Life is like a journey
Chapter 19 Pregnancy
Gu Yanzhi, who stayed in the emergency observation room for one night, jumped out of bed the next day. Before leaving, Lu Qingshi told her: "Change the medicine every three days, keep the wound away from water, and come to the hospital in time if you feel unwell."
The other party blinked, and put on the sleeves of his clothes: "Are you still using it in the hospital? Just go to you directly."
"..." Lu Qing was speechless, and after a while reluctantly nodded his head in agreement.
Gu Yanzhi happily left, and after a while Lu Qingshi was also planning to pack up and go home, after all, she was on vacation today and didn't want to waste time in the hospital, and there were a lot of messed up things at home that needed to be cleaned up.
After lunch break, Yu Gui came out to eat rice noodles at the roadside stall opposite the hospital. A middle-aged woman sitting not far away scolded the little girl next to her, and said in a loud voice, "God damn loser, today is not If you have a headache, you will have a stomachache tomorrow. If you are not sick and pretend to be sick, I think you are crazy! Hurry up and go to school!"
"Hey, the mixed sauce noodles you want are here." The store brought the noodles to the table.
The woman was wearing an old coat that had been washed and turned white, and her dry and frizzy hair was tied up with a leather cord casually. While talking, she took most of the noodles in her bowl to her daughter.
The little girl looked a little pale, wearing a dirty school uniform, and the cloth shoes on her feet were a little yellow from washing, she just stared at the bowl without eating: "Mom...I'm really sad...I... "
She hesitated to speak, and the middle-aged woman slapped her across the face: "You money-losing old lady, where did you get the money to see a doctor for you, and let the old lady bear the pain!"
This loud slap made the little girl cry, Yu Gui got up to pay the bill: "Boss, how much?"
She took out a ten-yuan note from her pocket and handed it over. When she got the change and was about to turn around and leave, she suddenly heard the crisp sound of dishes.
She turned her head and saw that the little girl had knocked over the noodles and fell to the ground.
"You damn girl, you're still pretending to be dead for my old lady! Get up!" The middle-aged woman kicked her with her foot, and she panicked after kicking twice without any movement.
"Qiaoer? Qiaoer? Don't scare mommy, Qiaoer..." The middle-aged woman squatted down and shook the little girl's shoulder desperately: "Come here, is there any kind-hearted person to help call an ambulance!"
Yu Gui squeezed the change in her hand tightly, she remembered what Lu Qing said to her: "I hope you, before you get your medical license, don't claim to be a doctor, it will harm many people."
The diners around saw that something happened, and it was too late to hide, and the birds and beasts scattered one after another, and the boss chased after him: "Hey, don't run away! You haven't paid the money yet!"
Seeing that the little girl was dying and her forehead was sweating, Yu Gui rushed over and picked her up: "I'm a doctor, come with me!"
She made the first effort, but she didn't pick up the person. She took another deep breath, squatted down, and signaled the girl's mother to put the person on her back. When the heavy weight was on her body, her calves were all twitching. Trembling, he barely stood up, gritted his teeth and ran to the hospital across the road, rushing into the emergency center at a speed of [-] meters.
"Okay...good lady...take...get a stretcher...quick...quick!"
Hao Renjie was taking a nap at the triage table, and was so shocked by her voice that he bounced up, and when he saw the person coming, he immediately let out a "shit", pushed up the gurney next to the triage table and Going to meet her, even Lu Qingshi who just came out of the office was almost kicked out.
The little girl was put on a stretcher, Yu Gui was out of breath, and his whole body seemed to fall apart: "I... I was eating rice noodles across the road... I met them..."
She pointed to the anxious mother of the girl beside her: "Suddenly... suddenly fainted..."
Hao Renjie quickly measured his blood pressure: "Don't talk about these useless things, talk about the symptoms and what to do!"
Yu Gui picked up the electric pen and took a look at his pupils: "Uh...response to light...coma index E2V2M3...OK...good lady...let's open the intravenous access for rehydration..."
Seeing the hesitant look, Hao Renjie rolled his eyes: "If you're not sure, I'll call you, Teacher Lu."
"Lu...Ms. Lu is resting today..." Yu Gui said with a stiff neck.
"Get out of the way" As soon as she finished speaking, Lu Qingshi squeezed over: "Push the person into the emergency room first."
As soon as the person pushed into the emergency room, he plugged in the monitor and the machine started calling.
"Sister Lu, blood pressure is not coming up, 40-60"
Lu Qingshi hung up the stethoscope and pressed one end on the little girl's abdomen: "Let's open another venous access, and send a bedside ultrasound."
