Chapter 147 You Are a Doctor(1/4)
Chapter 147 You are a doctor! (Please subscribe!)
The staff of Shuidichiou were scolded out of the ward by Luo Sangen!
He was patient and held back his inner temper, so as not to expose Luo Sangen's affairs. Otherwise, what awaited Luo Sangen would not only be a loss of money, but also social death.
Although it is said that a platform like Shuidichou will charge a certain service fee for raising funds, it actually helps patients, especially poor patients.
Therefore, he didn't do everything right, he just felt particularly depressed——
After leaving the ward, I cursed a few times.
In the ward, Luo Sangen continued to discuss with his wife.
"Wife, tell me, what should we do to get these 800,000 yuan into our own hands? This money was originally raised by us, those idiots!" Luo Sangen muttered.
His wife cursed in a low voice: "Keep your voice down. Don't make trouble at this time."
"Have you forgotten everything my brother told you? Do you want to die or do you want money?"
Luo Sangen then obediently shut his mouth.
After he was placed in a single ward, there was no one around him, so he dared to say this. Otherwise, the people next to him would probably have to beat him.
Not everyone can tolerate the disgusting behavior of consuming other people's good intentions.
The fat woman frowned and said, "Husband, money is no longer a problem now, so what should we do in the future? If the doctor wants us to transfer to another hospital again, we can't use the excuse of lack of money?"
Luo Sangen said, "I don't know if you ask me. You can call me and ask my uncle."
…
everything's ready.
Cai Dongfan asked Zhou Cheng to find the patient's wife into the director's office.
Zhou Cheng followed and began to sort out the signed documents, mainly the admission interview records, preoperative discussion records, informed consent forms for surgery, informed consent forms for blood transfusion products, etc.
In order to ensure efficiency, everyone in the team was present, and Cai Dongfan even came out personally to explain the situation to the patient.
"Hello, you are Luo Sangen's wife!"
"Now Luo Sangen's situation is like this - the diagnosis is very clear, it is a trauma to the left lower limb - a large bone defect of the left femur, and the left thigh was debrided after surgery."
"The indications for surgery are also obvious. Amputation or left lower limb salvage surgery must be performed as soon as possible, that is, debridement and suturing of the left lower limb + pedicle bone end transfer of the left fibula + external fixation of the left lower limb with an external fixator
+ Autologous bone harvesting and bone grafting + drainage.”
"Our team has held a morning pre-operative discussion specifically for Luo Sangen's situation. We feel that your husband's current diagnosis is very clear and there are absolute indications for surgery!"
"Therefore, surgical intervention must be carried out as soon as possible. The sooner the better, so we came to you to explain to you the surgical plan and process as well as the corresponding risks and complications."
When she heard this, the fat middle-aged woman's eyes turned red and she said, "Director Cai, please take pity on us. We don't want amputation! We still have two children. What if the limb is amputated?"
Hearing this, Cai Dongfan nodded and interrupted her: "I know, we are not talking about amputation, we are talking about limb preservation."
"Instead of amputation, what we need to do is limb-sparing surgery. We have designed such a large set of surgical plans specifically for your husband's situation. You should listen to our surgical plan first."
The patient's wife panicked slightly and immediately stopped crying.
What her brother just said was that if the Eighth Hospital could not perform limb salvage surgery, they would try not to transfer her to another hospital. If they couldn't hold off any longer, they would just transfer her to another hospital. Then they would make a fuss about the risks of surgery.
This seems to be a little different from what my brother said.
However, the middle-aged fat woman was still a little prepared and said: "Director Cai, how much does this surgery cost? We don't have that much money. I have been raising money for a long time and only raised 40,000."
She hesitated for a long time before she came up with a number that she felt was impossible for Cai Dongfan and others to accept!
I don’t have money, so you can’t be kind, right?
As for the 800,000 yuan, she had already planned with Luo Sangen to take it out and put it in her hand.
Cai Dongfan nodded, smiled calmly and said, "It's okay."
"Forty thousand is enough. Our budget is only more than 30,000, less than 40,000, because our surgical plans are all taken from autologous bones, and the cost of external fixation brackets is not very expensive, so you don't have to worry about the cost.
Worry."
"Just relax, I just saw the hospitalization fee you paid, it's enough." Cai Dongfan did the details right and blocked her words immediately.
"What we have to worry about now is how to perform this operation."
"Ah?" After Cai Dongfan said this, the middle-aged woman suddenly became dumbfounded.
And the word "ah" about her immediately convinced Cai Dongfan and others that she and her husband must have been acting all along!
It's definitely just to delay medical treatment.
The middle-aged fat woman continued to ask: "Are the risks of this limb salvage surgery high? I still have to discuss it with my father-in-law and mother-in-law, as well as my uncles and uncles. After all, it is a major surgery. My uncle will suffer from the disease the day after tomorrow.
Only then can we come over."
"Will someone die?"
The patient's wife quickly made another excuse.
