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

The family members outside were waiting anxiously.

Doctors Li Tinglan and Zhao Wan have already come out.

They've performed so many surgeries today that they're already a little dazed.

I was busy from morning till night, without a single break.

I had just eaten a hot meal around 8 o'clock—and I mean literally just one bite—when I was rushed to the hospital for placental abruption.

This severe case of placental abruption is extremely dangerous.

"Director, don't you feel that being with Xiaochuan is exhausting? It's like my bones are about to fall apart."

Zhao Wan sighed.

“I don’t know where I saw this sentence before, it says that Xiaochuan and I are exhausted because someone who could have been taken to the crematorium can be rushed to the operating room in a race against time… How can that not be exhausting! Tell me, if he hadn’t discovered this severe placental abruption today, would we have had a chance to save him?”

Li Tinglan said.

"There was no chance. After all, even your suturing with a sling couldn't stop the bleeding. The dissection was very serious. If it weren't for Dr. Ogawa finding out, I think it was you, Chief Physician, we might not have been able to save it."

Zhao Wan said.

The chief physician's B-Lynch sutures are among the best in the entire Northeast region.

The bleeding still couldn't be stopped.

The bleeding was only barely stopped after the ascending branch of the uterine artery was ligated.

This shows how dangerous the situation was at the time.

Not only was the child saved, but the uterus was also preserved.

To put it nicely, this should easily trend on Yixiang.com, and a bunch of colleagues would be saying "666" (a Chinese internet slang for "awesome").
"It's not that he might not be able to be brought back, it's that he probably won't be able to be brought back. People say that Xiao Chuan has a medical physique. I think this child must have a pair of medical eyes. Those eyes can see danger and the severity of the illness. Of course, you can also think of it as a health bar."

Li Tinglan said with a solemn expression.

In severe placental abruption, speed is crucial.

It was too late to bring the mother over after she had fallen into a coma.

In particular, Li Xiaoxiao's symptoms are very atypical.

If it cannot be identified early on, death is certain.

"So... if something happens, our hospital will probably be in trouble again... wait, why hasn't Dr. Ogawa come out yet?"

Pregnant women are the highest-level patients, in any hospital. If something goes wrong and they die on the operating table, the higher-level health commission will definitely come down to investigate. Moreover, the death of a pregnant woman is often accompanied by the risk of medical disputes, and may even affect the overall reputation of the hospital. She is the doctor who registered this pregnant woman and has been with her until now. She will definitely be involved in the matter. It would be a relief if she could get away with something serious.

Although your doctor thinks it has nothing to do with me.

I have done everything I was supposed to do.

The mother suddenly experienced placental abruption, and there was really nothing that could be done.

But the family members don't think so.

They will think that you, as a doctor, have not done your job properly.

At that time, if banners are put up at the hospital entrance, there is even a possibility of radical attacks on doctors.

Thanks to Dr. Ogawa.

Suddenly, Zhao Wan realized that Dr. Xiao Chuan seemed to have disappeared.

"They probably want to wait for Xiaoyun to come along. We can change our clothes first and then wait for them. We can go have dinner together. These two kids haven't eaten yet."

Li Tinglan glanced in the direction of the operating room.

I just called Xiaochuan to go eat.

However, it seems he didn't answer me. It's possible that I said it at the door and then came out, so I didn't hear Xiaochuan's reply.

After all, wearing a mask is equivalent to covering your mouth.

There's a slight difference between how I speak and how I speak normally.

"This time, I'm begging you, Director, you absolutely must give me this opportunity!"

Zhao Wan's gaze was firm.

I'll really treat her to a meal.

Otherwise, I would feel really bad about it.

"Alright, alright, Director Zhao is treating. Let's talk to the family first and then wait for Xiao Chuan to come out together."

The two looked toward the operating room behind them.

No one has come out of the operating room yet.

I immediately decided to talk to the family at the door first, and wait for Xiao Chuan.

