Inside the emergency room.

Zhou Cheng stared at the ultrasound report in his hand, pondering it over and over in his mind.

Uterine arteriovenous fistula is mainly a congenital vascular malformation or an acquired vascular malformation. Acquired fistulas are mostly related to repeated intrauterine procedures, infections, or tumors.

The patient is just an 18-year-old girl, how could she get this disease?

Does she have a history of related medical conditions?

But when I asked her just now, she clearly said that she had never been pregnant, and she never mentioned surgery.

Just as Zhou Cheng was pondering, Zou Qian suddenly said, "Dr. Zhou, Director Dong from the gynecology department is here and in the doctor's office!"

Zhou Cheng snapped out of his daze and immediately nodded, "Okay."

He took the report and walked quickly toward the doctor's office.

……

In the office, Dong Xuemei, the head of the gynecology department, was sitting at her computer desk reviewing a female patient's medical records.

Upon seeing this, Zhou Cheng immediately handed over the ultrasound report in his hand, "Director Dong, the ultrasound was just performed by the ultrasound specialist."

Dong Xuemei glanced at the ultrasound report. "It was done by Director Zhang Min of the Ultrasound Department. The accuracy rate should be very high."

She paused, then continued, "The uterine arteriovenous fistula is accompanied by active bleeding, which is a critical condition. Interventional embolization treatment must be performed as soon as possible, otherwise the patient may go into shock at any time."

"That's what I thought too." Zhou Cheng sat down and voiced his question, "But the patient is only 18 years old. They shouldn't have this kind of disease. Could there be some hidden story?"

Li Mei frowned: "This kind of disease is indeed rare, especially in such a young patient. It's most likely related to intrauterine procedures. Let's go ask the patient; we need to get a clear medical history, otherwise there might be risks during the surgery."

……

The two returned to the emergency room of the ward.

The girl was lying in the hospital bed receiving an IV drip, her face still pale.

At this moment, the young man who brought the girl was outside the gate and could not come in for the time being.

Dong Xuemei approached the bedside and asked softly, "There's no one else in the room right now. I'm a gynecologist, and I need to help you stop the bleeding, but I need to know if you've had any intrauterine procedures before, such as abortion or D&C?"

The girl's body visibly stiffened when she heard the word "miscarriage".

Her eyes darted away instantly, her hands gripping the sheets tightly, and she remained silent for a long time.

Dong Xuemei didn't urge him, but waited patiently, while Zhou Cheng stood silently to the side.

After a long while, the girl finally spoke, her voice choked with sobs: "I...I've had an abortion."

Her voice was soft, yet it was like a pebble thrown into a calm lake, leaving everyone present stunned.

"How many times did you do it? When was the last time?" Dong Xuemei pressed, her voice full of heartache.

The girl finally couldn't hold back her tears and her shoulders trembled: "I've had it done three times in a year. The last time was the month before last, at a small clinic. I can't even remember the name."

Upon hearing this, both Zhou Cheng and Dong Xuemei gasped in shock.

Dong Xuemei sighed and explained softly, "Do you know? Abortion surgery, especially curettage, involves scraping the uterus with instruments. The uterine lining is very delicate, and underneath it is a network of blood vessels. Repeated and rough curettage can damage the walls of these blood vessels, causing arteries and veins to short-circuit, which is why you have an arteriovenous fistula now."

"Those so-called painless abortions are not harmless at all; they hide the harm inside your body, which may affect you for the rest of your life."

The girl listened, and her tears fell even harder: "I didn't understand back then, I thought it was nothing, but now I know I was wrong."

"It's not too late to realize your mistake now." Dong Xuemei patted her hand. "We'll perform a uterine artery embolization procedure as soon as possible to plug the fistula and stop the bleeding. However, the surgery requires your parents' signature. Can you contact them?"

Zhou Cheng, who was standing nearby, immediately said, "Director Dong, we've contacted her; her parents are on their way."

Dong Xuemei nodded: "Then let's make another call to them, and I'll personally discuss the patient's condition."

The girl nodded, her hands trembling as she took her phone out of her pocket and dialed her mother's number.

After the call was connected, Dong Xuemei took the phone and explained in detail the girl's condition and the necessity of the surgery.

The mother on the other end of the phone initially refused to believe it: "Impossible! My daughter is only 18 years old, how could she have such a disease? You must have made a mistake!"

Seeing this, Zhou Cheng took the phone and added, "Auntie, we've already done an ultrasound and confirmed it's a uterine arteriovenous fistula. She's still bleeding, and without surgery, her life is in danger. We understand your feelings, but the most important thing right now is to have the surgery. If you agree, we can go through the expedited process and start the surgery right now."

In such an emergency, surgery cannot be delayed until the patient's family arrives.

If the family agrees over the phone, the surgery can begin directly after reporting to the medical department.

There was a long silence on the other end of the phone before the mother's voice, choked with sobs, finally came through.

"I...I understand. We're on our way right away. You have to save my daughter..."

After hanging up the phone, Dong Xuemei immediately arranged for the operating room to prepare for the interventional surgery, while the nurses helped the girl with preoperative preparations.

……

After watching the trolley disappear at the end of the interventional room corridor, Zhou Cheng turned and walked towards the emergency ward.

There are still a few patients in the ward who need his attention, so he can't leave for too long.

As soon as I walked back to the door of the emergency room, I saw the young man who brought the girl squatting in the corner, picking up the girl's belongings scattered on the ground: an old canvas bag, a half-finished bottle of mineral water, and a few crumpled coins.

He moved very quietly, and upon seeing Zhou Cheng enter, he immediately stood up, his eyes filled with urgency: "Doctor, has she... has she gone into the operating room? Will the surgery go smoothly?"

Zhou Cheng walked over to him, pulled up a chair and sat down, gesturing for him to sit as well: "She's already inside. Director Dong from the gynecology department is performing the surgery herself. The success rate is very high, so don't worry too much."

The young man finally breathed a sigh of relief, but still didn't sit down.

"Will she suffer any long-term effects?" The young man hesitated for a long time before finally asking, his eyes full of worry.

Zhou Cheng was taken aback.

The patient's condition is a private matter, and he could not disclose details, only vaguely saying, "The surgery mainly blocked the bleeding fistula, and follow-up examinations should be done as instructed by the doctor."

The young man nodded, paused for a few seconds, and then suddenly spoke: "Doctor, actually, she's had a tough time. She didn't go to school after graduating from high school. Her parents work in another city, and she works odd jobs here by herself. Sometimes she waits in restaurants, sometimes she works in supermarkets, and she lives in one of those small single rooms that cost a few hundred yuan a month..."

His voice trailed off. "I was her high school classmate and I've always liked her. Knowing she was having a hard time, I always wanted to help her out. Last night she called me and said her stomach was hurting terribly, so I rushed over to pick her up. By the time I got her to the hospital, she could barely stand."

Zhou Cheng sighed inwardly. He couldn't offer any advice, so he could only nod and say, "Luckily you delivered it early. If it had been any later, it would have been too late."

The young man continued, "I've already asked my boss for leave, and I'm staying at the hospital with her these past few days. Once she recovers, I want to persuade her to find a stable job and not work so hard anymore. If possible, I think... I want to confess my feelings to her."

He scratched his head, his face turning slightly red.

……

Zhou Cheng walked out of the emergency room, but his heart remained unsettled for a long time.

He could sense the boy's sincerity.

This 18-year-old girl experienced the pain of ignorance and naivety, but she was also fortunate to have someone who genuinely cared for her.

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