Zhang Fan refused, and Mr. Wang really had no choice. The middle-aged greasy man looked at Zhang Fan with resentment like a resentful woman. "It's not that I don't want to give you face. Really, surgery is not a child's play. This matter cannot be discussed."
Zhang Fan refused to let go.
In the afternoon, after eating and taking a short rest, the patient came. The doctors on both teams opened their mouths because the patients were two pregnant women with big bellies.
A good general surgery may not necessarily lead to a good gynecology, and a good gynecology may not necessarily lead to a good obstetrics.
"Mother!" Ma Yichen opened her mouth. He originally thought that he might be able to go to the operating table in the afternoon. As a result, a pregnant woman came for a caesarean section.
"Zhang Fan, we can't force it! Caesarean section is no joke. Otherwise, it will kill two people. We can't do anything for money." Lu Ning was afraid that Zhang Fan would be dazzled by the $1 million, so he hurriedly reminded him.
"Haha, Dr. Lu, you don't know that when our Zhang hospital was in the obstetrics department, we delivered babies independently. The director of the gynecology department was very fond of our Zhang hospital. Everyone said that our Zhang hospital is a flower of gynecology!"
Before Zhang Fan could speak, the head nurse stood up and said to Lu Ning with a smile.
"I think you like U.S. dollars too much!" Zhang Fan glanced at the head nurse angrily.
The nurse quickly stuck out her tongue and fell silent, but when Zhang Fan turned to look at the mother, she whispered to herself: "Who doesn't like U.S. dollars!"
"Caesarean section surgery is not a big problem. I'm afraid they were blindly conceived and born blindly." Zhang Fan ignored the head nurse and stood in front of the car door with Lu Ning, looking at the two people who were surrounded by the crowd and walked slowly. A pregnant woman.
Pregnant women and babies are well cared for as long as they are in a normal social group. Especially in grasslands, due to the harsh natural environment, herdsmen pay special attention to pregnant women and infants.
"Junior brother, I didn't expect that you can even do a caesarean section! You are still a frontier training person!" Lu Ning sighed with emotion. To be honest, it was not like he had never practiced in the obstetrics department at the tertiary A hospital in Jade Bird.
But in the obstetrics department of a tertiary hospital, where can undergraduate interns take their turn? Chief residents, doctors who have just joined the attending department, doctors who have just joined the department, as well as doctoral students and graduate students who come for further training and are led by the directors and deputy directors. A bad word to use as an internet joke is: It’s not your turn as an undergraduate to get started.
"Show me the pregnancy check-up." Zhang Fan got out of the car and approached him. When the doctors in Istanbul saw Zhang Fan coming forward, they also quickly came out and walked over.
Zhang Fan looked at the examination results and said, "Don't worry, the examinations are all appropriate. However, the fetal position is incorrect and it would be more dangerous to give birth naturally." The tribe's private doctor said to Zhang Fan and the doctors in Istanbul.
"That's fine." Although he said yes, Zhang Fan didn't relax at all. He checked it carefully. After reading it, Zhang Fan found no major problems and the month was up.
"Do you agree to let us have a caesarean section today and take out the baby?"
"Yes! You are all great doctors from a big country, and today is a good day, so we are all willing." The crowd was chattering, and the translator only chose to translate the pregnant woman's words.
"Okay, let's get on the operating cart." The pregnant women had been taken care of by tribal doctors yesterday for prenatal preparation, and they were waiting for the surgery today.
The doctor in Istanbul ignored Zhang Fan. Of course, Zhang Fan regarded him as nothing. Colleagues wish they could die together, and the interests involved in these operations are not small. So, nothing genteel about it.
On the operating cart in China, Lu Ning had to step down this time. Although he was a doctor, he had been living in a big city and really couldn't handle such a long-term operation. The doctors who came with him, except for Ma Yichen, who had just graduated, also didn't know how to perform obstetric surgery.
Several other doctors can almost perform caesarean sections independently. Ten years ago, when the obstetrics department of Chasu City Hospital was not separated from the general surgery department, none of them had delivered a few children.
After obstetrics entered the 20th century, the best era has arrived. With the vigorous development of medical treatment, maternal and infant mortality rates have plummeted. And C-sections are one of the most common surgeries in the United States. The United States admires caesarean section even more than China does. It’s hard to say whether it’s good or bad.
In the operating cart, the anesthesiologist begins anesthesia. Zhang Fan and the others began to prepare for the operation. Although gynecology is separated from surgery, it is actually a discipline of its own.
Not to mention other things, as far as surgical instruments are concerned, gynecology has its own special instruments. For example, a cervical dilator or an O-line retractor.
Wash your hands, disinfect, and start the surgery. The operation of caesarean section has more steps than other operations, which involves preparing a bioplastic like a raincoat to cover the mother's belly.
Because amniotic fluid will contaminate the surgical incision, this raincoat is to protect the incision, so the raincoat has many functions.
However, Zhang Fan never expected that he would have to have a caesarean section when he came here. So, he didn’t bring this kind of thing!
"Yuan Zhang, what should I do if there is no plastic film?" the deputy chief physician of the Department of Hepatobiliary Surgery asked Zhang Fan. Today he is Zhang Fan's first assistant, and Dr. Xiang is a serious surgeon.
He can perform almost all routine surgeries from head to toe. He can open the skull to treat cerebral hemorrhage, open the chrysanthemum to cut out hemorrhoids, and even act as a midwife in an emergency! Routine surgeries were not a problem for him.
"Head nurse, have you put on the long incision protection strip?" After Zhang Fan was called a flower in the obstetrics department, she had nothing nice to say to her.
"Bring it, come, Zhang Yuan, I brought it here specially!" The head nurse also knew that Zhang Fan had been offended by her careless remarks, so she didn't dare to tease Zhang Fan anymore.
"Just use the protective strip and start the operation." After Zhang Fan finished speaking, he started the operation.
There are two types of incisions for caesarean section. One is an incision starting from below the belly button, and the other is a slightly arc-shaped transverse incision.
Both incisions have their own benefits, and transverse incisions are more cosmetic and stronger after suturing, so transverse incisions are generally used.
The skin was opened, the muscles were incised to expose the uterus, the incision was protected, and the bladder was separated. The uterus is exposed.
The full-month uterus is like a fully-inflated basketball, and the basketball is covered with various blood vessels. As the child living inside is punched and kicked, small bumps will appear on the surface of the uterus from time to time. Just like the alien brood in the movie, it keeps squirming.
You need to use a scalpel to open the uterus. You must be careful at this time. If you are not careful, the little kid in the uterus may come up to you with fists or feet to make gestures.
Zhang Fan carefully opened a small opening of two centimeters in the uterus, and then used hemostatic forceps to bluntly separate the muscle layer of the uterus bit by bit. At this time, he really didn't dare to use a knife. A kid who eats amniotic fluid is unreasonable. .
Blunt dissection and sharp dissection actually have the same postoperative complications. Most of the blunt dissection during surgery is to prevent sharp tools from injuring other organs.
Gently enter the uterus, "Aspirator!" At this time, the amniotic fluid began to flow out. Zhang Fan quickly inserted his fingers into the uterus to block the baby, and then started to quickly cut open the uterus with scissors.
When the uterus opened, the little kid's wrinkled face appeared. He was lying in the pool and blowing bubbles like an old man. A child soaked in amniotic fluid is super ugly, just like a little old man, and if you look carefully, you might even see feces-green meconium on the forehead.
Reaching out, Zhang Fan grabbed the child's neck with one hand, put the other hand into the abdomen and dragged the little butt, and completely took out the child with the umbilical cord attached to the abdomen.
