This doctor is not short of money

"Adjustment?" The slightly serious person in charge of the obstetrics department looked at Sun Xin very seriously and said, "The fetus is in the mother's stomach, and the situation is unknown; moreover, the fetus is very fragile, and a little force is wrong. It may cause placental separation, and the second is to cause fetal injury.

Dr. Sun, you are an anesthesiologist, you may not understand the risks, but as experienced obstetricians, we are very aware of the risks. "

Sun Xin was so choked that he couldn't speak. He felt that he was despised by the woman in front of him.

But what they said is right. Delivering babies is not their strong point. On the contrary, they are professionals. Maybe what they said is right.

While Sun Xin was still comforting himself, the woman looked at the person next to Sun Xin, and then continued to say to Sun Xin, "Dr. Sun, are you here for anesthesia this time, or let Dr. Tata Continue to work with us?"

Pull a tata? !
Weird name, but his full name is really informative, because it takes 15 seconds at normal speaking speed to say all of his full name.

When Sun Xin heard the name of Tata for the first time, Sun Xin thought that he was introducing his resume. It's a bit broken.

what is the name
It is a synonym for a person or thing, a 'tool' to facilitate communication between people. When it expresses a person's unique attributes, it also needs to be concise, convenient, and easy to remember.

But a name becomes a small composition, which is unique, but I really can’t remember it.

Fortunately, a Tata made an abbreviation for his name.

Of course, in addition to his impressive name like a composition, Tata's performance in surgical anesthesia is also very 'memorable'.

For example, a patient underwent an appendectomy, and the patient woke up just after the broken and purulent appendix was cut off, but before it could be stitched up. . .

Another example is that a patient broke his leg and needed internal fixation. . .After the operation, the patient lost sensation in his lower extremities. . .

In addition, there are some people who become hemiplegia after the operation, have incontinence, and even die.

As far as this success rate is concerned in China, let alone county-level hospitals, even township-level health centers can't find food for him, and with so many accidents, he may have to go in and eat free meals for several years.

Therefore, Sun Xin felt that it was better to come by himself when he was here, and he also had the idea of ​​teaching today, so he took the initiative to say, "Let me cooperate."

The serious person in charge has no objection to this, and of course she knows the level of her colleagues.

It's just that Sun Xin had been working as an anesthetist for Li Chengzu before, and had never cooperated with a local doctor, so she didn't know whether Sun Xin was willing to cooperate with her.

Now that Sun Xin agreed so readily, she was also very happy, and started preoperative preparations with Sun Xin and the others.

When washing hands and disinfecting, Sun Xin felt a little embarrassed to be so silent, so he said without words, "Do you do a lot of cesarean sections in our hospital?"

The serious person in charge also responded in a timely manner. As soon as Sun Xin's voice fell, she said, "Muila's education is relatively backward, coupled with economic problems and the influence of old ideas, many women will not know how to give birth when they give birth. Come to the hospital.

Many of them were born directly at home, or they just found a black clinic. "

Sun Xin said softly, "Health education should be strengthened. Having a baby is not an easy task."

Hearing Sun Xin's words, the serious person in charge finally relaxed a little, "Yes, it is not uncommon to see mothers who die every year due to childbirth, as well as infants who die.

However, due to some reasons, only our hospital has a dedicated obstetrics department in Muira, so we have accumulated a lot of experience in this area, which is a good thing. "

"Really? Are there many people who come to our hospital for cesarean section?"

"There are quite a lot, and our surgery success rate has reached 60.00%. We will strive to improve this year."

Sun Xin's action of getting ready to put on the gloves suddenly stopped. He felt that he might have heard it wrong, so he couldn't help asking, "What's the success rate?"

"60.00%."

The person in charge with a serious expression repeated it with a little pride, "Mothers who need cesarean section are all difficult to give birth. If the operation is not performed, the lives of mothers and fetuses are in danger, but through our efforts now, we have been able to save more than [-] lives. Half of the mothers and fetuses died."

