Chapter 118: Clouds and Sunshine

Exemption from the examination is recommended, and the tuition fee is free. Sun Lien also experienced the treatment of a scholar. To be honest, although I used to get a scholarship when I was an undergraduate, it was only a few hundred dollars. It is rare to see a direct award from the government for free tuition.

"The rest of the rewards will have to be decided after further research. Secretary Chen said a little helplessly, "After all, we are talking about a society under the rule of law now, and we must first consider a legal basis for doing anything." It's okay for us to be in trouble, but we feel like we've treated you a little badly. ”

"I'm so embarrassed to say that. Sun Lien hurriedly shook his head and said, "I found signs of disease, this is my job." Avoiding accidents or something is just an additional consequence. I'm already very happy to be lucky enough to get a scholarship and a waiver. ”

Secretary Chen patted Sun Lien on the shoulder, said a few words similar to "come on", and turned his head to understand the situation with Director Zang. And Xu Yourong also rushed to the hospice outside. But she didn't come to see Zhou Xiufang off.

"The situation in Gao Yan is not very good. Xu Yourong said in a low voice, "After about half an hour on dialysis, the blood results measured are still very bad. The serum creatinine index barely decreased. ”

"What did Dr. Zhou say?" Sun Lien's first reaction was to ask for the opinion of a specialist. "Kidney damage has expanded?"

Zhou Ce said that the hemodialysis machine should be able to remove the blood creatinine in Gao Yan's blood. Now on hemodialysis but still so high, it means that the ability of the hemodialysis machine to remove blood creatinine is comparable to the new damage in Gao Yan's body. Xu Yourong's face was not very good, "Now we need to consider not only the problem of kidney damage, but also the signs of liver failure." Zhou Ce and the doctors in the ICU are using a continuous blood purification protocol. ”

The continuous blood purification program can remove metabolic waste and garbage from the human body slowly, continuously and in large quantities, and maintain the blood environment. But at the same time, like dialysis used in uremia patients, it filters out a large part of naloxone, which is used to fight methamphetamine.

However, considering that naloxone is inactivated in the liver, stopping naloxone now can also play a role in reducing the load and protecting the liver.

Sun Lien was silent for a long time and shook his head, "This patient ...... It's troublesome. ”

Xu Yourong also understood what Sun Lien meant, organ failure is actually not uncommon in hospitals. Kidney failure, liver failure, heart failure, lung failure and other diseases, although in the eyes of ordinary people, are simply a major event, but in the eyes of doctors, especially in the eyes of the group of "biochemical magicians" in the ICU, as long as there are no more than two organ failures at the same time, it can still be saved.

Cardiopulmonary failure can be performed on ECMO (extracorporeal membrane oxygenation). Even if your heart stops beating and your lungs fail, the ECMO system's power pump can continue to drive blood circulation through the body, while the artificial lung can replace the lungs for red blood cell gas exchange.

With the artificial liver support system developed by Academician Li Lanjuan, the porcine liver cells in the fiber tube can temporarily replace the human liver cells for metabolic activities.

If it's a big deal, insert a few more pipes into it. As long as necessary, these doctors in the ICU always have a way to maintain the work of the organs for a short period of time.

But manpower is sometimes exhausted, although most organ failure can be replaced by machines. But there is an end to the power of the machine. Both ECMO and artificial liver support systems can cause damage to blood cells, such as red blood cells. Although there have been records and reports of ECMO sustaining vital signs for more than 100 days, it was only a "miracle" after all. In general, the limit of the ECMO maintenance system is around 7 days. If doctors can't reverse cardiopulmonary failure within seven days, the patient will eventually have to go.

According to long-term medical experience, once a patient has more than two organ failure, the survival rate will drop directly to about 4%. If more than four organs fail, the mortality rate is as high as 90% or more.

Gao Yan is already showing signs of kidney failure and liver failure. And brain failure caused by long-term methamphetamine damage is likely to beckon to Gao Yan in the near future.

After brain failure, cardiopulmonary failure is a sure thing. Either he can stabilize the situation now, or he will have to try his luck to see if he is lucky enough to escape with a 90% mortality rate.

·

·

·

Xu Yourong was discussing the situation with Sun Lien when the door of the hospice room was suddenly pushed open. A gurney was slowly pushed out. The white sheets covered the entire gurney, and next to him were Li Ping, the organ coordinator with a sad face, and Dean Liu Pingchuan.

The gurney was pushed into the hall outside the hospice, and only the relatives who came to see them off, as well as the staff of the Fourth Central Hospital, and Secretary Chen and his party were present. There are no other patients or family members here.

Secretary Chen and the others stood beside the bed, and Li Ping said in a trembling voice, "Please everyone...... Bow to Professor Zhou Xiufang's righteous act of promoting medical progress. ”

This is a phrase that doctors will say before organ donors are removed for donation. Before the surgery, the doctors will invite the family to come in and say goodbye to the donor. Afterwards, all the medical staff paid a silent tribute and bowed to the donors to express their gratitude. Finally, the organ is removed.

No matter how many cases of donated organs are removed, there is nothing about the doctors and nurses who perform the surgery to omit etiquette – this is not a cumbersome administrative requirement, it is the heartfelt respect and gratitude of the medical staff to the donor. They used their organs to save other lives. In this sense, the donors, like the medical staff, are comrades-in-arms on the united front at this moment—comrades in arms who are fighting against the disease together.

Everyone paused to communicate and looked at the gurney covered by white sheets. Everyone knew that in a few minutes, the venerable old man would be transported to a special facility in a special vehicle of the Red Cross for immobilization and embalming. After cryopreservation, he was transferred to the anatomy laboratory of the Department of Anatomy and Histoembryology of the Department of Basic Medical Sciences of Ningyuan Medical College, where he continued to educate future medical students as a general teacher.

People were silent, bowed, and said their final goodbyes to Zhou Xiufang. Zhou Jun, who had been a little numb, finally cried. Usually this somewhat cold, even somewhat cold, doctor fell to his knees, holding his face in both hands, and even crying. Xia Yanran also cried together, and while she was crying, she stroked Zhou Jun's back with her hand. I wanted to say something, but I couldn't say a word.

The crowd outside the Fourth Central Hospital of Ningyuan City suddenly had some commotion. The lead-gray clouds that had been entrenched in the sky for more than two days suddenly revealed a gap, revealing a clear blue sky obscured by the clouds.

A ray of sunlight shone through the clouds, and the golden light illuminated the line of red letters on the hospital building.

The Fourth Central Hospital of Ningyuan City.

m.