Inpatient department entrance.
Director Wu looked seriously at the group of people in front of him getting off the ambulance.
A young patient in a wheelchair, followed closely by a man and a woman who looked similar, who seemed to be a family.
The doctor on board the car next to him handed over a document and said with a smile: "Hello, Director Wu, I am from the First Hospital of Zhejiang Medical University in Hangzhou. These are the patients and their families who have been transferred to the hospital. The director should have informed you about the specific situation. It’s all on this handover record sheet.”
Director Wu received the record sheet with an expressionless face. It was transferred to the department, and the patient's current situation, background, evaluation and suggestions were clearly written on it.
He waved his hand: "I understand, don't worry."
After saying that, he walked forward, came to the young man in the wheelchair, showed a kind smile, and said kindly.
"You must be Zhu Jun. Go to the ward with me first. By the way, the family members will go through the hospitalization procedures together."
Zhu Jun nodded. He had many questions in his mind that he wanted to ask clearly, but when he arrived here, there were still many things to do, so he put all the questions in his mind for the time being.
Brother Zhu Ming took the handover record sheet and went through the formalities, while his mother accompanied him to the ward in a wheelchair.
When I arrived at the ward, I saw Director Wu holding his case information and reading it carefully.
He finally couldn't hold back anymore and asked the biggest question in his heart: "Director Wu, my, can my bladder be saved?"
Director Wu was browsing and thinking deeply before replying after a while: "Your situation is more complicated. We may need to hold an expert consultation to determine the treatment plan."
"But don't worry, if it's just a bladder problem, it's still relatively easy to solve. The artificial bladder transplantation project we are currently cooperating with Sanqing Group has achieved great success. We have performed more than a dozen operations so far. Patient feedback Very good, basically the urine bag was removed and the bladder function was restored.”
Zhu Jun was immediately happy. Before he could smile, he heard Director Wu continue to speak.
"However, high paraplegia is completely different from ordinary patients, which is also a severe challenge for us."
Zhu Jun's smile suddenly froze on his face, quickly turned into frustration, and his head hung down.
"The Zhejiang Medical University said the same thing, saying they couldn't solve my problem and the only place with hope is here..."
"Doctor, is that artificial bladder useless to my brother?" At this time, Zhu Ming hurried in and asked eagerly.
Director Wu explained patiently.
"It's like this. Your brother is a patient with traumatic paraplegia. He has neurogenic urinary dysfunction due to spinal cord damage. He often has a large amount of residual urine, secondary bladder, ureteral reflux and hydronephrosis. Over time, it is very easy to cause Infect."
"The urinary system is already prone to infection, and having a urinary catheter inserted every day makes infections reoccurring and difficult to control. As a result, the chances of uremia and renal failure are very high."
"I guess he has suffered from urinary tract infections many times."
Zhu Ming nodded: "Yes, I often go to the hospital for rescue because of this urinary infection throughout the year, and it is very serious every time. I have to be rescued from the door of hell several times."
"However, I have been using Sanqing's nano-pills for antibiotic treatment since two years ago. The infection problem is not that serious, at least the risk to life is gone."
Director Wu smiled and said: "It is written in the medical record that the infection can be cured, but treating the symptoms does not cure the root cause, because the root cause is neurogenic bladder problem. In addition, your brother has been suffering from this disease for a long time and his bladder has shrunk. I'm afraid The only option is to transplant an artificial bladder.”
Zhu Ming said in confusion: "Isn't this very good? My brother came here just for this artificial bladder."
Director Wu shook his head and said: "He has always had the problem of spinal cord damage. If a new bladder is transplanted, he will continue to have urinary disorders. Over time, the bladder will shrink again. Repeatedly, the problem will never be completely solved. .”
"But don't worry, the new bladder can still hold up for a period of time, eliminate or reduce residual urine, reduce urinary tract infections, and delay the occurrence of uremia."
Zhu Ming wiped the sweat from his forehead and said with gratitude: "That's okay. Even if it can be treated for a short time, it's okay. I'm really afraid that my brother will suddenly die from kidney failure."
Zhu Jun listened quietly and suddenly asked: "Director Wu, do you think there is any way to completely solve this problem of mine?"
Director Wu looked at the young and resolute face of the other party with hopeful eyes, and felt that his heart was filled with panic. He had thousands of things to say and didn't know where to start.
He has seen many high-level paraplegic patients in the neurology department of our hospital. Basically, they have no hope, and their fortunes are high for how many more years they can live.
