Zhou Cheng was a little surprised that Yang Yifeng would come so early today, but Yang Yifeng has always been aloof and the most chic in the department.
Even Director Yan didn't ask much about his matters and allowed him to do his own thing in the department. Naturally, Zhou Cheng couldn't ask more questions in the first place.
I happened to meet him at this moment, so he asked: "Brother Yifeng, this seems to be the first time you have come to the department so early, right?"
Zhou Cheng is not as high as Yang Yifeng, nor does he have his status, so he always arrives early. Even if he runs in the morning, it is still rain or shine, and he feels envious in his heart.
Yang Yifeng nodded and explained: "Well, the plot of the novel has fallen into a small bottleneck period recently."
"Some time ago, I only focused on recruiting characters. When I wrote the recent plot, I felt that the cases were a little lacking, which was not enough to support the story. So I wanted to come to the department early to see if I could find suitable cases and look for inspiration."
Yang Yifeng was embarrassed to admit that he used Zhou Cheng as the prototype for the supporting role, and then the protagonist's current combat power was a bit collapsed. The main purpose now is for Zhou Cheng.
But when he looked at Zhou Cheng, Yang Yifeng suddenly felt that he seemed to be too obsessed recently, and he laughed at himself, thinking why should he care so much about Zhou Cheng?
Online novels are nothing more than literary works, and literary works can be processed and processed.
After a night of thinking, he roughly found a solution, but the solution still needed to be embodied through special cases.
But it’s just about looking at the details. It doesn’t necessarily have to be true. As long as you know what to write, it’s enough to highlight that the protagonist is better than the supporting character Lu Cheng, who is based on Zhou Cheng.
With my current knowledge base, it is quite easy to write down these points.
After Zhou Cheng's incident, Yang Yifeng gained a deeper experience in writing medical novels.
That is to say, when writing novels, you don’t have to strictly adhere to the existing format and content. Internet novels are actually a kind of recreational literature. They can be written very obscurely or very straightforwardly.
With the development of online novels, more and more attention is now paid to daily life and a sense of immersion. In other words, the ability to focus the reader on the story and integrate him into the story.
Readers are also becoming more and more disgusted with pretense and slap in the face, just like doctor's articles, there will not be too many pretense and slap in the face plots, but it is also favored by readers.
Therefore, this shows that there is no fixed format for how online novels should be expressed.
Writing characters well, chatting about daily life, and chatting and interacting with readers will also be an excellent way of writing.
As long as you keep in mind that it can give readers a sense of expectation and don't feel obscure while reading, then it will be a good novel.
Yang Yifeng's understanding is quite high, and he has a sense of immersion.
That's what he wants to think about.
The reason why his current novel achievements have reached this stage is not only based on reality and beyond reality, but also visible in reality, allowing readers to feel the authenticity of the storyline, and then processing and shaping the characters.
Being based on real people makes it more relatable.
Therefore, Yang Yifeng is not simply looking for curious cases this time!
Special cases are well-written and well-written, and can even be refreshing to colleagues who read the book. However, if the entire article is written like this, it will just repeat the story and be completely uninteresting.
He felt that he might be able to dig into common cases and express them in different forms of expression.
As long as the reader can be brought into the story in a suitable way.
That's a good story.
However, Yang Yifeng originally had such a mentality, but unexpectedly, while looking at the cases today, he happened to encounter another rare case——
Isn't this even more coincidental?
Fractures are common cases in orthopedics, and bone defects are not uncommon, but large-segment bone defects occur, and the bone segments disappear due to trauma.
As the saying goes, all the bones are missing. This is not a common thing.
"Oh, that's right. Did Brother Yifeng also see the patient in bed 27?" Zhou Cheng could also understand Yang Yifeng.
Yang Yifeng can definitely be called an out-and-out genius.
But no matter how talented you are, you will be limited by experience and life experiences.
For example, Zhou Cheng feels that his skills are definitely not bad now.
But compared to Luo Yun, there is still a certain gap in realm between him and Luo Yun.
