I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 338 Proactive Rescue Mission: Ultrasound Department Head Explodes, Obstetrics and Gynecology Department Head Suffocates!! [Requesting Monthly Tickets]

[Mission Category: Active Rescue Mission]

[Mission Overview: As a prospective host of the Perfect Physician, you are destined to uphold your professional oath with unwavering dedication and forge a Great Wall of life with unyielding medical ethics. You are currently at a local hospital and have encountered a pregnant woman in critical condition. Please immediately participate in the consultation and work with your hospital colleagues to provide treatment.]

[Mission Rewards: Successfully treating the host will grant you a special treasure chest*1, +2000 professional reputation, and +1000 medical points.]

[Failure Reward: Under normal circumstances, proactive rescue missions are routine tasks triggered by attending physicians. The current host is a junior resident physician and also has the ability to independently treat patients. If the host abandons proactive rescue of pregnant women or other special patients, the system will judge it as a lack of medical ethics, suspending rescue missions for five years. Triggering three instances of lack of medical ethics will result in a five-year suspension of special rewards.]

[Mission Duration: 24 hours.]

A panel displaying the entire rescue mission appeared in front of Zhang Lingchuan.

"???"

This was the first time he had ever seen anything like it.

I immediately focused my gaze and took a closer look.

First comes the overview, which is basically a standard practice of praising him, saying that doctors must have medical ethics and so on.

The next thing they said was that they had encountered a pregnant woman in critical condition.

This goes without saying; after all, one is a red label and the other a yellow label, and he could tell how critical the situation was just by looking at the colors.

Next, let's look at the second item: task rewards.

Special treasure chest!!
Zhang Lingchuan's pupils contracted.

In addition to special treasure chests, there are also profession reputation and medical points.

It seems that this proactive rescue mission is quite generous.

My gaze continued downwards.

The rewards for failing are surprisingly varied.

He looked carefully.

After a while, I just thought, "Wow, what a guy."

In other words, this kind of proactive rescue mission will be frequently issued after becoming an attending physician?

If someone has the ability and the necessary conditions but chooses not to participate in the treatment of pregnant women, a special group, will they be judged as lacking medical ethics?
The key issue is that although he is currently a resident physician as certified by the system, he is actually still an intern in the real world.

Registration for the medical licensing exam is only open in February, the practical exam is in June, and the written exam is in August or November before you can get your license. In other words, the earliest you can become a licensed physician is in August.

They are considered to have a medical license and can practice medicine independently.

Now you still have to learn from a mentor, and you can only practice medicine under the guidance of your mentor, who is also your mentor's wife.

The system probably didn't even anticipate this.

How did I end up doing so poorly?

They all became top-tier interns globally as assessed by the other party and passed the residency exam, becoming entry-level professionals in the medical field, working as low-level laborers, but in the end, they didn't even get a medical license.

Actually, you can't really blame him.

The main problem is that this blind system made a mistake itself.

It became tied to himself, a veterinarian.

In other words, he studied clinical veterinary medicine.

Currently, the country has opened up the possibility that clinical veterinarians who meet the standards of normal clinical medicine can obtain a medical degree through examination; otherwise, they would not even have the opportunity to take the medical practice qualification exam.

Looks like today is going to be a bit troublesome.

Zhang Lingchuan was deep in thought.

After all, according to the system, if someone meets the standards but does not participate in the treatment of special groups, they will be judged as lacking medical ethics.

In this case, the active rescue mission will not be activated for five years, which is equivalent to losing the opportunity to take advantage of the system.

If a doctor is found guilty of three acts of medical misconduct, they may not receive any special rewards for up to five years, which is even more serious.

"Master Zhang, what's wrong?"

Song Wanqing noticed that Zhang Lingchuan's gaze kept falling on the pregnant woman with a large belly.

He asked with a slightly puzzled expression.

Could something be wrong with this pregnant woman?

Having been by Teacher Zhang's side for so long, I feel that his eyes never wander aimlessly.

If you look closely, something must have happened.

"Nothing, nothing."

Zhang Lingchuan waved his hand.

That’s all.

There's always a way around a policy; let's take a break and deal with it later.

"Xiao Zhang, this is Mao Qinqin, the vice president of Meibu County People's Hospital."

Just then, a voice rang out.

She was a female doctor in her forties or fifties, wearing a white coat and sporting a bob with big curly hair.

I suddenly realized that these middle-aged female doctors are all quite good at dressing up, and they are all on the cutting edge of fashion, like my teacher's wife.

Of course, if we're being precise, the professor's wife is better dressed and more refined, and her temperament and looks far surpass those of Vice Dean Mao.

