Because liver transplantation does not require HLA matching, both proficiency in surgery and postoperative recovery are much better than lung transplantation. Therefore, the domestic liver transplant environment is much better than lung transplantation, and at least there will be no one who dominates the situation.

In a metropolis like Minghai, there are many top three hospitals, and there are several hospitals that can undergo liver transplantation. If you want to widen the gap with others, you must master something new.

Hu Rui can be regarded as the top three big shots among the top three surgeons in Minghai liver transplantation.

He is just over 47 years old and not only has a huge amount of surgery to support him, but also has many masters and doctoral students. He has also tried his best in academics. In recent years, he has been writing articles and has settled firmly as the director of the liver transplant center early on.

Today is his expert clinic day, once a week, only half a day in the afternoon, and the number of patients received will not exceed 40, including the additional plus signs.

After finishing the outpatient clinic and walking around the ward, Hu Rui returned home.

After taking a shower and having dinner, he read the newspaper for a while and was about to enter the study, but unexpectedly the landline phone at home rang. He called a colleague from the medical department of his hospital and said something very strange.

In fact, it’s nothing to call at this time, Hu Rui has long been used to it.

There is a patient in the ward waiting for the liver source, and there are several cases in his hand, all of whom are in urgent need of liver transplantation. They have all registered the liver transplant list early, and no one knows when a liver source will fall from the sky and hit their heads.

Transplantation is about competing for the death of microorganisms and cells. Sometimes, even in the middle of the night, he has to get up for surgery.

Of course, transplant surgery is proportional to the number of liver sources. The qualified liver sources are limited, and the patients who can operate are naturally limited. It is not easy for each patient to go to the operating table, and he needs to ensure his survival rate after the operation.

From the preparations for the surgery to the daily habits and rules of daily life, he has to help check everything.

It would be a bit difficult for him to say all the patients' names this year. But if he could say a name and let him recall the diagnosis and treatment process, there would definitely be no problem.

However, he really had no impression of the young man named Qi Jin mentioned in the Medical Office.

"Has he found the wrong person?" Hu Rui was a little confused. He had never encountered such a thing in his practice for so many years. "Are you sure you asked his name clearly?"

"I asked about my name, age, and gender, and that's all he said."

"Where is the operation time? I'm sure I did it?"

"It's just Professor Hu who is doing a liver transplant in our hospital. He can't remember the time, probably half a year ago."

"Half a year ago... I said I couldn't remember it..." Hu Rui felt that he had been filled with half a bucket of paste in his mind. "Give me the phone number, I'll call him and ask clearly."

"Okay, I'll send it to your phone now."

Hu Rui had no choice. When he was old, he would sometimes not be able to remember things. The memory that he was proud of when he was young was really not as good as the destruction of time.

If it is just an ordinary preoperative patient, it would be fine, but the trouble is that this person is half a year after the operation. This time is really happening, and it happens to be stuck at the median time point of chronic rejection. If it is really slow, the doctor needs to intervene, otherwise the long-term survival rate will be worrying.

Of course Hu Rui is confident, but he is not afraid of ten thousand, but he is afraid of if he wants. Out of rigor, he must reply to this call.

I have never seen a strange name, a vague operation time, and I have never seen it before when I look at my mobile phone number, and the voice I heard very young after answering the words.

The liver transplants that were done throughout the year last year were all the elderly. Hu Rui could be sure that the owner of the phone was not his own patient, and it was even more impossible for the family members of those patients. Because he had seen all the family members, he had already left his phone number, so there was no need to go around in a circle and find himself through the medical office.

Who is this person?

Hu Rui had a question mark on his forehead: "I am Hu Rui, are you the patient who called just now? Are you sure it was done here?"

"It's Director Hu." Qi Jing laughed twice, and finally waited for the main owner, "I'm not your patient, and I don't feel uncomfortable."

“…”

After a short silence, Qi Jing quickly explained: "Director Hu, don't be in a hurry to quit. I am an ordinary emergency doctor in Danyang, your colleague. I came to you this time, and I actually wanted to ask the teacher a question."

"If I hang up the phone, it's okay? You may find other ways to find me." Hu Rui felt a little uncomfortable, but there was no way, "Tell me, what's the problem."

"Did Director Hu meet Ning Zhongtian in the afternoon?"

"Ning Zhongtian..."

Hu Rui was naturally impressed by Ning Zhongtian.

After all, there are only a few liver transplants in 2002 that can be as successful as Ning Zhongtian. This success is not only reflected in the intraoperative operation of the operating table, but also in the values ​​of various postoperative examination reports.

There is almost no rejection, and there is no common infection, which is simply perfect.

But it was such a perfect case, but recently I found that there was a sudden extra placeholder on the liver. Moreover, this placeholder was not at ease. From the first discovery to now, it has gradually grown 1.3cm to the outside world.

If you are so active in a short period of time, the benign liver adenoma that you originally judged will be questioned.

Ning Zhongtian did come to check in this afternoon. In order to take care of him, Hu Rui specially added him a number. After scanning the ct, he found that the lump on the liver had begun to grow. Hu Rui invited a liver cancer expert, but he felt that the situation was not optimistic and advised him to have surgery as soon as possible.

The reason is also very simple: "It should be a possibility of malignancy when it grows too fast."

"In Teacher Hu's experience, I'm afraid I'm 70% to 80% sure it's a malignant tumor." Qi Jing said, "Otherwise, I wouldn't have been urging him to take the surgery as soon as possible."

Hu Rui was stunned for a moment, feeling that there was nothing wrong with what he said: "Indeed, it grew too fast. After the New Year, the lump may grow to 5cm. Liver cancer 5cm is a hurdle. I have arranged for him to undergo surgery, and it will be in these few days."

