Chapter 916 This is a realistic problem
After six o'clock in the afternoon, Yu Zhiming finished his work for the day and rushed to the operating room on the second floor to examine the patient undergoing Dr. Xu Lu's urethral reconstruction surgery.
After a careful inspection, Yu Zhiming pointed out six minor areas for improvement to Dr. Xu regarding the completion of the operation.
In fact, he has reached the level of associate chief physician, and has complete clinical experience and skills. Unless he is careless and negligent, there will be no obvious mistakes or omissions in his surgery.
The improvements proposed by Yu Zhiming are more like nitpicking.
This is mostly related to the surgeon's personal habits or differences in understanding of surgery.
It is not easy for a person to change a habit that he has developed over many years.
As for the differences in understanding of surgery, it is a matter of personal opinion.
Yu Zhiming had no experience in related surgeries, but he relied on his comprehensive understanding of the body structure and detailed knowledge of the local details to believe that certain details should be handled in a certain way.
But for the surgeon, this may be a waste of time or nonsense.
Therefore, Yu Zhiming could tell from Dr. Xu Lu's reaction that he agreed with two of the improvements he proposed, but 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 their business.
You are not a child and you still need others to supervise you.
Yu Zhiming left the operating room and returned to the large office on the third floor underground, where he saw Zhou Mo unpacking a courier box.
"What did you buy again?"
"I asked someone to place the order for red wine and American ginseng on Qi Zhen's livestream."
Zhou Mo replied and took out a box of 100 grams of American ginseng slices from the express box.
"Doctor Yu, can you tell this American ginseng is from 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 Qi Zhen is selling fake goods? Passing inferior goods off as good ones?"
Zhou Mo nodded.
Yu Zhiming chuckled and said, "He has just started live streaming to sell goods. He needs to build a good reputation. He will probably lose money to gain publicity."
“When he is recognized, his live broadcast room has more people, and the shipment volume is large, then it will be time to reap the benefits.”
He blurted out, "Are you concerned about him?"
Zhou Mo took out a bottle of red wine protected by a bubble bag and said as he looked at the wine, "I don't care about him. I'm just worried that he'll cause trouble again and make everyone uneasy."
After a pause, she turned and asked, "Doctor Yu, how many parts of Doctor Xu's surgery did you point out?"
Yu Zhiming chuckled and said, "Don't say I'm giving you any pointers. I'm just pointing out a few areas that I personally think need improvement."
Zhou Mo said with a smile, "Doctor Yu, from your tone, it seems that Doctor Xu doesn't agree with you."
Yu Zhiming smiled gently and said, "I heard from Teacher Qi that Dr. Xu was very talented when he was young."
"Excellent people are usually a bit conceited and arrogant, and don't easily listen to other people's opinions."
Zhou Mo curled his lips and said, "If he was really excellent, he wouldn't have failed to be promoted to chief physician and come to our center in such a dejected state..."
More than ten minutes later, Zhou Mo drove a Phantom and took Yu Zhiming away from Huashan Hospital.
After driving onto the main road, Zhou Mo said with a smile, "Doctor Yu, in just one day, the whole hospital knows about your Rolls-Royce."
"This is the hospital's first Rolls-Royce. In terms of value, it far exceeds the Mercedes-Benz that ranks second."
Yu Zhiming smiled and asked, "Are the cars ranked as well?"
Zhou Mo hummed and said, "Looking at today's lineup, the cars behind them all have luxury cars worth over one million yuan, which is far behind."
Yu Zhiming sighed softly and said, "It's a bit ostentatious."
Zhou Mo chuckled and said, "Even without this cool car, you, Doctor Yu, are still the top of the hospital's list. You can't keep a low profile even if you want to."
After a pause, she continued, "I've already made an appointment with the Experimental Animal Center to pick up three rabbits tomorrow."
"The pregnant woman from Northeast China will arrive tomorrow afternoon."
"besides……"
Zhou Mo reported again: "Doctor Liu's daughter-in-law's intrauterine intervention surgery is scheduled for this Thursday."
"Doctor Yu, should we do the surgery on Wednesday?"
Zhou Mo said excitedly, "This way, we can put pressure on Jiaotong University Hospital. We might even make Dr. Liu's daughter-in-law regret her decision and beg to come back."
Yu Zhiming criticized: "Doctor Liu deliberately sought out the same patient, perhaps out of spite and arrogance."
"But I took on this surgery to improve myself, not to compete with Jiaotong University Hospital."
Zhou Mo chuckled and said, "Others may not think so. Doctor Yu, I forgot to tell you something."
After a pause, she reported, "Around five o'clock in the afternoon, I received a call from Dr. Sun Qi from the Jiaotong University Affiliated Hospital."
"This Doctor Sun is a fetal medicine specialist. He wants you to come and observe the intrauterine interventional surgery performed by Doctor Liu's daughter-in-law."
