718 Swimming (Fanwai 16) Collection 4319-97.7.19W6 "Give it to me?
”The beer glass that Director Liang was holding stopped at his lips.He thought for a moment, put down the beer glass and said, "Lao Chen, I agree with you to take the decision in this matter."
You can't let Yang Weiguo mess around.However, this is different from the normal thing.I won't tell you a lie between the two of us, this kidney transplant is the least expensive and fastest life-saving treatment for end-stage renal failure.This match can match 4 loci is less likely to be rejected than 2 loci, in other words, the success rate of transplantation is higher.But the same is matched with 3 loci, or one is 3 loci but related, and the other is an ordinary patient with 4 loci, just one kidney, who do you give or not?
Can you still draw lots?
”"I can't."
Chen Wenqiang replied without thinking.His simple answer was something that Director Liang could think of.But what Chen Wenqiang said afterwards made Director Liang have to ponder."
Lao Liang, you are now the chief director of surgery, if this matter was placed ten years ago, when I was replaced as the chief director of surgery, you were an ordinary deputy chief physician at that time, what would you want me to do?"
Director Liang smiled bitterly, picked up the beer, and after drinking half of it, he said, "Lao Chen, the place where I am not as good as you is here."
Ten years ago, I would have wished you had made your own rules.Then, you are capable enough to defend your own rules from being changed.I don't say that 100% of the transplant queue can be according to the rules, at least 90%.But now you throw this problem at me......"
"You don't dare to take it?
Or are you unable to do it?
”Chen Wenqiang asked."
I dare to take it, and I can do it.But can you guarantee that you will not interfere with my transplant queue?
”Director Liang stared at Chen Wenqiang very seriously.This aggressive question, coupled with Director Liang's uncompromising attitude, Li Min immediately stood up with a very good eye to pick up vegetables for the two of them, interrupting Director Liang's saber-rattling.Without waiting for Chen Wenqiang to answer, Director Liang continued to say: "You can't bear it."
Because it's not your time to be the chief of surgery.At that time, you could have a hard top, and Shu Wenchen came forward to help you carry it.But now that you're the dean, you have to think about the whole picture, and consider all aspects of the relationship. ”The content of Director Liang's words was not good, but his calm attitude and tone of voice made Li Min somewhat lighten his worries about the two of them arguing.Chen Wenqiang nodded and admitted that Director Liang was right, he was not as hard backstage as Shu Wenchen.Alas!
In the early years, he was young and vigorous, and he did what he wanted, and he didn't know how much trouble he caused to Xiao Shu.When he was in the position of dean, he realized more and more that it was not easy for Xiao Shu at the beginning.Yourself, alas!
I can't do it without interfering with the queue for a kidney transplant.Thinking so, he said to Director Liang in a heartfelt manner: "Old Liang, when I first started doing neurosurgery, I couldn't bear it.You know that at that time, whoever came to me, I would add a station on Saturday.On the one hand, there are patients who are in a normal queue, and they can basically be operated after completing the examination, and on the other side, they are hospitalized without waiting for the completion of the examination......
In fact, even now, I don't miss patients like Little Lisse.I can't help it!
”Director Liang bowed slightly, and answered in a sympathetic tone with deep feelings: "Not only you, but except for Yang Weihua, no one in our provincial hospital dares to say that he can withstand the pressure 100% and ignore the influence of external factors.To put it bluntly, it's not a big deal, I said I could do it, but my children can stand up now, and I don't have any worries.Old Tan's situation is the same as mine.He wasn't stressed, so we could think purely from a clinical point of view. ”Director Liang's words made Chen Wenqiang feel that the beer had become bitter."
Lao Liang, thank you for your understanding of me.I can't just think about things from a clinical point of view right now.!
If I had known that I would not have been an assistant to the dean in 90 years.Wouldn't it be good for me to be the chief surgeon again?
”Director Liang smiled and said, "Of course it's not good.Without you, the Provincial Court would not have the status and achievements it has today.In fact, Lao Tan and I are not people who have been cut off from six relatives, and we will also be shaken before favor and hard work.All in all, the two of us still have a degree, and we can do it relatively restrained, well, that is, in principle, we can get by. ”Chen Wenqiang nodded, indicating that he understood and understood what Director Liang said.Director Liang took a big sip of beer, and then changed his face.He scolded with three points of unwillingness and quickened his speech: "But Yang Weiguo's rabbit cub, he insisted on operating on a patient with only 2 sites last time, and that is the root cause of rejection and death."
