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

The label had the familiar "Exploreable" text.

According to the system's previous prompts, as an attending physician, he has already left the medical field's novice village.

They became true travelers on their journeys.

Therefore, it will have the ability to actively trigger and passively trigger tasks.

Even when a suitable task comes along, you can explore for the task on your own.

Enhance the professional reputation and social status of the system.

Because almost every exploration mission rewards you with professional reputation and even some treasure chests.

[The host has currently encountered a patient who can be explored.]

The explorable tags have only just come out.

A notification immediately appeared in front of Zhang Lingchuan.

[A premature newborn is currently in the hospital, but due to low umbilical cord blood volume causing collapse, puncture is impossible. Doctors are forced to attempt peripheral venous puncture, but the hospital lacks the necessary expertise. The newborn is likely to die if puncture cannot be performed. As a prospective perfect physician with perfect-level puncture skills, you can attempt to resolve this crisis and enhance your real-world reputation.]

[Different rewards will be activated based on the progress of the task, with a minimum of 100 profession reputation points guaranteed.]

I used my mind to explore the available tags.

A task summary quickly popped up.

After a quick look, I found that the hospital had an extra premature baby.

A premature infant weighing 400 grams is equivalent to a gestational age of 22-23 weeks, and its organs are extremely immature.

As for the lungs, because there are few alveoli, there is almost no effective gas exchange structure, and the pulmonary surfactant is extremely low, resulting in respiratory failure at birth.

Skin is generally translucent and extremely thin, which makes it lose moisture very quickly, difficult to maintain body temperature, and highly susceptible to infection.

The cardiovascular system is also unstable, with small volume, extremely low blood pressure, and a high risk of bleeding in the periventricular white matter. The intestines are also immature, with a very high risk of necrotizing enterocolitis. In addition, there is another major problem: such premature infants have almost no immune system.

Therefore, it is a mandatory standard procedure to immediately perform puncture and establish intravenous access for premature infants after birth.

Without intravenous access, glucose cannot be administered in time, which can lead to brain damage or even cardiac arrest within a short period of time.

Even the most advanced ventilator couldn't save him.

Unstable blood pressure can lead to insufficient cerebral perfusion. Electrolyte imbalances, especially of potassium, sodium, and calcium, can cause arrhythmias, and unstable blood sugar levels can lead to brain damage.

Therefore, in a truly critical situation, a ventilator combined with simultaneous and stable intravenous infusion is needed to save this little life.

In summary...

If a puncture cannot be performed, the premature baby will definitely die.

It seems I really need to go there.

After all, isn't the purpose of obtaining perfect-level piercing skills to save lives?

"Okay, I'll be right there... Xiao Chuan, Dr. Xu, Nurse Xiao Xiao, I was going to see you out, but something came up in our department and I have to go there. I'm really sorry. Ling Yun, Director Nan, would you please see me out in my place?"

Li Tinglan said.

The puncture specialists I just mentioned are all from their department.

As for Sister Hua...

He is the master of puncture skills in the entire First Affiliated Hospital of Peking University.

Unfortunately, due to some special reasons, she went to study abroad and was in the capital city, not in Chunshi.

Li Tinglan is an obstetrics and gynecology expert.

But actually, she wasn't very good at punctures either, and she certainly couldn't compare to the puncture experts in the department.

But she is the head of the obstetrics and gynecology department, and now that something like this has happened, she has to go to the scene.

Sometimes it can even serve as a reassurance for them, and might even have a surprising effect.

"Sister Lan, although I am an intern in the emergency department of the Provincial People's Hospital, I am also a prospective doctoral student in the Department of Obstetrics and Gynecology of the Affiliated Hospital of Jida University and a member of the team. What happened? If there is anything I can do to help, I can."

All that could be seen was Zhang Lingchuan speaking at that moment.

After all, the content just mentioned was merely a system notification.

He doesn't know the real situation yet, or whether it deviates from reality.

"This……"

Zhao Lingyun and Director Nan Wenzhong were just about to speak.

To everyone's surprise, Zhang Lingchuan answered.

However, since the other party has expressed their willingness to help, they will refrain from replying for the time being. It is a good thing that Dr. Ogawa is willing to do his part here.

