Chapter 146 Stealing the Master Card! (Please Subscribe)

Chen Nan is no stranger to massage techniques for midwifery!

But...it didn't affect his nervousness along the way.

After all, in the past, massage was all 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 production as a TCM doctor.

It's really a bit... emotional!

However, Chen Nan is also a little confident about midwifery with Chinese medicine massage.

The world's first case of manual midwifery came from China.

During the Song Dynasty, there was a famous doctor named Pang Anshi, who once 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 is beyond your imagination.

They even came up with a set of "combination of internal and external manipulations" for the treatment of fetal malposition and dystocia.

However, these plans, in the late Qing Dynasty, did not escape the tide of history, and gradually disappeared in the long river of history.

actually……

It is people's wrong thinking.

Chinese massage has a history of two or three thousand years.

In ancient times, the human body structure was not as well understood as it is today. Therefore, the internal and external manipulations of future generations to treat abnormal fetal position are to be improved compared to the original.

Speaking of Pang Anshi, there are also some small allusions in history, called Pang Anshi's saying that one needle saved pregnant women in dystocia.

It is said that Pang Anshi went to Tongcheng County, Shuzhou, and encountered a pregnant woman who was in labor. For seven days in a row, the child could not be born. All methods were exhausted, and it was ineffective. The family was very worried (I was thinking, seven days Don't come down...are you still alive?)

Pang Anshi's student Li Baiquan happened to be the neighbor of the family, so he asked Pang Anshi to take a look.

Pang Anshi went to take a look and said, "I can't die, I can't die." He asked the pregnant woman's family to call hot water to warm the waist and abdomen of the pregnant woman, and he himself massaged the pregnant woman up and down.

He then took out the needle and stabbed the pregnant woman in the abdomen.

After a while, the pregnant woman felt a dull pain in her stomach, and while moaning, she gave birth to the child, a boy.

Pang Anshi told them: "Actually, the fetus had already left the womb, but he accidentally grabbed the mother's intestines with one hand and never let go. It was useless whether it was drawing talismans or taking medicine. I touched the fetus' hand through the mother's belly. , used a silver needle to pierce his tiger's mouth, and when he was in pain, he let go and retracted, so he gave birth very quickly. I didn't use any magic tricks."

The family carried the baby over and found that there were needle stick marks on the tiger's mouth on the child's right hand.

First of all, let's not talk about how many layers of tissue are separated between the uterus and the intestine, and whether the child has a dragon grip.

After Chen Nan read it, he was still dubious. Many historical medical stories were somewhat exaggerated.

However, it is undeniable that TCM massage techniques and prescriptions are still quite successful in the field of obstetrics and gynecology.

but……

The neonatal mortality rate in ancient times was still relatively high. On the one hand, the technology was immature, and there were many and various external reasons. For example, the hygiene level was not up to standard, and infection was a great risk.

Today, the infant mortality rate is only about 6 in 1,000. It has to be said that medicine is progressing.

But things have to be viewed from two perspectives. Under the medical conditions at that time, some of the treatment techniques and experiences summed up did have their indelible contributions.

These include: Tui Na massage technique for midwifery, as well as fetal transfer.

Strange to say, oral Chinese medicine can even reverse the fetal position.

Sometimes Chinese medicine does have its own uniqueness.

...

It didn't take long for Chen Nan to come to the obstetrics department in a hurry.

The obstetrician Liang Hui saw Chen Nan for the first time, and to be honest... I was still a little uneasy.

She has some doubts about the director's decision!

Are you sure that inviting a Chinese medicine practitioner can help the mother give birth smoothly?

This is obviously beyond Liang Hui's cognition.

"Doctor Chen, the director is in the ward."

Seeing Liang Hui's badge, Chen Nan nodded: "Well, please trouble Dr. Liang."

The badge reads: "Obstetrics and Gynecology: Liang Hui, attending physician."

After arriving in the ward, Wang Zhenlan was instructing the patient to do some postures to adjust the fetal position.

