Facing Du Bing, who treated himself as a big dish, Yu Zhiming didn't get used to him, and told this guy directly.

Dr. Ding Ye did not need his sacrifice.

Even if there is an accident and you can't go abroad for further study, with Ding Ye's ability and the help of Dr. Liu Yun, it is easy to transfer to the center to work.

Yu Zhiming also made it clear that since he was a friend of Ding Ye and Ding Ye did not like Du Bing's pursuit, he would not recruit Du Bing as a medical assistant.

It is recommended that Du Bing continue to study in the UK.

Perhaps Yu Zhiming's reason was very strong, Du Bing left with a tangled expression on his face after confirming that Dr. Liu Yun would transfer to the center.

After this guy left, Yu Zhiming made a phone call to Ding Ye, briefly explained what happened just now, and asked: "What's the matter with this Du Bing, he doesn't seem to be very smart?" ”

Ding Ye sighed lightly on the phone: "Doctor Yu, this guy is actually quite smart, and his medical skills are among the best among young doctors. It's just that he was too well protected by his parents, and with a full sense of superiority, he developed a self-righteous and nasty character. ”

"As for people, it's not bad."

Yu Zhiming sighed and quipped: "In this way, this Du Bing can be regarded as a high-potential stock." ”

"Why don't you think about taking him into your pocket and transforming it, maybe you will gain an obedient future famous doctor?"

Ding Ye whispered on the phone and said, "I won't be bored!" ”

"Doctor Yu, don't you know, his parents want to find him an old mother who is centered on him everywhere as his wife......

After lunch, Yu Zhiming hurriedly returned to the small building in the center, took out the thin quilt and pillow that he had left in the locker before, and hurriedly went to the bed car parked in front of the small building to take a rest......

He lay in the bed car for a total of nineteen minutes.

For Yu Zhiming, a patient with difficulty falling asleep, this short time is not enough for him to fall asleep.

But after these nineteen minutes of closing his eyes and recuperating, he felt refreshed and resurrected.

This made Yu Zhiming feel that even if the workload in the afternoon was doubled, there was nothing to be afraid of.

He opened the car door and got out of the car, and found that Zhou Mo was guarding outside.

"Zhou Mo, is there something wrong?"

Zhou Mo said softly: "A security guard came to ask whose car this is, let me drive away quickly." ”

These words made Yu Zhiming realize that this was not a parking area, and only vehicles transporting patients were allowed to park temporarily.

I heard Zhou Mo's voice continue to sound, "I'm worried that someone will come to disturb me, so I'll stay here." ”

After a pause, she added, "Doctor Yu, you don't have to be too moved, this is the job that this little assistant should do." ”

"Besides, I just stayed in the cold wind for seventeen minutes and forty-eight seconds, and I wasn't tired or cold at all."

Yu Zhiming threw the car keys to Zhou Mo.

"Don't worry, I'm not moved."

"Park the car in the teacher's parking space in the underground parking lot first, and then go to the logistics office to apply for a pass."

After Yu Zhiming finished speaking, he turned around and entered the small building without hesitation.

Zhou Mo waved his small fist at his back......

Yu Zhiming's work arrangements this afternoon can be said to be quite compact.

In addition to his original job, he also took over the follow-up treatment of some of the patients who were originally part of the teacher after the teacher took leave.

It was busy until three o'clock in the afternoon, and Fu Xiaoxue's previous interview teacher came on time.

A white couple in their forties, with their three children, two men and one girl.

After a thorough examination, Yu Zhiming had two main findings.

One was to use a bronchoscope to remove a small fragment of a baby tooth from the bronchi of their seven-year-old son, who often had a cold and fever.

The second is that he feels that the heart of the interview teacher is not very good.

Yu Zhiming learned that this teacher, as a financial practitioner in London, stayed up all night to stare at the market and analyze data all night, which is the norm of his work.

Yu Zhiming solemnly warned him that he must have a regular work and rest, put an end to staying up late, exercising properly, and eating a healthy diet.

If he continues like this, in the coming year, he will have a big problem with his heart and there is a possibility of a strike.

After Yu Zhiming sent away the British family, he also received Christmas gifts from them.

A box of English tea, a box of chocolates, and a set of silver Western-style cutlery.

At 6:10 p.m., Yu Zhiming hurriedly completed the breast cancer screening of 50 volunteers.

Later, he didn't bother to eat dinner, but on the way to general surgery, he ate a few chocolates and biscuits to satisfy his hunger.

When he came to the Department of General Surgery, Yu Zhiming met with Dr. Cui Zhitan and went to prepare for surgery together.

As for Lu Qiu, the embroidery girl who was the subject of the operation, she had already made preparations one step ahead and was sent to the operating room.

Just as the two of them entered the surgical isolation area, they were suddenly stopped by Zhou Mo's voice.

"Doctor Cui, Doctor Yu, please wait a minute."

Yu Zhiming stopped, and saw Zhou Mo, Zhou Mo's mother, and three others walking over quickly.

When several people came closer, Zhou Mo was the first to speak: "Doctor Yu, these three are Aunt Lu's husband, daughter and son-in-law. ”

Yu Zhiming met Lu Qiu's husband's gaze.

This is a man in his mid-fifties, tall and thin, looking honest.

Yu Zhiming frowned and asked, "Is there a change?" ”

Lu Qiu's husband hurriedly waved his hand and said, "There is no change, Doctor Yu, there is no change." ”

"Dr. Yu, I just want to say ......"

