Li Liang left, planning to go back and read a book, and try to take the city hospital entrance examination again. Li Liang is unlucky, and he probably doesn't have much hope, because the expanded graduate students are about to graduate!
The work of obstetrics and gynecology is repeated day by day. Natural delivery and caesarean section are a little easier during the day, because most pregnant women who have natural delivery have had a pregnancy test in advance, the fetal position and size are appropriate, and there are many midwives.
The main job of a doctor is caesarean section. Zhang Fan, who has gone through systematic training, has not yet ordered a gynecology department, but with the bowl of wine in general surgery, he has nothing to fear about caesarean section.
Usually Xiao Hong is the main surgeon and Zhang Fan is the assistant. The surgeries are all similar, and Zhang Fan's assistance makes Xiao Hong particularly comfortable. After a few days of surgery, Zhang Fan no longer had any expectations for obstetric surgery.
Although he has not had any systematic experience in gynecology, Zhang Fan now has some experience in surgery, and it is really a matter of accumulated experience. In the past, under the systematic experience, although I was familiar and proficient in surgery, I had almost no insights.
After two years, Zhang Fan finally had his own understanding of surgery in the obstetrics and gynecology department. This understanding can be regarded as a breakthrough! Looking at gynecological surgeries, a three-dimensional internal cross-section diagram clearly appeared in his mind.
There are them from every angle! This is the improvement after the surgery reaches a certain level. It is impossible for an average surgeon to construct such an image in his or her mind without having more than twenty years. Although gynecology is a separate department, more than ten years ago, many general surgery doctors worked part-time as obstetrics and gynecology. Obstetrics and gynecology can also be regarded as divided from general surgery.
Xiao Hong is a female doctor and is very efficient in performing surgeries. After Zhang Fan followed the stage a few times, he felt that he could handle the caesarean section.
He thought that the possibility of performing an operation was not high. The responsibility was too great, and the risks were also high. An accident could happen to adults or children if they were not careful. So as long as you haven't decided on obstetrics and gynecology yet and want to perform obstetrics surgery, just go to bed and don't think too much.
Lu Shuyan is in the gynecology department. Because she has a postgraduate degree, the doctors in the department are too embarrassed to take care of her except the director. In fact, there is nothing to take care of. The three-year postgraduate study mainly studies gynecological oncology, although she did it in the obstetric surgery of the provincial hospital. Few, but her foundation is good.
That is to say, because we just entered the hospital, neither of us knew each other well. Although we entered the department, there was still a process of getting to know each other. The director also wanted to take care of Lu Shuyan for half a year, and then let her be on duty independently.
The gynecology and obstetrics operating theaters are connected. Lu Shuyan sometimes comes to see Zhang Fan. Zhang Fan is probably not that outstanding in the field of gynecology, so whenever she has time, she will come to the obstetrical operating room for a walk. Every time I find Zhang Fan is his assistant! I can’t see why!
Thursday morning, in the obstetrical operating room. Zhang Fan had no stage to go on. Xiao Hong returned from the night shift. Zhang Fan was dragged to the operating room to help, but it turned out that he was no longer needed. Since he came to the operating room and changed into hand washing clothes, Zhang Fan planned to do another surgery before leaving. Otherwise it would be such a loss!
Lu Shuyan was also wandering around, "Why is Teacher Lu so free today? No surgery?" Zhang Fan asked jokingly.
"Screw you, today the boss went to have an abortion for the leader's daughter-in-law, and I just let the sheep go! And you, why didn't you have an operation?"
"There is no surgery to be performed. There are people in every group, so there is no shortage of retractors!" Zhang Fan said.
The two of them were observing the caesarean section operation when they heard the phone in the operating room ring. The circulating nurse answered the phone: "Okay, let me ask."
"There's a patient with ectopic pregnancy and massive bleeding. Who's going to come?"
"Hurry up and call Xiao Hong! We are all on the operating table and there is no one free!" Deputy Director Rouzi Guli said. She simply ignored Zhang Fan and Lu Shuyan. After all, both of them had just entered the hospital, and this kind of surgery would kill people, so they didn't dare to let them undergo it.
"It's too late, everyone is already in shock."
"Director, let me go. I had an operation for ectopic pregnancy and massive bleeding at the provincial hospital." Lu Shuyan said.
"you sure?"
"I am sure!"
"Who will be your assistant?"
"I'll do it!" Zhang Fan said.
There are many people in the gynecology department, and the deputy director usually doesn't know Zhang Fan well. Now everyone is on the operating table, so there is nothing we can do. "You guys do it first, and I'll come to your table after I take out the baby."
There is no other way! You can't throw a pregnant woman on the operating table to undergo surgery for massive bleeding!
The patient with ectopic pregnancy was a little girl who was sixteen years old, fell in love early, and ate forbidden fruit with her classmates. Because she was too young and didn’t understand anything, the result was an ectopic pregnancy. Over time, massive bleeding occurred.
The little girl was already in a state of shock. When I entered the operating room, I couldn't even feel my pulse. Everyone in the operating room looked at Lu Shuyan, waiting for her to give medical orders. Lu Shuyan did have an ectopic pregnancy when she was in the Provincial Medical Center. However, there were teachers at the time, and now she is doing the surgery independently. The patient's condition is so critical, and everyone is waiting for her. She is so nervous that she is a little overwhelmed.
The situation was so urgent that Lu Shuyan was a little confused. The surgical nurse was an old nurse. When she saw this situation, she shouted loudly: "Hurry and call the director of the gynecology department!"
