I'm just a veterinarian! You've unlocked the Great Physician System!
Chapter 453: Explosion of the Out-of-Hospital Emergency Team; 1 Red Label, 1 Yellow Label; Man with
Chapter 453: Explosion of the out-of-hospital emergency team; a red and a yellow label; a man with fever and weakness!
"Let's go! Family members! If the brain herniation accelerates, the conditions in the ambulance are limited, and there's a high chance the person won't be able to be saved in time!"
Seeing Yu Fanmeng standing there in a daze, Hua Yuhe, who was pressing the elevator button, shouted.
What time is it?! Still spacing out?!
In emergency situations, someone might be salvageable one second and gone the next!
Therefore, we must race against time!
"Ding--"
The elevator door opens.
"No, I won't sign! I can't sign! My husband can't die!!"
However, the next second, something happened that left everyone in Group C completely dumbfounded.
"boom--"
The door to the room labeled 80-01 was slammed shut with a bang.
"???"
The elevator doors were open.
The driver, the stretcher bearer, the resident trainee, the accompanying nurse, and the attending physician in charge of the emergency team were all dumbfounded!
"Holy crap?! Teacher, what do we do now?!"
Wu Kang asked, bewildered.
I've never seen anything like this before.
She kept insisting that she had to save her husband, but they managed to carry him out, and the elevator arrived. They were about to take him downstairs to the ambulance.
The moment the elevator doors opened, she actually closed them.
What kind of cool operation is this?
"To be honest, I've been with Teacher Hua for so long, and I've never seen anything like this before..."
Deng Sisi was also very confused.
She's in Group C, and has been with the out-of-hospital emergency team for three years.
I've always been working with Teacher Hua.
In the past three years, I have seen many strange family members, but this is the first time I have seen a woman who locked herself in and ran away while her husband was waiting for help!
"Push the person into the elevator first, hold it down, and I'll go see what's going on!"
Hua Yuhe considered herself to have seen many storms.
After all, she is 32 years old this year and has been performing out-of-hospital emergency care for seven years.
However, it is truly rare for a patient's family member, especially since the other party is the wife, to simply close the door.
"it is good!"
The remaining four people pushed the person into the elevator.
Then I pressed the button to open the elevator door.
"Knock knock knock—Madam, please open the door! Your husband is in critical condition! You can't just hide like this! It's irresponsible of you and your husband!"
Hua Yuhe knocked on the door and shouted, which was truly outrageous.
“No, I can’t go to the hospital. Going to the hospital will kill my husband. I can’t go… I can’t let my baby be without a father.”
If someone is in the room.
You'll find that after Yu Fanmeng closed the door, she absentmindedly touched her stomach and then walked towards the bedroom where she had been hiding.
"boom--"
He then closed the door while muttering to himself.
"Teacher! What should we do?!"
I knocked for about two minutes.
There was no response from inside.
The rest of the team in Group C were confused.
I don't know what to do right now.
"She was probably affected by pregnancy hormones and was too afraid of losing her husband, so after we explained the situation, she was unwilling to face it and went into hiding. We first sent her to the hospital and opened a green channel, and at the same time called the police to help find her family."
Hua Yuhe said.
We have no choice but to turn to the police.
Due to hormonal influences, this pregnant woman will definitely not open the door anytime soon.
There's no need to waste time here.
"it is good!"
They quickly took the elevator down.
"Hello, is this 110? This is Dr. Hua Yuhe from the C group of the Emergency Department of the Provincial People's Hospital. We just received a patient with a sharp object injury to the head in room 801, Building 1, Shanyunjufu Community. There was only a pregnant woman in the room besides the injured person. After we took her out, the pregnant woman may have been affected by hormones and lost control of her emotions, closing the door. We are now taking the person to the hospital. Please help us find the contact information of the injured person's wife or family members and notify them to come to the hospital as soon as possible."
In the car.
Hua Yuhe immediately called the police.
It also clearly states the workplace and the person's identity, making it easier for the police to find them quickly.
When encountering patients without family members or injured patients, calling the police is a routine task for their outpatient emergency team.
"Teacher, can the effects of pregnancy hormones really cause someone to lose control of their emotions to this extent?!"
After hanging up the phone.
Wu Kang asked curiously.
He knew that hormones could have an effect, but he had never seen anything like this before.
Who calls for a doctor to save someone while simultaneously closing the door and running away?