Cai Dongfan immediately said: "We have considered this situation. In order to ensure the safety of life during the operation, we have invited the director and professor of the anesthesiology department of the Shonan University Affiliated Hospital to monitor your husband's anesthesia."
"At the same time, we also specially selected the most difficult but safest nerve block anesthesia and cutaneous nerve branch anesthesia for your husband. The anesthetic drugs only have local effects and will not affect cardiovascular function."
"At the same time, we consider that the patient may have a blood clot and there is a fatal risk of the blood clot breaking off. We will also put in a venous vascular filter to prevent the possibility of the blood clot breaking off and returning to the heart and head."
"This filter, let's talk about it first, we don't charge for it. It's a donation from the equipment company. If you want to thank me in the future, you have to thank this equipment company."
"Then what? Considering the possibility of fat embolism, we will arrange color ultrasound to monitor the diameter of fat droplets in the heart during the operation. If we find fat droplets with larger diameter passing by, we will be ready to perform cardiac thrombectomy at any time.
.”
"If there are still some risks..." Cai Dongfan was really well prepared and found solutions for all the risks that other patients might encounter one by one.
The reason why these preparation plans are not used on all patients is because under normal circumstances, such a situation happens easily. If every patient is prepared, the cost to the patient will be too great.
Just like, if only one of ten thousand patients has such an accident, but you prepare for everyone, it will be a waste of resources!
Not everyone can afford this money.
Of course, some fixed unexpected situations cannot be avoided. Cai Dongfan has talked about them all.
Then he said: "Today's surgery risk is the lowest. It is no exaggeration to say that it may be even lower than the risk of appendicitis surgery. I have also notified the operating room. If you agree to the surgery plan now, we will leave
After half an hour of preoperative preparation, emergency surgery can be arranged before 2 p.m.”
"If the operation goes well, you can leave the operating room before seven o'clock in the afternoon."
"The surgical plan we prepared also allows for a very fast recovery after the operation, and you can be discharged from the hospital within five days at the earliest. After you are discharged, you only need to follow the rehabilitation training plan we provided, exercise slowly, and then review it regularly, and the limb-sparing plan is still
It’s very exciting!” Cai Dongfan skillfully thought through all the situations.
When the middle-aged woman heard what Cai Dongfan said, she immediately became at a loss.
On her fat face, her eyes kept moving, and she hesitated: "But? But? My husband."
Seeing that she was still hesitating, Cai Dongfan put down his pen and said calmly: "We have considered all the circumstances, why do you have any hesitation?"
"The surgical risks your husband is facing now are the risks faced by all minor trauma surgeries. If you can't accept this small risk? Then I suggest you leave the hospital directly. There is no way to perform surgical treatment anywhere."
Speaking of this, Cai Dongfan immediately said seriously: "The sooner the operation is performed, the better the postoperative functional recovery will be. Every second of delay will delay the postoperative functional recovery!"
"This is all a waste of your own time!"
When the middle-aged fat woman heard this, she couldn't find any other excuse in her heart.
Then his expression suddenly changed and he looked at Cai Dongfan and asked, "Director Cai, didn't you say before that there was nothing you could do?"
"Why is there a way now?" When asking this, her eyes were still rolling.
"You deliberately force us to have surgery, are you doing it to make money? Do you deliberately want my husband to die on the operating table?"
"I want to transfer to another hospital, and I doubt your surgery plan."
After saying this, the middle-aged fat woman suddenly raised her voice and said: "You can't do such an operation. The risk of your operation is too high. I don't want to accept it! I don't accept the operation. I want to be transferred to another hospital!"
"I don't agree. You can't do this operation."
After hearing what the fat woman said, Cai Dongfan immediately said: "Okay, okay."
"It is your right to transfer, so which hospital do you want to transfer to? We have already made connections with the three hospitals affiliated with Xiangnan University and other top tertiary hospitals in Shashi."
"You just need to say something, and I will start the transfer procedures right away, and the hospital opposite will receive the patient as soon as possible and carry out a complete surgical plan for your husband." Cai Dongfan immediately took out the transfer application form and said,
Just waiting for the fat middle-aged woman to speak.
He was really fully prepared.
Seeing that the middle-aged fat woman was still hesitating, Cai Dongfan continued: "If you strongly urge your husband to transfer to the Magic City or Kyoto, we can also help you contact him."
"It's just that the distance is too far. We can't guarantee whether there will be other life-threatening accidents along the way. However, we can send doctors to accompany us to any hospital in Shashi!"
The middle-aged woman's expression immediately changed. She seemed to have realized it. Cai Dongfan could see her and her husband's intentions.
Pointing at Cai Dongfan's nose, he started yelling: "Director Cai, what do you mean?"
"Are you going to force us to do surgery? Why are you doing this? What good will it do to you?"
Cai Dongfan remained calm and replied: "I am not forcing you to undergo surgery, but just for your consideration, I have prepared the most comprehensive arrangements and plans for you to avoid all possible risks to the greatest extent."
To be continued...