From small clinic to medical empire

Chapter 72 Unreliable Surgical Plan
The old man doesn't trust Indians very much, which can be said to be a stereotype.

In North America, there are actually quite a few doctors of Indian origin. Dr. Vivek Murthy became the medical director of former President Okumi at the age of 37, and he is one of the more famous representatives of Indian doctors.

But generally speaking, Indian doctors do give people an unreliable feeling, which may be related to the third brother's naturally optimistic and detached thinking.

As a patient, I still hope that my attending physician will be more rigorous, rather than having the joyful feeling unique to the third brother.

Fortunately, Dr. Russell is still very doctor-like. He draws related surgery diagrams on the whiteboard, and speaks patiently and calmly. Of course, anyone who can earn 10 dollars per minute by talking will be very patient.

Dr. Russell's spoken language has a curry accent, but his tone is completely American doctor's professional tone, and there is no problem in communication. Zhang Zifan listened carefully to his operation design introduction.

……

"Wait, Dr. Russell, did you just say that after the tumor was resected, the contrapositional suture was performed?"

It was not Zhang Zifan who said this, but Yuan Qiang.

Originally, he listened to Dr. Russell's explanation with the attitude of learning, but it didn't feel right to him.

This foreign doctor is at this level?

It's like you go to a martial arts competition with high expectations.

As a result, after the two masters came to the stage and performed a set of flowing hands, they began to exchange bastard fists.

At that time, Yuan Qiang's thinking was, did I only see the first floor, and Dr. Russell's thinking was actually on the fifth floor?

But Yuan Qiang couldn't grasp the main points no matter how he studied, and finally couldn't help asking.

With the help of translator Nie Xiaohui, he stumbled and asked, "Dr. Russell, first of all, does this patient not have a transfer flap after surgery? Direct suture will seriously affect the quality of life after recovery?"

Secondly, after lip tumor resection, don’t you do neck lymph node dissection in relevant parts? "

Russell already knew from the Nie family brothers that there were two Chinese doctors present, but he didn't pay special attention to it.

Hearing Yuan Qiang's question, Dr. Russell was slightly angry, but he still replied as a matter of course:

"This Chinese friend, first of all, because the patient's lesion is too large, reaching a size of 3X4, it is absolutely impossible to complete the repair by transferring the flap through the lip, and the amount of tissue is simply not enough.

Secondly, we will conduct frozen tissue sections during the operation, and no cancer cell infiltration is found pathologically, indicating that the risk of cancer cell metastasis does not exceed 50%, and there is no need for additional surgery. "

Hearing Dr. Russell's answer, Yuan Qiang was stunned, and just about to argue again, Zhang Zifan said in a deep voice: "Dr. Russell, thank you for your answer, but I think it is better to be more cautious in the treatment of lip cancer.

The problem of lack of lip repair tissue in patients can be solved by the method of homologous autologous skin flap transplantation;

For maxillofacial tumors due to their rich blood supply, local lymph node dissection should be performed preventively, otherwise the risk will be too great. "

Dr. Russell shook his head and said, "My Chinese friends, I admit that there is some truth to your opinions.

But it is inappropriate to treat an elderly person regardless of cost, and the insurance company will not allow it. More importantly, our hospital does not have such technical reserves to complete such a difficult operation. "

American hospitals are not graded, and there is no such thing as three grades and three grades.

However, there are still differences in the grades of hospitals.

For example, the Mayo Clinic, although it is called a clinic, has 150 million patient visits every year and has more than 6 medical staff. It can be called a medical kingdom.

In contrast, the well-known Union Hospital in China has only 4 doctors and nurses, but has 300 million patients every year.

As for this Kuta Hospital, there are less than 200 medical staff in the hospital, and the number of patients is only tens of thousands.

Moreover, Kuta Hospital is a designated hospital of the insurance company and only accepts appointments.

Dr. Russell only needs to see about [-] patients per month. Excluding other business hours, he only sees two patients per outpatient visit on average.

After all, being a doctor is a profession that relies on experience to improve your skills.

Dr. Russell's clinical experience cannot be compared with that of doctors in Mayo Clinic, nor can it be compared with doctors in domestic city and county hospitals.

Even, he is not a specialized head and neck surgeon, but a general surgeon.

This is the second lip cancer surgery he has had in his career.

