This trip out of the car is particularly smooth, the distance is also very close, the road is calm, but there is no patient in the car, but the heart organ that carries the patient's hope, and there is no death chasing after the ambulance, which makes Wang Ge feel a little unaccustomed.

The incubator for the organs is made of plastic, with a white lid and an orange side of the box with the words "For Organ Transplantation" and a red cross sign.

This box is not big, it is not small to say small, and it is a little difficult to carry it, but it cannot be placed at will. During the ambulance, Dr. Mai Zhe sat in the co-pilot, and the box was always held in his arms, for fear that something would go wrong.

This heart holds the hope of the two families for life.

"Later, you can find a place to park, and go up with me to handle the handover, and the handover must be carried out by two people, and you must also sign. Mai Zhe said.

Wang Ge nodded, "In our hospital, are there many heart transplants?"

"There are twenty or thirty cases a year, but now the technology is mature, and they are basically successful, and the purpose of prolonging the life of patients has been achieved. Among the tertiary general hospitals in China, our hospitals are considered to be few. Mai Zhe smiled, "Now that people's quality has improved, they have a correct understanding of organ transplantation, although there are more donors, but they will always be in short supply." ”

"By the way, people say that people's personalities change after an organ transplant, is this true?" asked Wang Ge suddenly.

A long time ago, he had seen some news that after a person transplanted another person's organ, it would come with some personality and behavioral habits of the owner of the organ before his death, and even memory.

There are patients who have lost too much blood and are in shock, and after a large amount of blood is transfused into other people's blood, all the blood equivalent to thousands of milliliters in the whole body has been replaced, and after the symptoms have been cured, the physical fitness has also been greatly improved, from the previous weak wind to infinite strength.

This kind of thing is mysterious and mysterious, and what the king pigeon sees is even more foggy, and I don't know whether it's true or not.

"Organ transplantation and other things, basically need to be carried out with general anesthesia, blood transfusion, whether it is anesthetic or ischemic state, will cause changes in physical conditions, and after organ transplantation, the secretion of certain hormones will also be disordered, and the change of personality should be the sequelae of endocrine disorders or cerebral hypoxia-ischemia damage after organ transplantation, which cannot be completely attributed to the source of the organ itself. But basically no one has studied this kind of thing, and there is no conclusion in the medical community, and the research has not been able to produce any results......" Mai Zhe smiled, and actually answered this nonsensical question for Wang Ge seriously.

"The ultimate goal of an organ transplant is to cure the disease, prolong the patient's life, and enable him or her to reintegrate into society...... It's not that important. Mai Zhe looked at the hospital building in front of him. "Are we there?"

"It's here, get ready to get off. As he spoke, Wang Ge parked the car outside the emergency department of the Third Affiliated Hospital of Yaxiang. Almost all of the hospitals are connected internally, and even if you enter the hospital from here, two people can reach the inpatient operating room.

Mai Zhe pushed the door and got out of the car, "Come with me, let's go back after completing the handover procedures, I don't need my assistance for the operation here." ”

The king pigeon followed Mai Zhe out of the car. Although it is a brother unit, Wang Ge has also been to the Third Affiliated Hospital of Yaxiang, but the intersection with this side is limited to the emergency department, and patients are often brought here according to the principle of proximity, and after entering the emergency department, you can see a few familiar faces that cannot be named.

It's just that the king pigeon in the outpatient and inpatient departments has not communicated much, and he has not even had a transfer task here, and the king pigeon has never entered the inpatient building.

However, Mai Zhe is very familiar with this place, and it seems that he often comes. Without waiting for the king pigeon to ask, Mai Zhe took the initiative to speak.

"When I first graduated, I actually worked in the inpatient department here, and then I was transferred to Yaxiang Annex. Mai Zhe smiled, carried the box and Wang Ge into the elevator together, went to the operating room on the fifth floor, and found the long-awaited Yaxiang Attached to the third chief surgeon, the two people are old acquaintances, and it is inevitable to reminisce about the old when going through the handover procedures, Wang Ge also understands, and does not feel that they are wasting time, most of the communication between the two people is still about the little boy with congenital heart disease, and the little girl who has suffered misfortune.

Of course, usually these two people are very busy, and it is too late to rest after work, and they don't have time to sit together and say a few words, and the king pigeon must not urge them.