That's because Luo Yun has broader knowledge than him, a deeper understanding of medicine than him, and a higher level of education and experience than him. Therefore, he can often explain the essence of some diagnosis and treatment processes in a straight-forward manner.
.
Although these may not be the essence, to Zhou Cheng now, some of Luo Yun's insights and opinions have already touched on things beyond medical treatment, or beyond diagnosis and treatment.
This is something Zhou Cheng can't do currently, but Zhou Cheng doesn't force it.
Zhou Cheng continued: "I have never seen this case before, so I was very curious. I didn't even have to wait for the ward rounds and wanted to take a look in advance."
Zhou Cheng thought to himself that he had worked diligently as a resident physician for two years in clinical practice and had seen routine orthopedic emergencies, but such open fractures and trauma were really unheard of!
Even the mechanism of how to cause such a fracture and injury is not understood.
Zhou Cheng naturally wanted to see such a rare case as soon as possible.
Yang Yifeng also nodded and said: "To be honest, I haven't seen it either."
"Bone defects are very common, but in general, most bone defects are caused by surgery or other reasons, resulting in bone defects caused by osteotomy. Is this a traumatic defect?"
"And it's so damaged?"
"I've never seen it before."
Yang Yifeng walked side by side with Zhou Cheng while rubbing his head.
Both of them discovered that the other had the same purpose, so they went to the patient's bedside together.
After entering the ward, Zhou Cheng found out.
The patient is a middle-aged man, about forty years old, with a tall and thin build.
His eyes are not deep, and are even full of unspeakable simplicity. But what is incompatible with his eyes is that he has a blue dragon tattooed on his arm, and he looks like a decent social figure.
For such a social figure, the blue dragon tattoo is already incomplete. The color has faded in some places. I don’t know why he didn’t patch it up.
The person sitting next to him is a middle-aged woman, the same age as him, with a hard-to-describe figure. To be conservative, you can say fat.
After seeing Zhou Cheng and Yang Yifeng, he asked his wife to shake him to sit up, and asked: "Doctor? You two should be my doctor, right?"
Zhou Cheng nodded and replied proactively: "Yes, we are all doctors on the team of Director Cai Dongfan, and we will also be your doctors in charge in the future. However, the doctor who mainly interacts with you is Dr. Xiang Haibin. He is your bedside doctor."
"If you have a problem, you can go to anyone."
In the past, beds 27 were managed by Zhou Cheng, but now beds 25-27 are allocated to Xiang Haibin, and the other beds are managed by Du Yanjun and Zhang Zhengquan.
Xiang Haibin is not an orthopedic surgeon, so if there are too many beds in his care, he might not be able to take care of them and something might happen.
So let Du Yanjun and Zhang Zhengquan take more control.
"Ang." The tattooed man immediately said excitedly: "You are finally here."
"I asked for a long time yesterday, and the doctor on duty told me that my doctor is not in the department. I asked him to call you to the department, but he said it was the weekend."
"What do you think this is? The doctor still has the weekend? But it makes me anxious. You said that I came to the hospital just to see the doctor. The doctor is not here yet. What's the matter?"
"After I came in, the doctor on duty came over and took a look, and no one took care of me anymore."
"Oh, I really don't understand your hospital." He complained, with a slightly social atmosphere in his tone, but the flavor in his words was not harsh, and it was much better than the eccentric ambiguity of some more respectable people.
His wife, a middle-aged woman with a 'slightly' stature, shook up his bed.
While scolding the patient: "Stop talking a few useless words!"
"Tell me, you haven't done a single useful thing all day long."
"I asked you to take the bus, but you didn't take it. You had to ride your motorcycle, and you had to drive fast. Now it's better. Your thigh bones can't even drive."
The middle-aged man with the blue dragon tattoo may feel a little guilty, perhaps because too much of his blood has been wiped out by life.
Zhou Chengcheng explained: "It's like this, big brother, our doctors also come to the department on weekends. We were in the ward yesterday morning, and we also visited the outpatient department for a day. There is a doctor on duty in the ward who is guarding the ward 24 hours a day.