"It can only be said that the severe effects of hormones are isolated cases. Many women are normal before pregnancy, but during pregnancy or even breastfeeding, they often do some abnormal things due to hormonal influences. You can say that they can control their bodies, and they can, but sometimes they amplify certain emotional states and then lose control of themselves!"
Hua Yuhe offered an explanation.
I imagine obstetricians and gynecologists would know more about this kind of thing.
"Sigh... Why would a husband abort a child when he was perfectly fine? It was the fruit of their love!"
Deng Sisi asked curiously.
The whole thing started because the husband wanted to abort the child.
Then the wife resisted.
She then smashed her husband's head.
From the initial contact, it seems that this wife loves her husband very much.
"From my perspective as a man, there are only three situations where I would ask my wife to abort a child. The first is that the child might be fatal for her, for example, if she has severe anemia and cannot have a child, then I would ask her to abort. The second is that the child itself may have some problems, so I hope she can abort the child, otherwise it will be a burden. The third is that the child is not mine. I am quite traditional and cannot be a father by chance, so it's either abortion or divorce."
Wu Kang answered from his own perspective.
Apart from these three situations, he generally won't ask for an abortion.
"I don't know. We'll find out when the police bring the family members."
Deng Sisi said helplessly.
If it's one of these three situations, then aborting the child is indeed not a problem.
She looked around the house and it seemed there were no other children's belongings or anything like that, and the two of them were quite young.
We can definitely wait until we mitigate the risks before resuming production.
Has it really come to this?!
"Yes, Director Wu, it's most likely an acute cerebral hemorrhage. Surgery must be arranged immediately, but the injured person is currently traveling alone. We definitely need to apply for the green channel!"
On the way to the provincial hospital, while Deng Sisi and Wu Kang from Group C were chatting, Hua Yuhe called Deputy Director Wu Qi.
For patients with acute cerebral hemorrhage like this, advance planning is absolutely essential.
Thirty seconds later.
"Okay, I'll arrange it from here."
Deputy Director Wu Qi nodded.
Meanwhile, in operating room number 2.
Zhang Lingchuan, dressed in sterile clothing, also went inside.
"Xiao Chuan, today's surgery will involve the vascular surgery and otolaryngology departments assisting in exploring the blood vessels in the neck, larynx, trachea, and esophagus, repairing ruptured blood vessels, performing end-to-end anastomosis or ligation, and repairing the airway and esophagus. In short, our steps are debridement, drainage, and layered suturing. Then you will be my first assistant."
The speaker was Wu Qi, the deputy director of the emergency department.
Huang Xiangning was not there, so Director Wu brought Fang Yuan and a group of doctors from the emergency department, as well as doctors from the vascular surgery, otolaryngology, anesthesiology, and on-call departments to work.
"Ok."
Zhang Lingchuan nodded, knowing that this was an opportunity for him to learn from Director Wu.
So much time in the emergency room.
Overall, the atmosphere was very good.
I guess it's because of leaders like the teacher's wife and Deputy Director Wu that the atmosphere in the entire department is so good.
My blood pressure dropped; I need to have surgery quickly.
With the lights on, the front of the neck area looks like a battlefield illuminated by strong light.
Zhang Lingchuan stood in front of the operating table and took a deep breath.
The entire neck is a densely anatomically detailed area.
Its main structures are skin, platysma muscle, deep cervical fascia, sternocleidomastoid muscle, carotid artery and vein sheath (common carotid artery, internal jugular vein, vagus nerve), trachea, and esophagus.
Meanwhile, the vascular surgery department began its exploration.
"In emergency surgery for neck injuries, especially those involving vascular, tracheal, and esophageal injuries, the quality of the 'exploratory procedure' often directly determines whether the patient can achieve successful hemostasis, repair, and avoid postoperative complications and secondary surgeries. Dr. Hou Qiang, the deputy director of the Department of Otolaryngology, is one of the top doctors in our hospital in terms of neck exploration. It is rare for him to be here with us today to perform surgery. Xiao Chuan, you can learn a lot from him."
Wu Qi introduced it to Zhang Lingchuan.
"I will definitely make the most of this learning opportunity."
Zhang Lingchuan replied.
Despite his impressive surgical skills, he is actually not proficient in professional exploratory techniques.
Zhang Lingchuan's understanding of it was limited to some rudimentary book knowledge.
It is a type of examination procedure used to clarify the nature, extent, and location of a lesion, or to rule out potential damage. It can be either a surgical or non-surgical examination.
Specifically, these include superficial wound exploration, urinary tract exploration, cranial exploration, thoracic exploration, abdominal exploration, biliary tract exploration, neck exploration, and so on.