For example, actions such as knee-chest recumbency can theoretically be used to change the center of gravity of the baby, so that the arc formed by the fetal head and the fetal back slides along the arcuate surface of the uterus to complete the breech position to the head position.

However, the mother at this time was very uncomfortable, lying on the bed, because the pain caused by irregular uterine contractions was still aggravating.

Having a baby is hard work and painful.

Because having a baby is not a pain in the ass.

But from the beginning of the first stage of labor, there will be irregular pain, weak uterine contractions, a long intermittent period, about 5 to 6 minutes, and a short duration of about 30 seconds.

As the labor progresses, the interval becomes 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 opened, the interval between contractions is only 1 minute or slightly longer, and the duration can last for more than 1 minute.

It may take around 10-12 hours for primiparas.

This is very painful for most people.

Of course...not to mention those who are gifted and those who use caesarean section plug-ins.

"Director Wang."

Wang Zhenlan turned around, saw Chen Nan coming, and said to Chen Nan:

"Well, Director Chen, here we come!"

"I'll tell you about the patient's condition."

"Patient, female, 35 years old, primipara."

"The patient came very hastily. After he came, many examinations were not perfected, so that now he is about to give birth, but the examination appears to be horizontal."

"The main situation now is that the fetal position is not correct, and the occipital transverse position is persistent. Now regular contractions have begun, but the fetal position is not correct. We must find a way."

"In the beginning, my plan was to have a C-section."

"However, if the patient has a cesarean section, he needs to undergo spinal anesthesia, which is half anesthesia, but... the other's family members said that the patient has coagulation dysfunction!"

"The anesthesiologist said that this is a contraindication to half anesthesia, and suggested that we use general anesthesia!"

"With general anesthesia... the difficulty of the operation will increase, and the coagulation function is impaired. We can't guarantee whether there will be heavy bleeding during the operation."

"Now, the result of our discussion is to first try to see if the fetal position can be restored, and if so, proceed with vaginal delivery!"

"However, if the difficulty is too high, we can only perform a caesarean section under general anesthesia."

"So, I'll ask you to come down and see if there is a good way to transfer the fetal position."

After Chen Nan heard this, he finally breathed a sigh of relief.

I thought I was going to the operating table.

Now...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 are opened!"

Six fingers? !

This is the end of the first stage of labor.

When the cervix is ​​dilated by 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 went to the mother.

The other party's body is thin and weak. At this time, he is sweating profusely and his face is haggard. It can be seen that this process is very hard and uncomfortable.

The woman closed her eyes tightly, sweat wet her hair, sticking to her face, full of embarrassment.

But even so, she still struggled to do some of the actions that Wang Zhenlan taught her.

It is said that women are inherently weak, but in fact... being a mother is strong!

Obviously, Wang Zhenlan had already explained these things to her.

If the fetal head can not come over, the difficulty of the next induction of labor will be very high!

Moreover, especially when the birth canal is not fully dilated, the production capacity is poor, the fetal head is not flexed, or the fetal buttock is raised, the delivery is difficult, which is harmful to the mother and child, and the fetal mortality rate is higher than that of the occipital anterior position. 3-8 times.

This is not alarmist, this is real data.

Chen Nan said to Wang Zhenlan, "Is there a B-ultrasound list? Show me."

Wang Zhenlan nodded and waved at Liang Hui.

Liang Hui took the patient's medical records.

Looking at the position of the fetus in the ultrasound, Chen Nan's expression became solemn.

Pillow horizontal position is actually not terrible!

It means that in the process of childbirth, the fetal head is placed into the pelvis in the transverse position of the occiput. Under the action of the production force, the occipital of the fetus can naturally rotate forward into the occipital anterior position during the descending process, with the smallest position. The meridian is passed through the birth canal to give birth naturally.

However, if the occiput of the fetus continues to fail to turn to the anterior occipital position, causing labor difficulties, it is called persistent transverse occipital position.

