900 to take the handle

() At the end of the preoperative discussion, Director Kong called Zheng Ren to his side with his hands behind his back, and said as he walked: "The method you just said is too risky, is there any other way?"

"Director Kong, I don't think so. Zheng Ren said: "I don't think Director Miao can do the operation anymore, and kidney transplantation should be the last resort." If the family doesn't agree to do it, there's really nothing to do. ”

"Kidney retrieval can be done minimally invasively, and the distance is also close, saving a preservation step. But the invasive operation of the burn area of the burn patient is a headache to think about. How did you come up with this idea?"

"Forced. Zheng Ren said honestly: "Both kidneys are broken, even if they are barely sewn, I dare not say whether the postoperative bleeding will not bleed, but there will definitely be no normal kidney function." The patient is also dead, and even the oliguric period of hemorrhagic shock cannot be reached.

95% of burn patients with third-degree burns or more could not find a flap for skin grafting. I think even if it can be saved, the cost will be more than 2 million. With such a high price and slim chance, it is better to give it a go. ”

Director Kong didn't have much to do, and in the same way, he knew that others were okay.

What Zheng Ren said is the only way to solve it.

Vice President Yuan suddenly appeared in the operating room, this must be a big event. I heard Zhou Litao from the emergency department say something before, which should have something to do with campus loans.

No matter how many twists and turns there are behind the incident, as long as the patient still has breath, he must try his best to save him.

However, Vice President Yuan came to the scene to direct the rescue, but there was an advantage involving multidisciplinary cooperation, and someone made a decision. In particular, the plan proposed by Zheng Ren also involves such a major event as organ transplantation.

If irreparable damage to both kidneys is found, and then the plan is reported to the level by level, the medical department asks the director, and a series of processes are followed, and the patient dies.

But who would dare to pull a patient with severe burns directly onto the stage to do this kind of thing?

Director Kong thought about it a few times, although he felt that Zheng Ren's plan was a bit risky, but there was no more way, so he whispered a few words to him.

Let's go back and wait, I don't know when the operation will be fixed, or if it's just that.

Back in the operating room, Director Miao's face was particularly unsightly. He moved a small round stool and sat in the operating room, and the others did not go in to disturb him.

In this case, if you change to a smaller hospital, the patient will stop the bleeding directly, and then close the abdomen. Just go down and explain the patient's condition to the patient's family, and the patient will definitely die, sooner or later.

If the family approves it, it is recognized. If you don't admit it, there is no good way but to go to the Medical Investigation Commission and hand over the matter to the Medical Affairs Department to deal with it.

If you can't get off the stage, or when you get off the stage, you know that the patient will definitely die, this kind of thing is the biggest headache for surgeons.

Tired and tired, there is no sense of accomplishment at all, and there is a possibility of getting into a lot of trouble.

Director Miao had a gloomy face, sitting in the operating room, and no one went up to touch the moldy head.

Zheng Ren also honestly followed Director Kong's side and became a little transparent. He was wondering if the system judged it to be an S-level operation, which was higher than an autologous liver transplant. It turns out that there are many things that you can't do by yourself.

The big pig's trotters are probably unwilling to waste resources to calculate and evaluate, so they do not give rewards. If you can do the surgery, you will be rewarded. If not, the task would be non-existent.

"Boss Zheng, Director Miao called you. Zheng Ren was stunned, and suddenly heard Director Kong call himself.

Hmm? What did Director Miao tell himself to do? Zheng Ren had already planned to paddle.

After the first emergency rescue period, Zheng Ren also expressed his opinion, and he thought that all this had nothing to do with him.

Unexpectedly, Director Miao, who was unhappy with his face written on his face, actually looked for himself.

Zheng Ren saw Director Miao looking at him through the leaded glass in a trance, and he had no choice but to walk in.

"Boss Zheng, have you ever had a kidney transplant?" asked Director Miao.

"Nope. Zheng Ren said: "I used to be a doctor in general surgery, and I have never been exposed to kidney transplantation. ”

"The last time I had hepatic echinococcosis, I thought you did a good job of autologous liver transplantation, where did you learn?" said Director Miao.

Zheng Ren concluded.

Where did you learn it? in the system space.

But can you say that? Definitely not.

"I've read some information, and I've met similar patients in Haicheng before. I had no choice but to bite the bullet. Zheng Ren explained two sentences randomly.

As long as the IQ is on the line normally, no one will believe his two words.

But Director Miao didn't ask, nor did he question, his eyes narrowed slightly, and after a few breaths, he said: "I guess the hospital will agree to the operation, and after a while, you will give me a hand." ”

"......" Zheng Renleng paused for a moment, and then smiled bitterly: "Director Miao, I'm not ......"

"You are in 912, just a doctor in the interventional department, and you are not uncommon in general surgery. Director Miao's eyes suddenly opened, glaring at Zheng Ren, and his voice raised slightly, "What's the matter?"

"Look at what you say. Zheng Ren smiled bitterly.

"That's it. Director Miao said: "Kidney transplantation, it's not difficult." Autologous liver transplantation can be done, but what can't be done with kidney transplantation. Besides, I didn't let you do it, just to be an assistant. ”

After speaking, he looked at Zheng Ren's panicked expression and smiled.

"Panic what. He said softly.

Zheng Ren really didn't want to go to this operation.

Not for anything else, just because of kidney transplantation, compared with other surgeries, the difficulty is the lowest, and Director Miao has no reason why he can't do it.

If others can do it, and they can do it well, why should they go to the next place?

This is completely different from that of patients who encounter hepatic echinococcosis.

Whether it is hepatic echinococcosis or porcelain gallbladder, the difficulty of surgery is close to the sky, and even with the level of a master's surgery, it still takes many times of training to complete.

Doing a kidney transplant, why bother?

Zheng Ren was a little helpless, but looking at Director Miao's expression, Zheng Ren couldn't guess what he was thinking.

If you want to go up, it doesn't matter, Zheng Ren thought to himself.

"If it's going to be a transplant, I say yes. Director Miao suddenly said, "How many of the patient's residual kidneys are sure to stay?"

"The upper pole, plus the adrenal glands, is estimated to be about 15% of the whole. Zheng Ren thought about it and said.

"Good. Director Miao said lightly: "15% of the right kidney, the level is good." ”

As he spoke, someone came to inform him that Vice President Yuan had done the work of the patient's family and agreed to reduce part of the hospitalization fee as humanitarian care.

Director Miao stood up and arranged for a professor to communicate with the patient's family and sign. He instructed some precautions, and then said: "Boss Zheng, I'll go brush my hands first, and you can also prepare for this." Fupin Chinese