Doctor Player

Doctor Player Chapter 354

Archduke Mishelt's age.

Archduke Mishelt was very old.

He seemed to be on the right side for his age, but he was not the right age for a transplant.

‘Originally, it's a patient who doesn't have the indications because he's old.'

Other than that, there were a lot of problems.

Transplant surgery on our modern planet has evolved with numerous advanced diagnostic tests and drug surgical tools.

Although Raymond has implemented many medical tools so far, they have nothing to compare with modern Earth. In other words, many medical supplies needed for transplant surgery were in short supply.

This, of course, will lead to a decrease in the success rate of surgery.

‘The immunosuppressant to be administered after the operation is also a problem. I've implemented an immunosuppressant, but I can't guarantee it's as effective as an immunosuppressant on a modern Earth.'

Considering several aspects, the conclusion was as follows.

The odds of failure were too high.

The problem is that in case of failure, the risk is too great.

‘At worst, the donor could be at risk as well.'

donor.

In this case, the family had to donate the liver because it was not time to find the right person among the deceased.

In the worst case, it could endanger not only the patient but also the donor.

‘It's a realistically difficult way.'

Raymond gritted his teeth.

At that moment, Thorn saw Raymond's hard face and noticed something.

“Is there any way?”

“… … .”

“Anything is fine, please tell me! please!”

It was a desperate cry.

Thorn really wanted to save his father.

Raymond hesitated before opening his mouth.

‘It's a difficult way.'

First of all, the existence of this method had to be informed to the guardian.

“There is a method called a liver transplant.”

“transplantation… … What if?”

“It is to cut off a part of someone else’s liver and put it in the patient’s body.”

“… … !”

Sonny's eyes widened.

“That… … does not make sense?”

Thorn is a member of the Free Cities Association, who has access to all kinds of culture, but he has never heard of Raymond's method.

Taking someone else's liver and planting it in the patient's body.

Isn't that a terrible thing that even a savage black mage wouldn't do?

‘Apart from being terrible, could such a thing be possible in the first place?'

Thorn made a grotesque face, and Raymond nodded as if he understood his reaction.

‘It's a natural reaction.'

Actually, Raymond said it too, but I thought it was difficult.

‘This operation is most likely going to fail. I can't recommend it.'

If only one patient ends up being dangerous, I will try to treat it somehow. If you don't treat it anyway, you will die.

However, this is a risk that the person who will donate the liver must also take. Death or serious complications could occur.

So Raymond had no choice but to hesitate in trying treatment.

But Thorn said something unexpected.

“Can my father survive with that treatment?”

“… … It is not easy.”

“So you're saying it's possible?”

Raymond nodded at the repeated question.

“It's not very likely, but it's possible.”

“Then please explain in a bit more detail.”

Thorn asked with a hard face, and Raymond explained the liver transplant operation.

how treatment is attempted.

what is the probability of success

Also what are the risks.

Everything was explained in detail, and Thorn's face changed every moment.

he groaned.

“… … It is an absurd treatment.”

Soren commented. In fact, I couldn't even imagine trying to cut someone else's liver and attach it to a patient's body.

It was when Raymond, who had accepted treatment as a refusal, nodded.

Thorn said something unexpected.

“I will do it anyway.”

“… … yes?”

“I will give you my liver. Please proceed.”

“… … !”

Raymond's eyes widened.

he said in bewilderment.

“No, as you may have heard, this treatment is dangerous. It's much more likely to end in failure, and even the platoon can be dangerous.”

“understand. But that's okay. Please proceed.”

Thorn's face hardened with a strong will.

“If my father doesn't wake up like this, a lot of blood will be shed not only in Gaebolg but also throughout the Free Cities Federation. I want to stop that blood.”

“… … !”

Raymond realized why Thorne was acting like this.

He is trying to save his father and prevent an imminent upheaval.

“but… … .”

“I know you are concerned. But I am the grand duke of the Gaeborg family. I have a duty to serve the Gaeborg family and the people of the Free Cities Alliance.”

It was a voice that felt a strong will, different from the weak appearance that I saw when I first saw it.

Finally, Raymond asked again:

“Again, it is dangerous. The odds are also low. Even if the operation is successful, the Grand Duke may not live long.”

Even if a liver transplant is successful, it does not mean that the original lifespan can be enjoyed.

It becomes another disease condition called ‘post-liver transplant condition'.

I have to take immunosuppressants for the rest of my life and fight complications.

The risks are high even on a modern Earth with far superior drugs and thorough management, not to mention here.

“Think again.”

At that request, Thorn turned his head and looked out the window.

A magnificent city that fits the expression splendid was spread out the window.

Gaebolg city.

It was one of the three largest cities on the continent along with the capital of the Empire of the Empire of the Empire of the Crusader Empire.

“My father loved this city.”

“… … .”