But you definitely can’t say that. Patient care is a very important treatment method. When people have hope, even ordinary treatments will have much better results.
He thought about the other person's experience, carefully considered his words, and said, "Unless you can control your bladder, urinate regularly every day, and no longer have disorder, the problem of the urinary system can be completely solved."
Zhu Jun smiled miserably, with a look of despair in his eyes: "Then there is no hope. We can only continue to hang the urine bag day after day, year after year, and keep getting infected, until the final day comes."
Zhu Ming's heart also sank. He also knew that paralyzed people cannot control their bladders and urinate on their own. The doctor said this, which seemed to have given up his brother's hope.
Zhu Jun suppressed the sadness in his heart and forced out a smile: "Anyway, it would be good to change the bladder and live for a while. Director Wu, thank you."
Director Wu nodded, sighed inaudibly, and turned to leave.
Back in the office, he thought that this patient was in a special situation and he had to explain the specific situation to Sanqing.
So the electronic medical record was sent.
Then we contacted experts from the Department of Neurology for a joint consultation.
The consultation results were no different from before.
Bladder atrophy can only be transplanted with an artificial bladder, otherwise it will continue to deteriorate and secondary kidney failure will be life-threatening.
However, there is no need for a full bladder transplant. Only a part of the bladder can be transplanted to improve bladder function and prolong life for a period of time.
As for whether the new bladder will cause problems again, I can't worry about that much now.
After the meeting, Director Wu hurried back to the office.
I took out my mobile phone and found that there were seven or eight missed calls on it, all from unfamiliar numbers.
He hesitated for a moment and then dialed.
"Hello, Director Wu? I'm Ding Mian from Sanqing Group, responsible for the artificial bladder project. Nice to meet you. The case you just sent me is a high-level paraplegia patient. I'm very interested. I have some ideas that I want to discuss in depth. I wonder if it’s convenient for you to participate in the video conference?”
The other party made a long conversation in one breath, and Director Wu almost didn't react.
But upon hearing that he was the person in charge of the artificial bladder project, he immediately agreed.
"Okay, no problem, just send me the link."
"When exactly? What? Right now?"
"Haha, yes, we are currently having a meeting to discuss this case, so it is better for you to come early than to come by chance." The other party said with a smile.
"Oh, I just had a consultation with the experts in the hospital. OK, I saw the link. I'll be here right away."
Director Wu clicked on the link and quickly entered a video conference interface.
What came in front of us was a conference room in which seven or eight people, both men and women, were sitting, with relaxed expressions and lazy postures.
There were some biscuits, snacks and fruit plates on the conference table, which looked more like a dinner party than a meeting.
When Director Wu's big face appeared on the screen, everyone looked over.
Director Wu Danding waved hello.
Ding Mian sat up straight and said seriously: "Hello, Director Wu, you are finally here. We are discussing the condition of the paraplegic patient. Do you have a treatment plan there?"
Director Wu looked at the overly young face of the other party and was secretly surprised that such a young person could actually create an artificial bladder. He was truly the genius of Sanqing.
He slowly explained the patient's condition and finally gave his own treatment plan.
"In view of the current situation, kidney failure can only be alleviated by transplanting an artificial bladder and restoring bladder function."
"However, this is a solution that treats the symptoms rather than the root cause. The new bladder cannot control urination and problems will continue to occur over and over again. There is nothing we can do about it."
"It's a pity that a young man who is only 29 years old will spend his best years in a wheelchair."
"This patient has a very tenacious vitality. Through his unyielding will, he learned to play games with his mouth-controlled device. He also became a king. He became very popular on the Internet and was regarded as an Internet celebrity with millions of fans. He set a positive example for many people. model."
"If the artificial bladder can help him live a few more years, it will be a great merit."
Director Wu spread his hands and said with a sad face.
These words moved everyone.
"Zhu Jun, right? I'll search for him online."
A young man in his early thirties, wearing a white shirt and messy hair, who looked very energetic, tapped on the notebook in front of him and soon said with a sigh on his face.
"That's right, that's him. He really had a bad life. He was a firefighter before, but something unexpected happened when he was 20 years old. He has managed to survive until now."
"Hey, it's true that the hemp rope only picks out the thinnest places to break, and the bad luck only picks out the miserable people."
"I, Aaron, have never seen anyone, but I have never seen someone who is so tenacious despite such a hard life. I really admire him!"
