Chapter 898: The Lucky One With a Spare Organ

On the stage, during the operation, and going to the classroom for consultation, Zheng Ren also experienced it for the first time.

But the patient's situation is not optimistic, it can even be said to be very complicated and hopeless. If the whole hospital consultation has no constructive opinions, he can only step down and wait for death.

Weighing the pros and cons of the two, we can only make such a choice.

Even in 912, this is rarely the case. All the directors looked serious, sitting in their seats, looking at Vice President Yuan sitting on the stage, each with their own thoughts.

The main entanglement is whether to do or not to do kidney transplantation.

If it is done, the patients on the stage will not be able to be saved, and it will cause irreversible damage to the severely burned patients. How can I explain to the family members of the patients.

Dozens of patient records have been printed out, one for each person. Because there is only the emergency rescue process, everyone has watched it with three eyes and two eyes.

The condition of both brothers is very serious, and both kidneys cannot be saved. The other one, with extensive burns all over the body, has had a tracheotomy, respiratory burns, and aspiration pneumonia.

It is estimated that this patient will die miserably after suffering for a certain period of time. Everyone here is well aware of severe burns.

But so what? When the injury reaches a certain level, the effect of the medicine stone is limited, no matter how good the doctor is, no matter how powerful the general hospital is, it can't do anything about it.

And if a kidney transplant operation is performed, the two brothers died in the end, and there is a lot of unscrupulous media to turn things around and add fuel to the fire, I am afraid that even 912 will find it difficult to deal with this kind of thing.

"Cough cough." Seeing that everyone was here, Vice President Yuan coughed twice, and said, "Close the door, let's talk about opinions and speak freely, but the speed must be fast."

Zheng Ren looked down at the medical records, which belonged to another boy.

His skill points in the burn department are really low. Zheng Ren didn't go to the system space to look, so he guessed that he was only at the level of an attending doctor.

But this level is enough.

Vice President Yuan did not mention the matter behind the rescue, why did he come to the operating room as soon as he got the news and direct the rescue. 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 seriously ill, and the probability of surviving 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 an illusion that as long as he could be sent to the hospital alive, the boss would be able to save him. (Note 1)

But now, is he helpless?

It doesn't seem right to say that, the boss just said that kidney transplantation is possible.

It’s just that kidney transplantation in such an extreme situation, how will the patient’s family choose? What will the people who eat melons in the society think?

But these have nothing to do with Su Yun, he is as clear as a mirror in his heart, he and Zheng Ren have nothing to do with this operation or not. Even Director Miao of the Department of Urology didn't count. It depends on what the hospital thinks.

Time is running out, the other side is still oppressed to stop the bleeding, the kidney is missing, and there is a problem with metabolism. The process of this intraoperative discussion will definitely not be very cumbersome.

All the pressure is on Vice President Yuan.

Seeing that no one spoke, he called the roll and asked Director Miao to explain the current situation of the patients on the operating table.

In fact, there is nothing to say, simply put it in three words - no.

The director of the burn department just went to the EICU to see the patient, and he also looked sad.

He thinks that the patient's condition is not optimistic.

Because of the huge burn area, the patient now has a serious loss of body fluids. As for venous access, only one vein near the left ankle can establish venous access.

The mountain of liquid couldn't get in, and the patient was in a near-death state.

That’s not to mention, even if the liquid can go in, the patient’s tracheotomy, severe pulmonary edema, and respiratory burns are extremely difficult to rescue.

Coupled with extensive burns all over the body, there is no place for autologous skin transplantation. This makes the later recovery process extremely complicated and unpredictable... It's not unpredictable. He believes that this burn patient cannot have skin grafts, and in the end there will definitely be countless complications leading to multiple organ failure and death.

However, as a doctor, who doesn't want to save the patient?

The consequences are unpredictable, and it can be regarded as a kind of official language, which only represents good ideas.

The director of the burn department put forward all these opinions, and fell silent without saying a conclusion.

They are all experienced doctors and well-known professors throughout the country. In this case, needless to say the conclusion, everyone knows what the final conclusion is.

Vice President Yuan's eyes were like hawks, looking around the classroom, and after several directors spoke briefly, his gaze finally fell on Zheng Ren.

"Whoever said just now can do kidney transplantation, stand up and say it."

Looking at the medical records in his hand, Zheng Ren was in a trance. It wasn't until Su Yun hit him with his elbow a few times that he finally recovered.

Seeing Vice President Yuan looking at him, he thought about it in his mind and stood up.

"Let me tell you my opinion." Zheng Ren didn't report his family background, and said directly: "For burn patients, the intravenous access problem can be solved by the interventional department or the vascular department. It can be done as a calf vein operation, and the indwelling channel can be used. It should not be difficult. The tube is lowered into the inferior vena cava, and the problem of fluid infusion can be solved. I believe that the burn department and the ICU have similar treatment experience for respiratory burns and pulmonary edema. Now, we are facing a patient who needs both kidneys. resection, and another patient with no flap for grafting."

"The two patients are twins, and there is a possibility of being identical. In this special situation, I suggest that after obtaining the approval of the family members of the patients, a kidney transplant operation should be performed first. The burn patient has severe burns above the third degree and cannot heal on his own. After kidney transplantation patients recover, skin sources can be provided and multiple skin grafts can be used to solve the problem.”

What Zheng Ren said was very simple. On the way here, he combined the system diagnosis and mission description, and he already had a preliminary idea.

Because the big pig's trotters gave a hint this time - identical twins. If so, everything is still possible.

Kidney transplantation is nothing to Director Miao or 912. Even Zheng Ren, as long as he is willing to click on the master-level skill book and spend a lot of money on training, it will not be a problem.

For burn skin grafting, the focus is on 95% of the wounded body's skin burns and postoperative care. The operation is basically not difficult.

Zheng Ren believed that his proposal was the most suitable for the current situation.

The two brothers provided skin flaps and kidneys to each other. As long as there is no rejection, the surgery and perioperative treatment that was originally S-level will be directly reduced to A-level.

But even doing so is a dead end. There are abysses on both sides, and if you accidentally fall, you will die without a place to die.

In many cases, what doctors have to face is not the disease, but the heart.

"How do you know it's twins?" Vice President Yuan asked.

"The emergency doctor who sent the film said something, I remember." Zheng Ren said.

"Director Ren, is that so?"

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 to perform surgery or not depends on whether the hospital's responsibility and the patient's family members agree.

Vice President Yuan didn't say anything, just thinking quietly.

The rest is up to him, the dean.

There are only two roads, needless to say. It's just Zheng Ren's consideration, is it really appropriate?

Identical twins, the lucky ones with spare organs. But not all twins are identical, non-identical, the rejection of transplantation is still great.

Seeing Vice President Yuan lost in thought, the chief directors also fell silent. Many people disagreed with Zheng Ren's whimsical idea.

Risk is something everyone considers.

But this blame, let the dean take the blame.

Who made the courtyard pay attention to it?

"Leave the meeting first, Director Miao, stop the bleeding on your side, give me ten to fifteen minutes." After speaking, he waved his hand to signal the end of the meeting.

This kind of intraoperative 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 nice to be young, not afraid of risks, and so energetic!

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Note 1: Before and after the Jin rule, I was young and ignorant, and I once had this idea. Hmm, so ignorant.