Director Fang felt that this matter was not simple and there must be something fishy in it.
But scolding is reviling, and rumors are rumors. It is difficult to explain the problem with just one case. There may be some special circumstances at the time. After all, we are not the parties involved, so we cannot jump to conclusions.
If we could get twenty medical records handled by Director Qian, and all twenty medical records were treated in this way, it would explain a lot of problems.
Now Director Fang is focusing on studying the cases and has no time to think about this matter for the time being. He plans to find someone to take a look at Appendix 4 and make twenty copies of the medical records.
This kind of thyroid zombie tumor is indeed very rare, and it is easily confused with thyroid adenocarcinoma on imaging. Without experience in this area, it is difficult to make an accurate judgment. Director Fang learned another trick from Yang Ping today. Next time
When encountering a similar thyroid nodule, you will definitely not make a misjudgment.
Following Professor Yang, you can really learn something everywhere.
Medicine is a very profound subject. Director Fang has been a doctor for more than ten years and always thought he was a master. Unexpectedly, in front of Professor Yang, he looked like a primary school student.
Professor Yang is so young, yet he has so much experience. It seems like he has seen everything and done everything. It’s like he has turned on the invincible mode in a game. Director Fang is very puzzled.
The closer he gets to Professor Yang, the farther away Director Fang feels from him, because the more he gets to know Professor Yang, the more powerful he is, and the more he feels that Professor Yang is like a god.
"Let's go see Nong Tiesheng!"
Director Fang was thinking seriously about what Yang Ping just said about the imaging identification of this kind of thyroid zombie nodule, when Yang Ping told him.
"Yes, let's go see Nong Tiesheng. It's time to remove the cancer from him."
Director Fang came back from his thoughts.
So the two of them came to the general surgery department for rounds. Nong Tiesheng and his son were having dinner. They each had a bowl of white rice. The common dish was a large jar of chili sauce. It was not the kind bought outside, but brought from home.
of.
When they saw the doctor coming to make rounds, Nong Tiesheng and Nong Zhiwen immediately put down their bowls and chopsticks. Perhaps because they didn't have any food, they crowded together and ate chili sauce. Nong Tiesheng felt very embarrassed.
"I just finished the operation. Eat less pickles and supplement some nutrition. You can also eat more eggs." Yang Ping told Nong Tiesheng.
"Well, I have a bad appetite. I want to eat some chili to appetizer." Nong Tiesheng explained, still chewing the rice in his mouth slowly.
When his son Nong Zhiwen heard this from the sidelines, his face immediately turned red. This was not an appetizer. It was obviously to save money and a day's living expenses.
During this period, the two of them had three meals a day of white rice and chili sauce. Sometimes they would go to a breakfast shop to buy a few large steamed buns and eat two of them at one meal, which would last a whole day.
"Add at least two eggs every day to keep up with the nutrition. The local eggs in your home are the best nutrition." Director Fang also said at the side.
Nong Tiesheng nodded and just smiled honestly, because he had to sell all the local eggs at home, so he couldn't bear to eat them. Treating diseases was basically selling iron, and now that the family had run out, he wanted to save as much as possible.
One point is one point.
"Don't worry, your operation was very successful. According to our experience, it will take about half a year for your recurrent laryngeal nerve function to recover. After half a year, these current symptoms will disappear, your voice will no longer be hoarse, and you will no longer be able to drink water or eat.
If you cough again, your breathing will become normal. Your current breathing difficulty is due to the rupture of the recurrent laryngeal nerve on one side and the entrapment of the recurrent laryngeal nerve on the other side. Now both problems have been solved, so you can rest assured."
Yang Ping told Nong Tiesheng.
Director Fang immediately told Nong Tiesheng some good news: "This hospitalization operation will cost very little. There is basically no need for any medicine after the operation. The total cost is probably 20,000 yuan, excluding medical insurance reimbursement."
, I estimate that I will pay five to six thousand yuan.”
Nong Tiesheng heard that the operation was successful and that he only had to pay five to six thousand yuan. He couldn't believe it. How could such a big hospital perform such a major operation and pay several thousand yuan? His first
This is the first time I feel that hospitalization surgery is so easy, and this ease refers to the financial aspect.
The two surgeries in Annex 4 each cost hundreds of thousands, and the two surgeries cost more than 300,000. With multiple reexaminations and various auxiliary treatments, the cost of treatment has already cost 40 to 500,000, and it is absolutely impossible.