The more anxious she is, the more her mind goes blank! Even if I call for help now, no one will come. It might interfere with other surgeries. Zhang Fan immediately said: "Listen to me and start the blood transfusion. Put the dexamethasone in the pot. Open the double channels and prepare for the operation. I will be the surgeon!" "As long as the doctor gives the order, the nurse will not be anxious and can follow the steps even in the most urgent moment. After all, they have been trained countless times.
Although Zhang Fan has not received any systematic training in gynecology, he has gone through general surgery in a solid manner several times, and he can even write anatomy books. Nothing to worry about.
Zhang Fan has a certificate and is currently in the gynecology department, so the nurse has to listen to Zhang Fan. "It's okay, let's go. Practice makes perfect with this thing. You will be my assistant today." Zhang Fan pulled Lu Shuyan, who had a gloomy face.
After three years as a graduate student and five years as an undergraduate, Lu Shuyan could not forgive herself for making such a mistake at a critical moment. In fact, she cannot be blamed for this. During her eight years as a student, she was actually taught by the teacher. Everything There is always a teacher to support me, and I suddenly become independent, like a bird flying out of its nest. It is impossible not to panic.
When the operation began, Lu Shuyan held back the tears that were about to fall and helped Zhang Fan, "What's your blood pressure?"
"80/50hg!"
"Adrenaline combined with dopamine. Open dual channels to expand colloid capacity!"
After opening the abdomen and sucking blood, Zhang Fan quickly found the fallopian tube and clamped the bleeding site with oval forceps to control the bleeding. When the bleeding was clamped, Lu Shuyan also breathed a sigh of relief. If the bleeding point could not be found quickly today, this little girl might be put on the table.
Massive bleeding from ectopic pregnancy is too dangerous. It can kill someone in minutes.
"There is no way to preserve the fallopian tube on this side! Hey, at such a young age, what do you think~" Zhang Fan couldn't continue.
"Dr. Zhang, the blood pressure has stabilized and the operation can continue."
Zhang Fan was about to continue when the deputy director of the gynecology department came in and said, "How is it? Did it go into the abdomen? How is the patient's condition?" She was also very anxious. As soon as the baby next door was taken out, she started the operation without even having time to get gloves. Take it off and run over here.
"The bleeding point has been clamped." Zhang Fan replied. Deputy Director Rouzi Guli didn't believe it. She stood behind Zhang Fan with her hands raised and took a look, a little shocked. "Not bad!" Then he went to disinfect and change into surgical clothes, and got ready to go on stage.
Zhang Fan was so fast that Rouzi Guli didn't expect it at all. According to her estimation, the average novice would still be in the stomach at this moment, but the result was that he was pinched at first sight!
Lu Shuyan was almost in tears, but this was an operation, and Zhang Fan couldn't comfort her or persuade her. She had to rely on herself for this hurdle! "I hope it won't become a knot in her heart!" Zhang Fan thought to himself.
Rouziguli didn't do the chief surgery when she came on stage. She just stood in the position of the second assistant, "Yeah! Not bad! Really good. I didn't expect you two to be able to do this! As soon as the kid next door came out, I ran over quickly. I'm afraid of wasting time." She was also afraid that something might go wrong with the two novices.
After the operation, Zhang Fan changed his clothes and wanted to comfort Lu Shuyan, but he didn't see anyone and no one answered his phone calls!
Lu Shuyan hid in the corner of the dressing room and cried silently. This surgery can obviously be done, why did my mind go blank at the critical moment! Why can't you make a verbal will as quickly as Zhang Fan! Why! Why!
She is upset, angry, and sad! It was not that she was upset or angry because she felt inferior to Zhang Fan, but she felt that she was sorry for eight years of hard study and eight years of days and nights.
The main comparison was between her and Zhang Fan. Generally, new graduate students still have to work with teachers for half a year after working. This is the difference between going to school and working. No matter how you were as a student, you always have a teacher!
Rouziguli changed clothes and left, but found Lu Shuyan in the corner. The fat aunt looked at Lu Shuyan with red and swollen eyes, walked over and sat next to Lu Shuyan, put her arm around her shoulders and said, "Not bad, you can stand up and take on the responsibility bravely." It’s already pretty good. When I was studying in Bird Market, many doctors couldn’t even recognize all the surgical instruments.”
"But, I feel like I'm really useless today! And something big almost happened!"
"Haha! It's the first time for everyone! It will get better in the future. Go wash your face, clean up neatly, and stand up as a strong woman! That Zhang Fan is more nimble in his hands, and his foundation is similar to yours The difference is huge, don’t be discouraged! Believe me, in half a year, you will definitely be able to beat him!"
Rouziguli patted Lu Shuyan on the shoulder and took the little girl out of the dressing room. They have all been here before, and she understands Lu Shuyan very well!
The parents outside the operating room were angry, worried and ashamed! This happened at such a young age, what should we do in the future? China, once something like this happens, it will really make you realize what it means to be fearful.
"What do you think? You are like this at such a young age, what will you do in the future! You know how to play mahjong and mahjong in one day. If she doesn't learn well, you are the one who led her into trouble!" The angry father was accusing the child's mother.
"How did I take care of you? You have the nerve to say that you have been away from home for several months. What can I do? You are still reasonable. I took care of your parents when they were sick. Where were you? If the child was sick, you were there! You took care of her. What! Blame me for playing mahjong. If you have the ability, don’t marry me! Get a divorce later!"
"What are you making a fuss about? If you want to make a fuss, go out and make a fuss. This is an operating room! There is no quality at all!" They were calmed down by a few words from a passing nurse.
My father squatted in the corner holding his hair and didn't know what he was thinking. My mother kept wiping her tears!
There are many factors for ectopic pregnancy. Among them, the probability of ectopic pregnancy after underage women become pregnant is definitely high, so girls, please protect yourself! Please be kind to yourself too!