.”
"We visited the outpatient department yesterday and saw it at 5:30 in the afternoon. Under such circumstances, unless a fatal emergency patient comes to the department and must be operated on immediately, otherwise, we will have to take a break on the weekend to extend his life."
"How did you get hurt?"
The tattooed man said to Zhou Cheng politely: "I was hit by a motorcycle yesterday. We originally went to the county hospital and entered the operating room."
"But the doctors there said that all my bones were missing, and that my fracture was very special, probably the kind that they haven't encountered in decades. They couldn't handle it, so they sewed up my wound and transferred me to another hospital.
"
"I'm coming to your place."
I don’t know if he is being conceited or something else. When he mentioned that his fracture was a rare occurrence in decades, he was quite proud and did not realize how serious his condition was.
I also felt that I was hurt in a very special way, as if I was being dragged out.
Before Zhou Cheng and Yang Yifeng could say anything, his wife started scolding him: "What's the use of this special thing?"
"Really." Then he looked at Zhou Cheng: "Doctor, what should my husband do? His bones are gone, how will he walk in the future?"
"Also, is there pain and numbness here? So he doesn't know the pain? I think he seems to be more relaxed than the other post-surgery patients in several beds."
The patient immediately said: "Yes, I really don't feel any pain except for this foot, which I don't have the strength to do."
"They all say that I'm not afraid of pain, and I feel the same way." The tattooed man was a little proud of himself.
Yang Yifeng's eyes rolled white.
Zhou Chengze explained: "Your fracture has a large defect in the bone, so the fracture end does not have the friction of other people's fracture ends, forming a large discontinuous defect, so you may not feel much pain.
, plus we have already carried out analgesia treatment.”
"So the feeling of pain is actually not bad. It doesn't feel particularly painful."
Speaking of this, Zhou Cheng continued to ask: "You just said that you had an operation at the county hospital before? Then why don't you continue to be hospitalized there?"
Although this patient is rare, rare cases are certainly difficult to deal with, and the consequences are even more unpredictable.
Treating rarer patients is not only hard work, but also troublesome, and is far less easy than common cases.
The tattooed man said: "That's the county hospital over there. The medical skills are poor. After seeing that my bones were gone, I didn't dare to do it anymore. I suggested that I be transferred to another hospital."
"Then I was transferred to your place. Yesterday, the doctor on duty asked me to be transferred to the Shonan University Affiliated Hospital and the Second Affiliated Hospital. How could I go?"
"The last time my mother went there to be hospitalized, it was also an orthopedic surgery. It only lasted three or four days. After reimbursement, she still had 80,000 yuan left. It was a waste of money. I won't go, but I believe you can take care of me here."
"You are both a tertiary hospital, but the difference in cost is huge!" the tattooed man muttered.
When it came to 80,000 yuan in three or four days, he made a very exaggerated gesture to Zhou Cheng and the others.
When Yang Yifeng heard this, he continued to roll his eyes.
They are both tertiary hospitals, so why are there differences in charges? Don’t you have any idea?
But before he spoke, he gradually began to develop a personality for the patient in his mind.
After Zhou Cheng heard this, he continued: "Your current situation is very serious. Although our hospital is also a tertiary hospital, the gap between it and the Affiliated Hospital of Shonan University and the second hospital is huge."
"And most of our other patients here only have fractures, so just do an internal fixation to fix the bones."
"Your bones are all gone. Have you thought about the possible consequences? Where are you going to get this piece back?"
"If you can't find it back, you will never be able to walk again, and you may not even be able to save your legs!"
Zhou Cheng felt that this elder brother was simply too arrogant, and he didn’t know whether he was really unafraid or ignorant. But Zhou Cheng had to explain the seriousness of the matter to him. If the patient and family members had always had this mentality, he felt that this was
If there is a minor illness, there will definitely be problems later.