You all think that I didn't want to go because of the case of kidney transplantation, Lao Chen, how could I not think about such a thing?
Didn't the kidneys that were removed be transplanted to another patient on the spot?
Don't worry, I won't be unable to think about such a thing.So, you take back this transplant decision, and I support you.But you're going to give me that right......"
Director Liang crackled through a long list of words, picking up his beer glass and drinking it down.Li Min hurriedly poured him wine.Chen Wenqiang stood up and stretched out his hand, signaling Li Min to give him the large cold water bottle with draft beer, and he wanted to pour wine for Director Liang.The white foam bubbled out on the beer glass, and Director Liang hurriedly said, "Okay, okay, it's all full."
Look at your waste.It's not as good as Xiao Li to pour a wine. ”He slurped, foaming along the edge of his beer glass.Chen Wenqiang smiled, filled himself up, and then picked up his wine glass and said to Director Liang: "Old Liang, I have such an idea in my heart, which may not be suitable for the disorderly situation where various hospitals are competing to carry out kidney transplant surgery.But I think that although the transplant queue in the United States has an impersonal side, the rules that everyone abides by will also be less fearless loss.I mean, our country can't establish a national queue for the time being, but we can set a red line ourselves, if we don't have more than 3 sites, well, under the premise of the same blood type, we'd rather not do it.What do you think?
”Director Liang immediately said, "I have no problem."
In fact, I think the provincial cities should be united, at least we should unite with the affiliated hospitals of the Medical University.They have more dialysis patients than we do, maybe we can only match 3 loci here, and they have patients who can have 4 loci or more. ”"Director Liang, don't you have to raise to 4 sites before you operate?"
Li Min was shocked.According to the matching data of the existing transplant patients in the provincial hospital, less than 30% of them can meet this standard."
This will make the chance of rejection after surgery smaller."
Director Liang's tone of voice to Li Min was calm enough.Chen Wenqiang was pleased that Li Min could say what he thought in time.He pondered for a while, then nodded solemnly at Director Liang: "I'll try it."
I hope to establish an exchange with the Affiliated Hospital of the Medical University. ”Such a standard is good for the patient.But Chen Wenqiang considered that the source of kidney donors in the provincial hospital was not yet stable, and then said: "Lao Liang, how about replacing it with 2 sites?"
Donors at 2 loci, we immediately communicate with each other, even if it takes a little longer to get them back.That, with 3 sites, kidney transplant surgery is done, which is the normal matching standard.If you want to raise it to more than 4 loci, our kidney transplant may not be carried out. ”"It's up to you."
Director Liang replied very dissatisfied.But he immediately lowered his head, took a sip of beer to cover up, and swallowed the words that pursued the best matching results and could effectively reduce postoperative rejection back into his stomach.Doesn't he Chen Wenqiang understand the power here?
In the end, the dean has to consider being different from himself.A sneering smile was poured into the stomach with the beer before it could be revealed on the lips.After a pause, Director Liang adjusted his mood before he continued: "Just from the general surgery of urology, I want to carry out kidney transplant surgery.I would also like to have a few more kidney transplants.The surgery is easy to do, and I have some experience in anti-rejection after surgery.It's not like your head-changing technique, which hasn't been skimmed yet. ”Speaking of the last sentence, Director Liang's expression was already a heartless joke.Chen Wenqiang disagreed with Director Liang's mention of the "head swapping technique".That kidney transplant involves only blood vessels, and even without a microscope, the anastomosis of the renal arteries and veins can be completed with the iliac vessels.If it is neck-free, there are not only blood vessels but also cervical vertebrae, trachea, esophagus, etc., and the most important thing is the ischemia time of the brain and whether the spinal nerves can be completely connected.Otherwise, it is more difficult to remove the contents of the skull, and more organs are involved in matching with the donor.Forget it, the head-swapping technique is not only a technical issue, but also involves legal principles, ethics, and the unavoidable "pursuit of immortality".After thinking about this, Chen Wenqiang only smiled and responded to Director Liang.Then, he calmly said to Li Min: "Xiao Li, come on."
