top student at medical school

Li Jiafu thought for a moment, then said without hesitation, his voice more refined and elegant: "Professor Fang, I also want to preserve my uterus, but I think your stitching would be more precise."

How serious can obstetric suture repair be?

Orthopedic trauma and injuries are truly painful to look at.

If we compare mending clothes to repairing clothes, the difficulty of repairing obstetric injuries is like tearing something in half, while the difficulty of repairing damage is like mending a beggar's 'ribbon' outfit back into a complete garment.

Apart from intestinal colic, which is occasionally encountered in gastrointestinal surgery and can be compared to it in terms of difficulty, no other patient's other organs can withstand such damage and torment.

Precise suturing and repair is also one of the recommended methods for stopping postpartum hemorrhage.

After hearing Professor Li speak, Fang Ziye became meticulous and attentive, no longer moving quickly, but sewing each stitch precisely in its proper place.

Even if the situation is complicated and tricky, in Fang Ziye's hands it is as if he is sculpting a work of art. The more he stitches it up, the more the original anatomical structure is revealed, and the more comfortable it looks.

Suddenly, Fang Ziye put down the tweezers in his left hand and grabbed the hand of a resident surgeon in general surgery: "Hey buddy, don't do that with your hemostats!"

"If you do this, your teacher will be in an awkward position today."

As soon as Fang Ziye finished speaking, the attending general surgeon standing opposite him immediately widened his eyes and stared at his master's student: "This is edematous intestinal tract. Have you forgotten all the basic skills I taught you?"

"Clamping a fragile part of the intestine is more damaging than cutting it with a knife."

The young master's student trembled slightly with fear. It wasn't that he wasn't professional enough, but rather that this was the first time he had encountered such an edematous intestinal tract, so he had no experience in dealing with it.
Fang Ziye sighed softly, looking at how he had almost finished suturing the uterus, and then at his colleague in general surgery, he asked, "Professor Li, why don't you sew up the rest?"

"Shall I help this guy with his intestines?"

Deng Haibo's vascular surgery department is the same as general surgery, and he immediately said, "Ding Meng, quickly step aside. It's your luck that Professor Fang is helping you clean up this mess."

"You should learn from this so you can handle things on your own in the future."

The man named Ding Meng immediately nodded and forced a smile, saying, "Thank you, Professor Fang, you've worked hard."

Although he was the attending physician, dealing with this situation would be extremely difficult for him...

After Fang Ziye got the hang of it, Ding Meng switched from being the main surgeon to being the assistant, while the original master's degree assistant became the "leftovers" of the hook and was being pushed out!

Fang Ziye said, "Don't be afraid, and don't back down. Just stand here and take a good look."

"I'm not stopping you to scold or criticize you. You have a master's degree in gastrointestinal surgery, so you should know that hemostasis during edema requires very meticulous care, which is slightly different from the clamping and suturing hemostasis during ordinary tumor exposure."

"In the current situation, we need to pay attention not only to hemostasis during the operation, but also to postoperative bleeding, thrombosis and other issues."

"And what should we do about these edematous and necrotic segments of the intestine..."

"The putrefaction is quite severe, and it cannot be anastomosed using an intestinal anastomosis device. At this point, the only option is to use the most basic simple interrupted suture. The force used during suturing must be carefully controlled."

"Look, you only poked it, and the blood vessel inside the inferior mesenteric artery ruptured again. In cases like this, we must be very careful. We need to treat not only the primary injury but also prevent iatrogenic injury..."

"No need to think about it. In this situation, the blood vessels around the stomach are also in a complete mess. We don't even know if there's any bleeding from a stomach ulcer yet. Let's take it slow. This is a rather delicate and demanding job..."

Fang Ziye called it a big job, and it really wasn't simple at all.

There wasn't anything particularly sophisticated about it; it was just that there were a lot of bleeding points, densely packed together!

Because of the unique nature of intestinal edema, it was not feasible to directly suture the blood vessels. Therefore, the blood vessels were ligated and then the blood supply was restored.

In some places, even seemingly necrotic intestinal segments, Fang Ziye used a needle-injector to flush out the local blood clots, restoring some of the necrotic intestinal segments to their original state...

Such specific and minute operations seem incredible.

Ding Meng and the graduate student in gastrointestinal surgery were both a little stunned. They felt that such inhumanly delicate procedures should not have occurred, but it had actually happened before their eyes.

When Fang Ziye looked up, he saw the same look in Ding Meng's and the general surgery master's students' eyes that he had seen when he looked at Professor Deng Yong and the others years ago—a greedy look that seemed to want to cut off his hand and transplant it into theirs…

The surgery lasted a full four hours before it finally ended.

