The road to the rise of great doctors

Chapter 74 Open Thoughts, Communication and Collision
Liu Dong first showed the prepared materials to the chief resident doctor, and then showed it to the male family members and signed the medical records for confirmation.

When I returned to the ultrasound room, I heard the discussion opinions of the second line on duty, the chief resident doctor, and the ultrasound doctor, "This patient has grade III placental abruption, a fast fetal heart rate, fetal monitoring indicates fetal distress, and natural delivery will not be possible in a short time." , the best option is to terminate the pregnancy immediately by cesarean section”

Liu Dong not only learned about placental abruption in books before, he also remembered that this person met one of the four indications for cesarean section for placental abruption in the textbook: "more than 4 weeks of pregnancy, fetal survival, placental abruption II" For grades and above, it is recommended to perform cesarean section as soon as possible to reduce perinatal mortality." However, the indications for natural delivery are particularly narrow, which fully illustrates the criticality of the situation. Only by solving the critical situation as soon as possible can adults and children be reunited. The greatest benefit to the fetus, "Indications for natural delivery with placental abruption: Grade I placental abruption, multiparous women, generally in good condition, mainly with obvious bleeding, the cervix has been dilated, and the delivery is expected to be completed in a short time, can give birth naturally.”

Because the process of diagnosis and treatment is so thrilling, every doctor who experiences it will be particularly impressed.He remembered talking about this disease in a five-person group chat more than a week ago, "Not all babies can be saved. If the gestational age is small, labor will be induced; if the gestational age is long, the fetal organ development will be basically It’s all right, and the chance of being saved will be greater.”

Not always, it is humanly possible
Time is of the essence. When encountering such an emergency, every participant, including obstetricians, anesthesiologists, operating room nurses, etc., mobilized urgently.

Oxygen inhalation, blood transfusion, anti-shock, prevention of infection, emergency cesarean section.

At around two o'clock in the morning, the vital signs of the pregnant woman stabilized, and a live baby was excised. After it came out, it was handed over to a neonatologist for a check of hypoxia, and emergency rescue was carried out immediately.

Here the pregnant woman continues to strip the placenta, clear the clot, reverse abnormal uterine contractions, and then suture the uterus.

"The patient has severe preeclampsia. The post-operative shock has been corrected and the blood pressure has increased. We will continue to be given medications to lower blood pressure and relieve spasms. We will monitor the blood pressure to prevent postpartum eclampsia," the surgeon and chief resident explained.

Although this couple has bad luck, it is not the worst.

When I left the operating room and talked to her husband about the results of the operation and the precautions after that, I saw her husband crying with joy and at a loss.The mother of the pregnant woman also arrived early. After hearing this, she kept expressing her gratitude, "Thank you, thank you doctor, thank you God, God bless you, and good things will be rewarded."

The next day, the doctor's office.

After Liu Dong finished his work, he met Shan Jiajia, Wang Jie and others, and the five-person group gathered together.

"Last night was thrilling."

"Have you been through it all? How do you feel?"

"If you have any experiences or insights, please share them with your brothers."

"Yeah, it happened to me last time, but I just wrote the medical records. When I wanted to go in for the operation, the 'janitor' wouldn't let me in, saying that there were too many people, and to prevent cross-infection, I was so depressed! Then, the teacher in charge of teaching asked me why I didn’t participate, and said that I would regret it if I didn’t perform positively. I said to her with a depressed face, ‘They won’t let me in’! Then the teacher couldn’t help laughing Already."

The other four looked at Liu Dong curiously, and before he could speak, they expressed their opinions first.

Then, they all looked at the other boy and laughed, "You are so funny. You were turned away even though you had an emergency!"

After a while of commotion, Liu Dong took the medical records and shared his experience and gains from the beginning. "Teaching makes us learn from each other, and reviewing the past and learning the new is nothing more than this."After listening, Shan Jiajia was the first to express her opinion, "I have a good grasp of theoretical knowledge, and the ideas and processes in practice are also well organized. Thank you 'Liu Shen' for sharing."

Liu Dong was stunned, when did he get the title of "Liu God"?

Shan Jiajia added, "I just thought of it. You have encountered so many emergencies. You can fight against the 'God of Night Shift' and still be able to withstand it. This is not luck, it is also the 'God of Learning'!"

Everyone nodded and expressed their agreement with "+1".

Wang Jie discovered another point and said, "I saw that when you were talking about the ultrasound report, you also pointed to the sonogram and said, which teacher is so good? Is it Teacher Xiao Wang in the ultrasound room? Can you still give me Talk about the performance of ultrasound! I also want to learn it when I have time."

Liu Dong smiled and shook his head, "No, I am also good at ultrasound."

"Really? Then you still look at men and women?"

"It's not easy to tell whether you are a man or a woman. After you get pregnant, I can borrow equipment to help you do a few more ultrasound exams. Anyone else, I can do ultrasound exams for you, super carefully and conscientiously, but you don't have to do it properly." expression of expression.”

Several people attacked his statement one after another, "We are all classmates, do you still want to benefit? Find a fight."

Wang Jie laughed and joked around for a while, but no one noticed her thoughtful look after hearing it at first.

Pregnancy is prohibited by law from seeing a man or woman.As we all know, that was to avoid the influence of the past "preferring boys over girls" trend, and later also to avoid artificial screening of gender.
When you are busy, time passes quickly.

There are people to keep company with, friends to grow up with, and full trust in each other, sharing one's gains without reservation, this is youth!

Perhaps, when they look back later, they will remember these good times, even if the career development situation in the future will be very different.Some people hold high positions, some have been treating patients for thousands of years, some have taken off their white coats and picked up paper and pens, some have left the medical system and switched to clinical development, and some have completely left the country and gone to other places.These good things will last a lifetime
The "Ladder to the Clouds" project is still going on normally, but the diversion is also happening intermittently.

Assignments in scientific research classes are graded every other week, and some people have already made plans to "quit."Although it is a great help, after the initial excitement has passed and your mind has calmed down, it is also a good choice to combine your own future plans and personal abilities to graduate with a master's degree and then find a job.Of course, most people are still following diligently. These people are all people who have made up their mind to "study a Ph.D.". Even if they fail, they will take the Ph.D. exam in the year they graduate from the master's degree. And these studies and training will have a great impact on their future. The effect is quite large.

Class exams for skills training are also continuing.

The scores for basic surgical skills, internal medicine diagnostic thinking, and experimental skills are also divided into three levels.

(End of this chapter)