898 Kidney transplant (cws6682 and 4)
Seeing Vice President Yuan walk out of the operating room, the air eased slightly. Director Miao turned around and stepped down and said, "Boss Zheng, let's go together." ”
Zheng Ren responded, gave up his position to Yu Jianshui Yuzong, and let him watch on the operating table. Tear off the surgical gown, take off the lead gown, and let out a long breath.
"Boss, can you do it?" Su Yun asked after him.
"I don't know, but when I can't help it, I can give it a try. Zheng Rendao.
This kind of situation where you may live if you try, but if you don't try, you will definitely die, is what doctors hate the most.
"That incident in 1954 caused a big stir. Su Yun said.
"Hmm. Zheng Ren nodded.
On Christmas Eve 1954, Joseph E. Murray's hospital received a pair of identical twin brothers, his two-year-old brother Ronald Herrick and his younger brother Richard Herrick.
Both are military men.
With the end of their military service, the two were discharged from the army together and prepared to start a new life, but at this time, the younger brother was tested for severe nephritis.
Richard Herrick's nephritis was severe, and even if he was treated, he would die quickly.
After summarizing all the cases, Joseph E. Murray decided to have a kidney transplant between the two brothers.
Prior to this, Joseph E. Murray had only done countless animal experiments. He found that the closer the animal, the more likely it was to survive the surgery.
For Joseph E. Murray, human trials were a godsend.
But then he faced tremendous social pressure, and titles such as butcher and executioner flocked to him.
Because my brother Richard's nephritis is a chronic disease, although it is life-threatening, it is not the same as the patient in front of him.
Joseph E. Murray first performed skin grafting on the two brothers, and the results of the surgery were exciting, confirming that there was no rejection.
But before the surgery, it really became a huge social problem. Joseph E. Murray withstood tremendous pressure, and finally the U.S. Supreme Court handed down the official verdict, and the operation was carried out.
The operation of an organ transplant needs to be judged by a federal court officer, and the doctor is like a murderer, which is undoubtedly difficult to accept.
Later, the operation was successful, but Joseph E. Murray's first successful kidney transplant did not win the Nobel Prize.
Su Yun, who was thinking about the Nobel Prize, how could he not know about this long-sealed past.
In 1990, Joseph E. Murray was awarded the Nobel Prize in Physiology or Medicine for his contributions to "the study of human organs and cell transplantation".
The award was also won mainly for the research on organ transplantation rather than the new method of organ transplantation.
It can be seen that the Nobel Prize judges are resistant to the new technique.
And the first operation was successful, and there was a difference of 46 years between winning the Nobel Prize!
So almost everyone is not optimistic about the TIPS surgery program, and for good reason.
"Twins don't always fit perfectly. Su Yun started the mode of finding faults.
"It's a way, whether you do it or not, it depends on the situation. ”
"Even if it's a pre-operative fit, it takes at least a day. Su Yun continued.
"If you don't do it, you won't be able to survive a day. I did, and there was still a chance. ”
"Boss, I can't help but praise the surprise of your thinking, do you want to make trouble for yourself like this?" Su Yun's disdain overflowed.
"The situation is quite special, besides, I only give my opinion, there are all the big guys on the board, when will I be revealed?" Zheng Ren threw the lead coat aside, wondering if he was going to use the grandmaster-level skill book.
"Kidney transplantation, I've really studied it. However, it seems that a kidney is better than a heart, but that is for surgery. Structurally, the kidneys are countless times more complex than the heart. Su Yun changed the topic and said.
"It must be like this, renal tubules, collecting ducts or something, can D printed? I think the existing technology, at least 20 years away. ”
Jennifer Lewis, a materials scientist and professor of bioengineering at Harvard University, used D-printing to fabricate the proximal tubules in the human kidney, as reported on the MIT Technology Review website on October 19, 2016.
This is the most important structure that makes up the basic functional unit of the kidney, and its function is almost identical to that of the proximal tubules in a healthy kidney. Su Yun knows all about the information related to D printing and organ transplantation.
"But it's only this step, no matter how much it is, there's no new report on the ball. ”
"It's good to be able to get the tubules out. ”
The two of them said as they walked upstairs.
They are all passages in the operating room, laminar flow space, and the temperature is suitable, which makes people feel very comfortable.
But in the face of that kind of difficult surgery, in the face of a dying patient, no one can be happy.
Zheng Ren and Su Yun kept talking, and they also used dialogue to relieve the tension and pressure in their hearts.
"There's a lot of nonsense on the Internet, but it's very eye-catching. Su Yun said as he walked, "In the past, I used to go online to shoot bricks, but then I didn't bother to get them." ”
"Everybody loves alarmist gossip. Zheng Ren knew what Su Yun was talking about.
The story circulating on the Internet usually takes place at night, when a man can't resist the temptation to go to a hotel with a strange girl to discuss his life plan.
After a few glasses of wine, I fell asleep, and then woke up to find myself lying in a bathtub full of ice cubes. Just regained consciousness, and suddenly felt a sharp pain in the lower back, only to see a note next to the bathtub: Call the police, otherwise you will die!"
This kind of joke was most widely spread when the kidney machine first appeared. Then there is a trip abroad, and the daughter-in-law is suddenly lost. Then I searched frantically for countless years, and finally found that I was made into a seal man and went to beg on the streets.
This kind of lie is not worth scrutinizing at all, but many people believe it to be true.
Kidney transplantation, before surgery, is a very strict process. First, the matching, and then the next step can be continued. And many patients who are waiting for a kidney source have their names on several hospitals that can do kidney transplants, which one has news and where to go as soon as possible.
"Boss, do you know what my first thought was after seeing the kidney-cutting joke?" Su Yun asked.
"You still have ideas, it's really energetic. When I saw it, I skipped it all and didn't have any ideas. Zheng Ren was very nervous, and he involuntarily began to scold people when he spoke.
"Cut!" Su Yun didn't exchange words with Zheng Ren, and said after cutting it, "I think they just want to fry a kidney flower to eat." But in the future, if the medical environment is worse, I will become a freelance writer. Make sure that I write all kinds of sensational things, and you can't even tell it's fake. ”
"Are you sure?"
"......" Su Yun was silent. Speaking of various fragments of knowledge, Zheng Ren is no worse than himself. But boss, do you know that you are very stressed? Su Yun thought to himself.