Persistent occipital transverse position can easily lead to obstruction of fetal head descent during labor.

At this time, due to the continuous strengthening of uterine contractions, you will cause a decrease in the fetal heart rate, turbid amniotic fluid, and intrauterine hypoxia.

Moreover, at that time, the soft birth canal was in a compressed state, the birth canal was edema, and the birth canal laceration and cervical laceration were prone to occur. During the delivery process, the fetus inhaled meconium-like amniotic fluid, resulting in neonatal asphyxia at birth, and even a series of rescues were required.

Therefore, it is necessary to correct the position of the fetus as soon as possible!

Right now!

Liang Hui stared at Chen Nan's expression, trying to show panic.

After all, Liang Hui, even his team of midwives, had a hard time solving this kind of persistent occipital position.

The fetal position has begun to decline, and it is too difficult to solve the persistent occipital transverse position!

Can it be done through TCM massage?

Liang Hui didn't quite believe it!

After all, if TCM could really solve this problem, would ancient neonatal mortality be so high?

Not only Liang Hui, but even those midwives and nurses looked at Chen Nan with suspicion.

pity!

Liang Hui didn't see the panic on Chen Nan's face for a long time, but only saw Chen Nan's thoughtful expression.

Because Chen Nan had already started to review his massage techniques in his mind at this time.

But he heard a voice ringing in his ears.

【Ding! Trigger the mission! 】

[Task description: Traditional Chinese medicine massage technique for fetal malposition has been questioned by everyone. 】

[Task requirements: Successfully resolve the persistent occipital transverse position of the fetus and give birth smoothly, you can obtain advanced rewards. 】

Chen Nan glanced at the system.

Premium rewards?

Ha ha……

It seems that everyone has too many misunderstandings about TCM repositioning.

Don't you know?

Even the midwifery techniques currently used in delivery have evolved on the basis of traditional Chinese medicine delivery techniques?

Is it inappropriate to question your ancestors?

Chen Nan shook his head and did not speak.

Either way!

Let me show you the real "Art of the Elders".

Tuina massage, how can it be so casual?

After Chen Nan watched it for a few minutes, he already had a plan in his heart.

Treatment options also came to mind.

Ready to start!

Seeing that Chen Nan was silent for a long time, Wang Zhenlan sighed inwardly.

Are you being too naive?

Do you really believe that TCM can solve this problem?

Wang Zhenlan smiled bitterly in her heart.

However, calling down to ask Chen Nan's opinion, Wang Zhenlan still has to do it.

As a doctor, no matter how many jobs you have, or how many honors you have, the first thing to consider is the interests of the patients themselves.

If there is a better, safer, safer, and cheaper way, why go all out for general anesthesia surgery?

"Director Chen, do you have a good solution?"

Wang Zhenlan looked at Chen Nan and asked.

And Liang Hui was a little more unhappy in her heart.

It's not that she hates Chen Nan, but she really doesn't want to waste too much time here. After all, it's already late in the first stage of labor. If you don't make a decision now, it may really be too late!

Chen Nan spoke at this time. He looked at Wang Zhenlan and nodded: "You can try!"

Wang Zhenlan's eyes suddenly lit up: "Really?"

Chen Nan smiled: "Well, but it needs the cooperation of B-ultrasound."

"It might be a little safer that way."

Healing is not for coercion.

Although Chen Nan is sure that he can touch some things, but to be on the safe side, there is no need for B-ultrasound, isn't he a fool?

Pretend, but not at this time.

The health of the mother and the fetus is the most important.

As for what Liang Hui thought, Chen Nan ignored it because it was meaningless.

When the facts are in front of you, any doubts and sophistry are powerless.

Wang Zhenlan hurried to arrange a bedside color Doppler ultrasound.

"By the way, can fetal heart monitoring be done?"

Wang Zhenlan smiled: "Yes!"

"We have basically everything you want."

Chen Nan:  …

To say that there are many instruments, you have to see gynecology.