The surgeon asked his intern to put the heart in the cold room for preservation, and insisted that Mai Zhe stay and participate in the operation together, after all, this kind of young heart transplant surgery is still more difficult than that of adults, and the opportunity is relatively rare.

But the inpatient department is as busy as the emergency department, especially in the winter after the year, a large number of patients with coronary heart disease and myocardial infarction pour into the cardiothoracic surgery ward, still waiting for heart bypass surgery, there are three surgeries waiting for him to go back to participate in this afternoon and evening, there is really no time!

Although the opportunity for the two to meet was rare, the conversation only lasted for fifteen minutes, and everyone had something to do, and Wang Ge signed his name on the handover formalities, which was a sigh of relief.

"This heart...... I'll leave it to you. Before leaving, Mai Zhe shook the hand of his former colleague and said.

"Don't worry!" the doctor who was in charge of the knife also shook hands with Mai Zhe vigorously.

Wang Ge and Mai Zhe left the vicinity of the operating room, because the operation time had not yet arrived, the patient was still waiting in the ward, and they did not see the parents of the boy with congenital heart disease.

But they knew that the parents must have been anxiously waiting for the good news to come.

"How do you feel?" asked the king pigeon suddenly, thoughtlessly.

"The little boy has never seen it, but according to the description of my old colleague, he is very good except for the heart, and his physical fitness is also good, and he should be able to withstand the operation of cardiopulmonary bypass, and after more than a month of hospitalization, the surgical indicators have been reached. The girl's heart was healthy, almost flawless, and as long as attention was paid to the details during the operation and no accidents occurred, the hope carried by this heart would surely continue to be carried by the boy. The matching type, the size of the heart and the blood supply capacity are relatively consistent, if the operation is successful, even the allogeneic rejection of the drug will be eaten a lot less in the later stage. ”

People say that surgery costs money, heart transplantation costs money, but the more expensive is anti-rejection drugs, if you eat more drugs, the monthly cost is about 3,000 to 4,000 yuan, which is definitely a huge amount for the average family.

Less medication means better results, less impact on the body, less money, and a better quality of life after surgery.

Mai Zhe thought for a moment and continued.

"This old colleague of mine, who came out of the Capital Medical University, his teacher is an old professor of the China Cardiovascular Disease Research Center, and he also spent a few years in the Capital Fuwai Hospital, specializing in heart surgery, and his parents were not in good health, so he returned to his hometown in Xiangsha. The success rate of this surgery in China is about 95% or more. But once this person takes over, the patient's chances of successfully getting off the operating table should increase by a few percentage points. ”

Wang Ge was stunned for a moment, there are many factors that affect the success rate of an operation, including the severity of the patient's own disease, physical condition and quality, whether modern technology has matured, etc., of course, it also includes the doctor's personal ability.

An excellent surgeon can formulate a complete treatment plan before opening the human chest, and after the operation begins, with his rich experience and excellent skills, he can make different judgments and operations for different situations, and can calmly respond to emergencies to save the patient's life to the greatest extent, instead of copying the things in the textbook.

There are many things that you can't learn in school, and you need some talent!

I have to admit that there is a technical gap between doctors and doctors, and in the same situation, a surgeon with good skills may succeed, and a doctor with bad skills may fail. In the case of the same success, the doctor with good skills will do the operation very beautifully, the incision is neat and the sutures are delicate, and all aspects are comprehensive, and the doctor with poor skills can only barely succeed.

The gap between very successful and barely successful is the difference between whether a patient can live 20 years or 5 years after surgery.

This is a medical reality, and it is why people have to be superstitious about "experts and professors" when performing surgery.

A high level is different.

Therefore, it is a very awesome thing for a doctor to be able to increase the success rate of surgery by a few percentage points by himself, which can be regarded as a top level.

However, the so-called success rate here is only the patient's state of cure after the surgery, and does not include the quality of life after the operation.

Unlike some other surgeries, heart transplantation does not allow the patient to remain in their original condition after the operation fails, and other treatments are sought. If this surgery fails, the patient's life is immediately lost on the operating table, and there is absolutely no remedy at all.

For heart transplantation, the chance of survival within one year is 90 percent, about 70 percent within five years, and only about 50 percent within 10 years.

More than 10 years are even less likely.

