medical simulator

After the limb salvage operation, even if his function recovered a little, would he be able to earn back the money for the limb salvage in his physical condition for the rest of his life?

……

Today's Monday is the beginning of the week, but Yan Haihan became extremely quiet again this morning, which is completely different from the shift shift at the beginning of this month.

After finishing the shift, without saying a word, I took someone to round the room.

Xu Yanlin, who was on duty yesterday, was in their team, and today is Monday, their surgery day again, so Yan Haihan sneaked off to the operating room after quickly checking the room.

Even Cai Dongfan and Hu Ming are not used to such a straightforward manner.

It seems that recently, Yan Haihan stopped doing things in the department and became honest. Is this still Yan Haihan?

However, the two didn't waste much time, and each found the person in their group.

Cai Dongfan also looked at Luo Yun with a smile, and asked on the way to the ward round, "Luo Yun, how did you see the outpatient clinic yesterday? You should be used to it, right?"

Before this month, there were only Yan Haihan's group in the department, and there were two outpatients. Hu Ming and Cai Dongfan were both working alone, so the number of patients was relatively insufficient.

Now that Luo Yun has filled the position, he can lead Hu Ming again. Although there is no shortage of patients in the department, who would not want to admit more high-quality patients that can be selected after there is no shortage of patients?

Luo Yun said, "Director Cai, it's okay."

"Although I haven't seen the outpatient clinic for a long time, it's a little rusty, but it's okay."

"Director Cai, don't worry, I only brought in two patients. It didn't take up many beds." Luo Yun was quite honest.

Before, Cai Dongfan promised that as long as Luo Yun can obtain the IV level operation authorization and open the joint surgery clinic, he will 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, and immediately stared at him with small eyes: "Have you already admitted patients to the hospital?"

Is this Luo Yun so resolute?

"Then who does the joint surgery?"

Cai Dongfan asked, and felt that he was asking too much. In the current Eighth Hospital, who else can do it except Luo Yun?

Then lowered his voice and asked anxiously, "You have already obtained the surgical authorization for Class IV surgery? Why didn't I know?"

Cai Dongfan stood still and led the whole group to stand still.

Then these words made everyone look at Luo Yun, with inconceivable expressions in their eyes.

Before Luo Yun, he could only perform level II surgery routinely, and only occasionally performed level III surgery. He had never been exposed to level IV surgery, let alone authorized.Because there are not many level IV surgeries that can be performed in the Eighth Hospital, Cai Dongfan does not perform a lot of level IV surgeries.

In the Eighth Hospital, the authorization of Class III and IV operations is not a process, but is granted by the medical department according to the professional title. It is impossible to get the operation authorization out of the ordinary.

If Luo Yun wanted to get a grade 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 didn't know about it at all, so he felt very confused.

Luo Yun nodded and said calmly: "Yes, Director Cai, I copied the authorization approval form for surgery when I was a graduate student, and after my teacher called the medical department here, the leader of the medical department They didn’t embarrass me, and approved me to pass the exception authorization for Class IV surgery.”

Cai Dongfan immediately pulled the corner of his mouth, his face twitching.

Okay.

It turned out that your teacher Zeng Lao came forward, and there was the authorization approval form for the extraordinary surgery in the hospital where you were studying in graduate school. It was definitely the upper-level hospital of the No. [-] Hospital, and they all agreed to the approval.

If the medical department of No. [-] Hospital still makes things difficult for you, then it's really a hole in the head.

However, what Cai Dongfan still didn't understand was that Luo Yun didn't seem to have told him about this before.

Why did Luo Yun suddenly pop up again, and he had obtained the authorization for Level IV surgery before?

Also, this unintentional Versailles almost made Cai Dongfan change his name.

Both Zhou Cheng and Yang Yifeng looked at Luo Yun with astonished eyes, and thought to themselves, oh, it turns out that Luo Yun saved another hand...

Just these things, in the hearts of Du Yanjun and Zhang Zhengquan, Luo Yun's figure suddenly became taller, and his status suddenly equaled that of Cai Dongfan.

There are only a few level IV surgeries in trauma surgery, and Cai Dongfan can do only a little bit...