She didn't care about wearing a white coat, she only had time to put on gloves, and when the nurse pushed FAST over, she nimbly pressed on the little girl's stomach and slid back and forth.
"Dopamine 10/mg plus 5% glucose diluted intravenous infusion"
Yu Gui hurriedly prepared the medicine as required and hung it up, but seeing that the little girl still didn't see any improvement, and her blood oxygen was still hovering around 50, she felt uneasy.
"Ms. Lu... what's going on?"
"Ask Dr. Qin from the obstetrics and gynecology department for consultation, emergency surgery, and let her be quicker."
Lu Qingshi slid the B-ultrasound from the abdomen to the pelvis, there was a large area of no echo, and the entire uterus was soaked in blood.
"Hao Renjie contacted the operating room and the anesthetist and asked them to open a green channel. We will use it soon, and then make an order to apply for a blood transfusion. First, 1000ml of red blood cells will be used as a backup."
"Hey!"
Everyone responded in unison and hurried around, and Yu Gui immediately came over to help push the gurney after talking on the phone with the obstetrics and gynecology department.
Lu Qing glanced at her: "Go and issue a critical illness notice to the patient's family."
"Ah? Me?" Yu Gui had never done such a thing before. Seeing the dangerous situation of the little girl, he felt uneasy. The middle-aged woman did not seem like a talkative person.
"When you are on the operating table, it is also adding to the chaos, why don't you stay and do something useful"
As Lu Qing said, he got into the elevator, and Yu Gui stood where he was, feeling quite disappointed.
In fact... She also really wanted to stand on the operating table.
When Qin Xuan brushed his hands and came in, Lu Qingshi was already preparing for the operation.
"It's so annoying, it happens every time, I'm not on the first-line shift today, and I expect to get off work early."
"Stop talking nonsense, hemorrhagic shock, I just had an urgent blood HCG test, you can see the result yourself"
The nurse handed the test sheet in front of her, and Qin Xuan glanced at it: "My dear, this person is over 30 years old and still has a leftover woman, and the children in their teens are all ectopic pregnancies. Director Lu should learn from them."
Lu Qingshi felt that he should sew her mouth shut with a needle.
From poor to poor, Qin Xuan is still very rigorous and meticulous when performing surgery.
"Scalpel"
"Unipolar Electric Knife"
"tweezers"
"attract"
It wasn't the first time for the two of them to be on the same stage, and there was a tacit understanding, Qin Xuan performed the surgery, and Lu Qingshi provided assistance. After opening the pelvic cavity, blood gushed out immediately, and the fallopian tubes had been squeezed by the developing embryo.
"tissue scissors"
Lu Qingshi frowned, and held the tissue scissors she hadn't reached in with the blood vessel forceps.
"What are you doing?"
"Can't tell, the damage is so severe, this side of the fallopian tube must be cut." Qin Xuan moved his wrist, and Lu Qingshi's grip was tighter.
"She's only 12 years old"
After one side of the fallopian tube is cut, the chance of future pregnancy will be greatly reduced.
"No, the most urgent thing is to save your life!" Qin Xuan was also anxious.
Lu Qingshi looked at her and refused to budge: "It's better to die than to live without quality."
In the operating room, flames splashed and crackled all of a sudden.
Qin Xuan was the first to lose the battle: "Okay, okay, I'll do what I do, let go"
Only then did Lu Qing let her go, so a simple one-sided salpingectomy was dragged on to tubal fenestration and postoperative repair.
When putting the taken out gestational sac into the tray, Qin Xuan breathed a sigh of relief: "Let me tell you, don't call me for a consultation next time, it will definitely be a bad thing if you call me for a consultation."
Lu Qing was sewing, without raising his head: "It's not me, it's Yu Gui."
"..." Qin Xuan angrily picked up the hemostat to hit her.
That box, Yugui, as Chen Qiaoer's first doctor, explained to Qiaoer's mother that in the huge conference room, she deliberately screened away irrelevant people, leaving only the director of medical affairs, there is no way for her to make such a big noise, Director Liu His nose is as good as something, and he is even more afraid that Yugui may discredit the hospital if he can't handle it, so he deliberately stays here.
"This...the reason for Qiaoer's sudden shock is excessive blood loss...Our superior doctor is already resuscitating you. Don't worry...Does this child have any male classmates who have a close relationship at school? Or..."
Before she could finish her sentence, Qiaoer's mother stood up and slapped the table loudly: "I said doctor, what do you mean! How old is Qiaoer! She is also a good student in school, why not?" Maybe you have a boyfriend! Tell me honestly what Qiaoer’s illness is, and don’t think that you are great because you saved our Qiaoer! I’ve seen a lot of you sanctimonious doctors who want to make money!”
