Chapter 915: It's a Real Problem

After six o'clock in the afternoon, Yu Zhiming finished his day's work and went to the operating room on the second floor non-stop to examine the patient on Dr. Xu Lu's urethral reconstruction.

After a detailed hands-on examination, Yu Zhiming proposed a total of six small points that could be improved to Dr. Xu regarding the completion of the operation.

In fact, he has reached the level of deputy chief physician, has complete clinical experience and technology, and there will be no obvious errors or omissions unless the operation is careless and careless.

The improvements proposed by Yu Zhiming are more like nitpicking in the egg.

This is mostly related to some small habits of the surgeon or differences in the understanding of surgery.

It's not easy for a person to change the habits they've developed over the years.

As for the difference in the understanding of surgery, it is a matter of opinion.

Yu Zhiming has no experience in related surgeries, but with a comprehensive understanding of the body structure and a detailed understanding of the local area, he believes that a certain detail should be handled in this way.

But for the surgeon, it is likely to be redundant or nonsense.

Therefore, Yu Zhiming can see from Dr. Xu Lu's reaction that two of the improvements he proposed are recognized, and the other four are dismissive.

Yu Zhiming didn't care.

He tried his best, and as for whether the other party accepted the suggestion and tried to make improvements, that was the other party's business.

It's not a child, and it needs to be supervised by others.

Yu Zhiming left the operating room and returned to the large office on the third floor of the basement, where he saw Zhou Mo unpacking the express box.

"What did you buy?"

"Red wine and American ginseng, let someone else place an order for me in Qi Zhen's live broadcast room."

Zhou Mo replied and took out a box of 100-gram slices of American ginseng from the express box.

"Dr. Yu, can you tell that this American ginseng is from the United States? Is this quality worth 3.6 yuan a gram? ”

Yu Zhiming shook his head and said, "I don't have such skills, you go to the Chinese medicine department and ask the pharmacist." ”

After a pause, he asked again, "Are you worried about Qi Zhen selling fakes?" Shoddy? ”

Zhou Mo nodded.

Yu Zhiming chuckled: "He just started selling goods live broadcast, and if he wants to establish a reputation, there is a high probability that he will lose money and make money." ”

"When he is recognized, there are more people in the live broadcast room, and the shipment volume is large, then it will be the time to cut leeks."

He blurted out again, "Do you care about him?" ”

Zhou Mo took out a bottle of red wine protected by a bubble bag, and said while looking at the red wine: "I don't bother to care about him, I'm just afraid that he will cause trouble again and make everyone uneasy." ”

After a pause, she turned to ask, "Doctor Yu, how many places did you point out of Dr. Xu's surgery?" ”

Yu Zhiming chuckled: "Don't point out, just put forward a few things that I personally think need to be improved." ”

Zhou Mo said with crooked eyebrows: "Doctor Yu, listening to your tone, it seems that Dr. Xu doesn't approve of it?" ”

Yu Zhiming smiled lightly and said, "I heard Teacher Qi say that Dr. Xu was very talented when he was young. ”

"Excellent people are generally a little conceited and arrogant, and it is not easy to listen to the opinions of others."

Zhou Mo pouted and said, "If you are really excellent, you will not be rated as the chief physician, and you will come to our center in a gray way......

Ten minutes later, Zhou Mo drove Yu Zhiming in a phantom and left Huashan Hospital.

After driving on the main road, Zhou Mo said with a leap of words: "Doctor Yu, in just one day, your Rolls-Royce car will be known to the whole hospital." ”

"This is the hospital's first Rolls-Royce, and in terms of value, it is far more than the second-place Daben."

Yu Zhiming smiled and asked, "The car is also ranked?" ”

Zhou Mo snorted and said, "As far as today's queue, the last few are more than one million luxury cars, which is far behind." ”

Yu Zhiming sighed lightly and said, "It's a bit swaggering." ”

Zhou Mo said with a smile: "Without this stylish car, Dr. Yu, you are also the top spot in the hospital billboard, and you can't be low-key if you want to." ”

After a pause, she turned to say, "I've made an appointment with the laboratory animal center to get three rabbits tomorrow." ”

"The pregnant woman in the northeast will arrive tomorrow afternoon."

"And ......"

Zhou Mo reported again: "Dr. Liu's daughter-in-law's intrauterine intervention surgery is scheduled for this Thursday. ”

"Dr. Yu, should we have surgery on Wednesday?"

Zhou Moyu said excitedly: "In this case, the pressure will be put on the side of the Affiliated Hospital of Jiaotong University, and it can even make Dr. Liu's daughter-in-law regret it and beg to come back?" ”

Yu Zhiming criticized: "Dr. Liu deliberately looked for the same patients, perhaps with the element of anger and spirit. ”

"But I took over this surgery just to improve myself, not to fight with the Affiliated Hospital of Jiaotong University."

Zhou Mo smiled and said, "Others may not think so." Dr. Yu, I forgot to tell you something. ”

After a pause, she reported: "At about five o'clock in the afternoon, I received a call from Dr. Sun Qi from the Affiliated Hospital of Jiaotong University. ”

"This Dr. Sun is an expert in fetal medicine, and he said that he invited you to observe Dr. Liu's daughter-in-law's intrauterine intervention."

