medical simulator

This money is so easy to earn?

The staff said: "I'm sorry, Mr. Luo, our platform has always adhered to the concept that the platform raises funds for the consideration of patients, but all the funds are only used for medical treatment expenses, and will be directly connected with the hospital and will not be directly handed over to the fundraiser. of the payer."

Luo Sangen immediately became anxious: "This is money donated to us by others, why don't you give it to us? Why are you handing it over to the hospital?"

The staff said: "I'm sorry, this is the platform's regulation. All the funds raised are only used for treatment expenses. If there is any excess, it will be refunded to the kind people who donated. You can't directly submit it in cash. Give it to the patient himself!"

"This is a hard rule. If you have any other questions about this fundraising plan, you can click..."

After operating for a while, the staff said that the money will be delivered directly to his bed tomorrow.

Luo Sangen continued to ask a little bit reluctantly: "Then can I continue to raise funds? If you don't tell me about this matter, other people must not know about it?"

"Brother, or if you give me the money directly, I will give you tens of thousands. Isn't this a win-win thing?"

The corner of the staff's mouth twitched, cursing in their hearts, you are really fucking talented! !

But although the platform wants to make money, it's not about making money. This kind of thing is definitely not something he can handle.

Still shaking his head: "This is the rule."

Luo Sangen said again: "Then what should I do if I want to be transferred? If I transfer to another hospital, won't the money have to be refunded again?"

Thoughts.

The staff member explained: "If you really need to transfer to another hospital and the transfer procedures are complete, our platform will arrange for the docking between the eighth hospital and the property of the hospital you want to transfer, or our platform will connect with the property department."

"You don't have to worry about that. The money you raise is definitely earmarked, and we won't take a penny."

"What nonsense rules." Luo Sangen cursed.

……

Chapter 145 You Are a Doctor!

The staff of Shuidichou were scolded out of the ward by Luo Sangen!

He was patient and restrained the violent temper in his heart so that he didn't expose Luo Sangen's affairs, otherwise, what awaited Luo Sangen was not only financial emptiness, but also social death.

Although Shuidichou, a platform for raising funds, charges a certain service fee, it actually helps patients in essence.especially poor patients.

Therefore, he didn't do anything wrong, but he just felt extremely depressed——

After leaving the ward, he cursed a few words.

In the ward, Luo Sangen continued to discuss with his wife.

"Wife, tell me, what should we do to get the 80 yuan into our own hands? We raised the money in the first place, those bastards!" Luo Sangen muttered.

His wife scolded in a low voice: "Slow down, don't make trouble at this time."

"You forgot what my brother told you? Do you want to die or do you want money?"

Luo Sangen then obediently shut his mouth.

After he was placed in a single ward, there was no one around him, so he dared to say that, otherwise, the people around him would probably have to beat him.

Not everyone can get used to the disgusting things of consuming other people's good intentions.

The fat woman frowned tightly and said, "Husband, it's just that money is not an issue now, so what should we do next? If the doctor asks us to transfer to another hospital, we can't use the lack of money as an excuse?"

Luo Sangen said: "If you ask me, I don't know. You can call and ask my uncle."

……

everything's ready.

Cai Dongfan asked Zhou Cheng to bring the patient's wife back into the director's office.

As Zhou Cheng followed, he began to sort out the signed documents, mainly the admission interview records, preoperative discussion records, informed consent forms for surgery, informed consent forms for blood transfusions, etc.

In order to ensure efficiency, everyone in the group was present, and Cai Dongfan went off to explain the situation to the patient himself.

"Hello, you are Luo Sangen's wife!"

"The current situation of Luo Sangen is like this - the diagnosis is very clear, it is the trauma of the left lower limb - a large bone defect of the left femur, after debridement of the left thigh."

"The indications for surgery are also obvious. Amputation or left lower limb salvage must be performed as soon as possible, that is, debridement and suture of the left lower limb + removal of the pedicled end of the left fibula + external fixation of the left lower limb with an external fixator. + Autologous bone harvesting and bone grafting + drainage.”

"Our team, specifically for Luo Sangen's situation, held a pre-operative discussion in the morning. I feel that your husband's current diagnosis is very clear, and there are absolute indications for surgery!"

"Therefore, surgical intervention must be performed as soon as possible, and the sooner the better, that's why we came to you to explain to you the surgical plan and surgical procedure, as well as the corresponding risks and complications."