Nie Xiaohui translated Dr. Russell's words to Mr. Nie, who was very angry: "Is this ah San speaking in a human way? He is so righteous! Fortunately, we are not short of money, otherwise we can only wait to die?"

Zhang Zifan comforted with a wry smile: "Uncle Nie, although Dr. Russell's words are a bit cruel, this is the reality.

In fact, the same is true in our country. Now that the coverage of medical insurance is getting wider and wider, the situation is much better.

When I was an intern, many elderly people in rural areas did not have medical insurance, their children could not afford the 4 to [-] yuan for surgery, and it was common for the elderly to go home and wait to die. "

What Zhang Zifan said was the truth.

Although domestic surgery fees are already very cheap compared to those in Europe and the United States, our common people are also poorer.

Donghai Province and Eastern Zhejiang Province are already considered the most developed areas, and this situation still exists. One can imagine how painful it is for the elderly to suffer from serious illnesses in the poorer western rural areas.

Fortunately, everything is slowly getting better. In Zhang Zifan's impression, with the popularization of agricultural insurance and serious illness coordination in recent years, he has rarely encountered the situation where the elderly are sick and waiting to die.

Old Man Nie sighed. Although he is not short of money, it is still uncomfortable to think that human life can be measured by money.

"Go back and donate some money to the Red Cross. You can do it for me." He turned to Nie Xiaohui and said.

This granddaughter is used to being idle, and Mr. Nie is always looking for something to do for her.

Nie Xiaohui glanced at her mouth, "Isn't that a waste of time..."

"That's better than you using it to form a celebrity support club!"

The old man stomped his cane angrily, and added: "It's better than your aunt donating it to the Monk Temple!"

Zhang Zifan covered his forehead, no wonder he often said that he was not rich for three generations.

At this moment, Dr. Russell's cell phone rang suddenly.

After talking on the phone, he said to Zhang Zifan and others: "Okay, Chinese friends, there are important guests coming to our hospital for communication. I will take my leave first. The bill for the related talking expenses will be sent later."

After Dr. Russell and his assistant left, Mr. Nie immediately asked to be transferred to another hospital. Although this hospital looked very beautiful, the surgical plan it gave was also terrible.

"Uncle, don't worry, we have already contacted UCLA School of Medicine, and it is estimated that there will be a notification in two days!"

California, where San Diego is located, is one of the most powerful states in the United States, with well-developed medical resources.

Whether it is the Bay Area or Los Angeles, there are many good hospitals.

But if there is one best hospital in California, it is undoubtedly the UCLA Medical Center.

That is UCLA Medical Center.

In fact, there is also a branch of the University of California, UCSD, in San Diego, but their medical school is not well-known, and its level is far inferior to that of UCLA Medical Center.

"Wait a few more days? What are you two doing!"

The old man was so angry that he wished he could kick these two bastards over, "It's impossible, let Dr. Zhang take the stage! Dr. Zhang is recommended by Professor Zhu, and I think he is more reliable than that Ah San!"

"Uncle, what you said, Dr. Russell is an American doctor. Do you know how difficult it is to get into a medical school in the United States? Except for a few upper-class countries such as the United Kingdom, doctor's licenses from other places are not recognized by us!"

The two brothers did not say it explicitly, but the implicit meaning is that a lean camel is bigger than a horse, and American doctors are at least more reliable than Chinese doctors.

In fact, the old man just said angry words, and he really didn't dare to let Zhang Zifan be the main knife.

After all, Zhu Wenyou was in a semi-reclusive state at that time, and his introduction to Zhang Zifan was only a few months ago.

In addition, Zhang Zifan did look younger, and the Indian had dark skin, but he looked older.

However, at this moment, there was a burst of dense footsteps in the corridor.

At the same time, Dr. Russell's slightly curry voice came over: "Dear Mr. Dean, Dr. Trudeau, this way please!"

…………

ps: The surgical plan given by the hospital in the article was not fabricated by the author. It was a real incident. It was the surgical plan given by a California hospital at that time.

There are many wonderful medical cases in North America, and some even sound quite magical. For example, a paronychia saw five or six doctors, spent tens of thousands of knives to see it badly, and finally returned to China for half a month to get it done.

You can ask fiction to be reasonable, but reality is so unreasonable sometimes.

(End of this chapter)