Chapter 328 324. Ignite but not completely ignite

Author: Hao Xifeng

Chapter 328 324. Ignite but not completely ignite

The whole day seemed chaotic to Hugill. Although chaos was already the norm in obstetrics, the accident that happened to Kavi today still made him very uncomfortable.

In normal times, he would never agree to perform fetal destruction, let alone try it himself, or even think about it. Even if rationality tells him that the absence of fetal heartbeat and fetal movement can declare a stillbirth, fetal destruction is just another anatomy.

Or the process of disposing of the corpse, but the sensibility and the belief in the heart are still unwilling to touch this dead line easily.

This seemingly inhumane sensibility is actually based on absolute rationality, which is very strange.

Man is such a strange creature. Even if he becomes a doctor who saves lives and heals the wounded, and is much closer to the so-called God in the eyes of others, when he sees suffering or suffering that needs to be overcome, his first reaction is still to escape.

But for some reason, Hugill, who usually chose to avoid talking about abortion and fetal destruction even if they did meet him, actually agreed to this approach when faced with Kawei's insistence.

Looking back now, he must be lying if he said he didn't regret it. The sense of responsibility brought by his impulse made him feel a little breathless.

In fact, he already regretted it when he was about to destroy the fetus, but the motivation that allowed Hujir to persevere and sit in the audience of the surgical theater afterwards was probably that the mother got the treatment she wanted most and successfully survived.

Perhaps this is the complexity that comes with this profession.

The destruction of a fetus at full term is more visually impactful than an abortion at a young age.

Hujir still has fresh memories of what was being pulled out. In addition, the two assistants happened to return to the preparation room, and the scene was very chaotic. In the end, the two assistants and the two doctors shouted that it was unacceptable, left the hospital early, and ran away.

Go home to "rest".

This is understandable. Even though he has been in obstetrics for so many years and has been exposed to so many stillbirths, he still couldn't bear it when he saw that scene.

The resistance shown by the two subordinate doctors was completely human. The tools originally used to save people were used to destroy fetuses, and what collapsed was their faith. The indifference of the three assistants in Kawei's hands was also human.

Because after changing the way of thinking and deliberately abandoning the previous concept, this is also a way to save people, and the mother did survive.

Hujir is now between these two states, very tormented, and may be spinning in a chaotic whirlpool for the next few days or even weeks, thinking about the previous scene from time to time.

All these seemed normal to him. The only thing that puzzled him was the young man in the audience. From the decision to the implementation, and finally to the completion of the entire process of destroying the tire, there were no big fluctuations in emotions and no operation.

He was so scrupulous that he was even quite organized when he thought about it after it was over. His experience was so rich that it put him to shame.

The most important thing is that he was completely unaffected by what he just said. He was now smiling and standing very comfortably in the operating area presiding over the hernia surgery that was supposed to start at three o'clock.

"Today's operation time has been affected. I'm really sorry." Kawei bowed slightly and apologized to the doctors on the stage, "It is because the previous mother's situation was special. In order to meet her request for another pregnancy, I and the director of obstetrics and gynecology Hu

Professor Gill decided to try yd delivery."

Full-term vaginal delivery of placenta previa is not news. Older doctors have encountered it. The key is the result.

"How is the result?"

"God have mercy, Ms. Sestina's bleeding volume exceeded 1000ml, but she still managed to survive and her uterus was saved, but the child did not escape fate." Kawei paused for a moment, "It took a long time.

The bleeding could not support him to come to the human world alive, so he was stillborn."

Some sighs could be heard on the court, but more applause and praise: "...This is already a very good result."

"Yeah, it would be nice to be able to survive for the next one."

"But Dr. Kawei, why would you choose yd delivery when cesarean section is possible? This seems to be contrary to the point you made before."

"Patients' demands are often excessive and unrealistic. Just like when a lower limb is seriously injured, everyone wants to save the bad limb and asks the doctor to save the bad limb. But we all know that limb preservation often leads to more serious consequences."

"As doctors, we want to bring patients back from fantasy to the real world. Over-belief in the patient's judgment will affect our own judgment."

"These are the advice from those of us who have experienced this. I hope Dr. Kawei will think twice when encountering this kind of situation in the future."

It is obvious that the tone of an old doctor, as Kawei often said at the time, is that the export target is those young and inexperienced doctors. Especially those doctors who are ignorant of the cruel reality and full of ideals and even fantasies, need a good education.

Given Kawei's current character, these words are normal, but unfortunately Kawei is not who they say he is.

Moreover, it is a bit arbitrary to directly deny his diagnosis and treatment process before seeing the complete medical records, and to deny various thoughts and judgments during the diagnosis and treatment.

Kawei knew what early tire destruction meant in Europe, and that demining should be done as early as possible, and he had to take Hugill with him at all times, so he never left Hugiar: "Actually, there is a reason for making this judgment together with Mr. Hugiar. With yd

In the treatment process where childbirth is the main axis, we also have our own bottom line."

He described all the previous situations, omitting the process of destroying the fetus, and naturally also omitting the ineffective uterine contraction. What really needs to be emphasized is the judgment and treatment of massive bleeding, such as the judgment of placental fenestration, first

Removal of the placenta after traction and delivery, how to erect the uterus in the final stage, etc.

