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¡¾2505¡¿Empathy

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    He came to ask his brother for advice. Cao Zhao listened quietly to what his brother had to say first.

    Cao Yong knew what his second brother was thinking.

    ¡°Perhaps Cao Zhao had a patient in need of an organ transplant, otherwise he wouldn¡¯t have suddenly come to ask him questions about this brain-dead patient.  It is said that doctors don't like the death of patients in their hands.  From this perspective, it is normal for Cao Zhao to be anxious about his patient and want Zhu Xing to survive.

    In the same way, he, Cao Yong, hoped that Xiaoyu's child could survive. After all, he was the child he was treating at the scene, and he advocated sending Fang Zebo to see if the child could be saved.

    It¡¯s just about academic issues. Communication between doctors can only be based on facts and must not be swayed by emotions.  Cao Yongyi said to his brother righteously: "You know what the international general rules for organ transplantation are. Let's not talk about the diagnostic standards. The attending physician of the organ transplant patient, that is, the attending physician of the recipient, plays an important role in determining the brain death of the organ donor.  Active avoidance actions must be taken.¡±

    "I know this." Cao Zhao said.

    Not everyone can accept the concept of brain death. In addition, there are rumors of illegal organ buying and selling in the world, making this matter a sensitive matter in society.  The general rule my brother mentioned is precisely to avoid touching the sensitive nerves of the public.

    If he wanted to ask, it was impossible to ask Fang Ze¡¯s doctor.  If the media knew and exposed that he had contact with the child's doctor in charge of Fang Ze, the consequences would be disastrous and would cause an uproar. At that time, public opinion would be rampant, suspecting that he had collaborated with Dr. Fang Ze to determine the child to be brain dead for the sake of his patient.  Organ donation will be a sure thing.

    In this case, I can only ask my brother.

    As Zhu Xing¡¯s attending doctor, it is certain that he is anxious, seeing that the window period for the child¡¯s transplant is passing day by day.  The example of a heart assist device that classmate Xie gave to comfort patients is really similar to comforting words.

    Cardiac assist device, first of all, definitely does not refer to eo, but an improved artificial heart-lung machine.  Cardiac assist devices generally refer 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 relatively mature ventricular assist system for children is in the clinical trial stage abroad. How can it be approved for use in children in China?

    If it really doesn¡¯t work and you want to go to ecmo, Shour doesn¡¯t have one, only the artificial heart-lung machine used in the operating room.  That day, Student Wei felt that the child in the next bed was equipped with some fancy instrument. Actually, it was because Student Wei had never been to a cardiology or cardiac surgery internship, so he didn¡¯t know it was an IABP.  Students like Xie, who had seen and personally participated in the IABP surgery earlier, were not surprised at all.

    The use of iabp in pediatrics is mostly used in children with low cardiac output after surgery for congenital heart disease. It is also used in a small number of children with myocarditis, cardiomyopathy and those waiting for heart transplantation.  Why did Mr. Xie emphasize the use of cardiac assist devices that day but did not talk about iabp?  This is due to the principle of iabp, which we have learned before. It cannot actively assist the heart and relies heavily on the contraction of the patient's own heart.  Zhu Xing suffers from severe cardiomyopathy, and the ability of the heart to contract is a serious problem. The effect of iabp is very limited.

    From the above analysis, we can know that once the child's heart contractility fails, doctors may be completely helpless.

    ©¤©¤©¤©¤©¤Digression©¤©¤©¤©¤©¤

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