The mermaid child is very fragile, and since she was born, she has always been inseparable from the maintenance of medical machines, such as hemodialysis instruments, which are completely where to go.

Because the Canadian mermaid child lacks the bladder, large intestine (rectum), and most of the kidneys.

What is the problem with this? That is, the mermaid child is equivalent to a "Pixiu", only in and out.

First of all, let's talk about this bladder.

The bladder is an organ that stores urine, and if a person loses a bladder, it will lead to the inability to store urine and make it difficult to urinate.

It can also cause urinary incontinence, resulting in an inability to control urine, accompanied by symptoms such as urinary frequency, urgency, and painful urination.

If the above two points only cause inconvenience to life, then the last point will be at risk to people's lives.

If a person has no bladder, urine cannot be excreted from the body, which may cause toxins and water to accumulate in the body, causing hydronephrosis and kidney failure.

It's like the bladder is originally a reservoir, and when the water is full, it will be automatically discharged, and the upstream will always be unobstructed.

But now that the reservoir is gone, there is nowhere to flow and no place to store the water, and then a "dammed lake" situation is formed, causing the upstream to flood and flood.

So let's look at the upstream, that is, the kidneys.

A normal person has two kidneys, and if one kidney is removed due to a lesion, life can be passed, as long as the remaining kidneys function normally.

Unfortunately, the mermaid child's right kidney is missing, and the left kidney is only one-third the size of a normal kidney and has little function.

If a person does not have kidneys, they cannot produce urine, and they cannot maintain a stable internal environment through the way urine is excreted from the body, which will lead to the retention of metabolites and toxins in the human body.

Over time, the condition becomes more and more severe, and uremia will be triggered.

A large amount of water retention in the body can lead to edema throughout the body, which can be complicated by heart failure.

In addition, the retention of metabolites and toxins will affect the acid-base balance, resulting in acid-base balance disorders and electrolyte disorders in the body, which can cause abnormalities in electrolytes such as magnesium, calcium, potassium, and phosphorus, which can cause hyperkalemia and in severe cases, cardiac arrest.

Without kidneys, it is not possible to produce various hormones such as erythropoietin, renin, and prostaglandins secreted by the kidneys.

Without these hormones, the body's endocrine function will become disordered, which will lead to various abnormalities such as renal anemia, renal bone disease, and abnormal blood pressure.

It's simply deadly.

It's the same as uremia.

Although the urine virus has kidneys, the kidneys don't work anymore and don't detoxify anymore.

Now mermaid children have almost no kidneys and no bladder, which is worse than uremia patients, at least uremia patients will not have urinary incontinence.

The above two points are that you can't urinate, but you can't defecate here in the mermaid child, because she doesn't have a large intestine at the same time, including the rectum and anus.

The main role of the large intestine is to absorb water and promote the formation of stools.

If the patient does not have a large intestine, it may cause disorders in the patient's digestive function as well as the gastrointestinal tract.

And without an anus, it's even worse, you can't help it when you have stool, and the excretion of stool is not something you can control, and you can pull it out anytime and anywhere.

When a mermaid child is born, it has no urethral opening and anus, and all of it is hidden.

When we scold, we often say: give birth to a son without asshole, this is the case.

So why are the cases of "mermaid syndrome" patients so rare, even if by 2023, there are only 2 mermaid patients in the world who have survived, and only one of them has become an adult.

Another mermaid girl died at the age of 10, a brave and strong little girl who had always longed to be able to dance ballet, but finally died of pneumonia caused by a cold.

The longest survival record of a mermaid child recorded in our country is 38 days, which has been recorded in the history of medicine.

That is when the mermaid baby is just born, because it cannot be excreted, coupled with the lack of kidneys, almost all of them die within a few hours of birth.

Gabriel survived because of her father's ability to make money, and he invited the best doctors in the world to have a fistula ostomy surgery at birth.

So Gabriel lived to be 5 years old, with a urine bag and a dung bag hanging all the time, and at the same time carrying a "hemodialysis machine" with him, which was maintained with expensive drugs.

It's not easy for Gabriel to be alive.

The mermaid child that Chen Qi is now taking over is the only known living case of "mermaid syndrome" in the world, although it has won the attention of the world, and at the same time, the pressure is greater than that of Taishan.

If the operation fails and the treatment is not successful, the mermaid child may die in China.

Happy events turn into funerals, and you can imagine how parents, peers, media, and international public opinion will spray him to death Chen Qi and the Vietnamese Central Hospital.

This is also an important reason why the top surgeons in the top hospitals in Europe and the United States dare not take over, and they have already achieved fame and do not want to take risks at all.

Only a grass-roots hospital like Vietnamese-Chung Hospital, a rising doctor like Chen Qi will take over.

Even if Chen Qi's skills are good and with the blessing of gold fingers, the difficulty of this operation is still beyond his imagination.

