Chen Nan is no stranger to massage techniques for midwifery!
But... this did not affect his nervousness along the way.
After all, massage in the past was only about treating diseases and relieving pain.
But midwifery is different.
To be honest, Chen Nan never imagined that one day he would participate in a childbirth as a doctor of traditional Chinese medicine.
It’s really a bit...sentimental!
However, Chen Nan is somewhat confident about traditional Chinese medicine massage for midwifery.
The world's first case of manual assisted delivery came from China.
During the Song Dynasty, a famous doctor named Pang Anshi used abdominal massage to assist in childbirth.
Later, during the Ming and Qing Dynasties, with the introduction of modern medicine, the wisdom of the Chinese people was beyond your imagination.
They even developed a systematic plan to treat malpositioned and difficult labor using "a combination of internal and external techniques".
However, these plans did not escape the tide of history in the late Qing Dynasty, and gradually disappeared in the long river of history.
actually……
It is people's wrong thinking to value the past over the present.
Traditional Chinese massage has a history of two to three thousand years.
In ancient times, the understanding of the structure of the human body was not as clear as it is today, so the internal and external techniques used to treat fetal malposition in later generations are much more advanced than they were in the past.
Speaking of Pang Anshi, there are some small allusions in history, which is called Pang Anshi's injection of needles to save pregnant women with dystocia.
It is said that when Pang Anshi went to Tongcheng County in Shuzhou, he met a pregnant woman who was in labor. She couldn't give birth to the baby for seven days in a row. All methods were tried, but to no avail. The family was extremely worried (I'm thinking, seven days after birth)
If you don’t come down...are you still alive?)
Pang Anshi's student Li Baiquan happened to be a neighbor of that family, so he asked Pang Anshi to take a look.
Pang Anshi went to take a look and continued, "I can't die, I can't die." He asked the pregnant woman's family to bring hot water to warm her waist and abdomen, while he himself gently massaged the pregnant woman up and down.
Then, he took out the needle and pricked the pregnant woman's abdomen.
Not long after, the pregnant woman felt a dull pain in her intestines and stomach, and while moaning, she gave birth to the child, a boy.
Pang Anshi told them: "Actually, the fetus has already left the womb, but it accidentally grabbed the mother's intestines with one hand and never let go. No matter whether it was drawing talismans or taking medicine, it was useless. I touched the hand of the fetus through the mother's belly.
, I pricked his tiger's mouth with a silver needle. When it hurt, he let go and retracted, so he was born quickly. I didn't use any magic tricks."
The family brought the baby over and found that there were indeed traces of needle pricks on the tiger's right hand.
First of all, let’s not talk about how many layers of tissue separate the uterus and intestines, or whether the child has a dragon’s grasp.
After Chen Nan read it, he was actually still dubious. Many historical medical stories were somewhat exaggerated.
However, it is undeniable that TCM massage techniques and prescriptions have made great achievements in the field of obstetrics and gynecology.
but……
The neonatal mortality rate in ancient times was still relatively high. On the one hand, it was due to immature technology, and there were also many external reasons, such as substandard hygiene and infection, which was a big risk.
Today, the infant mortality rate is only about 6 per 1,000. It must be said that medicine is making progress.
However, things must be viewed from two perspectives. Under the medical conditions at that time, some of the treatment techniques and experiences summarized did indeed have their indelible contributions.
These include: massage techniques for midwifery, and pregnancy transfer methods.
Strangely enough, oral administration of traditional Chinese medicine can actually change the position of the fetus.
Sometimes Chinese medicine does have its own unique features.
…
Not long after, Chen Nan hurried to the obstetrics department.
Obstetrician Liang Hui met Chen Nan for the first time. To be honest... she was still a little uneasy.
She had some doubts about the director's decision!
Are you sure that inviting a traditional Chinese medicine doctor can help women give birth smoothly?
This is obviously beyond Liang Hui's knowledge.
"Doctor Chen, the director is in the ward."
Chen Nan saw Liang Hui's badge and nodded: "Well, please, Doctor Liang."
The badge reads: "Obstetrics and Gynecology: Liang Hui, attending physician."
After arriving in the ward, Wang Zhenlan guided the patient in some postures to adjust the fetal position.
