Chapter 88 The Nanny's Niece's Counterattack
Upon hearing this, Yang Mingjie immediately followed. To be honest, he was a little intimidated by Director Zheng. He was no ordinary fifty or sixty-year-old man; his imposing presence in the clinic over the years hadn't been cultivated for nothing.
Even doctors who have worked in the clinic for many years are a little afraid of him, let alone him.
This made Lin Wei even more puzzled. Why wasn't she afraid of him? Yang Mingjie looked at the person in front of him, still unable to understand why she was so bold.
A few minutes later, the three of them arrived at the emergency department, where they were greeted not only by the head of the emergency department but also by the head of the obstetrics and gynecology department.
"What is the patient's condition?" I didn't explain it clearly on the phone earlier.
The head of the obstetrics and gynecology department said: "The patient is an elderly pregnant woman, 40 years old, 22 weeks pregnant, with coronary heart disease. She was admitted to the hospital because she fainted due to myocardial ischemia. My suggestion is to terminate the pregnancy, but the patient and her family are unwilling. So I would like to hear your opinion. These are some of the examinations that have just been done."
Director Zheng took the documents from her hand, glanced at them, and frowned. The treatments for the symptoms were not very effective, indicating that the fetus was already affecting her physical condition. If this continued, heart failure was not out of the question.
However, instead of immediately stating his thoughts, he handed the information to Lin Wei, saying, "Tell me your opinion."
At this moment, the two directors of the obstetrics and gynecology department and the emergency department finally turned their attention to her. Was this the candidate for the talent development program? They knew about the commotion earlier, but this was the first time they had seen her. Apart from being a little younger, they couldn't see anything different about her.
However, Director Zheng seemed to value her quite a bit, otherwise he wouldn't have asked her a question under these circumstances. As for Yang Mingjie, he was automatically ignored by everyone.
Lin Wei glanced at the information carefully, quickly looked it over, and then looked up and said, "Although the patient's condition is quite serious, conservative treatment is not impossible; it's not the final stage yet."
"If her condition can be stabilized and not worsen, the fetus can be delivered prematurely in just two months." This would also be considered a premature birth.
"But there are certain risks involved," she added at the end, "If things aren't done properly, both the pregnant woman and the fetus could have problems."
This is also what made Director Zheng frown. The illness itself is secondary; the main issue is the doctor-patient relationship. If either of them disregards the pregnant woman's life or death and insists on ensuring the child's safe delivery, the hospital will be in turmoil if anything goes wrong.
Therefore, his opinion remains, "Terminate the pregnancy." As for whether the family agrees or not, that's their business. If they don't agree, there's nothing that can be done but transfer them to another hospital.
Lin Wei was puzzled by his reply.
After leaving the emergency room, Director Zheng turned to her and said, "Do you know why I made this decision?"
"Because the risks are too great, whether it's the risk of saving the pregnant woman and the fetus, or the risk from the family members, as doctors, we must protect ourselves in order to better treat others." Terminating the pregnancy is indeed currently the lowest-risk and best option for pregnant women.
“You must remember that you are a talent that the country is cultivating. No one’s safety is more important than your own. So, in addition to treating patients, protecting yourself is also something you should do.” Director Zheng looked at Lin Wei with such seriousness for the first time.
He didn't want to see another tragedy happen.
Lin Wei hadn't expected herself to be so important. Seeing his serious expression, she nodded earnestly, "I understand." She would be the first to run if there was any danger.
She wasn't one to play the hero, so once she realized what had happened, she could understand why he did it.
Director Zheng looked at Yang Mingjie and said, "You too."
At this moment, Yang Mingjie felt a small surge of emotion. He had actually seen him! He had thought Yang Mingjie thought he was invisible. His joy was beyond words.
He didn't even look at himself. Such a big guy standing there, it's hard not to see him, how could anyone ignore him? But one thing is true, Director Zheng does value Lin Wei a little more than him.
Capable people also bear great responsibilities, and if he were treated the same way she was treated, he wouldn't be able to handle it. So, in reality, he left Yang Mingjie to her own devices.
However, Lin Wei treated him quite well. When she went on stage, she would ask him to accompany her. Director Zheng knew this, but he just didn't care. Anyway, he had nothing to do in the department, so it would be good for him to go and get some practice by accompanying someone.
On the surface, Yang Mingjie was not as good as Lin Wei, and he couldn't even master one surgery. However, compared to the new fifth-year interns, he was still very capable. At least in terms of mastering the basic knowledge and understanding the patients' conditions, he was much better than those interns.
Back in the department, everyone knew that the emergency room had called and asked them to go for a consultation, but no one expected them to be back so quickly.
Dr. Ding asked, "What happened? You're back so quickly."
Yang Mingjie repeated what had just happened. Ding Hong shook his head and sighed, "Every year there are a few people who are reckless." His tone was slightly mocking. At a time like this, they still care about such trivial matters.
When faced with family members and patients like that, who dares to give them guarantees? What if they get entangled in a dispute? Will the hospital still be able to operate? Will surgeries still be able to be performed?