He let out a long sigh and said to a middle-aged man next to him: "Old Chen, you are a neuroscience expert. Can this man be saved?"
Chen Yiqing adjusted his glasses and pondered: "If you ask a paraplegic to stand up, it will definitely be difficult. But if you just let the bladder control urination, it shouldn't be difficult."
Director Wu was shocked and blurted out: "What can we do?"
Everyone else also turned their heads and looked at Chen Yiqing eagerly.
Chen Yiqing looked around and couldn't help but smile.
"Why do you think I'm doing this? I'm just proposing an idea."
Wen Renlong urged: "Okay, Lao Chen, stop being so pretentious and say it quickly."
Chen Yiqing then cleared his throat and said solemnly: "My method is very simple. It only requires a small operation to accurately reroute the visceral autonomic nerves that control the bladder, connect them to the nerves controlled by the skin, and rebuild the reflex urination pathway."
"Because after paraplegia, only the spinal cord nerves are damaged. In fact, the neuropathy in various parts of the body is not damaged. They just cannot receive signals from the brain and lose their function."
"It's as if everyone was in the same room, but suddenly a wall appeared in the middle, blocking the signal transmission on both sides. In this case, the people on one side can act independently, rebuild the communication channel, and complete some necessary functions. "
"We are equivalent to re-bypassing the damaged spinal cord nerves. In this way, the patient only needs to stimulate the skin in the nerve supply area of the leg to generate and release electrical signals, and then follow the displaced nerves to the bladder, and then autonomously Control your urination and get rid of the urine bag."
"In my experience, the surgery is not complicated and requires only a highly skilled neurosurgeon to perform the specific operations."
After saying this, the whole place fell into silence.
Bang bang bang!
Director Wu was the first to react and clapped excitedly.
"Second, this surgery is a good idea. As long as the patient can control urination, there will be no more problems with the urinary system in the future. Not only will the quality of life be greatly improved, but the chance of survival will also be improved."
Others applauded.
"Director Chen is awesome!"
“I didn’t expect that patients’ problems could be solved from this perspective.”
"The elder is indeed the elder, I admire you!"
"Wait a minute!" Wen Renlong suddenly shouted: "There's something wrong."
Everyone stopped and looked at him, confused for a moment.
Wen Renlong scratched his head and asked, "But this patient is a high-level paraplegic. Only his head can move, but his hands and feet can't move at all."
"Now he has to rely on his mouth to control the device when using the computer, and he has to be pushed around when he is in a wheelchair."
"Then how does it stimulate the skin on the legs, release electrical signals, and control urination?"
This time, everyone was stunned. They all looked at each other and were speechless.
Chen Yiqing said apologetically: "I didn't think carefully about this. In this case, the patient may have to ask people around him to stimulate the skin and urinate every few hours."
Director Wu nodded in approval and said: "This is actually possible. Although it is more troublesome, it is a big improvement compared to bladder failure and urinary tract infection. It is just a small problem."
Wen Renlong murmured to himself: "But I always feel that there is a better way."
Ding Mian suggested: "How about making a mouth-controlled device so that he can use his mouth to control the stimulation of the leg skin? Just connect a wire to the leg. I can ask someone from the equipment department to design it, and then make a .”
Director Wu was overjoyed: "That's good, I'm sorry to bother Mr. Ding."
Ding Mian waved his hand: "You're welcome." He took out his cell phone and called Xue Shen.
After a while, the conference room door opened.
Xue Shen walked in with a smile.
Wang Dali followed behind.
Ding Mian's eyes widened and he was overjoyed: "This is Mr. Wang, the man who invented the artificial heart, Mr. Electromechanical Boss. With you on the scene, success will be immediate."
Wang Dali tilted his mouth and chuckled: "No, no, Lao Xue and I are both in the same business department. He calls me, so he must give me face."
He calmly sat down on the chair and said, "I heard that we are going to make a mouth control device for paralyzed patients, so that they can speak more easily."
Director Wu introduced the patient's condition again.
Wang Dali pondered for a moment and nodded: "It's not difficult. I can even remove the wires and make it a wireless control mode."
“But it’s best to ask the patient’s opinion on where to put this thing. After all, he has to use it every day, so it’s best to match his usage habits.”
After some discussion, the plan was finalized.
Director Wu looked at all this and was immediately excited: "Thank you so much. It is the patient's greatest blessing to meet scientific researchers like you."
At this moment, he deeply felt that there was nothing happier than having a top medical research institution in his country and a cooperative unit of our hospital.
