"Teacher Du, we know that you are now in the gynecology department." Du Yeqing explained their plan in detail, "But everyone knows that you are very famous in obstetrics. In fact, up to now, some patients in Beidu No. 3 who cannot be treated by the obstetrics department need you to come back for help."
Everyone in the Foreign Affairs Hospital knew that Du Haiwei was once very famous and skilled in obstetrics, but now it seems that there is no one to succeed him.
Xie Wanying couldn't help but recall the two miraculous scenes when Teacher Du saved women in labor. There was really no one who could replace Teacher Du.
No matter how others praised him, he had accepted the case and came to Guozhi, which was considered as boarding Zhang Huayao's pirate ship. Du Haiwei resigned himself to his fate and said, "The patient needs a cesarean section. You want me to come and help with the cesarean section, right?"
This patient couldn't be transferred to the Obstetrics and Gynecology Department of Beidu No. 3 for delivery, because it might be too late. Because the patient's condition was too serious, if she was transferred to Beidu No. 3 for cesarean section, she might die immediately in front of the doctor.
"Yes." Du Yeqing officially expressed his opinion on behalf of Guozhi's attending physician team, and explained to Du Haiwei why he was invited. "Teacher Du, you can see with your own eyes that this patient's condition is so serious, and the time left for her and our doctors to operate is very short. Only you, Teacher Du, can take the baby out and complete the cesarean section in the shortest time. After that, the patient will be taken over by our cardiac surgery team for heart surgery."
"After the cesarean section, are you planning to perform a heart-lung transplant on the patient?" Du Haiwei asked.
For patients in late pregnancy with heart disease and pulmonary hypertension, when medication has limited efficacy and cannot reverse the worsening of the disease, it is likely that the only options left are heart-lung transplantation or double lung transplantation plus heart surgery.
Originally, cardiac surgery was the responsibility of the cardiothoracic surgery team and had nothing to do with the obstetrician and gynecologist. However, since the obstetrician and gynecologist were asked to cooperate, they had to at least give a thorough explanation of the patient's condition. Otherwise, the obstetrician and gynecologist would have been nervous while performing the cesarean section.
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The fact is, heart and lung transplantation is not as easy as imagined.
Maybe some medical research institutes in obstetrics and gynecology will give rescue suggestions in this way, but this operation is not performed by obstetricians and gynecologists, but by cardiothoracic surgeons. The one who really needs to consider whether it can be done is the cardiothoracic surgeon, not the obstetrician and gynecologist. In other words, the obstetrician and gynecologist can only talk, while the cardiothoracic surgeon needs to provide all the labor and technology.
There is no such precedent in the field of cardiothoracic surgery in China, nor in foreign countries, for helping such women after surgery with combined heart-lung transplantation. As a result, once such patients appear, obstetricians and gynecologists cannot speak for cardiothoracic surgeons and say that they can perform rescue operations and can only recommend termination of pregnancy.
Everyone couldn't help but speculate that Zhang Huayao might have accepted this patient in order to gain fame by performing the world's first surgery. Soon, Du Yeqing's words completely denied this speculation.
Being able to reach the position of director, Zhang Huayao, this old eccentric, would never take any big risks that would affect the entire hospital. He is an old genius, and his academic vision for selecting patients is very sharp.
Du Yeqing took the patient's medical record handed over by Doctor Yu, opened it and explained the patient's condition to Du Haiwei in detail: "When this patient first came to our hospital's Director Zhang for help, she said she absolutely did not want to have a transplant. The patient has a strong desire to become pregnant and is afraid that taking anti-rejection drugs after the operation will affect subsequent pregnancy and childbirth."
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