“I was actually an infidel. My father didn't like me because I was weak. This situation would not have happened if I had not been lacking.”

The root cause of this situation was Soren's failure to establish a successor position.

In fact, it was more a matter of time rather than Soreen's fault.

Not much time has passed since Thorne's eldest brother rebelled and fled.

So, he had not yet established his position as the successor, but when Archduke Mishelt suddenly collapsed, this kind of madness occurred.

If Thorn had held firm authority as the Grand Duke of Gaebolg, they would not have dared rebel.

“So I want to protect this city that my father loved. Please treat me.”

Thorn spoke in a powerful voice, and Raymond could only nod.

* * *

There was a lot to prepare.

First, we had to make sure Thorne was a suitable donor.

‘For liver transplantation, the matching of leukocyte antigen (HLA) is not very important, but it is better to match as much as possible. Parents and children always show 50% concordance, so it should be fine.'

Leukocyte antigen (HLA).

It was a predictor of rejection before transplantation examination. If the match is low, it cannot be transplanted.

Fortunately, one pair is inherited from each parent, so parents and children always have a 50% concordance.

With this degree of agreement, there was no difficulty in liver transplantation.

‘The ABO blood type also matches.'

Raymond let out a sigh of relief when he confirmed Thorn's blood type.

Other tests showed no major problems.

‘Actually, it might be better for someone other than the platoon leader Soren to donate.'

Unfortunately, however, there was no one in the grand ducal family who was particularly suitable for offering.

Archduke Mishelt had two sons.

The eldest son who ran away after causing a rebellion with Soren.

The other daughters had already left home, and if they went down to grandchildren, the leukocyte antigen mismatch could become too severe.

‘Ugh. burdened What if something goes wrong?'

Raymond screamed inwardly.

To think that the owner and the owner of Soju of the Grand Duchess of Gaebolg, who are comparable to the imperial family, had to operate at the same time.

The burden was enormous.

“it's okay. I am willing to take risks for my father and my people.”

Thorn said with a face like that of a saint.

But Raymond wasn't much of a consolation.

‘No, I'm not okay! If the operation goes wrong, how will I cope with the aftermath?'

Raymond sighed heavily.

Archduke Mishelt and Thorn were the highest-status figures among the patients he had ever treated.

If the two of them went wrong during the operation, they were at a loss as to how to deal with it.

‘Of course, the surgery was done with consent, so I won't be held accountable... … .'

A hundred times the burden... … No, it was 100 million times.

Moreover, isn't the probability of failure much higher than success?

I couldn't feel good.

But there was nothing I could do about it.

have to do it somehow

‘I have to increase the probability of success as much as possible.'

I looked at Christine with that kind of heart.

“Disciple?”

“… … your master.”

Christine had an unusually stiff expression.

It was a tense face.

‘The disciple is also feeling a lot of pressure.'

It was natural.

The liver transplant operation is divided into two teams.

The team operating on the donor, Thorn.

And the team operating on Archduchess Mishelt, who is undergoing a transplant.

Among them, Christine will be in charge of removing the liver of Thorn, the donor.

“Could you please?”

“… … yes you can No, we have to do it somehow.”

Christine nodded firmly, but Raymond made a worried face.

‘Can I do it?'

The skills of Hanson, Christine, Linden, May Mary, and other students were at the level of senior residents.

Almost chief level skills.

In addition, each of the students had a field of long-term skill, and in that field, they showed skills equivalent to that of a specialist.

In Christine's case, it was her surgical skills.

As far as surgery goes, she showed incomparable ability to other students, but she wasn't sure if she could handle this operation.

‘It's not a completely impossible operation given her skills. He had performed liver resection before. If I show my skills in the best condition, I will be able to perform the surgery.'

The thing is, you have to use your best skills.

If you get nervous and twist your hands, then the worst results will come out.

But when I saw Christine's hardened face, I was worried.

‘If you do that, you'll just stumble, let alone the best skills. The problem is that I can't be of any help this time around.'

Raymond made a puzzled face.

When she operated on Thorne, he had to operate on Archduke Mishelt in a different operating room.

Once the operation started, no help or advice could be given to her.

Christine must face the difficulties alone.

‘Still, I have to come up with a way to help somehow.'

It was a difficult and difficult situation, but this operation had to succeed unconditionally.

At a minimum, two lives are at stake, and at a large, the fate of the entire Free Cities Alliance is at stake.

Also the most important... … Raymond's future is also at stake.

‘… … If this operation fails, my future will be dark.'

Raymond swallowed a tear.

One could say that he was too snobbish about an important operation, but Raymond was always like this.

Patients are important, but your own success is also important.

If this operation fails, he will never set foot in the Free Cities Association again.

Because of Marquis Rodrigo and Grand Duke Gideon, the way to earn money in the Peninsula Kingdom was blocked, so he had to succeed somehow.

With that in mind, I opened the market.

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