But hearing such words, Sun Xin swallowed heavily.

Sixty percent success rate, how did she say this number in a proud tone?
Sun Xin doesn’t know how they calculated the 60.00%, but it is calculated according to the most ideal situation, that is, if the mother and the fetus can live for one, [-]% means that for every ten mothers, four will die. indivual.

If it is maternal fetal death. . .This number may be much higher.

Cesarean section is an invasive operation. It is unrealistic to achieve a [-]% success rate. After all, there are many issues to be considered during the operation.

But the 60.00% success rate really made Sun Xin break out in a cold sweat.

too low!
This also made Sun Xin not dare to cooperate with the person in front of him. After thinking about it carefully, Sun Xin said, "This... Director, why don't we discuss it with Dr. Li Chengzu?
He is now performing both internal and surgical operations, and each operation is performed beautifully. Perhaps he also has his own opinions on cesarean section.

Let's communicate more, maybe we can improve this. . .Success rate. "

Although it is a bit contemptuous to say so, Sun Xin still feels the need to say something when he thinks about the [-]% success rate.

And this seemingly serious person in charge was not angry, nor did he resist because Li Chengzu was not an obstetrician, but thought seriously about Sun Xin's words.

Li Chengzu was stunned, looking at Sun Xin in front of him, he was going crazy.

"My Director Sun, don't you think highly of me?" Li Chengzu said dumbfoundingly, "I've been so bold recently that I would do any kind of operation.

But the few operations I performed outside of orthopedics were all general surgery, which I had studied, practiced, and personally practiced before I turned into a professional orthopedic surgeon.

I know the structure of those parts very well, how to cut each part, and how much force should be used.

But this cesarean section. . . .You think highly of me, one dead body and two dead, I can't, I really don't have the courage this time. "

In China, there are clear regulations on what level of surgery a doctor in a department can perform.As long as it is in the operating room and the operation is performed beyond one's own level, no matter whether it is successful or not, it is a medical malpractice.

That is to say, now that I am in Muira, abroad, and I have a separate medical team here, I can have the courage to do some operations that are not within the scope of the level.

But people have to be self-aware, and they can't take on all the jobs, otherwise they will really harm others and themselves.

But Sun Xin sighed and said, "Director Li, it's really not my strength, it's a success rate of 60.00%, which is really a bit scary."

Li Chengzu quickly took a step back, "No matter how low you are, you can't pull me over.

If you ask me to do this, the success rate may be even lower. "

As he said that, Li Chengzu suddenly rolled his eyes and said, "You still worshiped the wrong temple. You should ask Du Heng for this matter, he is professional."

Sun Xin was stunned for a moment, "Director Du? Isn't he specializing in intractable diseases in internal medicine? Why is he specialized in obstetrics?"

Li Chengzu laughed and said, "You don't know that, do you?
Before Du Heng came to the capital, he was the director of their local Maternity and Children's Hospital, and this kid now has a provincial project called 'Pediatric Brain Hypoplasia', which is said to be aimed at children with hypoxic cerebral palsy Yes, and the current results of this project are not weaker than others' current stroke project. Do you think they are professional or not? "

Sun Xin's eyes lit up, "Are you serious?"

"Can I still lie to you?"

"Then hurry up and call someone over."

Soon, Du Heng appeared in front of Sun Xin with a confused face, "Director Sun, what did you ask me to do here?"

Sun Xin took Du Heng's hand and explained the current situation excitedly, "Director Du, can you do something about this situation?"

After Du Heng listened, he just let out a soft oh.

And Sun Xin looked at Du Heng's relaxed expression, and the joy in his heart increased a lot. It seems that what Li Chengzu said was right, Du Heng is really a bit of an expert.

"Director Du, don't be too light, do you have a solution in this situation?"

Hearing Sun Xin's urging, Du Heng smiled lightly and said, "There are ways, but I can't say whether it's good or not, I first need to know what's going on with the fetus and the mother.

Is there any B-ultrasound or other inspections?
If it doesn't work, you can let me meet the pregnant woman.

