[For the sake of subsequent plot development, Liu Feitian’s age in the previous article was changed from three to thirteen, and Jiang Lingling’s department was changed from pediatric general surgery to pediatric cardiac surgery. ∽↗ We apologize for the inconvenience caused to your reading]
"Don't worry, the cost of Handing Hospital is not as scary as you think." He Xiaokang quickly comforted the couple.
"Doctor, how much will the medical expenses cost for my son's situation?" Liu Cunyue was not reluctant to bear the medical expenses, but wanted to ask clearly about the medical expenses so that he could find a solution.
"Don't ask so many questions yet. Without careful examination, I don't know how much medical expenses will be required. According to my experience, the examination fee plus the cost of surgery will not exceed 100,000 yuan at most. If you think of a way, you can always get through it.
"Handing Hospital can treat first and then pay later. Treat the child's disease first, and then figure out a solution later. There will always be a solution, isn't it?" He Xiaokang said.
The medical expenses of Handing Hospital are indeed much lower than those of ordinary hospitals. First of all, the examination fees are much lower than those of ordinary hospitals. After all, the costs of various tests at Handing Hospital are lower, and the purpose of Handing Hospital itself is not to make a profit.
Ranked first. In terms of examination fees, Handing Hospital has made significant reductions. In addition, every treatment fee and the cost of medicines and consumables used are also very transparent. Most of the medicines and consumables are produced by Handing itself.
It has better performance and lower price than imported pharmaceutical consumables. Taking several aspects together, the medical expenses of Handing Hospital are naturally much lower.
"Is it true?" Liu Cunyue and his wife were relieved at once.
"Patient, Liu Feitian, 13 years old, suffered from heart murmur, chest tightness and shortness of breath after physical activity. Physical examination on admission: cyanosis of lips, clubbing of fingers (toes). No murmur on heart auscultation. Echocardiography examination: left atrium, left ventricle and
The right ventricle was enlarged. A patent ductus arteriosus was visible at the bifurcation of the pulmonary artery near the left pulmonary artery. It was about 10mm long and 8mm thick. The artery shunted from right to left horizontally, forming pulmonary hypertension. The diagnosis was: congenital heart disease, patent ductus arteriosus, pulmonary hypertension.
, Eisenmenger syndrome. Measures are being taken: Handing Jiuxin Pills, taken orally once a day. The condition has improved." Although Liu Feitian has been transferred to cardiothoracic surgery, He Xiaokang, who is the consultant, will still follow up on the case.
"Has Eisenmenger syndrome been diagnosed?" Qin Chuan asked.
He Xiaokang nodded. The natural history of Eisenmenger syndrome has a long span, and the survival rate of its patients is higher than that of patients with pulmonary hypertension caused by other causes. Most patients without surgical treatment can survive to three to four years.
There are even reports that patients with Eisenmenger syndrome can survive into the seventh decade if they receive reasonable medical treatment. On the contrary, if patients with Eisenmenger syndrome receive surgical treatment, their survival time is significantly shorter than without surgery.
This leads to a very critical issue in clinical work, which is how to judge whether a patient has indications for surgery.
Eisenmenger syndrome is a contraindication to surgery. The patient loses the opportunity for surgery and can only maintain drug treatment. Congenital heart disease should be discovered and treated early. For the above-mentioned patients, sildenafil and bosentan were generally used in the past.
Conservative treatment with drugs is expensive, which is unaffordable for ordinary families.
"Everyone, please tell me, what should we do about this case?" Qin Chuan asked.
He Xiaokang first said: "Conservative treatment should be safer. The effect of Handing Baoxin Pill is better than that of sildenafil, bosentan and other drugs, and the cost is not particularly high. But the patient still
If a thirteen-year-old child can only maintain the status quo, his quality of life may not reach the level of ordinary people. In addition, although Huxin Pills are relatively cheap, taking them for a long time will still put a lot of pressure on a family. In this case, the patient
The family situation is not very good and it is difficult to maintain the long-term medication needs of the child."
"Dr. He, we are doctors, and our main task is to treat patients and ensure the patient's health as much as possible. Although there are times when the patient's family situation can be appropriately considered, when determining the treatment plan, it should be more beneficial
The patient's condition: Eisenmenger syndrome, which is a contraindication for surgery. If we perform surgery, we may be suspected of over-treatment." Guo Mengyu, chief physician of the Cardiothoracic Surgery Department of Handing Hospital, believes that conservative treatment should be performed.
