The next morning, Zheng Ren performed ward rounds and surgeries as usual.
However, he was looking forward to it today.
There was no news from the King's Hospital, Mayo Clinic, or Massachusetts General Hospital.
Zheng Ren knew that it was difficult to find a liver source.
Whether the patient lived or died depended on fate.
He had done what he could. Even if he wanted to do something else, he had no ability to do it.
The System Shop did not have fresh liver sources to buy.
Zheng Ren checked many times last night to confirm this point.
If it really did not work and there was no liver source with the same blood type and matching type, he could find any one to try. However, it was also very difficult for Zheng Ren to give it a try.
Zheng Ren had a rough idea of how many patients were waiting for donors in the country. He could not deprive others of their right to live just because he wanted to try.
After Professor Rudolf Wagner finished the TIPS surgery with Lin Yuan, Zheng Ren and Su Yun went straight to the ICU.
This matter lingered in his heart and was difficult to let go.
The most terrifying thing was that the patient's condition would deteriorate rapidly while waiting for a liver source. It would be impossible to maintain.
At the entrance of the ICU, Zheng Ren saw the patient's mother who had a blank expression yesterday.
She was emotional. Compared to yesterday, it was as if she was a different person.
Zheng Ren frowned and stopped at a distance.
Listening to her, the two of them soon understood why she was so emotional.
Liver transplantation was different from heart and kidney transplantation. It could be partially transplanted. The liver was divided into three lobes — left lobe, right lobe, and caudate lobe.
If it was a simple transplant, people under 60 kg could have the left lobe transplanted to ensure liver function. Moreover, after the transplant, the liver had the ability to regenerate and there would be compensatory growth within a few years.
The reason why Zheng Ren did not choose the possibility of a mother-child liver transplant was because the patient weighed at least 90 kg. A left lobe of the liver could not provide enough function, so at least the right lobe of the liver had to be transplanted.
The patient's mother weighed about 70 kg. If she provided the right lobe of the liver, there was a high probability that she would die from liver failure.
Killing one person to save another did not exist in the doctor's mind.
In medical ethics, it was almost impossible to put the donor in an extremely dangerous situation in order to save a person.
Even if it could be done, no one would be willing to do it.
Looking at the patient's mother screaming hysterically, Zheng Ren sighed. His desire to see the patient vanished in an instant.
Things were getting worse. Zheng Ren was not sure if the patient's mother would take drastic action or even threaten the hospital with suicide.
It wasn't like this hadn't happened before.
Many years ago, such an incident happened at the largest lung transplant base in the country. A female patient waiting for a lung source was placed at the back of the queue due to her mild condition and lack of time.
In order to get her lungs, she took an unexpected method — getting pregnant.
If there was no lung source, the fetus's development would be affected even if it was delayed for a while.
This was a form of coercion. The surgeon was very depressed, very depressed.
However, no matter how angry, irritable, violent, or smashing things, it could not change the fact that there was a fetus in the female patient's womb.
In the end, he arranged an operation for her as soon as possible.
The surgeon's skill level was very high. Even the more difficult pregnant woman's lung transplant was successfully completed.
However, after the operation was successful, he did not feel happy at all. Instead, he became very angry and fell seriously ill. (Note 1)
Zheng Ren almost did not want to think about life.
Because …
It was too heavy.
No matter what he chose, it was still not bad.
In fact, it was already good enough to have a choice.
Right and wrong, true and false, who could say for sure? If he met a contrarian, he could argue for three days and three nights.
In the eyes of a dying patient, a doctor who could save a life was a god. However, doctors were just ordinary people with flesh and blood. Who could really be a god?
Gods could be indifferent and treat all things as dogs, but humans could not.
"Boss, are you scared?" Su Yun patted Zheng Ren's shoulder and sighed.
"No." Zheng Ren lowered his head, trying not to think about what the patient's mother would do after being refused surgery to remove her liver.
If he could not keep an eye on her and she committed suicide …
Zheng Ren felt a chill run down his spine.
They were not even compatible. It might not be possible to transplant between mother and child. If they could not, they would die in vain. Even if they managed to transplant it, the possibility of the patient surviving was not high.
"What about the patient's father?" Zheng Ren suddenly asked.
"It was said that his father divorced his mother when he was young and went to the South to do business. Now, he's basically dead and alive, "Su Yun said. "It would be good if his father appeared on a seven-colored auspicious cloud, followed by a Bentley, Porsche, and Bugatti Veyron."
"Don't talk nonsense." Zheng Ren sighed. It seemed that there was one less way out.
After standing for ten minutes, the other side quieted down.
Lin Ge's white clothes were crooked as he walked out in a sorry state.
When he saw 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 did you deal with it?"
"I said to take blood first to see the blood type and then to see if it's suitable. If it's all suitable, then we'll talk."
Zheng Ren noticed that Lin Ge's eyes were a little erratic and flickering. This guy was probably thinking that even if it was suitable, he could drag it out for one day. Anyway, the test would not come out.
As long as he did not rush it and followed the normal procedure, the results would not come out so quickly.
However!
This was a huge mental and psychological burden.
Saving the patient's mother would lead to the death of young Chen Li. Although there was no inevitable connection, the patient's mother's extreme behavior had put the moral burden on Lin Ge.
It seemed that Lin Ge also felt that this matter was difficult to deal with.
"Chief Lin, what are you going to do?"
"What should I do? I'm just a deputy director. I can't make the decision. "Lin Ge smiled bitterly." I still have Chief Ye, Deputy Director Yuan, and Director Yan above me. When the time comes, the higher-ups will definitely make the decision. "
He was very skilled at taking the blame.
Zheng Ren smiled bitterly.
It was not easy. No one wanted a young life to disappear just like that. However, the matter was right there. What else could he do!
Left and right were difficult.
"How is the patient?" Zheng Ren decided not to think about the problem he could not solve.
"His condition is bad." Lin Ge shook his head. "The patient's fever has worsened. His temperature has already 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? lt;1.3
Mg/L, procalcitonin
0.55
ng/ml。 Considering that there was an infection, another hospital consultation was done in the morning.
"A CT scan was done. There was pleural effusion on both sides of the chest and atelectasis. Now, we've begun to suspect heart failure. "
"So soon?" Zheng Ren sighed and said.
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