Vol 2 Chapter 1785: 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 a legal butcher when he is angry.
  How to say this, what is the persistent belief of any industry, or any individual? Zhang Fan feels that this thing is not reliable, and the sincerity of belief is not reliable. After all, most of them are ordinary people. Who doesn't like to indulge in ordinary people? So it's a matter of supervision.
   For example, who is the doctor's supervisor? In fact, it should be a nurse, and the current situation is that the doctor supervises the doctor, which is actually point-to-point. After all, the interests of the doctor are the same, unless you and I are competing for a certain position, such as director. Under the erosion of the benefits bit by bit, it is nonsense for doctors to supervise doctors.
  I have seen a doctor report another doctor for wrong medical treatment, why haven’t I seen a doctor report another doctor and get a commission?
  If the status or treatment of nurses improves, non-compliance in medical care may decrease.
  The current situation in hospitals is that nurses are obviously not at the same level as doctors. It is really not too easy for a doctor-level doctor to fool a specialist nurse.
  When the industry was originally designed, nurses and doctors were originally separate, just like two railroad tracks, supporting and supervising each other in parallel.
   Otherwise, why do you 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 easy to have an accident. For example, the dean's sister-in-law is the director of the obstetrics and gynecology department, then the problem will come, once the sister-in-law's son needs to go to Golden Retriever to study abroad and buy a house...
This is supported by data and papers. In 1993, an obstetrician and gynecologist from Golden Retriever wrote a paper on other factors for the surge in cesarean section. Including misdiagnosis of dystocia, physician fear of lawsuits, and convenience of obstetric colleagues.
  A diagnosis error is forgivable, but what is the fear of lawsuits, and what is it for the convenience of obstetric colleagues? If you think about it carefully, it's all bloody, and this thing can't be extended to think! It can only be said that most people are still dedicated, but what if an ordinary person encounters a bad doctor?
   What should I do if I encounter loose supervision at this time? It can only be said that a stone the size of a grinding wheel fell on the head of this unfortunate patient, and he did not even have a chance to call for help. Not to mention a certain country, almost all countries have this kind of thing. In fact, the regulations of this trade cannot be relaxed at all.
   is the same as school bullying. If you haven’t encountered it, it doesn’t mean you don’t. If you are bullied, it 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 Lv Shuyan were already on the side of the delivery bed. Zhao Yanfang's pale face was like a fish on the shore.
   From time to time, she would show a painful face, like a temporary electric shock. It hurts for a while, then let her rest for a while, try her best to take a breath, and then shout when it hurts.
   The maternity ward can be said to be a very cruel department in the hospital. The mothers in it screamed, and every contraction was the miserable cry of a mother. Really, those who didn't know thought that the doctors in the delivery room used torture instruments to torture the mothers.
   This is also one of the reasons why male doctors are reluctant to work in the obstetrics department.
   "I'm here, it's alright, relax, do you want something to eat?"
   Zhao Yanfang's eyes brightened when she saw Zhang Fan, but she didn't say anything and shook her head gently.
   Then Zhang Fan turned his head, and the director of the obstetrics and gynecology department whispered to Zhang Fan: "Seeing the red, although the fall did not hit the uterus, it still led to an early delivery. The current situation is that the fetal position is abnormal."
  Humans surpass other animals because of their brains. It is easy for other animals to give birth to four or five babies in one stomach, but it is because of the brain that humans are prone to dystocia.
  How to say this thing, just like shooting a gun, the bullet must go along the barrel, and then hit and rotate, the bullet can fly far. But what if the bullet is in the barrel?
   Abnormal fetal position, probably this is the reason.
  In the past, cesarean section was only performed when it was really impossible, because at that time, cesarean section was still very dangerous due to various technical conditions. At this time, doctors in the early years would try to correct the fetal position of the fetus. For example, the doctor would reach out into the access road and try to adjust the fetal position when the pregnant woman was in extreme pain.
   Or use forceps!
   Now, if the family members are not good at speaking, or the doctor's psychological quality and skills are not good enough, this process is often omitted and the operation is directly pulled on the operating table.
   For example, the use of forceps, there is a saying in the obstetrics and gynecology department, a doctor who does a good caesarean section may not dare to use forceps.
   In the early years, some experts from the Golden Retriever Society of Gynecology strongly suggested to stop or abolish the use of forceps, not because forceps are not good, but because the use of forceps requires too much skill and experience.
   If you use it well, it will be amazing in the delivery room. All doctors and nurses will adore you. If you use it badly, Nima is a reminder.
   Zhang Fan nodded and glanced at Lu Shuyan. Lu Shuyan immediately posed and handed the ultrasound probe to Zhang Fan. Take the probe and check it.
   Zhang Fan pointed at the screen to the director of the obstetrics and gynecology department and Lu Shuyan and said, "The fetal heart rate has a tendency to weaken, so I can't wait any longer, put forceps on!"
