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

The countdown had been a straight downward plunge.

At this moment, thanks to my own CPR, my condition has actually improved!
In other words, there was no precise scan, no, to be precise, not even a regular scan. Otherwise, we would have at least done a scan this time to see what was going on.

Why is it so.

The recovery continues.

Ten minutes have passed in the blink of an eye.

Zhang Lingchuan noticed that the number had changed from 1 to 40.

ECMO is now connected.

But it's still being debugged.

So even though he was extremely exhausted, he continued to perform CPR.

However, for him, this overdraft was worthwhile, since he saw hope.

If the label can be successfully restored to red while ECMO is fully operational, then the survival rate of the mother, Li Xiaoxiao, will skyrocket.

Everything I did today has meaning.

have to say.

That old lady is awesome.

So everything was planned and executed perfectly?
He almost thought the old lady had failed in her attempt to show off.

After all, there's only one minute left on the countdown; to put it simply, you'll die within a minute.

You are still there teaching students.

It really gave Zhang Lingchuan goosebumps at the time.

The old lady was truly amazing; the countdown stopped almost instantly after the medicine was administered.

Only a short time has passed, and the countdown has already returned to forty.

That's incredibly awesome.

That's actually one of my weaknesses.

He doesn't know how to use medicine at all.

All they can do is perform surgery.

This kind of medicine requires a lot of experience.

Just like a traditional Chinese medicine doctor making a diagnosis.

Seeing a doctor is fine, but getting a prescription will take a long time.

After all, if you make a mistake, the worst that can happen is you get a scolding.

It didn't cause any serious impact.

But if you prescribe this medicine, it can kill people. As a doctor, it's a huge deal if someone dies from taking it, no matter when you do.

It's not wrong at all to say that it could even ruin one's entire career.

"Inject another milligram of atropine."

Just at this time.

The old lady's voice rang out again.

"???"

Huang Xiangning, Li Tinglan, and Xia Xuelan felt a tightness in their chests.

"Dean, isn't Professor Qiu pushing this person to the brink of death with this kind of resuscitation?!"

The doctors in the teaching and research office were also momentarily speechless.

They are not Zhang Lingchuan.

The data changes above the patient's head are not visible.

All I know is that, on top of that massive, complex, and already highly stimulating "rescue package" of medications, injecting another 1 mg of atropine will have a very clear and extremely dangerous effect: cardiac collapse!

"Inject one milligram of atropine."

Li Tinglan recounted the story.

Currently, the patient's blood clotting seems to have improved.

Although most doctors would refuse this medical advice, or even think it's too crazy.

However, Li Tinglan felt that sometimes conventional treatments might not be effective.

Why not try the teacher's crazy treatment method?

It might actually work!
"One milligram of atropine is being injected."

The nurse performs the procedure.

"Drip-drip-"

The machine makes a sound.

Zhang Lingchuan continued his bloody battle.

My entire body was drenched in sweat.

"drop--"

The next moment.

"Wow—"

All the doctors had smiles on their faces.

Because they saw that patient Li Xiaoxiao's various physical indicators had actually improved, especially her blood clotting, which was now under control.

"Heartbeat!!"

Even while ECMO was running, people saw the heart resume beating.

Steady!

Everyone had the same thought in their mind.

That means this wave is definitely going to be a sure thing!
"It's safe now—"

Zhang Lingchuan had just a tiny bit of strength left.

What he saw now was the red label above the head of the new mother, Li Xiaoxiao; it wasn't flashing.

In other words, with the old lady's strong intervention, this round is basically a sure thing.

Of course, further treatment will be necessary.

After all, controlling blood clotting is only a phase.

We have now passed through the most dangerous part.

In Li Xiaoxiao's case, she would need at least another ten hours of emergency treatment to completely control the blood clots.

But getting through the most dangerous phase is victory.

After all, this person couldn't have been saved before.

We have now seen hope.

Barring unforeseen circumstances, he can generally get through this period with ECMO.

"Clap clap-"

"Teacher, you're amazing!!"