Zhou Cheng was not simply trying to scare them, but his femur started from 3cm below the lesser trochanter to 4cm above the medial and lateral femoral condyle, with at least a dozen centimeters of gaps in between.
Maybe even twenty centimeters!
Other people's bone defects are usually only one or two centimeters.
Then just do internal fixation and bone grafting.
But he?
Even though Zhou Cheng had perfect bone defect transplantation, he still found it very troublesome.
The middle-aged man said carelessly: "Doctor, didn't your doctor figure out a solution for this fracture?"
"That's why we came to you, otherwise why would I come to you?"
"Broken bones are not that scary. I have checked them online and they say they are one of the few diseases that can be fully recovered. There is no problem."
"I won't go to Shonan University Affiliated Hospital. The doctors and nurses there are very indifferent and just ignore them. It's too expensive!"
"It's better here. Since I was admitted to the hospital, at least seven or eight waves of people have come to see me. How enthusiastic is this?" The elder brother was very open-minded and didn't know what he had checked online.
Zhou Cheng immediately realized that Yang Yifeng was looking at him with complicated expressions in his eyes.
I didn’t seem to know what to ask, so when I gently touched my middle thigh with my hand for a simple physical examination, I found it was soft.
The patient was still a little scared and kept blowing on his thigh from a distance for fear of being hurt by Yang Yifeng.
Seeing this scene, Zhou Cheng and Yang Yifeng called the patient's wife out. They felt that it was better for his wife to tell him about this matter. The two of them seemed to have some communication difficulties with the patient.
After leaving the ward, the patient's wife said: "Doctor, just tell me directly. I knew yesterday that my husband's condition is very serious, but he is still like a child and does not realize the seriousness of the problem.
!”
"Does he really need to have his leg amputated?" The middle-aged woman straightened her messy hair expressionlessly.
I am also very helpless, having to deal with such a heartless husband. I am more amused than happy on weekdays, but I just don't remember things and can't handle things. It seems like I am teasing the gods on earth.
When she was in the county hospital, someone also came to her and said that his situation was very difficult to deal with. When she came to the hospital yesterday, the doctor on duty talked to her for a while and said that it was very difficult to deal with.
Amputation may be necessary.
But how can she be willing to let her husband have his leg amputated like this? What will happen to the family? Can she support it by herself?
Then she definitely can't afford it.
No matter what, men can earn more than women with the same conditions.
Zhou Chengcheng said: "His situation is very complicated!"
"I wonder if you paid attention to what I just said?"
"With such a large bone defect, the original bone has disappeared and cannot be filled with your own bone. To put it bluntly, it will cost a lot of money to fill it!"
"Moreover, even after it is replenished, you will not be able to perform physical activities that normal adults can do. You can only have normal walking and aesthetic functions. Do you understand what I mean?"
"This is a very thankless task." Zhou Cheng gave the patient's family a vaccination in advance.
At least the patient's wife is an understanding person and can listen to what others say. Otherwise, she really wouldn't know how to communicate!
With a playful smile, I always feel that doctors are gods, and such gods are scary.
"How much will it cost?" the middle-aged woman asked the most concerned question.
"If you want to do limb salvage surgery, and it's the kind of limb salvage surgery that can't restore function, you have to consider at least hundreds of thousands."
"This is not a small amount, and the exact amount it will cost requires careful evaluation before surgery to know the approximate amount."
"The final specific value must be determined based on the actual situation during surgery."
"Bone grafting materials are very expensive. For an ordinary person, just a bone graft costs more than 10,000 yuan!" Zhou Cheng said while making a metaphor.
There is a very small defect.
How expensive are artificial allograft bone grafting materials? A pack costs several thousand yuan, and the price is clearly marked. The bone defect that can be filled is not as big or as deep as a spoon!
After Zhou Cheng mentioned a huge number, he added: "His situation is very rare."
"And it's not going to end well in the end."
"Hundreds of thousands?" This sentence immediately frightened the middle-aged woman?
He took several steps back and leaned against the wall as if he had collapsed.
