The most enlightened doctor

At nearly three o'clock in the afternoon, Liu Yun's daughter-in-law was transferred from the Jiaotong University Affiliated Hospital to Zhizhen Building.

Yu Zhiming suspended his physical examination and examined Liu Yun's daughter-in-law and her unborn baby.

After careful inspection, Yu Zhiming discovered the problem with the failure of the last intrauterine interventional surgery.

Although the puncture was successful in the first attempt, the angle at which the puncture needle penetrated the right ventricle of the heart was deviated, which caused difficulties during the guidewire intervention. It was probably because the dilation balloon was not transported to the precise location within a limited time.

Yu Zhiming guessed that there was a high probability that the fetus' position moved slightly during the puncture process, which made Dr. Sun Qi unable to react in time.

This is one of the reasons why this intrauterine interventional surgery is so difficult. There are many uncontrollable factors.

"Dr. Yu, I know I was wrong. Please save my child, please!"

Yu Zhiming looked at the pale young woman on the gurney, who was only in her early twenties, and said, "Since I agreed, I will naturally go all out."

"But I can't make any guarantees about the outcome."

After a pause, Yu Zhiming warned again: "I heard that mother and child are connected. You must not only be strong yourself, but also tell your children to be strong."

"If your child wants to survive, he has to rely on himself."

At this time, Duan Yi followed Yu Zhiming's instructions and brought back a seventeen-centimeter-long puncture needle from outside.

Yu Zhiming explained: "There is too much blood in the pericardial cavity of the fetus, which has compressed the heart and needs to be pumped out."

"You, please bear with me."

As he spoke, Yu Zhiming began to adjust the fetal position.

Because the puncture holes on the belly, uterus, and fetal body must be connected in a straight line, it becomes many times more difficult to adjust the fetal position.

It took Yu Zhiming nearly twenty minutes to finish it.

Immediately afterwards, he took off the medical tape on the pregnant woman's lower abdomen, held the puncture needle connected to the syringe, and inserted it again from the old puncture wound, and it penetrated nearly twelve centimeters.

Then, he quickly drew out about 11 milliliters of blood with a syringe, and quickly pulled out the puncture needle.

"Sent to the ward for monitoring. Surgery will be performed at 6:20 in the evening."

After the pregnant woman was pushed out of the soundproof examination room, Yu Zhiming continued to conduct physical examinations on the personnel arranged by the Health Bureau...

At nearly five o'clock in the afternoon, Yu Zhiming received a call from Gu Qingran and was informed that Xia Linge, a traditional Chinese medicine master who was best at using ginseng, had been kicked out of the research and development team.

"Alas, this is the disadvantage of traditional Chinese medicine. Family heirlooms are usually guarded by those things, and they are treasured by themselves!"

Gu Qingran sighed, and then advised: "Zhi Ming, don't lose your confidence. As the saying goes, good things come hard, and it is normal for such an important matter to have some twists and turns."

"Also, after Old Man Xia left, King Poison introduced a replacement, an old Chinese medicine doctor from the Northeast."

"The good news is that the old Chinese medicine doctor is still alive, and Ning'an's staff in the northeast have already rushed there. If everything goes well, we can get him to Binhai tomorrow."

Yu Zhiming let out a drooping look.

Gu Qingran said on the phone again: "One more thing, I have seen that Jingcheng Hospital issued an apology statement on their website, apologizing for a certain Chu family member who tricked a nurse into sabotaging your treatment trial."

"This should be because they knew that the matter could no longer be hidden, so they took the lead in exposing their own ugliness and regaining some reputation."

Yu Zhiming hummed softly: "An apology statement is not painful or itchy. It is not a big deal to Jingcheng Hospital."

He turned to ask: "The one selling ginseng?"

Gu Qingran smiled and replied: "We were talking about the price back and forth. I can feel that he is stalling for time. The other party also knows that I am stalling for time."

"He and I are waiting for news from the expert team."

Yu Zhiming said hopefully: "Although good things come with many twists and turns, I still hope that the fewer twists and turns the better..."

Sudden twists and turns in the research and development process of alternative drugs made Yu Zhiming feel depressed.

But he could only pray that no matter what the process was, the result would always be good. After all, he was just an amateur when it came to drug research and development, so there was no point in rushing and he couldn't help.

However, as the physical examination work continued, Yu Zhiming gradually became involved physically and mentally, and his worries disappeared...

At nearly six o'clock in the afternoon, Yu Zhiming completed his physical examination and taught Zhou Luo and Shen Qi how to distinguish lung sounds. Dr. Wang Chunyuan arrived after finishing his day's work.

"Dr. Wang, I have to trouble you again."

Yu Zhiming first said politely, and then gave a detailed explanation to Dr. Wang about the expansion of the air bag during the operation.

There are still three expansions, with intervals of one second and two seconds respectively, but the expansion pressure has increased slightly.

The main reason is that this fetus is already twenty-seven weeks old and its heart is slightly larger than that of the last fetus.

In addition, the biggest difference compared to the previous intrauterine interventional surgery was that Yu Zhiming required that the dilation balloon should be expanded to the size of a sesame seed after it leaves the puncture needle and enters the right ventricle.