After reading the medical records, Zhu Huoyan glanced at Chen Qi with a little embarrassment:

"This operation is very difficult, the separation of the two legs is simple, but after separation, whether the existing bones can support walking is a question, even if you can move, what to do with so many missing internal organs? Without these machines, the little patient still can't survive. ”

Only doctors know best that if a person can't control his urine and urine and needs a urine bag for 24 hours, such a person will not have a quality of life, and there is no way to integrate into normal society and socialization.

Therefore, many doctors themselves are sick and would rather die than use dung bags.

For example, Chen Qi had a patient before, and this was the case with Dr. Qi Quanlin from the Department of Surgery at Xijing Hospital.

After hearing Director Zhu's words, Chen Qi also pondered for a while before saying:

"To do this operation, organ transplantation is the key, which involves three surgeries, one is rectal transplantation + rectoanal anastomosis reconstruction surgery, one is kidney transplantation, and finally leg separation."

The Huaguo doctors present all gasped.

Because of the three surgeries mentioned by Dean Chen, rectal transplantation + rectal-anal anastomosis reconstruction surgery has never been heard of, and rectal transplantation can also be done?

In addition, the high-end surgery of kidney transplantation has never been performed by the Vietnamese Central Hospital, and there is no technical reserve in this area, so where can it be afforded?

You must know that this is a level 4+ surgery, which is really not something that ordinary hospitals can do.

Under the whisper of the translator, Carlos also understood the three surgeries that Chen Qi said, and he was also surprised in his heart:

"Chen, great, you are really a famous doctor, you can see the essence of my daughter's disease at once, yes, these surgeries require organ transplantation, followed by leg separation, in this way, you can raise any difficulties in clinical practice."

Chen Qi thought to himself, is this big dog really addicted to scattering coins?

But this time Chen Qi doesn't need money, and if he continues to ask for money, he will be insatiable and will be spurned.

"Mr. Carlos, now there are two questions, one is where do the transplanted organs come from? Our country can provide it, but from a pairing point of view, it is better to use the organs of the white people, so that the racial differences can be eliminated.

In addition, now that Miss Gabriel is preparing for surgery, it is too late to find a suitable match, and even if it is too late, it is not a big problem for people to donate a kidney, and if they want someone to donate their rectum, I am afraid that no one is willing. ”

Carlos laughed when he heard this:

"I thought it was difficult, you don't have to worry about that, in fact, I have always prepared a donor for my daughter, you just need to say what organs you need, from the beginning to the end, from the inside to the outside. If one isn't enough, three or five are fine. ”

As soon as these words came out, the doctors of Huaguo gasped again.

Even Chen Qi felt numb in his back, thinking to himself that this Mexigo business tycoon still had this ability? Could it be that this guy is not walking in the white way, but in the underworld?

This obviously means that he, Carlos, has a group of "organ donors" who have been successfully matched with his daughter, and they can be removed at any time.

This is not allowed in any society governed by the rule of law, and it is extremely inhumane and cruel.

But Chen Qi also knew that the world was so unfair, and with the prosperity of organ transplantation later, organ trading became another evil transaction after the white flour trade and the human trade.

There is no harm in not buying and selling, but what if there is a lot of buying and selling?

Therefore, Chen Qi wisely did not ask about the source of the organs, but nodded silently, as a figure at the top of the food chain, people enjoy privileges, but neither the white nor the underworld can do anything about them.

"OK, it's good to be able to solve the source of organs, my surgeries are going to use the latest international technology, so there is still a possibility of failure, it is better to keep a backup, and there is another difficulty, which needs to be solved by the editor-in-chief Gabrielth."

Editor-in-Chief Gabrireth smiled:

"Of course, Mr. Carlos was invited by us, of course we have to fully cooperate with Mr. Carlos's request, to make the operation foolproof, Chen, what do you need, just say."

The New England Journal of Medicine and Surgery has prepared a budget of $10 million to support Vietnamese-Chinese hospitals.

Anyway, the money is donated by entrepreneurs from all over the world, and they don't feel distressed when they spend it, and they can't put it in their pockets if they can't spend it, and they can get some rebates if they buy some equipment.

Chen Qi smiled, thinking that the opportunity was rare, and if he didn't slaughter it, he wouldn't slaughter it:

"Mr. Gabrieleth, you also know Miss Mermaid's condition, she relies on the hemodialysis machine to maintain her life, but there are too many unexpected factors during the operation, and the hemodialysis meter has to be turned off during the operation, which increases the risk of surgery.

In addition, there is a conjoined baby who needs surgery, so I would like to apply for 4 Extra-Corporeal Membrane Oxygenation, two for clinical use, and two for standby, I don't know if your journal can meet my small requirements. ”

Extra-Corporeal Membrane Oxygenation, abbreviated as ECMO, is commonly called "Yeke Membrane" on the Wanwan side.