With a look of horror on his face: "Then where do we have so much money?"
Seeing this, Zhou Cheng said again: "However, if you want to know how to treat it later, you can still ask our superior doctor in detail during our ward rounds, right? There are also cheap treatments."
Zhou Cheng didn't want to die saying that the forty-nine laws of heaven still escaped, but he still had to leave a glimmer of hope for others.
However, if the missing bone needs to be filled with bone graft, it is really not something that ordinary families can afford.
Even if you perform fibula bone transfer surgery, you still have to fill in a lot to build up the skeleton. In the end, this foot only has aesthetic and walking functions, and no other abilities.
If he hadn't seen that the patient himself was too optimistic, Zhou Cheng wouldn't be willing to say so much!
I just hope that they can be mentally prepared and that the patient’s wife can also start psychological construction of her husband as soon as possible.
Amputation is cheap.
It cost a few thousand yuan to do, but the consequence was that I completely lost one leg.
Even with prosthetic limbs, it is difficult to find a job.
Limb salvage costs a lot, but the consequences may not be good.
And not necessarily anyone would dare to do it.
If patients and their families are unable to realize the seriousness of this situation, medical disputes that should not occur will definitely occur in the future.
But in the end, it is up to Cai Dongfan to make a decision on how to handle all this.
I just came here first to take the lead.
The middle-aged woman walked back to the ward thoughtfully, without even thanking Zhou Cheng and Yang Yifeng.
…
On the way back, Yang Yifeng suddenly asked out of curiosity: "Brother Zhou Cheng, why don't you talk to the patient directly about amputation? With a bone defect like his, what kind of surgery are you thinking about?"
With such a large bone defect, where can you get such a bone support?
Zhou Cheng frowned slightly when he heard this.
I secretly thought that I had just been thinking about finding solutions, and had entered the state of possessing bone defect transplantation skills, but I forgot that bone defects like this may not be considered by current medicine.
Yes, although there is already a certain foundation in bone defect transplantation.
However, the transplantation skills that Zhou Cheng has now acquired are not understandable in reality.
Yang Yifeng is a truly knowledgeable person, and he is also a specialist in orthopedics.
So he might be curious about what he thinks.
However, Zhou Cheng didn't know how to explain it for a while, so he said: "Actually, I just said that casually, but I can't kill the patient's only hope of saving the limb."
"Let Director Cai and the others find a solution to such a complicated problem. I don't dare to think too much about it." Zhou Cheng became very honest.
But Yang Yifeng is not as easy to fool as Du Yanjun and Zhang Zhengquan.
Still smiling, he asked: "Brother Zhou Cheng, you should have some ideas, you are not the kind of person who just talks casually."
This is a comment left by Zhou Cheng. If the communication is good, Yang Yifeng may still be able to find Zhou Cheng's flaws.
Medical confrontation, whether life or death.
When masters compete, the one who strikes first will be slightly at a disadvantage!
Zhou Cheng then turned around and said: "Brother Yi Feng, it's not that I don't want to say it now, but it's hard to say it. It's not too early now. Why don't we talk in detail later after the ward inspection is completed after the shift is over?"
It’s not that Zhou Cheng is completely unwilling to reveal his skills, but he really can’t explain them clearly in a sentence or two.
Moreover, if he talks too much, then Yang Yifeng will be a special being. If he says something he shouldn't say to Cai Dongfan during ward rounds, then Zhou Cheng will say that such a patient has
To be cured or not to be cured?
If there is a cure, then who will perform the surgery?
Go and do it yourself, this is a super level IV surgery, a serious overstep.
Cai Dongfan is going up?
Even Cai Dongfan couldn't do it. The best plan in Zhou Cheng's heart was to either suggest that the patient be transferred to another hospital or to ask someone to come over for consultation and surgery.
Because such a super level IV surgery is a surprise in the eighth hospital.
I don’t know what Dong Qiansheng, who was on duty yesterday, was thinking about admitting this patient, and then not letting him go to their group, but instead assigning him to his own group.