When Fang Ziye came out of the changing room of the operating room, the sky was already beginning to lighten.

A cool breeze brushed my face, but it wasn't cold.

Fang Ziye glanced at the time; it was already past five o'clock. He quickly went out to buy some breakfast.

Although his parents would bring him breakfast, Fang Ziye was already a little hungry after performing surgery for more than four hours straight.

Luo Tingzhu's breakfast was still the postpartum meal, while the postpartum nanny, Sister Chang, had hot dry noodles brought by Fang Ziye.

"Sister Chang, my parents will bring breakfast over later. If you haven't had enough, please don't be shy about eating it later," Fang Ziye said in a low voice.

Luo Tingzhu is awake now, but baby Xiyan is still fast asleep.

Babies her age should spend over 90% of their time sleeping, and the remaining 5% should be spent crying, drinking milk, changing diapers, etc.

"Senior brother, where have you been?" Luo Tingzhu asked, a little hungry.

However, the flavor of hot dry noodles was too strong and not suitable for Luo Tingzhu at the moment, so Fang Ziye also brought her a boiled egg, carefully cracked it open and squeezed out the egg white for her to eat.

“Last night a woman had a severe postpartum hemorrhage, and I was conscripted into the army.”

“It’s bed 13,” Fang Ziye said.

Luo Tingzhu, who had just given birth, immediately asked anxiously, "How did it go?"

“The baby is fine and has come back, but the mother has been admitted to the ICU. The surgery went well, but I’m worried that the postoperative recovery will be complicated, and she has edema in many areas, so it will be difficult to reduce the swelling.”

"If everything goes smoothly, it will probably take three to five days before he/she is discharged from the ICU!"

Fang Ziye didn't mention any unfavorable circumstances, nor did he want to see such speculation, and there was nothing he could do about it.

Even if the bleeding has stopped, it only gives her a glimmer of hope; in her condition, she could still collapse at any moment…

It was already daylight, and Professor Li Jiafu and Du Qin had returned.

The other family members of bed 13 arrived and kept asking, "Director Du, why is my wife in the ICU?"

"Director Du, how is my daughter doing? How did she suddenly become critically ill?"

"Director Du..."

Surrounded by people, Du Qin explained in detail: "The mother's condition was not very good before delivery, and she suffered gastrointestinal damage during the onset of labor, as well as massive bleeding during the operation."

"The fact that he was able to be saved on the operating table is thanks to the close collaboration of several professors in our hospital."

"She's in the ICU now, and we'll have to be prepared for things to go wrong. But you should be ready for the worst-case scenario."

"As you probably know, the mother's condition was very poor during her pregnancy. We suggested that she have an induced labor at 13 weeks, but the mother insisted on it."

Du Qin's voice softened as she said this: "Of course, I'm not blaming her. I'm a woman myself, and I'm a mother. I understand her."

"This was her decision. She wanted the baby to be born, but she faced many risks... These risks had been there for a long time, so she didn't suddenly end up in the ICU..."

“You are her husband, and you have accompanied her to so many prenatal checkups. You should know her situation.”

A man's voice, burying his face in his hands and sobbing softly, came through the air: "We both wanted a child, we just wanted a child... Shouldn't we have one?" "It was a decision we made together."

No one answered the man's question.

Everyone has the freedom to choose to be a parent, and there's nothing wrong with wanting a lovely baby. His wife didn't do anything wrong either; she was just pregnant.

The problem was that there were too many unforeseen circumstances. If there had been even one less unforeseen circumstance, they probably wouldn't have needed to come to Zhongnan Hospital to see Director Li Jiafu.

……

There was nothing more Fang Ziye could do.

Fang Ziye could only provide temporary emergency care and save lives; the rest was truly up to fate.

However, it is likely that after the baby is born, the pressure from the uterus is removed, many blood circulation systems can be reopened, and intestinal edema can also recover quickly after blood circulation is restored.

A new mother was soon admitted to bed 13.

Although the birth rate has decreased, top-tier hospitals like Zhongnan Hospital and top-notch obstetricians like Director Li Jiafu have no shortage of 'high-risk pregnant women'!

After finishing his rounds, Director Li Jiafu personally said to Luo Tingzhu, "Professor Luo, you are in good condition, so could I discuss with you whether you could be discharged today?"

"I have a few patients here who are in special need of being transferred to private rooms." Director Li Jiafu said with a smile, seemingly making a suggestion, but in fact they were all requesting to be discharged.