Jiang Lingling is a pediatric general surgeon, but because Liu Feitian is a child, Jiang Lingling participated in the consultation. She also expressed her opinion: "Congenital heart disease can be cured at a certain age, it is difficult to treat in teenagers, and it cannot be cured in decades. For
For 13-year-old patient Liu Feitian, now is the best time for treatment. I think we should seize this opportunity and cure the patient's disease in one fell swoop. If we give up this opportunity, in a few years, the opportunity may be lost.
Although there are risks in the operating room, how can insurance treatment be risk-free? It’s just that our hospital is very good at avoiding risks. Moreover, with Handing’s technical conditions, we can completely avoid many risks in surgery. First of all, in anesthesia technology
Handing's biological acupuncture technology has basically solved the problems of anesthesia risks and pulsating high pressure. Using nanotechnology, it is not impossible to solve problems such as atrial and ventricular septal defects, patent ductus arteriosus, etc. We can also meet with experts from the R&D department
Solved. Therefore, I believe that although surgery involves great risks, as long as we fully utilize Handing's technical conditions, there may not be no chance of cure."
Wang Zhongnan, a cardiothoracic surgeon, is also very worried about this operation: "As a cardiothoracic surgeon, I am very interested in this operation and would like to try it. However, there are few precedents for such operations at home and abroad. After all, Eisenmenger Comprehensive
The disease itself is a contraindication for surgery. Our cardiothoracic surgery department also lacks such surgical experience. Therefore, how to make a decision requires careful consideration by the hospital."
Qin Chuan nodded: "Judging from the current situation, the patient's surgical prospects are indeed not optimistic. But I think we should still consider surgery. Although the difficulty of the surgery is not small, if the difficulty is small, our Handing Hospital will not be needed.
I took it over. I suggest that this case be studied as a key topic in the hospital. Conservative treatment will be carried out for the time being, and surgery will be considered after the surgical objection plan has been demonstrated by the experts."
Since cardiothoracic surgeons held conservative views, Liu Feitian's surgery was entrusted to Jiang Lingling, a pediatric cardiac surgeon.
The cardiothoracic surgeons did not object. For them, this operation is not that easy to perform. If it is not done well, it may kill someone. With conservative treatment, the patient can live for decades. But if the operation fails, it will be fatal. The patient’s family members
The hospital may be held accountable for over-treatment. After all, this disease does not allow surgery. Therefore, the cardiothoracic surgeons are not willing to perform surgery. Jiang Lingling is willing to take over the patient, so they will naturally not object.
"Lingling." When Jiang Lingling was sorting out the patient's information and preparing to leave, Qin Chuan stopped her.
"Dean Qin, what's wrong?" Jiang Lingling stopped and looked at Qin Chuan. When Qin Chuan and Jiang Lingling were at home, they had agreed to try not to reveal their relationship in the hospital.
"How are you going to do this surgery?" Qin Chuan asked.
"I haven't thought about it yet. I want to thoroughly understand Handing's technology first. I think that under the technical conditions of Handing, the surgery can be completed with minimal risk. I want to establish a professional profession based on this case.
A medical team. One person's power is limited. But by pooling everyone's wisdom, maybe everything will become simpler." Jiang Lingling said her plan. Obviously she was ready to do something big.
"Well, this is a good idea. I support you. Since the establishment of Handing Hospital, only the emergency department has maintained a true medical team. Other medical teams are not called teams, but departments. When facing difficult and severe cases,
, lack the courage to forge ahead. In my current situation, there is no way to form an efficient medical team. But you are different. Although your qualifications are still young, our Handing Hospital does not emphasize qualifications, only strength!" Qin
Chuan is very supportive of Jiang Lingling's idea. Handing needs such a force to maintain the true meaning of Handing Hospital.
However, in order to carry out the operation, the consent of the patient's family is required.
"The specific situation is this. If surgery is not performed, Tiantian may have to live in the shadow of the disease for his whole life. Although conservative treatment is relatively safe, it is not absolute. Once an accident occurs, Tiantian will be in danger. In addition,
On the one hand, the operation is indeed very difficult, and we are considering the safest surgical method. In order to cure Tiantian's disease, we must use the most advanced treatment technology. The risks are certain. If you choose surgery, you must be mentally prepared.
