I Love You Dr. Chicanery

The Sectio Cesario (SC)

#Mahfudz_Lauhul

#season3's

Part 5's

I went to dr. The word that will be my anesthesiologist in the caesarian section I will do today. He was already wearing a green OK shirt that would be used for the action. In his hand was a piece of paper.

He breathed a long breath as he saw me.

"Looks like we've got a problem, doctor!" his sigh.

"Hmmm, what's the problem?" I scrunched my forehead.

Dr. The Word handed the paper to me.

"Patients who want to be SC, have a negative blood type O reshus.

I was shocked and checked the sheet.

"Keep how?" ask dr. Word me.

Yeah, God. How'this? Why am I always in a situation that puts me in such a difficult position.

"We'll meet the patient first" I said.

Dr. Word agrees. Soon we meet the patient in the obstetrics room.

"Assalamualaikum, Mommy!" my broom. The patient and her husband answered my greetings.

"Waalaikumsalam, doctor."

"So gini, Mom. I'm the doctor who will handle Mom's SC actions. But there are some basic questions I would like to ask Mom and Dad regarding pregnancy and Mom's condition, before we start the SC action today. Can I sit here?"

"Ah, yes, Doc, please!" her husband told me to sit on a plastic bench next to the bed.

"So gini, the results of his blood test Mother just came out earlier, I have checked it and the results were quite surprising to me. My mother has a very rare blood type. The negative rhesus. Did you know that you have a rare blood type?" my many.

The patient's mother nodded.

"But I told the IGD doctor that my mother's blood type was O. Why can't you tell if your blood type is negative or positive?"

The mother looked down and felt guilty.

"What's the danger, Doc, if rare blood types want to give birth? Frankly, I haven't checked my blood type yet, Doc. Never been ...."

"Why can you tell the medics that you have blood type O?" just pissed.

The mother smiled shyly, grinned, making me even more upset.

"Sorry, Doc! From the beginning of my school days and my friends have asked each other their blood types. Just because we are from the group of people are not able to, checking blood type is not an important thing to do. So when I was asked what blood type I answered. I answered O because blood type O is cooler. Because blood type O is said to be the blood type that can be given to any blood type. So it was unknowingly carried over until I was an adult. Someone asked me what my blood type was. I was spontaneous, my blood type O. I'm sorry, Doctor!" said explain.

I sighed heavily hearing the mother's interpreter.

"Mom, that was in the past blood type O can be donated to people with any blood type. Now it's not recommended anymore. If there is no urgent and emergency or the stock is empty." I said. "So you during pregnancy, have never had a blood test before? Your doctor or midwife who handles during pregnancy never recommends blood tests?"

The patient just shook his head again. "I only checked in the village midwife, Doctor Ma'am. But they didn't tell me to get a blood test."

"It's Mom's first child, but are you sure you've never been pregnant and miscarried before?"my many.

"Never, Doctor."

I scrunched my forehead in wonder and whispered to dr. The Word.

"It's kind of weird. Why doesn't this mother's body form antibodies, against her fetal blood cells? This mother couldn't have gotten a rhogam injection, right?"

Dr. Word shrugged his shoulders. "Yes, it's probably because her husband's blood is rhesus negative as well."

"Where is it possible?" I said. "Rhesus negative blood type is rare. In Indonesia not even 1% of people who have a negative rhesus blood type. Knowing this mother has a negative rhesus blood type alone has shocked me. This is the first time I've had a patient with a negative rhesus blood type" I said.

"Then, just try her husband's blood type test." challenge dr. The Word.

I turned to her patient husband.

"Sir, do you know your blood type?" my many.

The patient's husband nodded. I should have expected it.

"Then, you don't mind a blood test as well? We need to know the type of blood type of the father, to know the blood type of the father's fetus. Don't worry it won't be long" I said.

He nodded and followed dr. Word to the lab for blood type tests. I need to know the situation and complications that may occur during the action later.