Everything is complete, the team is professional, and Chen Nan is envious.

"Go and empty your bladder."

Check out the points.

Wang Zhenlan greeted the mother to lie on the bed.

Chen Nan walked over, carefully raised the mother's buttocks with something, then bent her legs and slightly abducted them.

Then, begin to feel the position of the fetus in the womb and the position of the head in the occipital-transverse position with both hands.

"Give me the stethoscope!"

Wang Zhenlan heard the sound, stethoscope?

babble?

Our department doesn't seem to have such low-level equipment.

How can you ask for a stethoscope? Fetal favorites have it!

Wang Zhenlan smiled awkwardly: "Wait a moment, Liang Hui will fetch it for Director Chen."

After finishing speaking, he smiled apologetically: "The stethoscope in our department is rarely used now. Since the fetal heart rate monitor and other equipment have been developed, the stethoscope is not used much."

Chen Nan:  …

He didn't even know what to say.

It didn't take long for the stethoscope to be taken. Chen Nan listened to his stomach for a while, then smeared a layer of talcum powder on his hands, and then started his own operation.

The first is acupressure stimulation!

At this moment, it is obviously unrealistic to want the mother to relax. With the intensification of uterine contractions and the anxiety and tension in the mother's heart, it is necessary to let the other party relax.

The selection of acupoints is mainly Hegu, Kunlun, Ashi and Guanyuan above the Ren meridian.

The purpose of acupoint massage is to stimulate the acupuncture effect produced by manual manipulation, to provide some appropriate pain relief, and to improve the local blood flow.

Moreover, Guanyuan acupoint can relieve pain caused by uterine contractions.

Zhongji acupoint can invigorate the kidney and rejuvenate the yang, relieve pain and clear the meridian.

Then there are Ciliao, Hegu and Sanyinjiao, which work together to regulate yin and yang. The combined use of several acupoints can even stimulate blood circulation and have the effect of invigorating Qi and Antai.

After the acupoint massage, Chen Nan still did not start.

Instead, both hands continued to use the Zhongji acupoint as the main acupoint in the abdomen, and the palms were attached to the mother's belly. Massage gently clockwise, feeling the uterine contractions from time to time in the stomach. Chen Nan's techniques were sometimes light and gentle, and sometimes Dull like a urn.

During the whole process, Chen Nan did not dare to be careless!

He had to let the mother feel that these hands were just a part of his belly, and he had to make the massage feel fit to the other's contractions.

Time passes by every minute!

Wang Zhenlan on the side looked very curious.

Compared with only Liang Hui, she was in a hurry.

He doesn't have Wang Zhenlan's ability and temperament.

And finally!

Chen Nan saw that the mother was snoring at this moment.

He breathed a sigh of relief.

Relax!

When Wang Zhenlan and the others saw this, they quickly came over with wide-eyed eyes.

Chen Nan booed to keep everyone from moving forward.

Fell asleep?

actually fell asleep!

You know, since seeing the red yesterday, until now, the mother has lost sight of it.

The tired body and nervousness brought her to a critical point.

Proper rest is a good thing for the next production!

Primitive women have a long labor process and need to cooperate with force. The time of this force is not one minute or two minutes, or even one or two hours.

so!

Suddenly falling asleep at this time is really a good thing for Wang Zhenlan.

Women themselves are a little thin and have poor physique. If they can't tolerate it, it's not a good thing.

It was the first time that Wang Zhenlan saw Chen Nan performing massage. To be honest, she didn't feel anything at first.

I just feel that Chen Nan is like a massage.

but!

Seeing the mother fall asleep, Wang Zhenlan put away the randomness just now, and her face became solemn.

And Liang Hui and others also had some midwives, who also looked at Chen Nan curiously.

What is he going to do next?

Next, of course, it is necessary to perform manual transfer of the fetal position.

Chen Nan raised his hands, walked to the side of the mother, and pressed down lightly with one hand, palm facing up, four fingers on the back of the fetal head, and thumbs on the front of the fetal head. Hold the fetal head at this moment.

