Nineteenth Century Medical Guide

Chapter 328 324. Ignited But Not Completely Ignited
The whole day seemed chaotic to Hu Jier. Although chaos was already the norm in obstetrics, he was still very uncomfortable with the change that Kavey made today.

In normal times, he would never agree to have a broken tire, let alone try it himself, or even think about it.Even though rationality tells him that the absence of fetal heartbeat and fetal movement can already declare a stillbirth, and that fetal destruction is just another process of dissecting or disposing of corpses, his sensibility and belief in his heart are still unwilling to touch this dead line easily.

It is strange that this seemingly inhuman sensibility is actually based on absolute rationality.

Man is such a strange creature. Even if he becomes a doctor who saves lives and heals the wounded, in the eyes of others, he is much closer to the so-called God, but when he sees suffering or suffering that needs to be overcome, his first reaction is still to escape.

But for some reason, Hu Jill, who usually chooses to avoid talking about abortion and ruined abortions even if he does meet him, agreed to this approach when faced with Carvey's insistence.

Looking back now, it must be a lie to say that he has no regrets. The sense of responsibility brought about by impulsiveness made him a little breathless.

In fact, he regretted it when the ruined fetus was about halfway through, but the motivation for Hu Jier to persevere and sit in the auditorium of the surgery theater afterwards may be that the mother received the most hoped-for treatment and survived successfully.

This may be the complexity brought about by this profession.

A full-term abortion is more visually impactful than a short-term abortion.

Hu Jier still has fresh memories of what was brought out, and the two assistants happened to return to the preparation room, and the scene was once very chaotic.In the end, the two assistants and the two doctors shouted unacceptable, left the hospital early, and ran home to "rest".

This is understandable, even though he has been in the obstetrics department for so many years and has been exposed to so many stillbirths, he still couldn't bear it when he saw that picture.

The resistance shown by the two subordinate doctors is completely human. The tool that was originally used to save people was used to destroy the fetus, and it was their belief that collapsed.And the indifference of the three assistants in Kavey's hands is also human, because after changing their thinking and deliberately abandoning the former concept, this is also a way to save lives, and the pregnant woman did survive.

Hujier is now in between these two states, very tormented, and may be in the whirlpool of chaos for the next few days or even weeks, thinking of the previous picture from time to time.

All these seemed normal to him, and the only thing he couldn't figure out was the young man in the audience.From making a decision to implementing it, and finally finishing the whole process of destroying the tire, there was no big emotional fluctuation, and there was no scruple in the operation. Even after the conclusion, he was quite organized and experienced enough to make him feel ashamed.
Most importantly, he was completely unaffected by what happened just now, and now he was smiling and standing in the operating area very comfortably, presiding over the hernia surgery that was supposed to start at three o'clock.

"Today's operation time has been affected, I'm really sorry." Kawei bowed slightly, and apologized to the doctors on the stage, "It's really the special situation of the previous mother. In order to meet her request for another pregnancy, I and the director of obstetrics Hu Professor Gill decided to try a yolk delivery."

Full-term normal delivery of placenta previa is not news. Older doctors have encountered it more or less. The key is the result.

"How is the result?"

"God is merciful, Ms. Sestina's blood loss exceeded 1000ml, but she survived successfully, and the uterus was preserved, but the child did not escape the trick of fate." Carvey paused for a moment, "Long time The bleeding failed to support him to come to the world alive, so he was stillborn."

Some sighs could be heard on the field, but there were more applause and praise: "...It's already a very good result."

"Yeah, it would be nice to survive one more."

"But Dr. Carvey, why choose YD to give birth when cesarean section is possible? This seems to be contrary to your previous point of view."

"Patients' requests are often excessive and unrealistic. Just like when a lower limb is seriously injured, everyone wants to keep the bad limb and ask the doctor to keep the bad limb. But we all know that limb saving often leads to more serious consequences."

"As doctors, we want to pull patients back from fantasy to the real world, and over-believe that patients' judgments will affect our own judgments."

"These are the advices of those of us who have experienced it. I hope that Dr. Carvey will think twice when encountering such a situation in the future."

The obvious old doctor's tone, Carvey did not say much in the past, the output target is those inexperienced young doctors.Especially those doctors who don't know the cruelty of reality and are full of ideals and even fantasies need to be educated.

With Kavey's current character design, it's normal for these words to appear, but it's a pity that Kavey is not what they said.

Moreover, before seeing the complete medical records, it is a bit arbitrary to directly deny his diagnosis and treatment process, and to deny the various thinking and judgments during the diagnosis and treatment.

Carvey knows what early tire failure means in Europe. Demining must be done as soon as possible, and Hujill must be taken along with him at all times, so he never leaves Hujill: "In fact, there is a reason for making this judgment with Mr. Hujill. In the future, yd During the treatment process with childbirth as the main axis, we also have our own bottom line."

He described all the previous situations, omitting the process of destroying the fetus, and naturally omitting the weak contraction of the uterus.What really needs to be emphasized is the judgment and treatment of massive bleeding, such as the judgment of placental fenestration, traction first and then stripping the placenta, how to evacuate the uterus in the final stage, and so on.

After the explanation, although many doctors felt that the technique was not safe enough, they also received a lot of support and the evaluation was very pertinent.

"It's normal to look for limits and boundaries in clinical work, so that the level of medical treatment can be continuously improved. Once you succeed in trying uncertainty, you will have more options when encountering similar patients in the future."

"It's just too dangerous."

"So we have to be careful with this. With the blood transfusion plan advocated by Dr. Carvey, hemorrhage has become a relatively controllable disease."

"Unfortunately, I didn't see the whole process of the blood transfusion."

