Chapter 665 The Greatest Arrangement of God
He first parked the car by the roadside and let Xiaoxue and Zeng Yan take the business minibus following behind. Then, Yu Zhiming drove the bed truck with Qingning on it and increased the speed.
The two arrived at Huashan Hospital around 9:30 in the evening.
After parking the car in front of the gynecology building, Yu Zhiming got out and saw Ding Ye jogging towards him.
"Doctor Yu, regular contractions have occurred."
Yu Zhiming didn't waste any time and just followed Ding Ye into the gynecology building.
Qing Ning followed slowly behind.
After a while, a security guard came running over.
He looked through the car window and saw that there was no one in the driver's seat, so he shouted loudly.
"Whose car is this?"
"Drive away quickly, don't you know you're not allowed to park here?"
This area is where pregnant women and patients get off the bus.
Only parking and going is allowed. If you park for more than ten minutes, the management staff will come and drive you away.
The security guard shouted a few times before a young nurse rushed out from the gynecology building.
"Stop shouting! Stop shouting!"
The young nurse stopped the security guard and criticized him, "Are you new to work? Don't you know whose car this is?"
"This is the car of Dr. Yu Zhiming from our hospital."
The young nurse spoke quickly, "His car has special privileges and can be parked anywhere in the hospital."
"Because wherever Dr. Yu appears, there must be a medical incident that needs his urgent attention."
"If you don't believe me, you can ask your leader."
The security personnel who were very particular actually confirmed this with their superiors through the intercom.
After confirming the authenticity, the young security guard stayed in the area and directed the passing vehicles.
In fact, Yu Zhiming had consciously parked his car in a corner, so the impact on other vehicles was minimal...
At this moment, Yu Zhiming had already followed Ding Ye to a delivery room on the third floor, and was massaging the belly of a pregnant woman with a round face who groaned from time to time.
This fetal position massage adjustment was Yu Zhiming's specialty that enabled him to gain a foothold in the county hospital and gradually gain fame.
Therefore, Yu Zhiming took only more than 20 minutes to change the fetus in the girl's belly from the transverse position with a very high rate of difficult labor to a head-down normal delivery position, which was something that several experienced gynecologists in Huashan Hospital could not do.
Just when Yu Zhiming finished the massage and withdrew his hands, he heard the sound of water splashing on the ground.
This is the amniotic fluid breaking.
Two nurses quickly helped the pregnant teenager onto a gurney and pushed her to the delivery room.
Yu Zhiming also left the delivery room accompanied by Ding Ye.
"Doctor Yu, I don't know how to thank you enough. Plus a sumptuous meal?"
Yu Zhiming walked towards Qing Ning who was waiting in the corridor and said with a soft smile, "Doctor Ding, you're welcome. This is all for the patients."
Having said that, Yu Zhiming suddenly stopped and turned to look at a delivery room not far away.
"Someone coughed twice."
"Coughed twice?"
Ding Ye's expression immediately became nervous. "Doctor Yu, which delivery room is this?"
"Shall we go take a look together?"
There are twelve delivery rooms in total.
Each delivery room houses one to three pregnant women who are about to give birth and have already experienced contractions and cervical dilation.
The reason why Ding Ye is sensitive and nervous about the sound of coughing is that it may represent the most terrifying nightmare of a pregnant woman.
Amniotic fluid embolism.
This is the disease most likely to cause death during childbirth among pregnant women. Data show that the mortality rate caused by it can be as high as 80% if it is not discovered and treated in time.
One of the direct manifestations of this disease is coughing.
The cause of this disease, in simple terms, is that muscle movements such as contractions during childbirth produce certain pressure changes, and amniotic fluid may enter the mother's blood circulation through blood vessels due to these changes.
It may also be caused by cervical laceration, placenta previa, placental abruption, etc. during delivery.
In addition, there is a chance that blood sinuses may open during a caesarean section, causing amniotic fluid embolism.
This amniotic fluid embolism does not literally mean that the amniotic fluid blocks the blood vessels and causes embolism.
This is because the amniotic fluid contains fetal products, such as meconium, sebum, procoagulants, etc.
These substances will enter the mother's blood circulation, triggering systemic allergic reactions, resulting in a series of pathophysiological changes such as pulmonary hypertension, disseminated intravascular coagulation, inflammatory damage, shock and renal failure.
Based on the clinical characteristics of this disease, it is more appropriate to call amniotic fluid embolism pregnancy-like syndrome.
Amniotic fluid embolism mostly occurs between 2 hours before delivery and 30 minutes after delivery.
The clinical characteristics of this disease are rapid onset, severe condition, unpredictability and high mortality rate.
Sometimes the disease attacks so violently and suddenly that a woman may die before she can even get checked out.
Therefore, Ding Ye felt like he was facing a great enemy, which was the most normal reaction for a gynecologist.
Yu Zhiming did not waste any time. When Ding Ye asked, he had already strode into the third delivery room on the left.
There are three beds in the delivery room, each with a pregnant woman lying on it, and each of them is taken care of by their family members.
"Who coughed twice just now?" Yu Zhiming asked clearly.
As soon as he finished speaking, the pregnant woman sitting in the innermost bed timidly raised her hand.
"It's me, the doctor. The food at home was a bit salty, and I couldn't help it just now..."
Before the pregnant woman could finish her explanation, she saw the leader, a tall and handsome young man, put one hand on her chest.
The pregnant woman was a little stunned, then she saw the young man withdraw his hand, and then she heard him speak again.
