The most enlightened doctor

"Are you feeling unwell?"

Faced with Yu Zhiming's pleasant inquiry, the waiter was no longer afraid and started speaking with a small mouth.

"It's not me, it's my sister-in-law, my uncle's family."

The waiter introduced: "She is pregnant with twins. My uncle's family is very happy."

"But I went to the hospital for a prenatal check-up two days ago and was told that one of the babies' fetal heartbeat had stopped and that he was dead."

"Now she is hospitalized in the county hospital in my hometown. She wants me to go to a big hospital to ask about her situation..."

Yu Zhiming interrupted and asked, "How long has your sister-in-law been pregnant?"

It is not uncommon for one of the twins to die, and different treatment plans need to be adopted based on the time of pregnancy and the specific condition of the fetus.

If a fetus dies within the first 12 weeks of pregnancy, most of the reasons are likely to be due to some problems with the fetus itself.

For example, Down syndrome, neural tube defects, severe heart disease, etc. are all possible.

Intrauterine death caused by these conditions in the first trimester can be called natural elimination.

Under normal circumstances, it can be left alone for the time being. As the gestational age progresses, the stillborn fetus will gradually be absorbed by the mother's body.

"It's been twenty-one or two weeks."

The waiter's reply made Yu Zhiming feel that the problem was serious.

"Is it single cashmere and double sheep? Or double cashmere and double sheep?" The person who asked this question was Ding Ye who came out after hearing the noise.

Seeing the confusion on the waiter's face, she quickly explained further: "What I want to ask is, are they identical twins? Or fraternal twins?"

"This is important."

If one of the twins dies suddenly during the second or third trimester of pregnancy, the cause must be actively sought.

At the same time, attention should be paid to monitoring the mother's coagulation indicators, and different treatment measures should be taken according to the chorionicity of the fetus, that is, whether it is a single-chorion twin-goat monozygotic twins or a double-chorion two-goat twins.

If it is a monozygotic twin, once one fetus dies, special care must be taken to see if the life of the other surviving fetus is in danger.

Because the blood will pour back.

Because after the death of a fetus, the blood pressure of the stillborn fetus will be much lower, and the blood will flow back to the dead fetus, while the surviving fetus may suffer from severe anemia, and the rate of secondary fetal death is relatively high.

There is also a possibility that the fetus will not die, but severe anemia will affect the nervous system of the brain, causing neurological sequelae to the newborn after birth, such as dementia.

In the case of dizygotic twins, the death of one fetus will have relatively little impact on the surviving children.

Because the blood vessels above the placenta communicate poorly between the two fetuses, no intervention is needed for the time being.

The waiter recalled it and said, "It seems to be identical twins, yes, identical twins."

Seeing the waiter with a positive expression, Yu Zhiming said with a serious face: "Your sister-in-law is the worst situation. She needs to find out the cause of the stillbirth and continuously monitor the development of the surviving fetus."

"It is necessary to monitor the blood flow of the middle cerebral artery of the surviving fetus to determine whether the surviving fetus is hypoxic and anemic."

"In serious cases, it is necessary to use a fetoscope to perform intrauterine placental blood flow occlusion to avoid affecting the development of the surviving fetus."

Yu Zhiming explained it, and then said: "What my sister-in-law needs is an expert with rich experience and strong skills."

He pointed to Ding Ye next to him and said, "This Dr. Ding's teacher is what your sister-in-law needs."

"Ding Ye, the rest is up to you."

Ding Ye snorted slightly.

She looked at the waiter and suggested: "In order to make a correct diagnosis, it is best to contact your sister-in-law directly..."

The waiter followed Ding Ye into the private room.

Yu Zhiming took Qing Ning, Wang Shuisu, Zhou Mo, Xiaoxue and Zeng Yan back to the first floor to eat and drink again.

After another deep meal, Yu Zhiming suddenly noticed Wang Shuisu staring at him.

"Did I get vegetable juice on my face?"

Wang Shuisu shook his head and said with a smile: "Actually, brother, you made me feel a little cold and proud before."

"But brother, you are actually cold-faced and warm-hearted. It can be seen from the way you responded to the waitress's request for help."

Yu Zhiming smiled softly and said: "In my current situation, without connections and channels, it is not easy for ordinary people to contact me directly."

"They need some luck."

Yu Zhiming took a sip of the soup and continued: "I prefer to call this luck fate."

"Fate, it's wonderful, I believe in this!"

"So, if someone comes to me and asks for help, as long as it's not too much, I will usually help them."

Wang Shuisu asked with a smile: "Brother, is it fate that we are now sworn brothers and sisters?"

Yu Zhiming smiled and said, "It's not just fate, it's also a very big fate..."

After half past twelve o'clock at noon, guests began to leave the table one after another. By a little after noon, most of the guests had left.

Yu Zhiming, his family and friends also left the lobby on the first floor and came to the private room on the second floor to drink tea.

