"Our department director is leading a team for a ward round." The young resident doctor jogged into the ward. He first informed Ling Ran before he pushed aside a few stool that were an eyesore.
For young doctors, a ward round by a department director for any reason was a big deal. It was at least equivalent to a random test. When a large number of doctors gathered in a department like this, any performance during a ward round would be considered as a matter of reputation.
If it was in the Department of Internal Medicine, a doctor's reputation among his colleagues would be reflected in ward rounds.
Although the Department of Surgery was a lot rougher, there were still many tests for young doctors. Some of the young doctors who were in charge of the beds could not help but peek at their notes.
The patients and their family members in the ward were also unusually active. They helped clean up, and some got up to wake up the patients.
A few of them obviously knew that the department director was very different from ordinary young doctors. The family member of the patient in Bed 100 immediately asked, "Is it Department Director Huo?"
"Yes. Department Director Huo and Doctor Ling are together, "the young resident doctor explained.
The patient's family member stood up and patted his father who was lying on the bed at the same time. He said, "Doctor Ling said that he's a good chief surgeon. He's famous in the country."
"Doctor Ling just came back from Cleveland Hospital. Cleveland Hospital has the world's number one heart center. Doctor Ling is very popular and recognized in Cleveland. We'll probably shoot a promotional video later. There's a lot of news about him now, "the young resident doctor said in a low voice.
For the young doctors in Yun Hua Hospital, the Cleveland Clinic was also a very high-end place.
The patient's family member nodded repeatedly. "I know about Cleveland Hospital. I've also contacted an agent for overseas medical treatment before, and they recommended Cleveland Hospital. Later, due to various reasons, I didn't go. "
"You've also contacted an agent for overseas medical treatment. We've also consulted, but in the end, we're still worried. We're not familiar with the people and the place overseas, and the cost is also very high … "The family member of the patient in Bed 101 next door interrupted and chatted with the family member of the patient in Bed 100 in a low voice.
"You can't use medical insurance overseas, right?" The patient in Bed 102 also pricked up his ears to listen.
"That's for sure. The commercial insurance we bought in our country basically doesn't allow us to go overseas to see a doctor, let alone Cleveland Hospital. They have to pay for heart surgeries at their own expense, and it costs millions of dollars at most," the family member of the patient in Bed 101 lamented.
"If we do it in Yun Hua Hospital, one hundred thousand RMB should be enough, right?" The patient from Room 102 frowned and asked the young resident doctor at the door.
The resident doctor hesitated for a few seconds and said, "If you have medical insurance, there shouldn't be a big difference, but it depends on the specific situation."
"That's not what you said before." The patient from room 102 exhaled, lifted the blanket, and sat up. "My body isn't that bad. It's too expensive, so I won't do it."
"Dad …" His daughter, who was accompanying him on the bed, shouted helplessly, "Your body is already like this, and you still don't want to do it. Do you think it's easy for us to arrange this bed? Don't be so willful! "
"I've been driving a truck for a few years, and I've only saved a little money. I can't just give it all to the hospital. Let's not talk about how much money I'll need to spend, right? I can't just finish one surgery and end up with a huge debt … "
The resident doctor sighed and explained patiently, "I'll just tell you one thing. For example, if the amount of anesthetic you used is different if you used four hours of anesthesia or six hours of anesthesia, then the amount of anesthetic you used will also be different when you calculate the fees, right?"
The truck driver from room 102 was stunned. He wanted to refute, but he was stopped by his daughter.
"My dad just doesn't care about the money. He doesn't mean anything else," the daughter explained carefully. "My dad used to drive a big car, but he has been resting for the past two years. He doesn't have a sports car, and he needs to spend money on medicine, so he always wants to save some money …"
The resident doctor nodded and did not say much. Patients with different family conditions had different sensitivities toward medical expenses. The family conditions of room 100 and room 101 were obviously good, but they had not reached the point where they could pay for heart surgery in the United States, so they could only look at it. The expected cost of more than a million USD was obviously not something an ordinary family could afford.
Patient 102's condition was a few levels lower. Although looking at the condition of his clothes, it was not to the extent that he could not afford tens of thousands of yuan or even hundreds of thousands of yuan, it was obvious that every additional ten thousand yuan would increase the financial and psychological burden on him.
The resident doctor turned his head slightly. With his salary, if he wanted to perform heart bypass surgery now, he would probably be in the same situation. Sympathy was sympathy, but there was nothing he could do.