To be fair, Luo Tingzhu had surgery yesterday and only came out of the operating room this afternoon. Today, it's not even noon yet, and Li Jiafu is already kicking her out!

Fang Ziye spoke up, "Director Li, could you spare us for two more days?"

Liang Xia's voice was a little shrill: "Director Li, my wife just had surgery yesterday. Isn't it inappropriate for you to ask her to be discharged today?"

“You want to take in patients, but that’s not true…” Fang Ziye immediately interrupted Liang Xia and pulled her behind him.

"Director Li, is there a special situation?" Fang Ziye asked.

"Yes, Professor Fang, I wouldn't have dared to ask if it weren't for a patient needing a very quiet environment."

“She has bipolar disorder and is nearing her due date!” Li Jiafu pointed to his head: “There’s something wrong here.”

"Professor Luo is in good health, so she is in good condition. Among the patients in these private rooms, she is the one who can be discharged soon."

"Professor Fang, this is a special case, could you please understand?"

"If you'd like, I can help you connect with a private postpartum recovery center, a maternity care center, or a nearby private hospital."

“You don’t need to pay for it! I’ll go check on it every day.” Li Jiafu looked a little embarrassed.

There are many more renowned experts like him than just the patients in this ward.

"Director Li, you're too kind!"

“It’s not about money, of course.” Fang Ziye didn’t back down.

Luo Tingzhu asked first, "Director Li, can I be discharged from the hospital given my condition? I feel like I can't even get out of bed."

"Your condition is already quite good. You look very healthy, can sit up with support, and can eat and drink normally."

"Professor Luo, if this patient weren't so special, I really wouldn't have asked you to leave."

"but?"

“Even if she has a mental illness, she still has the right to be a mother, doesn’t she?” Li Jiafu said, appealing to her emotions.

"Then I'll be discharged..." Luo Tingzhu was kind-hearted and was quickly persuaded.

Fang Ziye then said, "Director Li, could you recommend a postpartum care center with a good environment? Given my wife's current condition, it's a bit inconvenient for her to go straight home."

"After all, it was a vaginal delivery that turned into a cesarean section, and it hasn't even been 24 hours since the surgery."

Fang Ziye hadn't considered sending Luo Tingzhu to a sanatorium or anything like that, and he hadn't originally planned to go to a postpartum care center either, but given the current situation, he had no choice but to go now.

"Thank you for your understanding, Professor Fang. There are some near the postpartum care center. I'll give you a call later, and they'll come pick you up directly."

"I'll let them know when the time comes, because I do feel guilty about letting Professor Luo be discharged from the hospital. So if Professor Luo is in the postoperative recovery period, I'll ask them not to charge you any fees."

"Of course, you'll still have to pay if you want to eat or do something."

"If you want to continue staying here, then you should talk to the owner about the price, okay?"

"Professor Fang, I'm so sorry," Professor Li Jiafu said, and then left swiftly.

He has a lot of patients, and their cases are quite difficult. In addition, they are expectant mothers, which are a special group and are the absolute 'key care targets' of each family or even multiple families.

We cannot afford to be careless in the slightest.

Fang Ziye was persuaded by Liang Xia: "Can't you just not agree?"

Fang Ziye winced in pain and replied, "Of course I can refuse, but that would be inconvenient for Professor Li."

"Put yourself in others' shoes, and besides, Tingzhu's situation is indeed quite good."

Luo Tingzhu quickly changed the subject: "Mom, don't talk about Senior Brother anymore, why don't you go see Xiyan?"

"it is good."

“I’ll deal with you when we get back. You’re a professor, aren’t you?” Liang Xia’s tone was very harsh.

However, Fang Ziye and Luo Tingzhu were both ready to be discharged from the hospital, but they hadn't had time to transfer to a postpartum care center outside the hospital yet.

Around 10 a.m., the attending physician rushed over and explained, "Professor Fang, Professor Luo, you don't need to be discharged."

"The patient who was supposed to come for hospitalization has already left."

"Gone? What do you mean?" Fang Ziye was on the phone arranging a discharge time with the postpartum care center.

"Sigh..." The attending physician took a deep breath: "It was suicide."

"She originally..."

"Actually, I think this is quite good for her."

"She herself was never aware of whether she was pregnant or not," the attending physician said.

"Are the adults and children all gone?" Fang Ziye asked.

Even if the father is at fault, the child is innocent, isn't he?
"Hmm..." The attending physician nodded, then turned and left.

Upon hearing this, Luo Tingzhu nervously gripped Fang Ziye's hand, holding it tightly.

Obstetrics and gynecology are always the specialties with the most stories.

A child, a mother—both are gone. (End of Chapter)