Chen Nan breathed steadily, making the strength of his fingers smooth and gentle. At this moment, he could not use Hua Jin, let alone Cun Jin.

You can only use Shunjiner and Roujin carefully to gently push the baby's fetal head upwards!

Um? !

Push up?

That's right!

At this time, the position of the occipital transverse position is low, and it must be raised by hand, return to the maximum plane of the pelvis, and then rotate.

At this moment, Chen Nan didn't dare to let his air out.

The palm of the hand and the fetal head are separated from the belly and the uterus, and the strength is easy to slip off, and if the strength is too strong, it is easy to hurt the already soft head. At this time, the anterior and posterior fontanelles of the fetus are open, and Chen Nan dare not hurt it.

However, with little strength, this effect cannot be achieved at all.

At this moment, Chen Nan's left hand directly pushed the child's buttocks.

"Bang bang bang..."

With his hands, he could clearly feel the uterine contractions coming in waves.

Every contraction is a backlog.

Want to make the child sink!

And Chen Nan must resist this kind of force.

One minute!

two minutes!

Chen Nan's hand moved up one centimeter by one centimeter.

Even Chen Nan, who had three times the strength of a normal person, felt a sour feeling in his fingers at this moment.

tired!

Because he didn't dare to use force.

Also be careful to maintain the position of the fetus.

finally!

When Chen Nan felt the largest plane of the pelvic cavity, he pushed it slightly...

Then start to rotate counterclockwise.

This step is extremely critical!

Because he wants to keep the uterine contractions in line with the parturient, let the head lean forward while steadily landing on the parturient's sacrum.

Accompanied by contractions.

Chen Nan also began to guide the fetal head to descend and enter the basin.

He does not need to personally help 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 little bit of sweat hung on his forehead, just like the glass with drops of water hanging on the window in the morning.

Chen Nan said with a smile: "Okay!"

Wang Zhenlan was stunned for a moment: "Okay?!"

And Liang Hui looked at Chen Nan's actions just now, and she was a little distracted. When she heard Chen Nan's words, her instinctive first reaction was: Impossible!

Chen Nan lowered his voice: "Come by the bed and have an ultrasound."

Doctor B ultrasound nodded and came over.

After some examination, looking at the picture, the doctor of color Doppler said in surprise: "The fetal position is correct!"

"Director, look? Look!"

Wang Zhenlan patted the other person's shoulder angrily, and said in a low voice with a dark face:

"Be quiet!"

"Let her sleep more."

"Wake up later and let her eat something and drink a bottle of Red Bull!"

"Replenish your stamina!"

"I read?"

While speaking, Wang Zhenlan and Liang Hui leaned over and looked at it with wide eyes.

Under the B-ultrasound, the fetus is already in a diving posture, ready to meet the world!

Seeing this scene, several people couldn't help but feel happy.

You'll want to ask your obstetrician and midwife what's your favorite position.

They must be happy to say: head!

At this moment, everyone saw the shape of the fetus and immediately smiled.

Chen Nan also came over.

He looked at the child in his womb, like a new life.

At this time, the obstetrician suddenly found the same as in the New World, and laughed: "Look!"

"hurry up!"

"I took a screenshot."

"Look at the child's hand."

"Mom, thumbs up."

"Ha ha ha ha……"

"Absolutely!"

Wang Zhenlan also leaned over like a child: "Quick, let me see!"

The ultrasound doctor has taken a screenshot.

On the B-ultrasound, the head of the fetus was facing down, and then the hand actually gave a thumbs up to the probe just now.

Immediately, everyone was amused.

"This kid, hahaha... Didn't you drink Meng Po soup in your last life?"

"Haha... it's so fun!"

"Indeed, give birth later and see what he looks like!"

"Look, Mavericks, hahahaha... little boy!"

Chen Nan is ashamed!

But I have to say that this kind of happiness is not experienced by ordinary people.