It is a kind of medical emergency equipment, also known as "Yeke membrane extracorporeal life support system" or "extracorporeal circulation membrane lung support therapy".

It is mainly used for patients with severe cardiopulmonary failure, which can temporarily replace the cardiopulmonary function of patients, carry out extracorporeal respiration and circulation, and reduce the cardiopulmonary burden of patients.

"Yeke membrane" represents a technology for the level of critical care and first aid in a hospital, or even a region or a country.

"Yeke membrane" has become one of the most important medical emergency equipment today, and it has its clinical miracles at home and abroad.

In the early spring of 2020, almost all the Yeke membrane machines in the country were transferred to Wuhan.

Initiating ECMO is very demanding for the medical team, usually requiring a professional medical team of more than 5 people, including the cooperation of multiple disciplines such as respiratory, critical care medicine, surgery, ultrasound, and blood transfusion.

During the ECMO rescue of a 47-year-old COVID-19 patient in Wuhan Tongji Hospital, a total of 14 people from BJ Hospital and Wuhan Tongji Hospital formed a rescue team to bring the patient back to life after a night of hard work.

Of course, this patient is more expensive, and like Carlos, he belongs to the existence of a human being.

But on the other hand, as long as there is a "Ye Ke membrane", a person can hardly die, even if your heartbeat and breathing are gone, heart failure and lung failure are fine, the machine will help you heartbeat and help you breathe.

Therefore, "Ye Ke membrane" is the dream of every dean, and every hospital wants to have it.

Of course, the operating cost of "Ye Ke Membrane" is also very high, and hospitals often use the saying "when the machine rings, the gold is ten thousand taels" to describe the use of "Ye Ke Membrane" technology.

The start-up cost of "Yeke film" includes the cost of consumables, personnel costs, and ancillary testing, drugs, equipment replacement, etc., with a starting price ranging from about 50,000 yuan to hundreds of thousands.

Unless your dad is a jack horse, or your grandfather has climbed a snowy mountain, the average civilian can't afford to use it at all.

Editor-in-chief Gabriel Reth thought to himself, good guy, this dean of Huaguo has a vision, and as soon as he opens his mouth, he wants 4 Ye Ke films.

Even in 2023, in the era of highly developed technology and mass production, a machine needs millions of units, and it needs to be imported.

The ex-factory price may not be expensive, but the bidding price in the middle is to be doubled several times, so the price to the hospital, cough cough.

In 1991, Yeke film was purely imported, and three foreign companies were monopolized, so the price of a Yeke film machine was about 200~3 million US dollars.

4 machines cost a budget of 10 million US dollars, good guys, how many hospitals in China can afford it?

Carlos saw that Editor-in-Chief Gabrieth had a slightly unpleasant face, so he asked strangely:

"Mr. Gabrieleth, is the ECMO that Dr. Chen said particularly useful for my daughter's treatment and possible resuscitation?"

Editor-in-Chief Gabrireth nodded awkwardly: "Yes, this is the last life-saving machine, Chen is not wrong." ”

Carlos was a layman after all, so he asked strangely: "Then why don't I buy these 4 ECMO machines?" It doesn't cost much anyway. ”

How dare Gabriel Reeth let Carlos pay for this operation, which he advocated to come to China to do, and it was also held in the name of the New England Journal.

And as long as the New England Journal cooperates, wouldn't it be easy to ask for tens of millions of dollars in donations from this tycoon in the future?

So the editor-in-chief Gabrireth bit and said: "No, Mr. Carlos, we will pay for this money!" ”

Chen Qi really wanted to listen to Coke at this time to celebrate, and before the operation began, a large number of top-notch high-tech equipment had been extorted.

Moreover, these equipment will be delivered as soon as possible because of urgent needs, eliminating the possibility of future ruffles.

These equipment alone to Yuezhong, can make Yuezhong Hospital become the hospital with the most complete hardware facilities in China.

Chen Qi is the dean, and while considering the social benefits, he has to consider the economic benefits.

Whether the Vietnamese and Chinese hospitals can issue a large color TV to each employee this year depends on whether there are many patients this year and whether they can make a lot of money.

At this time, in the ward, those experts from the Viet Chung Hospital all looked at Dean Chen like a god, thinking that this young master was the reincarnation of the God of Wealth? Or are these foreigners stupid X brainless? Why do they give Dean Chen whatever he wants?

Then there is excitement, when the machine arrives at the Viet Chung Hospital, it is still them who are used, and then the medical level is not growing rapidly?

A good doctor with a good machine is equivalent to a good horse with a good saddle, which is definitely a super good thing of 1+1>2.

Even the "cold-faced Hades" Zhu Huoyan was a little excited:

"Chen Qi, we still lack the most advanced NMR, can we also complete it this time?"

Chen Qi said with a bitter face: "Let's wait for the operation to be successful, if the operation is not successful, these advanced instruments may become our lifeline." ”