Chapter 1313： 2Vulplasty

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

For the young doctors, a director round for any reason is considered a major event, at least equivalent to the level of an in-room test. For example, when a large number of doctors in the department gather, any performance during the rounds will expand into the existence of face.

In the case of an internal medicine clinic, 50% of the reputation of a doctor among colleagues is reflected in the rounds.

Although surgery is much rougher, there are still many tests for young doctors. As for the little doctor who has the task of supervising 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 tidy up, and some people got up to wake up the patient.

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

"Yes. Director Huo and Doctor Ling Ranling are together." The young resident doctor explained.

The patient’s family stood up "oh oh", and at the same time patted the father who was lying on the bed twice, and said, “Dr. Ling is a good doctor who is well-known throughout the country.”

"Dr. Ling just returned from the Cleveland Hospital. The Cleveland Hospital has the world's number one heart center. Dr. Ling is very popular and recognized in Cleveland. We estimate that there will be a promotional video later, and there is a lot of news now. Now." 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 the Cleveland Hospital. I have contacted an overseas medical agency before and introduced the Cleveland Hospital. Later, for various reasons, I still didn’t go.”

"You have also contacted the overseas agent. We also consulted, and finally felt worried that the foreign country is still unfamiliar with the place of birth, and the cost is expensive..." The 101-bed family next door interjected and talked to the 100-bed family We chatted in a low voice.

"You can't use medical insurance abroad, right." The patient on bed 102 also listened with ears upright.

"That's for sure, we buy domestic commercial insurance, basically can't go abroad to see a doctor, let alone the Cleveland Hospital, where you can do heart surgery at your own expense, and the extra will cost several million dollars." The 101-bed family said. Sighed.

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

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

"You didn't say that before." Patient 102 exhaled, lifted the quilt, and sat up directly: "My health is not that bad either. I spend too much, so I won't do it."

"Dad..." The daughter who accompanied the bed first shouted helplessly: "Your body is like this, you still don't do it, is it easy for us to arrange this bed? Don't be so self-willed, OK!"

"I have been driving the truck for a few years, and I have only saved how much money. I can't give it all to the hospital. I don't know how much money I spend. I have to figure it out. I can't finish the operation in one operation and owe a debt... "

The resident sighed and explained patiently: "I'll just tell you a little bit. For example, if you have been anesthetized for 4 hours or 6 hours, is the amount of anesthetic used different? Is it different?"

The 102 truck driver was stunned, trying to refute, but was stopped by his daughter.

"My dad feels sorry for the money and has no other meaning." My daughter explained in a small way: "My dad used to drove a big car. He had rested for the past two years. He didn't have a sports car and had to spend money on medicine. He always wanted 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 point where they can go to the United States for heart surgery at their own expense, so I can only look at them. The expected expenditure of millions of dollars is obviously not something ordinary people can afford.

The conditions of the patient on No. 102 are worse. Although depending on the clothing conditions, he is still not enough to pay tens of thousands or hundreds of thousands of yuan, but obviously, every additional 10,000 yuan will increase his economic and Psychological burden.

The resident doctor turned his head slightly. With his salary level, he is now doing a heart bypass. It is estimated that it is in the same state. There is no way to return sympathy to sympathy.

"Saving the world with joy" 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.

Click, click, click.

A group of doctors, Huo Congjun and Ling Ran, came in the door.

The three patients and their families who were still talking and discussing just now stopped consciously.

"How are you feeling today?" Huo Congjun met and asked directly about his condition, pretending to be a little bit.

Naturally, he doesn't know heart surgery, but he pretends to ask questions and is a director.

Patient No. 100 sat up a bit, covered his chest, and said, "Still a little uncomfortable, Director, when can I have surgery?"

"I want to lower your blood sugar." Ling Ran looked directly at the test sheet in the iPad and took over the conversation.

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

"After lowering blood sugar, the safety and prognosis of the operation can be significantly improved, but it is still necessary to continue to lower blood sugar." Ling Ran did not intend to discuss with the patient. These are clear evidence-based conclusions. The patient or family members must submit a report. Yedao-level papers came out, otherwise, they would definitely not accept refutation.

Huo Congjun retreated to the second line cheerfully, watching Ling Ran play.

The patients and family members in the ward seemed to be irradiated by dazzling eyes. Looking at Ling Ran, who was held by the stars, some of them even had smiles and squints that they hadn't noticed.

As always, Ling Ran analyzed and observed the patient’s reports, and at the same time performed physical examinations, what was the difference...

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

Ling Ran poked one palm down, and when he exerted great strength, he could bury most of his hand in the patient's flesh.

Ling Ran didn't like the slightly greasy feeling, but he still performed physical examinations on everyone.

When he was the No. 102 old driver, Ling Ran only listened for a moment, then put down his stethoscope, and took out the iPad again to watch.

"Have you diagnosed mitral regurgitation before?" Ling Ran checked the IPAD, and after listening again, asked the 102 old driver.

The old driver shook his head blankly.

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

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

Ling Ran started the inspection as soon as he said.

"I know that mitral regurgitation..." my daughter whispered: "Then in this case, can surgery be done?"

"If it is more serious, it is recommended to intervene with the mitral valve while bypassing the operation." Ling Ran said.

"How to intervene?"

"Mitral valvuloplasty, or mitral valve replacement." Ling Ran put down the IPAD and said, "I am good at mitral valvuloplasty. If mitral valve replacement is needed, I need to find another doctor. Cooperated."

Mitral valvuloplasty (master level) was the task he completed when he went to Cleveland: to expand the field, and was opened out of the intermediate treasure box given.

The 100 cases of heart bypass required by his mission, Ling Ran met the requirements during his stay at the Cleveland Clinic.

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

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

But in Yunyi, although Huo Congjun also sought out director Kang to screen, but the technical strength is obviously still poor.

Ling Ran only checked the third patient and found obvious problems.

However, Ling Ran was not dissatisfied with this. The symptoms of chronic mitral regurgitation are inherently insidious. Many patients have coronary ischemia. Therefore, the accompanying mitral regurgitation is not found until the preoperative examination. It is nothing more than a question of whether surgical intervention is required.

The patient and family members are already anxious.

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

Ling Ran was about to answer, and the patient's daughter had already wiped her tears: "Money, money, money...Let's not talk about money, please!"

The weathered cheeks of the old driver became gentler: "Don't talk about money, where does the money come from."

My daughter tried to say "I'm coming out", but she got stuck again.

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