Wang Zhenlan said with a smile, "Dr. Chen, he's trying to show you a lot!"

Chen Nan smiled and gave a thumbs up.

While speaking, Chen Nan put his hand on the mother's belly.

Nodding lightly and pressing down: "Young man, come on!"

After speaking, Chen Nan just raised his hand when he felt his belly bulge.

This scene attracted everyone around me!

Doctor Color Doppler said excitedly: "Haha... Doctor Chen, he can hear you!"

Wang Zhenlan also couldn't help laughing: "Haha, it's fun! This little baby."

Liang Hui also joined in.

but!

No matter how much they pressed their belly, the fetus didn't respond.

Only Chen Nan, whenever he put his hand on it, the fetus would respond by kicking his belly.

Maybe, life is like this, full of unexpected surprises and some unpredictable happiness.

Wang Zhenlan said with a smile, "This little guy is quite funny!"

After finishing speaking, Wang Zhenlan said to the nurse beside her, "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!"

"Long experience!"

Wang Zhenlan took a deep breath and her face became more serious: "I always thought that the role of traditional Chinese medicine in gynecology is mainly used to regulate menstruation and protect fetuses."

"Although I heard my uncle talk about the internal and external transfer technique before, but... I have never seen it before, and I remain suspicious!"

"Today is an eye opener!"

"Director Chen, you are far more powerful than you think!"

"The leaders of our hospital are still talented. Being able to discover you and appoint them boldly shows that your strength is really enough!"

Chen Nan was a little embarrassed to be praised so seriously by Wang Zhenlan.

"Director Wang has been awarded."

"This is a technique handed down from our ancestors."

"I'm just an academic heir."

"It's not that exaggerated."

Wang Zhenlan said seriously: "You can prevaricate others, but not me!"

"Think about it, so many people, why did they pass it on to you?"

"After all, it's a question of ability!"

"When I was a child, my grandfather told me that Chinese medicine pays attention to understanding, and this has nothing to do with hard work!"

"You work hard and you can become a good doctor."

"However, you have talent, but you can become a national doctor!"

"Director Chen, you are worthy of this Director!"

"In a while, I will ask the head nurse to settle the consultation fee with your department."

Chen Nan nodded: "Well, okay, that's all right, 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 little nurses in our department are not pretty!"

While speaking, Wang Zhenlan rolled her eyes at Chen Nan: "I still have something to tell you!"

Wang Zhenlan's words made several nurses around couldn't help laughing.

Chen Nan smiled awkwardly.

Liang Hui, who was on the side, looked at Chen Nan seriously and said nothing.

to be frank!

The effect just now was something she had never imagined.

Is TCM so powerful?

Somewhat amazing.

Through manipulation, those difficult fetal position can be assisted to normal, which is not something ordinary people can do.

The advantages of childbirth are self-evident.

For mothers, postpartum recovery is fast and breast milk production is relatively sufficient.

For the fetus, the function of the lungs and other organs is exercised through the compression of the birth canal.

In addition, it is not easy to induce and cause a series of diseases such as infection.

So, under normal circumstances, it is definitely the best to be able to give birth naturally.

Research now shows that babies born through the birth canal may be more competitive.

However, some mothers and fetuses have abnormal fetal position, or for various reasons, have to choose cesarean section.

Chen Nan's craftsmanship and technology are definitely valuable.

This time, Liang Hui also opened her eyes, and the midwives were also full of excitement.

If they have learned these techniques, will they not be rushing for it in the future?

Midwives are very popular now, and those big hospitals are rushing for them!

Wang Zhenlan looked at Chen Nan seriously: "I have something serious to tell you!"

"Can ordinary people learn your technique?"

After Chen Nan pondered for a moment: "It's not difficult!"

"However, difficult postures may not work."

Wang Zhenlan's eyes widened: "That is to say, there are no problems with ordinary pillows or other positions?"

Chen Nan nodded: "Well, it's not a big problem."

Wang Zhenlan 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 turns red, we do not accept many mothers because the beds are limited!"