Movements such as the knee-chest recumbent position can theoretically use the change of the baby's center of gravity to make the arc formed by the fetal head and fetal back slide along the uterine fundus arc to complete the chance of turning the breech position into a cephalic position.
However, the mother was very uncomfortable at this time. She was lying on the bed, and the pain caused by irregular uterine contractions was still getting worse.
Giving birth is hard work and quite painful.
Because giving birth is not painful all at once.
Instead, pain will occur from time to time after the first stage of labor, the uterine contraction is weak, the intermission period is long, about 5 to 6 minutes, and the duration is short, about 30 seconds.
As labor progresses, the intervals gradually become shorter, about 2 to 3 minutes, and the duration becomes longer, about 50 to 60 seconds, and the intensity continues to increase.
When the cervix is nearly fully dilated, the intervals between contractions are only 1 minute or slightly longer, and can last for more than 1 minute.
First-time mothers may need to experience around 10-12 hours.
This is a very painful thing for most people.
Of course...not to mention those with extraordinary talents and those who use caesarean section cheats.
"Director Wang."
Wang Zhenlan turned around, saw Chen Nan coming, and said to Chen Nan:
"Well, Director Chen, here you go!"
"Let me tell you about the patient's condition."
"Patient, female, 35 years old, primipara."
"The patient arrived in a hurry. After arriving, many examinations were not completed, so that now she is about to go into labor, but the examination shows that she is in the transverse position."
"The main situation now is that the fetal position is incorrect and the occiputo-transverse position is persistent. Now the contractions have begun to be regular, but the fetal position is incorrect. We must find a solution."
"Initially, my plan was to have a C-section."
"However, if the patient undergoes a cesarean section, he or she needs to undergo spinal anesthesia, which is semi-anesthesia, but... the other family member said that the patient has coagulation disorder!"
"The anesthesiologist said that this is a contraindication for partial anesthesia and suggested that we use general anesthesia!"
"With general anesthesia... the difficulty of the operation will increase. Moreover, due to coagulation dysfunction, we cannot guarantee whether there will be heavy bleeding during the operation."
"Now, the result of our discussion is to first try to see if we can restore the fetal position. If we can, we will have a normal delivery!"
"However, if the difficulty is too high, the only option is to perform a caesarean section under general anesthesia."
"So, I ask you to come down and see if there is a good way to change the fetal position using traditional Chinese medicine techniques."
After hearing this, Chen Nan finally breathed a sigh of relief.
I originally thought I was going to the operating table.
Now it seems...it doesn't have to be so complicated.
However, Chen Nan still asked curiously: "How many fingers has the patient opened now?"
Liang Hui on the side said: "Six fingers have been opened!"
Six fingers?!
This first stage of labor is late.
When the cervix is dilated about 10cm, which is often referred to as the ten fingers, that is, the cervix is fully dilated and the second stage of labor is entered.
After Chen Nan understood the situation, he walked up to the mother.
The other party was thin and weak. He was sweating profusely and his face was haggard. It was obvious that this process was very hard and uncomfortable.
The woman closed her eyes tightly, her hair was wet with sweat and stuck to her face, looking embarrassed.
But even so, she still struggled to do some of the moves Wang Zhenlan taught her.
It is said that women are weak, but actually... being a mother is strong!
Obviously, Wang Zhenlan has already explained these things to her.
If the fetal head cannot be straightened, the subsequent induction of labor will be very difficult!
Moreover, especially when the birth canal is not fully expanded, the labor force is poor, the fetal head is poorly flexed, or the fetal buttocks are raised, delivery will be difficult, which will be harmful to both the mother and the fetus, causing fetal mortality to be higher than in the occipitoanterior position.
3-8 times.
This is not alarmist, this is real data.
Chen Nan said to Wang Zhenlan: "Do you have a B-ultrasound sheet? Show it to me."
Wang Zhenlan nodded and waved her hand to Liang Hui.
Liang Hui took the patient's medical record.
Looking at the position of the fetus in the B-ultrasound, Chen Nan's face became slightly solemn.
The occiput-transverse position is actually not scary!
It means that during the delivery process, the fetal head enters the basin in the occiputolateral position. Under the action of labor force, the fetal occipital part can naturally rotate forward into the occipitoanterior position during the descent, with minimal effort.
