For a public hospital to align with the latest international medical standards, introducing various advanced medical equipment is necessary. The funds for this cannot be fully supplied by financial allocations, so loans from banks are the only option. The loan interests and repayments need to be deducted annually from the hospital’s profits.

Donations are preferred if anyone is willing to contribute.

No matter who is willing to donate such a significant amount to the hospital, the hospital leadership would surely strive hard to secure it.

Du Yeqing and Zhang Huayao dared to honestly reveal this inside story to Du Haiwei because they knew him well. Du Yeqing sincerely said, "Teacher Du, I believe you can understand us."

Guo Zhi and their Beidu Third Hospital don’t compete with each other, not considered rivals. As a doctor, Du Haiwei has a broad perspective, realizing that this benefits everyone—the patients, the colleagues, and the development of medical science nationwide.

The most crucial point is that divulging this information was sufficient to inspire confidence in Du Haiwei towards their Guo Zhi Hospital. Zhang Huayao’s ability to secure a twenty-million donation showed his competence in managing patient unpredictability.

Meanwhile, Zhang Huayao, perched on his toes and picking at his ear with his little finger, didn’t say a word.

The preliminary work was meticulously prepared by this big boss, and now it’s time for the surgical doctors to get to work.

"Teacher Du, the surgery is arranged like this: a Cesarean section followed by heart surgery on the same day," Du Yeqing explained the detailed plan.

The rationale behind this surgical sequence involves the complexity of repairing the patient’s heart, requiring another mitral valve replacement, tricuspid valve reconstruction, and left atrial reconstruction, where a minimally invasive procedure is impossible, necessitating open-heart surgery. Open-heart surgery employs extracorporeal circulation, for which heparin anticoagulation is used, increasing the risk of fetal miscarriage or death, thus requiring the Cesarean section to be performed first.

Performing the Cesarean section first carries its own risks; after the delivery, the patient’s uterus contracts intensely, causing the cardiac output to surge, exacerbating the patient’s heart condition, potentially leading to cardiac arrest. Ultimately, the two surgeries have to be conducted in sequence, akin to a simultaneous operation.

Understanding the heart surgeon’s sincere concern, Du Haiwei nodded without objection.

The specific time for the surgery was scheduled. Du Yeqing stated, "The Cesarean section is scheduled for three o’clock in the afternoon the day after tomorrow. This timing is requested by the patient and the family."

It’s evident that the familial request for the surgery timing is based on superstition. Many mothers and their families are still dedicated to the superstition that the baby must be born on an auspicious date and time.

Doctors, when conditions allow, try to meet the family’s requests as a special service, better than facing potential complaints later if anything goes wrong post-operation, with the family blaming the timing.

Glancing down, Du Haiwei reviewed the patient’s medical records and inquired about the surgical details, "Have you discussed it with the anesthesiologist?"

"Certainly, the anesthesia for the Cesarean section will be combined with our cardiac surgery," said Du Yeqing, checking the time on his wristwatch to see if there’s enough, adding, "I’ll now arrange for our hospital’s anesthesiologists to come over for a face-to-face discussion with you, Teacher Du."

Patients like this one, with pulmonary hypertension symptoms, face another significant risk of hemodynamic instability during the Cesarean section.

Pregnancy is a special physiological phase for women, and during childbirth, mothers experience bleeding. The body, in a self-preserving effort during this special phase, enhances its coagulation function to a hypercoagulable state, safeguarding itself until returning to normal two to four weeks postpartum.

```