Pregnant women who do not have Rh (rhesus negative) type antigens on their blood with a partner who has Rh (rhesus positive) antigen are likely to decrease Rh antigen in their fetus.

In the event of maternal and fetal rhesus incompatibility, the mother's body may develop antibodies to the blood type that the fetus has. Antibodies are formed when a small amount of maternal blood can be mixed with fetal blood. The mother's body can form an immune reaction to her own fetus. It is possible that the mother's antibodies will cross the placenta and ward off the baby's blood, causing the fetus to have hemolytic anemia which will be fatal if not treated immediately. This medical condition is also called rhesus disease.

If a mother has a negative rhesus blood group, then there is a possibility that the doctor will give an injection of Rh immunoglobulin (RhIg) or commonly also called Rhogam before 28 weeks of pregnancy and after delivery. Giving RhIg injections may not help much if your body has formed antibodies from a previous pregnancy. I'm so sorry for the mother who doesn't know her own blood type

Spent a while finally dr. Word returned with her husband.

He smiled proudly. Happy because his guess is right.

"Father has a negative A rhesus blood type" he told me. "If you have a negative rhesus blood type, you are also rhesus negative then the fetus also means having a negative rhesus blood type. Therefore, the mother's body does not form antibodies that fight her fetal red blood cells. That's why her baby's been fine so far. That means we can continue the operation comfortably today without worrying about possible complications. So don't worry too much."

I'm amazed to hear that. What a Great Creator is, Who created his creatures in pairs. Of the few people who have a rare blood type in Indonesia, they can be paired with fellow people who have a negative blood type resus as well. Even without them knowing before that they are both owners of rare blood types.

"Alright, Mother please be ready now. And you also come with me for a while, I need your signature to complete the hospital procedure" I said.

"You have to be careful, Ray" said Dr. Word reminds. "Although the possibility of complications of mixed maternal and fetal blood is no longer worrisome but if there is a mistake that causes bleeding, we will have difficulty finding a donor for the mother. Even though the same negative resus is still the mother's blood type with her husband is different."

I'm nodding. Yes, I have to be careful.

\*\*\*\*\*\*

My assistant today is dr. Sheryl. Like an operations assistant, she helped me during the gowning process or wearing an operating gown.

Dr. Sherly disinfected the site of the surgery.

Then he did drapping, enveloping the patient's body with a large duk and small duk so that the only open is the location of the incision.

After the draping process was completed, the Instrumentator gave me the chirurgi tweezers and the handle of the knife. Then I clamped the incision location with chirurgi tweezers to test if the anesthesia had reacted well.

After making sure everything was going well, then I began to do the incision to look white and hard layer, which is also called fascia (hard tissue that lines the abdominal muscles).

Until here I suddenly remembered the package delivery earlier. Remembering the mother cat's stomach that decomposed. Makes me feel a little nauseous. I paused for a moment, taking my breath.

"Doctors are okay?" asked Sherly who seemed to see the unpleasant gurgle from my attitude.

"Hmmm.... Yes, I'm fine" I replied.

Then by using scissors I also tear the fascia until the patient's abdominal muscles appear.

Then the abdominal muscles are opened by 4 hands, namely my hands and Sherly until they gap wide, until the peritoneal layer is seen, which is a thin protective tissue of the abdominal cavity.

The instrumentator puts scissors on my right hand and chirurgi tweezers on my left, while Sherly gets chirurgi tweezers. Sherly and I clamped the peritoneal layer with chirurgi, then lifted it, between the clasps and carefully cut the intestines or other contents in the stomach.

After gaping, the outer uterine wall was clearly visible, the Instrumentator gave Sherly the right blass, and Sherly also inserted and pulled towards the lower thigh of the patient, so that the cervix was clearly visible to me.

Then the Instrumentator gave me a knife, then I slashed the wall of the uterus (uterus) until the baby's head or hair was visible. After the baby's head is visible, I insert the arm in the hollow uterine wall earlier, to pull the baby's head to fit to be pushed and removed.

And actually somehow today suddenly I feel nauseous doing all this. This is my usual daily routine.