"Okay, that's right!" Yang Yifeng also looked at the time and saw that his shift was about to be handed over, so he decided not to question Zhou Cheng.
I'm just thinking secretly in my heart, if I want to be the surgeon, what will I choose...
However, no matter what Yang Yifeng thinks, he still feels it.
For such patients, the benefit from amputation will be greater.
With such a large and long bone defect, can that thing still be saved?
Could it be that Zhou Chengcheng really wanted the patient to spend hundreds of thousands of dollars on this operation to make a leg that was of no use? Is it just to look good?
If you want to look good and spend a lot of time, just put on a prosthetic leg or put on pants, wouldn't it look the same?
After limb salvage surgery, even if some function is restored, will his physical condition for the rest of his life be able to earn back the money for limb salvage?
…
Today is Monday, the beginning of the week, but Yan Haihan became extremely quiet again this morning, which was completely different from the shift change at the beginning of this month.
After I finished my shift, I took someone to check the ward without saying a word.
Xu Yanlin, who was on duty yesterday, was from their team. Today, Monday, was another surgery day for them, so Yan Haihan quickly checked the room and left for the operating room.
Even Cai Dongfan and Hu Ming were not used to it being so straightforward.
It seems that recently, Yan Haihan has stopped doing things in the department and has become more honest. Is this still Yan Haihan?
However, the two of them didn't waste much time and each found the person in their group.
Cai Dongfan looked at Luo Yun with a smile, and while walking to the ward for ward rounds, asked: "Luo Yun, how did you go to the outpatient clinic yesterday? You should be used to it, right?"
Before this month, there was only Yan Haihan's team in the department, and there were two people doing outpatient services. Hu Ming and Cai Dongfan worked alone, so the number of patients was relatively insufficient.
Now that Luo Yun has made up his position, he can lead Hu Ming again. Although there is no shortage of patients in the department now, after there is no shortage of patients, who doesn't want to admit more high-quality patients who can be selected?
Luo Yun said: "Director Cai, it's okay."
"Although I haven't seen a clinic for a long time and I'm a little unfamiliar, it's okay."
"Don't worry, Director Cai, I only sent in two patients. They didn't occupy a lot of beds." Luo Yun was quite honest.
Cai Dongfan had previously promised that as long as Luo Yun could obtain Level IV surgery authority and open a joint surgery outpatient clinic, he would give Luo Yun three beds. Luo Yun was not so greedy and only sent in two patients.
Cai Dongfan looked at Luo Yun in astonishment, his little eyes immediately widened: "Have you already started admitting patients to the hospital?"
Is this Luo Yun so resolute?
"Then who does the joint surgery?"
Cai Dongfan asked, but felt that he was asking too much. Who else can do the work in the Eighth Hospital now except Luo Yun?
Then he lowered his voice and asked urgently: "You have obtained the authorization for level IV surgery? Why didn't I know?"
Cai Dongfan stood still and led the entire group to stand still.
Then these words made everyone look at Luo Yun, with incredible look in their eyes.
In the past, Luo Yun could only perform Level II surgeries, and Level III surgeries could only be performed occasionally. He had never been exposed to Level IV surgeries, let alone authorized them. Because there are not many Level IV surgeries currently available in the Eighth Hospital,
Cai Dongfan does not perform particularly many level IV surgeries.
In the Eighth Hospital, the authorization for level III and IV surgeries is not a formal procedure, but is granted proactively by the medical department based on professional title. It is simply impossible to obtain authorization for surgeries outside the rules.
If Luo Yun wanted to undergo level IV surgery, he would definitely not be able to bypass the medical department. If he didn't bypass it, the medical department would call Cai Dongfan to inquire about the situation.
But now, Cai Dongfan doesn't know about this at all, and feels very confused.
Luo Yun nodded and said calmly: "Yes, Director Cai, I copied the surgery authorization approval form when I was a graduate student, and then my teacher called the medical department here, and the leader of the medical department
They didn’t embarrass me and approved my special authorization for Level IV surgery.”
