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After the preoperative discussion ended, Chief Kong put his hands behind his back and called Zheng Ren to his side. As they walked, he said, "The method you mentioned just now is too risky. Is there any other way?"
"Chief Kong, I don't think so," Zheng Ren said. "I don't think Chief Miao can continue with the surgery. A kidney transplant should be the last resort. If the family doesn't agree to do it, there's really no good way. "
"Taking out the kidney can be done with minimally invasive surgery. Moreover, the distance is also close, so there's no need for a preservation step. However, it's a headache to have a traumatic operation in the burn area of a burn patient. How did you come up with this idea? "
"I was forced," Zheng Ren said honestly. "Both kidneys are broken. Even if they're barely stitched up, I don't dare to say if there will be bleeding after the surgery, but there will definitely not be normal kidney function. The patient will still die. He won't even reach the oliguria stage of hemorrhagic shock.
95% of burn patients have third-degree or more burns. They can't even find a skin flap for skin grafting. I think even if they can be saved, the cost will be more than two million yuan. With such a high price and a slim chance, it's better to take a gamble. "
Chief Kong did not have a good idea. Similarly, he knew that no one else could do anything.
What Zheng Ren said was the only solution.
Deputy Director Yuan's sudden appearance in the operating theater was definitely a big deal. Previously, he had heard from Zhou Litao of the Emergency Department that it should have something to do with campus loans.
No matter how many twists and turns there were behind the incident, as long as the patient was still breathing, they would do their best to save him.
However, there was an advantage to Deputy Director Yuan coming to the scene to direct the rescue. It involved a multi-disciplinary cooperation, and someone had made the decision. Especially when Zheng Ren's plan involved a big matter like organ transplantation.
If they found that both kidneys were irreparably damaged, the plan would be reported step by step. The medical administration division would ask the director. After a series of procedures, the patient would die on the stage.
However, who would dare to directly pull a severely burned patient onto the stage to do such a thing?
Chief Kong thought about it a few times. Although he felt that Zheng Ren's plan was a little risky, there was nothing more he could do. He whispered a few words to him.
He would go back and wait. He did not know when the other side would decide whether the surgery would continue or just forget about it.
When he returned to the operating theater, Chief Miao's expression was especially ugly. He moved a small round stool and sat in the operating room. The others tactfully did not go in to disturb him.
If it was a smaller hospital, the patient would have stopped the bleeding and then closed the abdomen. He just had to go down and explain the patient's condition to the family. The patient would definitely die sooner or later.
If his family approved of him, then so be it. If he didn't admit it, there was nothing he could do. He could only complain to the Medical Investigation Commission and hand the matter over to the Medical Affairs Department to handle.
Surgeons had the most headaches when they could not step down from the operating table, or when they stepped down from the operating table, they knew that the patient would definitely die.
Tiring himself to death without any sense of accomplishment, and he might even get into a lot of trouble.
Chief Miao's face was gloomy. He sat in the operating theater. No one went up to get into trouble.
Zheng Ren also obediently followed Department Chief Kong and became invisible. He was pondering. No wonder the System rated it as an S-class surgery. It was even higher than autologous liver transplantation. It turned out that there were many things that he couldn't decide for himself.
The System probably didn't want to waste resources to calculate and evaluate, so he didn't give a reward. If he could complete the surgery, he would be rewarded. If he couldn't, then this mission wouldn't exist at all.
"Boss Zheng, Chief Miao is calling you." Zheng Ren was in a daze when he suddenly heard Chief Kong call him.
Hmm? Why did Chief Miao call him? Zheng Ren had already planned to slack off.
After the initial emergency treatment period, Zheng Ren also expressed his opinion. He thought that all of this had nothing to do with him.
He didn't expect Chief Miao, who had an unhappy expression on his face, to actually look for him.
Zheng Ren vaguely saw Chief Miao looking at him through the lead-lined glass. He had no choice but to bite the bullet and walk in.
"Boss Zheng, have you done a kidney transplant before?" Chief Miao asked.
"No," Zheng Ren said. "I used to be a doctor in the General Surgery Department. I've never come into contact with a kidney transplant."
"The last time I treated a patient with liver hydatid disease, I think you did a good job with an autologous liver transplant. Where did you learn it?" Chief Miao asked.
Zheng Ren concluded.
Where did he learn it? In the System space.
But could he say it? Of course not.
"I've read some information. I've encountered similar patients in Sea City before. I had no choice but to bite the bullet and do it, "Zheng Ren randomly explained.
As long as one's IQ was normal, no one would believe his words.
However, Chief Miao did not ask further, nor did he question him. His eyes narrowed slightly. After a few breaths, he said, "I think the hospital will agree to the surgery. In a while, give me a hand."
"…" Zheng Ren was stunned for a moment. Then, he smiled bitterly and said, "Chief Miao, I'm not …"
"You're only a doctor in the Interventional Department in the 912. I've seen you perform a lot of general surgeries." Chief Miao suddenly opened his eyes and stared at Zheng Ren. His voice was slightly raised. "What? Do you want me to go to the hospital and talk about it? "
"Look at what you're saying." Zheng Ren smiled bitterly.
"It's settled then," Chief Miao said. "It's a kidney transplant. It's not difficult. If an autologous liver transplant can be done, why can't a kidney transplant be done? Besides, I'm not asking you to do it. You're just an assistant. "
After saying that, he looked at Zheng Ren's terrified expression and smiled.
"What are you panicking about?" he said softly.
Zheng Ren really did not want to perform this surgery.
It was not for any other reason but because the difficulty of a kidney transplant was the lowest compared to other surgeries. There was no reason for Chief Miao to not be able to do it.
If others could do it, and they could do it well, why should he go overboard and do it for them?
This was completely different from encountering a patient with liver hydatid disease.
Whether it was liver hydatid disease or porcelain gallbladder, the difficulty of the surgery was as high as the sky. Even with the level of a Legend-level surgeon, he still had to train many times to complete it.
Why did he have to suffer to do a kidney transplant?
Zheng Ren was a little helpless. However, looking at Chief Miao's expression, Zheng Ren could not guess what he was thinking.
'If you want to do it, then do it. It doesn't matter,' Zheng Ren thought to himself.
"If you want to do a transplant, I'm saying if," Chief Miao suddenly said, "how much of the patient's remaining kidney are you confident of keeping?"
"Up to the extreme, plus the adrenal glands. I estimate that about 15% of the whole kidney can be kept," Zheng Ren said after some calculation.
"Okay," Chief Miao said lightly. "15% of the right kidney. The standard is not bad."
As he spoke, someone came to inform him that Deputy Director Yuan had done the work of the patient's family and agreed to reduce a portion of the hospitalization fees as humanitarian care.
Chief Miao stood up and arranged for a professor to communicate with the patient's family and sign the papers. He instructed him on some matters to take note of and then said, "Boss Zheng, I'll go and wash my hands first. You should also prepare your side."
Fupin Chinese
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