Superficial wound exploration is relatively simple.
From initial exposure to independent completion, it takes roughly a few months, roughly equivalent to the level of a resident physician.
This is all Zhang Lingchuan knows right now.
The next slightly more difficult procedure is abdominal exploration, which normally requires two to three years of clinical training to learn and perform independently.
Neck exploration is more difficult, and the current hospital training system is...
The undergraduate program lasts five years. The first two years focus on systemic anatomy, with a focus on the blood vessels, nerves, and triangle of the neck. The third to fourth years are dedicated to basic surgical courses, surgical techniques, and learning incision and suturing, as well as hemostasis. The fifth year is a clinical internship, during which students observe tracheotomy, thyroid surgery, and other procedures.
During the three-year residency training, I rotated through trauma and emergency departments to participate in emergency neck surgeries.
I completed three years of advanced training in departments such as otolaryngology and trauma, and was able to operate independently in certain areas.
紧接着临床独立实战至少三年,总计本科5+研3+进修3+临床3=14年。
It takes fourteen years to truly master neck exploration techniques.
Similarly, thoracic exploration is another procedure that generally requires an attending physician or senior attending physician to perform independently. To perform it well, one would definitely need to be an associate chief physician.
The most difficult procedure is cranial exploration.
Generally, only senior attending physicians can enter the profession, associate chief physicians are barely qualified, and chief physicians are officially qualified.
Of course, this applies to human medicine.
As for the veterinarian, to put it bluntly, he knows all these diagnostic techniques. After all, cattle and horses aren't something you can just mess with!
So, in this surgery, besides learning and observing, all he can do is clean and suture; he can't use any of the other skills.
"Director Wu, so you've sent Dr. Xiao Chuan here today to steal my techniques? Xiao Chuan, watch carefully, and ask me any questions you don't understand. I think as long as you're willing to learn, it's only a matter of time before you surpass me in exploration techniques."
Hou Qiang, deputy director of the Department of Otolaryngology, smiled and said.
Of course, although he said that, he still had a certain amount of arrogance in his heart.
Every doctor has their own specialty, and neck exploration is one of the specialties of Hou Qiang, deputy director of the Department of Otolaryngology.
Neck exploration is something that most ENT doctors can do, but mastering it is not easy and requires a certain talent.
The saying goes, "A difference of a hair's breadth can lead to a difference of a thousand miles."
The current host is observing a neck probing procedure. You are given the following two options.
1. Ask questions actively. Rewards of no less than 1 skill point will be given based on the relevance of the question and the level of understanding.
II. Silently learn and carefully observe the process of the exploration technique, providing support as needed. The reward will be no less than 10 points of professional reputation.
However, Zhang Lingchuan did not expect this.
At this moment, another notification popped up.
Is this perhaps a system where different rewards are given based on the progress made?
One is skill points, and the other is professional reputation.
"Teacher Hou, there are some things I really don't understand, like what is the correct order when examining the neck?"
Zhang Lingchuan raised his own questions.
Compared to professional reputation, he certainly wants skill points more right now.
Even if it's just 1 point of skill.
"Oh, this? Generally, we start with the superficial muscles, vascular sheaths, trachea/larynx, esophagus, and deep structures."
Hou Qiang replied.
This kid really doesn't hold back.
He had previously mentored many students and asked them to ask questions, but not a single one of them did.
His mouth was like a mute's.
Look at how much progress they've made! It's truly amazing how they have such a unique learning attitude.
"Hmm~"
Wu Qi nodded.
Asking questions when you don't understand is a good start; you're clearly a promising talent.
As for Dr. Fang Yuan, he was inwardly applauding Xiao Chuan's remarkable talent and exceptional learning attitude.
Ordinary medical students don't like to ask questions, and high-achieving medical students disdain to ask questions, believing that they can understand it on their own.
Watch and watch.
"Professor Hou, how is the risk of recurrent laryngeal nerve damage assessed? Are there any landmark structures during surgery?"
Zhang Lingchuan has already asked several questions.
And it's becoming increasingly complex.
It's not just about asking "how to do it".
They also asked, "Why do it this way? When do it? Why is the order so important? How can we respond to different situations?"
The entire surgical site was transformed into a teaching and lecture venue.
At first, Hou Qiang thought the kid was just asking a few perfunctory questions, but who would have thought that the questions would become more and more profound.
They've figured out all their little tricks.
After the surgery, he gave Wu Qi a meaningful look, seriously suspecting that it was this guy who asked Xiao Chuan these questions on purpose!
