medical treatment

Chapter 513
Facing Du Bing who regarded himself as a big dish, Yu Zhiming didn't let him get used to it, and told this guy directly.

Dr. Ding Ye did not need his sacrifice.

Even if something unexpected happened and he couldn't go abroad for further studies, with Ding Ye's ability and the help of Dr. Liu Yun, it would be easy to transfer to the center to work.

Yu Zhiming also made it clear that since he was Ding Ye's friend and Ding Ye didn't like Du Bing's pursuit, he would not recruit Du Bing as a medical assistant.

It is suggested that Du Bing should continue to study in the UK.

Perhaps Yu Zhiming's reason was very strong. After Du Bing confirmed that Dr. Liu Yun would transfer to work in the center, he left with a troubled expression on his face.

After this guy left, Yu Zhiming called Ding Ye, briefly explained what happened just now, and then asked, "What's going on with Du Bing, he doesn't seem very smart?"

Ding Ye sighed softly during the call: "Doctor Yu, this guy is actually very smart, and his medical skills are among the best among young doctors. It's just that he is protected by his parents too well, coupled with his strong sense of superiority, he has developed a self-righteous hate character."

"People are not bad."

Yu Zhiming let out a groan, and joked: "In this way, Du Bing can be regarded as a high-potential stock."

"Why don't you want to take him into your bag, transform him, and maybe you will gain an obedient future famous doctor?"

Ding Ye snorted softly during the call and said, "I won't make fun of myself!"

"Doctor Yu, you don't know, his parents just want to find him a wife who is always centered on him..."

After lunch, Yu Zhiming hurried back to the central small building, took out the thin quilt and pillows left in the locker, and hurriedly went to take a nap in the bed cart parked in front of the small building...

He lay in the cot for a total of nineteen minutes.

For Yu Zhiming, a patient with difficulty falling asleep, this short period of time is not enough for him to fall asleep.

But after 9 minutes of closing his eyes and resting his mind, he felt refreshed and revived with blood.

This made Yu Zhiming feel that even if his workload in the afternoon was doubled, he would not be afraid.

He opened the door and got out of the car, and suddenly found that Zhou Mo was guarding outside.

"Zhou Mo, is something wrong?"

Zhou Mo said softly: "A security guard came to ask, whose car is this, please drive away quickly."

These words made Yu Zhiming realize that this is not a parking area, only vehicles transporting patients are allowed to park temporarily.

Then Zhou Mo's voice sounded, "I'm worried that someone will come and disturb me, so I'll stay here."

After a pause, she said again: "Doctor Yu, you don't need to be too moved, this is what my little assistant should do."

"Besides, I just stood there for 48 minutes and [-] seconds in the cold wind, and I'm not tired or cold at all."

Yu Zhiming threw the car keys to Zhou Mo.

"Don't worry, I'm not moved."

"Park the car in the teacher's parking space in the underground parking lot first, and then go to the logistics office to apply for a pass."

After Yu Zhiming finished giving instructions, he turned around and entered the small building without any hesitation.

Zhou Mo waved his small fist towards his back...

Yu Zhiming's work schedule this afternoon can be said to be quite tight.

In addition to his original work, he also took over the follow-up treatment of some patients who belonged to the teacher after the teacher asked for leave.

Busy until three o'clock in the afternoon, Fu Xiaoxue's previous interview teacher's family came on time.

A Caucasian couple in their 40s and their three children, two boys and one girl.

After an inspection, Yu Zhiming had two main findings.

One is to use a bronchoscope to remove a small fragment of a deciduous tooth from the bronchi of their seven-year-old son who often has colds and fevers.

Second, he felt that the heart of the interviewing teacher was not very good.

Yu Zhiming learned that this teacher, as a financial practitioner in London, stayed up all night watching the market and analyzing data all night, which was his normal work.

Yu Zhiming solemnly warned him that he must have a regular work and rest, avoid staying up late, exercise properly, and eat healthy.

If this continues, in the next year, he will have a serious heart problem, and he may go on strike.

After Yu Zhiming sent the British family away, he also received a Christmas gift from them.

A box of English tea, a box of chocolates, and a set of silver Western cutlery.

At [-]:[-] in the evening, Yu Zhiming hurriedly completed the breast cancer screening of fifty volunteers.

Afterwards, he skipped dinner and ate a few chocolates and biscuits on the way to general surgery.

When he came to the general surgery department, Yu Zhiming met Dr. Cui Zhitan, and they prepared for the operation together.

As for Lu Qiu, the embroidered woman who was being operated on, she had already made preparations and was sent to the operating room.

Just as the two entered the surgical isolation area, they were suddenly stopped by Zhou Mo's voice.

"Doctor Cui, Doctor Yu, please wait a moment."

Yu Zhiming stopped, and saw Zhou Mo, Zhou Mo's mother, and three people walking over quickly.

When several people approached, Zhou Mo spoke first, "Doctor Yu, these three are Aunt Lu's husband, daughter and son-in-law."

Yu Zhiming met Lu Qiu's husband's gaze.

This is a man in his 50s, tall and thin, with an honest look.

Yu Zhiming frowned and asked, "Is there something wrong?"

Lu Qiu's husband hurriedly waved his hands and said, "No accident, Doctor Yu, no accident."

