I asked my brother, and I don't rule out the possibility that he, as Zhu Xing's attending physician, might have such anxiety. However, if I speculate in this way, all his thoughts are wrong.
Cao Zhao explained to his brother honestly: "Like you, I hope the child can survive. I am a pediatrician myself, how can I hope that a child will not survive."
It is indeed impossible for my second brother to want one child to live and curse the other to die, so Cao Yong emphasized that he did not want his second brother to get involved in muddy waters. Even though my second brother is a big devil with children, if he is not good to children, he cannot be an excellent pediatrician.
It can be seen that Cao Zhao knew that Xiaoyu's parents might want to donate their child's organs, so he came to consult a specialist to get professional advice. After all, his patient was in the queue of organ recipients, so it was impossible for him to ask Fang Ze's doctor.
On the other hand, Cao Zhao was worried about why the child's parents wanted to seek an organ transplant for their child so quickly. Was Dr. Fang Ze's judgment professional enough? Was there any suspicion of deceiving the parents?
As a pediatrician, Cao Zhao didn't want any child to be misdiagnosed as brain dead and then sent for organ transplantation. Caring for another child did not conflict with his desire to save Zhu Xing, a patient in his care.
"There are very few child organ donors in our country." Cao Zhao talked about the actual statistical data, which made people feel that this matter seemed a bit abnormal. There must be something wrong when things are abnormal. I have said before, don't think about putting up big posters to promote the successful cases of pediatric organ transplantation. There are very few child donors.
"You're right. Not only in China, but also abroad, there are fewer child donors than adult donors." Cao Yong acknowledged the fact his second brother said, and explained the reason from his own professional perspective. He did not think there was something fishy going on. "The determination of brain death in children has always been more cautious than that in adults. Children are determined to be brain dead more often than adults, and the interval observation time is longer. With such a strict determination process, it is more difficult for children to make mistakes easily than adults."
Here we have to talk about a concept. Brain death is not like the traditional one-time determination of death due to cardiac and respiratory arrest. It needs two or more determinations. This fully shows that brain death requires a period of observation. In other words, if the doctor suspects that the child is brain dead, it is impossible to quickly determine that the child is dead like other patients with cardiac and respiratory arrest.
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Why is there such a long observation period for brain death? First of all, we need to understand the concept of death. The original criterion for determining human death was that the body's autonomous breathing and heartbeat could no longer be maintained. Here, the two words "autonomous" should be emphasized.
Brain death is not a new definition of death, but an extension of this definition. The patient's breathing and heartbeat are maintained by machines, but once the machines are removed, the person's heartbeat and breathing immediately stop, and it is no longer considered autonomous breathing and heartbeat. How can such a person be said to be still alive? He must be dead.
There is a disagreement here: how can you be sure that after the machine is removed, the patient's spontaneous breathing and heartbeat must have stopped and it is irreversible. After all, during emergency rescue, the machine is used immediately when the patient's breathing and heartbeat stop. If this is the case, there is no need to use the machine during rescue.
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