It was also the first time for Zheng Ren to experience it on the stage, during the operation, and in the classroom for consultation.
However, the patient's condition is not optimistic. It can even be said to be very complicated and hopeless. If there is no constructive opinion after the hospital-wide consultation, he will have no choice but to step down and wait for death.
Weighing the pros and cons between the two, we can only make this choice.
Even in 912, this kind of situation is rarely encountered. The directors looked serious, sitting in their seats, looking at Vice President Yuan sitting on the stage, each with their own thoughts.
The main dilemma lies in whether to do a kidney transplant or not.
If done, the patient on the stage would not be able to be saved, and it would also cause irreversible damage to the severely burned patient. How would you explain this to the patient's family
Dozens of copies of the patient's medical records have been printed, and each person has one copy. Because there was only the emergency rescue process, everyone watched it with three eyes and two eyes.
Both brothers were very seriously ill and could not save both kidneys. The other one had extensive burns all over his body, a tracheotomy, respiratory burns, and aspiration pneumonia. Whether he can be saved... there is a high probability that he cannot be saved.
It is estimated that this patient will die miserably after experiencing a certain period of painful suffering. Everyone here knows very well about severe burns.
But so what? When the injury reaches a certain level, the effect of medicine and stone is limited. No matter how good the doctor is, no matter how powerful the comprehensive hospital is, there is nothing that can be done.
And if a kidney transplant is performed and both brothers die in the end, and some unscrupulous media twists the story and adds fuel to the fire, even 912 will have a hard time dealing with this kind of thing.
"Ahem." Seeing that everyone was here, Vice President Yuan coughed twice and said, "Close the door, let's talk about our opinions, speak freely, but fast."
Zheng Ren looked down at the medical record, which belonged to another boy.
His skill points in the burn department are really low. Zheng Ren didn't look in the system space, so he probably is only at the level of an attending physician.
But this level is enough.
Vice President Yuan did not mention what happened behind the rescue. Why did he personally come to the operating room to direct the rescue as soon as he got the news. Zheng Ren didn't gossip and focused all his attention on the patient's condition.
The condition is very serious, very serious.
This pair of brothers are both very ill, and their combined probability of survival is less than 1%.
It was really tricky. Zheng Ren frowned and sighed slightly.
Seeing Zheng Ren's virtue, Su Yun felt a little desperate. He knows best how evil his boss is. When he was in Haicheng, Su Yun even had a hallucination. As long as the person could be sent to the hospital alive, the boss would be able to revive him. (Note 1)
But now, is he even helpless
It doesn't seem right to say that. Just now the boss said that a kidney transplant can be done.
How would your family choose a kidney transplant under such extreme circumstances? What will the melon-eating people in society think
But none of this had anything to do with Su Yun. He knew clearly that neither he nor Zheng Ren had any say whether to perform this operation or not. Even Director Miao of the Department of Urology said it doesn't matter. It depends on what the hospital wants.
Time is of the essence, there is still pressure to stop the bleeding, the kidneys are missing, and there are metabolic problems. This intraoperative discussion will certainly not be cumbersome.
All the pressure is on Vice President Yuan.
Seeing that no one was speaking, he directly called on Director Miao and asked Director Miao to explain the condition of the patient on the operating table.
In fact, there is nothing to say. Simply put, it can only be said in three words.
The director of the burn department just went to the emergency ICU to see the patient, and he also looked sad.
He thought the patient's condition was not optimistic either.
Because of the huge burn area, the patient is now experiencing severe loss of body fluids. As for the venous channel, only a vein near the left ankle can establish a venous channel.
The mountain of liquid couldn't get in, and the patient was already in a state of near-death.
Not to mention, even if the liquid can get in, it is extremely difficult to rescue the patient from tracheotomy, severe pulmonary edema and respiratory burns.
Coupled with the extensive burns all over his body, there was no place for autologous skin transplantation. This makes the later recovery process extremely complicated and unpredictable... It is not unpredictable. He believes that this burn patient cannot be grafted and will eventually suffer from numerous complications leading to multiple organ failure and death.
