Chapter 24 One Liver and Two Uses
Director Zhao Chongxi is a middle-aged man with very thin hair. But he is not the same as Han Wenping, Qian Hongjun, and people who happily shave their heads. Director Zhao still has his own insistence or "saving" attitude. One side is topped, and all sides support. In line with a frugal attitude, Director Zhao is always very persistent in using the thin and long hair around his head to try to cover the skin on the top of his head.
Theoretically, Chen Tianyi needs a liver transplant, and Xiao Yanran also needs it. Both of them need the same organ, and it stands to reason that the two of them should actually be in a competitive relationship with each other - provided that their HALs are similar, of course.
Xiao Yanran needed a liver transplant because her remnant, hardened liver could no longer support normal physiological activities. Chen Tianyi needed a liver transplant because her liver could not produce ornithine formyltransferase (OTC) normally. Looking at the problem from another angle, this means that Xiao Yanran's liver is able to produce enough ornithine formyltransferase. After accepting the liver donated by his parents, the part of Chen Tianyi's liver that was removed was useless - according to the general regulations, this congenitally deficient "healthy" liver will be thrown into the incinerator as medical waste.
Can you find a way to make use of waste? Director Zhao's habitual spirit of "saving" has flare up again. Xiao Yanran, this child is well-behaved and sensible, and now she is about to become the little mascot of hepatobiliary surgery. From the head nurse to the regular training doctor, everyone tried their best to make this little girl happier, and ...... A little longer.
Xiao Yanran's HAL test has been done a long time ago. And the HAL of Chen Tianyi, who was driven out later, seems to have become the best evidence that the blind God has suddenly woken up.
When he got the results of Chen Tianyi's HLA, Director Zhao was pleasantly surprised to find that the little girl's HLA and Xiao Yanran, who had been hospitalized for more than half a year, were successfully matched - nine of the ten high-resolution points matched.
This is a thief's eyes. Director Zhao was excited, and he had already conceived a three-bed mutual aid liver transplant at the same time. One of Chen Tianyi's parents donated part of her liver to their daughter, and then transplanted the removed Chen Tianyi's liver to Xiao Yanran. This can not only ensure the therapeutic effect of Chen Tianyi, but also buy more time for Xiao Yanran.
Yes, the transplantation of Xiao Yanran can only buy more time. Cirrhosis cannot be reversed. Doctors can only do everything they can to slow the progression of the deterioration. But even with an artificial liver and adequate antiviral treatment, Xiao Yanran's condition deteriorated β she was admitted to the hospital a little too late to begin treatment. If she doesn't get a liver transplant soon, she probably won't be able to last long.
And Chen Tianyi's liver can become an important force for Xiao Yanran to continue to support. The effect of transplanted liver is incomparable to that of artificial livers. Although Chen Tianyi's liver can't produce enough ornithine formyltransferase (OTC) on its own, Xiao Yanran's remaining liver can. In fact, a liver transplant on Xiao Yanran would have stimulated her remaining liver to produce more OTC. This will also help the part of the liver donated by Chen Tianyi to start working again.
The wishes are beautiful and the design is perfect. But it all needs to be based on two preconditions β Chen Tianyi's parents agree to donate their daughter's soon-to-be-removed liver, and Dean Song agrees to perform the uncertain surgery for Xiao Yanran.
"I'm going to talk to Chen Tianyi's parents. Sun Lien, as Chen Tianyi's attending doctor, is very optimistic about the design of this set of surgeries. "Anyway, there is no other use for her liver to be cut off, I went to talk to her parents, and it should be fine. β
"Then you go first. Zhao Chongxi waved his hand generously, "I'll wait for you in the office, and after you finish talking to others, let's go to Dean Song together." β
Sun Lien glanced at Lao Zhao and pretended not to understand, "In order to gain time, let's go our separate ways." β
Director Zhao glared back directly, "Without your Director Sun present, I can't talk to Dean Song about this, you know?" Director Zhao Chongxi said the most cowardly words in the most fierce tone, "Although this surgical plan is good for everyone, it is an experimental treatment after all." If I went to Dean Song alone, she might not agree. You'll have to come with me over and help beat the side drums. β
"What can I do to help...... Sun Lien is still ready to resign, Zhao Chongxi is the director of the liver and gallbladder surgery, if he feels that he can't get the approval of Dean Song for proposing a certain treatment plan, then adding a few of himself is not enough. Therefore, in the same way, Director Zhao himself is actually sure to pass the treatment plan. It's just that something might have to be put in the middle...... For example, Sun Lien himself.
Although I don't know what Zhao Chongxi wants to do, if he still makes up at this time, then Sun Lien definitely has a problem with his brain.
"I remember that Xiaohu and this little girl have a very good relationship. Director Zhao glanced at Sun Lien, and then muttered as if talking to herself, "If she comes back and finds that this little girl's treatment has been delayed because of her boyfriend, then she should be very unhappy, right?"
"Brother Zhao, no, Uncle Zhao, you won. Sun Lien instantly raised his hands in surrender, and then showed a wry smile, "You're going to sell me, but at least you have to let me die, right?" What kind of dish are you going to make Xiao Sun and me?"
"Look at what you said. Zhao Chong happily stroked the hair on his head, "Am I that kind of person?" he said lightly, "After the operation is over, let Xiao Yanran go to your side to be hospitalized." This bed has been occupied for too long, and the pressure on the turnover rate of our hospital beds in the department is too great. β
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"I agreed in principle to this surgical plan. Dean Song was far happier than Sun Lien imagined, and after listening to the report and reconfirming the HAL match, she happily gave permission. "Go to the ethics committee, if there is no problem, you can start preparing......" She paused and looked at Sun Lien, "Has the patient's family agreed?"
"Agreed. Sun Lien nodded. Chen Tianyi's parents nodded without even a second of hesitation when they heard that their daughter's liver could help a poor little girl survive after it was removed. even offered to donate a little money to fund Xiao Yanran's follow-up treatment. The only condition they put forward was, "If you can, let the child recognize us as a godfather and godmother." β
"Don't even think about this kind of thing. Non-relative donations should be kept confidential by the identities of both parties. Dean Song refused this request without hesitation, "Xiao Yanran's parents are still alive, and we can't do this kind of thing." β
Director Zhao nodded in agreement, and then threw out Sun Lien's card, "Because the later treatment involves immunosuppression and tumor control, as well as infectious diseases, our ability outside the liver and gallbladder is relatively limited. I discussed it with Lien, and after the operation was over, I transferred Xiao Yanran to them to continue the treatment. β
"Hmm...... I'm relieved to have Dr. Pascal. Dean Song nodded, and then asked Sun Lien, "Pascal's project application is almost over, and the matter at the college has basically come to an end recentlyβDr. Pascal will still be the director of the diagnostic center in the future, are you okay?"
Where could there be any problem with Sun Lien, "In the past, when Lao Pa was in our group, I felt that something was wrong all over my body. Now let him be the superior, I don't have any opinion at all. It's a lot easier. β
"Alright, let's do it. Dean Song nodded, and when Sun Lien turned around and was about to leave the room, he said as if he suddenly remembered something, "By the way, Kobayashi Feng is coming to China again, do you know?"
"I don't know. Sun Lien stopped, then shook his head. The last time I met Yutaka Kobayashi was at the New Year's Eve dinner. Bigwigs of this level are generally flying around the world on private jets, and of course they will not be able to grasp each other's schedules.
Song Wen glanced at Sun Lien again, and after thinking about it, he shook his head, "Forget it, you go get busy first." I'll let you know if there's anything else. β