The meridian passes through the birth canal to give birth naturally.
However, if the occipital part of the fetus continues to be unable to turn to the occipitoanterior position, causing difficulty in delivery, it is called persistent occiputolateral position.
Persistent occipital transverse position can easily lead to obstruction of the descent of the fetal head during delivery.
At this time, due to the continuous strengthening of uterine contractions, it will cause fetal heart rate to drop, amniotic fluid to be turbid, fetal intrauterine hypoxia and other conditions.
Moreover, at that time, the soft birth canal is under pressure, the birth canal is edematous, and birth canal lacerations and cervical lacerations are prone to occur. During the delivery process, the fetus may inhale meconium-like amniotic fluid, resulting in neonatal asphyxia during birth, and even requiring a series of rescue operations.
Therefore, the position of the fetus must be corrected as soon as possible!
At this moment!
Liang Hui stared at Chen Nan's expression, trying to see the panic.
After all, it was difficult for Liang Hui and even his team of midwives to solve this persistent occiput-lateral position.
The fetal position has begun to decline, and it is too difficult to solve the persistent occiputolateral position!
Is surgery possible through Chinese massage?
Liang Hui didn’t quite believe it!
After all, if traditional Chinese medicine could really solve this problem, would the neonatal mortality rate in ancient times be so high?
Not only Liang Hui, but also the midwives and nurses looked at Chen Nan with suspicion.
pity!
However, Liang Hui didn't see the panic on Chen Nan's face for a long time. All she saw was Chen Nan's thinking expression.
Because Chen Nan had already begun to review his massage techniques in his mind at this time.
But I heard a voice ringing in my ears.
[Ding! Trigger the mission!]
[Task description: TCM massage techniques to treat fetal malposition have been questioned by many people. 】
[Task requirements: Successfully solve the persistent occiputo-transverse position of the fetus and achieve smooth delivery, and you will receive high-level rewards. 】
Chen Nan took a look at the system.
Premium rewards?
hehe……
It seems that everyone has too many misunderstandings about traditional Chinese medicine techniques for repositioning.
Don't you know?
Are even the midwifery techniques used in delivering babies today evolved on the basis of traditional Chinese medicine delivery techniques?
Isn’t it inappropriate to question your ancestors?
Chen Nan shook his head and said nothing.
Whatever!
Let me show you the real "art of veteran".
Massage, how can it be so casual?
After watching it for a few minutes, Chen Nan already had a plan in mind.
Treatment plans also came to mind.
It’s time to start!
Seeing Chen Nan's silence for a long time, Wang Zhenlan sighed inwardly.
Am I too naive?
Do you really believe that Chinese medicine can solve this problem?
Wang Zhenlan smiled bitterly in her heart.
However, Wang Zhenlan still had to call Chen Nan down to ask for his opinion.
As a doctor, no matter how many positions he holds or how many honors he has attached to him, the first thing he should consider is the interests of the patient himself.
If there is a better, more reliable, safer and cheaper method, why go to all the trouble to perform surgery under general anesthesia?
"Director Chen, do you have any good ideas?"
Wang Zhenlan looked at Chen Nan and asked.
Liang Hui also felt a little more unhappy inside.
It's not that she hates Chen Nan, but she really doesn't want to spend too much time here. After all, she is already in the late stage of the first stage of labor. If she doesn't make a decision now, it might be too late!
Chen Nan spoke at this time. He looked at Wang Zhenlan and nodded: "You can try it!"
Wang Zhenlan's eyes suddenly lit up: "Really?"
Chen Nan smiled: "Yes, but it requires the cooperation of B-ultrasound."
"It might be safer this way."
Treating a disease is not just for showing off.
Although Chen Nan was sure that he could touch something, for the sake of safety, he didn't use the B-ultrasound. Wouldn't he be a fool?
Pretending is not just a pretense at this time.
The health of the mother and fetus is the most critical.
As for what Liang Hui thinks, Chen Nan ignores it because it makes no sense.
When the facts are in front of us, any doubts and quibbles are useless.
Wang Zhenlan quickly arranged for bedside color ultrasound.
"By the way, can fetal heart rate monitoring be done?"