The reason for this is that due to the puncture angle, it is difficult for the guide wire to quickly deliver the air bag to the designated location.

Yu Zhiming's idea was to use the power of blood flow to drift the air sac to the pulmonary valve.

Without the guidance of a guidewire, this requires precise timing and positioning of the balloon.

Only Yu Zhiming can confidently do this.

"Dr. Wang, the cooperation requirements this time are a bit more than last time. Do you need to practice it a few times?"

Wang Chunyuan looked at Yu Zhiming's bright eyes and said somewhat depressedly: "Dr. Yu, I have more than 20 years of experience in interventional surgery."

Yu Zhiming smiled and said, "Dr. Wang, I'm sorry, I was too careful."

"I just think that if you cooperate more skillfully, you can save one second of delay, and the fetus will have more hope."

Yu Zhiming apologized and was about to say "let's go", but Wang Chunyuan said: "Such a difficult operation involves the life and death of Dr. Liu's grandchildren, so we can't be too careful."

"Dr. Yu, since you are so insistent, let's practice cooperation."

The corner of Yu Zhiming's mouth twitched, and he asked Zhou Mo to bring the spare interventional surgery equipment for the next operation, and he and Wang Chunyuan cooperated with each other and did some practice.

The two of them practiced eleven times...

It was after 6:30 in the evening, and the soundproof operating room was still staffed by the same people as yesterday.

Dr. Wang Chunyuan served as Yu Zhiming's surgical assistant, while Dr. Liu Yun and Duan Yi took precautions just in case.

Yu Zhiming also asked the pregnant woman again.

"Would you like to take a nap?"

Liu Yun's daughter-in-law shook her head and said, "I won't sleep this time. I want to be brave enough to accompany my baby like the sister yesterday."

The next moment, she suddenly shouted: "Baby, don't be afraid, this time, mommy will be with you."

"You have to be strong, and your mother will be strong too."

"Baby, let's make a promise to meet you in three months."

While the guy was talking, Yu Zhiming injected intramuscular anesthesia into her belly and uterus.

Then, he adjusted the fetal position.

This time, the fetal position adjustment was relatively smooth, and it took sixteen minutes to complete.

At the moment when the fetal position was adjusted, Yu Zhiming's movements seemed to be suddenly doubled, and he performed the puncture at lightning speed.

The speed was so fast that Wang Chunyuan couldn't react. It wasn't until he heard Yu Zhiming's "right now" that he subconsciously tapped the pressure valve in his hand.

In the blink of an eye, Wang Chunyuan heard the prompt again and used the pressure valve again to pressurize and expand the balloon.

once.

A second later, again.

Two seconds later, the third expansion.

Immediately, Wang Chunyuan removed all pressure from the balloon as quickly as possible. When he looked up again, he saw that Yu Zhiming had withdrawn the balloon and guide wire, followed by the puncture needle.

This scene made Wang Chunyuan breathe a sigh of relief.

Regardless of the outcome, these thrilling five or six seconds finally passed smoothly.

Yes, he used to do interventional surgeries slowly rather than hastily, which required a lot of patience.

There was no such thing as these two intrauterine interventional surgeries, which were as fast as life and death.

However, it is really exciting...

In Dr. Wang Chunyuan's emotion and aftertaste, the monitoring instruments in the operating room were turned on one after another, and various sensors were connected to the pregnant women.

"73, bradycardia."

Generally speaking, the normal value of fetal heartbeat is between 110-160 beats/minute.

The heart rate is 73, which is obviously too slow.

This value was not what Yu Zhiming was concerned about. He looked at the fetal heartbeat ultrasound dynamic chart displayed on the instrument screen.

It shows that the forward blood flow through the pulmonary valve has increased significantly, about four to five times that before.

Yu Zhiming glanced at Dr. Liu Yun, who had taken a few steps to the operating table, and Dr. Wang Chunyuan, who was busy injecting drugs into pregnant women.

"Dr. Liu, Dr. Wang, my work is done. Next, it depends on you whether the child can be saved."

"I have surgery arrangements in the oncology department, so I'll leave first."

As he spoke, Yu Zhiming strode away from the operating table.

"Why……"

Liu Yun raised her hand to call out to Yu Zhiming, but stopped after a short sigh.

The next thing is to deal with the complications during the operation and the abnormal reaction of the fetus.

These tasks, according to the prior work arrangements, are the responsibility of her and Dr. Wang.

Just after Yu Zhiming left, Liu Yun felt as if her backbone was missing and a little empty.

She suppressed her uneasiness, looked at her daughter-in-law, whose face was as white as paper, full of tension, and her breathing became rapid, and said in a deep voice: "Dr. Yu's operation was very successful, but the key is to survive the first hour after the operation. "

"You are your child's source of dependence and confidence. You must not panic. You must encourage your child to persevere."

Liu Yun's daughter-in-law nodded, took a deep breath, and said, "I'm not panicking. I can't panic."

But the next moment, she cried out, "Mom, I...I'm scared, I'm so scared, wuwu..."

Liu Yun firmly held her cold hand.

"Don't be afraid, don't be afraid, mom is here with you, mom is here with you..."

Please support with monthly votes, recommendation votes, etc.! ! !