I'm a red-mouthed and white-toothed person, but if I tell you that I can do it, you won't necessarily believe me, will you? "

Sun Xin immediately agreed, and led Du Heng to meet the serious-looking head of the obstetrics department, and introduced the identities of both parties in detail.

Although Sun Xin was very excited, Du Heng's identity as a doctor of traditional Chinese medicine still made this serious person in charge a little bit suspicious.

What kind of Chinese medicine can really help pregnant women?

Du Heng didn't care about other people, and he entered the working state as soon as he saw the pregnant woman.

After some inspections, Du Heng had a good idea.

It's not difficult, it's just a horizontal position, and the position is not very positive. If it is placed in China, a little experienced obstetrician or midwife can directly adjust the position manually.

"Dede, let them do another B-ultrasound for the parturient." With an idea in mind, Du Heng began to order Dede, and Dede also faithfully conveyed Du Heng's request.

Soon, the real-time image of the fetus appeared in front of everyone. After Du Heng adjusted his state, he looked at the B-ultrasound, and began to lightly touch the pregnant woman's swollen abdomen with his hands, making push and pull gestures from time to time.

Sun Xin frowned, leaned closer to Du Heng and whispered, "Director Du, don't just do it yourself, tell everyone this point, let these people learn it too."

Du Heng hurriedly said twice, "The fetus is in a transverse position. At the seventh or eighth month, the external inversion operation will start. After the adjustment is completed, it will be fixed with an abdominal bandage."

Du Heng pushed and shoved slowly and softly, while explaining word by word, and whenever Du Heng finished speaking, Dede immediately translated a sentence.

"If it is found that the fetal position is not correct when it is time to give birth, it is necessary to use internal inversion at this time."

"However, the position of this fetus is not very upright. His shoulders have actually reached the position of the cervix. Now it only needs to be fine-tuned to adjust the fetal head to the position of the cervix. Therefore, it is also possible to use external inversion."

"To perform external inversion, the first step is to determine the position of the fetal head and buttocks, and then push the fetal head downwards and the fetal buttocks upwards. The direction of the push must be based on the principle of keeping the fetal head in flexion."

"Before performing the external inversion, the abdominal muscles of the pregnant woman should be relaxed first, and then during the pushing process, the movement must be light..."

Du Heng was very patient.

The external inversion technique is done patiently, and the explanation is also very patient.

But with his gentle movements and slow tone, the fetal position was adjusted in less than 2 minutes.

Then he said while everyone was still unsure, "Okay, the midwife can come up."

After finishing speaking, he and Sun Xin stood in front of the mother's head, quietly watching the normal delivery.

Listening to the mothers yelling from time to time, and looking at the doctors who were a little flustered, Sun Xin asked Du Heng in a low voice, "Director Du, send the Buddha to the west, why don't you teach them how to deliver babies.

Seeing their rough hands and feet makes me feel uncomfortable. "

Du Heng took a light breath and continued to stand motionless in front of the mother's head.

My family knows about my own family affairs, and my unbearable problems have not let me go just because the client I serve is a foreigner with a different skin color.

Because he already felt that the blisters at the corner of his mouth had already started to move around.

However, he didn't refuse to save him, but the obstetricians in front of him, although they were very open and close, but you can't deny that their actions met the requirements, so there was no need for him to be a midwife.

If you don't leave now, you are just worried about accidents.

Before Du Heng started, the mother had already opened the uterus, and now the fetal position is adjusted properly. With the help of these experienced obstetricians and nurses, a loud cry turned the fetus into a baby.

Just as the baby cried, there was warm applause in the operating room, and the applause was directed at Du Heng.

Glancing at the crying baby, Du Heng calmly accepted the applause, and in the warm eyes of everyone, he and Sun Xin calmly exited the delivery room.

"Excellent, I didn't expect you to have such a means." Out of the delivery room, Sun Xin was the first to send praises.

Du Heng took it lightly, "It's all for the people."