"There's nothing wrong with the heart, and there's nothing wrong with the lungs."
The typical triad of amniotic fluid embolism is characterized by sudden onset of hypoxemia, hypotension and coagulation dysfunction.
The internal manifestations of the internal organs are abnormal heart and lung function, disseminated intravascular coagulation, etc.
When Ding Ye heard Yu Zhiming's investigation results, he couldn't help but breathe a sigh of relief.
It was a false alarm.
Ding Ye chuckled and explained to the pregnant woman, "Don't worry. This is Dr. Yu Zhiming from our hospital. He heard you coughing just now and gave you a checkup."
"Pneumonia and influenza are common this season."
After a pause, Ding Ye comforted her, "The examination just now showed that your cardiopulmonary function is normal."
"Just relax and wait for the birth." After saying that, Yu Zhiming and Ding Ye were about to leave the delivery room.
At this moment, a pregnant woman who looked to be in her thirties lying on the hospital bed near the door suddenly coughed.
"Doctor Yu, my throat is a little itchy and I keep wanting to cough. Could you please check me too?"
this……
Yu Zhiming resisted the urge to roll his eyes.
He knew that he had been recognized and that the pregnant woman wanted to get a free check-up.
It's something that happens on the spur of the moment.
Besides, meeting each other is fate.
Yu Zhiming thought so, smiled slightly and replied "Okay", then placed his hand on the pregnant woman's chest.
Although it was done casually, Yu Zhiming's professional ethics would not allow him to just pretend and get away with it.
He calmed down and felt the information coming from his hands.
Breathing, a little heavy, but normal.
But the sound of the heartbeat gave Yu Zhiming the feeling of an old ox pulling a broken cart, struggling to hold on.
Considering that this is an older pregnant woman who is about to give birth and her body is under too much pressure, it is understandable that her heart and lungs are performing like this.
However, Yu Zhiming felt vaguely uneasy.
He immediately calmed down and moved his probing hand directly to the pregnant woman's heart...
The sound of blood flowing from the heart pumping out echoed clearly in Yu Zhiming's mind.
He recognized it keenly.
The sound of blood flowing is not pure enough and seems to be mixed with a lot of random noises.
Yu Zhiming went further to identify...
The churning blood flow became clearer and clearer, almost transparent. Yu Zhiming seemed to "see" one floc-like particle after another dancing and flying in the blood.
Flocculent particles?!
Yu Zhiming was immediately startled and blurted out, "Ding Ye, DIC, emergency room."
Ding Ye naturally understood what DIC was, disseminated intravascular coagulation, the most feared symptom of amniotic fluid embolism.
Damn it, whatever you fear will come true.
"Nurse, notify Dr. Xu, amniotic fluid embolism DIC."
Ding Ye glanced at the information on the bracelet on the pregnant woman's wrist and shouted again: "Prepare twenty units of type A blood."
While shouting, she and Yu Zhiming pushed the pregnant woman and the gurney under her out of the delivery room.
During this process, two nurses and two doctors rushed over from nowhere.
Seeing this, Yu Zhiming gave up his seat next to the wheelchair.
Then he watched the frightened pregnant woman being hurriedly pushed into the operating area by a group of medical staff.
He was not good at rescuing amniotic fluid embolism, so he did not join in and interfere with their work.
The next moment, Yu Zhiming felt his hand being held by a soft little hand.
"Zhiming, is the situation serious?"
"Amniotic fluid embolism is very dangerous. However, it was discovered early, and the medical team has a lot of experience with similar cases. If he was successfully rescued, there shouldn't be any major problems."
Yu Zhiming introduced her, took Qingning's little hand, and walked slowly towards the stairs.
"Let's go. I have nothing to do here. Let's go home."
While going downstairs, Yu Zhiming briefly explained the process of discovering that the pregnant woman had amniotic fluid embolism.
Then, he sighed deeply, "They say that if you work as a doctor for a long time, you will believe in fate, in the destiny that is in the dark."
"I've discovered that you really have to believe in fate. You can't do otherwise."
Yu Zhiming sighed and said, "Qing Ning, you see, I was tricked by that evil-minded fellow Ding Ye into coming here to help a pregnant girl adjust the fetal position."
"Then, as I was leaving, I happened to hear a cough."
"The pregnant woman who was coughing was fine, but the pregnant woman who called me over had a big problem."
"If any link goes wrong during this period, the pregnant woman will be in danger. If disseminated intravascular coagulation is discovered in the middle or late stages, there is basically no solution."
Qing Ning gently shook Yu Zhiming's hand and said, "This shows that the pregnant woman is not destined to die. God doesn't want her to die."
She giggled again and said, "Zhiming, the fact that we are together now must be God's arrangement."
"God's arrangement is the greatest, you are not allowed to bully me."
Yu Zhiming grinned and said, "Look at what you said, it seems like I dare to bully you."
As they were talking, the two of them boarded the bed cart parked in front of the gynecology building.
Just as Yu Zhiming started the car, a security guard came to the car window.
"Doctor Yu, Doctor Yu..."
Yu Zhiming rolled down the car window and looked at the young security guard who was only in his early twenties.
"What's up?"
The young security guard said with an embarrassed look on his face, "Doctor Yu, I know you're a great doctor, but my mother hasn't been feeling well. Could you please take a look at her?"
"I can afford the 10,000 yuan fee."
Yu Zhiming wanted to refuse, but suddenly thought of the so-called fate and attraction in the dark, so he changed his mind.
"On Monday, come see me at the outpatient clinic on the 15th..."
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(End of this chapter)
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