After six o'clock in the afternoon, Yu Zhiming completed the diagnosis and treatment of today's registered outpatient patients, as well as the early cancer screening work of the very early cancer project.
He returned to the soundproof office, ready to pack up and leave work, when he met Ding Ye who was waiting in the office.
This guy looked around Yu Zhiming.
"Doctor Yu, the internet is buzzing with discussions about you, but I didn't expect you to act like nothing happened."
Yu Zhiming took off his white coat and said, "I work all day, so how can I have the time to pay attention to boring discussions online?"
"As long as I don't pay attention, no matter how loudly they shout, it's just like a cloud to me."
Ding Ye patted his still-rich chest and said with a look of relief: "I'm relieved now. I was worried that you would be affected, so I wanted to come over to comfort you."
Yu Zhiming chuckled and said, "Thank you. This isn't the first time I've experienced cyberbullying."
Ding Ye smiled and said, "That's right. People like me who are nobody have no right to be cyberbullied."
After a pause, she said, "Doctor Yu, the sister-in-law of the waitress yesterday came to the hospital today."
"Based on the preliminary examination, it's not very optimistic."
"Is the surviving fetus severely anemic?" Yu Zhiming asked.
Ding Ye said: "There are some cases of anemia. Doctor Liu said that although this degree of anemia will not lead to dementia, it may affect the intellectual development and make the child stupid."
"But that's not the main issue."
Ding Ye kept the question in suspense and asked, "Doctor Yu, let me ask you, what is the most important question?"
Yu Zhiming pondered for a moment and said, "Time?"
Ding Ye nodded gently and said, "The baby is only 22 weeks old. If a baby of this size becomes stillborn, the human body will no longer be able to absorb it. There is a high probability that it will be born prematurely."
"Even if the baby isn't born prematurely, if the fetus remains in the body for more than two weeks, it could cause serious problems and even put the pregnant woman's life at risk."
After a fetus dies in the womb, it does not decay as quickly as it would in the outside world.
This is mainly because the placenta has certain defensive functions that can prevent bacterial or viral infections.
Also, the fetus is immersed in sterile amniotic fluid.
In this case, the dead fetus can be kept intact in the body for a longer period of time.
However, as time passes after the stillbirth, some components in the mother's fetus or placenta will cause a coagulation reaction in the mother's blood system, which may cause local coagulation dysfunction or even systemic coagulation dysfunction.
The symptoms are subcutaneous bruises all over the body or uncontrollable heavy bleeding in the reproductive tract.
This period is usually two weeks.
The problem is that after two weeks, the surviving fetus is only twenty-four weeks old.
The survival rate of such a young baby after cesarean section is very low. Even if they are lucky enough to survive, the high cost is beyond the reach of an average family.
Yu Zhiming asked again: "Doctor Liu, what suggestions do you have?"
Ding Ye said slowly, "Doctor Liu's idea is to take a gamble and remove the dead fetus through a caesarean section."
Yu Zhiming frowned.
Removing the dead fetus through a caesarean section and leaving the living fetus seems simple and easy, but it is extremely difficult in the actual operation.
Because it is a cesarean section, the amniotic fluid necessary to maintain the life of the fetus will flow out during the operation.
Therefore, artificial amniotic fluid needs to be injected after the operation.
The process of amniotic fluid outflow and injection requires high caution, as placental separation may occur if you are not careful.
The process of removing the dead fetus also requires extreme caution, as placental abruption is very likely to occur.
Once the placenta is detached, the only option is to cut the umbilical cord, causing the surviving fetus to be delivered prematurely, turning it into a true cesarean section.
Even if the operation goes smoothly, the removal of a baby will cause the uterus to contract and collapse, which may cause unpredictable physical and mental problems in the mother, as well as abnormal reactions in the surviving fetus.
This may result in premature birth or death of the surviving fetus.
Yu Zhiming said in a deep voice: "Doctor Liu is taking a gamble. The success rate is quite low."
Ding Ye spread his hands and said, "If I don't have surgery, the result won't be much better. If I take the risk and have surgery, there are still some possibilities."
"Unless you have a better idea."
Yu Zhiming grinned and replied, "Doctor Liu is extremely experienced. What good ideas can I offer?"
Having said this, he suddenly stopped and pondered.
When Ding Ye saw this scene, his eyes lit up instantly.
"I was just asking casually, Doctor Yu, did you really come up with a good idea or solution?"
Yu Zhiming thought for a moment and said slowly, "It's not a good idea. It can only be considered a relatively cruel surgical method."
"It doesn't matter if it's cruel or not, as long as it's useful, Doctor Yu, tell us about it!" Ding Ye asked expectantly.
Yu Zhiming said slowly, "Since it's already a dead fetus, any treatment would not be excessive."
"First, we will perform intrauterine surgery with the help of a fetoscope to cut off the blood supply to the dead fetus and cut the umbilical cord."
"Then, crush the dead fetus and suck it out."
this……
Ding Ye's scalp felt a little numb at first, and then he felt that this method was still feasible.
At least, the risk is much lower than that of a cesarean section to save one baby.