Qi Jing nodded.

Hu Rui naturally has his reason for his judgment on malignant tumors. Qi Jing is not a perspective eye or an expert in liver disease and liver cancer. It is impossible to completely deny the possibility of liver cancer. He did not call this phone to dissuade Hu Rui from the operation, but hoped to give the other party another direction to think about.

"Director Hu, have you considered other reasons?"

"Other reasons?" Hu Rui thought for a while and shook his head. "From the morphology, it should be a liver adenoma. Now it has a tendency to be malignant, which is my judgment. Of course, there are other possibilities. Perhaps it was originally a malignant tumor, but it looked closer to benign."

Qi Jing did not refute, but continued to say as he said: "Maybe this was originally an infection."

"Infect?"

Hu Rui laughed when Qi Jing said: "What infection is it? Bacteria? Or virus? What infection can leave a tumor in the liver..."

He suddenly stopped talking.

Hu Rui was interrupted by a young doctor and had some temper in his heart. He wanted to say it more certainly and slap the other person in the face.

However, the rigorous habits and huge amount of knowledge he developed over the years still changed his mouth: "Maybe certain specific parasitic infections can indeed appear cysts, but this infection has distinct regional characteristics. Ning Zhongtian has never left Minghai since he was diagnosed with cirrhosis, and Minghai does not have this disease..."

"Minghai does not have any interaction with many diseases, and Ning Zhongtian has never left Minghai."

Qi Jing spoke again, and suddenly changed the subject and led to Mu Heng: "The person who provides liver is different. He doesn't live in Minghai at all. He is a reporter. He has been spread all over the country in the past ten years and often goes abroad to report foreign news."

Hu Rui, a liver transplant doctor, must know more about the reports on organ transplants than Wan Guochao.

Qi Jing just mentioned a little, and he immediately realized what the young doctor meant: "You mean that there was an infection along with the liver and entered Ning Zhongtian's body from the donor?"

“There is indeed a possibility.”

Even an internal physician thinks it is possible. Of course, Hu Rui, the director who has read a large number of foreign liver transplant literature, cannot deny it: "There are indeed such reports abroad, but..."

"But Teacher Hu thinks the possibility is still very low?"

"I can't make a straightforward judgment on this."

"It doesn't matter. If I'm not mistaken, the cyst caused by the infection also needs to be removed through surgery, just like cysticides in pastoral areas." Qi Jing paused and added, "Anyway, both horizontal and vertical are surgery, so it doesn't matter."

"What kind of infection is it?"

"Course coccidioidae is temporarily suspected." Qi Jing said.

"Rough balls...sporidium?"

Like most domestic doctors, Hu Rui has never heard of this bacteria and has no idea.

"It is a kind of fungus in desert soil in the United States and likes a dry environment."

Qi Jing explained: "After the operation is taken out, we hope Director Hu will try his best to ensure the capsule is complete and take photos and archive them. When doing pathological sections, we also hope to leave some pictures. A lot of sporophytes should be seen in the microscopic examination, which is the best evidence for the diagnosis."

"If the end result is cancer, then just pretend I didn't say anything."

Because transplant surgery requires teamwork and not just him, Hu Rui has always been easy-going and can listen to the opinions of people around him. Infections in the direction of transplant recipients are not a big news. There have been reports abroad very early. He is still very concerned about Qi Jing's kind reminder.

After a phone call, Hu Rui recorded the new term "coccidioidae".

As for Ning Zhongtian's phone call, it was entirely because of his depressed mood. After all, he was a person who experienced the storm and waves, and his son was there to accompany him, which made Ji Guanghao feel relieved for the time being.

And Mu Heng encountered a situation where his brain was out of control, it is probably difficult to find clues in Ning Zhongtian's medical records.

Because Dumer, who is also an organ transplant recipient, has been living a peaceful life until the day before the onset of the disease. This shows that there is a very likely another hidden infection in Mu Heng's body, which is more concealed and lethal than Coccidioidae.

Now that Ning Zhongtian's situation has been confirmed, Qi Jing is preparing to change the target temporarily.

He did not hang up the phone. From the beginning, the reason for making this phone call was not just for Ning Zhongtian alone.

"Director Hu, your hospital's ophthalmology department is also ranked first in Minghai. It has been undergoing corneal transplants for many years. I heard that Director Lu has always been responsible for it."

Qi Jing asked, "Director Lu, are you familiar with me?"

"Lu is for the people?"

"Yeah." Qi Jing said, "In 2002, he used the corneal transplant of a blind young man with the same donor as Ning Zhongtian."

"Corneal transplant should have nothing to do with this bacteria, right?"

"That's not sure," said Qi Jing. "The father of a child here is suspected of being infected by coccidioids, which now causes severe keratitis."

"this......"

Hu Rui took out a small address book, looked through the landline numbers recorded in it, and said, "He doesn't like using mobile phones very much. He usually only has a small Lingtong. It is not suitable to give you the small Lingtong number in the hospital. Just give you the phone number in his office."

Lu Weimin is much more difficult to get along with than Hu Rui, and has high requirements for subordinates and is more arbitrary.

However, under Qi Jing's tough attitude, he still revealed the old news: "Why are you like a candy? I said that this patient is dead!"

"I just want to know how I died? There must be a reason, right?"

"How can I know this?!"

"Director Lu, now we have reason to suspect that there are at least two infections in the donor's body, which can be transmitted to the recipient through organ transplantation." Qi Jing emphasized again, "One of them is a chronic fungal infection, while the other is a bomb that can be detonated at any time."
To be continued...