Because under normal circumstances, family members would definitely ask at the door.

That minute or two is enough time to wait for Xiaochuan.

After all, even if he was waiting for someone or had other things to do, it shouldn't have taken more than two minutes.

The neonatal ward has taken over the case.

The mother's vital signs are currently stable, and she has been handed over to the on-duty doctor, Zhong Lin.

The other person is also an associate chief physician.

I also participated in the surgery that just happened.

They are the core backbone of the department.

They are perfectly capable of handling Li Xiaoxiao, a new mother who has just given birth.

In the operating room.

"What's wrong, Junior Brother Zhang?"

Li Tinglan left. Actually, Zhang Lingchuan had responded, but perhaps his voice was too soft for her to hear.

After all, she left as soon as she finished speaking.

The two teachers are old and lack the stamina potion.

So it's normal to feel tired after surgery.

Zhao Lingyun is younger and in good condition. She was just about to watch Zhang Lingchuan staring blankly at Li Xiaoxiao, a woman who had just undergone surgery, his eyes filled with confusion.

"Dr. Ogawa must be starving, after all, it's already past nine o'clock and he hasn't had dinner yet."

Just then, a female doctor next to me said with a smile.

She is Zhong Lin.

Speaking of which, the last time Dr. Ogawa came, she was in charge of the case where a child brought three days' worth of food and they almost had to give the child away.

She herself is also an associate chief physician in the Department of Obstetrics and Gynecology.

I'm on duty tonight.

I was unable to attend the gathering invited by Director Li.

Dr. Ogawa and his team had originally planned to have lunch around 8 o'clock, but they ended up having to perform another surgery.

Don't be fooled by the short duration of this surgery; the tension and strain experienced by the surgeon, Ogawa, was actually quite tiring.

It's roughly like aerobic jogging versus a 400-meter death sprint.

It's normal to be exhausted and dizzy, let alone doing it on an empty stomach.

"It's not that I'm hungry, it's just that I feel something's off about her."

Suddenly, Zhang Lingchuan answered with a serious expression.

"Something's wrong?"

Not only was Zhong Ling stunned, but even Zhao Lingyun, who was about to go eat, didn't dare to move an inch.

Because when my junior colleague points out something's wrong, then there's a real possibility something's wrong. But what could be wrong right after surgery?!

"Yes."

Zhang Lingchuan walked toward Li Xiaoxiao, a woman who had just given birth.

[The current host has just completed a dangerous emergency cesarean section due to placental abruption. At this moment, you notice an explorable tag above the head of the new mother, Li Xiaoxiao, and you are given two options.]

Option 1: Although you are already very tired, having used four stamina potions today and reaching your physical limit, you still choose to check the "Exploreable" tab. You are guaranteed at least 500 job reputation.

Option Two: The surgery was very successful, and there shouldn't be any problems. You have absolute confidence in your skills, so please leave to eat and rest, and let the other doctors handle the rest.

This is the prompt Zhang Lingchuan received after seeing that the area was open for exploration.

These are "Leave" and "Continue Exploration".

He felt that the system option was somewhat redundant.

Because I'm not the kind of person who can leave.

In this situation, an "exploreable" tag has already appeared above someone's head; how can you expect them to leave?
That's simply impossible.

My character isn't that bad.

No matter how hungry or sleepy you are, you still have to explore.

It won't make a difference if we wait a little longer.

[The system is currently scanning. 500 professional reputation points have been gained. The host can monitor blood oxygen, heart rate, and blood pressure in advance.]

Five hundred professional reputation points acquired.

The system is scanning.

However, there is usually a buffer of a few seconds to more than ten seconds before the scan results are displayed.

Blood oxygen?

Zhang Lingchuan moved closer to Li Xiaoxiao.

"What exactly is wrong?"

Zhong Lin and Zhao Lingyun also followed Zhang Lingchuan's suspicions and approached the patient, Li Xiaoxiao.

