medical treatment

After six o'clock in the afternoon, Yu Zhiming successively completed the diagnosis and treatment of today's registered outpatients, as well as the early cancer screening work of the very early cancer project.

He returned to the soundproof office, preparing to pack up and leave after get off work, when he saw Ding Ye waiting in the office.

This guy looked around Yu Zhiming.

"Dr. Yu, there are a lot of comments about you on the Internet. Unexpectedly, you act like nothing is wrong."

Yu Zhiming took off his white coat and said: "I have been working all day, how can I have time to pay attention to boring discussions on the Internet."

"As long as I don't pay attention, no matter how vigorously they shout, it will be like a floating cloud to me."

Ding Ye patted his relatively rich chest and said with a reassured look, "I'm relieved now. I was worried that you would be affected, so I thought I'd come over to comfort you."

Yu Zhiming chuckled and said, "Thank you. This is not the first time I have experienced online violence."

Ding Ye smiled and said, "That's right. Nobodies like me are not qualified to be bullied online."

After a pause, she turned to say: "Dr. Yu, the sister-in-law of yesterday's waitress came to the hospital today."

"Initial inspection is not very promising."

"Is the anemia of surviving fetuses serious?" Yu Zhiming asked.

Ding Ye said: "There is some anemia. Dr. Liu said that although this level of anemia will not lead to dementia, it may affect intellectual development and make children naive."

"But that's not the main issue."

Ding Ye asked nonchalantly: "Doctor Yu, what is the most important question to test you?"

Yu Zhiming pondered for a moment and said, "Time?"

Ding Ye nodded lightly and said: "The child is only 22 weeks old. A child of this age becomes stillborn. The human body can no longer absorb itself, and there is a high probability of premature birth."

"Even if the baby is not born prematurely, if the stillborn fetus remains in the body for more than two weeks, it may cause major problems and put the life of the pregnant woman at risk."

After the fetus dies in the womb, it will not decay as quickly as it does in the outside world.

This is mainly because the placenta has a certain defensive function and can prevent bacterial or viral infections.

Also, the fetus is soaked in sterile amniotic fluid.

In this case, the stillborn fetus can remain intact in the body for a long time.

However, as the time of stillbirth passes, some components in the mother's fetus or placenta will cause a coagulation reaction in the maternal blood system, which may cause local coagulation dysfunction or even systemic coagulation dysfunction.

The symptoms include ecchymoses under the skin all over the body, or uncontrollable massive bleeding in the reproductive tract.

This time is usually two weeks.

The problem is that after two weeks, the viable fetus is only 24 weeks old.

The survival rate of such a young child after cesarean section is very low. Even if they are lucky enough to survive, the high cost is not something an ordinary family can afford.

Yu Zhiming asked again: "What suggestions does Dr. Liu have?"

Ding Ye said slowly: "Dr. Liu's idea is to take a gamble and remove the stillborn fetus through caesarean section."

Yu Zhiming frowned.

It seems simple and easy to remove the stillborn fetus and leave the viable fetus through caesarean section, but in the actual operation process, it is extremely difficult.

Because it is a cesarean section, the amniotic fluid necessary to maintain the life of the fetus will flow out during the operation.

Therefore, artificial amniotic fluid needs to be injected after the operation.

The process of amniotic fluid outflow and injection requires a high degree of caution, as placental detachment may occur if you are not careful.

There is also the process of removing a stillborn fetus, which requires careful attention as placenta detachment is very likely to occur.

Once the placenta is separated, the only option is to cut the umbilical cord, allowing the surviving fetus to be delivered prematurely, turning it into a true cesarean section.

Even if the operation goes well, removing a child will cause the uterus to contract and collapse, which may cause unpredictable physical and mental problems for the mother, as well as abnormal reactions of the surviving fetus.

This may lead to premature birth or death of the surviving fetus.

Yu Zhiming said solemnly: "Doctor Liu is gambling, and the success rate is still quite low."

Ding Ye spread his hands and said, "If we don't do surgery, the result won't be much better. If we risk surgery, there are still some possibilities."

"Unless you have a better idea."

Yu Zhiming grinned and replied: "Dr. Liu is extremely experienced. What good ideas can I come up with..."

Speaking of this, he suddenly stopped and began to ponder.

When Ding Ye saw this scene, his eyes instantly lit up.

"I just asked casually, Doctor Yu, have you really come up with a good idea or a good method?"

Yu Zhiming thought for a moment and said slowly: "It's not a good method, it can only be regarded as a cruel surgical method."

"Regardless of whether it's cruel or not, as long as it's useful, Doctor Yu, come and tell me!" Ding Ye asked expectantly.

Yu Zhiming said slowly: "Since it is stillborn, no matter how you deal with it, it will not be excessive."

"First perform intrauterine surgery with the help of a fetoscope to cut off the blood supply of the stillborn fetus and cut the umbilical cord."

"Then, crush the stillborn fetus into pieces and aspirate it out."

this……

Ding Ye's scalp felt a little numb at first, and then he felt that this method was still feasible.

At least, the risk is much lower than the surgical risk of cesarean section.