The saliva was almost sprayed on her face, Yu Gui was scolded bloody, and shrank his neck and dared not speak.
The chief of medical affairs immediately picked up: "Qiaoer's mother calm down, calm down, sit down and talk, sit down and talk"
He went to pick up a cup of warm water and handed it to her, then sat down and said, "Don't be angry, Doctor Yu is also eager to save people. How long has Qiaoer been suffering from stomach pain and discomfort?"
Qiao'er's mother saw that his attitude was sincere, and that the leader personally served the tea and water, most of the anger disappeared, and she held a disposable paper cup and thought for a while: "It's been more than two months, I always thought it was this kid. Lazy and don't want to go to school, who knows... Sigh!"
The director of the medical affairs took the thermos and continued the boiling water for her: "That's it. As a mother, you should come to the hospital as soon as possible if your child is not feeling well. It's better than the doctor. Now, hurry to the emergency room."
Qiao'er's mother was shocked: "This... don't bother to criticize me... tell me what's wrong with the child!"
The director of medical affairs took a sip of tea: "This situation is a bit serious. The child was an ectopic pregnancy that was close to death, and he is still in the operating room."
Qiaoer's mother's eyes were darkened immediately, and she slumped on the chair, her hands shaking like Parkinson's.
"What? What did you say?"
The medical director repeated again: "The child is an ectopic pregnancy, also known as an ectopic pregnancy"
"Damn..." As soon as he finished speaking, a glass of scalding water was splashed on his face. Qiao'er's mother pounced on him and tore his clothes, yelling and cursing, "Your mother has an ectopic pregnancy, how can you do that?" Can see a doctor! Can you see a doctor! Tell me about an ectopic pregnancy for a 12-year-old child, and you will be as big as your mother!"
The rural women cursed in their dialect mixed with Mandarin. The scene was very funny for a while, but Yu Gui couldn't laugh, so he jumped on him and tore the two of them apart.
"Isn't the safety of the child more important now?! If you have time to fight with the doctor here, why don't you go to the operating room to see the child!"
Qiao'er's mother slipped from Director Liu's body, collapsed on the ground and cried, "My Qiao'er! What can we do? Why is our family so unlucky! Your father ran away with a shameless woman !You...you are so unbelievable! I...I also..."
While she was cursing, her chest heaved violently, as if she couldn't breathe, Yu Gui quickly helped her up and sat down.
The other party blinked, and put on the sleeves of his clothes: "Are you still using it in the hospital? Just go to you directly."
"..." Lu Qing was speechless, and after a while reluctantly nodded his head in agreement.
Gu Yanzhi happily left, and after a while Lu Qingshi was also planning to pack up and go home, after all, she was on vacation today and didn't want to waste time in the hospital, and there were a lot of messed up things at home that needed to be cleaned up.
After lunch break, Yu Gui came out to eat rice noodles at the roadside stall opposite the hospital. A middle-aged woman sitting not far away scolded the little girl next to her, and said in a loud voice, "God damn loser, today is not If you have a headache, you will have a stomachache tomorrow. If you are not sick and pretend to be sick, I think you are crazy! Hurry up and go to school!"
"Hey, the mixed sauce noodles you want are here." The store brought the noodles to the table.
The woman was wearing an old coat that had been washed and turned white, and her dry and frizzy hair was tied up with a leather cord casually. While talking, she took most of the noodles in her bowl to her daughter.
The little girl looked a little pale, wearing a dirty school uniform, and the cloth shoes on her feet were a little yellow from washing, she just stared at the bowl without eating: "Mom...I'm really sad...I... "
She hesitated to speak, and the middle-aged woman slapped her across the face: "You money-losing old lady, where did you get the money to see a doctor for you, and let the old lady bear the pain!"
This loud slap made the little girl cry, Yu Gui got up to pay the bill: "Boss, how much?"
She took out a ten-yuan note from her pocket and handed it over. When she got the change and was about to turn around and leave, she suddenly heard the crisp sound of dishes.
She turned her head and saw that the little girl had knocked over the noodles and fell to the ground.
"You damn girl, you're still pretending to be dead for my old lady! Get up!" The middle-aged woman kicked her with her foot, and she panicked after kicking twice without any movement.
"Qiaoer? Qiaoer? Don't scare mommy, Qiaoer..." The middle-aged woman squatted down and shook the little girl's shoulder desperately: "Come here, is there any kind-hearted person to help call an ambulance!"
Yu Gui squeezed the change in her hand tightly, she remembered what Lu Qing said to her: "I hope you, before you get your medical license, don't claim to be a doctor, it will harm many people."