Cai Dongfan immediately twitched the corner of his mouth and his face twitched.
Okay.
It turns out that it was your teacher, Mr. Zeng, who came forward, and there was also the authorization approval form for the exceptional surgery from the hospital where you were a graduate student. It was definitely the higher-level hospital of the Eighth Hospital, and they all agreed to the approval.
If the medical department of the Eighth Hospital still makes things difficult for you, then you really have a problem in your head.
However, what Cai Dongfan still doesn't quite understand is that Luo Yun seemed to have never told him about this matter before.
Why did Luo Yun suddenly pop up again? He had obtained authorization for level IV surgery before?
Also, this unintentional reference to Versailles almost made Cai Dongfan change his name.
Zhou Cheng and Yang Yifeng both looked at Luo Yun with astonished eyes, thinking to themselves, oh, it turns out that Luo Yun has another hand...
With just this, Luo Yun's figure suddenly grew taller in the hearts of Du Yanjun and Zhang Zhengquan, and his status was suddenly equal to that of Cai Dongfan.
There are only so many Level IV surgeries in trauma surgery, and Cai Dongfan can only do so much...
Without comparison, there is no harm.
Cai Dongfan quickly ended the topic, pinched his throat, rolled his eyes and said: "Well, for patients with joints, you can make arrangements according to the situation. Let's go to the ward rounds first."
End the conversation quickly to avoid getting hurt more.
…
And because of this episode, Cai Dongfan led people to conduct ward rounds at a faster pace——
The doctor in charge of beds 25, 26, and 27 is Xiang Haibin, not Du Yanjun and Zhang Zhengquan.
Xiang Haibin didn't come to the department long in advance and just took a quick glance at the diagnosis. Therefore, Xiang Haibin didn't realize how difficult the patients he was in charge of would be.
Beds 25 and 26 were filled with patients who were about to be discharged from hospital. Cai Dongfan showed them around, nodded and said OK, OK, and passed by. He was thinking about their discharge dates.
Cai Dongfan quickly led Luo Yun and others to bed 27.
"This is a patient with a femoral fracture and a bone defect. He was admitted to the emergency room yesterday and has not yet undergone surgery." He simply reported to Haibin.
When Cai Dongfan heard that it was a new patient, he immediately asked while taking the film: "What preoperative examinations were done?"
Xiang Haibin lowered his head slightly: "The patient was admitted to the hospital yesterday afternoon, and we didn't even have time to see him."
"Perform the preoperative examination carefully. If there are no problems, arrange the operation as soon as possible." Cai Dongfan looked at Xiang Haibin and did not scold him.
However, as soon as Cai Dongfan finished speaking, Luo Yun on the side immediately touched Cai Dongfan with his hand, indicating that he would talk later, and then put the film in front of Cai Dongfan's eyes.
When Cai Dongfan mentioned the film and watched it, Cai Dongfan's little eyes immediately widened with fright, and he almost had a knife-free surgery to open the canthus of his own eye!
The corners of my eyes almost burst.
Then he pinched Luo Yun and walked to the door, lowered his voice and asked harshly.
"Damn it, who admitted this patient?"
"Is that you?" Cai Dongfan almost cursed.
Cai Dongfan thought it was Luo Yun, but at the moment he was cursing Luo Yun for being such a mess. Although Luo Yun was going to undergo joint-related surgery, Luo Yun had to choose something he was familiar with. Is this thing related to joints?
If you want me to explain this kind of surgery to you, then you are not deliberately trying to harm me.
Luo Yun said: "Yesterday, Xu Yanlin from Director Yan's team was on duty. It should have been Deputy Director Dong Qiansheng who took him in."
"I haven't even seen this patient, otherwise I would have reported it to Director Cai long ago." Luo Yun promised hurriedly.
Luo Yun's scalp is also a little numb at the moment. How can such a patient be admitted to the hospital?
Wouldn't that be causing trouble for yourself?
How could he be so stupid?