Without comparison, there is no harm.

Cai Dongfan then hurriedly ended the topic, squeezed his throat, turned his small eyes and said, "Well, patients with joints, you can arrange it according to the situation. Let's go to the ward round first."

End the conversation quickly before you get hurt further.

……

And because of this episode, the rhythm of Cai Dongfan's rounds of people has become a little faster——

The doctors in charge of beds 25, 26, and 27 were Xiang Haibin, not Du Yanjun and Zhang Zhengquan.

Xiang Haibin didn't come to the department long in advance, so he took a look at the diagnosis temporarily, so Xiang Haibin didn't realize how difficult the patients he was in charge of would be.

The 25th and 26th beds are all regular patients who are about to be discharged from the hospital. Cai Dongfan took people on a tour, nodded and said yes, and then passed.They are thinking about their discharge date.

Cai Dongfan quickly brought Luo Yun and the others to bed 27.

"This is a patient with a femur fracture and a bone defect. He was admitted to the emergency department yesterday and has not yet undergone surgery." Briefly reported to Haibin.

When Cai Dongfan heard that he was a new patient, he immediately asked while taking the film: "What did you do for the preoperative examination?"

Xiang Haibin lowered his head slightly: "The patient was admitted to the hospital yesterday afternoon, and he hasn't had time to see it yet."

"Perfect the pre-operative examination well. If there is no problem, arrange the operation earlier." Cai Dongfan looked at Xiang Haibin without scolding him.

However, as soon as Cai Dongfan finished speaking, Luo Yun on the side immediately touched Cai Dongfan with his hand, signaling him to speak later, and then put the flat film in front of Cai Dongfan's eyes.

When Cai Dongfan mentioned the film and saw it, Cai Dongfan's small eyes immediately widened a little with fright, and he almost had a knife-free surgery to open the corners of his own eyes!

The corners of the eyes were almost cracked.

Then he squeezed Luo Yun and walked towards the door, lowered his voice, and asked sternly.

"Fuck, who took this patient in?"

"Is it you?" Cai Dongfan almost scolded his mother directly.

Cai Dongfan thought it was Luo Yun, but at this moment he scolded Luo Yun in his heart for being a mess. Although Luo Yun was going to have joint-related surgery, Luo Yun had to choose some he was familiar with anyway. This has something to do with the fucking joints. ?

You want me to cover you for such an operation, so you are hurting me on purpose.

Luo Yun said: "Yesterday, Xu Yanlin from Director Yan's group was on duty, and it should be taken in by Deputy Director Dong Qiansheng."

"I haven't even seen this patient, otherwise I would have reported it to you, Director Cai." Luo Yun hurriedly assured.

Luo Yun's scalp is also a little numb at the moment, such a patient should be admitted to the hospital?

Isn't that asking for trouble for yourself?

How could he be so insane?

Cai Dongfan immediately scolded the street: "No wonder Yan Haihan ran so fast this morning, it turned out that he did such a bad thing! Second Austria."

"Since when did Dong Qiansheng become so black-bellied?"

Then, he walked in again and got to the bedside, ignoring Zhou Cheng and others looking at him, and said to the patient and his family: "Your situation is very serious, do you know?"

The patient nodded, but now his expression became more serious: "Director Cai, the little doctor here probably talked to me, but I still believe that you are the director. You are well-informed and can definitely think of a way."

"I hope Director Cai can rejuvenate and keep my leg. I will definitely miss you, Director." The tattooed man must have been confessed by his wife, so he is not so careless at the moment, at least he is serious .

Cai Dongfan hurriedly replied: "If you are willing to save your limbs, I suggest you transfer to the Affiliated Hospital of Shonan University. Otherwise, consider amputation!"

"This bone defect is too big!"

Cai Dongfan was very compelled, he didn't intend to touch this ghost thing, it was beyond his ability, even Cai Dongfan felt that there might not be any professors in the Affiliated Hospital of Shonan University who would dare to do it!

But at these words, the middle-aged tattooed man became anxious: "Hey, doctor, isn't my situation just a broken bone?"

"Should I be transferred to the Affiliated Hospital of Shonan University?"

