Chapter 2506： 【2506】Have suspicion

Chapter 2506 [2506] There is suspicion

To ask my younger brother, I do not rule out the existence of his anxiety as Zhu Xing's child's attending doctor. However, it would be wrong to speculate all of his ideas in this way.

Cao Zhao explained honestly to his brother: "I hope the child can survive just like you do. I am a pediatrician myself, so how can I hope that a child will not survive."

It is indeed impossible for his second brother to want one child to live and curse the other to die. Therefore, Cao Yong emphasized before that he did not want his second brother to step into troubled waters. Don't look at his second brother as a child king, if he doesn't have a good heart for the child, he can't be an excellent pediatrician.

It can be seen that Cao Zhao learned that Xiaoyu's parents might want to donate their children's organs, and came to consult a specialist for professional advice. After all, his patients were in the organ recipient ordering team, and it was impossible to ask Fang Ze's doctor.

On the other hand, Cao Zhao is worried about why the child's parents want to seek the child's organ transplant so quickly, whether Dr. Fang Ze's judgment is professional enough, and whether he is suspected of fooling the parents.

As a pediatrician, Cao Zhao did not want a child to be mistakenly judged to be brain dead, and then sent to be transplanted. Caring about another child has no conflict with Zhu Xing, the child he wants to save.

"We have very few children's organ donors in China." Cao Zhao mentioned the statistics in reality, which makes people feel that this is a bit abnormal. When things go wrong, there must be demons. As I said before, don’t think about putting up big posters to promote successful cases of pediatric organ transplants, because there are so few child donors.

"You're right. Don't say that in China, there are fewer children than adults in foreign countries." Cao Yong not only admitted the fact that the second brother said, but also explained the reason from his own professional point of view. He does not think there must be demons. "For children The determination of brain death in children has always been more cautious than that of adults. Children are judged brain death more often than adults, and the observation interval is longer. Such a strict determination process, if you want to casually go wrong, it is more difficult for children than adults.”

A concept is involved here. The brain death determination is not like the traditional one-time determination of death from cardiac arrest, which requires two or more times. This fully demonstrates that brain death requires an observation period. It is equivalent to saying that if the doctor suspects that the child is brain dead, it is impossible to say that the patient with cardiac apnea can be quickly judged to be dead.

Why is there such a long observation period for brain death? First, we need to know the concept of death. The standard for determining human death was originally that the human body's spontaneous breathing and heartbeat could not be maintained. Here, the word "autonomous" should be highlighted.

Brain death is not a new definition of death, it is actually an extension of that definition. The machine is assisted to maintain the patient's breathing and heartbeat. Once the machine is removed, the person's heartbeat and breathing will disappear immediately, and it is no longer a spontaneous breathing heartbeat. How can such a person say that he is still alive, he must be dead.

Here is a divergent situation: how do you determine that after removing the machine, the patient must be spontaneously breathing and cardiac arrest and irreversible. After all, in clinical rescue, it is because the patient's breathing and heartbeat stop immediately with machine assistance. According to this statement, it is simply not necessary to use the machine during the rescue.

(end of this chapter)