She thought for a moment and said, "This can be done with minimally invasive surgery, where the amniotic fluid is crushed and aspirated simultaneously. The extracted amniotic fluid can also be continuously replenished with artificial amniotic fluid to ensure the comfort of the surviving fetus."
"This method minimizes the stimulation and harm to pregnant women. Most importantly, the risk of placental abruption is also greatly reduced."
"The disadvantages are that the operation time is significantly prolonged. It also requires high precision in the operation and must not injure the uterus or the living fetus."
Yu Zhiming added: "Whether pregnant women and their families can accept it is also a question."
Ding Ye looked at Yu Zhiming, suddenly smiled, and said, "Every time I come to your place, I always gain something. It seems that I will have to come more often in the future!"
Yu Zhiming waved his hands and said disdainfully, "You'd better not come here anymore. I'm always very busy and don't have time to deal with you."
"Anything else?"
Ding Ye chuckled and said, "We haven't talked about the business yet. Didn't you help identify the baby by his crying yesterday?"
"Sister Lian wants to thank you very much and treat you to a delicious meal."
Yu Zhiming said indifferently, "It's just a small favor. No need for a big meal. If she really wants to show her appreciation, she can treat you."
Ding Ye said with a playful smile: "That's fine, anyway, I already owe you a favor and I don't mind one more."
After a pause, she smiled again and said, "Last night, Sister Lian told me that you easily connected the baby and pointed out that the fake baby was two hundred months old. The fathers and grandmothers of the children present were all stunned."
“Everyone says it’s incredible.”
Ding Ye added, "The fake big baby is actually a girl of sixteen years and three months."
She hurriedly added, "Sister Lian also conducted a follow-up visit tonight. After the children were taken home, their mothers checked and found that none of them had any connection errors."
"If there really is a mistake, it would be an accident." Yu Zhi said clearly, and then urged: "I should leave work."
"Anything else?"
Ding Ye shook his head and said, "Wait, I will go to see Doctor Liu to discuss the method you came up with."
The next moment, she became serious again.
"Doctor Yu, I find myself owing you more and more, but I don't know how to repay you."
"I can only express my opinion..."
Ding Ye said solemnly: "Doctor Yu, if you have any needs or requests in the future, you can come to me."
"Doctor Yu, please note that I said anything!"
Seeing that this guy looked serious and didn't seem to be joking, Yu Zhiming also put on a serious look.
"Ding Ye, I'm not helping you for anything in return. I just feel like we're friends, so it's only natural for me to help you within my ability."
After a pause, Yu Zhiming continued, "Giving roses to others leaves a lingering fragrance on your hands. Helping others is also a happy thing. Ding Ye, don't feel burdened. Just accept it calmly."
Ding Ye's face was filled with joy as he said, "Yes, we are friends. I shouldn't regard your help as pressure."
"I also firmly believe that in a few years, I will be able to solve some problems for you who are good at identifying problems but not solving them."
After saying this, Ding Ye suddenly took a step forward and hugged Yu Zhiming tightly.
Yu Zhiming was a little dazed, and for a moment he didn't know where to put his hands.
Fortunately, after a few seconds, Ding Ye let go of Yu Zhiming and left the office quickly...
On the way back to Junshan Mansion, Yu Zhiming received a call from Dr. Yu Shiquan from the Trauma Surgery Department of Union Hospital.
"Doctor Yu, this is not fair, Huashan Hospital."
Hearing him say this, Yu Zhiming knew that he already knew it, and he gave him an embarrassed smile in response.
"Doctor Yu, it's our pediatric surgery department that's pushing this matter forward at the hospital, and I'm kind of assisting them."
Yu Shiquan replied on the phone, "I guess so. Doctor Yu, your reputation is already great enough. You don't need an operation like this to embellish it."
"It's just that I'm caught in the middle, which makes it a bit difficult."
According to the plan, the conjoined twins separation surgery was successfully taken over by Huashan Hospital, which required the active participation of Yu Zhiming and his complex injury recovery treatment team.
In other words, Yu Shiquan needs to come to Huashan for surgery.
Undoubtedly, this will put Yu Shiquan in an embarrassing situation.
Yu Zhiming apologized, "Doctor Yu, I'm so sorry. I was inconsiderate and made things difficult for you."
"How about if Huashan successfully snatches this operation, will you declare that you will not participate?"
Yu Shiquan on the other end of the call sighed softly, "The problem is, I don't want to give up on this rare surgery, and I don't want to give up the opportunity to work with you, Doctor Yu."
this……
Yu Zhiming didn't know which side Dr. Yu was on for a moment.
He then asked, "Doctor Yu, what is the opinion of Doctor Gu, who is leading the separation surgery plan at your hospital?"
Yu Shiquan replied, "What else could I have? I'm naturally very angry and I absolutely disagree."
"Not only that, she also firmly stated that you are not allowed to participate in this operation."
Yu Zhiming couldn't help but let out a soft cry.
I didn't expect it would affect me.
But think about it, Huashan Hospital has already taken over other people's surgeries, so how could they possibly let Huashan Hospital's reputation get involved...
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