"I just didn't want to run so far, so I came to you."

"Yesterday, Dr. Dong also asked me to transfer to another hospital. I didn't agree. I just believed in your hospital. Why do you insist on transferring me to the Affiliated Hospital of Shonan University?"

"And in the Affiliated Hospital of Shonan University, any operation is much more expensive than here. Last year, my mother went to have a hip replacement, which cost more than 7 yuan. After reimbursement."

"I don't dare to go there anymore." The middle-aged tattooed man shook his head fearfully.

For ordinary families, so much money is not a small sum of money, and it can be taken out by gritting their teeth.

But he can only buy motorcycles himself, 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 bone is gone, how to fill it up. This is the trouble."

"I have only seen your situation once, but the defect of that patient was only 5cm. It was in 02 and cost more than [-] yuan."

"That's more than one hundred thousand in [-]."

"You are more than 20cm!"

"If you want to save limbs, based on this ratio, it will cost hundreds of thousands. Moreover, in your case, the distance between the ends of the bones is too large. Even if you have money, no one will dare to do such limb-salvage surgery. You can understand me mean?"

If this patient has a strong desire to save his limb, he must be sent away.

The middle-aged man was startled by Cai Dongfan's words: "This?"

"Do you want so much money?" He obviously didn't think he was going to have his limb amputated, didn't he just hit it?

There are no other problems, people are fine, just the bones are broken and missing, and it will be fine if it is fixed again.

Cai Dongfan said: "This is not just a simple question of money, but a question of how to do it, how to do it, and whether it can be done."

"Anyway, I suggest that you go to the Affiliated Hospital of Shonan University or the magic capital of Kyoto. They must have more experience in dealing with such a rare disease."

Cai Dongfan also discovered that this patient was born with an optimistic spirit.Did you only hear about money?

Do you think that if you have money, you can solve such a thing?

Such a large bone defect, Cai Dongfan really couldn't get it off at all. However, such cases are often seen at academic conferences on trauma surgery, but those defects, more than ten centimeters are already the limit!

With such a long bone defect now, it is estimated that those top professors will find it interesting and challenging, right?

The patient became even more anxious: "Doctor, you have to find a way for me, where do we have so much money to visit Shanghai and Kyoto?"

"You must think of another way for me."

Chapter 144 A bunch of wolves are wiped out!

He clasped his fists, politely.There is quite a rare quack atmosphere.

Although Cai Dongfan wanted to help, but after hesitating for a moment, he could only say helplessly:

"This is really not something I can think of. You'd better discuss it with your wife and your family."

"Either, amputation! I can do it here, or, save the limb, and transfer to another hospital."

"If you don't want amputation, there is no cure here."

"Presumably when you were doing debridement at the county hospital, the doctor there also talked to you."

After Cai Dongfan finished speaking, he turned around to leave, obviously not wanting to spread the muddy water.

But the patient was not willing to let Cai Dongfan go, so he yelled loudly: "Doctor Cai, Director Cai, don't leave yet!"

"Look at me again, think of a way for me, Doctor Cai, where do I have so much money to go to Kyoto and Shanghai?"

But Cai Dongfan seemed to have taken someone away.

……

After leaving the ward, Cai Dongfan didn't even bother to take someone to make rounds.He said directly to Luo Yun, "Luo Yun, you take someone to do a house round first, and I'll make a phone call."

"MLGB."

The foul language broke out on the spot.

Luo Yun understood what Cai Dongfan meant, and took Zhou Cheng and the others away.

Cai Dongfan immediately walked to the director's office and called Dong Qiansheng at the same time.

After the call was connected, he scolded all over his face: "Dong Qiansheng, is your brain sick? Are you taking such a large bone defect into the department?"

"You can just accept it, and you still stuff it with me?"

"Are you trying to mess with me on purpose?" Cai Dongfan fired directly without saving Dong Qiansheng any face.

The person answering the phone on the opposite side was an itinerant nurse who fired when he heard Cai Dongfan coming up, his hands trembled in fright!

Then he turned off the loudspeaker, walked to Dong Qiansheng's side, and Pie Er personally took Dong Qiansheng's mobile phone to answer.