601 Diagnosis (1/2)

”Collect blood from the deep vein, send it to the Medical Laboratory Department, and check for amniotic fluid embolism.” When Fang Pingzhu saw the patient, she immediately asked the nurse to send for a request for an amniotic fluid embolism examination.

For the Gynaecology Department, the highest mortality rate came from amniotic fluid embolism.

Amniotic fluid embolism meant that during the labor process, the amniotic fluid had suddenly entered the mother's bloodstream, subsequently causing a series of severe complications such as acute pulmonary embolism, anaphylaxis, kidney failure, and sudden death.

Due to the high amount of fetal hair, cuticular epithelium, vernix caseosa, and meconium in the amniotic fluid, once the amniotic fluid entered the bloodstream, it would immediately cause damage to the balance of the body.

While in the First Division of Yun Hua Hospital's Gynecology and Obstetrics Department, Fang Pingzhu's policy was to immediately collect blood in the vein and do a quick diagnosis when she saw symptoms like massive bleeding.

This policy naturally did not provide a very high rate in catching on whether it was truly amniotic fluid embolism when massive bleeding occurred, but, from Fang Pingzhu's perspective, confirming the diagnosis of amniotic fluid embolism a few minutes earlier would greatly increase the patient's survival rate.

However, this policy which was originally implemented in the Gynaecology Department was only effective in the Gynaecology Department right now.

The department directors of the Second Division of Gynecology and Obstetrics Department and the Third Division of Gynecology and Obstetrics Department had their respective focus, so they were not willing to spend high amounts of manpower, time, and money on the examination of amniotic fluid embolism. This was one of the reasons for the doctors to strive for the position of a department director who owned authority when they reached a higher standard, even though they might offend others to the point that both sides would end up losing a lot.

Only when they became major department directors who owned power could decide the direction of the department. In other words, he could make the people and money in the whole department focus on him and the field that he was interested in, good at or learned. In the Gynaecology Department, besides amniotic fluid embolism, there were also fields like high-risk pregnancy, prenatal diagnosis, and placental abruption which they could focus on.

Ling Ran did not have any experience in the Gynaecology Department, so he did not judge whether this might be a case of amniotic fluid embolism.

He followed the gurney for a while. He first let Fang Pingzhu give her instructions before he asked after entering the operating theater, ”How much is the blood loss?”

”Vaginal bleeding for 1.3 ounces.” The nurse reported seriously.

After working in the hospital for a long time, the nurses were all familiar with the main diseases and the display of the patient's symptoms in the department. When they saw the patient who had just laid down on the operating table, they did not really believe that she had a high chance of surviving. They were all women. When the nurse thought about the patient possibly passing away right after giving birth to a baby… Instead of showing a serious expression, she did not really know what else to show on her face.

Department Director Hong did not enter the operating theater, instead, he stood outside the operating theater to comfort his brother and sister-in-law, who had just come.

He was an internist, so he was unable to perform this surgery. Even if he could, he would most likely not perform it. If the department director of the Gynaecology Department and Ling Ran could not save the patient even if they worked together, the other surgeons might not be able to do anything about it as well.

”Exploratory laparotomy?” Ling Ran's tone made it sound as if he was asking Fang Pingzhu, but in truth, he was already very certain that he wanted to perform the exploratory laparotomy.

The anesthetist could not help but look toward Fang Pingzhu.

This was the operating theater of the Gynaecology Department, and Ling Ran did not bring anybody over. It all depended on Fang Pingzhu on whether they were to bring the knife on the patient.

Fang Pingzhu nodded slightly. From the moment she allowed Ling Ran to come over, she did not have any right to turn him down.

General anesthesia was ready. In a while, Ling Ran pressed on the patient's skin and said, ”Perform laparotomy for exploratory laparotomy.”

When he finished speaking, he asked for a scalpel and made a long incision with the fiddle bow hold.

Fang Pingzhu and the other doctors from the Gynaecology Department took a deep breath when they saw it.

The surgery that the Gynaecology Department usually performed was the Caesarean section. When they made the horizontal cut, short cuts would not allow them to be successful, but if they made the cut too long, the patient would be unhappy. Some women would want to discuss the length of the incision when they chose the doctors for the Caesarean section.

However, even a careless obstetrician would not dare to make a long incision like Ling Ran. If this were not handled well, it would cause a doctor-patient dispute.

”Doctor Ling, you're quite brave in performing exploratory laparotomy, huh?” Fang Pingzhu said very ”tactfully”.

The female doctor who was the third assistant thought that the department director wanted to give Ling Ran a reminder, so she immediately added, ”Doctor Ling, such a long incision will make you get blocked and scolded by people in front of the office.”

Ling Ran stared at the surgical area in front of him and said calmly, ”If the patient can block and scold me at the office, this incision will not be a waste.”

The female doctor who was the third assistant could not help but be stunned.