Path of Medicine With a System

Two Hundred and Thirty Nine Clip Out

It is easy for ordinary people to sanctify a certain profession, and it is also easy to belittle it. For example, a doctor will call him an angel when he is moved, and call him a legal butcher when he is angry.

How to put this matter, any industry, or any person, what is the persistent belief? Zhang Fan felt that this thing was unreliable, and the sincerity of faith was unreliable. After all, most of them were ordinary people. Who doesn't like indulgence among ordinary people? So what is reliable is supervision.

For example, who is the supervisor of the doctor? In fact, it should be a nurse, but the current situation is that doctors supervise doctors, which is actually peer-to-peer. After all, doctors have the same interests, unless you compete with me for a certain position, such as director. Under the erosion of bit by bit benefits, it is nonsense for doctors to supervise doctors.

I have seen a doctor report another doctor's wrong medical treatment, why haven't I seen a doctor report another doctor's commission?

If the status or treatment of nurses is improved, non-compliance in medicine may be reduced.

The current situation in the hospital is that nurses are obviously not at the same level as doctors. It is really not easy for a doctor-level doctor to fool a specialist nurse.

When this industry was originally designed, nurses and doctors were originally separated, like two railroad tracks, helping and supervising each other in parallel.

Otherwise, why do we have to create a nursing department? The position of the director of the nursing department is still very important in the hospital, but unfortunately it is not easy to do well.

Then it is prone to accidents, for example, the dean’s sister-in-law is the director of the obstetrics and gynecology department, then the problem will come, once the son-in-law of the dean needs to go to the Golden Retriever to study and buy a house...

This is supported by data and papers. In 1993, an obstetrician and gynecologist of Golden Retriever wrote a paper. He said in the paper that other factors that caused the surge of cesarean sections were the ones that led to the surge of dystocia cesarean sections. Including misdiagnosis of dystocia, physician's fear of lawsuits, and the convenience of obstetrical colleagues.

Misdiagnosis can be forgiven, but what is the fear of lawsuits, and what is for the convenience of obstetric colleagues? Think about it carefully, it's all bloody, and this thing can't be extended to think about it! It can only be said that most people are still dedicated, but what if an ordinary person meets a bad doctor?

What should we do if we encounter loose supervision at this time? It can only be said that a stone the size of a millstone fell on the head of this unlucky patient, and he didn't even have a chance to call for help. Let alone a certain country, almost all countries have this kind of problem. In fact, the regulations of this industry cannot be relaxed at all.

Just like school bullying, just because you haven’t encountered it doesn’t mean there isn’t one, and just because you’ve been bullied doesn’t mean that all schools are the same as yours.

After Zhang Fan entered the delivery room, he found that the director of the gynecology department and Lu Shuyan were already guarding the side of the delivery bed. Zhao Yanfang's pale face was like a fish landed on the shore.

From time to time, she had to show a painful face, like a transient electric shock, hurt for a while, and then let her rest for a while, try to take a breath, and when it hurts, continue to shout.

The delivery room waiting to be delivered can be said to be a very cruel department in the hospital. The women inside screamed in pain, and every contraction is the miserable cry of a woman. Really, those who didn't know thought that doctors in the delivery room used torture tools to torture pregnant women.

This is also one of the reasons why male doctors are reluctant to do it in the obstetrics department.

"I'm here, it's all right, relax, do you want to eat something?"

When Zhao Yanfang saw Zhang Fan, her eyes lit up, but she didn't speak, and shook her head lightly.

Then Zhang Fan turned his head, and the director of the obstetrics and gynecology department whispered to Zhang Fan: "I see red, although the fall did not hit the uterus, but it still caused the delivery to be premature. The current situation is that the fetal position is abnormal."

Humans can surpass other animals because of their brains. Other animals can easily give birth to four or five in one stomach, but because of the brain, humans are prone to dystocia.

How to say this thing, it is the same as shooting a gun. The bullet must follow the barrel of the gun, and then hit and rotate, so that the bullet can fly far. But what if the bullet is horizontal in the barrel?

The fetal position is abnormal, which is probably the reason.

In the past, cesarean section was performed only when it was really impossible, because various technical conditions at that time made cesarean section very dangerous. At this time, doctors in the early years would find ways to correct the fetal position. For example, the doctor would reach into the approaching channel and try to adjust the fetal position when the pregnant woman was in extreme pain.

Or use forceps!

But now, if the family members are not good at speaking, or the doctor's psychological quality and skills are not up to standard, this process is often omitted and the operation is directly performed on the operating table.

For example, regarding the use of forceps, there is a saying in obstetrics and gynecology that a doctor who does a good caesarean section may not dare to use forceps.

In the early years, some experts from the Golden Retriever Gynecological Society strongly suggested to stop or abolish the use of forceps, not to say that forceps are not good, but because the use of forceps requires too much skill and experience.

If you use it well, you will be amazed in the delivery room, and all the doctors and nurses will adore you.

Zhang Fan nodded and glanced at Lu Shuyan. Lu Shuyan immediately settled into a posture and handed the color ultrasound probe to Zhang Fan with both hands. Take the probe and check it.

Zhang Fan pointed to the director of the Obstetrics and Gynecology Department and Lu Shuyan gently pointing at the screen and said: "The fetal heart rate is going to weaken, we can't wait anymore, put on the forceps!"