"No rush, I guess blood transfusions will be the norm in surgery in the future, and one month is still a long time, you can always see it."

After briefly introducing the previous delivery process, Carvey brought everyone's attention back to the next operation: "Mr. Arzu suffered from an indirect inguinal hernia, and the medical history in your hands shows that the situation is already very serious. , with incarceration, severe pain”

Although hernia surgery is not as epoch-making as cesarean section, it still has the value of display when general surgery has not yet been officially developed.

Of the hundreds of doctors present, less than one-tenth of them can repair the hernia well, and this one-tenth of the doctors cannot guarantee that there will be no recurrence after the operation.Because of the recurrence, just like Moraso at the beginning, the hernia will not be used unless it is a last resort.

"Hernias can be completely resolved by surgery." Carvey said, "The high recurrence rate is entirely due to problems in the surgical process. We have taken the wrong path, and we cannot say that the 'path' is wrong."

After more than half a year of theater experience, he has become more and more used to this kind of scene.

What the chief surgeon needs to do is to attract the attention of most people, and not to pay too much attention to some details. As long as the operation is done beautifully, there is nothing to worry about.Therefore, Carvey, who originally disliked reporters, now sent several reporters who helped with blood transfusions to the corner of the auditorium.

One reason is that they did help a lot, and they are the first to contribute to the survival of the mother.After the cesarean section that promised to let them enter the venue was cancelled, it is natural to give some compensation.

The second reason is that there are endless questions in the journalist industry, and it can save a lot of trouble by gathering people who need explanations together to solve them.

But Carvey overlooked their ability to gossip, or overestimated the "work ethic" of a handful of them.

In the eyes of the reporters, what Carvey did was not much different from what he just explained.With a white cloth as a barrier, the whole process of diagnosis and treatment can only be solved by ears, and the content that can be heard is only what Kawei and the others are willing to let them hear.

If the entire labor process is reported in an objective manner, it can only go to the extent that Carvey explained.

But how could their brains be limited to this? The decision to cancel the operation seemed too strange to them.

"Do you believe what he said?" It was Safit who spoke first, "Don't you think the change of the whole thing is very strange? The cesarean section was changed to yod delivery, and all the operations were cancelled."

After listening to Carvey's opening remarks, the others were busy rushing to draft, and were a little confused by his question: "Strange? No, didn't they make it clear?"

"Other doctors think it's okay, and with the help of Professor Hu Jier, it's no problem to cancel the operation."

Seeing that they had all decided on the general direction of the manuscript, Safit did not refute, but instead answered with a smile that sees through everything.

Everyone belongs to different newspapers, but strictly speaking there is also competition among them.It's just that this kind of competition has nothing to do with ordinary people. No one will deliberately pay attention to who the reporter is after seeing a piece of shocking news, but only to see which newspaper it is.

So the value of journalists only exists within the media system.

There is nothing outstanding about Saffite, he has no advanced sources of information, his sense of smell is average, and the manuscripts he usually writes are just like that. In the eyes of insiders, the three words are "inconspicuous".

But the smile just now drew everyone in.

"We all went in in batches. There were curtains on the bed to separate the view, and there was very little to see. If you don't reveal any news, it will be different from the decision we made at the beginning."

"Speak quickly if you have something to say. If the final report is different, there will be no such cooperation next time."

Safit said with a smile: "What really happened inside may be far beyond our imagination, which is one of the reasons why it was sent in batches. Don't rush to refute, just imagine, if the blood transfusion site is here, in full view Do we still need to stay in that kind of bed?"

This remark quickly resonated a lot. The practice of cutting off the line of sight really made reporters who wanted to pursue the facts very uncomfortable.

"That's true. It's hard not to think of such a double standard."

"So what I said before that I was afraid of privacy leaks is all false?"

"Probably."

"Actually, it may not be false. It's scary to be half true and false."

Journalists have seen too much of the dark side and gray areas of society, and their ability to write stories may not be as good as that of novel writers, but they are definitely better at making up their minds.To some extent, this is the motivation to pursue the facts, but at the same time, it also makes them fall into a kind of paranoia that ordinary people cannot understand.

"You said, is it possible that you have done something shady? Otherwise, there is no need to do this."

"For a pregnant woman with little money? Why bother?"

"That is, something went wrong during the treatment, so I had to choose to do this?"

"Everyone doesn't understand medicine, so there are certain things that shouldn't be said indiscriminately. At least from their explanations, I think surgery is easier to avoid mistakes. Why do you choose yd to give birth?"

"Why exactly?"

"The mother asked for it herself. I heard them explain it before."

"Now the mother is alive, and she will be discharged from the hospital in a few days. The situation is very good. Since she has no body to dig up, let's dig up the baby. Is there a possibility that the baby didn't die when she was born, but the baby was born in yd died in the process?"

I don't know who mentioned it, which gave everyone a new idea.

"Yeah, that's the only thing that can affect them. The problem should be with the children."

"But an obstetrician just said that it's normal to have a stillbirth with placenta previa."

"There is no need to doubt this. It is a miracle that he survived. Otherwise, he would not have made such a big show on a cesarean section."

At this time, the doctors sitting on the side finally couldn't help but said: "Can you be quiet? This is a rare hernia repair, not much worse than a cesarean section. If you don't want to see it, go out and don't affect it." us!!!"

In terms of wealth and status, journalists cannot compare with doctors.

What's more, this is still a surgical theater where surgeons depend for their survival. Reporters are hated, and Safit and the others dare not talk too much.

Otherwise, it won't be Kavey who will make the headlines tomorrow, but them.

However, this break completely cut off the connection between several reporters. The seeds that were scattered just now entered their brains, and after being nourished by their respective brain cells, no one knew what kind of fruit they would produce.

(End of this chapter)