Since 1981 Health School Chapter 816

The mermaid child is very fragile. Ever since she was born, she has been inseparable from the maintenance of medical machines, such as a hemodialysis machine, which she has to take wherever she goes.

 Because mermaid children lack a bladder, large intestine (rectum), and most of the kidneys.

 What problem does this bring? That is, the mermaid child is equivalent to a "Pixiu", which can only enter but not exit.

 Let's talk about the bladder first.

The bladder is an organ that stores urine. If a person loses his bladder, he will be unable to store urine and will have difficulty urinating.

It will then cause urinary incontinence, resulting in the inability to control urine, accompanied by symptoms such as frequent urination, urgency, and painful urination.

If the above two points only cause inconvenience to life, then the last point will endanger people's lives.

Without a bladder, urine cannot be excreted from the body, which may cause toxins and water to accumulate in the body, leading to hydronephrosis and kidney failure.

This is like the bladder originally being a reservoir. When the water is full, it will be automatically released, keeping the upper reaches unobstructed.

 But now that the reservoir is gone, there is no place for water to flow or store. At this time, a "barrier lake" situation will be formed, causing flooding upstream and heavy water flooding.

Then let's look at the situation upstream, that is, the kidneys?

 Normal people have two kidneys. If one kidney is removed due to disease, you can live a normal life as long as the remaining kidney functions normally.

 Unfortunately, the mermaid child's right kidney is missing, and the left kidney is only one-third the size of a normal kidney and has almost no function.

  If a person does not have kidneys, he cannot produce urine and cannot maintain a stable internal environment through urine excreted from the body, which will lead to the retention of metabolites and toxins in the human body.

As time accumulates, the condition becomes more and more serious, which will lead to uremia.

 Huge water retention in the body can lead to edema throughout the body and may be complicated by heart failure.

In addition, the retention of metabolites and toxins will affect the acid-base balance, leading to acid-base balance disorders, electrolyte disorders, etc., causing abnormalities in electrolytes such as magnesium, calcium, potassium, and phosphorus, which can cause hyperkalemia and, in severe cases, cause heart disease. Arrest.

Without kidneys, it is impossible to produce various hormones such as erythropoietin, renin, and prostaglandins secreted by the kidneys.

Without these hormones, the human body's endocrine function will become disordered, leading to various abnormalities such as renal anemia, renal bone disease, and abnormal blood pressure.

 This is simply fatal.

 This situation is the same as uremia.

Although the urinary virus has kidneys, the kidneys are not working and the toxins are not detoxified.

Nowadays, mermaid children have almost no kidneys and no bladder, which is worse than uremic patients. At least uremic patients do not have urinary incontinence.

The above two points mean that you cannot urinate, but the mermaid child cannot defecate because she does not have a large intestine, including a **** and anus.

 The main function of the large intestine is to absorb water and promote the formation of stool.

  If the patient does not have a large intestine, it may cause disorders in the patient's digestive function and gastrointestinal tract.

 Without an anus, it's even worse. If you have a bowel movement, you can't help it. The excretion of stool is beyond your control, and you can pull it out anytime and anywhere.

 When a mermaid child is born, there is no urethra or anus, and they are all hidden.

　　When we curse people, we often say: Give birth to a son without an asshole, that's what happens.

 So why are the cases of "Mermaid Syndrome" patients so rare? Even by 2023, there will only be two surviving mermaid patients in the world, and only one of them will grow up.

 Another little mermaid girl died when she was 10 years old. This was a brave and strong little girl who always wanted to dance ballet, but finally died of pneumonia caused by a cold.

The longest survival record of a mermaid child recorded in our country is 38 days, which has already been recorded in the history of medicine.

 That is when mermaid babies are just born. Because they cannot excrete and lack kidneys, they almost all die within a few hours after birth.

 Gabriel's survival was entirely due to her father's financial ability. He invited the best doctors in the world to perform fistula and ostomy surgery as soon as she was born.

 So Gabriel lived until he was 5 years old. He always had a urine bag and a feces bag hanging on his body. He also had to carry a "hemodialysis machine" with him and use expensive drugs to maintain it.

 For Gabriel, life is not easy.

The mermaid child that Chen Qi is currently taking over is the only known living case of "Mermaid Syndrome" in the world. Although it has won the attention of the world, the pressure is also greater than Mount Tai.

If the operation fails and the treatment is unsuccessful, the mermaid child may die in China.

 A happy event turned into a tragic event. You can imagine how parents, colleagues, media, and international public opinion will hate Chen Qi and the Vietnam Traditional Chinese Medicine Hospital.

This is also an important reason why top hospitals and top surgeons in Europe and the United States do not dare to take over. They have already become famous and do not want to take risks at all.

 Only in grassroots hospitals like Yuezhong Hospital, rising doctors like Chen Qi will take over.

 Even if Chen Qi is very skilled and has the blessing of a golden finger, the difficulty of this operation is still beyond his imagination.