After the baby exits the uterus through the abdominal wall, the instrumentator gives 2 straight clamps and 1 pair of scissors to Sherly. And Sherly clamped the umbilical cord. Among the 2 clasps, in the middle was cut by Sherly, while I cleared the baby's airway with suction suction pump. And give the baby to the nurse.

The instrumentator gave the penster a clamp to me, and I clamped the incision's former uterus 3-4 locations with penster clamps.

Furthermore, the remains of the placenta left in the womb dredged by me with the left hand yan dialas using Qaas covered with betadin. But I don't know what happened, if I dredged too hard because I immediately wanted to end this operation, I don't know. Suddenly a lot of blood came out and piled up.

"Doctor!" pekik Sherly hysterical.

Mr. Instrument also looks panicked.

Dr. Word also looks busy checking the amount of anesthesia in the patient's body through a monitor.

I also panicked and saw the patient's vital signs on the monitor, but I had to try to control myself.

"The suction!" my orders are with Sherly.

"A-what?" Sherly was nervous and panicked.

"I said suction! Suction! Suction!" my snapping.

Dr. Sherly then sucks the pooled blood with a suction pump. I can see that this was not a serious problem after the blood pool was successfully sucked. The blood came from the wall where the placenta was attached.

"Dok, is there a problem?" ask the patient.

"All is well, ma'am" I said with relief.

After the rest of the placenta is cleared, the uterine, endometrial and myometrial muscles are reunited with the Chromich no thread stitches. 2. While the perimetrium is stitched with chromich no thread. 2/0.

After feeling safe, the uterine wall was no longer bleeding, the Instrumentator gave me a kocher of 4 pieces to clamp the peritoneum, and gave Sherly the right to blass her gaping stomach, then the Instrumentator gives Allys the tip is clipped Qaas (depper) to explore the abdominal cavity, and remove the remnants of blood in the abdominal cavity.

When it was clean from the remnants of blood, the Instrumentator gave the deper again that had been lashed betadin to me, and I also rubbed the deper betadin on the incision of the uterine wall.

And, the Instrumentator again delivers a Chromich no 2/0 thread that has been attached at the end of the Needle holder . Then I started sewing and putting together a thin layer of peritoneum while Sherly clamped the fascia with Kocher.

The instrumentator again gave the Needle holder at the end of which was pinned by Chromich no. 2 thread to me, and I also sewed the patient's abdominal muscles. After the abdominal muscles were fused, the Instrumentator gave me the no 1 Safil/Vicryl thread, to sew and fuse the fascia. After the fascia fused, I continued sewing the sub cutis (the fatty layer under the skin) with the same thread.

After the sub-cutis is fused by the seam, the Instrumentator again gives the last thread, named plain 3/0 to me to unite the skin, with the technique of subcuticular suture. Ordinary people say this stitch is like glued, because the stitch thread is not visible on the surface of the skin.

Meanwhile Sherly since the sewing process holds the scissors.

After the subcuticular suture process is complete, the wound is closed with a waterproof plaster. The patient is cleaned and cleaned. Today's Sectio Caesaria surgery is finally complete. It feels long to me.

I was gonna throw up and smell the blood and drugs in OK. I don't know what kind of strength made me finally survive. I'm not sure I can do it again next time, because even now I feel like throwing up again.

"Doctor!" call Sherly.

I'm shaking. I need to go to the toilet right now. I really want to puke.

In the sink outside the toilet I spit out my stomach contents again. I even vomited how many times. I'm really limp now. My stomach is completely empty now.

"You okay?"

Someone asked in a very worried tone while patting my back.

I looked at the person standing next to me. He also wears a surgical suit and a surge cup on his head

She smiled as soon as I saw her but still patted my back.

This handsome guy next to me is Ali. I hadn't had time to say anything to her when I suddenly saw Sherly staring at me through the mirror.

Oh, God is suddenly anxious about me. Don't let him think I'm related to Ali. Suddenly I felt like a man caught cheating.