Outside the operating room.
"Are none of my questions relevant? Or have I not grasped the essence? It feels alright, though?"
Zhang Lingchuan was filled with questions.
This is what he learned about neck exploration techniques from a book.
At the same time, there are doubts during actual surgical observation.
After Director Hou Qiang finished speaking, he did feel that he had gained a lot of insight.
There's not even a minimum '1' skill point reward?
Zhang Lingchuan frowned.
[System reward issued: The current host has gained 5 skill points for attentive observation, active questioning, and superficial exposure to neck exploration techniques during the surgery.]
Just at this time.
A system notification appeared.
"Five o'clock!"
Zhang Lingchuan gave him a surprised look!
【Neck Exploration Technique: "Beginner Level: 5/99" (Requires 100 points to be considered beginner level)】.
The next moment, he found that he had an extra beginner-level option.
Didn't they say that points below 100 wouldn't be displayed?
Could it be that after reaching the level of attending physician, another change has occurred?
[Skills not awarded by the system to the host, below 100 points, will not be displayed. Skills awarded by the system will be displayed at an introductory level at the attending physician level to better improve weak skills.]
Just as he was wondering, another system notification appeared.
It turned out that this was to answer his question.
He seemed to understand.
This means demonstrating a basic skill to you, so that as the attending physician, you can immediately see which skills you are weak in and then focus on improving them.
This can indeed be considered a form of encouragement.
It has to be said, it's truly pitiful for a perfect ox or horse to be driven by a whip.
"Xiao Chuan, Xiao Xiao".
The corridor leading to the operating room.
At that moment, Dr. Fang came over.
Zhang Lingchuan wasn't walking out alone; Yin Xiaoxiao was following him the whole time.
Xiaoxiao was also a scrub nurse during the surgery we just performed.
"Teacher Fang."
Zhang Lingchuan greeted him.
"Now Teacher Fang can finally leave..."
"Little one! Stop, stop, stop!!"
After Zhang Lingchuan finished speaking, Yin Xiaoxiao also added with a smile.
Dr. Fang abruptly interrupted him.
Emergency room doctors must never say they can finally go home.
This is metaphysics!!
Only Xiaoxiao doesn't believe in metaphysics!
"Teacher Fang... this is too outrageous."
Yin Xiaoxiao shrugged.
"If you really do one more, I need to go back and rest. It's already past nine o'clock! I can't keep up with your young people's stamina! I give up!!"
If there is a white flag.
Fang Yuan will definitely raise the white flag.
"It's time to rest, Teacher Fang. I'm not much younger than you."
Zhang Lingchuan shrugged.
"Xiao Chuan, although you're not much younger than me, I really admire your attitude towards learning. You asked so many questions during that surgery! Even the deputy director of the ENT department, Hou Qiang, must have been completely drained by you!"
Fang Yuan's eyes shone brightly as he spoke.
In fact, many doctors have a problem these days.
Or perhaps it's about maintaining a good image.
For example, Fang Yuan himself sometimes had situations where, during surgery, there were parts he didn't know or wasn't familiar with, even though there were familiar doctors in front of him, but he just wasn't willing to ask.
I feel that I can figure it out if I go back and look back.
Very few people are as sincere as Xiaochuan in asking such questions.
"No, no, I just feel that this is a rare opportunity."
Zhang Lingchuan smiled.
"Squeak—"
The operating room doors opened.
"Ok?"
Suddenly, Zhang Lingchuan saw a familiar figure.
"What's wrong, Dr. Ogawa?"
Yin Xiaoxiao asked Zhang Lingchuan curiously.
At the same time, they looked in the direction he was looking.
They found a total of seven people: four elderly people, a young woman, and two police officers.
People are used to seeing police officers outside the operating room of the hospital's emergency department.
In this combination, it's highly likely that the man is in the operating room.
Because they look just like a young couple with their parents.
Especially when the woman is pregnant.
However, it feels a bit strange. Why is the elderly person on the other side cursing at the pregnant woman?
"I'll go over and take a look."
Zhang Lingchuan knew this woman; she had come to see the fetus in her womb when they were at the affiliated hospital of Jida University.
At that time, it showed a cytomegalovirus infection, which could cause birth defects in the fetus, so I hoped the other party would terminate the pregnancy.
I remember it was March 25th.
Why do I remember it so clearly? Because I received a banner of appreciation that day.
At that time, Yu Fanmeng was four months pregnant.