"Jiang Lingling did not hide anything about the safety of the surgery.
"How could this happen? How could this happen?" Peng Si was obviously not mentally prepared for his son's illness.
"The main reason for children's illness is that it has been delayed for too long. If it is discovered in time soon after birth or when they are a few years old, the risk of surgery will be much smaller, and the success of the surgery will be greater. But now that it is like this
We hope that the family members will stabilize their emotions and make a decision as soon as possible. The hospital has decided to set up a medical team specifically for Tiantian's condition to formulate the most reasonable treatment plan to treat Tiantian's illness. If the operation is successful, Tiantian will be able to return to normal life. We Han
Ding Hospital has completed many complex surgeries, and we are experienced and capable in this area." Jiang Lingling said with great confidence.
Jiang Lingling's confidence infected Peng Si and Liu Cunyue.
"Dr. Jiang, I can see that you are very attentive to Tiantian's illness. We believe in you. You must cure the child's illness. We don't want to see him suffer from the disease all his life. I believe that when Tiantian grows up, he will also
Make the same choice as us." Liu Cunyue made the decision.
Peng Si also nodded: "Yes. Tiantian has always wanted to be like other children since he was a child. We were too careless. He suffered so much, and we always thought that he was born with a weak constitution. Who knew that he had a heart disease.
"
"Don't blame yourself. You are not professionals, so it is normal if you can't see it. We also need instruments and equipment to check the patient's condition. Since you agreed to perform the operation, I will report it to the hospital immediately and organize the best efforts.
Form a medical team and we will cure Tiantian's illness," Jiang Lingling said.
Jiang Lingling's intention to form a medical team specializing in corrective surgery for congenital heart disease soon spread in the hospital. The doctors at the cardiothoracic surgery department were very dissatisfied.
"She, Jiang Lingling, a pediatric cardiac surgeon, actually formed a medical team for congenital heart surgery. Does she take our cardiothoracic surgery seriously?" Ma Ruifeng, the chief physician of the cardiothoracic surgery department, said with dissatisfaction.
"What's the solution? Our cardiothoracic surgery department recommends conservative treatment for this operation. But Dr. Jiang thinks it can be operated. Dean Qin supports the operation. It's natural for her to set up a medical team. It's in line with what Dean Qin does.
The purpose of Handing Hospital is to treat serious diseases and difficult diseases. But if such an operation fails, wouldn't he worry about affecting the reputation of the hospital?" Guo Mengyu was also very annoyed. A patient who was originally in his hands was taken over by someone else.
Although he was giving away a hot potato, Guo Mengyu was still a little unhappy.
Wang Zhongnan quickly persuaded his two colleagues: "The hospital has the position of the hospital. Dr. Jiang has Dr. Jiang's ideas. Since we do not support surgery, but the patient's family chooses surgery, it is reasonable for the doctor who advocates surgery to take over."
The goal of Handing Hospital is not to make money safely, but to overcome various medical problems. Now that the problem has arisen, you have chosen to avoid it. This is not in line with the style of Handing Hospital."
"Lao Wang, why didn't you advocate surgery in the first place?" Guo Mengyu asked.
"The risk is too great. The condition of this case is too serious. Even with conservative treatment, I think there is a great risk, let alone surgery." Wang Zhongnan shook his head.
"Then why does Dr. Jiang dare to operate?" Guo Mengyu asked puzzledly.
"New technology. She may want to apply the new technology of Handing. We have always been unable to understand the new medical technology of Handing. She may be planning to introduce the new technology into the correction of congenital heart disease. She chose
None of the members of the medical team are our cardiothoracic surgeons, they are all fresh graduates introduced by Handing in recent years. These graduates have been learning the new technologies of Handing since they were admitted to the hospital," said Wang Zhongnan.
"No matter how good the technology is, it has to be used by people in the end. Do you think you can become a miracle doctor after learning new technologies? Humph. Such people will not understand their own trade without some hard lessons. As far as I know
"Jiang Lingling is a medical master who just graduated a few years ago. I didn't know where she worked before. She just came to the pediatric cardiac surgery department recently." Guo Mengyu has already gone to the pediatric cardiology department to find out more about it from acquaintances.
"Yeah. Just wait and see. Handing Hospital has been established for so long, and there has never been a medical accident in Zhongda. This time, I'm afraid it will be an exception." Ma Ruifeng also said in a strange way. (To be continued...)
