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On the stage, during the surgery, it was Zheng Ren's first time going to the surgical demonstration classroom for a consultation.
However, the patient's condition was not optimistic. It could even be said that it was very complicated and hopeless. If the hospital consultation did not have any constructive opinions, they could only step down and wait for death.
After weighing the pros and cons of the two, they could only make such a choice.
Even in the 912, it was rare to encounter such a situation. The group of chief physicians had serious expressions on their faces. They sat in their seats and looked at Deputy Director Yuan who was sitting on the stage. They each had their own thoughts.
The main dilemma was whether to perform the kidney transplant or not.
If they did it, the patient on the stage would not be able to survive. It would also cause irreversible damage to the severely burned patient. How would they explain it to the patient's family?
Dozens of copies of the patient's medical records had been printed, one for each person. Because there was only the emergency rescue process, everyone finished reading it in just a few glances.
Both brothers' conditions were very serious. One of them could not save both of his kidneys. The other one had a large area of burns all over his body. He had already had a tracheotomy, respiratory tract burns, and aspiration pneumonia. Whether or not he could be saved … There was a high chance that he could not be saved.
It was estimated that this patient would die miserably after experiencing a certain period of pain and suffering. Everyone present was well aware of the matter of severe burns.
But so what? When the injury reached a certain extent, the effect of medicinal stones was limited. No matter how good a doctor was, no matter how powerful a general hospital was, they would be helpless.
And if the kidney transplant surgery was performed, the two brothers would die in the end. With a few unscrupulous media outlets turning the matter around and adding fuel to the fire, even the 912 would find it difficult to deal with such a matter.
"Ahem." Seeing that everyone had arrived, Deputy Director Yuan coughed twice and said, "Close the door. Everyone, share your opinions. Speak freely, but you have to be fast."
Zheng Ren lowered his head and looked at the medical record. It was another boy's.
His skill points in the burn department were really low. Zheng Ren did not go to the System space to look. He estimated that he was only at the level of an attending physician.
However, this level of skill was enough.
Deputy Director Yuan did not mention the matter behind the rescue. Why did he come to the operating theater personally to command the rescue after receiving the news? Zheng Ren did not gossip. He focused all his attention on the patient's condition.
The condition was very serious, especially serious.
This pair of brothers' conditions were especially serious. The probability of survival was less than 1%.
It was really troublesome. Zheng Ren frowned and sighed slightly.
Seeing Zheng Ren's character, Su Yun felt a little desperate. He knew very well how monstrous his boss was. When he was in Sea City, 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, even he was at his wits' end?
That didn't seem right. Just now, the boss said that he could do a kidney transplant.
However, how would the family choose to perform a kidney transplant under such extreme circumstances? What would the public think of this?
However, this had nothing to do with Su Yun. He knew very well that it was not up to him and Zheng Ren to decide whether to perform the surgery. Even Chief Miao from the Department of Genitourinary Surgery said that it did not count. It depended on the hospital's intentions.
Time was tight, and the other side was still pressing to stop the bleeding. The kidney was missing, and there was a metabolic problem. The discussion process during the surgery would definitely not be very complicated.
All the pressure was on Vice Principal Yuan.
Seeing that no one was speaking, he directly called out Chief Miao's name and asked him to explain the situation of the patient on the operating table.
In fact, there was nothing much to say. Simply put, it was no good.
The director of the burn department had just gone to the emergency EICU to see the patient. He also had a worried look on his face.
He did not think that the patient's condition was optimistic either.
Because the burn area was huge, the patient's body fluid loss was serious. As for the venous channel, only a vein near the left ankle could establish a venous channel.
The mountain of liquid could not enter, and the patient had already entered a state of near-death.
That was not all. Even if the liquid could enter, the patient's tracheotomy would result in severe pulmonary edema and respiratory tract burns. It would be extremely difficult to save him.
In addition, there was a large area of burns on his body. There was no place for self-transplantation of skin. This made the later recovery process extremely complicated and unpredictable … but it was not unpredictable. He believed that this burn patient could not undergo skin grafting. In the end, there would definitely be countless complications, leading to multiple organ failure and death.
