2115 Medical ethics
The next morning, Zheng Ren made ward rounds and performed surgeries as usual.
But today, he was looking forward to it.
Whether it was in China, King’s Hospital, Maio clinic, or the Massachusetts General Hospital, there was no news.
Zheng Ren knew that it was difficult to find a source of liver.
The patient’s life or death would most likely depend on fate.
He did what he could do, and he didn’t have the ability to do anything else even if he wanted to.
The system store didn’t have any fresh liver energy to buy.
Zheng Ren had checked it many times last night and confirmed this.
If it really didn’t work, if he didn’t have a liver of the same blood type or matching type, he could just find one and try it. However, Zheng Ren was also very upset to try this out.
Zheng Ren had a rough idea of how many patients were waiting for a donor in the country. He couldn’t deprive others of their right to live just because he wanted to try.
After the TIPS surgery, professor Rudolf Wagner brought Lin Yuan to finish it. Zheng Ren and Su Yun then headed straight to the ICU.
This matter lingered in his mind, and he could not let it go.
What he was most afraid of was that the patient’s condition would deteriorate rapidly while waiting for a liver source, and he could not sustain it at all.
When he arrived at the entrance of the ICU, Zheng Ren saw the patient’s mother, who had been in a daze the day before.
She was very emotional. Compared to yesterday, she was like a different person.
Zheng Ren frowned and stopped far away.
Hearing her words, the two of them quickly understood why she was so agitated.
Liver transplantation was different from heart and kidney transplantation. The liver was divided into three parts: the left, right, and tail lobe.
For simple liver transplantation, a person who weighed less than 60 kg could transplant the left lobe and ensure liver function. Moreover, after the transplant, the liver would have the ability to regenerate, and there would be a growth in compensation within a few years.
The reason why Zheng Ren did not choose the possibility of a liver transplant between mother and child was that the patient’s body weight was at least 90kg. The left lobe of the liver could not provide enough function, so it was necessary, at least, to transplant the right lobe of the liver.
The patient’s mother also weighed about 70kg. If she provided the right lobe of the liver, she would probably die of liver failure.
Killing one person and saving one person, this kind of thing didn’t exist in the doctor’s mind.
In medical ethics, it was almost impossible to put a donor in an extremely dangerous situation to save a person.
Even if they could, no one would be willing to do it.
Zheng Ren sighed when he saw the patient’s mother screaming hysterically. His desire to see the patient instantly vanished.
Things had already started to get worse, and Zheng Ren was not sure if the patient’s mother would take any extreme actions or even threaten the hospital with suicide.
It wasn’t like this had never happened before.
Many years ago, something like this had happened at the largest lung transplant base in the country. It was said that a female patient waiting for a lung source had been pushed back because of her mild condition and the time she had to wait.
In order to obtain the source of her lungs, she had used an unexpected method to get pregnant.
If the source of the lung was not obtained, or even later, the development of the fetus would be affected.
This was a kind of coercion, and the Sorcerer was very depressed, very depressed.
However, no matter how angry, angry, irritable, or smashing things, it could not change the fact that there was a fetus in the female patient’s abdomen.
In the end, he still arranged for her surgery as soon as possible.
The surgeon’s skill level was very high, and even the more difficult lung transplant for pregnant women was successfully completed.
However, after the operation was successful, he did not feel happy at all. Instead, he fell seriously ill in anger. (Note 1)
Zheng Ren almost did not want to touch on the thought of life.
This was because …
It was too heavy.
No matter what he chose, it was wrong, but no matter what he chose, it was good.
In fact, it was good enough to have a choice.
Right and wrong, true and false, who could say clearly? If he met a bickering spirit, he could argue for three days and three nights.
In the eyes of dying patients, doctors who could save lives were gods. However, doctors were just ordinary people with flesh and blood. Who could really be a God?
Gods could be cold and indifferent, but they could see all living things as stray dogs. However, humans could not.
“What’s wrong, boss?” Su Yun patted Zheng Ren’s shoulder and sighed.
“No, I didn ‘t,” Zheng Ren lowered his head and tried not to think about what kind of extreme actions the patient’s mother would take after being refused to have her liver removed for surgery.
If she couldn’t keep an eye on him, she would end her own life …
Zheng Ren’s body turned cold.
There was no match, so it was not certain that the mother and son could carry out the transplant. If he couldn ‘t, he would have died in vain. Even if they managed to get a transplant, the chances of the patient surviving were not high.
“Where’s the patient’s father?” Zheng Ren suddenly asked.
“He said that his father divorced his mother when he was young and went to the South to do business. Right now, we can’t even find him alive or dead. ” Su Yun said,”it would be great if it was a novel. At this time, his father would appear on a rainbow cloud, followed by a Bentley, Porsche, and Bugatti Veyron.”
“Don’t talk nonsense. ” Zheng Ren sighed. It seemed like there was one less path to take.
After standing there for ten minutes, the other side quieted down.
Lin GE’s white clothes were all crooked as he walked out in a sorry state.
When he saw Zheng Ren, he quickly walked up to him and said,””Boss Zheng, doctor su, when did you two arrive?”
“I’ve been here for about ten minutes. ” Zheng Ren asked,”how did you handle it?”
“I said, let’s draw some blood first to check the blood type. Then, we’ll take a look and see if they’re compatible with each other. If they’re suitable, we’ll talk about it later.”
Zheng Ren noticed that Lin GE’s eyes were a little unfocused and flickering. He was probably thinking that even if everything was suitable, he could drag it on as long as possible. Anyway, the results would not be out from the tests.
As long as they didn’t rush him and went through the normal process, the results wouldn’t be out so quickly.
However!
This was a huge mental burden.
Saving the patient’s mother would lead to the death of the young Chen Li. Although there was no definite connection, the patient’s mother’s extreme behavior had placed the burden of morality on Lin Ge.
It seemed that Lin Ge also felt that this matter was difficult to handle.
“Director Lin, what are you going to do?”
“What do we do? I’m just a Deputy Director, I can’t make any decisions. ” Lin Ge smiled bitterly.”I still have director ye, Deputy Director Yuan, and director Yan above me. At that time, the higher-ups will have to make the decision. “
He was very skilled at shifting the blame.
Zheng Ren smiled bitterly.
None of them wanted a young life to disappear just like that. But what else could they do?
Left and right were difficult.
“How’s the patient?” Zheng Ren decided not to think about the problem that he could not solve.
“He’s in bad shape. ” Lin Ge shook his head.”The patient’s fever has worsened. His body temperature has already reached 40 degrees Celsius.”
“…” Zheng Ren sighed.
“Blood test +C-reaction protein report: White blood cell count: 24.83×10^9/L, neutoralone 85%, C-reaction protein lt; 1.3 mg/L, 0.55 ng/ml of calcium. In consideration of the possibility of infection, we had another hospital-wide consultation in the morning. “
“I did a CT scan, and you can see that there is hydrophesis on both sides of the thoracic cavity, and the lungs are not expanding. They’re already starting to suspect that their hearts are failing and calling it a failure. “
“So fast?” Zheng Ren sighed and said.
……
……
[Note 1: the lung transplant incident is real.]