From that day on, Yu Fanmeng never went to the affiliated hospital of Jida University for prenatal checkups.
I don't know whether she had an abortion at another hospital.
However, it's understandable that parents might not believe a child's diagnosis immediately and even seek further examinations at multiple hospitals. In fact, he, as a doctor, even recommended doing so.
That is to say, the results from one hospital may not be accurate, and even different doctors may have different opinions. It is always good to consult with several hospitals.
Today is May 11th.
Judging from the other person's bulging belly, it's clear that the abortion was not performed.
If I'm not mistaken, the fetus in her belly should be more than five months old now, at least twenty-two weeks or more.
A full-term pregnancy is 37 weeks, meaning there are still 15 weeks until delivery.
Compared to when I saw her before, apart from her belly getting bigger, she still has two labels now, but unlike the two yellow labels last time, now there is one yellow and one red label.
[The current host has discovered a patient they previously treated, although not at the same hospital. You still chose to go and check on them, earning +10 to your professional reputation.]
Zhang Lingchuan did not expect that as he walked over...
Another notification has appeared.
They even received 10 points of professional reputation.
It seems that being promoted to attending physician will trigger some rewards randomly based on relevant behaviors.
So, as long as you work hard like a beast of burden, it's still possible to accumulate 100,000 professional reputation points in half a year.
"I'll go with you, Dr. Ogawa."
Yin Xiaoxiao followed beside Zhang Lingchuan.
"Let's go take a look first, and I'll talk about the ward rounds tomorrow morning later."
It's already nine o'clock.
Fang Yuan planned to talk about the ward rounds tomorrow morning and then go back.
However, to my surprise, Xiao Chuan actually walked towards the pregnant woman. Oh well, it's only a few minutes anyway, so there's no harm in going over to check it out.
Fang Yuan went along with them.
"My two in-laws! I'm making this clear right now: if anything happens to my son, we're getting a divorce! They absolutely must get a divorce! This is outrageous!!"
The older woman with wavy hair, who looked exactly like Gao Wei, was his mother, He Huixin.
The somewhat thin man next to him, wearing gold-rimmed glasses, is his father.
The couple was having dinner at home when they received a call from the police saying their son was in the hospital and critically ill. The elderly couple initially thought it was a scam call.
If the son is really in the hospital, the daughter-in-law will at least call.
How could the police call without a word?
Besides, their son is perfectly fine and doesn't have any illnesses. If you say he's critically ill, what is this if not a scam call?
So they hung up the phone immediately.
In the end, the police contacted the property management of the residential complex, and it was only when the property management came to their door that they learned their son was indeed in the hospital.
It looks like he was hit on the head.
He's had a brain hemorrhage!
After inquiring about the cause and effect, Gao Wei's mother, Yue Huixin, took several blood pressure medications in a row to calm down!
The son was hit on the head with a stool by his daughter-in-law at home.
She fainted in her living room.
Then she dialed 120.
As the medical staff rushed over to provide emergency care and were about to leave on the elevator, she suddenly shook her head and said she couldn't go and couldn't sign the papers for her husband. She then slammed the door shut.
No matter how much the doctor knocked, the door wouldn't open.
In the end, they could only send their son, Gao Wei, to the hospital and ask the police to find his family.
As a parent, just hearing this makes my blood pressure spike!
They rushed to the hospital.
They arrived more than half an hour later and finally saw his wife and her family come over.
The two elders were absolutely furious.
"Mom, I can't divorce my husband, I'm pregnant! And I was afraid something would happen to him, I don't know how I ran into the room, I really didn't mean to! When I came out, the doctor was gone!"
Yu Fanmeng said, touching the baby in her belly.
She opened the door more than ten minutes after entering the room, but by then the doctor had already left.
"How dare you even mention this child! We told you to abort it, why didn't you? Giving birth to a deformed child is irresponsible to both him and you, you know that!"
He Huixin said angrily.
It's obvious without even guessing that this incident must be related to the baby in her womb.
Her son couldn't possibly have knocked himself unconscious with a stool, could he?
"Mom... I'll be full-term in a little over ten weeks, and our baby will be born soon. I don't care if he's deformed. Even if he's deformed, he's still our child. Besides, medicine is so advanced now, and he'll need our help."
Yu Fanmeng said, touching her belly.
"you--"
He Huixin then took out a bottle of quick-acting heart medicine.
With trembling hands, a lot of it scattered on the ground.
"Sigh, you already have coronary heart disease, don't end up making yourself sick too!"
Gao Jing, wearing gold-rimmed glasses, sighed.
