The most enlightened doctor
Chapter 916 This is a real problem
After six o'clock in the afternoon, Yu Zhiming finished his work for the day and ran non-stop to the operating room on the second floor to examine the patient for Dr. Xu Lu's urethral reconstruction surgery.
After a detailed hands-on inspection, Yu Zhiming suggested a total of six small areas for improvement to Dr. Xu regarding the completion of the operation.
In fact, he has reached the level of deputy chief physician and has complete clinical experience and skills. Unless his surgery is careless and careless, there will be no obvious errors or omissions.
The improvements proposed by Yu Zhiming are more like nit-picking.
This may be related to some personal habits of the surgeon or differences in surgical understanding.
It is not easy for a person to change the habits he has developed for many years.
As for the difference in understanding of surgery, it is a matter of opinion.
Yu Zhiming had no experience in related surgeries. He relied on his comprehensive understanding of the body structure and detailed local understanding to believe that certain details should be handled in this way.
But for the surgeon, this may be unnecessary or nonsense.
Therefore, Yu Zhiming could see from Dr. Xu Lu's reaction that he approved two of the improvements he proposed, while he disagreed with the other four.
Yu Zhiming didn't take it seriously either.
He tried his best. As for whether the other party accepts the suggestions and works hard to make improvements, that is the other party's business.
He is not a child and needs supervision from others.
Yu Zhiming left the operating room and returned to the large office on the third underground floor, where he saw Zhou Mo unpacking express boxes.
"What did you buy again?"
"Red wine and American ginseng, let someone else place the order for me in Qizhen's live broadcast room."
Zhou Mo replied and took out a box of 100 grams of American ginseng slices from the express box.
"Dr. Yu, can you tell that this American ginseng is produced in the United States? Is this quality worth 3.6 yuan per gram?"
Yu Zhiming shook his head and said, "I don't have such ability. Go to the Traditional Chinese Medicine Department and ask the pharmacist."
After a pause, he asked again: "Are you worried that Qizhen will sell fake goods? Pass them off as good ones?"
Zhou Mo nodded.
Yu Zhiming chuckled and said: "He just started selling goods through live broadcasts. If he wants to establish a reputation, he will most likely lose money and earn praise."
"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 the leeks."
He blurted out and asked: "Are you concerned about him?"
Zhou Mo took out a bottle of red wine that was protected by a bubble bag. While looking at the wine, he said, "I'm too lazy 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: "Dr. Yu, how many points did you give me about Dr. Xu's surgery?"
Yu Zhiming chuckled and said: "Don't say give me advice, I just put forward a few places that I personally think need improvement."
Zhou Mo said with crooked eyebrows: "Dr. Yu, from your tone, it seems like Dr. Xu doesn't approve of it?"
Yu Zhiming smiled softly and said, "I heard from Teacher Qi that Dr. Xu was very talented when he was young."
"Excellent people are generally a little arrogant and arrogant, and it is not easy to listen to other people's opinions."
Zhou Mo curled his lips and said: "If he was really excellent, he would not be rated as a chief physician and come to our center in despair..."
Ten minutes later, Zhou Mo drove Yu Zhiming in Phantom and left Huashan Hospital.
After driving onto the main road, Zhou Mo said with excitement: "Doctor Yu, in just one day, the whole hospital knows about your Rolls-Royce."
"This is the first Rolls-Royce in the hospital. In terms of value, it far exceeds the second-place Mercedes-Benz."
Yu Zhiming smiled and asked, "Has the car also been ranked?"
Zhou Mo hummed and said, "For today's queue, the next few are all luxury cars worth more than one million yuan, which is far from enough."
Yu Zhiming sighed softly and said, "It's a bit ostentatious."
Zhou Mo chuckled and said, "Without such a cool car, Dr. Yu, you are also at the top of the hospital's ranking list. You can't keep a low profile even if you want to."
After a pause, she then said: "I have made an appointment with the Experimental Animal Center to pick up three rabbits tomorrow."
"The pregnant woman from the Northeast will arrive tomorrow afternoon."
"besides……"
Zhou Mo reported again: "Dr. Liu's daughter-in-law's intrauterine interventional surgery is scheduled for this Thursday."
"Dr. Yu, should we do the surgery on Wednesday?"
Zhou Mo said excitedly: "In this case, the pressure will be put on the Jiaotong University Affiliated Hospital, and it will even make Dr. Liu's daughter-in-law regret it and beg to come back again?"
Yu Zhiming criticized: "Dr. Liu deliberately sought out the same patients, perhaps because of the elements of Qi and Qi."
"But I took this surgery just to improve myself, not to compete with the Affiliated Hospital of Jiaotong University."
