Doctor: start with the heart
Chapter 79 Surgical options for partial resection
Chapter 79 Surgical options for partial resection
"Now the patient's condition is only amputation. After the amputation, with the current technology, I am afraid there is no possibility to reshape her right hand."
Hearing Zhao Xu's words, Sun Chang couldn't help saying.
She also knew that Zhao Xu would have some strange ideas from time to time, but this patient's condition was too serious, and she couldn't think of any way to keep the patient's right hand.
If it is said to carry out remodeling after amputation, it is even more impossible. With the modern medical level, although livers, kidneys and even hearts can be transplanted, there are precedents for these.
As for the complete right hand transplant, it is impossible to have a donor. Not only the survival rate is ridiculously low, but even if it succeeds by luck, the function is also very poor.
And Zhao Xu's idea was to use the patient's stem cells to regenerate a right hand, which, in Sun Chang's view, was even more out of the blue.
"If only the surgery to remove the necrotic tissue was done, the patient's remaining right hand would still survive for at least a week."
Zhao Xu thought for a while and said.
"One week? Even if there is a week, what can you do this week? After a week, the patient still has to undergo another amputation. This kind of hope is given to the patient and the family, and then the hope is shattered. I don't think Patients and their families can bear it at that time, it would be better for them to accept the reality once and for all."
Sun Chang said very pragmatically that the current situation is that short-term pain is worse than long-term pain. If patients and their families can quickly accept the reality, they will recover faster psychologically.
If patients and their families are now given hope that the right hand may be saved, then this hope is like a drowning person grabbing a life-saving straw, which will be infinitely magnified.
Waiting until a week later, when there is no better way to come up with, and amputation is performed again, it is equivalent to shattering all the last hopes of the patient and family members. This kind of cruel blow is simply not something ordinary people can bear.
"Try it."
Zhao Xu didn't say too much. Although the technology given by the system has already taken shape in the current biomedical field, the special inducer that can shorten the cultivation time of stem cells, with the current level of scientific research, even if it takes another ten years or even In 20 years, it may not be possible to research it.
In scientific research, many times, scientists are actually trying their luck, they just choose a direction, and then conduct thousands of different experiments.
So now Zhao Xu must be conservative in his words. After all, shortening the cultivation time is the biggest problem in stem cell cultivation technology.
"you sure?"
Sun Chang looked at Zhao Xu, not knowing what to say.
If it was another resident doctor, Sun Chang would definitely persuade him to give up such a whimsical idea.
But in front of her was Zhao Xu. During this period of time, in Sun Chang's eyes, Zhao Xu was like a small universe suddenly bursting out, creating impossible miracles many times.
The extremely difficult operation, the unprecedented treatment method, everything that Zhao Xu showed made the people around him amazed.
"Sometimes being a doctor is a bit of a risk, isn't it?"
Zhao Xu understood Sun Chang's worry very well, so he smiled and said gently.
"That's right, there's no way a doctor doesn't take risks."
Sun Chang nodded, agreeing to Zhao Xu's proposal, but she was still a little worried.
She secretly decided in her heart that she must explain all the precautions and consequences to her family members to avoid possible troubles in the future.
It can be said that she devoted herself more to Zhao Xu's affairs than to doing her own. During this period of time, she had seen something completely different from others in Zhao Xu. As long as she was by Zhao Xu's side, I have been able to see miracles, seeing the impossible become reality.
This feeling is like being in the dark and being illuminated by the light.
~Hopeful dividing line~
In the emergency room.
It was exactly six o'clock, and Zhao Xu and Sun Chang arrived at the emergency room.
Xiaoya, a girl lying on the hospital bed, looked a little better than when she first entered the hospital, with a little blood, but she was still in a coma, and her right hand was more swollen, especially the skin on her right hand. , It's already purple with black.
This shows that most of the tissues in her right hand are already in a state of necrosis.
"Doctor, is there really no other way?"
Zhao Xu and Sun Chang had just entered the emergency room, and before they could speak, the girl Xiaoya's mother looked at Zhao Xu and pleaded.
The past two hours were the most tormenting moments in her life. The feeling of incomparable regret tormented her like a thousand cuts.
"Her condition is very serious. The necrotic cells are constantly disintegrating and releasing endotoxin. If the necrotic tissue is not removed in time, the patient's life will be in danger. Therefore, amputation is the safest way."
Sun Chang glanced at Zhao Xu and said slowly to the girl's mother.