However, the effect of this heart transplant is also very related to age, and generally speaking, the transplant is carried out by young adults or the elderly, which reduces the numerical probability of survival years. Today's patient is young, his body is not fully developed, and if he recovers well after the operation, theoretically it is not too much of a problem to live to the age of fifty or sixty, and there should not be a situation where white-haired people send black-haired people.

Both men sat in the ambulance and drove back to the hospital while discussing the matter. Mai Zhe's first operation in the afternoon was scheduled for about 3:30, although there were still nearly two hours before the operation began, Mai Zhe had to hurry back to the hospital, talk to the patient's family for the last time before the operation, inform the condition, and personally check the patient's physical condition, and terminate the operation process immediately if there was any abnormality.

In addition, he also has to check the patient's medical record, medications, previous treatments and other test results again before the operation, and once again make sure that there are no errors or mistakes in the surgical treatment plan that has been formulated before. Doctors' jobs are not as they seem, just doing surgery, looking at cases and saying a few words, the complexities behind this are not well known, and they have their own red tape to do.

But these things are absolutely indispensable, and any seemingly inconspicuous mistake can cause the patient to encounter danger on the operating table.

The more Wang Ge and Mai Zhe talked, the more they felt that the resident doctors were actually not simple, they were all social elites, and they were rare and valuable talents, although there were some scum and some waste in this team, but it could not be denied that the technology and dedication of this group of people did not match the rewards they received now, not to mention the respect that should have been.

Halfway through the journey, Wang Ge's ambulance drove slowly, after all, it was not on a mission, he turned off the siren and police lights and there was no difference from the social vehicle, but it was estimated that there would be another five or six minutes to the hospital, but the car intercom suddenly sounded.

"This is the medical emergency command and dispatch center, Yaxiang attached to the second number 0110, Xiang AGZ689 ambulance driver heard it, please answer. Repeat, this is the command center, please answer when you hear it. ”

The king's heart tightened, yes, this is the mission. However, the doctor in the car is not an emergency doctor, but a doctor in the cardiac surgery department of the inpatient department, can he take this task?

"This is Xiang AGZ689 ambulance driver Wang Ge, please say. Wang Ge still picked up the intercom and replied.

"Please report the status of your vehicle and the information of your members!"

"The vehicle is in good condition, the fuel is adequate, the equipment is in good condition, and the medication is sufficient. There is a driver in the car and a cardiac surgeon from the inpatient department of the Second Affiliated Hospital of Yaxiang, please instruct. ”

"Okay. Five minutes ago, I received a call that there was a sudden illness in a hair salon three kilometers northwest of you, and the condition was unknown, and an ambulance was needed to arrive at the scene immediately. Do you meet the mission requirements?" the voice in the intercom spoke quickly.

"This ......" Wang Ge looked at Mai Zhe in the rearview mirror, this doctor has surgery in the afternoon and needs to rush back, but sending a car from the hospital may delay time. Mai Zhe is a doctor in the inpatient department, not in the emergency department, can it work?

The sound of the intercom was played through the speaker, and Mai Zhe naturally heard the requirements of the outpatient mission.

"I've also done clinical first aid, although it's only a department rotation, and I've never been out of the car...... But the specific process is also known. It's only half an hour back and forth, not too much time!" Mai Zhe gritted his teeth and nodded, thinking that the lunch that had been postponed wanted to wait until he came back to eat, but he didn't want to eat it now.

"Master Xiao Wang, I heard that you dare to take on tasks when you don't have a doctor in the car, not to mention that there is a serious doctor now!" Mai Zhe smiled and said again.

"Didn't that just happen to happen......" The pigeon's explanation looked a little weak.

Normally, non-emergency doctors are not allowed to go out of the emergency department, although they know about some of the medical equipment on the car, but they do not know the disposal process, and the location of the drugs is not known, and it is easy to cause trouble when they go out of the emergency department.

But now that the situation is urgent, even the command center can't manage so many rules, since there is a car outside, there is a doctor in the car, and he has also done clinical first aid, it is better, it is better than wasting time to transfer a car from the hospital.

Seeing that Mai Zhe agreed, the king pigeon was no longer verbose.

"Here is the number 0110, Xiang AGZ689 driver Wang Ge, received the task of getting out of the car, please send the positioning information to my navigation system, I will go to the place of the incident as soon as possible!"