In this era when communication and transportation are not yet overly developed, and when wealthy people are relatively rare, a broken finger or something, unless it is the kind of person with a considerable income, or the finger seriously affects the work, is not suitable.
Or young children.
Many adults, like farmers and low-level workers, would rather not have fingers than spend so much money on surgery. If the fingers are gone, they will be gone. At most, they will just hurt their hands. After they recover, they will just be like that. Do whatever you need to do.
But if the money is gone, it will be heartbreaking.
The domestic medical security system actually started very early, starting in the late 1950s. However, due to the poor economic environment at that time, all aspects of security were insufficient. Even in the 1990s, self-paid treatment was still the mainstay of medical care.
In this era, the prices of many drugs are quite expensive. With the introduction of foreign medical representative systems into the country, and domestic pharmaceutical companies have also begun to build medical representative models, starting from 1994 and 1995, until the follow-up
For several years, it has been very common for doctors to take kickbacks. It can even be said that it is almost impossible to find a doctor who does not take kickbacks.
In order to compete with foreign pharmaceutical companies, domestic pharmaceutical companies give doctors higher rebates, which can even reach 30%.
It is precisely because of this that before 2000, or even before 2005, tertiary-level hospitals were almost exclusively reserved for wealthy people.
One or two fingers are really insignificant to adults in this era. If fingers can be exchanged for money, some people are willing to cut off their fingers in exchange for money.
As for the little boy in bed No. 18 whom Fang Le treated two days ago, if it had not been caused by the car accident, someone would have to bear the medical expenses, and the child's parents would have been entangled in every possible way and hesitated again and again.
The second patient Fang Le met was also a wealthy man.
When I came to the examination room, the patient was sitting on a chair. A doctor was treating the wound. The patient was a fat man in his twenties, fair and fair, with baby fat all over his face. He looked quite cute.
Fat man.
Accompanying the patient were two beauties in their twenties.
Two beauties, one holding an orange in her hand, the other holding a peeled apple, one on the left and one on the right.
"Hey, doctor, please be gentle, how about we give anesthesia first?"
The fat man grimaced in pain, and the beautiful woman next to him hurriedly wiped the sweat from his forehead.
Huang Xiaolong, Li Xiwen and others who came in with Fang Le immediately became sour.
Especially Xingxing’s classmates, their eyes widened.
This fat man is too enviable, right?
What is enviable is actually not the two of them, but the fact that they can be so harmonious together.
"Doctor Fang!"
The resident doctor who was debriding the fat man saw Fang Le coming in and said hello politely.
Fang Le nodded politely, stepped forward, and looked at the situation. He found that a finger was broken, the middle finger, and it was not completely broken, with almost a third of it still attached.
"how did you make it?"
Fang Le asked while observing the wound.
"Are you the doctor who performed the surgery on me?"
The fat man looked at Fang Le.
"Yep."
Fang Le nodded.
"There's no one left anymore? It's such a big hospital."
The fat man glanced at Fang Le.
"have."
Fang Le answered happily: "How about I replace you with someone else?"
Fang Le answered happily, but it made the fat man a little confused.
Generally speaking, when encountering this kind of situation, the doctor will try his best to talk about his own advantages, especially for those who are relatively younger. But Fang Le agreed to change without saying anything, which really made the fat man a little uncomfortable.
"Isn't it okay that we didn't communicate before?"
Fang Le ignored the fat man and straightened up to ask Huang Xiaolong.
"The communication was from Director Han, I'm not sure."
Huang Xiaolong said hurriedly.
"Then communicate well. If it doesn't work, just ask Director Dong to come over. I'm very busy."
After saying that, Fang Le turned around and left.
"Why!"
The fat man was a little anxious.
"Is there anything else?" Fang Le turned around.
"No, I'm talking about doctor, I just want to ask, you don't have to leave me and leave, right?"
The fat man was quite speechless.
"You think about it first, and then you think about it carefully."
Fang Le just stood there: "The actual situation is that as far as our Xijing City is concerned, there are not many doctors who can perform your surgery, but there are many patients. I am very busy here and have no time to waste time with you.
"
"I do it, and I didn't say I wouldn't do it either."
The fat man said hurriedly: "I don't even want to ask."
"Since you did it, then answer honestly, how did you do it?"
Fang Le came back again.
Li Xiwen and Huang Xiaolong beside them had their mouths slightly open.
This was the first time for Li Xiwen to watch Fang Le interact with patients at such a close distance.
To be honest, when the patient asked just now, Li Xiwen was still thinking about how Fang Le would respond. Young doctors are not easy to trust no matter where they are.
But Fang Le turned active into passive with just a few words.
Especially Fang Le's aura, his tone when answering patients, and the way he talks to patients. If you don't look at his actual age, he definitely looks like a proper expert. Even Jiang Hailei from the Department of Cardiothoracic Surgery is probably not as good as Fang Le just now.