So you can tease Lao Shen about anything, except that the other person's taste is really good.

Speaking of which, Dean Fang of the agricultural university seems to have some connection with Lao Shen.

In short, something felt off about the last meal.

It feels like there's some story behind it.

He didn't dare ask.

Dean Fang is actually quite good-looking; even in her later years, it's clear she must have been a beautiful woman in her youth.

As for why the teacher's wife won.

Perhaps it's because the teacher's wife is more beautiful?

I don't dare ask about things from when I was young.

"Hello, Dean Mao."

After being introduced by Director Zhang, Director Gao, and Township Head Ashan, Zhang Lingchuan immediately took the initiative to greet them.

Speaking of which, looking at Dean Mao's round face, I don't know why, but I feel a little familiar with it.

"Director Zhang, Director Gao, and Ashan, please stop teasing me. When we colleagues talk, there's no such thing as a hospital director. I'm just an ordinary obstetrician and gynecologist. Dr. Xiao Chuan, on the other hand, is very famous in our circle. I'm far more renowned than him!"

A county town is actually just a small circle.

Director Zhang, Director Gao, and Ashan are all cadres in the county.

Director Zhang is a deputy division chief, while Director Gao is a section chief. Ashan is also a section chief, and he is the youngest section chief in the entire county, so he has a very promising future.

So everyone knows each other.

Especially for someone like Lao Zhang who has been here for so long.

The county town has extensive connections.

"Hey, Vice President Mao, isn't Xiao Zhang quite prestigious in the emergency department? How come she's so famous in your gynecology department too? Don't let her get carried away."

Zhang Fu smiled and began to speak.

He went to great lengths to welcome the young veterinarian, Zhang.

I know that Xiaochuan is known as Dr. Xiaochuan within the medical profession.

They are outstanding in the field of emergency medicine.

This is mainly because the other party's teacher is an expert in emergency medicine.

As for gynecology.

He hadn't expected that Vice President Mao had also heard of Veterinarian Zhang.

"Director Zhang, look at what you're saying. With two emergency room doctors in my family, how could I, a gynecologist, be spared? They keep forwarding this in that 'Loving Family' group, especially the younger one who really likes Dr. Xiao Chuan. He even called at noon to ask about it! The older one is at a meeting in the next county and will come later."

Mao Qinqin said at this moment.

"I almost forgot that Vice President Mao and his family of three are all medical workers. How about we get together for a meal sometime? Hahaha."

Zhang Fu laughed heartily.

"Director Zhang promised, so please don't forget about me and Lao Wei."

Mao Qinqin's eyes lit up when she heard this.

"I can't forget Vice Dean Mao and Director Wei, you two! Speaking of which, is Xiao Xi here?"

Zhang Fu asked.

"Xiao Xi can't come back, but if we do manage to have a meal, as responsible parents, we'll still send her some photos. Oh dear, look at me, I'm getting old and my memory isn't what it used to be. I've been holding Dr. Xiao Chuan's hand the whole time. I'm so sorry, Dr. Xiao Chuan. It's my first time meeting my family and the medical genius that everyone on the internet praises. I'm a little excited."

Although Mao Qinqin is forty-six or forty-seven years old, she still speaks in a very youthful manner.

It's even quite witty and humorous.

"Dean Mao, I am the younger generation, and it is I who should be excited to receive such attention from a senior like you."

He is the vice president of the best hospital in the county, in charge of the county's obstetrics and gynecology department. He can be said to be the pillar of the safety of pregnant women in the entire Meibu County.

The key point is that these seniors are still so down-to-earth.

Zhang Lingchuan was indeed excited.

Because some hospital administrators have an attitude of wanting to be superior to others.

Even if they weren't superior to others, they wouldn't say such humble things.

"Oh, Dr. Xiaochuan, stop, stop. If we keep going like this, we'll just be flattering each other. How about this, let's take care of Ayun's problem first, and then she can come over and give us some guidance. She can visit any department, especially the emergency department, whose director is on his way back."

Mao Qinqin stopped the mutual flattery with a half-joking gesture.

He then extended the invitation with a smile.

Don't be fooled by the fact that Dr. Ogawa is an intern.

In reality, it means the other party needs to go through the process.

Otherwise, there would be no problem at all for him to be a specially appointed associate professor.

Even at the municipal level, it's not impossible for talent recruitment programs to appoint someone as a deputy director of the emergency department.

So it's not that they lack ability.

The procedure hasn't been completed yet.

"Dean Mao... what kind of guidance can I, an intern, provide? Let's talk about A-Yun first..."

