Start as an Emergency Physician

He Lili's mother hesitated for a moment, looked at her pale mother, and then looked at Zhou Yuan.

Zhou Yuan smiled and said: "Don't worry, the people who operated on your daughter are the best doctors in our hospital, and there is also the dean who comes to see, it will be fine!"

Although He Lili's mother was still worried, she finally signed her name.

Zhou Yuan put away the informed consent form for the operation, a little worried.

This situation is not uncommon for He Lili's mother, and this kind of family members generally don't trust doctors too much...

If there is an accident, it is difficult to avoid doctor-patient disputes, and may even lead to medical trouble.

He Jianyi noticed the situation here and walked over.

"Worried?"

He Jian smiled and said, "Don't worry, just look at it with a normal heart." Think about it, who would be relieved to give their dearest person to a stranger?"

Zhou Yuan nodded silently.

Indeed, it is impossible to reassure him that he should hand over the person he cares about to another doctor for treatment.

He Jianyi: "Do a good job of surgery, do our own work, don't think about anything else." In the future, if you see too much, you will naturally not be affected. "

He was a little worried that Zhou Yuan was timid because of this matter, and finally came out with a fork.

After all, there are more conservative treatments for this surgery, as long as the uterus is removed, nothing happens, and although the risk is not low, it is also simpler than the removal of uterine fibroids.

However, He Lili strongly requested that the uterus be saved, and only myomectomy could be performed.

"Teacher, is there a problem with the anesthesiologist?" Zhou Yuan sorted out his mood and asked about the operation.

He Jian nodded, "Don't worry, the anesthesiologist is sent from the Department of Obstetrics and Gynecology, and he often does anesthesia for pregnant women, so there will be no problems in this regard." "

Zhou Yuan breathed a sigh of relief.

In this operation, he was most worried about two points.

The first is anesthesia.

If there is a problem with anesthesia, either the fetus dies or He Lili dies, and the bigger problem is the death of both mother and child.

The second is cesarean section.

Zhou Yuan was worried that Wei Lili and He Jing accidentally cut the tumor during cesarean section, which would cause tumor cells to enter the uterine cavity, contaminate the uterus, and enter the body along the blood vessels that had been cut.

At that time, the only option is to remove the uterus.

Another point is that the uterus during pregnancy will be congested, the tissues will be edema, the smooth muscle cells will be hypertrophied, and the fibroids will also be significantly enlarged.

In addition, giant fibroids can also cause uterine contraction weakness, which is very unfavorable for fetal removal.

"Zhou Yuan, we're ready.

When Zhou Yuan was thinking, He Jing and Wei Lili were already gone

Zhou Yuan glanced back at He Jianyi, you can go too. "

"I'll go too?" He Jianyi was stunned for a moment.

This surgery doesn't seem to have anything to do with him... There are Zhou Yuan who cut the tumor, as well as two directors of the Department of Obstetrics and Gynecology Oncology and the Department of Oncology.

Cesarean section also has Deputy Director Wei Lili and He Jing.

He, as the deputy director of the emergency department, was clearly not of much help.

Zhou Yuan smiled.

He Jianyi has cooperated with him many times, and Zhou Yuan will not let the other two tumor directors touch the tumor during this operation, because it is too dangerous.

So, in the final analysis, you just need a habitual assistant, obviously, He Jianyi is the best choice.

Moreover, you can rub an extra treasure chest by the way...

"Teacher, go and change into a surgical gown, I'm still most used to cooperating with you. Zhou Yuan's sentence is the truth.

He Jian smiled, "You're looking for me as an assistant to find addiction!"

Having said that, He Jianyi was still happy to be able to observe and assist Zhou Yuan's operation at close range.

The four of them hurried to the operating room and began the preoperative preparations.

"Zhou Yuan, when the time comes to perform a cesarean section, I will trouble you. Wei Lili washed her hands and said.

"Trouble me?" Zhou Yuan was stunned.

"Yes, you also know that large uterine fibroids can cause uterine contraction fatigue, but the patient is pregnant, and there is a tumor, and the effect of oxytocin is uncertain, and there is no guarantee that there will be no side effects..."

"Therefore, this time our cesarean section plan is the same as the last case of Sun Lele, using uterine packing to manually promote the contractions of the pregnant woman and help remove the fetus. "

Zhou Yuan nodded, he knew this.

"And also... I'm worried about heavy bleeding during surgery. The huge uterine fibroids cause the blood vessels in the patient's uterus to displace, and they are all under the knife, and you know that many times the surgical field is not so good, and in the case of a very emergency, it is cut based on general experience, so I am worried that blood vessels appear in places where there are no blood vessels. "

"I've asked the instrument nurse to prepare thrombin and tourniquets, and I'll help if there is intraoperative bleeding. "

Wei Lili nodded gratefully.

It's not that she can't do it, it's that she has a huge fibroid, and she doesn't dare to do it.

Once the operation is improper, the tumor is broken, and He Lili's whole person is finished. It will be a serious medical malpractice.

Soon, all four of them completed their preoperative preparations and walked into the operating room.

The two directors of the Department of Gynecologic Oncology and Oncology, as well as Dean Fang and Lu Shao, had already changed into surgical gowns and were waiting beside them.

Because the operating room needs to maintain a sterile environment and the equipment has radiation, the two onlookers of Dean Fang and Lu Shao are dressed no different from Zhou Yuan and others.

"There are so many people, this is the first time I've seen so many people in the operating room..."He Lili was a little nervous, so she started talking to herself.

Zhou Yuan walked up, checked He Lili's abdomen again, and asked, "Did you come here last time?"

"Last time it was appendicitis surgery, just two or three people. He Lili said.

"Appendicitis is a minor operation, and the anesthesiologist can go to other operating rooms to help after the anesthesia, of course, there are not so many people. Zhou Yuan chatted with him.

He Lili's lips trembled a little.

The shadowless lamp overhead is like a bath bomb in the bathroom, and there are cold machines everywhere, and none of them are recognized.

In an unfamiliar environment, people will always be full of fear.

Zhou Yuan comforted: "Don't worry, the operation will be completed soon, and you will be fine when you wake up." "

He glanced at Wei Lili and He Jing.

The two were disinfecting He Lili's yin road inside and out, and when they were done, they used the palace expansion stick to stick in.

This is to explore the birth canal first to confirm whether the tumor is compressing the birth canal, cervix, etc.

"It's a little painful..."He Lili frowned, her lower body was cold for a while and numb for a while because of the disinfectant.

"Doctor, you don't want to have surgery without giving me anesthesia, do you?" He Lili suddenly remembered this incident. _

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