The Surgeon’s Studio

Chapter 2911: 2860 If it doesn’t work, extubate

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"Except for shortness of breath, everything else is fine. I'm eating more, and I feel a little more energetic about activities." Xiao Shitou smiled.

Seeing him smiling brightly, Zheng Ren felt a little complicated.

"Dr. Zheng, if you have anything to say, just say it directly. I have talked with Xiao Shitou." Wen Xiaonuan said, "We are very happy recently. When we walk around the hospital every day when the sunshine is good at noon, we will talk about you and Doctor Su."

Wen Xiaonuan's words were a little awkward, but Zheng Ren understood them.

Doctors' concern for the disease is one form, while patients and their families' concern for the disease is another form.

If you want to say who wants health the most, it must be the patient himself. As for the bedside doctor and the patient's family, that depends on the specific situation.

"That's right, the overall condition has improved after Bota's treatment, but the complications are also more serious." Zheng Ren thought about it and said, "The lung transplant surgery mentioned last time is very likely to be tried."

Wen Xiaonuan held Xiao Shitou's hand, looked at Zheng Ren and said, "Is it very dangerous?"

"Because conventional immune preparations cannot be used for small stones, otherwise I am worried that the tumor will explode, so I have to use technology that is still under research." Zheng Ren said softly, "There are no successful cases whether it can be done... No one has done it, and there will be more in the future. No one knows what will happen.”

Wen Xiaonuan stopped talking. She suppressed her anxiety and looked back at Xiao Shitou.

"Brother, I found some information after you told me last time." Xiao Shitou said with a smile, it didn't sound like he was talking about himself at all, but like an intern discussing his condition with the teacher.

"What did you see?" Zheng Ren asked with a smile.

"There are all kinds of information, and the things on professional websites are too boring and boring to read. However, with the current technology, the survival rate of lung transplantation is 90% for more than 1 year, about 60% for more than 3 years, and 50% for more than 5 years. %. In fact, I think many of them are other complications caused by immune preparations. Overall, the surgery is not difficult."

“…”

Zheng Ren smiled.

Xiao Shitou really dares to say that lung transplantation is not difficult.

Although Zheng Ren also thinks so, organ transplant surgery is far less difficult than heart separation surgery for conjoined twins. But no matter how difficult it is to say that this technique is difficult, it just depends on what technique it is compared with.

"Let's do it. I feel that my chest tightness and shortness of breath are getting worse and worse recently." Xiao Shitou said firmly, "But you have to promise me one thing."

"what's up?"

"If the operation is successful, there will be nothing to say. If it fails, there will be nothing to say if you can't get off the operating table. If you can get off the operating table, but you can't wake up, you must use machines to maintain life, such as ventilators, ecmo, etc. Can you help me extubate it?"

"You think so much at such a young age, do you know how much it costs to use ecmo for a day?" Su Yun said disdainfully.

"Brother Yun, can you stand and talk without back pain?" Xiao Shitou said, "It's very uncomfortable to have the tube inserted. When I was in Bota, I got the tube and felt like I was floating in the boundless universe. There’s no beginning and no end.”

Zheng Ren listened quietly. He saw Wen Xiaonuan's hand clenching tighter and tighter, but Xiao Shitou gently patted the back of Wen Xiaonuan's hand like an adult, comforting his mother.

"It would be very uncomfortable if that were the case. I calculated that I have already lived for one month longer. If I am preparing for a lung transplant, or a lung transplant using 3D printed autologous clone cells in the experimental stage, I will have to prepare for at least half a month. "

"I earned this."

Zheng Ren saw Xiao Shitou speaking briskly and nodded slightly.

"Originally, what's the point of medical treatment?" Xiao Shitou glanced at Zheng Ren, then at Su Yun, and asked seriously.

"Meaning..." Zheng Ren thought of his trip to Jinhai City yesterday and felt slightly dazed.

"People are always going to die, and what doctors do is meaningless from a macro perspective." Xiao Shitou said sophistry with a smile.

Zheng Ren knew that Xiao Shitou was joking to make himself relaxed, but Su Yun was unhappy and started to argue with him.

Xiao Shitou shook his head and did not answer Su Yun's words, "Brother Yun, let's not quarrel. Whether I live or die has no meaning to the whole world, but it has infinite meaning to me. I enjoy being in this world very much. Every day I go to school, for example, I can talk to my mother, and I wait for you to come for ward rounds every day."

"I think, no matter what you do, you can't think too much." Xiao Shitou said, "As long as it doesn't let me enter the state of floating in the universe again, one more day of life will bring one more day of happiness. If I am in that kind of confinement state, I won't be able to do it." It’s necessary.”

"What it means to you is different from what it means to me. To my mother, I am everything. But if she knew that I was lying there and it was more uncomfortable to be alive than to be dead, she would probably agree."

As he said this, Xiao Shitou looked at Wen Xiaonuan and held her other hand in hers.

Wen Xiaonuan nodded. He had cried too much and his tears had dried up. Wen Xiaonuan accepted everything now.

There was nothing she could do if she didn't accept it. She didn't dare to look at Zheng Ren or face Zheng Ren's gray hair.

"Brother, do you agree?" Xiao Shitou looked at Zheng Ren and asked with a smile.

"Yes." Zheng Ren nodded, "If I judged that there was little hope, I would have extubated the tube."

"That's right, don't be so serious." Xiao Shitou smiled, "Have you ever failed in surgery?"

"Not yet."

"So, I have enough reasons to believe that you can succeed, don't you?" Xiao Shitou continued to say with a smile, "As long as you promise what I just said. For you, if I die, all I will be left with is nostalgia. . But for me, that means relief."

"Let's try it. Anyway, it's very difficult for me to breathe now, and my blood oxygen saturation is probably only about 90%."

"Okay." Zheng Ren and Xiao Shitou looked at each other. Seeing that he was serious about what he said, he had already figured it out.

Now it is myself who is confused.

What is the meaning of survival? It's like a little stone facing a dilemma and having to make a decision.

Zheng Ren suddenly smiled, thinking too much. This ultimate philosophical question is too difficult for me. Being the best surgeon seems to be much less difficult.

Moreover, he threw the problem to Xiao Shitou again. Subconsciously, he still defined his relationship with Xiao Shitou as a doctor and a patient.

"Then it's settled. I'll fly on the 7th to receive the award. When we get back, we'll wait for the 3D printed lungs to be delivered, and then we'll do the surgery." Zheng Ren said without any doubt, his words were calm and sincere, his eyes were clear, and he looked at Little stone eyes.

The little stone smiled, like brilliant wild flowers growing out of the cracks in the stone.