Most expenses that cannot be reimbursed are self-pay.
This honest, stuttering farmer in his fifties used to be the breadwinner of his family. He was still working on the construction site when he was not sick. Since he fell ill, his health has deteriorated day by day. Now he has difficulty even talking and walking. He has become the breadwinner of the family.
A big burden.
From the corner of his eye, Yang Ping noticed a tracheotomy bag on Nong Tiesheng's bedside table. This is required for a few days after neck surgery. The main concern is that postoperative bleeding may compress the trachea and cause suffocation. If this happens, emergency treatment is required.
Perform a tracheotomy.
Because this kind of thing happens rarely, doctors in general hospitals do not have this awareness and tend to ignore this kind of thing.
However, Director Fang still does it honestly, because if it does happen, this bag can save lives, which is much better than panicking for tools when needed.
This kind of life-saving thing is not the best, but it cannot be lived without.
"Does the tumor still need treatment? Long Zhiwen asked worriedly.
"We have seen all your examination results. You no longer have tumors. If your recurrent laryngeal nerve recovers well in the future, you will only need to undergo thyroid hormone replacement therapy. In this way, you will be a completely normal person in the future!" Yang
Ping said patiently.
Normal person?
When Nong Tiesheng heard this, he didn't know how happy he was.
He didn't understand anyway, so when he heard the doctor say that he would be a normal person in the future, he couldn't help but shed tears.
''Don't worry, you don't need any other treatment except thyroid hormone replacement therapy. It's best to supplement some nutrition and add some physical exercise in the future. In this way, you can completely return to normal. As long as you insist on taking medicine, you will be better in the future.
You can work and live normally. The reason for taking medicine is because your thyroid gland has been removed and cannot secrete thyroid hormone, so your body lacks thyroid hormone. The purpose of taking medicine is not to supplement this hormone. "
This chapter is not over yet, please click on the next page to continue reading! Yang Ping continued to explain to Nong Tiesheng, hoping to relieve the burden in his heart.
"What do you mean? My cancer has been cured?" Nong Tiesheng was not yet reassured and wanted to confirm.
"I can responsibly say that you have no cancer at all now. Except for the absence of thyroid hormone, you are a normal person." Yang Ping said firmly.
Now there is no cancer! Completely cured!
Nong Tiesheng didn't know how happy he was. Cancer was like a big mountain, weighing him down and his whole family out of breath. His lips were trembling and he couldn't speak. He was so excited.
, it's almost like being reborn.
Yang Ping is very confident about the repair effect of the recurrent laryngeal nerve. In the future, apart from thyroid hormone replacement therapy, Nongtie Sheng will not need any other treatment.
Originally, this patient did not need any treatment. Looking at the test results at that time, even the thyroid function was normal, which is really a pity.
Medically speaking, this kind of thyroid nodule does not require any treatment and only requires regular color ultrasound observation. However, Nong Tiesheng not only underwent two surgeries, but also underwent radiotherapy, chemotherapy and targeted therapy.
Later, Yang Ping and Director Fang chatted with Nong Tiesheng and his son, trying to give them confidence and help Nong Tiesheng get out of the shadow of cancer.
After checking the ward, he returned to Director Fang’s office. Director Fang said to Yang Ping, “I wonder if I should say something seriously?”
"Say it!" Yang Ping knew what Director Fang wanted to say.
Director Fang closed the door of his office and said:
"I made a cursory inquiry and found out that this situation is not unique in the general surgery department of Annex IV. I will not talk about other diseases. Regarding the treatment of thyroid nodules, as long as they find thyroid nodules, no matter what the color ultrasound results are, they will
PETCT, bone scan, enhanced CT, and enhanced MRI were all included, and then the patient was recommended to undergo da Vinci robotic surgery, followed by a lot of strange and expensive drugs. I have only heard about it now, but
The reliability of this information is quite high.”
"Director Qian has a very bad reputation. People who are familiar with him will never recommend patients to him, let alone introduce relatives and friends to him. They will completely bypass him."
"In the past, a deputy chief physician in their department reported him in real name. There was a big fuss at the time, but later, for some reason, he was fine. The person who reported him left his job for no apparent reason. In the past few years, several people who reported him have
This is how it all ends.”
''I heard these things from you, but I don't know if they are true or not."
