YM778.TV Chapter 296: 297: Gynecological Emergency Consultation
Chen, the teacher?
Which teacher Chen?
Even Shi Qi was quite curious, “Teacher Chen? Which expert are you referring to?”
The girl shook her head awkwardly, “Teacher Shi, no, Teacher Chen is the one who lectured us on thoracocentesis yesterday, Chen Cang.”
Shi Qi was taken aback!
Chen Cang?
Such a familiar name…
Suddenly, Shi Qi remembered Chen Cang, who had competed with Li Shijian for a position in the past.
That emergency department doctor?
With this thought, Shi Qi couldn’t help but smile, “Hmm, that’s right, Doctor Chen made a lot of sense, that’s a kind of clinical thinking ability, everyone should read more literature and think more in the future.”
“Of course, thoracentesis is a procedure, you can’t just rely on book knowledge, you also need to strengthen clinical training, everyone should practice it well next.”
To Shi Qi, Chen Cang was nothing special; theory was theory, and practice was practice.
Clinical work isn’t just talk on paper, and no matter what, Shi Qi was not someone that a small emergency department doctor like Chen Cang could compare with.
So honestly, Shi Qi didn’t really take Chen Cang seriously.
…
…
Everyone began to practice.
Around eleven o’clock, Shi Qi’s phone rang.
“Hello? Director Shi? This is Zhang Yan from the gynecology department.” A woman’s voice sounded on the other end of the call.
Shi Qi paused for a moment; gynecology and breast surgery had a decent relationship since they often consulted each other, especially when a patient didn’t lactate after giving birth or had mastitis…
Therefore, Shi Qi smiled and said, “Oh! Doctor Zhang? What’s the matter?”
Zhang Yan sounded anxious, “It’s like this, Director Shi, our department just admitted a new patient.”
“The patient is a 28-year-old female, eight months pregnant, suddenly showing reduced fetal movement in the late stages of pregnancy. After a consultation with Director Zhang and several experts, it appears that the fetus has developed the rare condition of ‘spontaneous chylothorax.’ An ultrasound measured approximately 250 milliliters of viscous pleural effusion in the fetus’s thoracic cavity, and now a puncture is needed under ultrasound guidance, it’s quite dangerous, we need you to come down for a consultation and have a look!”
Shi Qi was startled, spontaneous chylothorax?
“I… I’ll come down and have a look.”
Honestly, Shi Qi really didn’t want to go because what did he know about spontaneous chylothorax?
But he couldn’t refuse, they expressly requested his presence.
Director Zhang’s reputation in the hospital was undoubtedly very prestigious; better go and see.
…
…
At that time, in the gynecology ward, with the ultrasound machine right beside the bed, all three gynecology department heads were gathered together, watching the ultrasound images with serious expressions.
Zhang Yan hurried in, “Director, I’ve called Director Shi Qi.”
Zhang Jinfeng was taken aback, “Shi Qi… Is he capable? Otherwise, you might want to phone the thoracic surgery experts at the Provincial People’s Hospital or Dongda Medical University for a consultation.”
The other two directors said, “Let’s have him come down first and see, the situation isn’t urgent right now, we will contact them if we can’t handle it.”
Zhang Jinfeng nodded but still said, “Little Zhang, still make a call to the thoracic surgery department of Dongda First Hospital, it’s closer, arrange for an expert to come over for a consultation as soon as possible.”
Zhang Yan nodded hastily.
At this moment, the patient Yang Siqi looked terrified, almost on the verge of breaking down, her voice choked up, barely audible, “Doctor… Doctor, you must save the baby! It wasn’t easy for me to get pregnant!”
Yang Siqi’s husband, Wei Junming, was sighing and pacing back and forth in the ward, clearly agitated and anxious.
The two of them had gone through a great deal of trouble for this child!
After four years of marriage without being able to conceive, they had tried all kinds of methods and tricks but ultimately could not get pregnant.
Finally, with the help of the gynecology department of the Province Second Hospital and after several attempts, they succeeded in conceiving through artificial means.
After the pregnancy, the family was overjoyed, as any family would be when the wife finally became pregnant.
It can be said that this little baby was hard-won, so the couple cherished this soon-to-be born life all the more.
However, as the due date approached, Yang Siqi recently began to feel a marked decrease in fetal movement.
This frightened Yang Siqi terribly, prompting her to rush to the local hospital for an ultrasound checkup.
The result showed that the fetus had a significant accumulation of fluid in the right side of the thoracic cavity.
The local doctors had never seen such a condition and suspected it might be a congenital malformation, so they suggested that Mrs. Chen either immediately terminate the pregnancy and induce labor, or go to a large hospital in An Yang City for treatment!
Such bad news was a serious blow to this family!
After finally expecting a child, just when the birth was imminent, they encountered such a situation!
Yang Siqi almost couldn’t bear it!
She hastily called her husband back from a business trip outside the area, and drove directly from the county to the provincial second hospital.