The diners around saw that something happened, and it was too late to hide, and the birds and beasts scattered one after another, and the boss chased after him: "Hey, don't run away! You haven't paid the money yet!"
Seeing that the little girl was dying and her forehead was sweating, Yu Gui rushed over and picked her up: "I'm a doctor, come with me!"
She made the first effort, but she didn't pick up the person. She took another deep breath, squatted down, and signaled the girl's mother to put the person on her back. When the heavy weight was on her body, her calves were all twitching. Trembling, he barely stood up, gritted his teeth and ran to the hospital across the road, rushing into the emergency center at a speed of [-] meters.
"Okay...good lady...take...get a stretcher...quick...quick!"
Hao Renjie was taking a nap at the triage table, and was so shocked by her voice that he bounced up, and when he saw the person coming, he immediately let out a "shit", pushed up the gurney next to the triage table and Going to meet her, even Lu Qingshi who just came out of the office was almost kicked out.
The little girl was put on a stretcher, Yu Gui was out of breath, and his whole body seemed to fall apart: "I... I was eating rice noodles across the road... I met them..."
She pointed to the anxious mother of the girl beside her: "Suddenly... suddenly fainted..."
Hao Renjie quickly measured his blood pressure: "Don't talk about these useless things, talk about the symptoms and what to do!"
Yu Gui picked up the electric pen and took a look at his pupils: "Uh...response to light...coma index E2V2M3...OK...good lady...let's open the intravenous access for rehydration..."
Seeing the hesitant look, Hao Renjie rolled his eyes: "If you're not sure, I'll call you, Teacher Lu."
"Lu...Ms. Lu is resting today..." Yu Gui said with a stiff neck.
"Get out of the way" As soon as she finished speaking, Lu Qingshi squeezed over: "Push the person into the emergency room first."
As soon as the person pushed into the emergency room, he plugged in the monitor and the machine started calling.
"Sister Lu, blood pressure is not coming up, 40-60"
Lu Qingshi hung up the stethoscope and pressed one end on the little girl's abdomen: "Let's open another venous access, and send a bedside ultrasound."
She didn't care about wearing a white coat, she only had time to put on gloves, and when the nurse pushed FAST over, she nimbly pressed on the little girl's stomach and slid back and forth.
"Dopamine 10/mg plus 5% glucose diluted intravenous infusion"
Yu Gui hurriedly prepared the medicine as required and hung it up, but seeing that the little girl still didn't see any improvement, and her blood oxygen was still hovering around 50, she felt uneasy.
"Ms. Lu... what's going on?"
"Ask Dr. Qin from the obstetrics and gynecology department for consultation, emergency surgery, and let her be quicker."
Lu Qingshi slid the B-ultrasound from the abdomen to the pelvis, there was a large area of no echo, and the entire uterus was soaked in blood.
"Hao Renjie contacted the operating room and the anesthetist and asked them to open a green channel. We will use it soon, and then make an order to apply for a blood transfusion. First, 1000ml of red blood cells will be used as a backup."
"Hey!"
Everyone responded in unison and hurried around, and Yu Gui immediately came over to help push the gurney after talking on the phone with the obstetrics and gynecology department.
Lu Qing glanced at her: "Go and issue a critical illness notice to the patient's family."
"Ah? Me?" Yu Gui had never done such a thing before. Seeing the dangerous situation of the little girl, he felt uneasy. The middle-aged woman did not seem like a talkative person.
"When you are on the operating table, it is also adding to the chaos, why don't you stay and do something useful"
As Lu Qing said, he got into the elevator, and Yu Gui stood where he was, feeling quite disappointed.
In fact... She also really wanted to stand on the operating table.
When Qin Xuan brushed his hands and came in, Lu Qingshi was already preparing for the operation.
"It's so annoying, it happens every time, I'm not on the first-line shift today, and I expect to get off work early."
"Stop talking nonsense, hemorrhagic shock, I just had an urgent blood HCG test, you can see the result yourself"
The nurse handed the test sheet in front of her, and Qin Xuan glanced at it: "My dear, this person is over 30 years old and still has a leftover woman, and the children in their teens are all ectopic pregnancies. Director Lu should learn from them."
Lu Qingshi felt that he should sew her mouth shut with a needle.
From poor to poor, Qin Xuan is still very rigorous and meticulous when performing surgery.
"Scalpel"
"Unipolar Electric Knife"
"tweezers"
"attract"
It wasn't the first time for the two of them to be on the same stage, and there was a tacit understanding, Qin Xuan performed the surgery, and Lu Qingshi provided assistance. After opening the pelvic cavity, blood gushed out immediately, and the fallopian tubes had been squeezed by the developing embryo.