However, as a doctor, who doesn’t want to save the patient
The consequences are unpredictable, it can be regarded as a kind of official saying, it only represents a good idea.
The director of the burn department put forward all these opinions, but fell silent without saying a conclusion.
They are all experienced doctors and nationally renowned professors. In this case, no need to say the conclusion, everyone knows what the final conclusion is.
Vice President Yuan's eyes were like hawks, looking around the classroom. After several directors made brief remarks, his eyes finally fell on Zheng Ren.
"Who just said that kidney transplantation is possible? Please stand up and say it."
Zheng Ren looked at the medical records in his hand and was entranced. It wasn't until Su Yun bumped his elbow a few times that he finally recovered.
When he saw Vice President Yuan looking at him, he thought about it in his mind and stood up.
"Let me tell you my opinion." Zheng Ren did not introduce himself, but said directly: "For burn patients, the problem of venous access can be solved by the interventional department or the vascular department. It should be done as a calf vein surgery, with an indwelling channel. It shouldn’t be difficult. The tube is lowered into the inferior vena cava, and the problem of fluid input can be solved. For respiratory burns and pulmonary edema, I believe the burn department has similar treatment experience with the ICU. Now, we are facing a patient who needs both kidneys. Excision, the other patient has no problem with flaps for skin grafting.”
"The two patients are twins and may be identical. Under this special situation, I suggest that a kidney transplant be performed first with the consent of the patient's family. The burn patient has severe burns of more than third degree and cannot heal on his own. After kidney transplant patients recover, skin sources can be provided and multiple skin grafts can be used to solve the problem."
Zheng Ren said it simply. On the way here, he already had a preliminary idea based on system diagnosis and mission description.
Because Big Pig Hoof gave a rare hint of identical twins this time. If so, everything is still possible.
Kidney transplantation is not a big deal for Director Miao or 912. Even Zheng Ren, as long as he is willing to open the master-level skill book, it is not a problem to spend money on training.
As for burn skin grafting, the focus is on 95% of the injured body's skin being burned, as well as post-operative care. The operation is basically not difficult.
Zheng Ren believes that his proposal is the most suitable for the current situation.
The two brothers provided each other with skin flaps and kidneys. As long as there was no rejection, the originally S-level surgery and perioperative treatment were directly reduced to A-level.
But even doing so is a dead end. There are abysses on both sides. If you fall in accidentally, you will die without a burial place.
Many times, what doctors have to face is not the disease, but the human heart.
"How did you know they were twins?" Vice Dean Yuan asked.
"The emergency doctor who sent the film said something, I remember it," Zheng Ren said.
"Director Ren, is that true?"
The director of the emergency department nodded and said, "The patient's father said that these two patients are twins."
Zheng Ren sat down, and the others didn't have any good opinions. Things have come to this point. Whether or not to perform surgery depends on the responsibility of the hospital and whether the patient's family approves.
Vice President Yuan didn't say anything, just thinking quietly.
The rest is up to you as the dean.
It goes without saying that there are only two roads. It's just Zheng Ren's consideration, is it really appropriate
Identical twins, said to be the lucky ones with spare organs. But not all twins are identical or non-identical, and the rejection of transplantation is still very high.
Seeing Vice President Yuan deep in thought, the directors also remained silent. Many people disagree with Zheng Ren's fantastic ideas.
Risk is something everyone considers.
But let the dean take the blame for this.
Who asked the courtyard to pay attention to it
"Let's adjourn the meeting first, Director Miao. Give me ten to fifteen minutes to stop the bleeding." After saying that, he waved his hand to signal the meeting to adjourn.
This kind of intra-operative discussion would not have lasted very long. There is only one way, which is what Zheng Ren said.
Vice President Yuan looked at Zheng Ren's back and sighed in his heart, it's great to be young, not afraid of risks, and so energetic!