After a pause, Lu Qiu's husband raised his voice and said solemnly: "Doctor Cui, Doctor Yu, if you find out that pregnancy is very risky during the operation, it will seriously affect my wife's physical recovery......"

"You can just decide to end the pregnancy. In short, everything is premised on the preservation of adults. ”

Yu Zhiming didn't like to hear this.

In order to protect the child, only surgery and no radiotherapy will definitely make the patient bear a certain risk of cancer recurrence.

What Yu Zhiming and Cui Zhitan have to do is to reduce the possibility of cancer recurrence as much as possible.

Now that the matter is coming, you suddenly say that everything is based on the premise of saving adults.

Why not persuade your wife to end the pregnancy at the beginning and go all out to avoid the recurrence of cancer?

This kind of repetition and ambiguity can make it difficult for doctors to do it.

After all, this so-called risk of cancer recurrence is really difficult to define and quantify.

Even if there is only a 1 in 10% chance of recurrence, it is possible that the bad luck will come true.

At that point, do you blame the doctor for not making the right risk judgment during the operation?

Cui Zhitan noticed the change in Yu Zhiming's expression and quickly took over the words.

"Ms. Lu did a lumbar epidural anesthesia, and she will remain conscious throughout the operation."

During the first trimester, pregnant women should avoid anaesthesia as much as possible unless necessary and necessary.

The fetus is too weak and sensitive, and anaesthesia can have more or less effects on the development of the fetus.

The extent to which anesthesia affects fetal development depends on the type of anesthesia.

Relatively speaking, local anesthesia or spinal anesthesia has less effect on pregnancy.

This is because local anesthetic or spinal anesthetic drugs, which do not circulate through the bloodstream, have a fairly small impact on fetal brain development.

If intravenous or general anesthesia is used during pregnancy, it may affect the health of the fetus and be detrimental to pregnancy.

During general or intravenous anesthesia, the anesthetic directly affects fetal brain development through blood circulation.

In order to reduce the impact of anesthesia on the fetus in Lu Qiu's womb, Cui Zhitan did not use the anesthesiologist he often cooperated with for this operation, but specially invited a senior anesthesiologist who is proficient in gynecological anesthesia.

Cui Zhitan said loudly: "Everyone, if during the operation, we find a situation that was not found in the previous examination, resulting in a change in the surgical plan, we will give priority to soliciting Ms. Lu's opinion before making a decision." ”

When he said this, he clearly told the few people in front of him.

If there are no accidents during the procedure, the surgery plan will be strictly followed.

If there is really a special circumstance, it will be based on the opinion of Lu Qiu, the person involved in the operation.

Of course, there was a major accident during the operation, which caused Lu Qiu to fall into a coma and his life was in danger, and he must come out to ask for the opinions of his family.

After Cui Zhitan responded, he took Yu Zhiming and turned around and entered the operating area.

After the two of them were prepared and busy, Lu Qiu's surgery began step by step.

With Yu Zhiming's exploration skills, as well as Dr. Cui's rich clinical experience, and Lu Qiu's situation is not complicated, after the laparotomy, no abnormal problems were found.

Surgery, carried out according to the established protocol.

Yu Zhiming first determined the resection scope of cancerous tissues in the colon through hand feeling.

Then, one by one, he used his hands to delicately and gently feel the lymph nodes around the cancerous site.

This is the most critical part of the surgery. Be sure to clean the lymph nodes that contain cancerous cells.

Lymph node dissection is a routine surgical procedure for tumor resection.

There will be some sequelae of lymph node dissection.

One is lymphatic leakage.

This is mostly due to excessive lymphatic dissection, which leads to local leakage of lymphatic vessels, and symptoms such as significant swelling of the limbs and incision oozing may occur after surgery.

The second is the spread of tumor cells.

Local stimulation during lymph node dissection may cause cancer cells to metastasize along the lymph nodes and lymphatic vessels.

Therefore, in the process of lymph node dissection, it is necessary to move gently and remove the whole lymph node to avoid the metastasis and spread of cancer cells.

Third, the dissection of lymph nodes will cause the increase of the surgical wound, and more fluid or blood may accumulate locally after surgery, so that the local infection rate will increase significantly.

Yu Zhiming, through his own gentle perception, also marked the lymph nodes that he felt needed to be cleaned one by one.

Subsequently, he assisted Dr. Choi in surgery.

This operation is a piece of cake for the experienced Cui Zhitan.

It only took an hour to complete!

Yu Zhiming was in a hurry to go home for dinner, so he had a physical examination of Pan Yao, the owner of the cosmetics store who came at nine o'clock in the evening, and left the operating room without waiting for the final stitches of the operation to be completed.

After he changed his clothes and walked out of the operating area, he was surrounded by Lu Qiu's family.

"The operation went well, and in half an hour at most, you will be able to see me."

Yu Zhiming said a simple sentence, and then set his eyes on Zhou Mo, who was holding a large bouquet of lilies and smiling......

The man next to her.

This is a young man who is about the same age as Yu Zhiming, and he is about the same height, and he looks much stronger than him.

As for the facial features, Yu Zhiming thinks that he is more than three or four points weaker than his handsomeness.

However, Yu Zhiming faintly felt two or three points familiar from this person's appearance.

"Doctor Yu, let me introduce you."

"This is the director's son, Qi Zhen, who only returned to Binhai ...... from abroad today."

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(End of chapter)