Cai Dongfan immediately started to curse: "No wonder Yan Haihan ran so fast this morning, it turns out he did such a shameful thing! Ci'ao."
"When did this kid Dong Qiansheng become so sinister?"
Then, he walked back in and reached the bedside. Ignoring the looks that Zhou Cheng and others were looking at him, he said to the patient and family members: "Your current situation is very serious. Do you know that?"
The patient nodded, but his expression was much more serious at the moment: "Director Cai, your little doctor here may have talked with me, but I still believe that you are the director, you are well-informed, and you will definitely be able to think of a solution."
"I hope Director Cai can regain his youth and save my leg. I will definitely remember you well, Director." The tattooed man must have been told something by his wife, so he didn't speak so carelessly at this moment, at least he was serious.
.
Cai Dongfan hurriedly replied: "If you are willing to save your limb, I suggest you transfer to Shonan University Affiliated Hospital. Otherwise, you should consider amputation!"
"This bone defect is too big!"
Cai Dongfan was very confident and didn't intend to touch this ghost thing. It was beyond his ability. Cai Dongfan even thought that there might not be any professors at the Shonan University Affiliated Hospital who would dare to do it!
But after saying this, the middle-aged tattooed man became anxious: "Hey, doctor, isn't my situation just a fracture?"
"Do we still need to be transferred to Shonan University Hospital?"
"I just didn't want to run that far, so I came to you."
"Yesterday, Dr. Dong also asked me to transfer to another hospital, but I didn't agree with it. I just believe in your hospital. Why do you insist on transferring me to Shonan University Affiliated Hospital?"
"Also, any surgery at Shonan University Affiliated Hospital is much more expensive than here. Last year, my mother had a hip replacement, which cost more than 70,000 yuan, and it was reimbursed."
"I don't dare to go there anymore." The middle-aged tattooed man shook his head in fear.
For an ordinary family, such a large sum of money is not a small sum of money, and they can be spent with grit.
But he can only buy a motorcycle himself, so how much money can he have?
Cai Dongfan took a deep breath and said formally: "Your situation is not simply about money."
"But, if such a large piece of bone is gone, how to replace it. This is the trouble."
"I have only seen your situation once, but the patient's defect was only 5cm. It was in 2002 and cost more than 100,000 yuan."
"That's more than 100,000 yuan in 2002."
"You are over 20cm tall!"
"If you want to save a limb, based on this ratio, it will cost hundreds of thousands. And in your case, the distance between the bones is too big. Even if you have money, no one may dare to do such a limb salvage surgery. You can understand me
What do you mean?"
If this patient has a strong desire to save his limb, he must be sent away.
The middle-aged man was immediately frightened by Cai Dongfan's words: "This?"
"Do you want so much money?" He obviously didn't think that he was going to have his leg amputated. Wasn't it just a bump?
There are no other problems, and the person is fine. The bones are just broken and missing. It will be fine if they are fixed again.
Cai Dongfan said: "This is not just a question of money, but a question of how to do it, how to do it? Can it be done?"
"Anyway, I suggest you go to the Shonan University Affiliated Hospital or the magical capital of Kyoto to see you. They must have more experience in dealing with such rare diseases."
Cai Dongfan also discovered that this patient was born with an optimistic spirit. Did he only hear about money?
Do you think you can solve such a problem if you have money?
It is really impossible for Cai Dongfan to remove such a large bone defect. However, cases like this are often seen at academic conferences on trauma surgery, but those defects of more than ten centimeters are already the limit!
I guess only top professors would find such a long bone defect interesting and challenging, right?
The patient became even more anxious: "Doctor, you have to think of a way for me. How can we have so much money to go to Magic City and Kyoto for treatment?"
"You must think of other ways for me."
PS: Please give me monthly votes. My target is 1,000. I am only short of 100. I hope all book friends will give me a little more.
Regarding updates, more than 400,000 words have been updated in May.
Next month I’m going to be in the top three of the battle rankings, so I’m saving a few drafts.