Early the next morning, Zheng Ren went through ward rounds and surgery as usual.
But today, he had more expectations.
There is no news from the country, King's Hospital, Mayo Clinic, or Massachusetts General Hospital.
Liver sources are hard to find, Zheng Ren knows this.
Whether the patient dies or lives depends most likely on fate.
Do what you can, and even if you want to do something else, you are completely incapable of doing the rest.
There is no fresh liver source available for purchase in the system mall.
Zheng Ren checked it many times last night and confirmed this.
It really doesn't work. There are no liver sources with the same blood type and matching type. You can just find one and give it a try. But try this, Zheng Ren's heart is also very sad.
Zheng Ren probably knows how many patients are waiting for donors in the country. Just because you want to give it a try doesn't deprive other people of their right to live.
Professor Rudolf Wagner took Lin Yuan to complete the TIPS surgery, and Zheng Ren and Su Yun went directly to the ICU.
This incident lingers in my mind and I can never let it go.
The most fearful thing is that while waiting for a liver source, the patient's condition deteriorates rapidly and cannot be maintained at all.
Arriving at the door of the ICU, Zheng Ren saw the mother of the patient who looked dull yesterday.
She was very emotional and seemed like a different person compared to yesterday.
Zheng Ren frowned and stopped far away.
Listening to her talk, the two of them soon understood why she was so emotional.
Liver transplantation, unlike heart and kidney, can be partially transplanted. The liver is divided into three lobes—the left lobe, the right lobe, and the caudal lobe.
For simple transplantation, people under 60kg can transplant the left lobe, which can ensure liver function. Moreover, after transplantation, the liver has the ability to regenerate and will undergo compensatory growth within a few years.
The reason why Zheng Ren did not choose the possibility of liver transplantation between mother and child was because the patient weighed at least 90kg. One left lobe of the liver simply cannot provide sufficient function, so at least one right lobe of the liver must be transplanted.
The patient's mother weighs about 70kg. If she donated the right lobe of the liver, she would most likely die of liver failure.
Killing one person and saving another does not exist in the doctor's mind.
In medical ethics, it is almost impossible to perform this kind of operation if the donor is placed in extremely dangerous situations in order to save a person.
Even if it could be done, no one would do it.
Seeing the patient's mother roaring hysterically, Zheng Ren sighed. The mood I had just wanted to see the patient suddenly disappeared.
Things have begun to deteriorate, and Zheng Ren is not sure whether the patient's mother will take drastic measures or even threaten the hospital with suicide.
It's not like this has never happened before.
Many years ago, something like this happened at the largest lung transplant base in the country - a female patient who was waiting for a lung source was placed behind the list because of a mild condition and time issues.
In order to obtain a lung source, she adopted an unexpected method - pregnancy.
If a lung source is not available, even later, the development of the fetus will be affected.
This is a kind of coercion, and the practitioner is very depressed.
But no matter how angry, angry, irritable, or smashing things, it can't change the fact that the female patient has a fetus in her belly.
In the end, surgery was arranged for her as soon as possible.
The skill of the surgeons is very high, and even the more difficult lung transplant for pregnant women was successfully completed.
But after the operation was successful, he was not happy at all. Instead, he became very angry and fell seriously ill. (Note 1)
When it comes to thinking about life, Zheng Ren almost doesn't want to touch it.
because,
It's too heavy.
No matter what you choose, it’s not the right choice, and no matter what you choose, it’s good.
In fact, some choices are good.
Right or wrong, true or false, who can tell clearly? If you meet a bully, you can argue for three days and three nights just by arguing.
In the eyes of dying patients, doctors who can save lives are gods. But doctors are just ordinary people with flesh and blood, who can really be a god.
Gods can be indifferent and treat all things as stupid dogs, but humans cannot.
"Boss, are you scared?" Su Yun patted Zheng Ren on the shoulder and sighed.
"No." Zheng Ren lowered his head and tried not to think about the drastic behavior the patient's mother would do after being refused surgery to remove her liver.
If she loses sight of it and commits suicide...
Zheng Ren felt a chill all over his body.
Even if there is no match, transplantation between mother and child may not be possible. If you can't, your death will be in vain. Even if the patient is transplanted reluctantly, the patient is unlikely to survive.
"Where is the patient's father?" Zheng Ren suddenly asked.
"It is said that since he was a child, his father divorced his mother and went to the south to do business. Now basically no one is seen alive, and no body is seen dead." Su Yundao said, "It would be great if it were a novel. At this time, his father would appear on the seven-color auspicious clouds. , followed by a group of Bentleys, Porsches, and Bugatti Veyrons.”
"Don't talk nonsense." Zheng Ren sighed. It seemed that there was one less road.
After standing there for ten minutes, it became quiet.
Lin Ge's white clothes were crooked and he walked out in a panic.
Seeing Zheng Ren, he quickly walked up and said, "Boss Zheng, Doctor Su, when did you two come?"
"I've been here for about ten minutes," Zheng Ren said. "How to deal with it?"
"I said to take blood first, check the blood type, and then check and match the blood type. If everything is suitable, then let's talk about it."
Zheng Ren noticed that Lin Ge's eyes were a little erratic and flickering. He probably thought that even if everything was suitable, it would be delayed for a day, and the test would not be able to show it anyway.
As long as you don't rush and follow the normal process, the results will come out so quickly.
However!
This is a huge ideological and psychological burden.
Saving the patient's mother would lead to the death of young Chen Li. Although there is no necessary connection, the patient's mother's excessive behavior put the moral burden on Ringer.
It seems that Linger also finds this matter difficult to handle.
"Director Lin, what are you going to do?"
"What should I do? I'm just a deputy director, so I can't make up my mind." Lin Ge smiled bitterly, "I have Director Ye, Vice President Yuan, and Director Yan above me. When the time comes, the superior leaders will definitely make the decision. "
If you skim the pot, that's called skill.
Zheng Ren smiled bitterly.
It's not easy, and no one wants a young life to disappear. But the matter is here, what else can be done!
Left, right, for, difficult.
"How is the patient?" Zheng Ren decided not to think about problems that he couldn't solve.
"The condition is bad." Ringer shook his head. "The patient's fever has worsened and his body temperature has reached 40 degrees Celsius."
"..." Zheng Ren sighed.
"Blood routine + C-reactive protein report: white blood cell count? 24.83x10^9/L, neutrophils 85%, C-reactive protein?