Font
Large
Medium
Small
Night
Prev Index    Favorite Next

【2505】empathy

He came to ask his younger brother for advice, and Cao Zhao quietly listened to his younger brother's words first.

Cao Yong knew what his second brother was thinking.

Perhaps Cao Zhao had a patient in his hand that needed an organ transplant, otherwise he would not have asked him suddenly about the brain-dead patient. The doctor disliked the death of the patient in his hand the most. From this perspective, Cao Zhao was anxious about his patient and wanted Zhu Xing to survive.

Similarly, Cao Yong hoped that Xiaoyu's child would survive, after all, it was the child he had been treated on the spot, and advocated sending Fang Zebo to see if he could save the child.

It’s just about academic issues, communication between doctors can only be realistic and must not be influenced by emotions. Cao Yong said to his brother righteously: “You know what the common rules for organ transplants in the international world are. Don’t talk about the diagnostic criteria. The attending doctor of the organ transplant patient, that is, the attending doctor of the recipient, must take the initiative to avoid the brain death of the organ donor.”

"I know this." Cao Zhao said.

Not everyone can accept the concept of brain death. Coupled with the rumors of illegal acts of buying and selling organs in the international community, this kind of thing is a sensitive event in society. The general rule my brother said is to avoid touching the sensitive nerves of the public.

He wanted to ask, it was impossible to ask Fang Ze's doctor. If the media knew about it and exposed that he had contacted the child's attending doctor in Fang Ze, the result would be amazing and would cause an uproar. At that time, public opinion would be rushing, and it would be suspected that he and Dr. Fang Ze would jointly judge the child to be brain-deathed and donated organs would be a foregone conclusion.

Since that's the case, I can only ask my younger brother.

As Zhu Xing's attending doctor, it is certain that he is anxious. Seeing that the window period for the child's transplant is passing day by day. The example of cardiac assistance devices mentioned by Xie's comforting patients is really a similar comforting word.

The cardiac assist device is definitely not the first to refer to ECMO, which is an improved artificial cardiopulmonary machine. The cardiac assist device generally refers to ventricular assist, which includes left ventricular assist, right ventricular assist, double ventricular assist, and full artificial heart. At present, most of the research is adult applications. The more mature children's ventricular assist is in the clinical trial stage abroad, so how can it be purchased for children in China?

If it really doesn't work, I want to go to ECMO, but I don't have it, only artificial cardiopulmonary machines used in the operating room. That day, Wei thought that the instruments installed by the child in the next bed were so high-end. In fact, it was because Wei had never been to the cardiology and cardiac surgery internship, and I didn't know that it was IABP. Like Xie, who had seen it earlier and personally participated in the IABP surgery site, he was not surprised at all.

Most of the use of IABP in pediatrics is used in children with low cardiac discharge after congenital heart disease, and in a few children with cardiomyopathy and waiting for heart transplantation. Why did Xie emphasize the use of cardiac assistive devices that day without talking about IABP? This is because we have learned about the principle of IABP before. It cannot actively assist the heart and depends on the patient's own heart contraction. Zhu Xing suffers from severe cardiomyopathy, and the heart contraction ability itself is very problematic, and the effect that IABP can play is very limited.

Through the above analysis, we can see that once the child's heart contraction is weak, the doctor may face a completely helpless situation.

------------------
Chapter completed!
Prev Index    Favorite Next