Blood pressure: 105/65 mmHg

Heart rate (HR): 100 bpm

(SpO2) Blood oxygen saturation: 95%

...These are the data from the monitor.

"Previously, the new mother Li Xiaoxiao's blood pressure, heart rate, and blood oxygen saturation were 110/70 mmHg, 95 bpm, and 98%, respectively. Now what are they!"

Zhang Lingchuan still remembered the initial data.

He immediately asked.

"Blood pressure has decreased, heart rate has increased, and blood oxygen levels have decreased."

Zhao Lingyun answered while looking at the data.

My blood pressure was 110/70 mmHg before, and it is now 105/65 mmHg, which is slightly lower.

The same goes for blood oxygen; it used to be 98%, now it's 95%.

The only thing that has increased is my heart rate, which was 95 before and is now 100.

"But these fluctuations shouldn't be too big, right?"

Dr. Zhong Lin began to speak.

As is well known, these slight changes in data are common in clinical practice.

It doesn't mean anything.

"But if all three data points change simultaneously, we need to be vigilant..."

Zhang Lingchuan said.

At the same time, the results of the scan reappeared before my eyes.

The system has completed three precise scans.

Patient's name: Li Xiaoxiao.

[Patient's gender: Female.]

[Patient's age: 23 years old.]

[Patient Status: Coma.]

[Patient Diagnosis: Amniotic fluid embolism.]

[System notification: The patient appears to have entered a stable phase, but in reality, blood pressure, blood oxygen levels are decreasing, and heart rate is increasing. An extremely rare and almost unpredictable amniotic fluid embolism (AFE) may occur at any time, leading to systemic bleeding, respiratory and circulatory failure, and damage to multiple organ systems. The host is requested to recognize these critical, near-death signs and urgently organize a team for emergency treatment.]

[The host initiated immediate resuscitation, with a 10% success rate. All rewards related to this mission will be calculated and settled upon the mother's survival or death. Good luck, Dr. Zhang; this may be one of the most glorious battles of your career.]

It's not long.

But Zhang Lingchuan's pupils widened in shock!

AFE is short for pregnancy-related allergic reaction syndrome, commonly known as amniotic fluid embolism in China. Its incidence is approximately one in ten thousand to five, making it a rare condition. However, once it occurs, the maternal mortality rate is close to 100%, earning it the title of "the number one killer in obstetrics."

This thing cannot be prevented in reality, and there is no specific medicine for it; it must be identified and treated quickly.

Some might even say that they can brag for the rest of their lives about which doctor can save them.

However, in clinical practice, there is often no chance of survival. In some extreme cases, a person may only scream once before their heart and breathing stop and they die.

So at this moment, the system gave him an estimate of what would happen if rescue was carried out immediately.

The success rate is 10%.

Even with cheat codes, he only has a 10% chance.

Without using cheats, you can imagine how low the success rate would be.

They're basically doomed!
Moreover, judging from the extremely dangerous information from the system, the other party should be suffering from acute respiratory and circulatory failure due to amniotic fluid embolism.

Normally, in clinical practice, the disease is divided into two types based on its severity: fulminant and chronic.

After the initial fulminant symptoms, shortness of breath and cyanosis quickly follow.

Acute pulmonary edema is characterized by coughing, expectoration of pink frothy sputum, rapid heart rate, and decreased or even absent blood pressure.

In a few cases, the patient only screamed once before their heart and breathing stopped, leading to death.

Slow-onset respiratory and circulatory symptoms are mild or even absent, and are only discovered when postpartum bleeding persists or blood fails to clot.

The former basically has little time to be rescued, while the latter can still be rescued.

"Being vigilant... is also true."

on site.

As Zhang Lingchuan finished speaking, Dr. Zhong Lin murmured in response.

That's true, although there might be some data fluctuations under normal circumstances.