Doctors could never solve the problem of protecting the world from the cold. As the saying went, "If you advance, you can save the world, and if you retreat, you can save the people." Saving the people was difficult, but the road to saving the world was full of fog.
* Click, click, click. *
A group of doctors surrounded Huo Congjun and Ling Ran as they entered the door.
The three patients and their family members who were still talking just now automatically stopped talking.
"How do you feel today?" When Huo Congjun saw them, he immediately asked about their conditions. He was a little pretentious.
He naturally did not know about cardiovascular surgery, but as a department director, he knew how to pretend to ask questions.
Patient 100 sat up a little, covered his chest, and said, "I'm still a little uncomfortable. Department director, when can we have the surgery?"
"We need to lower your blood sugar level." Ling Ran looked at the test report on the iPad and took over the conversation.
"My blood sugar level is not too high …"
"After lowering the blood sugar level, it can obviously improve the safety of the surgery and the prognosis. We still need to continue lowering the blood sugar level." Ling Ran did not intend to discuss with the patient. These were all clear conclusions that were based on evidence. Unless the patient or his family submitted a lancet grade research paper, they would definitely not accept any rebuttal.
Huo Congjun happily retreated to the second line and watched Ling Ran perform.
The patients and their family members in the ward looked as if they were being shone by a dazzling light. They looked at Ling Ran, who was the moon surrounded by the stars. Some people even had smiles and lasciviousness that they did not notice.
As usual, Ling Ran analyzed the various reports of the patients and performed physical examinations at the same time. If there was anything different …
The flesh of a three-hundred-pound patient was indeed very different.
When Ling Ran used a lot of strength, he could bury half of his hand in the patient's flesh.
Ling Ran did not like the slightly oily feeling. However, he still performed physical examinations on everyone.
When he was done with the old driver of Room 102, Ling Ran only listened for a moment before he put down the stethoscope and took out the iPad to look at it again.
"Have you diagnosed mitral regurgitation before?" Ling Ran checked the iPad and listened again before he asked the old driver of Room 102.
The old driver shook his head in a daze.
His daughter became anxious. "If it's mitral regurgitation, does it mean that the condition has worsened?"
"Many patients who have acute myocardial infarction or long-term coronary arteriosclerosis have chronic mitral regurgitation, but your father's condition is relatively more serious." Ling Ran put away the stethoscope and said with certainty, "The signs of mitral regurgitation are already very obvious. We can do a few more examinations to confirm it."
As Ling Ran spoke, he started the examination.
"I know about mitral regurgitation …" his daughter said in a low voice, "Can we still perform surgery in this situation?"
"If it's more serious, I suggest that we intervene in the mitral valve while performing bypass surgery," Ling Ran said.
"How do we intervene?"
"Mitral valvuloplasty or mitral valve replacement." Ling Ran put down the iPad and said, "I'm good at mitral valvuloplasty. If I need mitral valve replacement, I'll need to find another doctor to cooperate with me."
Master Level Mitral Valvuloplasty was obtained from the Intermediate Treasure Chest given to him when he completed the mission: Field Expansion when he went to Cleveland.
The mission required one hundred cases of cardiac bypass surgery, and Ling Ran had already met the requirements when he was in Cleveland Clinic.
However, in Cleveland Clinic, there were no patients with severe mitral regurgitation among the cases that had been screened by professional cardiologists, and this skill was never used.
In other words, the patients provided by Cleveland Clinic were relatively simple patients who needed cardiac bypass surgery. Even if they had more complicated underlying diseases, the surgical method that they needed to perform was coronary artery bypass grafting.
However, in Yun Hua Hospital, although Huo Congjun also looked for Department Director Kang from the Cardiovascular Surgery Department to screen the patients together, their skills were obviously still lacking.
Ling Ran had only examined the third patient, and he had already noticed an obvious problem.
However, Ling Ran was not dissatisfied with this. The symptoms of chronic mitral regurgitation were very subtle. Many patients presented with coronary ischemia. Therefore, mitral regurgitation was not discovered until the preoperative examination. It could be said that it was very common. It was nothing more than a question of whether surgical intervention was needed.
The patients and their family members were already anxious.
The old driver sat up and could not help but ask, "How much will it cost?"
Ling Ran was about to answer, but the patient's daughter had already wiped her tears. "Money, money, money … Let's not talk about money, okay?"
The old driver's weather-beaten face became gentle. "If we don't talk about money, where will the money come from?"
The daughter wanted to say, "I'll pay for it," but the words were stuck in her throat.
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