She thought about it and said: "This can use minimally invasive surgery, crushing and suctioning at the same time. The extracted amniotic fluid can also be continuously replenished with artificial amniotic fluid to ensure the comfort of the surviving fetus." Irritation and harm are minimized. Most importantly, the risk of placenta detachment is greatly reduced.”

"The disadvantage is that the operation time is greatly extended. There are high requirements for operational accuracy and the uterus and viable fetus cannot be damaged."

Yu Zhiming added: "Whether pregnant women and their families can accept it is also a question."

Ding Ye looked at Yu Zhiming, suddenly smiled solemnly, and said, "Every time I come to you, I always gain something. It seems that I will come here more often in the future!"

Yu Zhiming waved his hands in disgust and said, "It's better that you come less often. I'm always very busy and have no time to talk to you."

"Any thing else?"

Ding Ye chuckled and said, "We haven't talked about the business yet. Didn't you help identify the children by their cries yesterday?"

"Sister Lian, I want to thank you very much and treat you to a big dinner."

Yu Zhiming said indifferently: "It's just a little effort, no need for a big meal. She really wants to express her gratitude to you."

Ding Ye said with a playful smile: "That's okay. Anyway, the favor I owe you has already been repaid, so I don't mind one more."

After a pause, she smiled again: "Last night, Sister Lian told me that you easily connected the baby. She also pointed out that the fake big baby was two hundred months old, and directly asked the fathers and parents of the children present. Grandma and grandma were shocked.”

"They say it's incredible."

Ding Ye added: "The fake big baby is a 16-year-old and three-month-old girl."

She said hurriedly: "Sister Lian also paid a return visit in the evening. After the children were brought home, the mothers of the children confirmed that none of them had any connection errors."

"It's an accident if something goes wrong." Yu Zhi said clearly, and then urged: "It's time for me to get off work and leave."

"Are you okay?"

Ding Ye shook his head and said, "Wait a minute, I will go to Dr. Liu to discuss the solution you have come up with."

The next moment, she became serious again.

"Dr. Yu, I find that I owe you more and more, but I don't know how to repay you."

"I can only express my opinion..."

Ding Ye said solemnly: "Doctor Yu, if you have any needs or requests in the future, you can come to me."

"Dr. Yu, please note that I said anything!"

Yu Zhiming saw that this guy looked serious and didn't seem to be joking, so he also put on a serious look.

"Ding Ye, I'm not helping you in return. I just think that we are friends. It's normal to help within my ability."

After a pause, Yu Zhiming continued: "Giving roses to others will leave a lingering fragrance in your hands. It is also a joy to help others. Ding Ye, don't be burdened, just accept it calmly."

Ding Ye's face overflowed with joy and he said, "Yes, we are friends, and we shouldn't regard your help as pressure."

"I also firmly believe that in a few years, I will have enough ability to solve some problems for you who are good at identifying problems but not good at solving them."

After saying this, Ding Ye suddenly took a step forward and hugged Yu Zhiming forcefully.

Yu Zhiming was a little stunned. For a moment, he didn't know where to put his hands.

Fortunately, after a few seconds, Ding Ye let go of Yu Zhiming and left the office quickly...

On the way back to Junshan Prefecture, Yu Zhiming received a call from Dr. Yu Shiquan, a trauma surgeon at Union Hospital.

"Doctor Yu, you are not authentic, your Huashan Hospital."

Hearing what he said, Yu Zhiming knew that he already knew it, so he smiled back first.

"Dr. Yu, it is our pediatric surgery hospital that is promoting this matter, and I am cooperating."

Yu Shiquan replied on the phone: "I guess so. Dr. Yu, your reputation is already famous enough, and you don't need such an operation to make yourself better."

"It's just that I'm caught in the middle, and it's a bit difficult to handle."

According to the plan, the separation operation of the conjoined twins was successfully carried out by Huashan Hospital, which required the strong participation of Yu Zhiming and his complex injury recovery and treatment team.

In other words, Yu Shiquan needs to come to Huashan for surgery.

Undoubtedly, this will put Yu Shiquan into an embarrassing situation.

Yu Zhiming apologized: "Dr. Yu, I'm really sorry. It was my lack of consideration that made things difficult for you."

"Otherwise, if we in Huashan succeed in snatching this operation, will you announce that you will not participate?"

Yu Shiquan on the other end of the call sighed softly: "The problem is, I don't want to give up on such a rare operation, let alone the opportunity to cooperate with you, Dr. Yu."

This……

Yu Zhiming didn't know which side Dr. Yu was on.

He turned to ask: "Dr. Yu, what is the opinion of Dr. Gu, who is leading the separation surgery plan in your hospital?"

Yu Shiquan replied: "What other opinions could there be? Naturally, I am very angry and firmly disagree."

"Not only that, she also said forcefully that you are not allowed to participate in this operation."

Yu Zhiming couldn't help but let out a sigh.

I didn't expect that it would affect me.

But think about it, Huashan Hospital is already trying to steal other people’s surgeries, how could they let Huashan Hospital’s facade and signboard get involved...

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