Hearing this, the chubby middle-aged woman's eyes turned red and she said, "Director Cai, please take pity on us, we don't want amputation! We still have two children, what if amputation?"

Cai Dongfan nodded upon hearing this, and interrupted her: "I know, we're not talking about amputation, we're talking about limb salvage."

"No amputation, what we're going to do is limb salvage surgery. We have designed such a large set of surgical plans specifically for your husband's situation. You should listen to our surgical plan first."

The patient's wife panicked a little at the time and stopped crying immediately.

What her brother said just now was that if the No. [-] Hospital couldn't perform limb salvage surgery, they would try not to transfer to another hospital.Then make a fuss about the risks of surgery.

This seems to be a bit different from what my brother said.

However, the middle-aged fat woman was slightly prepared and said, "Director Cai, how much does this operation cost? We don't have that much money. I have raised for a long time and only raised [-]."

After hesitating for a long time, she said a number that Cai Dongfan and others could not accept!

I have no money, so you can't show kindness, right?

As for the 80 yuan, she has already planned with Luo Sangen to see when to take it out and keep it in her hand.

Cai Dongfan nodded, smiled calmly and said, "It's all right."

"3 is enough. Our budget is about [-] to less than [-], because our surgical plan is all from autogenous bone, and the cost of external fixation bracket is not very expensive, so you don't have to pay for it." Worry."

"Just relax, I just checked the hospitalization fee you paid, it's enough." Cai Dongfan did the details well, and blocked her words directly.

"The thing we need to care about now is how to perform this operation."

"Ah?" After Cai Dongfan said this, the middle-aged woman was dumbfounded.

As for her word ah, Cai Dongfan and the others were immediately convinced that she and her husband must have been acting all the time!

Definitely procrastinating for medical treatment.

The middle-aged fat woman continued to ask: "Then is the risk of limb salvage surgery high? I still have to discuss it with my father-in-law and mother-in-law, as well as my uncles and uncles. After all, it is a major operation. Only then can we rush over."

"Is it going to kill someone?"

The patient's wife quickly found another excuse.

Cai Dongfan immediately said: "We have considered this situation. In order to ensure the safety of life during the operation, we invited the director and professor of the Anesthesiology Department of the Affiliated Hospital of Shonan University to monitor your husband under anesthesia."

"At the same time, we also specially selected the most difficult but safest nerve block anesthesia and cutaneous nerve branch block anesthesia for your husband. The anesthetic drugs only work locally and will not affect cardiovascular function."

"At the same time, we consider that the patient may have a thrombus, and there is a fatal risk of the thrombus falling off. We also deliberately put a venous blood vessel filter to prevent the possibility of the thrombus falling off and returning to the heart and skull."

"This filter, let's talk about it first, we don't charge for it. It is a donation from the equipment company. If you want to thank you in the future, thank the equipment company."

"And then? Considering the possibility of fat embolism, we will arrange color Doppler ultrasound to monitor the diameter of fat droplets in the heart during the operation. If fat particles with a larger diameter pass through, we will be ready to perform cardiac embolectomy at any time. .”

"If there are still some risks..." Cai Dongfan really made enough preparations, and found solutions for all the risks that other patients might encounter.

The reason why these preparations are not used on all patients is that under normal circumstances, such a situation is easy to happen. If every patient is prepared, the cost to the patient will be too great.

For example, among 1 patients, if only one patient has such an accident, but you prepare for everyone, then it is a waste of resources!

Not everyone can afford the money.

Of course, some fixed unexpected situations are definitely unavoidable.Cai Dongfan talked about it.

Then he said: "The risk of surgery today is the lowest. It is not an exaggeration to say that the risk of surgery for appendicitis may be lower than that of appendicitis. I have also notified the operating room. If you agree to the operation plan, we will leave It takes half an hour to prepare for the operation, and the emergency operation can be arranged before two o'clock in the afternoon."

"If the operation goes well, you can leave the operating room before seven o'clock in the afternoon."

"Then the operation plan we prepared, the recovery after the operation is quite fast, and you can be discharged within five days at the earliest. After discharge, just follow the rehabilitation training plan we provided, exercise slowly, and then review regularly, the limb salvage plan, or I can look forward to it!" Cai Dongfan thought out all the situations very skillfully.

When the middle-aged woman heard what Cai Dongfan said, she immediately became at a loss.

On her chubby face, the eyeballs kept rolling, hesitating: "But? But? My husband."