He has a very good relationship with his son, and the father and son are like brothers, so he knows what his son is thinking.
He was more concerned than anyone else about his daughter-in-law's hospitalization this time. The reason he didn't have such a strong emotional reaction was that he was truly desperate about her.
The baby in her womb was clearly deformed, but she insisted on keeping the baby. She had already scheduled an induced abortion for her son. Generally, 14 to 28 weeks is the best time for an induced abortion. She was 22 weeks pregnant now, which was a bit late, but still within the range.
Induction of labor is not possible after 28 weeks.
Because at this point, the child is considered to have its own life, and national laws stipulate that labor should not be induced after 28 weeks, both because the child has a life and because it is extremely harmful to the pregnant woman herself.
Therefore, it is best to deal with it at this time.
While dealing with the child, the daughter-in-law was also taken into consideration, which is why the father-in-law kept trying to persuade her.
Unexpectedly, things escalated to this point, and their son almost died.
Several informed consent forms for surgery have already been signed, and there has even been a critical condition notice.
They didn't call the police only because their daughter-in-law was pregnant. If it were anyone else, they would have called the police immediately. This is practically murder.
But anger aside...
My wife has coronary heart disease, so I mustn't let this upset me and drive me crazy. I need to control my emotions!
"I must have had the worst luck in my life to have such a daughter-in-law. I've never heard of a daughter-in-law beating her husband so badly that he had a brain hemorrhage!"
He Huixin said.
"Mom, Dad, I really know I was wrong. I'm willing to accept it even if you call the police and arrest me. I just beg you not to make me divorce Gao Wei and not to abort the child in my belly."
Yu Fanmeng said sincerely.
"In-laws, we're done talking now. I also want to ask you, what are you going to do with a deformed child after he's born? Do you really want a grandson like this? Take a good look at those medical reports!!"
I have pregnancy test reports from the First Affiliated Hospital of Peking University and other hospitals.
It was in a file folder in the bag that the daughter-in-law was carrying.
During this period, they visited several hospitals to screen for deformities.
Many tests were done.
"Sigh, daughter, now that the baby is confirmed to be deformed, what are you going to do with it!"
Yu Fanmeng's father, Yu Chengshan, looked at the pregnancy test report with a complex mix of emotions.
If you're being pressured to abort a healthy child, then of course, your family members should be the first to disagree.
But now that it's confirmed there's a deformity, it's not like she can't have children, so why not terminate the pregnancy?
Now is also the best time for induced labor.
“Dad, the baby in my belly is a piece of my own flesh and blood, and he keeps appearing in my dreams at night, telling me to protect him! How can I abort him! As long as I don't abort the child and we don't get divorced, I'm willing to take responsibility for what I did today. If anything really happens to Gao Wei, I'll take care of him for the rest of my life! I swear! Mom and Dad, I will always be filial to you!”
Yu Fanmeng raised her hand and swore an oath.
“We can’t afford your filial piety. You were perfectly normal before we got married. I don’t know what happened to you and you’ve become like this.”
He Huixin said irritably.
"This is actually due to the effects of progesterone."
Just then, a voice rang out.
"Hello, we are doctors from the emergency department. I am Fang Yuan, this is Dr. Zhang Lingchuan, and this is nurse Yin Xiaoxiao."
Fang Yuan introduced the situation after Zhang Lingchuan finished speaking.
In fact, they overheard some of the conversation.
I have roughly figured out the cause and effect of the matter.
The pregnant woman's baby was deformed, but she refused to abort it. When her husband took her to have the abortion, she attacked him, causing him to suffer a brain hemorrhage and is currently in critical condition.
While it is true that progesterone does have some effect on pregnant women.
But I really didn't expect the impact to be so great.
It is indeed a rare case.
"Yes, it's you!"
Yu Fanmeng looked at Zhang Lingchuan and instantly became alert.
"Ok??"
In an instant, the elders on both sides, as well as Fang Yuan and Yin Xiaoxiao, all showed expressions of confusion.
They initially thought that Xiao Chuan had come because he saw that the pregnant woman was suffering from severe hormonal effects.
Unexpectedly, the pregnant woman noticed a hint of wariness deep in Xiao Chuan's eyes.
Something is wrong.
Why would a pregnant woman make that expression?
It's unreasonable.
"This is a pregnant woman I saw at the Bethune Obstetrics and Gynecology Clinic. At the end of March, I advised the couple to have an abortion, but they still haven't done it yet."
Zhang Lingchuan gave a brief introduction.