"However, she also said that she would like to ask you to check the health of several of her relatives and friends at that time."

Yu Zhiming laughed and said: "It's really interesting, invite me to observe the operation, and there are quid pro quo." ”

"This intrauterine interventional surgery seems to be very bluffing, but there are not many secrets to speak of, the test is the hard work of the hands and the mastery of time."

"These skills are not something that can be learned by observation."

Yu Zhiming instructed Zhou Mo, "Reply to Dr. Sun Qi for me, thank her for the invitation, and say that I am busy with work and have no time." ”

Zhou Mo snorted and added, "This Dr. Sun Qi will go to Jingcheng Hospital in a while." ”

Yu Zhiming sighed and said, "In this way, I will have less contact with her." ”

At this time, Yu Zhiming's mobile phone rang again.

It's a call from Xiong Jing, an expert outside the heart.

Yu Zhiming answered the phone, and before he could speak, Xiong's eager voice jumped out of the mobile phone.

"Dr. Yu, are you still in the hospital? I have one thing here that I need your help with! ”

"Zhou Mo, turn around and go back to the hospital!"

Yu Zhiming first instructed Zhou Mo before saying into the phone: "Doctor Xiong, what's the matter?" You said! ”

Dr. Xiong Jing quickly replied on the phone: "Dr. Yu, that's right, there are two patients waiting for heart transplants in the hospital, and they are matched with the right heart at the same time. ”

"The heart is on its way, and it will be there in about an hour before it arrives at the hospital."

"Now we are facing an important question, both of them are suitable, who should this heart be given to?"

Worldwide, organ transplants are far more patients than organ donors.

In our country, about 90 percent of patients with end-stage heart disease die while waiting for a heart donor.

If a heart donor appears, there is a strict allocation principle for who should be assigned to it.

The first is the matching, who is suitable for whom.

Second, we have to look at the region, and the region is actually looking at the organ delivery time.

China has a vast territory, and even if the aviation industry is developed, it still takes a long time to transport organs.

The heart is the most stringent of all transplants. The liver and kidney can be stored for 24 hours, and the upper limit of heart preservation is about 8 hours, and it is best to control it within 6 hours.

These 6 hours also cover the surgical removal of the donor, transport, transplant preparation, and completion of implantation, which is very tight.

The third is to look at the priority of the patient's condition.

Fourth, look at age.

If the above-mentioned principles of the allocation of transplanted organs do not determine the ownership, it is up to the doctor's evaluation.

Yu Zhiming frowned and said, "Doctor Xiong, you can't decide who the heart is assigned to?" ”

Xiong actually sighed on the phone: "These two people are both terminal heart failure, and their conditions are similar. ”

"As for age, one is forty-seven years old and the other is forty-nine years old, and there is not much difference."

After a pause, Xiong actually said, "Just when I had a headache about who to assign to, I suddenly thought of something. ”

"The most important thing for these two people to get the heart is to see who the heart is more compatible with."

"Whoever is more compatible, who gets the heart, will be able to live better and longer."

"And only Dr. Yu can really feel who that heart is more suitable for."

Yu Zhiming frowned, and said bluntly: "Doctor Xiong, how do I feel that you are shirking your responsibility?" ”

"This is a choice between life and death, and the person who is not selected, in terms of the current situation of heart transplantation in my country, there is a high probability that he will die."

Dr. Xiong explained on the phone: "Dr. Yu, I am not shirking my responsibility, but using a fair, just and reasonable medical evaluation method to determine the most suitable transplant recipient. ”

Although what this guy said was high-sounding, Yu Zhiming could keenly hear the emptiness revealed in his words.

Xiong Jing's voice then came from his mobile phone, "Dr. Yu, in a responsible manner, shouldn't we choose the most suitable patient for transplantation?" ”

"Also, Dr. Yu, don't you want to test your ability to perceive the heart and determine who is more suitable?"

"It's a great opportunity to have this store in this village. Perhaps, this is the only opportunity in a lifetime. ”

At this time, Zhou Mo's voice came, "Doctor Yu, do you want to go back to the hospital?" ”

Only then did Yu Zhiming notice that the car had stopped on the side of the road.

I have to say that Xiong Jing's words really moved Yu Zhiming's heart.

As he says, this may well be a unique opportunity to perceive who is more compatible with the heart.

It's just that......

For Yu Zhiming, this is a simple multiple-choice question.

However, for those two families, it was a major change of life and death......

Yu Zhiming suddenly thought of something and said: "Doctor Xiong, since both of them are suitable, there will not be much difference in the fit of the heart, and what will affect their life after transplantation is their subsequent recuperation." ”

"Given the high cost of subsequent heart care......

Yu Zhiming thought of the situation in the early years when the whole family was frugal for him to see a doctor and recuperate, and then said: "So, in this case, this is not a medical evaluation problem, but a naked practical problem, an economic problem. ”

"Doctor Xiong, my personal advice is that whoever is richer in the two families will get the heart ......"

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(End of chapter)