After the explanation, although many doctors still felt that the technique was not safe enough, they also received a lot of support and the evaluation was very pertinent.

"It is normal to look for limits and boundaries in clinical work, so that the medical level can be continuously improved. Once you succeed in trying uncertainty, you will have more options when you encounter similar patients in the future."

"It's just too dangerous."

"So we have to be careful about this. With the blood transfusion plan advocated by Dr. Kawei, massive bleeding has become a relatively controllable disease."

"It's a pity that I didn't see the whole process of blood transfusion."

"There's no rush. I guess blood transfusion will be the norm in surgeries in the future. Besides, it's still a long time, so you can always see it."

After briefly introducing the previous delivery process, Kawei drew everyone's attention back to the subsequent operation: "Mr. Arsu suffered from an indirect inguinal hernia. From the medical history in your hands, we can see that the situation is very serious.

, with incarceration, severe pain.”

Although hernia surgery is not as epoch-making as cesarean section, it still has demonstration value at a time when general surgery has not yet officially developed.

Of the hundreds of doctors on the scene, less than one-tenth can actually repair hernias, and even these one-tenths of doctors cannot guarantee that there will be no recurrence after the operation. Because of the existence of recurrence, it is just like the original Morasso

, a hernia will not be treated under the knife unless it is absolutely necessary.

"Hernias can be completely solved by surgery," Kawei said. "The high recurrence rate is entirely due to problems during the surgery. We have taken the wrong path. We cannot say that the 'road' is wrong."

After more than half a year of theater experience, he has become more and more accustomed to this kind of scene.

What the surgeon has to do is to attract the attention of most people, and not to pay too much attention to some details. As long as the operation is completed beautifully, there is nothing to worry about. Therefore, Kawei, who originally disliked reporters, now sent several reporters who helped with blood transfusions.

In the corner of the auditorium.

Firstly, it was because they had indeed helped a lot, and they had contributed a lot to the mother's survival. After the cesarean section that had previously been promised to them was cancelled, some compensation would naturally have to be given.

Secondly, because journalists are an industry that already has endless questions, and it can save a lot of trouble by bringing people who need explanations together to solve them.

But Kawei ignored their ability to gossip, or overestimated the "professional ethics" of a small group of them.

In the eyes of the reporters, what Kawei did was not much different from what he just explained. With the white cloth blocking the way, the whole process of diagnosis and treatment could only be solved by ears, and what they could hear was only what Kawei and the others were willing to let them

heard.

If we were to report the entire birth process with objective facts, it would only be to the extent that Carvey explained it.

But how could their imagination be limited to this? The decision to cancel the operation seemed too strange in their eyes.

"Do you believe what he said?" Safet was the first to speak. "Don't you think the change in the whole thing is strange? From cesarean section to yd delivery, and all operations were cancelled."

After listening to Kawei's opening remarks, the others were all busy working on the manuscript. They were a little confused by his question: "What's weird? No, isn't it all made clear?"

"Other doctors think it's okay, and with Professor Hugill's help, it's no problem to cancel the surgery."

Seeing that they had decided on the general direction of the manuscript, Safet did not refute, but responded with a see-through smile.

We all belong to different newspapers, but strictly speaking there is competition between them. But this competition has nothing to do with ordinary people. No one will deliberately pay attention to who the reporter is after seeing a breaking news, but only who the reporter is.

Home newspaper office.

Therefore, the value of journalists only exists within the media system.

There is nothing outstanding about Safit, he has no advanced sources of information, his sense of smell is average, and the manuscripts he usually writes are just like that. In the eyes of experts, he is just "inconspicuous".

But the smile just now drew everyone into it.

"We all went in in batches. There were curtains on the bed to separate our view, so there were very few things we could see. If you had any news and didn't say it, it would be different from the decision we made at the beginning."

"If you have anything to say, say it quickly. If what you report in the end is different, there will be no such cooperation next time."

Safit said with a smile: "What really happened inside may be far beyond our imagination, which is one of the reasons why they were sent in batches. Don't rush to refute it. Just imagine if the blood transfusion site was here, in full view of everyone

Do we still need to stay in that bed next time?"

This statement quickly aroused a lot of resonance, and the blocking of sight really made journalists who wanted to pursue the facts very uncomfortable.

"This is true. Such a double standard approach is hard not to make people think wrong."

"So the fear of privacy leakage that I said before is all false?"

"Probably."

"Actually, it may not be false. It's scary to have a mixture of true and false."

Journalists have seen too much of the dark side and gray areas of society, and may not be as good at writing stories as writers who write novels, but they are certainly better at filling in their imaginations. This is to some extent a motivation to pursue facts, but at the same time it also makes

They fall into a paranoia that ordinary people cannot understand.

"Do you think it's possible that he did something shady? Otherwise, there would be no need to go to this extent."

"For a pregnant woman with little money? Why bother."

"That means something went wrong during the treatment, so I had to choose to do this?"

"Everyone doesn't understand medicine, so there are certain things you shouldn't say nonsense. At least from their explanations, I think it's easier to avoid mistakes during surgery. Why choose yd delivery?"

"Why exactly?"
To be continued...