Zhou Mo chuckled and said, "Others may not think so. Doctor Yu, I forgot to tell you something."
After a pause, she reported: "At around five o'clock in the afternoon, I received a call from Dr. Sun Qi of the Affiliated Hospital of Jiaotong University."
"This Dr. Sun is an expert in fetal medicine. He said he is inviting you to observe Dr. Liu's daughter-in-law's intrauterine interventional surgery."
"However, she also said that she would ask you to check on some of her relatives and friends."
Yu Zhiming smiled and said: "It's really interesting. Please invite me to observe the operation, and there is an exchange condition."
"This intrauterine interventional surgery seems to be very high-end, but there are not many secrets. The test is solid physical skills and the control of time."
"These skills cannot be learned by watching."
Yu Zhiming told Zhou Mo, "Reply Dr. Sun Qi for me, thank her for the invitation, and just say that I am busy with work and have no time."
Zhou Mo hummed and added: "This Dr. Sun Qi will go to Jingcheng Hospital in a while."
Yu Zhiming snorted and said, "In this case, we should have less contact with her."
At this time, Yu Zhiming's cell phone rang again.
It was a call from Xiong Jing, an expert in cardiac surgery.
Yu Zhiming answered the phone, but before he could speak, Xiong Jing's urgent voice came out of the phone.
"Doctor Yu, are you still in the hospital? I have something here and I need your help!"
"Zhou Mo, turn around and go back to the hospital!"
Yu Zhiming gave Zhou Mo instructions first, and then said to the phone: "Doctor Xiong, what's the matter? Tell me!"
Dr. Xiong Jing quickly replied during the call: "Dr. Yu, it's like this. There are two patients waiting for heart transplantation in the hospital, and they were matched with a suitable heart at the same time."
"The heart is on its way and will be sent to the hospital in about an hour."
"Now we are facing an important question. Both of them are suitable matches. Who should give this heart to?"
Globally, there are far more patients than organ donors for organ transplantation.
In our country, about 90% of end-stage heart disease patients die while waiting for a heart donor.
If a heart donor appears, there are strict allocation principles for who should be allocated.
The first is matching, which one is suitable for whom.
Second, it depends on the region. When talking about region, it actually depends on the organ transportation time.
Our country has a vast territory. Even if the aviation industry is developed, it still takes a long time to transport organs.
Among all transplants, the heart has the most stringent requirements for organ preservation time. Liver and kidney can be stored for 24 hours, and the upper limit of heart storage 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, transportation, transplant preparation, and completion of implantation. The time is very tight.
The third is to look at the priority of the patient's condition.
The fourth is to look at age.
If the above-mentioned allocation principles of transplanted organs cannot determine the ownership, it is necessary to see the doctor’s evaluation.
Yu Zhiming frowned and said, "Doctor Xiong, you can't decide who to allocate the heart to?"
Xiong Jing sighed during the call: "Both of these two people have end-stage heart failure, and their conditions are similar."
"As for age, one is forty-seven and the other is forty-nine. There is not much of a gap."
After a pause, Xiong Jing continued: "Just when I was having a headache about who to assign, I suddenly thought of something."
"Which of these two people can get the heart? The most important thing is to see whose heart is more compatible with it."
"Whoever is more suitable will be able to live better and longer after getting a heart."
"And only you, Dr. Yu, can truly feel whose heart is more suitable for you."
Yu Zhiming frowned and said bluntly: "Doctor Xiong, why do I feel that you are shirking your responsibility?"
"This is a choice between life and death. The person who is not selected will most likely be waiting to die based on the current situation of heart transplantation in our country."
Dr. Xiong explained during the call: "Dr. Yu, I am not shirking responsibility. I am using a fair, just and reasonable medical evaluation method to determine the most suitable transplant candidate."
Although what this guy said was high-sounding, Yu Zhiming could keenly hear the guilty conscience revealed in his words.
Xiong Jing's voice then came from the mobile phone, "Dr. Yu, in a responsible manner, shouldn't we choose the patient who is most suitable for transplantation?"
"Also, Doctor Yu, don't you want to test your ability to sense the heart and determine who is more suitable?"
"This is an excellent opportunity. There is no store like this 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 said, this is probably the only opportunity to feel who is more compatible with his heart.
only……
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 matched, there won't be much difference in the fit of the heart. What affects their life span after transplantation is their subsequent care."
"Given that follow-up heart care is expensive..."
Yu Zhiming thought of the situation in his early years when the whole family had to save food and clothing to provide him with medical treatment and health care, and then said: "So, in this case, it is not a medical evaluation issue, but a naked practical issue, an economic issue."
"Dr. Xiong, my personal suggestion is, whichever of the two families is richer should get the heart..."
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