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Chapter 2505: ?2505?Empathy
Chapter 2505: ?2505?Empathy
?? Chapter 2505 [2505] Empathy
??I came to ask my brother for advice, Cao Zhao listened quietly to my brother first.
??Cao Yong knew what his second brother was thinking.
?? Perhaps Cao Zhao has a patient in his hand who needs an organ transplant, otherwise he would not have suddenly come to ask him a question about this brain-dead patient. Doctors don't like the death of their patients. From this perspective, it is normal for Cao Zhao to be anxious for his patients and to want Zhu Xing to survive.
?? In the same way, he, Cao Yong, hoped that Xiaoyu's child would survive. After all, it was the child he treated at the scene, and he advocated sending Fang Zebo to see if he could save the child.
?? is only about academic issues. The communication between doctors can only be based on facts and must not be influenced by emotions. Cao Yong said righteously to his brother: "You know what the international general principles for organ transplantation are. Don't talk about the diagnostic criteria. The attending doctor of an organ transplant patient, that is, the attending doctor of the recipient, determines the brain death of an organ donor. Active evasion must be taken.”
?? "I know that." Cao Zhao said.
??Not everyone can accept the concept of brain death. Coupled with some international rumors of illegal organ buying and selling, this kind of thing is a sensitive issue in society. The general principle that my brother said is to avoid touching the sensitive nerves of the public.
?? He wanted to ask, but it was impossible to ask Fang Ze's doctor. If the media knew and exposed that he had contact with the patient's attending doctor in Fang Ze, the result would be disastrous and would cause an uproar. At that time, public opinion would rise, suspecting that he had decided that the child was brain-dead for the sake of his patient, together with Dr. Fang Ze. Organ donation will be a foregone conclusion.
??In this case, I can only ask my brother.
?? As Zhu Xing's attending doctor, his anxiety is certain, as the window period for the child's transplant is passing day by day. The example of a cardiac assist device that Xie gave to a patient to comfort a patient is really similar.
??Heart assist device, first of all, it is definitely not ECMO, ECMO is an improved artificial heart-lung machine. Cardiac assist device generally refers to ventricular assist, which includes left ventricular assist, right ventricular assist, biventricular assist, and total artificial heart. Most of the current research is on adult applications. The more mature children's ventricular assist is in the clinical trial stage in foreign countries, how can it be approved for use in children in China.
??If it doesn't work, I want to go to ECMO, but there is no one, only the artificial heart-lung machine used in the operating room. That day, classmate Wei thought that the equipment installed by the child in the next bed was tall. In fact, it was because classmate Wei had never been to practice in cardiology and cardiac surgery, and did not know that it was IABP. It is not surprising that Xie has seen and personally participated in the IABP surgery scene earlier.
?? Pediatric use of IABP is mostly used in children with low cardiac output after congenital heart disease, but also in a small number of children with myocarditis and cardiomyopathy and waiting for heart transplantation. Why did Xie emphasize the use of cardiac assist devices that day and did not mention IABP? This is because the principle of IABP has been known before. It cannot actively assist the heart and relies on the contraction of the patient's own heart. Zhu Xing suffers from severe cardiomyopathy, and the contractility of the heart itself is very problematic. The effect of IABP is very limited.
?? From the above analysis, we can know that once the child's heart contractility fails, the doctor may face a situation of complete helplessness.
?? Thank you for your support! ! Good night dears~
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?? (end of this chapter)