Zhang Lingchuan's expression was one of unspoken words.

"Guiding work"... This was the first time he had ever been described with such a term.

"Dr. Xiaochuan, don't make a mistake. We're not asking you to perform surgery at the hospital; we're just having a look around and chatting. You can come later once you get your medical license. It's too much trouble now. Of course, if you'd like to contact your supervising doctor, we can expedite the process, hahaha~"

Mao Qinqin always had a smile on her face.

According to what she has learned from the children, Dr. Xiaochuan does not yet have a medical license.

There's a high probability that registration will begin in February of this year.

This process is relatively slow.

It will take at least six months to come down.

Therefore, the other party cannot practice medicine on their own initiative during this period.

If you wish to practice medicine, such as performing surgery or treatment, you must do so under the guidance of a supervising teacher.

Guidance can be provided via telephone, video, or other methods; in short, remote guidance is recognized by the state.

The only problem is that if something goes wrong, the supervising teacher will be responsible.

If Dr. Xiaochuan were willing to make a call to his teacher, they could still expedite the process and cooperate with him to perform a simple emergency surgery.

For example, cleaning and suturing the wound for a patient.

Or perhaps a tracheotomy could be performed.

I believe Ogawa's skills shouldn't have any problems.

After all, back in Guizhou Province, I just used a kitchen knife to cut it open.

The key patients are also recovering very well.

Even her own child said that they had seen a 'superior' video of a tracheotomy on Yixiang Weishi that looked very much like what Dr. Ogawa did.

However, because the video is anonymous, it is impossible to confirm unless the hospital removes the anonymity.

She had also watched the video.

According to her husband, the tracheotomy procedure is a top-tier instructional video that can be found anywhere in the world.

She was also quite curious whether it was Dr. Ogawa.

Even her husband and son were very curious.

I believe that one surgery will be enough to find out.

After all, every doctor performs surgery differently, while the same doctor can perform surgery with many similarities.

"We've gone off on a tangent. Regarding Ayun's condition, these are the results of our recent examination, Dr. Xiaochuan. You can take a look. It's a malignant teratoma. Currently, we basically have no treatment options here. Although the city can perform this surgery, we still recommend sending her to West China Hospital for a higher success rate."

Ayun was also standing nearby, alongside Township Chief Ashan.

In this situation, since the other party only has a grandmother and their parents are not around, it's definitely necessary to inform them.

So there's nothing to hide anymore.

After all, this means that he was in charge of the household at the age of 13.

"Yes, going to West China Hospital is indeed more suitable."

Zhang Lingchuan glanced at it and nodded.

"Mayor Ashan...where is Huaxi?"

Ayun asked the township head, Ashan, who was standing next to her with some curiosity.

He seemed to have never heard of this name before.

Of course, he also greatly admired this veterinarian.

From a young age, the traditional Chinese medicine doctors told me that I had food stagnation and indigestion.

He also ate a lot of herbs, and even some Western medicine.

But it was completely useless. This veterinarian was the first to say that he had a teratoma, that there was the remains of another fetus in his belly, which was why he looked like this.

He didn't believe it at the time.

However, since the township head and others brought him for inspection, he obediently came for the inspection.

To my utter surprise, it really was this bizarre teratoma.

Moreover, it's a malignant condition.

I'm already in sixth grade.

Do you know what the word "malignant" means?

have to say.

This veterinarian is really amazing.

Even the doctors in these hospitals admire him.

He was puzzled by their claim that they were going to send him to West China Hospital.

This word is rarely heard.

"Ah Yun, West China Hospital in Chengdu is the best hospital in the entire Southwest region. The success rate of getting tests done there is very high."

Township Chief Ashan began to speak.

"Oh? In Chengdu? That must be very expensive!"

Ayun had never been to Rongcheng; in fact, he had never even been to the neighboring county.

But I know about Chengdu.

They assumed that many people from the village went to Chengdu to work, and some of their older brothers and sisters even went to school there. In their words, Chengdu was a very prosperous place.

There are many tall buildings.

And food is so expensive.

I heard that a meal like that can cost more than ten yuan.

He couldn't even imagine what a meal costing a dozen yuan would be like.

The school's nutritious lunch costs only two yuan and includes meat.

If I were to go to Chengdu for treatment, especially to one of the best hospitals, the cost would definitely be very high.

They look down on that family.

"Ah Yun, don't worry about the expenses. Just go for treatment. I'll see if I can bring your grandma over to take care of you too. Remember, as long as you're alive, there's hope. And only by living well and studying hard can you thank the people you want to thank in the future."