"Doctor! You're right! Look at the results of my son's and her subsequent tests at other hospitals! The child has severe deformities! He'll be a burden if he's born!!"
When He Huixin heard that Zhang Lingchuan had actually worked at Jida and even treated her daughter-in-law, she immediately became excited and said...
They even slipped him a portion of the examination report.
It turns out that Gao Wei had also told his parents.
He himself was very distressed about this matter.
He also checked it online himself.
Knowing that his wife's condition was due to hormones, he hoped that her parents would be understanding.
My son is in the emergency room right now.
They were truly exhausted.
“That’s right, honey. Look, even the doctors there advised you to abort the baby. Besides, having a deformed baby will also have an impact on you.”
Yu Chengshan also tried to persuade his daughter.
"I have reviewed the report, and it does have an impact. I hope Ms. Yu Fanmeng will be mentally prepared. You have cytomegalovirus infection, which can cause large structural abnormalities in the fetus, as well as placental abnormalities, maternal anemia or thrombocytopenia, leading to massive hemorrhage during childbirth and endangering your life."
Zhang Lingchuan glanced at the report in his hand and then spoke.
"This...this is massive bleeding!"
Upon hearing this, Yu Chengshan was no longer calm!
"Yes, look at this examination report. It's clearly a fetus with a large head malformation, and the limbs are also abnormal. The fetus will definitely not be able to pass through the birth canal smoothly, the labor process will definitely be prolonged, and excessive uterine fatigue will eventually lead to uterine atony, postpartum hemorrhage, maternal death, and so on."
Zhang Lingchuan nodded and said very seriously.
He underwent a scan.
The red label belongs to the new mother, Yu Fanmeng.
The yellow label represents the deformed baby in her womb.
In reality, having a child like this requires a lot of money to support.
Whether they can even live to adulthood is a question.
Moreover, they will be subjected to strange looks from those around them.
"No! Impossible! I don't believe it! This can't be happening! I won't abort my child!!"
All that could be seen was Yu Fanmeng walking straight out!
"Daughter! Doctor, I'm sorry! I'll go and talk to my daughter!"
Yu Chengshan chased after him.
"She's gone mad! She's really gone mad! Doctor, do you think my daughter-in-law has some kind of mental problem?!"
He Huixin shook her head and asked.
It's just a child!
If it were her, she would have aborted it long ago!
"Actually, besides hormones, there may indeed be some psychological issues, such as mild depression. So I hope you family members can guide her slowly."
During the scan, Zhang Lingchuan discovered that the pregnant woman was experiencing mild depression.
It is also accompanied by anxiety, mania, and a fear of loss.
However, the scan in March showed no psychological problems.
I have no idea what happened in the past month or two.
Now we can only hope that the two families can work together to bring the person out.
Otherwise, it's uncertain whether Ms. Yu Fanmeng will survive the ordeal when she gives birth.
And his mission was accomplished.
That means informing both families of any potential dangers in advance, and inducing labor as early as possible.
"Okay, okay, doctor, I will definitely persuade you. Thank you."
Yu Fanmeng's mother nodded.
Gao Wei's parents also stopped talking.
Because they had heard of depression.
Knowing that this thing will have a huge impact on people.
"It's a bit depressing, Xiaoxiao, Teacher Fang."
After giving his instructions, Zhang Lingchuan turned and left.
However, they would probably feel even more depressed if they had a wife, daughter-in-law, or daughter like that.
"Pregnant women are actually very prone to depression. It's okay, I've seen it all before as a doctor, right, Xiaoxiao?"
Fang Yuan looked at Yin Xiaoxiao.
"I haven't seen her much, Dr. Ogawa. Was everything alright when you had her prenatal checkups at Jida Hospital? How did things change so much in such a short time?"
Yin Xiaoxiao asked curiously.
"Yes, everything was normal at the time. They just said they were willing to wait and see and didn't want to abort the child. But they never came here for prenatal checkups again."
Zhang Lingchuan nodded in response.
"What if she insists on giving birth like this, what will we do? She's already having such a big psychological problem, will she listen to her family? If she doesn't... then wouldn't there be a high probability of her life being in danger, just like what Dr. Xiaochuan said?"
Yin Xiaoxiao looked somewhat worried.
After all, Dr. Ogawa said that the patient might have mild depression.
"If she doesn't listen, her macrocephaly is still a serious condition. Although a cesarean section can solve the problem of passing through the birth canal to some extent, cytomegalovirus infection may cause placental or uterine blood vessels to become fragile, and the mother's blood clotting function to be abnormal, so the amount of bleeding will still be significant..."