"tissue scissors"
Lu Qingshi frowned, and held the tissue scissors she hadn't reached in with the blood vessel forceps.
"What are you doing?"
"Can't tell, the damage is so severe, this side of the fallopian tube must be cut." Qin Xuan moved his wrist, and Lu Qingshi's grip was tighter.
"She's only 12 years old"
After one side of the fallopian tube is cut, the chance of future pregnancy will be greatly reduced.
"No, the most urgent thing is to save your life!" Qin Xuan was also anxious.
Lu Qingshi looked at her and refused to budge: "It's better to die than to live without quality."
In the operating room, flames splashed and crackled all of a sudden.
Qin Xuan was the first to lose the battle: "Okay, okay, I'll do what I do, let go"
Only then did Lu Qing let her go, so a simple one-sided salpingectomy was dragged on to tubal fenestration and postoperative repair.
When putting the taken out gestational sac into the tray, Qin Xuan breathed a sigh of relief: "Let me tell you, don't call me for a consultation next time, it will definitely be a bad thing if you call me for a consultation."
Lu Qing was sewing, without raising his head: "It's not me, it's Yu Gui."
"..." Qin Xuan angrily picked up the hemostat to hit her.
That box, Yugui, as Chen Qiaoer's first doctor, explained to Qiaoer's mother that in the huge conference room, she deliberately screened away irrelevant people, leaving only the director of medical affairs, there is no way for her to make such a big noise, Director Liu His nose is as good as something, and he is even more afraid that Yugui may discredit the hospital if he can't handle it, so he deliberately stays here.
"This...the reason for Qiaoer's sudden shock is excessive blood loss...Our superior doctor is already resuscitating you. Don't worry...Does this child have any male classmates who have a close relationship at school? Or..."
Before she could finish her sentence, Qiaoer's mother stood up and slapped the table loudly: "I said doctor, what do you mean! How old is Qiaoer! She is also a good student in school, why not?" Maybe you have a boyfriend! Tell me honestly what Qiaoer’s illness is, and don’t think that you are great because you saved our Qiaoer! I’ve seen a lot of you sanctimonious doctors who want to make money!”
The saliva was almost sprayed on her face, Yu Gui was scolded bloody, and shrank his neck and dared not speak.
The chief of medical affairs immediately picked up: "Qiaoer's mother calm down, calm down, sit down and talk, sit down and talk"
He went to pick up a cup of warm water and handed it to her, then sat down and said, "Don't be angry, Doctor Yu is also eager to save people. How long has Qiaoer been suffering from stomach pain and discomfort?"
Qiao'er's mother saw that his attitude was sincere, and that the leader personally served the tea and water, most of the anger disappeared, and she held a disposable paper cup and thought for a while: "It's been more than two months, I always thought it was this kid. Lazy and don't want to go to school, who knows... Sigh!"
The director of the medical affairs took the thermos and continued the boiling water for her: "That's it. As a mother, you should come to the hospital as soon as possible if your child is not feeling well. It's better than the doctor. Now, hurry to the emergency room."
Qiao'er's mother was shocked: "This... don't bother to criticize me... tell me what's wrong with the child!"
The director of medical affairs took a sip of tea: "This situation is a bit serious. The child was an ectopic pregnancy that was close to death, and he is still in the operating room."
Qiaoer's mother's eyes were darkened immediately, and she slumped on the chair, her hands shaking like Parkinson's.
"What? What did you say?"
The medical director repeated again: "The child is an ectopic pregnancy, also known as an ectopic pregnancy"
"Damn..." As soon as he finished speaking, a glass of scalding water was splashed on his face. Qiao'er's mother pounced on him and tore his clothes, yelling and cursing, "Your mother has an ectopic pregnancy, how can you do that?" Can see a doctor! Can you see a doctor! Tell me about an ectopic pregnancy for a 12-year-old child, and you will be as big as your mother!"
The rural women cursed in their dialect mixed with Mandarin. The scene was very funny for a while, but Yu Gui couldn't laugh, so he jumped on him and tore the two of them apart.
"Isn't the safety of the child more important now?! If you have time to fight with the doctor here, why don't you go to the operating room to see the child!"
Qiao'er's mother slipped from Director Liu's body, collapsed on the ground and cried, "My Qiao'er! What can we do? Why is our family so unlucky! Your father ran away with a shameless woman !You...you are so unbelievable! I...I also..."
While she was cursing, her chest heaved violently, as if she couldn't breathe, Yu Gui quickly helped her up and sat down.
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