Take this child for example. If Dr. Ogawa hadn't come, the child would definitely have ended up in the morgue.

But because he spent more than forty minutes trying to save him, everything changed.

The child actually had a chance to come back to life.

"Oh?"

"Okay, okay, there's more to come, right!"

"Is the next step going to be a difficult labor or something? But it seems like Dr. Ogawa is also skilled at handling difficult labors. I remember back in the ALD ward, he performed a C-section on Rajen, and he managed to save both babies!"

"Speaking of which... I'm also very interested in what childbirth is like, but I doubt that would be shown on camera!"

"That's not necessarily true. It's definitely impossible if it's a natural birth, but there's still some hope if it's a C-section. After all, this is a documentary live broadcast jointly produced by the hospital and the TV station."

"No, aren't you all curious why Dr. Ogawa chose to stay?"

……

Studio.

They chatted one by one.

The number of people has also exceeded one million.

Some fans are curious about what kind of live broadcast would take if Dr. Ogawa really went there.

It couldn't have been a C-section, could it?

If a doctor in the obstetrics and gynecology department can make the head of the department frown, then there is a high possibility that the woman will have a difficult labor.

"???"

After Zhang Lingchuan said this, Xu Mengli and Yin Xiaoxiao were actually a little confused.

Because it doesn't make sense.

Dr. Ogawa actually volunteered.

Shouldn't they be leaving soon?

"Xiao Chuan, although I really want you to help, this time it's not a difficult birth, but a premature baby weighing 400 grams is having difficulty with amniocentesis. I have to go there urgently to take a look."

Li Tinglan said helplessly.

"A premature baby weighing 400 grams?"

"My God, did I hear that right? How many grams? Four hundred??"

"Not even a pound! My God, this child will suffer so much after birth!"

"It is indeed very difficult to perform puncture on a premature infant weighing 400 grams because the child's blood vessels are very thin, and even umbilical vein catheterization requires extremely high skill."

"I initially thought it was a difficult labor or something, but I didn't expect it to be this. That veterinarian really couldn't help, since he doesn't know how to perform punctures."

"It's not impossible. Didn't Dr. Ogawa perform a puncture on a child before? But that child was over two years old, which is definitely not comparable to a baby weighing less than a pound like this."

Studio.

When the viewers heard that the baby was a premature infant weighing only 400 grams, their voices were filled with helplessness.

Because these premature babies require skilled puncture technicians in the hospital to perform the procedure.

Even these puncture masters sometimes can't do it well.

Because children's blood vessels are really very thin.

"Sister Lan, our hospital's junior nurses are also skilled at punctures. You could take them over to see if they can help. That would be great."

Just when everyone thought Zhang Lingchuan was about to say goodbye.

To everyone's surprise, Zhang Lingchuan replied with this sentence.

They pushed Yin Xiaoxiao out directly.

"Oh? Is that so! Then I'll have to trouble you, little nurse! Our hospital's puncture expert is currently away for training and has failed to reach us!"

Li Tinglan heard Zhang Lingchuan introduce Yin Xiaoxiao in this way.

His eyes lit up in an instant.

"what???"

Yin Xiaoxiao looked like she didn't know who she was or where she was.

No, I am indeed good at giving myself injections, and my puncture skills are also quite good.

But at most, he can only be considered a skilled backbone.

If you're even a little stronger, you'll be an elite.

Their emergency department usually performs more punctures on adults. Although they also see children, none of them are very young.

How can a child weighing only 400 grams be punctured?

There's simply no way to puncture it.

No, could it be that Dr. Ogawa wanted to go himself and then just pushed himself out?

Outside the advanced maternity ward.

"We've arrived. Our delivery room is just ahead."

Li Tinglan was speaking at that moment.

"Dr. Ogawa... 400 grams, I can't handle that!"

Yin Xiaoxiao's face was filled with panic.

After all, it's 400 grams; just think how much that is.

To use a somewhat inappropriate analogy, it's like a little kitten.

"Xiaoxiao, don't panic, let's go in and take a look first."

Zhang Lingchuan spoke softly.