After the mother's condition improved, everyone at the scene spontaneously applauded Qiu Yinghe.

That's absolutely amazing.

They had never seen this method of medication before.

Even many doctors are afraid to take notes.

"It's not that I'm amazing, and you can't just focus on my abilities. The real genius is Xiao Chuan. If it weren't for his CPR, I would never have been able to save him. Of course, it was a collective effort; everyone was indispensable. We just did what we were good at."

Qiu Yinghe turned her gaze to Zhang Lingchuan.

The cardiopulmonary resuscitation took nearly an hour and a half.

Moreover, it has always maintained extremely high quality.

Qiu Yinghe felt that even with Xiang Ning's cooperation, they were 100% unable to save anyone today.

That leaves only Ogawa.

"Dr. Ogawa, your CPR skills are truly impressive!"

Each person cast extremely respectful glances at Zhang Lingchuan.

She is no less accomplished than Professor Qiu Yinghe.

"Yes, our ECMO team was entirely supported by Xiaochuan, and even his heart resumed beating to some extent at the end!"

The ECMO team leader also spoke.

"Xiaochuan...where exactly is your limit?"

Huang Xiangning looked at Zhang Lingchuan with great appreciation.

"Madam, this is my limit. If I had been revived for a few more minutes, I would have been bedridden. I am so grateful for Grandma Qiu's medication."

Zhang Lingchuan looked completely exhausted.

"Teacher, the way you use medicine makes Xiangning's scalp tingle! I never thought medicine could be used like this!"

When Li Tinglan saw her teacher taking the medicine, she also observed her best friend Huang Xiangning.

She noticed that the medication the teacher prescribed often caused her eyelids to twitch uncontrollably.

"It is indeed... a bit outrageous, but it seems to make some sense overall."

Huang Xiangning's mind is currently analyzing the situation.

"This medication is used according to individual circumstances. We often can't just memorize formulas because everyone has different physical conditions, weights, and symptoms. If I could just memorize formulas to administer the medication, I wouldn't need to come to the site in person! Moreover, the dosage and administration method also need to be adjusted based on feedback."

Qiu Yinghe spoke earnestly.

Treating patients is not something that can be accomplished once and for all by memorizing formulas.

It needs to be flexible.

My method might save this woman in labor, but it might not be able to save others.

When Qiu Yinghe spoke

In the teaching and research office of the First Affiliated Hospital of Peking University.

"Brilliant! Minister Qiu's use of this medicine was absolutely brilliant! I feel I must pay tribute to Minister Qiu. This was a textbook example of a 'do-or-die' situation, a perfect combination of 'old-school emergency care' and 'extreme pathophysiological state'!!"

The speaker was Tang Xiaogang, the head of the Department of Pharmacology, whose hair was slightly messy and had a receding hairline.

His face wore an expression of extreme excitement.

"Xiao Gang, why don't you explain this to everyone?"

Everyone looked at Tang Xiaogang's manic expression and unconsciously glanced at the dean.

Isn't this a bit of hindsight?
Director Tang, you didn't say a word just now!
The dean then asked Xiaogang to give a presentation to everyone.

"Ladies and gentlemen, the reason why Minister Qiu's seemingly 'chaotic and even irregular' solution was able to successfully save lives from amniotic fluid embolism (AFE) is because it precisely targeted the most critical lethal mechanism of amniotic fluid embolism!"

Tang Xiaogang was drawing in his notebook.

"Did it strike the fatal mechanism of amniotic fluid embolism?"

Everyone's brows furrowed once again.

"How so? Xiao Gang! Stop keeping me in suspense."

Some pharmacological effects still need to be explained by pharmacologists.

"This brings us to the logic behind the death of amniotic fluid embolism, which typically involves three stages!"

Tang Xiaogang looked at everyone.

"Is it anaphylactic shock and cardiac arrest, acute pulmonary embolism and asphyxia, disseminated intravascular coagulation (DIC) and massive hemorrhage?"

A doctor replied.

After all, this is a matter of common sense.