I'll probably never see a successful head swap in my life. ”Li Min smiled and said, "Okay."
I strive to accomplish this feat in your lifetime. ”Director Liang laughed: "Hahaha, Lao Chen, then we can expect to live forever." ”"yes.When you are 80 or 90 years old, you can change your body to 18 or 9 years old, and you can live another life. ”"Where's the face?
Is it someone else's appearance?
Or is it a wretched old man with a wrinkled face with a young body?
”God knows, Director Liang just said this in passing.Chen Wenqiang secretly took a sip in his heart, this Lao Liang is simply a pot that can't be opened.Li Min caught Chen Wenqiang's face changing slightly, and immediately stood up and poured wine for the two of them, blocking the line of sight between Director Liang and Chen Wenqiang.Director Liang watched Li Min slowly pour the remaining draft beer into his and Chen Wenqiang's beer glasses, and quipped: "Old Chen, don't look at Xiao Li's drinking, this pouring technique has been practiced." ”Chen Wenqiang joked: "How many opportunities have we given her over the years!"
If you can't practice this, you won't take her to drink next time. ”Li Min poured the remaining little draft beer into his wine glass and said, "I remember watching it ten times and doing it ten times a hundred times." ”Director Liang laughed and said, "That's it!"
Your teacher and I practiced this way.Lao Chen, to be honest, I really want to have a few more kidney transplants.It can save lives and earn more money.It's not too much to do a good thing that kills two birds with one stone.Isn't it?
”When Chen Wenqiang heard this, he smiled and picked up his wine glass and signaled to Director Liang, and Li Min sat down when he saw that the atmosphere was relaxed.Director Liang continued, "No matter which department you look at, there are four operating days every week.If we encounter a favor that can't be pushed away, we can ask Li Qin to be accommodating and add Taiwan, or simply fill out an emergency notice.Even if the operating room settles accounts afterwards, it can't do anything to you and me.Right?
”"Yes.""
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But kidney transplantation is not a problem that we can solve by choosing to add a table.This involves donors.There is also the issue of postoperative anti-rejection that determines the success rate of surgery.The matching is not in place, and it is useless to barely operate. ”Li Min saw that Chen Wenqiang and Director Liang could talk well, and they were almost drunk with a draft beer.She opened the door and went out to ask for hot food.When she came back, she felt that Director Liang and Chen Wenqiang had reached an agreement.The two of them laughed and laughed, not only drank all the wine in the wine glass, but also disappeared the awkwardness before lunch.After dinner, it was almost time to go to work in the afternoon, Chen Wenqiang went to the dean's office to rest, and Li Min followed Director Liang back to the ward.The servants went their way in two ways.Director Liang said to Li Min: "Xiao Li, people will change.Do you feel it?
”Li Minsi, Chen Wenqiang and Director Liang nodded silently in the years when they relied on each other's backs.With a little sadness, he said: "Some people are too affectionate, and my teacher can't refuse." ”Director Liang sighed: "In addition to favors, there is also money.Your teacher and I are not short of money when we get to this position.But the young doctors in the urology department are the most short of money.Dr.
Yang is not the director of the department, so he can't suppress those young people.I can't help it when I get a uriner. ”"Mmmm, I understand that you are here to lighten the burden on my teacher.I think my teacher understands that. ”Director Liang smiled, and then said, "Your teacher, if he doesn't understand, you will tell him, right?"
”"Yes."
Director Liang smiled with relief."
I took over urology and burns in exchange for the position of director of surgery, haha, I and him are also a disguised exchange of interests.""
Isn't it?
That's a terrible thing to say.My teacher will leave the surgery to you, so that you can do other things with confidence. ”"Alright, you don't have to defend him.When you reach my age, you will understand that everyone understands in their hearts. ”Director Liang stopped the topic and reminded Li Mindao: "Xiao Li, your teacher has entrusted you with all the affairs of the department, you have to be a good home, don't care how many surgeries you have every week, you can arrange what you should do, don't force it even a little."
Don't let someone who only cares about money influence your decision.If you delay the patient, you will have no one in your department to share the responsibility for you, and in the end it will affect yourself. ”"Yes."
Li Min nodded heavily, indicating that he understood Director Liang's reminder.※※※※※※※※※※※※※※※※※※※※ I wanted to add more last night, but I didn't do it, and the distance was a little far