Ah Shan wouldn't have dared to say such a thing.

After all, the medical expenses amount to several hundred thousand yuan.

Let alone him, even if I were to encounter something like that, it would be extremely difficult.

But now Mr. Zhang intends to provide financial assistance to the other party.

That's lucky for the child.

When we ran into Mr. Zhang who came to help farmers, we were happy to lend a helping hand.

Otherwise, it will most likely be very difficult.

"Oh……"

Ah Yun lowered her head, seemingly lost in thought.

And this moment.

Zhang Fu and Gao Yanhua also shared their opinions.

Zhang Lingchuan would occasionally glance towards the entrance of the ultrasound room.

Actually, just as Dean Mao and Ayun came out, the pregnant woman with the two labels had already entered the ultrasound room for examination.

He had originally planned to go and scan first, but now he could only wait for the other party to come out before scanning and then see how to deal with it.

Inside the ultrasound room.

The inspection is ongoing.

"What is your name?"

The doctor in charge began asking questions.

"Mu Xiaoxiu".

The woman replied, her face somewhat pale.

"What brings you here for an ultrasound? It seems you don't have a medical record with our hospital?"

The ultrasound doctor looked at the report and asked.

Even though I already know some of it, I still have to ask again.

Avoid checking the wrong people.

This is why doctors often have to ask for the name repeatedly.

All these rules are in place because similar accidents have happened before.

"Registered? No... I haven't registered. I came for a checkup because my baby was very active before, but now for some reason, it suddenly stopped moving much, and I feel very uncomfortable, so I went to see a doctor. The doctor said that since I haven't had any prenatal checkups, he ordered an ultrasound first."

Then Mu Xiaoxiu began to speak.

There was a little bit of sweat on her forehead.

Don't know what's going on.

I didn't feel as uncomfortable as I did when I was pregnant.

"So, the baby was moving before, but now it's not, and you've come for a checkup, right? Okay, lie down on the bed!"

The doctor in the ultrasound department who was signing papers at that moment began to speak.

The other party was a woman in her thirties.

"Pick up your belly, it's actually better to register for prenatal care. This way you can accurately track the baby's movements and take precautions if any problems arise. For example, if you feel unwell now, you can get timely treatment."

The intern, a girl with large eyes, spoke to Mu Xiaoxiu at that moment.

Many hospitals now require pregnant women to register for prenatal care, which facilitates management and follow-up.

However, in Mebu County, and more accurately in many impoverished areas, there are still quite a few pregnant women who do not have the concept of registering for prenatal care.

She felt that even if she hadn't registered for prenatal care before, she wouldn't have been able to give birth.

Hospitals nowadays create so many medical records and then ask you to undergo various tests; it's nothing more than a way to rip you off under the guise of doing what's best for you.

Many medical staff feel quite helpless about this idea.

This is mainly for the health of the pregnant woman and the fetus.

Prenatal checkups are still very necessary.

It's true that there were no prenatal checkups back then, and many people were able to give birth.

However, there are also quite a few children who have problems, and the proportion is quite high.

If there are prenatal checkups.

If a child has problems, intervention can be carried out. If intervention is ineffective, then induced labor can be advised. This way, the child will not be harmed and the burden on the mother's family will not be too heavy.

Under such a scientific prenatal checkup method.

Actually, things are much better now than before.

But this is something that can't be forced; it's up to them to decide.

"Sigh, doctors, you salaried employees don't know how hard it is for us. We really don't have the extra money to come to the hospital for check-ups every day."

Mu Xiaoxiu lay in bed, enduring the pain, and sighed.

"I bet this is your first pregnancy. You've been six months along and haven't been to the hospital for a single checkup? That's irresponsible of you! Do you understand?"

Just after I finished signing, the female doctor with the name tag "Mo Yan, Attending Physician of Ultrasound Department" came over and said seriously.

Prenatal checkups are not only about taking responsibility for the fetus, but also about taking responsibility for yourself.

Is money more important than life?
As long as I work normally, and it's my first child, why can't I afford prenatal care if I save a little money?
Ultimately, it's all due to the so-called experience of our predecessors!

"Doctor, but my sister-in-law didn't come for a check-up when she gave birth, and she was perfectly fine."

Mu Xiaoxiu is now trying to defend herself.

Mo Yan didn't say anything, but started examining the patient directly.

After all, she was just doing her duty to remind them, and there was nothing she could do if the other party simply wouldn't listen.

"Hey, this baby is growing quite well, and there's plenty of amniotic fluid."

The intern was watching the screen next to her, and then she started talking.