"However, she also asked you to check on the health of several of her relatives and friends."
Yu Zhiming sneered and said, "How interesting! They invited me to observe the operation, and there's even a condition in exchange."
"This intrauterine interventional surgery may seem impressive and impressive, but there aren't many secrets involved. It really only tests your sturdy hands and your ability to manage your timing."
"These skills can't be learned just by watching."
Yu Zhiming instructed Zhou Mo, "Reply to Dr. Sun Qi for me, thank her for the invitation, and tell her that I'm busy with work and don't have time."
Zhou Mo hummed, and added, "This doctor Sun Qi will be going to Jingcheng Hospital in a while."
Yu Zhiming groaned and said, "In that case, I should have less contact with her."
At this time, Yu Zhiming's cell phone rang again.
It was a call from cardiac surgeon Xiong Jing.
Yu Zhiming answered the phone, but before he could say anything, Xiong Jing's anxious voice came out from the phone.
"Doctor Yu, are you still in the hospital? I have something I need your help with!"
"Zhou Mo, turn around and go back to the hospital!"
Yu Zhiming first instructed Zhou Mo, then said to the phone: "Doctor Xiong, what's the matter? Tell me!"
Dr. Xiong Jing quickly replied on the line, "Doctor Yu, it's like this. We have two patients waiting for heart transplants in our hospital, and they both found a compatible heart."
"The heart is on the way and will be delivered to the hospital in about an hour."
"Now we face an important question. Both of them are a good match, so who should we give the heart to?"
Globally, there are far more patients for organ transplants than organ donors.
In our country, about 90 percent of patients with terminal heart disease die while waiting for a heart donor.
If a heart donor appears, there are strict allocation principles for who should be allocated to him.
The first is matching, giving the drug to whoever is suitable.
The second thing to consider is the region. When we talk about region, we are actually considering the time it takes to transport the organs.
my country has a vast territory, and even with a well-developed aviation industry, it still takes a long time to transport organs.
The heart is the most demanding organ for transplantation. While the liver and kidneys can be stored for 24 hours, the upper limit for the heart is approximately 8 hours, ideally within 6 hours.
These 6 hours also cover the surgical removal of the donor, transportation, transplant preparation, and completion of implantation, so the time is very tight.
The third is to see the severity of the patient's condition.
Fourth, look at age.
If the above-mentioned allocation principles for transplanted organs cannot determine the ownership, it depends on the doctor's evaluation.
Yu Zhiming frowned and said, "Doctor Xiong, you can't decide who to give the heart to?"
Xiong sighed during the call, "Both of them have end-stage heart failure, and their conditions are similar."
"As for their ages, one is forty-seven and the other forty-nine, so there's not much of a difference."
After a pause, Xiong Jing continued, "Just when I was racking my brains over who to assign it to, I suddenly thought of something."
"Which of these two people gets the heart depends on who the heart is most compatible with."
"Whoever is more compatible and gets the heart will live better and longer."
"And only you, Doctor Yu, can truly feel who that heart is more suitable for."
Yu Zhiming frowned and said bluntly, "Doctor Xiong, why do I feel like you're shirking your responsibility?"
"This is a choice between life and death. Given the current state of heart transplantation in my country, the person not chosen will most likely be left waiting to die."
Dr. Xiong explained during the call, "Dr. Yu, I'm not shirking my responsibility. I'm using a fair, just, and reasonable medical evaluation method to determine the most suitable transplant candidate."
Although this guy spoke in a high-sounding manner, Yu Zhiming could keenly hear the guilt revealed in his words.
Xiong Jing's voice then rang out from the phone, "Doctor Yu, out of responsibility, shouldn't we choose the patient who is most suitable for the transplant?"
"Also, Dr. Yu, don't you want to verify your ability to sense the heart and determine who is more suitable?"
"This is a golden opportunity that will never come back. Perhaps this is the only chance I'll ever get in my 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 by the roadside.
I have to say that Xiong Jing’s words really moved Yu Zhiming.
As he said, this may be a once-in-a-lifetime opportunity to sense whose heart is more compatible.
only……
For Yu Zhiming, this is a simple multiple-choice question.
However, for those two families, it was a matter of life and death...
Yu Zhiming suddenly thought of something and said, "Doctor Xiong, since both of them are a good match, the compatibility of their hearts won't be that different. What will affect their lifespan after the transplant will depend on their subsequent care."
"Given the high cost of subsequent heart care..."
Yu Zhiming thought of his family's early years, when they scrimped and saved to support his medical care and health, and continued, "So, in this case, this isn't a medical assessment issue, but a stark reality: an economic one."
"Doctor Xiong, my personal suggestion is that the richer of the two families should get the heart..."
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(End of this chapter)
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