As for Wang Shuisu, she followed her parents and some relatives and friends to sit in another private room on the second floor.

After everyone sat down one after another, Yu Zhiming looked at Gu Changxuan and said with an embarrassed expression: "Father-in-law, this charity fund-raising event will cost you a lot of effort."

"If you find it difficult, it's okay to give up. I will be responsible for talking to Mr. Qin and Mr. Ye."

Gu Changxuan smiled heartily and said: "Zhi Ming, to be honest with you, you may think this matter is quite difficult, but I think this is a rare opportunity for us in Ning'an."

"Opportunity? What do you mean?" Yu Zhiming didn't understand.

Seeing everyone looking at him, Gu Changxuan simply stood up and started talking.

"Ning'an also has its own charity fund. It also organizes two or three small-scale charity activities with low impact every year. More often, it participates in charity activities organized by other organizations and plays the role of donating money."

After a pause, Gu Changxuan sighed: "None of Ning'an's charitable activities over the years has gone outside the circle, and has not aroused widespread social repercussions."

"And this time the charity fundraiser..."

Gu Qingran said excitedly: "I am quite confident that we can turn this into a charity event that attracts national attention."

He met Yu Zhiming's gaze and said, "Zhiming, you are already a famous doctor with a national reputation, and you are a hot topic."

"Although Mr. Qin, Mr. Ye, Mr. Bai, and Mr. Liu are not well-known among the people in the country, the title of "Master of Traditional Chinese Medicine" alone is enough to awe people."

"Needless to say, the public's acceptance of the charity fundraising event launched in the name of the five of you."

"Another point……"

Gu Changxuan, who was excited, smoothed his sleeves, waved his arms and said, "This time we are doing a charity fundraiser for terminal cancer patients from poor families."

"I would like to ask, which family in the country has not experienced the death of a family member, relative, friend, colleague or neighbor due to cancer?"

"The most important thing is that your late-stage cancer treatment trial has achieved remarkable results. This alone can attract the attention of countless Chinese people."

After a pause, Gu Changxuan said with high spirits: "For this fundraising event, I will work hard to mobilize and invite celebrities and big-name stars to help out, and strive to have it live on TV."

"If live broadcast on TV is not possible, simultaneous live broadcast on all online platforms is a must."

Yu Zhiming couldn't help but sigh: "Father-in-law, you want to reach the top in one step and go to the big stage."

"Yes, this is my ambition!"

Gu Changxuan said impassionedly: "With such good favorable conditions, it is natural to directly maximize and do the best."

"My idea is to make this charity fundraising event an annual event and the top charity event in the country."

this……

Yu Zhiming was temporarily restrained by his father-in-law's ambition.

After being stunned for a moment, he reminded: "Father-in-law, we do not have a national-level charity fund, nor do we have national-level media to promote it. Although Ning'an is a listed company, it is a private enterprise by nature, and its financial resources are not very strong, right?"

Gu Changxuan was still optimistic and said: "Zhi Ming, only by daring to think can it be possible to achieve. Although we are lacking in strength in all aspects, we may not be unable to accomplish great things."

"Zhiming, we will work hard towards this big goal. Even if it falls short of expectations in the future, the results will definitely be better than the low goal we set at the beginning."

"dont you agree?"

It has to be said that Yu Zhiming was infected by his passionate father-in-law and nodded vigorously.

"Father-in-law, what do you need me to do? Just ask me!"

Gu Changxuan said thoughtfully: "I only have a preliminary idea about how to organize this fundraising ceremony. I still need to go back and think about it carefully, and work with the planning team to make a complete and feasible plan."

"But one thing is certain, it needs celebrities and big-name stars to join. The more, the better, and the bigger the stars, the better."

"Zhi Ming, look through your address book and see if you can contact a few people, especially big-name celebrities."

Gu Changxuan added: "They don't need to donate money themselves to help create some buzz. It would be even better if they could come to the fund-raising event and perform a charity show."

Yu Zhiming said: "No problem!"

Gu Changxuan added: "Zhi Ming, you are pretty good at playing Erhu. Don't give up. You will also perform on stage when the time comes."

"Hey, I have to go to the private room next door and ask Mr. Qin and Mr. Ye if they have any talents or unique skills they can use."

Watching his father-in-law go to the private room next door in a hurry, Yu Zhiming couldn't help but sigh: "Nowadays, if you don't have any talent, it's really hard to get along."

He looked at Xiaoxue and Zeng Yan and said, "Zeng Yan can sing Cantonese opera, Xiaoxue, you're just a little behind."

Xiaoxue pursed her lips and said, "I have been busy studying from elementary school to high school. How can I have time to practice my talents?"

Qing Ning reached out and hugged her, and said with a chuckle: "The best time to plant trees was ten years ago and now."

"Start learning now, it's not too late..."

PS.

From the time the book was released to the present, 483 days have passed unknowingly. The number of words in this book has also increased day by day, exceeding 3 million words today.

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PS.

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