"Yes, those are the three. Let's start with the first one, anaphylactic shock and cardiac arrest. Amniotic fluid embolism is essentially a severe allergic reaction caused by amniotic fluid entering the maternal circulation, right?"

"Ah."

"Yes."

Everyone nodded and listened very attentively.

"Minister Qiu used high doses of hormones, dexamethasone and hydrocortisone, because amniotic fluid components acted as allergens, triggering a severe inflammatory storm and capillary leakage in the body. The extremely high doses of hormones (20mg dexamethasone + 200mg hydrocortisone) acted as 'chemical defibrillation,' strongly suppressing the allergic reaction, stabilizing cell membranes, and preventing vascular collapse. This is the core of rescuing anaphylactic shock."

Tang Xiaogang said.

"hiss--"

“So that’s it!!”

Everyone's eyes lit up instantly.

"Allergies cause extreme vasodilation, while dopamine helps constrict blood vessels, raise blood pressure, and maintain perfusion of vital organs. In emergency situations, even a tiny amount of vasoactive drugs can be life-saving!"

Tang Xiaogang continued speaking.

Everyone listened attentively. Atropine also provided an explanation.

Amniotic fluid embolism can cause severe vagal reflexes, leading to cardiac arrest. Atropine 1mg relieves the inhibition of the heart by the vagus nerve and helps the heart to beat again, which is a key step in cardiac arrest resuscitation.

"So, in the second stage, the drugs corresponding to acute pulmonary embolism and asphyxia are aminophylline and hormones?"

Dean Jiao Bo understood a little.

"Yes, the contents of amniotic fluid, such as meconium, vernix caseosa, and lanugo, can block the pulmonary artery, causing mechanical obstruction and reflex bronchospasm. At this time, the patient is not only hypoxic but also has airway spasm. Aminophylline can strongly dilate the bronchi and can open up the blocked airway to a certain extent, thus improving ventilation."

"Director Tang, hormones can also reduce allergic inflammation and edema in the lungs, preventing pulmonary edema from worsening!"

Tang Xiaogang had just finished speaking.

The deputy director of the teaching and research office at the First Affiliated Hospital of Jilin University immediately realized what was happening.

It can be described as a two-pronged approach.

"Yes, yes, yes! The third stage, disseminated intravascular coagulation and massive hemorrhage, is the most terrifying follow-up to amniotic fluid embolism. After the blood in the whole body coagulates, it starts to bleed wildly again. Minister Qiu used sodium bicarbonate hormones. I think all of you teachers should know the principle behind it."

Judging from everyone's expressions, Tang Xiaogang had basically understood what was going on.

"Hypoxia, shock, and acidosis can lead to heparin inactivation, which aggravates the hypercoagulable state. At the same time, acidosis can render vasoactive drugs ineffective. Sodium bicarbonate is used to correct acidosis and create a basic acid-base environment for subsequent rescue, including the use of heparin for anticoagulation or supplementation of clotting factors. Hormones can inhibit immune complex reactions and have a certain auxiliary effect in blocking the progression of DIC."

One doctor immediately explained the principle.

"That's why I said it was the right decision made by the experienced Minister Qiu in an extreme situation, based on his clinical intuition and decisiveness!"

In summary, the timing was precise, and the medication played a role at every critical juncture in the patient's condition.

The dosage was strong enough; amniotic fluid embolism is a sudden and severe condition that cannot be controlled with conventional doses of medication. Minister Qiu used extremely high doses of hormones and aminophylline, fighting fire with fire, and successfully suppressed the storm.

There is also a symptomatic treatment.

Atropine saves the heart, dopamine saves lives, aminophylline saves the lungs, and sodium bicarbonate corrects acidosis.

"Although the result was successful, I have to say that this plan was extremely risky. It is no exaggeration to call it a 'cocktail therapy.' Everyone should not easily learn from Minister Qiu."

We've survived the most dangerous place.

Jiao Bo finally felt relieved.

However, this method is undeniably highly skillful and daring.