Actually, it's impossible for Xiaoxiao to come; it's just an excuse to get her here quickly.

If I say I can perform punctures, Sister Lan definitely won't believe me, and then we'll just waste time arguing.

It would be better to just send Xiaoxiao out and check on her condition after she arrives here.

We'll make our move when the time is right.

This will save a lot of time.

"Uh uh uh……"

Yin Xiaoxiao was speechless.

She now strongly believes that this is definitely something Dr. Ogawa wants to do.

Because she had just made a surprising discovery that Dr. Ogawa could perform punctures, and that his skill level was at least professional.

"Director Li, you've finally arrived! Our nurses tried to puncture but couldn't, and now they don't know what to do!"

A doctor named Zhao Wan, who wore a badge that read "Chief Physician" on her chest, said with a helpless expression.

This puncture must not fail, because even the slightest leakage can cause muscle necrosis.

In severe cases, it can directly endanger the child's life.

"Are you kidding me! Out of all these nurses, not one of them can do it! Doesn't even dare to do it?! A hospital like yours is treating human life like dirt, you know that?!"

The short-haired, strong-willed woman speaking was named Qian Min, the deputy director of the Chunshi Drug Administration.

Her daughter was born prematurely due to some special circumstances.

I accompanied her throughout the entire process as her mother.

After the baby was finally born, these tiny lives were so precious that the doctors were afraid to perform a puncture.

If this continues, my grandson is doomed!
My daughter had cancer, and the baby she gave birth to despite her desperate efforts couldn't be saved.

How could she not be angry!
This means that my daughter may never be able to have children again.

After all, cancer requires chemotherapy.

Fortunately, the baby was assessed and was able to be born at 23 weeks, after which chemotherapy would begin.

We must try our best to save both the adults and the children.

But nowadays, hospitals are not performing amniocentesis after the baby is born.

She is not a professional clinician, but as the deputy director of the drug regulatory authority, she has a certain medical background.

"Director Qian...please don't be angry." Li Tinglan came over.

He comforted Qian Min.

"Director Li, how can I not be angry? My daughter was diagnosed with cancer during her pregnancy and gave birth to this child at the very edge of her life. My original plan was to save both the mother and the child, but what have you done? Five minutes have passed since the child was born, and the intravenous access still hasn't been established! If this continues, the child is doomed!"

Qian Min was furious.

"Director Qian, the main problem is that we didn't expect that the child's umbilical cord blood volume was too low, causing it to collapse, making it impossible to perform umbilical vein catheterization. We could only perform peripheral vein puncture."

Li Tinglan explained one reason.

"Director Qian, as you know, the blood vessels of these premature infants are about the diameter of a human hair, extremely fragile, and have a very high puncture rate. Moreover, their skin is transparent and loses moisture quickly, making them prone to dehydration and collapse. Even a slight leak can cause muscle necrosis. Using a 24G needle is too thick; we must use a winged needle of 26-28G for puncture, which is extremely difficult."

It also mentioned the dangers of blindly performing punctures.

Everyone wanted to save the child.

Nobody wants their child to die.

"Are you just going to watch the child die?! Director Li, you need to think of a solution quickly! And what's with all this TV station filming? If you want to make a documentary, no problem, as long as you can save my grandson, everything is negotiable!"

Qian Min was also anxious and angry just now.

Someone had just informed her about the filming.

Her attitude was simple.

Whether it's a live stream or a documentary, as long as you blur the child's face and save the child, it's fine!!
Right now, everything revolves around the child.

“Our hospital’s puncture skill master, Xiaohua, has just gone to Beijing to study. Everyone can do regular punctures, but peripheral vein punctures are really dangerous.”

Li Tinglan said.

"Absolutely! Peripheral vein puncture—this level of procedure is practically hell!"

"It's normal to swear. My daughter has cancer, and I desperately wanted to have this child, but none of the nurses could perform an IV! Seeing my child on the verge of death, anyone would lose their temper!"

Studio.

The comments have become more rational.

And the hospital.

"Vice President Huang, for premature babies like this, is it really possible for our hospital's nurse, Xiaoxiao, to successfully perform a puncture?"

Dong Fang asked Huang Xiangning questions.