Zhu Huoyan read the medical records and glanced at Chen Qi with some embarrassment:

"This surgery is very difficult. Separating the two legs is simple, but there is a question of whether the existing bones can support walking after the separation. Even if it can move, what will happen to so many missing internal organs? The patient still cannot survive without these machines. "

Only doctors know best. If a person cannot control his bowel movements and needs a urine bag and a **** bag 24 hours a day, such a person will have no quality of life and will not be able to integrate into normal society and social interactions.

 So many doctors themselves are sick and would rather die than use stool bags.

For example, Chen Qi had a previous patient, Dr. Qi Quanlin from the Department of Surgery of Xijing Hospital. This was the case.

 After Chen Qi heard what Director Zhu said, he thought for a while and then said:

“To perform this operation, organ transplantation is the key, which involves three operations, one is rectal transplantation + recto-anal anastomosis reconstruction surgery, one is kidney transplantation, and finally the leg separation surgery.”

The Chinese doctors present all gasped.

 Because of the three surgeries mentioned by Dr. Chen, I have never heard of rectal transplantation + anorectal anastomosis reconstruction surgery. Can **** also be transplanted?

In addition, the Vietnam Traditional Chinese Medicine Hospital has never performed a high-end surgery such as kidney transplantation, and it has no technical reserves in this area. How can it be tolerated?

You must know that this is a level 4+ surgery, which is really not something that ordinary hospitals can do.

Under the whisper of the translator, Carlos also understood the three surgeries Chen Qi mentioned, and he was equally surprised:

"Chen, that's great. You are indeed a famous doctor. You immediately saw the essence of my daughter's disease. Yes, these surgeries require organ transplantation, followed by leg separation. In this way, what do you have clinically? Difficulties can be raised.”    Chen Qi thought to himself, is this big dog really addicted to throwing away money?

 But this time Chen Qi doesn't need money anymore. If he continues to ask for money, he is greedy and will be cast aside.

“Mr. Carlos, there are two questions now. One is where do the transplanted organs come from? Our country can provide them, but from the perspective of matching, it is best to use organs from white people, so as to eliminate racial differences.

Furthermore, Miss Gabriel is already preparing for the operation, and there is not enough time to find a suitable match. Even if there is time, it is not a big problem to ask someone to donate a kidney, but if someone wants to donate their rectum, I am afraid no one will be willing. "

Carlos laughed loudly when he heard this:

"I thought it was a difficulty. You don't have to worry about this. In fact, I have always prepared a donor for my daughter. You just need to tell me which organ you need, and I can get it from the beginning to the end, from the inside out. If one is not enough, Three or five are no problem.”

As soon as these words came out, the Chinese doctors took another breath of air.

Even Chen Qi's back was numb, thinking that this Mexican business tycoon actually still has such ability? Could it be that this guy is not following the white path but the underworld?

This statement obviously means that Carlos has raised a group of "organ donors" who have been successfully matched with his daughter and can be removed at any time.

 This is an extremely inhumane and cruel act that is not allowed in any legal society.

But Chen Qi also knows that the world is so unfair. With the rise of organ transplantation, organ trading has become another sinful transaction after white flour trading and human trafficking.

 There is no harm if there is no buying and selling, but what if there is a lot of buying and selling?

So Chen Qi Mingzhi did not ask about the source of the organs, but just nodded silently. As people at the top of the food chain, they enjoy privileges, but neither the white people nor the underworld can do anything to them.

"OK, it would be great if we can solve the problem of organ sources. I plan to use the latest international technology for these surgeries, so there is still a possibility of failure. It is best to have a backup. There is also another difficulty, which requires the help of Editor-in-Chief Gabrielleth. solve."

Editor-in-chief Gabrielleth smiled:

"Of course, Mr. Carlos was invited by us. Of course, we must fully cooperate with Mr. Carlos's request to make the operation foolproof. Chen, just say whatever you need."

 The New England Journal of Medicine and Surgery has prepared a budget of US$10 million to support the Vietnam-China Hospital.

In any case, this money is donated by entrepreneurs from various countries. They don't feel bad about spending it. If they can't spend it all, they can't put it into their own pockets. They can also get some rebates when buying some equipment.

Chen Qi chuckled, thinking that the opportunity was rare and it would be useless if he didn't kill it:

"Mr. Editor-in-chief Gabrielleth, you also know Miss Mermaid's condition. She relies on a hemodialysis machine to maintain her life. However, there are too many unexpected factors during the operation, and the hemodialysis machine needs to be turned off during the operation. This This increases the risk of surgery.

 In addition, there is a conjoined twin who needs surgery later, so I would like to apply for 4 units of ExtrCorporealMembraneOxygenation, two for clinical use and two for ready use. I wonder if your journal can meet my small request. "

 ExtrCorporealMembraneOxygenation, the English abbreviation is ECMO, and it is customary to call it "Ye Kemo" in Wanwan.

 It is a type of medical emergency equipment, also known as "Ye Ke membrane extracorporeal life support system" or "extracorporeal circulation membrane lung support therapy".