Just like cocktail therapy, mixing so many drugs together can easily lead to drug interactions such as dopamine oxidation and theophylline poisoning.

Therefore, this item cannot be replicated.

As the dean, he also didn't want people to replicate it.

Don't look back, it will only backfire.

After all, Minister Qiu is a seasoned veteran. Just like with handwriting, some people always think it's the pen's fault if they can't write well.

In fact, some people can write better than you even with a shoe brush.

This is inner strength.

Minister Qiu is someone with such inner strength; if the effect does not meet expectations, she can immediately switch to another medicine, keeping everything under control within her capabilities.

Otherwise, the Department of Gynecology would not have become such a strong department.

They were all brought down by her back then.

Director Li Tinglan was her student, and so was Director Xia Xuelan.

"clear."

"Dean, cases of amniotic fluid embolism like this are very rare, and it's impossible to learn how to do it even if you want to."

……

The doctors shrugged and said.

Every woman's situation is different.

Even if they dare to use such a crazy method of medication, they won't be able to control it if problems arise.

We don't want to end up with a medical malpractice case where the patient's life can't be saved and we end up being held fully responsible. So, we should be cautious.

downstairs.

"Xiao Chuan, I know you're very tired today. I don't have much to give you, Grandma Qiu. How about this: today we resuscitated an amniotic fluid embolism patient, and we explained the principles of medication administration. You can write a paper about it, and I'll have Tinglan and Xuelan help you with the review. Then, you can submit it to me for final review, and I'll try to get it published in the *American Journal of Obstetrics and Gynecology*. If that doesn't work, we can publish it in our domestic journal, the *Chinese Journal of Obstetrics and Gynecology*. There's a section for papers in the emergency department, so you need to work harder in our obstetrics and gynecology department too."

Qiu Yinghe looked at Zhang Lingchuan with a smile.

Both of these are Q1 papers.

"Gulu——"

However, after Qiu Yinghe uttered those words, the eyes of the group of doctors in the obstetrics and gynecology department immediately lit up with envy!
Even Li Tinglan and Xia Xuelan's lips twitched slightly.

The Chinese Journal of Obstetrics and Gynecology is a top-tier obstetrics and gynecology journal in China.

Many doctors are scrambling to get in.

They were even happy to publish one themselves.

As for young doctors, they have absolutely no chance.

First of all, this is not a literary work. No matter how well you write, it's completely useless.

It requires case studies.

Moreover, only very typical cases can be selected.

Cases like today's, where amniotic fluid embolism was successfully treated, are numerous.

Therefore, as long as you maintain a normal level of writing and have expert guidance, there is a certain probability that you can get accepted.

But what the teacher is saying now is...

To challenge the American Journal of Obstetrics and Gynecology, which is a highly influential international journal in obstetrics and gynecology, considered the bible of the field.

Founded in 1920, AJOG consistently maintains an impact factor of 6-8 or higher. Publishing an original article in AJOG is a significant milestone in the careers of many obstetricians and gynecologists worldwide!
That's too ruthless!!

Get a guaranteed minimum from the top domestic universities.

What kind of incredible bombshell is this?!
"Waaaaah... My heart is broken. My junior brother is simply amazing. I don't even know if I can graduate with my doctorate, while my junior brother is already preparing a paper for the top-tier journal as soon as he enrolled."

Zhao Lingyun felt suffocated.

They are required to submit a Q2 paper to graduate with a doctorate.

"It's okay... Xiaoyun, my heart is broken more."

Zhong Lin remained silent.

She has yet to publish a paper in the first-tier obstetrics and gynecology department.

At most, I only published a few articles in Zone 2.

As it turns out, Dr. Ogawa had just arrived and was already aiming to publish in a top international journal.

Comparing yourself to others is truly infuriating.

But there's nothing to be jealous of.

This person is not only a genius in the emergency department, but also truly exceptional in the field of obstetrics and gynecology.

No matter how complex the cesarean section patient is, the other party always handles them with ease; their skills are probably second only to Director Li.

