Chapter 1313: 2 Aplasty

"Our director led a team to check the ward." The young resident doctor trotted into the ward, first notified, and then pushed a few unsightly benches aside.

For young doctors, the director's ward round for any reason is considered a major event, at least equivalent to an in-class quiz. When there are a large number of doctors in this department, any performance during ward rounds will expand into the presence of face.

If it is an internal medicine outpatient clinic, 50% of a doctor's reputation among colleagues must be reflected in the ward rounds.

Although surgery is rough, there are still many tests for young doctors. As for the little doctor who has the task of managing the bed, some people can't help but peek at the cheat sheet.

The patients and family members in the ward were also very active, helping to clean up, and some people got up to wake up the patients.

Several people obviously knew that the director was very different from ordinary doctors. The family members of the patient in bed 100 immediately asked, "Is it Director Huo?"

"That's right. Director Huo and Dr. Ling Ranling together." The young resident doctor explained.

The patient's family members stood up with an "ohhh" and patted the father lying on the bed twice at the same time, saying: "Dr. Ling is the doctor who promised to perform the surgery, and he is famous all over the country."

"Dr. Ling just came back from Cleveland Hospital. Cleveland Hospital has the world's number one heart center. Dr. Ling is very popular and recognized in Cleveland. We may make a promotional video later, and there are a lot of news now. Already." The young resident doctor introduced in a low voice.

For the young doctors of Yunyi, the Cleveland Clinic is also a very tall place.

The patient's family members nodded repeatedly: "I know Cleveland Hospital. I have contacted overseas medical intermediaries before, and they introduced Cleveland Hospital. Later, due to various reasons, I still didn't go."

"You have also contacted the intermediary for going abroad. We have also consulted, but in the end we still feel worried. Foreign countries are still unfamiliar, and the cost is also expensive..." The family members of the 101-bed next door interjected and talked with the family members of the 100-bed We chatted in a low voice.

"You can't use medical insurance abroad." The patient in bed 102 also listened with pricked ears.

"That's for sure. The commercial insurance we buy in China basically can't go abroad for medical treatment, let alone Cleveland Hospital, where heart surgery at its own expense will cost millions of dollars." The family member of the 101-bed said Feeling up.

"Let's do it in Yunyi, one hundred thousand yuan should be enough." The patient in 102 frowned and asked the young resident doctor at the door directly.

The resident doctor hesitated for a few seconds and said, "If you have medical insurance, the difference should not be too big, but it depends on the specific situation."

"That's not what you said before." The patient in 102 exhaled, lifted the quilt, and sat up directly: "My health is not that bad. I spend too much, so I won't do it."

"Dad..." The daughter who accompanied the bed first yelled helplessly: "Your body is like this, if you still don't do it, is it easy for us to arrange this hospital bed? Don't be so willful!"

"I've only saved so much in the past few years of driving a truck. I can't pay it all to the hospital. Let's not talk about how much it costs. I have to have a figure. I can't finish the operation and owe a whole lot of debt... "

The resident doctor sighed, and explained patiently: "Let me tell you something, for example, if you have been anesthetized for 4 hours or 6 hours, is the amount of anesthetic used different? Is it different?"

The truck driver of 102 was stunned, and wanted to refute, but was stopped by his daughter again.

"My dad just cares about money and has no other meaning." The daughter explained in a small way: "My dad used to drive a big car. After taking a break for the past two years, he doesn't have a sports car, and he has to spend money on medicine, so he always wants to save money. a little……"

The resident doctor nodded and didn't say much. Patients with different family conditions have different sensitivity to medical expenses. The family conditions of No. 100 and No. 101 are obviously good, but they have not yet reached the level where they can go to the United States for heart surgery at their own expense, so they can only watch. The expected expenditure of millions of dollars is obviously not something ordinary people can afford.

The condition of patient No. 102 was a few levels worse. Although it was not enough to pay tens of thousands or hundreds of thousands of yuan depending on the condition of his clothing, it was obvious that every extra ten thousand yuan would aggravate his financial and financial situation. psychological burden.

The resident doctor turned his head slightly. With his salary level, he is going to have a heart bypass now, and he is probably in the same state. Sympathy belongs to sympathy, and there is no solution at all.

"Protecting the world's poor and happy people" has never been a dilemma that doctors can solve. The so-called advancement saves the world, and retreat saves the people. There are many difficulties in saving the people, but the road to salvation is full of fog.