Zhang Lingchuan shrugged.
"If you can't persuade them, see a psychologist for counseling to help them get through this and then proceed with the induced labor. There's still more than a month left."
Then he added a sentence.
"You know what, a psychologist can really help, but they need the cooperation of family members."
Fang Yuan nodded.
"Professor Fang, what are the arrangements for tomorrow's ward rounds?"
Zhang Lingchuan stopped the conversation.
"Xiao Chuan, you are now a mature doctor..."
"Dududu-"
Mention business.
Fang Yuan had just opened his mouth.
The words are not finished yet.
Suddenly a voice sounded.
"Teacher Fang, take this call first. There's no rush, we have time."
It was Dr. Fang Yuan's phone ringing.
"Who is it calling at this hour? Oh, it's Yuzhu?"
Fang Yuan picked up his phone.
The next second, a look of confusion appeared on his face.
Pan Yuzhu is a highly qualified medical doctor and a newly promoted attending physician in the emergency department.
Fang Yuan is a senior attending physician; he was the one who mentored the other patient during their residency training.
In principle, Dr. Fang can be considered her teacher.
These days, I've just arranged for the emergency department to have independent night shifts to see patients.
I have no idea why they're calling at this hour.
"Hey, Professor Fang, have you gone back yet?"
Inside the consultation room, Pan Yuzhu was calling for Zhong Deng.
Because she is currently facing a problem that she cannot solve.
"You're still outside the operating room, what's up? Planning to treat your teacher to a late-night snack?"
Fang Yuan made a joke.
"Professor Fang, I've discovered a very strange case!"
Pan Yuzhu spoke excitedly over the phone.
"Strange? How so?"
Fang Yuan frowned.
It turns out that the patient had called to ask questions because they didn't understand something. This is something that often happens to clinicians, especially new doctors.
Fang Yuan was somewhat puzzled.
"Here is a 28-year-old male patient. He looks quite normal, but he has a fever, fatigue, headache, and fever that have lasted for several days, on and off. His temperature is around 38.5 degrees Celsius, which is not very high. I thought it was an upper respiratory tract infection because the test results were normal! But my intuition tells me that it doesn't seem like it!"
"That's what Pan Yuzhu said on the other end of the phone."
Emergency room doctors are most afraid of three diseases: fever, abdominal pain, and chest pain.
Because many diseases have these three characteristics.
You might say it's mild, or you might say it's serious. A wrong direction could lead the entire diagnosis astray and potentially cause serious consequences!
"Have the blood test, lab results, and complete blood count come back? Are the white blood cell count and other indicators all normal?"
Fang Yuan asked, puzzled.
"Yes, everything is pretty normal, there aren't many changes, and the fluctuations are only slight."
Pan Yuzhu answered seriously.
"Then why do you think it doesn't look like it? What are your reasons?"
Fang Yuan posed a question.
"It's just that he keeps having fevers, feeling weak, and his complexion isn't very good. I just have a feeling!"
Pan Yuzhu answered in the consultation room.
She wasn't very able to explain it clearly either.
Otherwise, they wouldn't have called China Securities Depository and Clearing Corporation (CSDC).
"Intuition? Do you think you're Dr. Ogawa? Fine, I haven't gone back yet anyway. I'll come see you after I finish talking to you about something."
After Fang Yuan finished speaking, he hung up the phone amidst repeated expressions of gratitude from the other end.
"Ok??"
Suddenly, Zhang Lingchuan saw something very strange.
He was surprised to see that a new "exploreable" tag had appeared above Dr. Fang Yuan's head.
Emergency Department Night Clinic Room 3.
"Boom boom boom——"
Suddenly, a haggard-looking man knocked on Pan Yuzhu's clinic door.
What happened to Fang Tao?
Pan Yuzhu asked with some curiosity.
"Doctor, I feel like there are some things I should tell you honestly. About a month ago, I met a female friend I met online... and then, and then we... do you think I might have gotten pregnant?!"
This is the person Pan Yuzhu called to ask for advice from Zhongdeng.
"What do you mean?"
Pan Yuzhu frowned.
"We had sex back then, and then I started having a fever when I got back. Do you think I might have caught some kind of infectious disease?"
Fang Tao asked fearfully.
A sense of helplessness appeared in his eyes.
"Um!!!"
In an instant, Pan Yuzhu's pupils dilated in shock!
Could this be AIDS?!
……
(End of this chapter)
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