Wang Zhenlan smiled: "Okay!"
"We basically have everything you can think of."
Chen Nan:……
If there are many instruments, you still need to see a gynecologist.
Everything is complete and the team is professional, which makes Chen Nan envious.
"Go empty your bladder."
Check the points,
Wang Zhenlan asked the mother to lie down on the bed.
Chen Nan walked over and carefully raised the mother's buttocks with something, then bent her legs and abducted them slightly.
Then, start to use your hands to feel the position of the fetus in the belly and the position of the head in the occiput-transverse position.
"Give me the stethoscope!"
Wang Zhenlan heard the sound, stethoscope?
babble?
It seems that our department does not have such low-level equipment.
How can you ask for a stethoscope? There is a fetal heart rate monitor!
Wang Zhenlan smiled awkwardly: "Wait a moment, Liang Hui will go get it for Director Chen."
After saying that, he smiled apologetically: "The stethoscopes in our department are rarely used now. Since the introduction of fetal heart rate monitors and other equipment, stethoscopes are not used much anymore."
Chen Nan:……
He didn't even know what to say.
Not long after, the stethoscope was brought in. Chen Nan listened to his stomach for a while, then applied a layer of talcum powder on his hands, and then started his own operation.
The first is acupoint massage stimulation!
At this moment, it is obviously unrealistic to let the mother relax. With the intensification of uterine contractions and the anxiety and tension in the mother's heart, the mother must be allowed to relax.
The main acupuncture points selected are Hegu, Kunlun, Ashi point and Guanyuan on Ren meridian.
The purpose of acupoint massage is to provide some appropriate pain relief and improve the local flow of qi and blood through the acupuncture effect produced by manual stimulation.
Moreover, Guanyuan point can relieve the pain caused by uterine contractions.
Zhongji point can nourish the kidneys, invigorate yang, relieve pain and stimulate menstruation.
Then there are Ciliao, Hegu, and Sanyinjiao, which jointly regulate yin and yang. The combination of several points can even stimulate blood circulation and have the effect of replenishing qi and calming down the body.
After the acupoint massage, Chen Nan still didn't start.
Instead, he continued to place his hands on the abdomen, using the Zhongji point as the main point, with the palms of his hands against the mother's belly, and gently massaged clockwise, feeling the bursts of contractions coming from the belly from time to time. Chen Nan's techniques were sometimes light and gentle, and sometimes
The bell is as dull as an urn.
During the whole process, Chen Nan did not dare to be careless!
He must let the mother feel that these hands are just a part of her belly. He must make this massage feeling adapt to her contractions.
Time passes minute by minute!
Wang Zhenlan on the side looked very curious.
In contrast, Liang Hui was extremely anxious.
He doesn't have Wang Zhenlan's ability and temperament.
And finally!
Chen Nan saw that the mother was snoring at this moment.
He immediately breathed a sigh of relief.
Relaxed!
When Wang Zhenlan and others saw this, they quickly came over with wide eyes.
Chen Nan booed and refused to let anyone come forward.
Fell asleep?
Actually fell asleep!
You know, the mother has not been able to sleep since she saw redness yesterday.
Her tired body and nervous mood brought her to a critical point.
Proper rest is a good thing for the subsequent production!
First-time mothers have a long labor process and need to cooperate with force. The time of force is not one minute or two, but even one or two hours.
so!
Falling asleep suddenly at this time is really a good thing for Wang Zhenlan.
The woman herself is a little thin and in poor physical condition. If she can't bear it, it's not a good thing.
This was the first time for Wang Zhenlan to see Chen Nan perform massage. To be honest, she didn't feel much at first.
I just feel like Chen Nan is having a massage.
but!
Seeing that the mother was asleep, Wang Zhenlan stopped her previous casualness and her expression became serious.
Liang Hui and others, as well as some midwives, looked at Chen Nan with the same curiosity.
What will he do next?
The next step, of course, is to manually transfer the fetus.
Chen Nan raised his hands, walked to the side of the mother, and then pressed it gently with one hand, palm facing up, placing four fingers on the back side of the fetus' head, and then placed his thumb on the front side of the fetus' head. The whole hand unexpectedly
At this moment, I held the fetal head.