"Doctor Yu, I just want to say..."

After a pause, Lu Qiu's husband raised his voice and said solemnly, "Dr. Cui and Dr. Yu, if during the operation, you find out that the risk of pregnancy is very high, it will seriously affect my wife's recovery..."

"You can directly decide to end the pregnancy. In short, everything is based on keeping the adults."

Yu Zhiming didn't like to hear these words.

In order to protect the child, only surgery and no radiotherapy will definitely make the patient bear a certain risk of cancer recurrence.

What Yu Zhiming and Cui Zhitan have to do is to reduce the possibility of cancer recurrence as much as possible.

Now that the matter is coming to an end, you suddenly said that everything is based on keeping the adult as the premise.

Why not persuade his wife to end the pregnancy from the very beginning and go all out to avoid the recurrence of cancer?

This kind of repetition and ambiguity will make it difficult for doctors to do it.

After all, the so-called risk of cancer recurrence is really difficult to clarify and quantify.

Even if there is only a [-]% chance of recurrence, it may be unlucky to come true.

At that time, will you blame the doctor for not making a correct risk judgment during the operation?

Cui Zhitan noticed the change in Yu Zhiming's expression, and quickly took the conversation.

"Ms. Lu underwent lumbar epidural anesthesia, and she will remain sane throughout the operation."

In the first trimester, unless necessary and necessary, pregnant women should avoid anesthesia as much as possible.

The fetus is too weak and sensitive, and anesthesia will affect the development of the fetus more or less.

The degree of anesthesia's influence on fetal development is related to the way of anesthesia.

Relatively speaking, local anesthesia or spinal anesthesia have little effect on pregnancy.

This is because local anesthesia or spinal anesthesia do not pass through the blood circulation and have little effect on fetal brain development.

If intravenous or general anesthesia is used during pregnancy, it may affect the health of the fetus, which is not conducive to pregnancy.

During general anesthesia or intravenous anesthesia, the anesthetic will directly affect the fetal brain development through blood circulation.

In order to reduce the impact of anesthesia on the fetus in Lu Qiu's womb, Cui Zhitan did not use the anesthetist he often worked with for this operation, but specially invited a senior anesthetist who is proficient in gynecological anesthesia.

Cui Zhitan said loudly: "Everyone, if during the operation, we find something that we didn't find in the previous inspection, which leads to a change in the operation plan, we will first seek Ms. Lu's opinion before making a decision."

What he said was to clearly tell the few people in front of him.

If there is no accident during the operation, the operation plan will be strictly followed.

If there are special circumstances, the opinion of the person involved in the operation, Lu Qiu, will prevail.

Of course, a major accident occurred during the operation, causing Lu Qiu to fall into a coma and his life was in danger, so he must come out to seek the opinions of his family members.

After Cui Zhitan responded, he took Yu Zhiming and turned around to enter the operating area.

After the two of them went through a round of preparation and busy work, Lu Qiu's operation started step by step.

With Yu Zhiming's probing skills, Dr. Cui's rich clinical experience, and Lu Qiu's condition is not complicated, after the laparotomy, no abnormalities were found.

The operation was carried out according to the established plan.

Yu Zhiming first determined the scope of resection of the cancerous colon tissue by feeling it with his hands.

Then, one by one, he felt the lymph nodes around the cancerous area with his hands thinly and gently.

This is the most critical part of the operation.Be sure to clean up the lymph nodes that contain cancerous cells.

Lymph node dissection is a routine surgical method for tumor resection.

Lymph node dissection can have some sequelae.

One is lymphatic leakage.

This is mostly due to excessive lymphatic dissection, leading to local leakage of lymphatic vessels. After surgery, symptoms such as obvious swelling of limbs and incision exudate may occur.

The second is the spread of tumor cells.

Local stimulation during lymph node dissection may cause cancer cells to metastasize and invade along lymph nodes and lymphatic vessels.

Therefore, in the process of lymph node dissection, it is necessary to move gently and remove the entire lymph node to avoid the metastasis and spread of cancer cells.

The third is the dissection of the lymph nodes, which will increase the surgical wound, and more fluid or blood may occur in the local area after the operation, which will significantly increase the local infection rate.

Through his gentle perception, Yu Zhiming also marked the lymph nodes that need to be cleaned one by one.

He then assisted Dr. Cui in surgery.

For experienced Cui Zhitan, this operation is a piece of cake.

It only took an hour, and it was successfully completed!
Yu Zhiming was in a hurry to go home for dinner so that he could have a physical examination on Pan Yao, the owner of the cosmetics store, who came by appointment at [-]:[-] pm.

After he changed his clothes and left the operating area, he was surrounded by Lu Qiu's family.

"The operation went well. You will be able to see me in half an hour at most."

After Yu Zhiming said something briefly, he cast his eyes on Zhou Mo who was holding a large bouquet of lilies and smiling...

The man next to her.

This is a young man who is about the same age as Yu Zhiming, about the same size, and looks much stronger than him.

As for the facial features, Yu Zhiming thinks that they are more than three or four points weaker than his own beauty.

However, Yu Zhiming vaguely sensed a little familiarity from this person's appearance.

"Doctor Yu, let me introduce you."

"This is the director's son, Qi Zhen, who just returned to Binhai from abroad today..."

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(End of this chapter)