1789 Caught in a dilemma
“What if the patient’s family members don’t sign the papers?” Su Yun asked.
“I’m looking for Division Chief Lin. ” Zheng Ren said.
“Yes, the job of the hospital administration Department is to escort and guide clinical medicine.” “But it doesn’t include people like you!” Su Yun said in disdain.
“Is there any other way to perform emergency treatment?” Zheng Ren said,”ask Zhao Yunlong if he has finished signing. I’ve been working on it for a long time, so I think I should be able to sign it soon. “
“How did you know?”
“It takes a day to do a head MRI, let alone the IAB.” “He’s not in a very good condition,” Zheng Ren said.”Let’s send out a notice of critical condition. He’ll be able to come back if he’s strong enough.”
“…” Su Yun furrowed her brows.”Are you sure?”
Zheng Ren sighed. He looked at the patient’s Red system panel and felt a little helpless.
“You might need the support of your epineurium. Will you play?”
“No problem,” he said. Su Yun said with certainty.
ECMO was a cardiopulmonary bypass technique that could be used outside the heart operating theater.
The principle was to draw the body’s venous blood out of the body and inject it into the patient’s artery or vein system after being oxygen – supplied by a special artificial cardiopulmonary bypass. It played a role of heart replacement and maintained the oxygen supply to the human organs.
The First People’s Hospital of Haicheng City did not have an ECMO. The first time Zheng Ren saw it after graduation was when it was with Dr. Mehal.
Zheng Ren smiled bitterly and shook his head.”Have you seen the MRI?”
“The diagnosis of the smoke disease is very clear.” “If it’s the epineurium, a large amount of heparin will enter the circulatory system.” Do you think it will aggravate the Moksha and lead to cerebral hemorrhage?”
“Yes, the possibility is very high.” Zheng Ren was rather polite. He had just entered the operating theater and tried to perform the epineurium operation.
However, less than two hours after the surgery, the patient died of cerebral hemorrhage.
This was a dilemma.
There was a contradiction between heparin anticoagulants and bleeding, hemolysis, and poor compatibility between biological materials and tissues. The road of exploration was long. Countless people had died on this road, but there were also countless people alive.
The epineurium of Su Yun’s lower body was not a problem from a technical perspective.
However, Zheng Ren had determined that a large amount of heparin would cause cerebral hemorrhage, so Su Yun hesitated. To use epineurium anastomosis was an extremely difficult thing to do from a technical point of view, let alone the cost.
“You’re looking for the neurosurgery department?” Su Yun asked.
“Let’s find Lin Ge first, immediately!” Zheng Ren said,”the surgery was performed when the heart stopped beating. The blood has been converted into blood in the form of a liver. It’s very likely that it has already … Why isn’t Zhao Yunlong back yet?”
“I’ll make a call to rush him. ” Su Yun said.
“You watch, I’ll go take a look.” After Zheng Ren finished packing the IAB stuff, he took a look at the patient’s vital signs, opened the door, and strode into the corridor of the EICU.
Zhao Yunlong, who was in front of him, walked back quickly with an A4 paper in his hand.
“Old Zhao, I have something to tell you.” Zheng Ren waved his hand.
“I’ll go back and do the IAB. I’m worried that my heart might stop again.” Zhao Yunlong said in a hurry.
“I’m done. ” Zheng Ren said.
“Done?” he asked. Zhao Yunlong said in surprise. He lowered his voice and hurried to Zheng Ren’s side.”Boss Zheng, did you just make this?”
“Yes, there’s a sudden heart attack. I have to do it. His condition has slightly improved, but not by much. ” “I’m considering using my epineurium to support myself for a while, but there’s a taboo,”Zheng Ren said.
“Smoke disease? Can you confirm the diagnosis?” Zhao Yunlong was in a dilemma.
“Yes, I can.” Zheng Ren asked,”before you opened up the chest, how did you explain it to the patient’s family?”
“I didn’t have time to tell you at the beginning. The patient was sent to the operating theater for surgery while he was performing chest compressions.” Zhao Yunlong said,”later on, before I activated the external circulation system, I explained to the patient’s family. They suspected that he has smog syndrome. Heminification of the blood might lead to cerebral hemorrhage.”
“What did the family say?” Zheng Ren was most concerned about this.
If the patient’s family members cooperated, there was at least a thirty to fifty percent chance that the patient could be saved.
However, if the patient’s family refused to cooperate …
It would be better to give up on the rescue. In that case, there would be fewer medical disputes and conflicts.
With epineurium anastomosis, it was hard to say if the patient would survive. However, for the patient’s family members who were still hesitating, the cost of hospitalization would increase significantly.
However, if the patient did not go to the epineurium and lung, he would die without a doubt. The only difference was that he could live for a few more hours.
He was mentally exhausted, and Zheng Ren was not willing to face such a situation.
However, life was like this. It was impossible for him to do whatever he wanted like he did in the operating theater of the system.
“The patient is remarried. Her current husband said that he’s giving up on treatment.” Zhao Yunlong said,”but her daughter just rushed over and insisted on treatment. She even signed the form without hesitation.”
Zheng Ren’s heart had just sunk when it rose again.
What a complicated family environment. No wonder the MRI scan had to be done a day later.
Zhao Yunlong had already taken a huge risk to be able to participate in the surgery and survive.
“I’ll go take a look. ” Zheng Ren said.
“Boss Zheng, professor Zhang is outside communicating with the patient’s family.” “Let’s wait for a while before going,”Zhao Yunlong said.
“Communicate what?” Zheng Ren could hear a hint of displeasure in Zhao Yunlong’s tone.
“To be honest, the possibility of the patient surviving is not high if he is repeated.” Zhao Yunlong said dejectedly.
No one could expect the patient to be alive more than the chief surgeon and the doctor – in – charge. This kind of anticipation was very complicated and difficult to express in a few words.
Zheng Ren also knew that after professor Zhang’s explanation, there was a high chance that the family members would give up on treatment, and the patient would be dead for sure.
As long as the patient’s family members gave up on the rescue and removed the IAB, the patient would die when the heart started to beat rapidly and heart failure occurred.
He let out a deep sigh.
“Is it a financial problem?” Zheng Ren asked.
“Yes, my family is not very well – off.” “I’m a migrant worker. I didn’t even pay Social Security back in my hometown,”Zhao Yunlong said.
“If I …” Zheng Ren stopped mid – sentence.
Zhao Yunlong patted Zheng Ren’s shoulder helplessly and walked back to the ward in silence without saying anything.
A live broadcast of emergency treatment and epineurium anastomosis?
The success rate of a live broadcast in the apricot forest garden was a very crucial factor.
The patient had all sorts of problems, so what could they do if they had epineurium and lung cancer? For Moksha, because the blood in the body had been heapified, a small rupture of an aneurysm could lead to the patient’s death.
For a mature business operation, this was completely invalid.
The reputation that Zheng Ren had painstakingly built up would also be destroyed by the death of the patient.
However … Zheng Ren was not thinking about the matter of the upper epineurium lung, but about the surgical treatment for the smoke disease.
He had to block the bleeding point first, and the rest of the things would be easier to solve.
Zheng Ren judged that if the patient had the support of the epineurium and the coronary bypass surgery was done without any problems, the patient still had a chance of survival.