Chen Nan breathed steadily, making the strength of his fingers steady and gentle. At this moment, he could not use Hua Jin, let alone Cun Jin.
I can only carefully use Shunjin'er and Roujin to carefully push the baby's fetal head upwards!
Um?!
Push up?
That’s right!
At this time, the transverse position of the occiput is low, and it must be raised manually, returned to the maximum plane of the pelvic cavity, and then rotated.
At this moment, Chen Nan didn't dare to express his anger.
The palm of the hand and the fetal head are separated from the belly and uterus, so it is easy to slip if the strength is too strong, and if the strength is too strong, it is easy to hurt the already soft head. At this time, the front and rear fontanelles of the fetus are open, and Chen Nan does not dare to hurt it.
However, with little strength, it is impossible to achieve such an effect.
At this moment, Chen Nan's left hand directly pushed up the child's buttocks.
"Bang bang bang..."
With his hands, he could clearly feel the contractions coming from his uterus.
Every contraction is a backlog.
I want the child to sink!
And Chen Nan must resist this power.
One minute!
Two minutes!
Chen Nan's hand moved up bit by bit, centimeter by centimeter.
Even Chen Nan, who had three times the strength of a normal person, felt a soreness in his fingers at this moment.
tired!
Because he didn't dare to use force.
Care must also be taken to maintain the position of the fetus.
finally!
When Chen Nan felt the largest plane of the pelvic cavity, he pushed gently...
Then it starts to rotate in the counterclockwise direction.
This step is extremely critical!
Because he needs to be consistent with the mother's uterine contractions, while tilting her head forward, it should land firmly on the mother's sacrum.
Accompanied by bursts of contractions.
Chen Nan also began to guide the fetal head to descend into the basin.
He does not need to personally help with production, but must provide the best conditions for production.
finally!
Half an hour later, Chen Nan raised his hand and wiped the sweat from his forehead. A few beads of sweat hung on his forehead, just like the glass covered with water drops on the window in the morning.
Chen Nan smiled and said: "Okay!"
Wang Zhenlan was stunned for a moment: "Okay?!"
Liang Hui just looked at Chen Nan's movements and was a little distracted. When she heard Chen Nan's words, her first instinctive reaction was: Impossible!
Chen Nan lowered his voice: "Come over to the bedside and do a B-ultrasound."
The B-ultrasound doctor nodded and walked over.
After some examination, looking at the picture, the color Doppler ultrasound doctor said in surprise: "The fetal position is correct!"
"Director, look? Look!"
Wang Zhenlan angrily patted the other party's shoulder, said with a dark face and a low voice:
"Keep your voice down!"
"Let her sleep a little longer."
"Wake up later and let her eat something and drink a bottle of Red Bull!"
"Replenish your strength!"
"I read?"
While they were talking, Wang Zhenlan and Liang Hui came closer and looked at each other with wide eyes.
Under the B-ultrasound, the fetus is already in a swooping posture, ready to face the world!
Seeing this scene, several people couldn't help but become happy.
You should ask your obstetrician and midwife what their favorite position is.
They must be happy and say: First place!
At this moment, everyone smiled immediately when they saw the shape of the fetus.
Chen Nan also came over.
He looked at the child in his belly, it was like a new life.
At this time, the obstetrician suddenly discovered that it was like the New World and laughed: "Look!"
"hurry up!"
"I'll take a screenshot."
"Look at the child's hands."
"Oh my god, thumbs up."
"Ha ha ha ha……"
"Absolutely awesome!"
Wang Zhenlan also approached like a child: "Quick, let me take a look!"
The color Doppler ultrasound doctor has already taken a screenshot.
On the B-ultrasound, the fetus was head-down, and its hand actually gave a thumbs up to the probe just now.
Suddenly, everyone was amused.
"This kid, hahaha... you didn't drink Meng Po soup in your last life, did you?"
"Haha... so fun!"
"Indeed, let's see what he looks like when he is born soon!"
"Look, Maverick, hahahaha...little boy!"
Chen Nan is ashamed!
But I have to say that this kind of happiness is something that most people cannot experience.
Wang Zhenlan smiled and said: "Dr. Chen, he is giving you a very good indication!"
Chen Nan smiled and gave a thumbs up.
As he spoke, Chen Nan put his hand on the mother's belly.
