The Godfather of Surgery

The whole night was quite calm. Several times, the nurse said that the pupils were suspected of dilation. Yang Ping got up to check Principal Ding's pupils, which were completely normal.

The pupils were measured every fifteen minutes, and under the illumination of the flashlight, it was easy for people to have a subtle illusion. If this illusion was coupled with the nurse's excessive tension, the normal pupils could easily be regarded as a high-risk sign by the nurse.

The most feared thing within 24 hours after surgery was that the bleeding was not completely stopped. Now it seems that the hemostasis of the surgery was very perfect. Even a slight bleeding in this surgery was fatal. The next challenge to be accepted was edema of the brain tissue. Generally speaking, the gentler the operation, the more meticulous the protection of the brain tissue, and the less likely it is to have edema after surgery.

Many delicate surgeries must be done with details. The details of each step must be done to the extreme to achieve good results. Any failure in any link will destroy the effect of the entire operation.

The next morning, Yang Ping had to go back for something, so he took Xu Zhiliang back to Sanbo Hospital and left Song Zimo in the First Affiliated Hospital to continue to be responsible for Principal Ding's postoperative diagnosis and treatment, and asked him to stay until the high-risk period of brain tissue edema passed. Xu Zhiliang had almost no communication skills, and it would be unreliable if he stayed here, so Song Zimo had to stay.

A week later, Principal Ding did not have brain tissue edema, and he woke up from a coma. At this time, the operation could be declared successful, but now he encountered a big problem. His kidney function had failed, and it was also the end stage of renal dysfunction - uremia, and the effect of blood filtration was not good, so he could only do a kidney transplant.

In this more urgent situation, the kidney transplant matching can only be matched among relatives. After the relatives are successfully matched, ethical review will be carried out. Only after the ethical review is passed can the kidney transplant operation be performed.

For this reason, Yang Ping had to go to the First Affiliated Hospital of Nandu again. At this time, Principal Ding had woken up, but his mental state was very poor. He was still lying in the ICU. Director Yao of the Organ Transplant Center of the First Affiliated Hospital of Nandu, Director Wen of the ICU, and Director Lu of the Neurosurgery Department gathered together to discuss Principal Ding's condition.

"The effect of the bedside blood filter for uremia has not been good. I don't know why. We have encountered such patients before. The unexplained poor effect of hemodialysis can only hope for kidney transplantation." Director Wang of the Nephrology Department was the protagonist of this consultation.

"If you really plan to transplant kidneys, it is best to match them in advance, and it is best to find a successful match from the family volunteers." Director Yao of the Organ Transplant Center said worriedly.

Because of the special nature of this type of patient, they cannot do dialysis while waiting for kidney sources like ordinary uremia patients. Once dialysis is completely useless for this type of patient, where will the kidney sources come from if they rush to do kidney transplants? Now the kidney sources are very tight.

Guan Ruyan, Ding Xinyu and Lu Xiaolu attended the consultation meeting of Principal Ding as family members. Professor Su turned to Ding Xinyu and asked: "What do you think? If the family can have a suitable volunteer, the kidney source will be easier to handle. If you rely on waiting for a donor, the waiting time may be very long."

"I agree to family donations. I can participate in matching. I am his daughter, so I should be able to match successfully." Ding Xinyu was anxious about her father's condition and agreed without hesitation.

Director Yao said: "It's not necessarily true. Theoretically, the probability of successful matching is the highest for family members, but it's not certain."

"I'll sign up for one too. Although I'm not a family member, I'm willing to donate a kidney to Principal Ding." Lu Xiaolu raised his hand.

Director Yao said: "You are not a relative, so the ethical review will be more stringent."

"Xiaolu, the success rate of matching without blood relationship is not high, and it will increase the difficulty of things. I can understand your feelings. I also want to donate a kidney to Teacher Ding, but without blood relationship, ethical review is very troublesome and it is easy to make mistakes. We must be rational. In terms of anxiety, I am more anxious than anyone else, but I can't lose my composure because of this." Guan Ruyan persuaded Lu Xiaolu to quit, in fact, it was also for his own sake. If Lu Xiaolu participated in the matching, how could he, as a son-in-law, back down at the last minute.

But Guan Ruyan really didn't want to participate in the matching. What if the matching was successful? He was definitely unwilling to donate this kidney. Not to mention Principal Ding, even his parents would not be willing. Why should he donate a kidney to him? But he couldn't say that on the surface.

"Yes, Professor Lu, you and Principal Ding are not related by blood, so we should be cautious about this matter. We advocate that blood relatives should donate voluntarily, but it should also be voluntary, without any moral coercion. It must be completely voluntary, without any moral pressure." Director Yao reminded Lu Xiaolu.

Lu Xiaolu didn't care about so much at this time: "I volunteered, no one forced me, no reluctance, and no moral pressure."

"So, I think we should be cautious about this matter. Let's think about other ways. Kidney transplantation is such a major operation, and there are rejection reactions after the operation. With Teacher Ding's physical condition, he just woke up from the operation and couldn't bear such a big blow. This is not a problem of kidney sources. With the help of Professor Yang, Principal Ding survived a life-threatening situation and finally the operation was successful. We should cherish this achievement. I think there are other ways to think about it. For the time being, we should not perform such a major operation as kidney transplantation." Guan Ruyan spoke with reason and evidence.

Director Wang of the Nephrology Department said, "That's true. We will try to solve the problem with other methods. We will never resort to kidney transplantation until the last resort. I just think we should be prepared for a rainy day. If the day really comes, where will we rush to find a kidney? We have learned this lesson before."

"If that's the case, I will also participate in the matching. With one more person, the probability of successful matching is higher. I am the son-in-law. Although we are not blood relatives, we are also relatives. It is ethically reasonable."

Since Director Wang has made it clear, it is inappropriate to make excuses. Guan Ruyan thinks that it is just matching now. If the matching is unsuccessful, nothing will happen. If the matching is successful, it will not be too late to find a way at that time. Whether the kidney is donated in the end is not his own business. Who else can control it?

"I will participate in the matching. You don't need it." Ding Xinyu held Guan Ruyan's hand and was very moved.

Guan Ruyan said: "It's okay. A healthy person only needs one kidney to maintain life. Dad is in this situation now. If he really needs a kidney source, where can he find it in a hurry? Dad usually treats me like a son. Don't stop me at this time."

Guan Ruyan spoke in a low voice, but some people still heard it. Everyone was moved by Guan Ruyan's words. Principal Ding's efforts were not in vain. This son-in-law is really loyal.