Cai Dongfan saw that she was still hesitating, so he put down his pen and said in a flat tone: "We have considered all the circumstances, why do you have any hesitation?"

"The surgical risk your husband is facing now is the risk that all small-trauma operations will face. If this small risk is unacceptable? Then I suggest you leave the hospital directly. There is no way to perform surgical treatment anywhere."

Speaking of this, Cai Dongfan immediately became serious: "The faster the operation is performed, the better the postoperative functional recovery will be. Every second of delay is a delay in the postoperative functional recovery!"

"This is a waste of your own time!"

When the middle-aged fat woman heard the words, she couldn't find any other excuses in her heart.

Then his expression suddenly changed and he looked at Cai Dongfan, and asked back, "Director Cai, didn't you say before that there is nothing you can do?"

"Why is there another way now?" When she asked, her eyeballs were still rolling.

"You deliberately forced us to have surgery, is it to make money? Are you deliberately wanting my husband to die on the operating table?"

"I'm going to be transferred to another hospital. I doubt your operation plan."

After saying this, the fat middle-aged woman immediately raised her voice and said, "You can't do this kind of surgery. The risk of your surgery is too high. I don't want to accept it! I don't accept the surgery. I want to be transferred!"

"I don't agree, you can't do this operation."

After hearing what the fat woman said, Cai Dongfan immediately said, "Okay, that's fine."

"Transfer is your right, so which hospital do you want to transfer to? The three affiliated hospitals of Shonan University, as well as other third-level hospitals in Shashi, we have already done a good job of matching."

"Just tell me, I will open the hospital transfer procedure right away, and the opposite hospital will receive the doctor as soon as possible, and will provide a complete surgical plan for your husband." Cai Dongfan immediately took out the transfer application form, Just wait for the middle-aged fat woman to speak.

He was really well prepared.

Seeing that the fat middle-aged woman was still hesitating, Cai Dongfan continued: "If you strongly urge your husband to transfer to Shanghai and Kyoto, we can also help you get in touch."

"It's just that the distance is too far. We can't guarantee whether there will be other life-threatening accidents on the way. However, we can send a doctor to any hospital in Shashi!"

The middle-aged woman's face immediately changed drastically, as if she had already realized that Cai Dongfan had seen her and her husband's intentions.

Pointing at Cai Dongfan's nose, he cursed: "Director Cai, what do you mean?"

"Are you going to force us to have an operation? Why are you doing it? What good will it do you?"

Cai Dongfan remained expressionless, and replied: "I am not forcing you to undergo surgery, but just for your consideration, so I have prepared the most comprehensive arrangements and plans for you to avoid all possible risks to the greatest extent."

"I'm doing it for you and your husband!"

"Earlier surgery, earlier recovery, earlier discharge, don't you? Don't you want your husband to be discharged earlier?" Cai Dongfan's face changed slightly when he said this.

The middle-aged fat woman immediately stood up and pointed at Cai Dongfan: "You!"

Then he looked at Luo Yun and the others, pointing to them one by one.

"You, you, you, you."

"You, you!"

"Are you doctors? Are you still doctors who save people?"

"Are you just trying to force my husband to die? Why are you doing this?! Why are you doing this? What good does it do you?"

Cai Dongfan said calmly: "Ma'am, please calm down, your words are too extreme, we dare not take them seriously."

"I just want to save your husband and keep your husband's leg, and I don't have any other ideas."

"If we want to kill him, it's better not to think of any way. Instead of preparing so many surgical plans. If you really think about your husband, you'd better decide quickly whether you want to have an operation or not?"

"We're ready for everything."

The middle-aged woman naturally did not listen to Cai Dongfan's explanation: "You are all bad guys, you are not good guys."

After cursing, she pointed at Cai Dongfan's nose and cursed again:

"However I begged you before, you said it was impossible, it couldn't be cured, but now everything can be done?"

"You are wolf-hearted! You kill without blinking an eye, what qualifications do you have to be a doctor?"

"I don't agree with your operation. I don't agree with you operating on my husband. Your hearts are black, and you just want to kill him."

"Why are you killing people?"

"Where did we offend you?"

"You eat people without spitting out their bones, you are killing people."

Cai Dongfan's face darkened. Although he felt it was ironic, he could only bite the bullet and continue: "You can disagree with our operation, you can choose not to be treated in our hospital, or you can agree to transfer! This is your freedom. But you have to tell your choices."