He nodded lightly and pressed: "Young man, come on!"
After finishing speaking, Chen Nan just raised his hand and felt his belly bulge.
This scene attracted everyone around!
The color Doppler ultrasound doctor said excitedly: "Haha... Dr. Chen, he can hear you!"
Wang Zhenlan also couldn't help laughing: "Haha, it's so fun! This little baby."
Liang Hui also joined in.
but!
No matter how hard they pressed the belly, the fetus did not respond.
Only Chen Nan, whenever he put his hand on it, the fetus would respond by kicking its belly.
Maybe, life is like this, full of unexpected surprises and some unexpected happiness.
Wang Zhenlan said with a smile: "This little guy is quite fun!"
After finishing speaking, Wang Zhenlan said to the nurse on the side: "Wake him up in ten minutes and send him to the delivery room to prepare for delivery."
Afterwards, Wang Zhenlan took Chen Nan and left the ward.
"Tsk tsk!"
“I’ve learned a lot!”
Wang Zhenlan took a deep breath and looked a little more serious: "I have always thought that the role of traditional Chinese medicine in gynecology is mainly to regulate menstruation and protect fetuses."
"Although I have heard my uncles and uncles talk about internal and external rebirth surgery before, but... I have never seen it before, and I remain skeptical!"
"Today is an eye-opener!"
"Director Chen, you are far more powerful than you think!"
"The leaders of our hospital are still talented. They can discover you and appoint you boldly, which shows that your strength is really enough!"
Chen Nan was a little embarrassed to be praised so seriously by Wang Zhenlan.
"Director Wang has given me the award."
"These are techniques passed down from our ancestors."
"I'm just an academic heir."
"It's not that exaggerated."
Wang Zhenlan said with a serious face: "What you said can bluff others, but you can't bluff me!"
"Think about it, why have so many people passed it on to you?"
"After all, this is a matter of ability!"
"When I was young, my grandfather told me that Chinese medicine focuses on understanding, which has nothing to do with hard work!"
"You can become a good doctor if you work hard."
"But if you have talent, you can become a Chinese doctor!"
"Director Chen, you are worthy of being the director!"
"I'll ask the head nurse to settle the consultation fees with your department in a moment."
Chen Nan nodded: "Well, okay, that's okay, I'll go up?"
Wang Zhenlan shook her head and quickly raised her hand to grab Chen Nan's arm: "Why are you in such a hurry?"
"The nurses in our department are not pretty!"
While speaking, Wang Zhenlan rolled her eyes at Chen Nan: "I have something else to tell you!"
Wang Zhenlan's words made several young nurses around her burst into laughter.
Chen Nan smiled awkwardly.
Liang Hui on the side looked at Chen Nan seriously and said nothing.
to be honest!
The effect just now was something she had never imagined.
Are Chinese medicine techniques so powerful?
It's really surprising.
Through manipulation, difficult fetal malformations can be helped to normalize, which is not something ordinary people can do.
The advantages of natural birth are self-evident.
For mothers, postpartum recovery is quick and breast milk secretion is relatively sufficient.
For the fetus, squeezing through the birth canal can exercise the functions of the lungs and other organs.
In addition, it is not easy to induce and cause a series of diseases such as infection.
Therefore, under normal circumstances, it is definitely best to have a normal delivery.
Research now shows that children born naturally through the birth canal may be more competitive.
However, some mothers and fetuses have abnormal fetal position, or for various reasons, they have to choose cesarean section.
Chen Nan's craftsmanship and technology are definitely very valuable.
This time, Liang Hui also opened her eyes, and all the midwives were also full of excitement.
If they learn these techniques, will they not be scrambled for them in the future?
Midwives are very popular now, and big hospitals are rushing to get them!
Wang Zhenlan looked at Chen Nan seriously: "I have something serious to tell you!"
"Can ordinary people learn your technique?"
After Chen Nan thought for a moment: "It's not that difficult!"
"However, difficult positions may not be feasible."
Wang Zhenlan's eyes widened: "In other words, there is no problem with the ordinary pillow-lateral position or other things?"
Chen Nan nodded: "Well, it's not a big problem."
Wang Zhenlan suddenly smiled and said: "Xiao Chen, I have a suggestion!"