Natural, right?
It can be said that Fang Le has a good grasp of the patient's psychology.
"You two go out first."
The fat man turned around and said to the two beauties next to him.
The two of them were still a little hesitant, and the fat man's face sank. Although he looked very cute, the two beauties went out obediently.
"To tell you the truth, I'm done with it."
After the two beauties went out, the fat man said a little embarrassed.
"Are you done playing?"
"No, there are times when lips and teeth fight, let alone people. Two people argue so much that it gives a headache. If one of them is not careful..."
The fat man chuckled.
"There is no harmony in the harem, so why do you commit suicide?" Fang Le asked.
"Huh!"
The fat man was surprised when he heard this: "Doctor, you used the word well, harem, oh, you are worthy of being a doctor, and you are indeed a cultured person."
Fang Le: "..."
"kitchen knife?"
Fang Le asked.
"Yes, kitchen knife."
The fat man said: "I don't usually cook, but I didn't expect our kitchen knives to be so sharp. I didn't even use much force."
"Okay, let's prepare for the surgery."
Fang Le nodded, and then said to the fat man: "I asked you how you were injured. I'm afraid that if there is any bacteria or something, I still need to get a tetanus shot."
"Understood, understood."
The fat man nodded: "Doctor, please excuse me."
"Don't worry, since I accepted it, I will definitely go all out."
Fang Le nodded and walked out as he spoke.
"doctor!"
The fat man shouted again.
"Is there anything else?" Fang Le asked.
"It's a bit of a personal topic, can I discuss it with you?" the fat man asked with a smile.
"Everyone, get out."
Fang Le smiled.
Everyone else left the examination room. The fat man saw that no one was there, and then he took out an envelope from his pocket.
"Doctor, please."
"Aren't you afraid of my level?" Fang Lexiao asked.
"Just because of your momentum just now, I believe you. There is absolutely nothing to say about your level."
The fat man held the envelope in his hand: "It's just a small thing."
"Okay, let's prepare for the surgery with peace of mind."
Fang Le said and walked out, took two steps, and then turned back: "You don't smoke, right?"
"I don't smoke, I drink."
Fatty said.
"OK."
Fang Le nodded and left the examination room.
"doctor."
The fat man was still shouting from behind: "Take it, I feel at ease..."
Fang Le has already gone out.
At the door, the two beauties following the fat man were glaring at each other. They were doing well in front of the fat man, but now they were at war with each other. No wonder the fat man was even chopping off his fingers.
Fang Le came out of the examination room. Han Shengxue was at the door of the examination room, still talking to Li Xiwen and others.
"Out?"
Han Shengxue smiled and glanced at Fang Le: "You boy, you are indeed quite capable. I am afraid that the patient will be replaced."
"Just change it if you like."
Fang Le said with a smile: "Is it possible that I can force anesthesia and perform surgery?"
"Okay, stop being poor."
Han Shengxue cursed angrily: "Get ready to go quickly."
After entering the operating room, Fang Le, Li Xiwen and others were ready, and the fat man had been sent to the operating table.
Seeing Fang Le change into surgical clothes and come over, the fat man was still a little worried: "Doctor, I will leave this hand to you."
"Lie peacefully, you will be fine soon."
Fang Le said, and said to the anesthesiologist: "Let's get started."
For external hand surgery, local anesthesia is naturally used. After the anesthetist anesthetized, Fang Le went to the surgeon's position and started the operation.
Using the bow method, the scalpel gently cuts open the skin...and then the thick fat area.
After all, he is a fat man, his fingers are chubby, and he has a lot of fat.
Surgery is something that, apart from some necessary skills and talents, is really about practice making perfect.
After the last operation, Fang Lejue felt that his original hand feeling had slowly returned after a second operation.
"Hook, don't be distracted."
Fang Le reminded Li Xiwen beside him.
"Ah...yes."
Li Xiwen responded hurriedly.
Frankly speaking, basically no one can avoid being distracted when watching Fang Le perform surgery for the first time.
Li Xiwen is a senior resident doctor. He is already thirty years old this year. Perhaps half a year from today, Li Xiwen will be the attending doctor.
As a senior resident, and a relatively talented senior resident, Li Xiwen's basic skills are naturally not bad. For example, basic surgical techniques such as incision, drainage, ligation, and suturing are all common. Li Xiwen cannot be said to be stable among the residents in the department.
Stable is number one, but definitely among the top three.
But watching Fang Le perform surgery today, Li Xiwen felt that his own skills were simply bullshit.
It is also an incision, and what Fang Le does is very comfortable to the senses. Others are really doing surgery, but Fang Le seems to be performing.
Perceptually good-looking is of course irrelevant to the patient's prognosis. Do you dare to say that a person who performs a good-looking surgery is of poor quality?
Any skill goes from being unfamiliar to being flexible. When it reaches the level of "skill", it means sublimation.