After all, she works for a TV station.

I don't really understand these things.

"Nonsense! Utter nonsense! The difficulty of puncture in this situation is comparable to climbing to the sky, Xiaoxiao simply doesn't have the ability! Even if we find a puncture master in our hospital's obstetrics and gynecology department, it's not guaranteed that he can do it!"

Huang Xiangning looked solemn.

They shouldn't have gone to the provincial hospital.

Furthermore, it is absolutely forbidden to perform punctures on a small child.

If something really happens to the child, this will be a big problem.

"That shouldn't be the case. Xiao Chuan couldn't possibly not know what four hundred grams means. Why would he say Xiao Xiao Hui? Doesn't Xiao Chuan know how capable Xiao Xiao is? It can't be a personal vendetta, can it? But that's unlikely, the two seem to have a pretty good relationship to me!"

Wu Qi was completely baffled.

Xiao Xiao is completely incapable of handling the current troubles.

If a puncture were to actually be performed, Xiao Xiao's entire career could be ruined.

Even if it were a matter of settling a personal score, it wouldn't go this far.

In addition, he observed that the collaboration between the two had gone smoothly, without any apparent misunderstandings or conflicts.

"Impossible. Xiao Chuan is definitely not that kind of person, and Xiao Xiao is no ordinary nurse. This girl is very shrewd. Ordinary people can't trick her at all. If someone wanted to frame her, she wouldn't be the kind of person who wouldn't dare to fight back!"

Huang Xiangning met Yin Xiaoxiao before Xiao Chuan did.

Therefore, she understands Yin Xiaoxiao's personality very well.

But why would she cooperate with Xiaochuan to come here?

"You mentioned Vice President Huang, Deputy Director Wu Qi, is it possible that Dr. Xiao Chuan and Xiao Xiao are creating a dramatic effect for the show?"

Fan Wang said something.

If they can't do it, and one of them understands that the other can't do it either, then why go on?

This is unreasonable.

Could it be that they only went there for the sake of the show?

How can this kind of live streaming attract more people?
"Section Chief Fan, I don't believe in this kind of thing, and Dr. Zhang isn't that kind of person either."

Dong Fang replied.

"Yes, Xiaochuan knows perfectly well what it means to save lives and what it means to profit from others' suffering. If he were really capable of doing such a thing, he would have collapsed long ago. You can tell from him that he's not that kind of person at all! He wouldn't stoop to doing such a thing!"

Huang Xiangning also stood on the same side as Deputy Director Dong Fang.

I felt that coming here was absolutely impossible.

"What can we do! Director Li! You're the head of the obstetrics and gynecology department. You've saved my daughter, you have to find a way to save the baby too!"

In the video, Qian Min looks excitedly at Li Tinglan.

Of course, they have two scenes in total.
One is the uncensored image, and the other is the image seen in the live stream.

You can see that all the faces have been obscured, and even the voices have been changed.

This demonstrates the hospital's commitment to protecting privacy, in conjunction with the television station's handling of the situation.

"Sigh... I'll contact the obstetrics and gynecology department of our hospital."

Huang Xiangning then took out her phone.

If the skill master at the affiliated hospital isn't there, their skill master definitely is.

We have no choice but to send it over.

I just don't know if they're in the hospital right now, and if not, where they are, and how long it will take to get there.

If it lasts more than half an hour, then it becomes quite dangerous.

Because the child is unlikely to live to that time.

It really was a race against time.

"Deputy Director Qian, a nurse from the Provincial Hospital just arrived. They say she's very skilled at punctures. I'll have her try it first. At the same time, I'll contact the Provincial Hospital's puncture master and have them come over as soon as possible! In the meantime, I'll also train our hospital's puncture experts so they can try it bravely!"

Huang Xiangning immediately made the arrangements.

If an intravenous line is not established for premature infants, the maximum time is only about 30 minutes.

If the hospital next door can send someone over, it should be possible.

"Sigh! Then let the provincial hospital come and try! I'm really speechless. You're supposed to be the top specialized hospital, and you can't even do a biopsy!"

What can we do now?

Qian Min had no choice but to accept the suggestion.