"As you know, the maternity ward is always full. Even if the amniotic fluid breaks or becomes red, we don't admit many women because of limited beds!"
“You have a lot of beds in the Department of Traditional Chinese Medicine!”
"Otherwise...do you think this is feasible?"
"For some women who are about to give birth and have an abnormal fetal position, you can train a few nurses or doctors to help correct it."
"Your department has extra beds. I heard that your current treatment team in the Traditional Chinese Medicine Department is preparing to arrange wards."
"If these women come into labor and the fetal position is abnormal, they will be sent to your department to help correct the fetal position first, and then come down to give birth. This way, it will be safe for the patient, and it will save money compared to caesarean section! And... now
Families all hope that their children will be born naturally.”
"Do you think it's feasible?"
Chen Nan heard the sound and said nothing!
He just felt that happiness came so suddenly.
Chen Nan originally had the idea of cooperating with the obstetrics department, but had no idea of the direction. Now Wang Zhenlan actually proposed it.
This is definitely good news!
Chen Nan nodded: "Okay."
Wang Zhenlan squinted her eyes and asked in a low voice: "I heard... you are also good at urging women?"
Chen Nan nodded.
Wang Zhenlan clapped her hands: "Okay!"
"It's good to urge Ru!"
"Many of the women who had caesarean sections had no milk after giving birth!"
"I think it's time to cooperate!"
"In the future, I will directly recommend mothers in our department to go to your place for recuperation after caesarean section. How good is that?"
"A win-win situation!"
Chen Nan smiled: "Thank you so much, Director Wang."
Wang Zhenlan smiled: "Oh!"
She rubbed her hands: "Now I have found a good helper."
"Let's try to do it well. At the end of the year, I'll see if I can select a key specialty, haha..."
Chen Nan:……
What about the promised win-win situation?!
Oh, woman.
No matter how old you are, you are always lying.
…
…
After Chen Nan came back, she was still a little happy inside.
After all, there is still a sense of accomplishment in doing things like midwifery.
Instant results!
Moreover, the happiness and satisfaction of seeing the birth of new life is unparalleled.
Chen Nan couldn't help but laugh when she thought of the protruding little feet on a woman's belly.
Should I also consider... having a child?
After all...Although Yang Hongnian is my eldest son,...it would be better if he is my biological son!
Unfortunately, there is no target yet.
Why!
Here, the little nurses saw Chen Nan coming back and walked over with a smile.
"Dr. Chen, will you still induce labor?"
"What's called inducing labor? That's called delivering a baby!"
"What's the point of delivering a baby? It's called midwifery!"
"not educated……"
"When we have children in the future, we will have someone to help us!"
"yes!"
"Doctor Chen, help me give birth to a son!"
"Damn it, little sweeper, you don't have a partner yet, what if you give birth to a child and spoil our Chen Nan?!"
"That's right, we have such a pure boy in our department, you can't lead him into trouble!"
Chen Nan was embarrassed and at a loss as she listened to the chirping nurses chatting.
In the afternoon, the Traditional Chinese Medicine Department was obviously full of all kinds of chats.
But at this time, He Duankang felt offended!
"Alas, I have an opinion!"
"What does it mean to have such a pure boy in the Department of Traditional Chinese Medicine? Am I not counted?"
Zeng Yuan laughed: "No, you can't count!"
"Your three forehead lines have given you away. You can only be called a greasy man who ages prematurely!"
Kehua nodded: "Wolfberry water can't stop your mouth!"
"Kidney deficiency is amazing!"
He Duankang:???
And this time!
Hearing Kehua's words, Liu Quan, Zhou Qinzheng, Zhao Jianyong and others silently put the teacups inside.
I thought to myself: Fortunately, I’m not a transparent thermos cup!
There is no privacy at all.
How can I tell you about kidney deficiency?
Don’t let the scandal of your family go public!
…
…
Return to your place.
Chen Nan has been planning the development of the traditional Chinese medicine treatment group in his mind.
Now it seems to have taken a prototype.
"Pediatric massage group, urging and pushing group, and abnormal fetal position labor group."
"Pediatric massage and massage do not need to occupy a hospital bed, just two treatment rooms."