Moreover, Director Zheng's son was also a victim, so his choice is quite normal. But there's no need to tell Yang Mingjie that.
Not long after, Lin Wei heard from Director Zheng that the pregnant woman had been transferred to another hospital for treatment. She could only hope that she would be lucky, otherwise, no matter which hospital had problems, there would be medical disputes.
However, her primary focus right now is preparing for the Tetralogy of Fallot surgery. Previously, she had observed relatively simpler heart defects, requiring only interventional treatment—inserting a catheter through a vein in the groin area, then using a wire to reach the heart to repair or seal the defect. Essentially, it's similar to the surgeries she'd performed before, except that Tetralogy of Fallot requires open-chest surgery.
Director Zheng: "The reason I didn't perform open-heart surgery on some of the more complex heart malformations is that once you learn the surgical technique for Tetralogy of Fallot, those minor surgeries won't be difficult for you."
The process up to this point is the same, it's just opening the chest. It's only when you get inside that things start to change a little. And compared to the latter Tetralogy of Fallot, all those previous surgeries are nothing.
Lin Wei was obviously aware of this as well, so she was very cautious about assisting with this surgery. Unlike the previous minimally invasive surgeries, this was a large-incision surgery and an open surgery. No one knew what would happen during the procedure, so she had to be able to adapt to any situation.
At this point, she hesitated about whether she should act as an assistant.
If the surgery goes smoothly, she will of course have no problem. But if problems arise, can she handle them with the same skill as the first assistant? Her answer is no, so she looked at Director Zheng and said, "This time I will be the second assistant."
She can be the surgeon, the first assistant, and naturally, the second or third assistant.
Admitting your own shortcomings isn't as difficult as you might imagine.
Director Zheng readily agreed upon hearing the result, "Okay." He thought she would continue as the first assistant as before, but he didn't expect her to choose to be the second assistant. However, the more she did so, the more he appreciated her.
Knowing when to advance is good, but knowing when to retreat is even more valuable. Young people may feel ashamed or lose face, but in the eyes of the older generation, this is true wisdom.
Lin Wei breathed a sigh of relief, but she did not slack off in her preparations. She followed the requirements of a qualified first assistant, and for example, she would ask some doctors or assistants who had performed Tetralogy of Fallot surgery if they had encountered any unexpected situations during the surgery.
“There are many unexpected situations: massive bleeding during surgery requiring emergency blood transfusions, cardiac arrest requiring immediate resuscitation, bleeding from blood vessels that cannot be located, or blood obstructing the view and making it impossible to see the path of the bleeding. There are too many to count.” Surgery is not a fixed procedure. Even if surgery fails and the patient dies, it has happened before. We can only say that everyone did their best.
At this moment, Lin Wei was glad that she had given up her assistant position. She admitted that she had some ability, but to say that she could compare with those experienced doctors would be a lie. It was more reliable to leave it to them.
Finally, the day of the surgery arrived. She had memorized the patient's condition perfectly. She also remembered the instruments used during the operation clearly. Even the situations mentioned by the first assistant had been anticipated, and she had considered how she would handle them if it were her. However, knowing that her thoughts were somewhat different from reality, she still asked some people for advice.
The final answer is that if there is massive bleeding, hemostatic forceps, electrocoagulation, or suturing can be used to stop the bleeding. If necessary, pressure can be applied to stop the bleeding, and some vasoactive drugs can be used to keep blood pressure stable.
However, in the event of cardiac arrest, cardiopulmonary resuscitation (CPR) should still be performed, and this should not be discontinued simply because the chest has been opened.
Of course, at this point, she was just checking in advance as a precaution, and she didn't think there would be any problems with the surgery. Although some unexpected things could happen during the surgery, most of them went smoothly. Otherwise, if every surgery had an unexpected problem, what would happen? She should go pray to Buddha.
Indeed, the initial progress was very smooth. The area was disinfected and marked, draped, and the scalpel was used to cut open the outer layer of skin, gradually revealing the condition inside.
Lin Wei and Yang Mingjie's task was to use retractors to pull out the tissue and expose the internal structure, while the first assistant was responsible for assisting Director Zheng with the surgery. This surgery aimed to address four issues: 1. pulmonary artery stenosis; 2. overriding aorta; 3. ventricular septal defect; and 4. right ventricular hypertrophy.
As previously mentioned, narrowing needs to be widened, defects need to be repaired, and thickening needs to be removed. As for the aortic overriding, it is only necessary to connect the aorta and the right ventricle.
However, although it sounds simple, the process is not simple at all, and you have to avoid many dangerous blood vessels.
Just when no one expected anything unexpected to happen, a spurt of blood suddenly appeared, obscuring most of the surgical field of vision.
Director Zheng closed his eyes briefly, and the scrub nurse beside him quickly helped wipe them.
As with previous bleeding treatments, the assistant first used a blood suction device to expose the area, and then used hemostatic forceps to clamp the bleeding site.
However, this time it was obvious that the artery had ruptured. It was obvious that the blood could not be completely sucked out with a blood suction device. He had only used the blood suction device twice when the bleeding site was quickly covered by fresh blood again.
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