"Alright, alright, Xiaoxiao, could you please come over and try it out, and see if it works?"

Li Tinglan came over and took a look herself.

The blood vessels of premature infants are thinner than those of normal infants, and some are even collapsed.

No wonder they all don't know where to start.

"Dr. Ogawa, I can try 24G umbilical vein catheterization, but peripheral vein puncture requires 26 or 28 needles, I really can't do that!!"

Yin Xiaoxiao was numb after arriving here.

I originally thought it was for umbilical vein catheterization.

Although the blood vessels are a bit thin, it's still worth a try.

You then tell him that the umbilical vein has collapsed and that only peripheral venous puncture can be performed.

Using a needle as thin as a human hair to pierce a strand of hair? Good heavens, you might as well just kill her.

No wonder they all failed, and some didn't even dare to try.

If you don't have the skills, who would dare to take on this task?

The margin for error is almost zero.

Simply put, getting the wrong child is a disaster.

They even went into shock due to the puncture.

There is absolutely no room for jokes.

"what?"

Yin Xiaoxiao just told Zhang Lingchuan.

Suddenly, I heard Director Li Tinglan calling my name.

The next instant, the person froze on the spot.

"Xiaoxiao, although this blood vessel is quite thin, if you have experience in successful punctures, then it should be possible. Don't worry, just do it. If it really doesn't work, I'll call your hospital's puncture specialist over!"

Li Tinglan wasn't sure if it would work.

But making a phone call every now and then is definitely not a bad idea.

"I……"

Yin Xiaoxiao was stunned.

He looked at Zhang Lingchuan.

Zhang Lingchuan gestured for the other party to go first.

Yin Xiaoxiao walked over nervously.

Could it be that Dr. Xiaochuan is going to cooperate with me for intravenous puncture this time, just like he cooperated with Professor Xu for pericardiocentesis before?
But such small blood vessels are impossible to puncture!

"Dududu-"

Right now.

Li Tinglan's phone rang.

"Hey, Xiangning, why are you calling? I was just about to look for you. Xiao Hua from our hospital is away on a business trip for training, and now there's a premature baby who can't be amniocentesis. We need to ask your hospital for help! It's extremely urgent!!"

If it's someone else calling, Li Tinglan won't answer.

To my surprise, it was my best friend Huang Xiangning who called.

I was just thinking of calling for help after seeing the small puncture.

But she felt that Xiaoxiao seemed to lack confidence.

Ke Ren was recommended by Xiao Chuan.

Li Tinglan could only let her give it a try.

Xiao Xiao herself didn't know the details, but Xiao Chuan knew everything perfectly well.

They just blurted it all out at once.

"Tinglan, you forgot I'm watching a live broadcast. This broadcast is a collaboration between our hospital and the TV station. I just asked, and our hospital's puncture expert is off work today and is taking care of her child in the suburbs. She agreed to come to the hospital immediately, but even at the fastest speed, it will take half an hour!"

Huang Xiangning said at this moment.

She genuinely wanted to help her best friend with this!

"Oh? Half an hour! If it's half an hour, the child might not be able to hold on! By the way, how good is Yin Xiaoxiao's puncture technique at your hospital? I'd like her to perform the puncture now! What's the success rate?"

Li Tinglan felt a pang of anxiety upon hearing this.

Then he quickly asked Yin Xiaoxiao.

"This is a rather lively nurse in our emergency department. Her technical skills are at a core level, and she's quite adept at punctures, practically a pro. However, she has absolutely no experience with neonatal punctures! Her success rate is practically zero!"

Huang Xiangning answered.

At times like this, one is one, and two is two.

There's no need to exaggerate.

In her opinion, it was absolutely impossible for Xiaoxiao to succeed in the puncture.

"Ah! Xiao Chuan even recommended him! Isn't that ridiculous?!"

It cracked open; Li Tinglan's entire being shattered completely.

She suddenly turned her head, intending to stop Yin Xiaoxiao.

"!!!"

The next instant, an incredibly visually shocking scene unfolded before their eyes. At this moment, she was truly shattered; it's no exaggeration to say that she was completely broken into pieces on the ground!
...(End of chapter)