"Irregular fetal position can be solved by putting eight beds in the collective ward."
After all, Chen Nan didn't want to skew his skills.
How could he do this with his "veteran skills"?
Massage rehabilitation and massage rehabilitation are beneficial to those suffering from stroke and orthopedics.
Therefore, Chen Nan plans to reuse the remaining bed ends for this purpose.
In this way, the massage therapy group can be considered complete.
However, this will require more manpower.
Both doctors and nurses need to be increased.
There are obviously not enough staff in the department.
or……
Recruitment wave?
It's graduation season now.
Jin Province itself has two medical universities and several junior colleges.
Chen Nan plans to recruit some male nurses. They are strong and can do massage. If they don’t have strength, they can’t do it.
Thinking of this, he began to make a recruitment list.
At this moment, the prompt sounded.
[Ding! Congratulations, you successfully completed the treatment of fetal malposition manually, which made Liang Hui and others realize the profoundness of traditional Chinese medicine, and they were rewarded: a stolen master's card!]
[Stealing Master Card: After use, randomly steal the opponent's skill and copy a skill, and upgrade it to a high level, and disappear after use. 】
After Chen Nan read it, he was stunned.
Stealing the Master Card?!
This is pretty good stuff.
But... isn't this randomness a bit too hasty?
Chen Nan was speechless. No wonder this reward is high-level...
It was obviously just an intermediate task, but a high-level reward was given. It turned out to be so careless.
But whatever, it’s a good thing to be promoted to a high level!
Let's see if there is another chance in the future.
At this time, Yang Hongnian walked into the doctor's office, glanced at everyone, and smiled:
"They're all here!"
Well, everyone must be here, and those who are not will not say anything.
Besides... you are looking for Chen Nan, why are you so perfunctory?
Sure enough, after finishing speaking, Yang Hongnian walked up to Chen Nan, patted his shoulder, and said with a smile: "Let's go to a meeting together tomorrow afternoon?"
"It's the one I told you about, Liu Wansu's Academic Thought Exchange Meeting."
Chen Nan shook his head: "Director...I'm very busy!"
Yang Hongnian said earnestly: "As a director, you must learn the power of subordinates and leave things to capable people!"
Chen Nan laughed: "I feel that I only have obligations and no rights!"
"Besides...how many people are there below me?"
Yang Hongnian was suddenly speechless.
"Isn't this graduation season?"
"Go and recruit some people!"
"oops?"
"Yes, that's great!"
"In two days, there will be a job fair at Jin Provincial University of Traditional Chinese Medicine and we have been invited. You should just go over and see if there are any suitable candidates."
"Just completed your treatment team."
"Look at what the treatment team needs now. Let's set it up and have a look."
“Just say whatever you need!”
How could Yang Hongnian be so arrogant?
Of course it's because Chen Nan is now Zhang Peiyuan's favorite?
?cake.
Isn’t it easy for him to apply for department funds?
After Yang Hongnian finished speaking, he added: "By the way, tomorrow afternoon's meeting is an academic exchange meeting on the Erba Jing."
"It will be beneficial if you go and listen more!"
"We invited a master of traditional Chinese medicine and several nationally famous doctors from other provinces!"
Chen Nan's eyes widened immediately: "Master of Traditional Chinese Medicine? Who is he?"
Yang Hongnian chuckled: "Huang Yiping, Mr. Huang."
Chen Nan: "Everyone with febrile diseases, Mr. Huang!"
Yang Hongnian nodded: "Yes!"
"Let's go take a look?"
Chen Nan nodded.
Fumbling for his premium card in his hand.
Good guy...
Must go!
and……
I also have a reflection card.
Mr. Huang's prescriptions are wonderful and profound, and Chen Nan happened to go there to study hard.
See if you can improve your prescription skills through this opportunity!
…
…
ps: Update is late. I ate hot pot last night. It was so spicy that I had diarrhea... Now the front is burning, the back is also burning, and the stomach is also burning. I need to get rid of the heat.
Sorry, sorry, I'll make it up another day.
－－－－－－Digression－－－－－
Thanks to my big brother: after we made an appointment at dusk, I received a reward of 5,000 from Yang Mie of Cancer.
Thanks also to book friend 20170517205505230 for the 1,000 reward.