Chapter 137 - Girls, please treat yourselves well (1/2)
Li Liang went back to Kuake City. He intended on working hard at studying so that he could take Chasu City Hospital's recruitment exam again. However, his luck was poor, and his chances wouldn't be good, because it was now the time of year for master's degree students to graduate, and Chasu City Hospital would be targeting such students for recruitment!
Zhang Fan's work in obstetrics was quite repetitive. It was all about natural births and C-sections. During the day, things would be easier, as most pregnant women who wanted natural births had already done all the necessary pregnancy checkups. The position of their fetuses, their fetal health, size, and so on would all be quite good. There would also be many nurse midwives on duty during the day.
The main work for the doctors was performing C-sections. Although Zhang Fan was still unable to access gynecology courses in his System, he wasn't scared of C-sections one bit due to all the experience he had with general surgeries in his System already.
For the C-sections, Shao Hong would be the primary surgeon, with Zhang Fan as her surgical assistant. All C-sections were mostly quite similar. Shao Hong felt that her surgical work was quite easy with Zhang Fan as her surgical assistant. After a few days of being a surgical assistant, Zhang Fan already felt like he had nothing more to learn about obstetrics surgeries.
Although Zhang Fan hadn't gone through any gynecology or obstetrics in his System, he already had his own understanding of surgery. He truly was beginning to accumulate his own foundation. Even as he watched obstetrics surgeries, he would be able to clearly imagine the 3D interior of the human body.
He could clearly imagine every angle, nook, and cranny! This was the result of an increase in his medical skills after he performed a certain number of surgeries. It would be impossible for typical surgeons to have such mental imaging without at least 20 years of experience. Although obstetrics was now classified under gynecology, just one or two decades ago, many general surgeons would also work part-time in obstetrics. Obstetrics also counted as a type of general surgery.
Shao Hong was quite skilled at performing C-section surgeries. After Zhang Fan assisted her for a few times, he felt like he could probably do C-section surgeries himself as well.
It was quite unlikely that Zhang Fan would be allowed to be the primary surgeon for a C-section surgery. There would be far too much responsibility and risk. Not being careful enough could easily cause both the mother and unborn child to die. So, as long as Zhang Fan hadn't been permanently assigned to gynecology and obstetrics, it would only be a dream for him to be able to work as a primary surgeon on obstetrics surgeries.
Lu Shuyan was currently in gynecology. Since she had a master's degree, the other doctors in the department felt too awkward about teaching her. The gynecology director Cheng Hong was the only exception. Actually, there wasn't much to teach. In Lu Shuyan's three years as a graduate student, she mainly learned about gynecologic oncology. Although she hadn't been able to perform many obstetrics surgeries at the provincial hospital, she had a solid foundation.
Since Lu Shuyan just joined Chasu City Hospital recently, others here didn't know much about her yet. Although she was now permanently assigned to gynecology and obstetrics, there would still be a period of learning more about each other. Director Cheng Hong's intention was to lead Lu Shuyan for half a year before having her independently work by herself.
Gynecology's operating rooms were connected to the operating rooms for obstetrics. Lu Shuyan would also come over sometimes to visit Zhang Fan. She figured that Zhang Fan probably wouldn't be so outstanding in gynecology and obstetrics! This was the main reason why she would always come to the obstetrics operating rooms to watch him when she had some free time. But every time she saw him, Zhang Fan was the surgical assistant! Lu Shuyan was thus unable to determine his skill level!
On Thursday morning, Zhang Fan was on day shift duty without a surgery to work on. Shao Hong had worked the previous night shift, so she had gone home to rest already. Zhang Fan was called over to the operating room to help out, but then it turned out that his help was no longer necessary. But since Zhang Fan had already arrived at the operating room and was in his surgeon's garb, he intended on joining at least one surgery. Otherwise, he felt like he would be losing out!
Lu Shuyan was also hanging around the operating room with nothing to do. ”Teacher Lu, why are you so free today? Don't you have any surgeries?” Zhang Fan joked around with her.
”Damn you! Today, Director Cheng went out to give a checkup to a government leader's daughter-in-law. This means that I don't have any work to do! How about you, why don't have any surgeries?”
”I don't have any surgeries I can work on. All the other medical teams have enough people and don't lack for surgical assistants!” Zhang Fan told Lu Shuyan.
The two of them observed a C-section surgery together. At this moment, the phone in the operating rooms rang. The nurse on duty took the call. ”Alright, let me ask,” she said. ”There's a patient who just arrived with major bleeding due to ectopic pregnancy.
”Hurry and call Shao Hong! All of us are currently busy with our own surgeries. There's nobody free!” Vice Director Rouziguli replied to the nurse. The vice director directly ignored both Zhang Fan and Lu Shuyan, since the latter two had just both recently joined the department. Surgery for major bleeding due to ectopic pregnancy was highly likely to result in the death of the patient, which was why the vice director didn't dare to have one of them take the surgery.
”There's not enough time to wait for Shao Hong to get here! The patient is already in shock.”
”Director Rouziguli, allow me to take the surgery. I've performed surgery for major bleeding due to ectopic pregnancy at the provincial hospital before,” Lu Shuyan offered.
”Are you certain?”
”I'm certain!”
”Who will be your surgical assistant?”
”I will!” Zhang Fan declared.
There were many doctors in the gynecology and obstetrics department. Vice Director Rouziguli didn't know Zhang Fan very well. But right now, there was nothing else she could do, because she and all the other doctors were currently busy with their own surgeries. ”You guys start on the surgery then. I'll be right over to assist you after I'm done with my C-section surgery.”
There was no other way! It wasn't like the vice director could simply abandon the pregnant woman on her own operating table just to take this ectopic pregnancy surgery!
The ectopic pregnancy patient with major bleeding was a sixteen-year-old girl. She had fallen in love with a classmate and had sex with him without understanding what the consequences would be, as China lacked sex education. The end result was that she had an ectopic pregnancy. And as time passed and the ectopic pregnancy developed, this caused major internal bleeding.
The teenaged girl was already in a state of medical shock. Her pulse was already absent by the time she arrived in the operating room. All the other people in the operating room looked at Lu Shuyan, waiting for her to give the commands.
Lu Shuyan had indeed performed ectopic pregnancy surgery before at the provincial hospital. However, at that time, her teaching doctor had been watching her, ready to step in if anything went wrong. This time, she would be performing the surgery by herself. Not only that, the patient's condition was incredibly urgent, and everyone was waiting on her. Lu Shuyan became so nervous that her mind went blank.
Lu Shuyan was too nervous to react despite how urgent the situation was. The nurse assigned to the ectopic pregnancy surgery was a veteran nurse. When she saw how Lu Shuyan was, she loudly shouted, ”Hurry and go summon the vice director!”
The more urgent the situation became, the more Lu Shuyan's mind went blank! And right now, there wasn't even enough time to summon the vice director over, and this would also likely interfere with the vice director's ongoing surgery. Zhang Fan immediately took over. ”Listen to me, start blood transfusion. Administer dexamethasone via IV. Open up both passages and prepare for the surgery to begin. I'll be the primary surgeon!” As long as there was a doctor giving commands, the nurses wouldn't become anxious. No matter how urgent the situation, the nurses would be able to follow orders, because they had gone through countless amounts of training for this.
Although Zhang Fan hadn't practiced any gynecology courses in his System, he was already a master of general surgery. He would even be capable of writing an anatomy textbook with his knowledge. He wasn't worried at all.