The advantages of    forceps are also obvious. It can speed up the labor process. Pregnant women can get out of bed after a day’s rest, and caesarean section will take at least a week or even longer, and the damage will be greater.
   Don’t look at the fact that there is only one line on the belly of pregnant women, but the muscles in the belly are torn directly, and the internal structure is almost glued after childbirth.
   "Dr. Zhao is not too young, and his productivity is not enough. Use forceps..."
If the mother is over thirty-five, the chance of caesarean section will increase significantly, and even the elderly mother has no right to give birth, because compared with the injury of caesarean section, the natural birth of elderly mother is more dangerous, and the doctor will not gamble, this is Okay, after all the doctor is betting on other people's lives.
   "I think so!" Zhang Fan said with certainty after looking at the screen carefully. "Call the director of the anesthesiology department."
After   , Zhang Fan said to Zhao Yanfang, "I used forceps, can you hold back?"
   "It's okay, I can persevere."
   Zhao Yanfang had already died half of her life, but she still nodded. Being a mother is just like that, or in other words, this kind of person's character is like this.
   Epidural anesthesia, which is different from general anesthesia.
  Comparatively speaking, general anesthesia is to fall asleep after taking two breaths, and then maintain the medication.
   For the epidural, the patient should first hold the knees and curl up into a large shrimp, and then enter the intervertebral foramen on the side of the spine.
   Zhao Yanfang's belly hurts to death now, so Zhang Fan asked the director of the anesthesiology department to come, and ordinary anesthesiologists may not be able to enter.
   "Lu Ning, you bastard, Lu Ning, ah, beast, it hurts me to death!"
   When Zhao Yanfang hugged her knees, the pain intensified, so that a proud female scientist had to curse.
   Lu Ning outside the delivery room was sweating profusely lying on the edge of the door, listening to the scolding inside.
   also Zhang Fan went in, otherwise he would not 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 Adou.
   "The anesthesia is over, let's start in Zhang Yuan!"
   The director of the anesthesiology department said softly, then stood aside and started monitoring.
   Zhang Fan nodded and took out the huge forceps.
  How to describe this thing, the head of the forceps is slightly smaller than the table tennis racket.
  This thing is to be inserted into the birth canal. If a man can't imagine it, he can take a racket and draw a stroke behind him.
   Gently and slowly, Zhang Fan closed his eyes while feeling the hardness of the forceps.
   avoided the child's face and ears, and placed the forceps behind the child's head.
   Then Zhang Fan assists with one hand and pulls with the other hand. This pulling method is backwards and upwards, which means a little bit of digging.
   Little by little, little by little, Zhang Fan was wearing a disposable surgical gown, and he realized his whole body with sweat.
   Slowly, "I saw it, I saw it, the child's fontanelle saw it."
   Lu Shuyan whispered to Zhang Fan and Zhao Yanfang.
   Zhao Yanfang didn't feel pain at this time, but she could feel a big thing tossing in the birth canal. When the head came out a little more, Zhang Fan held the forceps with his right hand, and quickly pinched the back corner of the child's forehead with his left hand, and then shouted to Zhao Yanfang, "Come on, it's the last shot, try hard, and force it out!"
  ! With a dull sound, it was like opening a champagne cork, the child was squeezed out with soup and water, and Lu Shuyan caught it with both hands.
   Then, like quickly touching his face with his hands, he wiped the amniotic fluid off the child's face first, and then put his index finger into the child's mouth like a hook.
   The director of the gynecology department grabbed the little foot of the fart child, and piaji hit him twice, and the child opened his mouth and cried. "Wow wow wow!"
   Zhang Fan looked at the child in Lu Shuyan's arms, and the white sweat on his forehead finally became comfortable.
   is a little princess, but the child Zou Zou Baba at this time is squeezed through the birth canal again, just like a lollipop that melts in summer.
   At this time, Zhao Yanfang's face changed from pale to slightly rosy, and his spirit was obviously different. Although he was also weak, he seemed to be excited after a great disaster, not like the previous state of waiting for death.
   Forceps operation, in fact, the director of gynecology can also, even Lu Shuyan can, but they dare not, not only because Zhao Yanfang is the head of the hospital, but also because Zhao Yanfang is getting old.
   In addition, the years of scientific research and mental work, the weak body makes the doctors have no confidence.
  Following matters, Zhang Fan is no longer needed. After washing, Zhang Fan pushed open the door and left the delivery room. On the bald forehead of the younger brother, the beads of sweat all condensed together.
  Zhang Fan has never seen him in such an embarrassed state.
   "Mother and child are safe, I'll take them out after scrubbing the child, congratulations, brother!"
   "Well, um, um..." Lu Ning didn't look at Zhang Fan at all, but looked at the scene inside expectantly from the crack of the delivery room door.
  Zhang Fan smiled and sat beside the younger brother without speaking.