The advantages of forceps are also obvious. It can speed up the labor process, and the pregnant woman can get out of bed after a day of rest. However, the caesarean section takes at least a week or even longer, and the damage is greater.

Although there is only a line on the belly of a pregnant woman, the muscles in the belly are torn directly, and the internal structure is almost glued after delivery.

"Dr. Zhao is not young, and the forceps are not enough, use forceps..."

When a woman is over thirty-five years old, the chances of cesarean delivery will increase significantly. Even women who have developed to an advanced age do not have the right to give birth naturally, because compared with the damage of cesarean section, older women are more dangerous to give birth naturally, and doctors will not gamble. This is because Okay, after all doctors are betting on other people's lives.

"I think it's okay!" Zhang Fan said with certainty after carefully looking at the screen. "Call the director of the anesthesiology department."

After finishing speaking, Zhang Fan said to Zhao Yanfang: "Forces are used, can you bear it?"

"It's okay, I can hold on."

Zhao Yanfang was already half dead, but she still nodded her head persistently. A mother is strong, or in other words, this kind of person's character is just like this.

Epidural anesthesia is different from general anesthesia.

Relatively speaking, general anesthesia means falling asleep after taking two sips, and then taking medicine to maintain it.

For epidural, the patient should first curl up into a big shrimp with his knees in his arms, and then enter through the intervertebral foramen on the side of the spine.

Zhao Yanfang's pregnant stomach is already in pain, so if Zhang Fan asks the director of the anesthesiology department to come, ordinary anesthesiologists may not be able to call in.

"Lu Ning, you bastard, Lu Ning, ah, you bastard, it hurts me to death!"

When Zhao Yanfang hugged her knees, the pain intensified, and even a proud female scientist had to yell at her.

Lu Ning, who was outside the delivery room, was sweating profusely lying on the edge of the door, listening to the yelling and cursing inside.

Only Zhang Fan went in, otherwise he wouldn't know what to do.

Although he is also a doctor, this thing is like when others meet, everyone is Zhuge Liang, but when he meets himself, Quan Nima is a Dou.

"After the anesthesia is over, let Zhang Yuan begin!"

The director of the anesthesiology department said something softly, then stood aside and started monitoring.

Zhang Fan nodded, and took out the huge forceps.

How to describe this thing, the head of forceps is slightly smaller than a table tennis racket.

This thing has to be stuffed into the birth canal. If a man can't imagine it, he can take a racket and draw a stroke behind himself.

Gently and slowly, Zhang Fan closed his eyes while feeling the hardness of the forceps.

Avoiding the child's face and ears, the forceps were placed behind the child's skull.

Then Zhang Fan assisted with one hand and pulled with the other. This way of pulling is backwards and upwards, which means a little digging.

Bit by bit, bit by bit, Zhang Fan was wearing a disposable surgical gown, sweating all over his body.

Slowly, "I saw it, I saw it, the child's fontanelle saw it."

Lu Shuyan whispered something to both Zhang Fan and Zhao Yanfang.

Although Zhao Yanfang couldn't feel any pain at this time, she could feel a big thing tossing in the birth canal. When the head came out a little more, Zhang Fan held the forceps in his right hand, quickly pinched the back corner of the child's forehead with his left hand, and then shouted at Zhao Yanfang: "Come on, give it the last push, push hard, force it out!"

Boom! With a muffled sound, just like champagne corks, the child was squeezed out with soup and water, and Lu Shuyan caught it in her arms.

Then he quickly wiped off the amniotic fluid on the child's face as if touching his face with his hands, and then stuffed his index finger into the little boy's mouth like a melting hook, just licking it out for a while.

The head of the gynecology department grabbed the boy's little feet, and piaji slapped him twice, and the child opened his mouth and cried loudly. "Wow wow wow!"

Zhang Fan looked at the child in Lu Shuyan's arms, and the white sweat on his forehead finally became more comfortable.

She is a little princess, but at this time the child Zou Zou Baba has been squeezed through the birth canal, just like a lollipop that melts in summer.

At this time, Zhao Yanfang's face changed from pale to slightly rosy, and her spirit was obviously different. Although she was also weak, she seemed to be excited after surviving a catastrophe, not like waiting to die before.

Forceps operation, in fact, the director of the gynecology department can do it, even Lu Shuyan can do it, but they dare not, not only because Zhao Yanfang is the instructor of the hospital, but also because Zhao Yanfang is old.

Moreover, the years of scientific research and mental work, and the frail body make the doctors have no confidence.

There was no need for Zhang Fan for the follow-up matters. After washing it, Zhang Fan opened the door and left the delivery room. Beads of sweat gathered on the little brother's bald forehead.

Zhang Fan had never seen him in such a state of embarrassment.

"Mother and child are safe. After scrubbing the child, I will carry it out for you. Congratulations!"

"Hmm, um, um..." Lu Ning didn't look at Zhang Fan at all, but watched the scene inside expectantly through the crack of the delivery room door.

Zhang Fan smiled, and sat on the side with his junior brother, without saying a word.

Chapter 1869/2653
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Path of Medicine With a SystemCh.1869/2653 [70.45%]