"Doctor, there must be a part of Xiaoya's hand that is good, so it can be kept? Isn't it?"
Hearing what Sun Chang said, the girl's mother turned to Zhao Xu in disbelief and said.
In fact, she also called a few doctor friends just now, and they all agreed on her daughter's situation, that is, amputation, which is indeed the safest solution.
However, one of her doctor friends suggested that she could try to keep part of her right hand and only remove the necrotic part, so she asked with a glimmer of hope.
"The necrotic part of the patient's right hand is too large. If it is to be preserved, the risk is too great. Moreover, if the condition still deteriorates after a week at most, then amputation is still required."
Zhao Xu said slowly that although he had a new treatment plan, he still made it clear about the possible consequences. In the medical industry, he had to abide by the rules of the industry.
Zhao Xu has a system and can do things that other doctors can't do, but he can't just open his mouth and do everything like this. If this is the case, it will definitely not be a good thing for other doctors.
He was afraid of comparison in everything, and Zhao Xu couldn't raise patients' expectations of doctors just because of himself. This was not a good thing for the entire industry.
Therefore, Zhao Xu still had to follow the usual procedure for what to do and what to say.
"Doctor, I beg you, give it a try. If it doesn't work in a week, I agree to amputation!"
When the girl's mother heard Zhao Xu's words, she said firmly that even if there was a glimmer of hope, she would keep her daughter's right hand!
"Our side will try our best to keep her right hand, and your side should also be mentally prepared."
Zhao Xu said slowly that he didn't mention the matter of stem cell cultivation. It's better to talk about this kind of thing only after you are sure.
Moreover, after the major debridement operation on the girl's right hand today, there is still a week left. Zhao Xu can use this week to realize the directional cultivation technology of stem cells given by the system in his mind. A special inducer of time.
"Well, doctor, I believe in you!"
The girl's mother nodded firmly.
After this incident, she also understood the truth that things cannot be generalized. She met an irresponsible doctor before, but this means that all doctors are irresponsible.
It can be said that this incident taught her a good lesson, but the tuition fee for this lesson is really too expensive.
"Then prepare for the operation. The patient's condition can't wait any longer."
Zhao Xu nodded and said to the girl's mother.
"Well, doctor, I listen to you."
The girl's mother said again.
(End of this chapter)
"Now the patient's condition is only amputation. After the amputation, with the current technology, I am afraid there is no possibility to reshape her right hand."
Hearing Zhao Xu's words, Sun Chang couldn't help saying.
She also knew that Zhao Xu would have some strange ideas from time to time, but this patient's condition was too serious, and she couldn't think of any way to keep the patient's right hand.
If it is said to carry out remodeling after amputation, it is even more impossible. With the modern medical level, although livers, kidneys and even hearts can be transplanted, there are precedents for these.
As for the complete right hand transplant, it is impossible to have a donor. Not only the survival rate is ridiculously low, but even if it succeeds by luck, the function is also very poor.
And Zhao Xu's idea was to use the patient's stem cells to regenerate a right hand, which, in Sun Chang's view, was even more out of the blue.
"If only the surgery to remove the necrotic tissue was done, the patient's remaining right hand would still survive for at least a week."
Zhao Xu thought for a while and said.
"One week? Even if there is a week, what can you do this week? After a week, the patient still has to undergo another amputation. This kind of hope is given to the patient and the family, and then the hope is shattered. I don't think Patients and their families can bear it at that time, it would be better for them to accept the reality once and for all."
Sun Chang said very pragmatically that the current situation is that short-term pain is worse than long-term pain. If patients and their families can quickly accept the reality, they will recover faster psychologically.
If patients and their families are now given hope that the right hand may be saved, then this hope is like a drowning person grabbing a life-saving straw, which will be infinitely magnified.
Waiting until a week later, when there is no better way to come up with, and amputation is performed again, it is equivalent to shattering all the last hopes of the patient and family members. This kind of cruel blow is simply not something ordinary people can bear.
"Try it."
Zhao Xu didn't say too much. Although the technology given by the system has already taken shape in the current biomedical field, the special inducer that can shorten the cultivation time of stem cells, with the current level of scientific research, even if it takes another ten years or even In 20 years, it may not be possible to research it.
In scientific research, many times, scientists are actually trying their luck, they just choose a direction, and then conduct thousands of different experiments.
So now Zhao Xu must be conservative in his words. After all, shortening the cultivation time is the biggest problem in stem cell cultivation technology.