Such bad news caught the young couple, Yang Siqi and Wei Junming, unprepared, and the husband and wife, who were eager to have children, were unwilling to give up just like that.
…
…
The gynecology department of the provincial second hospital was very good, famous throughout Dong Yang province, and the head of the gynecology department, Zhang Jinfeng, was affectionately referred to as “the Guanyin who brings children”.
Zhang Jinfeng was a leading figure in the gynecology department of the provincial second hospital, having focused on gynecology and obstetrics early on, creating a nationally recognized department as early as 2006. Moving into the 21st century, he keenly noticed an increasing number of infertile patients!
He directly allocated half a floor in the department to establish a reproductive center, a wise move that solved infertility problems for countless families.
To date, the number of banners hanging in the head’s office, doctors’ offices, and even the wards was countless!
The prestigious name of “the Guanyin who brings children”, Zhang Jinfeng, quickly spread.
When Yang Siqi and her husband Wei Junming arrived at the hospital, Zhang Yan, who received them, immediately conducted another ultrasound for Yang Siqi. The result was still concerning: there was a large accumulation of fluid in the fetal right chest cavity, and the fetal heartbeat was getting weaker and weaker.
Zhang Yan had also never seen such a condition and couldn’t make up her mind, so she directly admitted Yang Siqi to the hospital to let the director make the final decision.
After being admitted to the ward, several gynecological experts quickly organized an emergency consultation and discussed the situation.
Zhang Jinfeng had an idea!
This was a rare disease!
Spontaneous chylothorax, which was very seldom seen.
Yang Siqi’s voice was choked up, and with a crying tone she said, “Director Zhang… how could such a thing happen? Is there… is there any hope for the child?”
“We really, really want to have children! I beg you, Director Zhang!”
While speaking, Yang Siqi was about to kneel on the hospital bed to bow her head!
Zhang Jinfeng stood there with great poise, and his words were especially calm and reassuring, instantly stabilizing people’s hearts!
This was truly a commanding presence in a stout elderly lady!
There was a kind of domineering aura between her brows!
“This, Xiao Yang, don’t worry about it. Let me tell you about the situation! The fetus is likely suffering from a rare ‘spontaneous chylothorax,’ rather than a congenital deformation. So, you can rest assured.”
Congenital deformation would be more troublesome, whereas if it were a disease, there was still a chance for cure.
After all… for a child with congenital deformity, even after they are born, it would be a form of irresponsibility to the child and a heavy blow to the family.
Therefore, it’s always difficult for gynecologists when encountering children with congenital deformities!
Whether motivated by humanitarian spirit or humanistic care, it is difficult to make a decision.
Zhang Jinfeng continued, “What does ‘spontaneous chylothorax’ mean? Let me explain.”
“Now, about 250 milliliters of viscous pleural effusion has accumulated in the fetal thoracic cavity. This effusion is producing strong pressure that has compressed the fetal lung tissue to a very small size, preventing the alveoli from developing and pushing the heart to one side. That is what has caused this situation, meaning because of this pleural effusion, the child is facing such a danger!”
Just then, the ultrasound doctor suddenly discovered, “Director, this is not good, the fetal… heartbeat is becoming increasingly unclear. I am afraid that it won’t be long before heart failure occurs; we must deal with it promptly!”
Upon hearing this, everyone’s face changed color!
Facing such high-risk conditions, if the pleural effusion is not quickly drained, the accumulation will increase, and the fetus might suffer in utero heart failure and die.
If allowed to deliver naturally, the child could likely die during birth because the heart couldn’t withstand the contractions of labor.
And even if the birth goes smoothly, the newborn’s lungs will not be able to expand, leading to oxygen deficiency and death right after birth.
In short, the situation was extremely critical!
ps: It has been over two months since my book was published, and one month since it was put on the shelf. I’ve updated 550,000 words, averaging 20,000 words a day. After posting chapters every day, I love to lie in bed and read everyone’s comments. Honestly, this makes me happy.
But… lately, because of frequent late nights, especially last night when I wrote until 3 a.m., I woke up this morning feeling very panicked and my back was somewhat uncomfortable. I rushed to the hospital for an electrocardiogram, thankfully there wasn’t any problem, perhaps just a brief myocardial ischemia. After taking some medicine and resting for a day…
So… tonight I wrote until 11:45 p.m., just finished three chapters, and I really can’t afford to stay up late anymore. I’ll write more during the day tomorrow. Finally, I want to thank everyone for their support.
The old hand is really scared…
I will not stay up late in the future!
Absolutely no staying up late!
No sleeping past midnight!
ps: Finally, I want to thank the Alliance Hierarch: The Silent Do-Gooder, and protectors: Fire Dance, Lianxin, as well as Hall Master Er Yi Ju Shi V for their 10,000 rewards. I will add more chapters after getting up tomorrow morning, thank you all.