 Mainly used for patients with severe cardiopulmonary failure, it can temporarily replace the patient's cardiopulmonary function, perform extracorporeal breathing and circulation, and reduce the patient's cardiopulmonary burden.

 “Ye Ke Miao” is a technology that represents the critical care emergency level of a hospital, or even a region or a country.

 “Ye Ke Membrane” is already one of the most important medical emergency equipment today, and it has achieved clinical miracles at home and abroad.

  In the early spring of 2020, almost all the Yeke film machines in the country were transferred to Wuhan.

 Initiating ECMO has very high requirements for the medical team. It usually requires the cooperation of a professional medical team of more than 5 people, including the respiratory department, critical care medicine department, surgery, ultrasound department, blood transfusion department and other disciplines.

During the ECMO rescue of a 47-year-old COVID-19 patient from Wuhan Tongji Hospital, a rescue team of 14 people from BJ Hospital and Wuhan Tongji Hospital brought the patient back to life after a night of hard work.

Of course, this patient is relatively noble. Like Carlos, he is a person who is superior to others.

But from another perspective, as long as "Ye Ke Miao" is there, a person can hardly die. Even if your heartbeat and breathing are gone, heart failure and lung failure, it will be fine. The machine will help you beat your heart and help you breathe. .

 So "Ye Ke Mu" is every dean's dream machine, and every hospital wants to have it.

Of course, the operating cost of "Ye Ke Membrane" is also very high. Hospitals often use the saying "when the machine rings, there is ten thousand taels of gold" to describe the use of "Ye Ke Membrane" technology.

 The start-up cost of "Ye Ke Film" includes consumables, personnel costs and ancillary testing, medicines, equipment replacement and other costs. The starting price ranges from approximately 50,000 yuan to several hundred thousand yuan.

 Unless your dad is a Jack Ma, or your grandpa has climbed snowy mountains, ordinary civilians cannot afford it.

Editor-in-Chief Gabrielleth thought to himself, "Hey guys, this Chinese dean is very discerning. He wants 4 Ye Ke films as soon as he opens his mouth."

Yeke film is definitely not cheap. Even in 2023, when technology is highly developed and mass production is in progress, a machine will cost several million, and it will need to be imported.

The ex-factory price may not be expensive, but the bidding price in the middle has to be doubled several times, so the price to the hospital, ahem.

By 1991, Ye Ke film was purely imported, and three foreign companies had a monopoly. Therefore, the price of a Ye Ke film machine at this time was about US$2 to 3 million.

 Four machines require a budget of US$10 million. Good guy, how many hospitals in China can afford this?

 Carlos saw that Editor-in-Chief Gabrielleth looked a little unhappy, so he asked strangely:

“Mr. Gabrielleth, is the ECMO that Dr. Chen said particularly useful for my daughter's treatment and possible rescue?”

Editor-in-chief Gabrielleth nodded awkwardly: "Yes, this is the last life-saving machine. Chen is right."

 Carlos was an outsider after all, so he asked strangely: "How about I buy these 4 ECMO machines? It won't cost much anyway."

How dare Editor-in-Chief Gabrielleth ask Carlos to pay for this surgery? He advocated coming to China for this surgery, and it was also held in the name of the New England Journal. If the patient was asked to pay, he would lose face if he said it. .

And as long as the "New England Journal" cooperates, wouldn't it be easy to get tens of millions of dollars in donations from this tycoon in the future?

So Editor-in-Chief Gabrielleth said bitterly: "No, Mr. Carlos, we will pay for this!"

 Chen Qi really wanted to open a can of Coke to celebrate at this time. Before the operation even started, he had blackmailed a large number of top-notch high-tech equipment.

And because these equipments are urgently needed, they will be delivered as quickly as possible, eliminating the possibility of wrangling in the future.

Just the arrival of these equipment in Yuezhong will make Yuezhong Hospital become the hospital with the most complete hardware facilities in the country. With so many advertisements, won't patients be queuing up to come to Yuezhong?

  Chen Qi is the dean. While considering social benefits, he has to consider economic benefits.

Whether the Vietnam Traditional Chinese Medicine Hospital can provide each employee with a large color TV this year depends on whether there are many patients this year and whether it can make a lot of money.

At this time, in the ward, the experts from the Yuezhong Hospital were looking at Dean Chen like a god, thinking, could this young man be the reincarnation of the God of Wealth? Or are these foreigners stupid and brainless? Why do they give Dean Chen whatever he wants?

 Then I'm excited. When the machine arrives at the Yuezhong Hospital, they will still be using it. By then, won't the medical level be increasing rapidly?

 A good doctor with a good machine is like a good horse with a good saddle. This is definitely a 1+1>2 super good thing.

Even Zhu Huoyan, the “cold-faced king of hell”, was a little excited:

“Chen Qi, we still lack the most advanced MRI equipment. Will it be fully equipped this time?”

Chen Qi said with a grimace: "Let's wait until the operation is successful. If the operation is not successful, these advanced instruments may become our talisman."

Chapter end