Chapter 2114 Medical Ethics

Early the next morning, Zheng Ren went through ward rounds and surgery as usual.

It's just that today, he has more expectations.

Whether it is domestic or King's Hospital, Mayo Clinic, Massachusetts General Hospital, there is no news.

It is difficult to find liver sources, Zheng Ren knows this.

Whether the patient is dead or alive, most likely depends on the arrangement of fate.

Do what you can do by yourself, and the rest is completely incapable of doing even if you want to do something.

There is no fresh liver source to buy in the system mall.

Zheng Ren checked many times last night and confirmed this.

It's really not possible, there is no liver source with the same blood type and matching type, so just find one and try it. But try this, Zheng Ren's heart is also very sad.

Zheng Ren probably knew how many patients were waiting for donors in the country. You cannot deprive others of their right to live just because they want to try it.

Professor Rudolf Wagner led Lin Yuan to complete the TIPS operation, and Zheng Ren and Su Yun went straight to the ICU.

This matter lingers in my mind, and it is always difficult to let go.

What I am most afraid of is that while waiting for the liver source, the patient's condition will take a turn for the worse, and he will not be able to maintain it at all.

Arriving at the gate of the ICU, Zheng Ren saw the patient's mother who had a blank expression yesterday.

She was emotional, as if she was a different person compared to yesterday.

Zheng Ren frowned and stopped far away.

Listening to her, the two soon understood why she was so emotional.

Liver transplants, unlike hearts and kidneys, can be partially transplanted. The liver is divided into three lobes - left, right, and caudate.

Simple transplantation, the left lobe can be transplanted for people under 60kg, and the liver function can be guaranteed. Moreover, after transplantation, the liver has the ability to regenerate, and there will be compensatory growth within a few years.

The reason why Zheng Ren did not choose the possibility of liver transplantation between mother and child is because the patient's body weight is at least 90kg. One left lobe of liver cannot provide enough function at all, so at least one right lobe of liver must be transplanted.

The patient's mother also weighed about 70kg. If she provided the right lobe of the liver, she would most likely die of liver failure.

Killing one person and saving one person, this kind of thing does not exist in the doctor's mind.

In medical ethics, it is almost impossible to perform such an operation in order to save a person and put the donor in an extremely dangerous situation.

Even if it could be done, no one would do it.

Seeing the patient's mother screaming hysterically, Zheng Ren sighed. Just wanted to see the patient's mood, suddenly disappeared.

Things had started to deteriorate, and Zheng Ren wasn't sure if the patient's mother would take drastic actions and even threaten the hospital with suicide.

This situation is not unheard of.

Many years ago, such a thing happened at the largest lung transplant base in the country—a female patient was waiting for a lung source because of a slightly milder condition and a time issue.

In order to obtain a source of lungs, she adopted an unexpected method - pregnancy.

If there is no source of lung, or even later, the development of the fetus will be affected.

This is a kind of coercion, and the surgeon is very depressed, very depressed.

But no matter how angry, angry, irritable, or smashing things, it can't change the fact that the female patient has a fetus in her womb.

In the end, surgery was arranged for her as soon as possible.

The level of the surgeon is very high, and even the more difficult lung transplantation for pregnant women has been successfully completed.

But after the operation was successful, he was not happy, but fell into a serious illness in anger. (Note 1)

Zheng Ren almost didn't want to touch thoughts about life.

because,

It's too heavy.

No choice is right, no choice is good.

Even, some choices are good.

Right and wrong, true and false, who can tell clearly? If you encounter a barbarian, you can talk for three days and three nights just by raising the bar.

In the eyes of dying patients, a doctor who can save lives is a god. But doctors are just ordinary people with flesh and blood, who can really be a god.

God can be indifferent, but he regards all things as dogs, but man cannot.

"Boss, are you scared?" Su Yun patted Zheng Ren's shoulder and sighed.

"No." Zheng Ren lowered his head, trying not to think about what kind of aggressive behavior the patient's mother would have after she was refused surgery to take the liver.

Once she can't see it, if she commits suicide...

Zheng Ren's body was icy cold.

If there is no matching type, the transplantation between mother and child may not be possible. If you can't, you will die in vain. Even if it is barely transplanted, the possibility of the patient surviving is not high.

"Where's the patient's father?" Zheng Ren asked suddenly.

"It is said that his father divorced his mother since he was a child, and went to the south to do business. Now basically no one is alive or dead." Su Yundao, "It would be good if it was a novel, and his father will appear on the seven-color auspicious cloud at this time , followed by Bentley, Porsche, Bugatti Veyron."

"Don't talk nonsense." Zheng Ren sighed, and it seemed that there was another road missing.

After standing there for ten minutes, the other side became quiet.

Ringer's white clothes were crooked, and he walked out in a mess.

Seeing Zheng Ren, he quickly walked up and said, "Boss Zheng, Dr. Su, when did you two come?"

"It's been about ten minutes." Zheng Ren said, "How did you deal with it?"

"I said to take the blood first, check the blood type, and then check the matching. If everything is suitable, then let's talk."

Zheng Ren noticed that Ringer's eyes were a little erratic and flickering, and he probably thought that even if everything was suitable, it could be delayed for a day, anyway, the test couldn't show it.

As long as you don't rush and follow the normal process, the result will come out so quickly.

However!

This is a huge ideological and psychological burden.

Rescuing the patient's mother would result in the death of the young Chen Li. Although there is no necessary connection, the extreme behavior of the patient's mother put the moral burden on Ringer.

It seems that Ringer also finds this matter difficult.

"Director Lin, what are you going to do?"

"What should I do? I'm just a deputy director, so I can't make up my mind." Linge smiled wryly, "I have Director Ye, Vice President Yuan, and President Yan above me. At that time, the superiors must make up their minds. "

If this pot is skimmed, that is called a proficiency.

Zheng Ren smiled, wryly.

It's not easy, and no one wants a young life to disappear. But things are here, what else can I do!

Left, right, for, difficult.

"How is the patient?" Zheng Ren decided not to think about the problems he couldn't solve.

"The condition is poor." Ringer shook his head, "The patient's fever has worsened, and his body temperature has reached 40 degrees Celsius."

"..." Zheng Ren sighed.

"Blood routine + C-reactive protein return: white blood cell count 24.83x10^9/L, neutrophils 85%, C-reactive protein lt; 1.3 mg/L; procalcitonin 0.55 ng/ml. Considering infection, morning and A hospital-wide consultation was conducted."

"A CT scan showed pleural effusion and atelectasis in the bilateral pleural cavity. Heart failure and respiratory failure have been suspected."

"So fast?" Zheng Ren said with a sigh.

...

...

Note 1: The thing about lung transplantation is true.