"You have a lot of beds in your TCM department!"

"Or...do you think this is feasible?"

"For some women who are in labor, if the fetal position is not correct, you can train a few nurses or doctors to help them correct it."

"Your department has extra beds, but I heard that your current treatment team in the Department of Traditional Chinese Medicine is planning to arrange a ward."

"If these women who are in labor come, and the fetal position is not correct, they will be sent to your department to assist in correcting the fetal position, and then come down to give birth. In this way, the patient will be at ease, and it will save money compared to caesarean section! And... now Families all want their children to be born naturally.”

"Do you think it's feasible?"

Chen Nan heard the sound, but did not speak!

He just felt that happiness came so suddenly.

Originally, Chen Nan had a plan to cooperate with the obstetrics department, but he didn't have a good direction. Now Wang Zhenlan actually proposed it.

This must be good news!

Chen Nan nodded: "Yes."

Wang Zhenlan narrowed her eyes and asked in a low voice, "I heard... you're good at urging Ru?"

Chen Nan nodded.

Wang Zhenlan clapped her hands: "Okay!"

"It's good to urge Ru!"

"Those mothers who have caesarean sections, many have no milk after giving birth!"

"I think it's good to work together!"

"In the future, for mothers who have undergone caesarean section in our department, I will directly recommend them to go to your place to recuperate, how good?"

"Win-win!"

Chen Nan smiled: "Then I am very grateful to Director Wang."

Wang Zhenlan smiled: "Oh!"

She rubbed her hands: "I have found a good helper now."

"Let's do it well. At the end of the year, I'll see if I can choose a key specialty, haha..."

Chen Nan:  …

What about a win-win situation? !

Oh, woman.

No matter how old you are, you are a liar.

...

...

After Chen Nan came back, he was still a little happy.

After all, there is still a sense of achievement in midwifery.

Immediate results!

Moreover, the happiness and satisfaction of seeing new life come is unparalleled.

Chen Nan couldn't help but want to laugh when he thought of the little feet protruding from the woman's belly.

Shouldn't it be time for me to think about... have a child?

After all... Although Yang Hongnian is my eldest son, but... it is better to be his own!

Unfortunately, there is no object yet.

Why!

Here, the little nurses came over with a smile when they saw Chen Nan coming back.

"Doctor Chen, will you still induce labor?"

"What is induced labor, that's called midwifery!"

"What's the point of delivering a baby, it's called a midwife!"

"not educated……"

"In the future, when we have children, it can be regarded as someone helping!"

"Yup!"

"Doctor Chen, help me have a son!"

"Death, Xiao Shouhuo, you haven't got a partner yet. What kind of child will you have, what should you do if you destroy our Chen Nan?!"

"That's right, our department is such a pure boy, you can't bring it down!"

Chen Nan was also embarrassed and overwhelmed listening to the nurses chatting.

In the afternoon, the Department of Traditional Chinese Medicine was obviously full of various chats.

At this time, He Duankang felt offended!

"Ahhh, I have an opinion!"

"What is called the Department of Traditional Chinese Medicine? It's just such a pure little boy, am I not counted?"

Zeng Yuan laughed: "No, you can't count!"

"Your three forehead lines have betrayed you, you can only be called a greasy man before getting old!"

Ke Hua nodded: "Goji berry water can't stop your mouth!"

"Kidney deficiency is amazing!"

He Duankang: ? ? ?

And this time!

Hearing Ke Hua's words, Liu Quan, Zhou Qinzheng, Zhao Jianyong and others silently put the teacup inside.

I thought to myself: Fortunately, I am not a transparent thermos cup!

There is no privacy at all.

How can I tell you about kidney deficiency?

The ugliness can't be made public!

...

...

back to your place.

Chen Nan has been planning the development of the TCM treatment group in his mind.

Now it seems to have a prototype.

"Pediatric massage group, Rui Ru Pai Ru group, and abnormal fetal position in labor group."

