise, the opinion of Lu Qiu, the patient involved in the surgery, will prevail.

Of course, if a major accident occurred during the operation, causing Lu Qiu to fall into a coma and be in critical condition, he would definitely have to come out to seek the opinions of his family.

After Cui Zhitan responded, he took Yu Zhiming and turned around and entered the operating area.

After the two of them prepared and worked hard, Lu Qiu's surgery started step by step.

With Yu Zhiming's probing skills, Dr. Cui's rich clinical experience, and the fact that Lu Qiu's condition was not complicated, no abnormal problems were found after the abdominal opening.

The surgery was carried out according to the established plan.

Yu Zhiming first determined the scope of resection of colon cancer tissue by feeling.

Then, one by one, he carefully and gently felt the lymph nodes around the cancerous site with his hands.

This is the most critical part of the surgery. Be sure to clean out the lymph nodes containing cancerous cells.

Lymph node dissection is a routine surgical procedure required for clinical tumor resection.

There are some sequelae of lymph node dissection.

One is lymphatic leakage.

This is mostly due to excessive lymphatic dissection, resulting in local leakage of lymphatic vessels. After surgery, symptoms such as obvious swelling of the limbs and incisional exudation may occur.

The second is the spread of tumor cells.

Local stimulation during lymph node dissection may cause cancer cells to metastasize and invade along the lymph nodes and lymphatic vessels.

Therefore, during the lymph node dissection, you must be gentle and remove the lymph nodes en bloc to avoid the metastasis and spread of cancer cells.

Third, lymph node dissection will increase the surgical wound, and more local fluid or blood accumulation may occur after the operation, which will significantly increase the local infection rate.

Yu Zhiming used his own gentle perception to mark the lymph nodes that he felt needed to be cleaned one by one.

Later, he assisted Dr. Cui in the operation.

For the experienced Cui Zhitan, this operation was a piece of cake.

It only took an hour to complete!

Because Yu Zhiming was in a hurry to go home for dinner so that he could do a physical examination with Pan Yao, the owner of the cosmetics store who came by appointment at 9 p.m., he said goodbye and left the operating room before the final sutures were completed.

After he changed his clothes and left the operating area, he was surrounded by Lu Qiu's family.

"The operation went well. You will be able to see me in person in half an hour at most."

Yu Zhiming said briefly, then turned his attention to Zhou Mo, who was holding a large bouquet of lilies and smiling...

The man beside her.

This is a young man about the same age as Yu Zhiming, about the same height, and looks much stronger than him.

As for the facial features, Yu Zhiming believes that they are three to four points weaker than his own beauty.

However, Yu Zhiming vaguely felt that this man's appearance was vaguely familiar.

"Dr. Yu, let me introduce you."

"This is the director's son Qi Zhen. He just returned to Binhai from abroad today..."

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