"That's right. This little guy used to be very naughty, always making thumping noises in my belly. I don't know what happened to him, but he suddenly stopped making a fuss and made me feel so uncomfortable. I'm not sure if I ate anything wrong, so it couldn't be because of a hot pot meal."

When the female intern said that she had enough amniotic fluid and that her baby was growing well, Mu Xiaoxiu smiled with great joy.

The whole family was really looking forward to this child; even the father had prepared clothes for him.

This is also her first child, and she is incredibly excited to become a mother for the first time.

The only problem is that I don't know what's wrong with the little guy these days.

Could it be that indulging in hot pot earlier caused some kind of effect?
"Hot pot? That's impossible..."

The intern said.

Many places say that pregnant women shouldn't eat spicy food, let alone hot pot, but pregnant women in Sichuan are quite adventurous.

It's perfectly normal to eat hot pot during pregnancy.

She even saw women in postpartum confinement ordering barbecue and hot pot.

Of course, she personally does not recommend it.

After all, a lighter diet is always better.

However, it is indeed quite rare for this to cause fetal inactivity or even make the pregnant woman so uncomfortable.

However, neither of them noticed that Mo Yan, who was currently conducting the examination, had a furrowed brow.

"Teacher Mo, what's wrong? Is there anything unusual about this patient's condition?"

The ultrasound room is actually a fairly relaxed atmosphere. As they chatted, the intern girl quickly realized that her supervising teacher seemed a little strange.

"See that? The SD value is so high, the umbilical cord pitch is too small and close to the critical value, and there is torsion!"

Mo Yan spoke with an extremely serious expression.

The SD value generally refers to the SD value of the umbilical artery, also known as the peak-to-trough ratio of umbilical artery blood flow velocity.

It refers to the ratio of the maximum systolic blood flow velocity (S) to the end-diastolic blood flow velocity (D) in the umbilical artery.

The S/D ratio of the umbilical artery is one of the indicators in umbilical artery ultrasound and is often used to monitor the condition of the fetus during pregnancy.

An elevated level of this indicator may suggest that the fetus may be experiencing fetal distress, fetal malformation, umbilical cord entanglement, or fetal growth restriction.

Based on the current situation, the pregnant woman may have umbilical cord torsion, and the condition is very critical.

She immediately performed an assessment of the umbilical cord spiral morphology.

"What's wrong with me? What are SD values ​​and tortuosity?"

Mu Xiaoxiu was a little confused by the doctor's words and immediately asked him a question.

"This is a very serious situation that pregnant women may encounter. Simply put, the baby in the womb keeps turning around and twists the umbilical cord, causing the baby to suffer from oxygen deprivation, poor development, or even death."

The intern's tone also became serious.

"Oh! Is my condition serious?!"

Mu Xiaoxiu was immediately terrified!
"The teacher is currently conducting an evaluation. In general, it's not a big deal, but if the torsion is severe, surgery may be necessary."

"That's what the intern girl replied."

"Gulu——"

Not long after the results came out, Mo Yan's face turned pale instantly.

"Fifty-two laps!!"

Oh my God! !
Mo Yan was stunned; the umbilical cord was twisted into a pretzel!
This number definitely puts them in the high-risk category; they're practically strangling themselves to death!

"pat-"

She charged straight ahead.

outside.

"Dr. Ogawa, let's go for a walk? We can give some pointers on the work here!"

The matter has been discussed.

Mao Qinqin extended a warm invitation.

"Dean Mao!!"

But at that very moment, a shout rang out.

"Huh? What's wrong, Xiaoyan?"

Mao Qinqin, who was waiting for Zhang Lingchuan's answer, looked at the deputy director of the ultrasound department with a puzzled expression.

In county hospitals, even someone with an intermediate professional title in the ultrasound department can actually become a deputy director, given the limited staff.

"Oh no! A pregnant woman just came in with her umbilical cord twisted fifty-two times!!"

Mo Yan said in a flustered manner.

"Ah! Fifty-two laps! How many revolutions is that??"

Upon hearing this, Mao Qinqin's smiling face immediately darkened, becoming extremely solemn!
In the current context, only two surgical options are available for umbilical cord torsion: cesarean section and termination of pregnancy.

Fifty-two laps would require an immediate cesarean section!

The gestational age of the fetus is crucial for survival!
"Twenty-four weeks."

Mo Yan answered quickly.

"Only twenty-four weeks!"

Mao Qinqin suffocated!!
A fetus at 24 weeks gestation is barely developed and is very delicate. If it is surgically removed at this time, the chance of survival is extremely low.

In other words.

This child is basically sentenced to death!!
……

(End of this chapter)