Yang Ping just listened and didn't say anything. It was difficult to draw conclusions based on this case. If a certain number of medical records could be produced and studied, the matter would definitely be clear.
Yang Ping himself didn't have much time to deal with this kind of thing. If the rumors were true, such a black sheep would definitely not be allowed to continue to do evil.
"I'm going to get twenty medical records and see what's going on. How about that?"
Director Fang asked tentatively, because this was no longer a matter of professional knowledge, and he didn't know if Yang Ping would pay attention.
"Okay, go ahead and do it."
Yang Ping felt that if the matter was true, it was necessary to stop such ridiculous things.
With Yang Ping's support, Director Fang's back is much stronger, because Director Qian has been so proud of himself in recent years, there must be some kind of strong support behind him, otherwise he would not have been able to survive unscathed until now.
Not to mention other things, this kind of treatment alone, without a pathology report, involves extended radical surgery, and radiotherapy and chemotherapy. It is difficult for this kind of thing to happen in a regular tertiary-level teaching hospital.
So if he were to wade into troubled waters, Director Fang felt that there was a lot of resistance, and it might come back to bite him. Under normal circumstances, who would be willing to do such a thankless and thankless thing that has nothing to do with him.
Director Fang is different now. He is a person with ideals. His realm is different, and his structure is naturally different.
In fact, Director Fang also asked a doctor who used to work at the General Surgery Department of the Fourth Affiliated Hospital. This doctor probably didn't want to join in the fun, so he moved to another hospital.
Director Fang contacted him and he was still willing to tell some information.
Director Qian does this not once, but often. Those who can do robotic surgery will never do ordinary surgery, because a robotic surgery costs hundreds of thousands, and the drugs used, regardless of whether they are symptomatic or not, those expensive imported drugs
It must be arranged, and all kinds of overwhelming inspections must be carried out.
For example, whether it is liver cysts, benign intestinal polyps or thyroid nodules, he advocates special treatment. For example, for thyroid nodules, even if they are TI-RADS grade 2 and 3 nodules, Director Qian must arrange for PET-CT.
, bone scan and other examinations, CT of various parts of the body, enhanced CT, MRI, enhanced MRI are absolutely a set of tests, which have almost become the standard examination for his patients.
Even if the patient goes bankrupt and sells the iron, it has nothing to do with Director Qian.
Of course, he claimed that he had only one purpose, everything was for the patients. What if it was something bad?
He is even more outrageous about the drugs for treatment. Various outsourced drugs can easily cost tens of thousands or even thousands of dollars. He is too lazy to deal with them. Moreover, he has a fixed cooperative outsourcing point. This outsourcing point is actually opened by him with his own shares.
, it is said that the drug seller is his mistress.
He assigned tasks to the doctors in the department and set a monthly quota. If the quota is lower than this, you will be warned. Of course, he will also give high rewards to the doctors.
So the doctors in their department also made a lot of money following him. Hello everyone, hello, hello, everyone. In addition, Director Qian has a very strong relationship with him, so he is basically confident. He has been reported several times.
It was fine, but the person who reported it was troubled, so no one dared to report it later.
He has the confidence to accumulate a large amount of funds. With money, many things will be easier to handle. Therefore, Director Qian not only firmly occupies the position of director of the general surgery department, but also holds various academic positions part-time, serving as both a master's degree supervisor and a doctoral supervisor. He is very popular.
When water arises, a virtuous cycle is formed, and the courage and desire become greater and greater. It is said that he is ready to become the vice president.
Director Fang felt that if the matter was true, this guy was a cancer, and he felt that he needed to do something.
He was not originally from a hospital, so I had heard rumors about him before, but at that time they were just treated as gossips. Who knows whether the rumors were true or false.
But through Nong Tiesheng's case, Director Fang felt that the rumors might be true. Later, he asked his colleagues in the former department to get some information, which was simply shocking.
Since Professor Yang didn't object, Director Fang decided to get to the bottom of it. Damn it, if it really is a bastard, this cancer can't be allowed to stay, absolutely not.
It was almost time to get off work, and Director Fang couldn't pester Yang Ping for too long, so he said, "Professor Yang, thank you for your hard work. I'm going to check this matter out. If it's true, I think we need to find a solution."
Anyway, Yang Ping said calmly: "Just take out the medical record and show it to me. If it's what you want, we'll talk about it later."
