The Godfather of Surgery

Wen Ruzheng is also a muscle. He really ran around the hospital in his underwear. He was kicked by Director Zhao a few times, and he was dragged to the office to scold him for being a bloody sprinkler.

This guy is able to get a diagnosis based on pathological slides without any clinical history. In fact, he is already very powerful. This kind of case is really rare. We may only encounter such a guy in the past ten years since the establishment of Sanbo Institute, which shows that this guy Very inquisitive.

Didn't he always say that Wen Ruzheng is not born in heaven, and Sanbo's pathology department has set back three years.

Director Guan didn't beat him up when he heard that?

Director Guan said that this kid is telling the truth. Since he joined the pathology department of Sanbo Hospital, the level of the pathology department has improved for more than three years.

Old Guan is going to let him take over.

Yang Ping, Song Zimo and Xu Zhiliang had just undergone surgery, and went to the ICU to see Li Jun and Qin Xiaowei, old cousins, chatting on the way.

When we walked to the ICU, the waiting area for family members at the entrance was full of people, and the voices were very loud. Yang Ping didn't care about it. This kind of thing often happened at the entrance of the ICU. The last time an organ donation coordinator was pushed and shoved by his family members.

ICU - Intensive Care Unit, is a place of life and death.

This is the place where all kinds of critically ill patients are treated, and the strongest monitoring and rescue facilities in the hospital are concentrated, which can be said to be the last line of defense for life.

Most of the patients here suffer from vital organ failure or multiple organ failure, requiring a variety of drugs and instruments to maintain their lives. The job of ICU doctors is to reverse the disease as much as possible, reverse or prolong their lives.

A heavy door separated life and death.

The patients inside the door were connected to various machines and pipelines, and faint vital signs flickered on the monitoring screen.

The family members outside the door were debating whether to sign the consent form for the next rescue measure.

There is such a passage in Human World: To choose or give up is a multiple-choice question given to every relative by the disease, and it is often very difficult to make this choice.

Because many people think that if you enter the ICU, there is a high probability that you will not be able to get out, and in the end you will lose money and money.

In fact, there is a high probability of being able to come out alive.

According to Sanbo Hospital’s own statistics last year: only 3.72% of patients were declared dead in the ICU due to serious deterioration of their condition; while the vast majority of patients recovered and were successfully transferred out of the ICU, this figure was 86.68%.

What about the remaining 9.60% of patients?

Due to various reasons, the family members chose to give up continuing treatment in the ICU, such as being unable to continue treatment due to financial difficulties, returning to the local hospital for various reasons, choosing to return to their roots because they were too old and afraid of dying in a foreign country, and so on.

Intuitively, ICU is the place with the highest mortality rate in the world, and that is because the 3-4% mortality rate is distributed to such a small area.

Li Jun, who was offline, looked much better than before. Yang Ping greeted him, and he recognized Yang Ping wearing a mask from his voice. Maybe music people have more sensitive hearing ability.

Why am I so panicked?

Li Jun asked Dr. An, and Dr. An exchanged glances with Yang Ping. He didn't know what happened to his cousin yet.

Dr. An is considering whether to tell him or not, but he hasn't decided what to say yet, so he will keep it a secret for now.

Just off the line, the heart load is heavy, and I feel flustered. Dr. An explained.

Where is my cousin, hasn't he come recently? Li Jun has asked many times.

Dr. An comforted him: He's been a little busy recently, and he came here a few times and left in a hurry.

Li Jun stopped talking at this time, his eyes were in a trance, and then the corners of his eyes seemed to slowly begin to moisten.

Everyone came to the doctor's office in the ICU, drank a glass of water, and sat for a while. Dr. An said: Qin Xiaowei's liver is completely hopeless now, and can only be maintained by an artificial liver. I hope that liver transplantation can be performed in the future.

Qin Xiaowei's kidney has not been successfully matched with Li Jun, so Li Jun's liver should also be successfully matched with his liver, and the two can be swapped for liver and kidney transplantation. Song Zimo thinks this is just right.

Humans have two kidneys. As long as the two kidneys are healthy, taking one away will not have much impact on health.

Liver transplantation is often not a whole liver transplant, but part of the liver can be transplanted.

Dr. An said: Director Liu for kidney transplantation and Director Li for liver transplantation have come here, and they also proposed this idea. We are thinking about how to communicate with Li Jun.

The same is the end of the world, these two old cousins ​​are really fate!

ICU is a place to witness human nature. You will never know the beauty and ugliness of human nature until the worst time.

A few days ago, a patient's wife turned off the phone and never came again. A few days later, the patient's old father came and said that his wife had quietly left.

You should be able to see the big family at the door when you first come in. They are the children of the old man with six beds. The old man has six children, four sons, and two daughters. It's rare to come together once. It's not to discuss how to treat the old man. The old man is still alive. , the children actually quarreled at the door over the inheritance. Dr. An couldn't laugh or cry, and just took a reminder to ask them to pay.

The boss said that the old man usually treats the youngest son well and let the youngest son go out.

The youngest son said that the eldest son is the eldest son, look for him!

The second and third children said that they couldn't do it anymore.

The two daughters even said that they are daughters, and they are looking for their sons.

In the end, no one signed the informed consent form, and no one paid the money. Four sons and two daughters are not as good as others with one child.

The director of the ICU said it more directly, it is better to have a dog, the dog can bark a few words when the owner is in danger.

Qin Xiaowei and Li Jun --- don't they have -- relatives?

Xu Zhiliang asked.

Dr. An shook his head: Anyway, they didn't mention it, but that company came to understand the condition every few days, helped pay the medical expenses, and asked me to send a message to Qin Xiaowei, saying that the money had been charged to his card.

Money in exchange for your life!

Song Zimo felt a little sad.

Qin Xiaowei is currently relying on an artificial liver to maintain his life, but this is not the ultimate solution, he must rely on liver transplantation to solve the problem.

The treatment concept of artificial liver and hemodialysis is the same. It is an alternative treatment and a mode of blood purification treatment. The difference is that hemodialysis replaces the function of the kidney, while the artificial liver replaces the function of the liver.

The artificial liver uses artificial high-tech materials to simulate the human liver to construct a blood filter, replace the patient's toxin-containing plasma with healthy plasma, and remove harmful toxins from the body, thereby reducing the toxin's impact on the rest of the body. Such as damage to the heart, brain, and kidneys, to maintain the normal operation of vital vital organs.

Like hemodialysis, it takes the patient's blood out of the body, separates the patient's plasma from the whole blood through membrane plasma separation and discards it, and then replenishes the same amount of replacement fluid such as fresh frozen plasma or human albumin. It can remove various metabolic toxins and pathogenic factors in the patient's body, so as to achieve the purpose of treatment.

Okay, it's time for us to go. Let us know what's going on. You'd better find a chance to have a good talk with Li Jun.

Yang Ping got up to leave.

I'm thinking about how to talk to him, because Director Liu said that in Li Jun's physical condition, part of his liver needs to be removed at the same time, and then kidney transplantation is extremely risky. I don't know what Li Jun thinks. Dr. An sent Yang Ping and Song Zimo and Xu Zhiliang.

PS: Regarding the issue of ICU mortality data, for the sake of authenticity, I borrowed the statistical data of the ICU of a provincial-level tertiary teaching hospital in China, thank you!