"you sure?"
Sun Chang looked at Zhao Xu, not knowing what to say.
If it was another resident doctor, Sun Chang would definitely persuade him to give up such a whimsical idea.
But in front of her was Zhao Xu. During this period of time, in Sun Chang's eyes, Zhao Xu was like a small universe suddenly bursting out, creating impossible miracles many times.
The extremely difficult operation, the unprecedented treatment method, everything that Zhao Xu showed made the people around him amazed.
"Sometimes being a doctor is a bit of a risk, isn't it?"
Zhao Xu understood Sun Chang's worry very well, so he smiled and said gently.
"That's right, there's no way a doctor doesn't take risks."
Sun Chang nodded, agreeing to Zhao Xu's proposal, but she was still a little worried.
She secretly decided in her heart that she must explain all the precautions and consequences to her family members to avoid possible troubles in the future.
It can be said that she devoted herself more to Zhao Xu's affairs than to doing her own. During this period of time, she had seen something completely different from others in Zhao Xu. As long as she was by Zhao Xu's side, I have been able to see miracles, seeing the impossible become reality.
This feeling is like being in the dark and being illuminated by the light.
~Hopeful dividing line~
In the emergency room.
It was exactly six o'clock, and Zhao Xu and Sun Chang arrived at the emergency room.
Xiaoya, a girl lying on the hospital bed, looked a little better than when she first entered the hospital, with a little blood, but she was still in a coma, and her right hand was more swollen, especially the skin on her right hand. , It's already purple with black.
This shows that most of the tissues in her right hand are already in a state of necrosis.
"Doctor, is there really no other way?"
Zhao Xu and Sun Chang had just entered the emergency room, and before they could speak, the girl Xiaoya's mother looked at Zhao Xu and pleaded.
The past two hours were the most tormenting moments in her life. The feeling of incomparable regret tormented her like a thousand cuts.
"Her condition is very serious. The necrotic cells are constantly disintegrating and releasing endotoxin. If the necrotic tissue is not removed in time, the patient's life will be in danger. Therefore, amputation is the safest way."
Sun Chang glanced at Zhao Xu and said slowly to the girl's mother.
"Doctor, there must be a part of Xiaoya's hand that is good, so it can be kept? Isn't it?"
Hearing what Sun Chang said, the girl's mother turned to Zhao Xu in disbelief and said.
In fact, she also called a few doctor friends just now, and they all agreed on her daughter's situation, that is, amputation, which is indeed the safest solution.
However, one of her doctor friends suggested that she could try to keep part of her right hand and only remove the necrotic part, so she asked with a glimmer of hope.
"The necrotic part of the patient's right hand is too large. If it is to be preserved, the risk is too great. Moreover, if the condition still deteriorates after a week at most, then amputation is still required."
Zhao Xu said slowly that although he had a new treatment plan, he still made it clear about the possible consequences. In the medical industry, he had to abide by the rules of the industry.
Zhao Xu has a system and can do things that other doctors can't do, but he can't just open his mouth and do everything like this. If this is the case, it will definitely not be a good thing for other doctors.
He was afraid of comparison in everything, and Zhao Xu couldn't raise patients' expectations of doctors just because of himself. This was not a good thing for the entire industry.
Therefore, Zhao Xu still had to follow the usual procedure for what to do and what to say.
"Doctor, I beg you, give it a try. If it doesn't work in a week, I agree to amputation!"
When the girl's mother heard Zhao Xu's words, she said firmly that even if there was a glimmer of hope, she would keep her daughter's right hand!
"Our side will try our best to keep her right hand, and your side should also be mentally prepared."
Zhao Xu said slowly that he didn't mention the matter of stem cell cultivation. It's better to talk about this kind of thing only after you are sure.
Moreover, after the major debridement operation on the girl's right hand today, there is still a week left. Zhao Xu can use this week to realize the directional cultivation technology of stem cells given by the system in his mind. A special inducer of time.
"Well, doctor, I believe in you!"
The girl's mother nodded firmly.
After this incident, she also understood the truth that things cannot be generalized. She met an irresponsible doctor before, but this means that all doctors are irresponsible.
It can be said that this incident taught her a good lesson, but the tuition fee for this lesson is really too expensive.
"Then prepare for the operation. The patient's condition can't wait any longer."
Zhao Xu nodded and said to the girl's mother.
"Well, doctor, I listen to you."
The girl's mother said again.
(End of this chapter)
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