Kaka Kaka.

A group of doctors, surrounded by Huo Congjun and Ling Ran, entered the door.

The three patients and their family members who were talking and discussing just now stopped automatically.

"How do you feel today?" Huo Congjun asked about his illness when he met him, a little pretentious.

Naturally, he didn't know anything about cardiac surgery, but he pretended to ask questions, and a director would know how to do it.

The patient in No. 100 sat up a little bit, covered his chest, and said, "I still feel a little uncomfortable, Director, when can I have surgery?"

"You need to lower your blood sugar." Ling Ran looked directly at the test sheet on the IPAD, and took over the conversation.

"My blood sugar is not too high..."

"After lowering blood sugar, the safety and prognosis of surgery can be significantly improved, so we still need to continue lowering blood sugar." Ling Ran didn't intend to discuss with the patient, these are clear evidence-based conclusions, unless the patient or family members submit a will Leaf Knife-level papers come out, otherwise, they will definitely not accept rebuttals.

Huo Congjun happily retreated to the second line, watching Ling Ran perform.

The patients and family members in the ward, as if they had been glared at, looked at Ling Ran, who was surrounded by stars, and some people even had smiles and squints that they hadn't noticed yet.

Ling Ran analyzed and observed the patient's various reports as usual, and at the same time did a physical examination. If there is any difference...

The sensuality of a 300-pound patient is indeed very different.

Ling Ran poked down with one palm, and when he used a lot of force, he could bury most of his hand in the patient's flesh.

Ling Ran didn't like the slightly greasy feeling, but he still gave everyone a physical examination.

When he was the old driver of No. 102, Ling Ran only listened to the sound for a while, then put down the stethoscope, and took out the IPAD again to look at it.

"Have you ever been diagnosed with mitral valve regurgitation before?" Ling Ran checked the IPAD, listened to the audio again, and asked the old driver of 102.

The old driver shook his head blankly.

The daughter became anxious: "If mitral valve regurgitation, is the condition getting worse?"

"Many patients with acute myocardial infarction or long-term coronary arteriosclerosis have chronic mitral valve regurgitation, but your father's condition is relatively serious." Ling Ran put away the stethoscope, and said with certainty: "Two The symptoms of cusp valve regurgitation are already obvious, and you can do a few checks to make it clear."

As Ling Ran spoke, he started the inspection.

"I know about mitral valve regurgitation..." The daughter whispered, "In this case, can we still have surgery?"

"If it is more serious, it is recommended to intervene in the mitral valve at the same time as bypass surgery." Ling Ran said.

"How to intervene?"

"Mitral valve replacement, or mitral valve replacement." Ling Ran put down the IPAD, and said, "I am good at mitral valve replacement, if I need mitral valve replacement, I need to find another doctor. Cooperate."

Mitral annuloplasty (master level) was obtained from the middle-level treasure box given by him when he went to Cleveland to complete the task: expand the field.

The 100 heart bypasses required by his mission had already been fulfilled during Ling Ran's stay at the Cleveland Clinic.

However, in the Cleveland Clinic, among the cases screened by professional cardiologists, there are no patients with severe mitral valve regurgitation, and this skill has never been used.

In other words, the patients provided by the Cleveland Clinic are all relatively simple patients who need heart bypass. Even if there are more complicated underlying diseases and other conditions, the surgical procedures required are all coronary artery bypass grafting.

But in Yunyi, although Huo Congjun also found Director Kang, who was out of his mind, to screen together, but the technical strength is obviously still lacking.

Ling Ran discovered obvious problems just after checking the third patient.

However, Ling Ran was not dissatisfied with this. The symptom of chronic mitral valve regurgitation itself is very hidden, and the performance of many patients is coronary artery ischemia. Therefore, it can be said that it is very common that the accompanying mitral valve regurgitation is not found until the preoperative examination. It is nothing more than a question of whether surgical intervention is required.

Patients and their families are already anxious.

The old driver sat up and couldn't help but ask, "How much does that cost?"

Just as Ling Ran was about to answer, the patient's daughter wiped away her tears: "It's money... let's stop talking about money!"

The old driver's weather-beaten cheeks became gentle: "If you don't talk about money, where will the money come from?"

The daughter wanted to say "I'll come out", but when the words came to her lips, they got stuck again.

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