"Children's massage and Rui Ru Pai Ru do not need to occupy a hospital bed, just two treatment rooms."

"If the fetal position is not correct, it can be solved by placing eight beds in the collective ward."

After all, Chen Nan didn't want to crook his skills a little bit.

How could he do this with his dignified "art of the elders"?

Massage rehabilitation and massage rehabilitation are beneficial to those who have strokes and orthopedics.

Therefore, Chen Nan plans to re-use the remaining bed ends for this purpose.

In this way, the massage treatment group was considered to be complete.

However, this will require more manpower.

Both the number of doctors and nurses need to be increased.

There are obviously not enough staff in the department.

or……

A wave of recruiting?

It's graduation season now.

Jin Province itself has two medical universities and several specialized colleges.

Chen Nan plans to recruit some male nurses. They are very strong and do massage. They can't do it if they don't have the strength.

Thinking of this, he began to make a list of recruits.

At this moment, the prompt sounded.

【Ding! Congratulations, you have successfully completed the treatment of abnormal fetal position with manual techniques, making Liang Hui and others realize the breadth and depth of traditional Chinese medicine, and get a reward: a stealing teacher card! 】

[Stealing Master Card: After use, randomly steal the opponent and copy a skill, upgrade it to a high level, and disappear after use. 】

After Chen Nan read it, he was stunned.

Stealing the Master Card? !

This is good stuff.

But... is this randomness a bit too hasty?

Chen Nan was speechless, this reward, no wonder it is a high-level...

It was obviously only an intermediate task, but it was given a high-level reward. It turned out to be so sloppy.

However, it is a good thing to be able to upgrade to the advanced level!

See if there is a chance in the future.

At this time, Yang Hongnian walked into the doctor's office, glanced at everyone, and smiled:

"It's all there!"

Well, they are definitely there, and those who aren't there won't make a sound.

Besides...you're looking for Chen Nan, why are you so perfunctory?

Sure enough, after speaking, Yang Hongnian walked over to Chen Nan, patted him on the shoulder, and said with a smile: "Tomorrow afternoon, let's go to a meeting together?"

"It's the one I told you, the Liu Wansu Academic Thought Exchange Conference."

Chen Nan shook his head: "Director... I'm very busy!"

Yang Hongnian said earnestly: "As director, you have to learn the rights below, and leave things to capable people to do!"

Chen Nan chuckled: "I feel that I have only obligations and no rights!"

"Besides... how many people are there under me?"

Yang Hongnian was at a loss for words.

"Isn't this graduation season?"

"How many people are you going to recruit!"

"oops?"

"Yeah, that's great!"

"In two days, Jin Province University of Traditional Chinese Medicine has a job fair and invited us. You just happened to be there to see if there are any suitable candidates."

"Just to complete your treatment group."

"Look at what the treatment team needs now, let's put it together 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 sweet pastry.

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 of the 28th Classics."

"It's good for you to go and listen more!"

"Invited a master of Chinese medicine, and several national famous doctors from other provinces!"

Chen Nan's eyes widened: "Master of Chinese medicine? Who is it?"

Yang Hongnian chuckled: "Huang Yiping, Mr. Huang."

Chen Nan: "Everyone with fever, Mr. Huang!"

Yang Hongnian nodded: "Yes!"

"Go and see?"

Chen Nan nodded.

He fumbled for his advanced card in his hand.

good guy...

Must go!

and……

I also have a comprehension card.

Mr. Huang's prescription is very profound and profound, and Chen Nan just went to study hard.

See if you can take this opportunity to improve your formulary!

...

...

ps: The update is late, I went to eat hot pot last night, and I had diarrhea... Now the front is hot, the back is hot, and the stomach is hot, I have to get off the fire.

Sorry, sorry, I'll make it up another day.

Thanks to my eldest brother: 5,000 rewards for Yang Baa of Cancer after the twilight.

Thanks also to the book friend 20170517205505230 for the 1000 reward.

Thank you.