He also played a decisive role in today's amniotic fluid embolism.

Overall, it was thanks to the combined efforts of Dr. Xiao Chuan and Professor Qiu Yinghe that Li Xiaoxiao, the new mother, was able to overcome her difficulties.

"Grandma Qiu... I really can't accept this gift."

Zhang Lingchuan's face was full of question marks.

There were no gifts.

Here's a paper for you.

Write it yourself.

day.

Another academic paper.

He was completely overwhelmed!

"Hahaha, you can handle it, Xiao Chuan, I have very high hopes for you!"

Qiu Yinghe burst into laughter when she saw Zhang Lingchuan's furrowed brows.

Studying medicine!
There's no such thing as a life without suffering.

Sometimes you don't know your limits until you push yourself a little.

Besides, Xiang Ning has already published so many articles for Xiao Chuan, so the obstetrics and gynecology section needs to catch up as well.

"Thank you for your kindness, Grandma Qiu. I will definitely work hard."

What else could Zhang Lingchuan reply with? He could only try his best.

After all, he's a candidate for the Perfect Doctor!
How can it not be durable?

“Speaking of which, Lan, Xiao Chuan is your student. Xiang Ning has helped him publish so many papers. You should also work harder to get Xiao Chuan to write more and publish more papers, you know? Xue Lan, you should also do the same. You and Xiao Chuan are in the same hospital. Please give him more guidance and call on him if you need anything. Our goal is to cultivate talent within this system.”

Qiu Yinghe looked at Li Tinglan and Xia Xuelan.

"Teacher, I understand! I will definitely make sure Xiaochuan writes more!"

"I'll definitely invite Xiaochuan to our second-floor obstetrics and gynecology department more often!"

Li Tinglan and Xia Xuelan spoke at the same time.

"..."

Zhang Lingchuan was truly speechless.

This guy is really pushing himself to the limit.

"Haha, alright, let's go out first. I heard that you haven't had dinner yet, Xiao Chuan. You can have dinner too. Let Xiao Zhong and Dean Jiao handle things here."

Qiu Yinghe said.

My task is complete.

The machines are already in place, and there aren't any dangerous situations for now, so we can leave it to them.

Dean Jiao will make the arrangements.

"Ah."

The group tidied themselves up and headed outside.

The operating room outside the door.

Number 1 is still labeled as "currently undergoing surgery".

This is because it's an operating area where several operating rooms are connected, and there are also many family members outside.

"Sigh... You can't even encounter something like this during childbirth, amniotic fluid embolism! The mortality rate for this is almost 100%!"

"A patient's family member said in a low voice."

"Indeed, now that the child has been saved, the hospital has brought in so many experts, even retired ones. They really did their best."

"Some things are just fate! I've found that some netizens have a point. If death is going to take someone away, it's not so easy to stop them."

Some family members nearby echoed this sentiment.

"Holy crap, stop talking! The doors to operating room number one are open! Look! Dr. Qiu Yinghe and Veterinarian Zhang are coming out!"

Just at this moment.

The operating room doors opened.

Everyone saw the person they least wanted to see, yet most wanted to see.

Those are Zhang Lingchuan and Qiu Yinghe.

Now they've both come out.

And everyone's hearts sank.

What does this mean? It means it's over!
"Cool."

"They couldn't save him, right?"

"God is so damn cruel!!"

"Sigh, this is normal. Amniotic fluid embolism is not so easy to save. What good is Veterinarian Zhang? Even an old expert can't help."

"Yes, amniotic fluid embolism usually requires 10 to 20 hours of emergency treatment. This person was only in for less than an hour before coming out. Ninety-nine percent of them die!"

"Listen, what follows is quite unfortunate."

"Veterinarian Zhang suffers his first defeat!"

……

Studio.

It was almost entirely a scene of wailing.

The patient's family members froze on the spot when they saw this group of people come out.

"Dr. Zhang... my wife... she... she couldn't be saved..."

Ding Zhenyu's hands trembled.

Her eyes were red from crying.

...(End of chapter)