However, if all three fluctuate simultaneously, that's a typical irrational situation.

"Shall we find the reason, junior brother?"

Zhao Lingyun believed that her junior brother could see the health bar.

Today's events have solidified her belief.

So when her junior brother sensed something was wrong, she still said the same thing: there must be something wrong.

Just like what netizens have said.

Black and White Impermanence were squatting nearby.

No normal person would let these two people stake out the place.

They must be on the verge of death, which is why the two of them are guarding this place.

Therefore, as doctors, we must be one step ahead of time to identify the signs of impending doom in patients, prevent them from losing their chance of survival, and bring them back to life.

"Senior Sister! Professor Zhong! Amniotic fluid embolism! I suspect it's amniotic fluid embolism!!"

Zhong Lin and Zhao Lingyun are considering it.

Suddenly Zhang Lingchuan shouted.

A moment!

Indeed, in an instant, the entire operating room fell silent.

The doctors who were about to leave seemed to be frozen in place, turning back with their eyes wide open like bells!

"Sheep, amniotic fluid, embolism??"

Zhao Lingyun and Zhong Lin both twitched their lips.

These four words.

From newly hired OB-GYN interns to retired OB-GYN professors who have been rehired, it's a true nightmare!!

"drop--"

Just at this moment.

My blood pressure suddenly dropped another notch.

My heart rate spiked to 130.

Blood oxygen levels were as low as 80%.

"Fuck——"

Zhao Lingyun and Zhong Lin, the two women, started swearing!

Zhao Lingyun had studied it in books and even practiced amniotic fluid embolism.

Needless to say, Zhong Lin is an associate chief physician with extensive experience.

If blood pressure drops, heart rate spikes, and blood oxygen levels plummet, and these three indicators are present together, along with pink frothy sputum in the lungs, then there is no doubt that it is amniotic fluid embolism.

"Sister Lan—"

Zhao Lingyun rushed out.

My vision is blurry!!

Its body was also bristling.

It's that feeling of being electrocuted, with countless bubbles shooting up to the top of your head all over your body!

The people they painstakingly rescued.

hurry up!

Faster!!!
Doorway.

"Doctor! How is my wife? Is she alright?"

When family members Ding Zhenyu and Zhou Liqiong saw Li Tinglan and Zhao Wan come out, they immediately asked excitedly about their wives' condition.

"Don't worry, family members. Although the surgery was complicated, it went smoothly. We delivered a baby boy who had no spontaneous breathing or heartbeat at birth. His Apgar score was 0, and the pH value of his umbilical artery blood gas analysis was only 6.68, indicating he was near death. After five minutes of resuscitation, his Apgar score was reassessed and improved to 6. He is now under the care of specialists in the neonatal department and is being prepared to be transferred to the pediatric intensive care unit for treatment. The mother's condition is stable, and we have also saved her uterus. She will be transported out in a little while."

Li Tinglan smiled and said.

As a participant in this miracle, she felt a great sense of accomplishment and was naturally in a very good mood.

"Great! Great! They're both saved!!"

The family members wept with joy.

They had previously thought that they would be grateful if they could save even one person.

Surprisingly, both of them survived.

"Awesome!"

"A 20% probability!!"

"Finally, I can breathe properly! I was so nervous watching this!"

"Can someone explain what this Apgar score is? Is a score of 0 very dangerous?"

"I can tell you all that this was a case of severe placental abruption with an Apgar score of 0. The baby was practically on the verge of death, but they actually managed to save him! It's like the Grim Reaper had already taken him away, but the doctor went up and gave him a good whack, bringing him back. It's incredible!!"

"Although the example is a bit funny, it's pretty much true! And both of them were saved! Dr. Ogawa is truly a nemesis of the Grim Reaper!"

The live broadcast continues.

Netizens cheered excitedly.

However... soon, Zhao Lingyun's urgent, tense, and frantic shouts came from the screen!
...(End of chapter)