However, as a doctor, who did not want to save the patient?
The consequences could not be predicted. It could be considered a kind of official saying that only represented beautiful thoughts.
The director of the burn department had all raised these opinions. He did not come to a conclusion and fell silent.
They were all old doctors who had been on the battlefield and well-known professors in the country. In this situation, there was no need to come to a conclusion. Everyone knew what the final conclusion would be.
Vice Principal Yuan's eyes were like an eagle's as he looked around the surgical demonstration classroom. After a few directors gave a brief speech, his gaze finally landed on Zheng Ren.
"Who was the one who said that we could do a kidney transplant just now? Stand up and say it."
Zheng Ren looked at the medical record in his hand and was completely entranced. It was not until Su Yun used his elbow to knock him a few times that he recovered.
When he saw Vice Principal Yuan looking at him, he roughly thought it through in his heart and stood up.
"Let me tell you my opinion." Zheng Ren did not introduce himself, he directly said, "For burn patients, the problem of venous access can be solved by the Department of Interventional Medicine or the Department of Vascular Medicine. It should not be difficult to do it as a surgery on the calf vein and leave a channel. The tube will go down to the inferior vena cava and the problem of fluid input will be solved. I believe that the burn department and the ICU have similar treatment experience for respiratory tract burns and pulmonary edema. Now, we are facing a problem where one patient needs to have both kidneys removed and the other patient does not have a skin flap for skin grafting. "
"The two patients are twins, so there is a possibility that they are identical. Under such special circumstances, I suggest that after obtaining the approval of the patient's family, we should first perform a kidney transplant. The burn patient has severe burns of more than third degree and cannot be healed on their own. After the kidney transplant patient recovers, we can provide a skin source and solve the problem by performing multiple skin grafts. "
Zheng Ren said it very simply. On the way here, he had already had a preliminary idea based on the System's diagnosis and the mission description.
This was because the System had given him a rare hint of identical twins this time. If that was the case, everything was still possible.
A kidney transplant was not a big deal for Chief Miao or the 912. Even if it was Zheng Ren, as long as he was willing to open the grandmaster-level skill book and spend money on training, it would not be a problem.
As for the skin graft for burns, the focus was on 95% of the skin burns on the injured person's body and the post-operative care. The surgery was basically not difficult.
Zheng Ren thought that his suggestion was 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 surgery and perioperative treatment that were originally S-grade would be directly reduced to A-grade.
However, even so, it was still a dead end. There was a bottomless abyss on both sides. If one was not careful and fell down, they would die without a burial ground.
Most of the time, doctors did not have to face the illness, but the human heart.
"How do you know that they are twins?" Vice Principal Yuan asked.
"The emergency department doctor who sent the radiographic films said something. I remember," Zheng Ren said.
"Chief Ren, is that so?"
The emergency department chief nodded and said, "The patient's father said that these two patients are twins."
Zheng Ren sat down. The others did not have any good opinions. At this point, whether to perform the surgery or not depended on the hospital's responsibility and the patient's family members' approval.
Vice Principal Yuan did not say anything. He just thought quietly.
The rest would depend on him, the director.
There were only two paths. That was needless to say. However, was Zheng Ren's consideration really appropriate?
Identical twins were known as the lucky ones who had spare organs. However, not all twins were identical. If they were not identical, the rejection reaction of the transplant was still very big.
Seeing that Vice Principal Yuan was deep in thought, the chief physicians also remained silent. Many people did not agree with Zheng Ren's strange ideas.
Risk was something that everyone considered.
However, this blame was still left to the hospital director.
Who asked the hospital to value it.
"Let's adjourn first. Chief Miao, stop the bleeding on your side. Give me ten to fifteen minutes." After saying that, he waved his hand, indicating that the meeting was adjourned.
This kind of intraoperative discussion would not last long. There was only one way, and it was the kind that Zheng Ren said.
Vice Principal Yuan looked at Zheng Ren's back and sighed in his heart. It was good to be young. He was not afraid of risks. He was really ambitious!
Fupin Chinese
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