"Doctor, please take a look at me again. Is there any other way to treat my illness? Or do you want to receive conservative treatment and live for a few more years? "The old driver did not directly say that he wanted to be discharged. As a normal patient, he also knew that it was not easy to get Ling Ran's turn, and he did not want to give up the chance.
Ling Ran had some understanding of all kinds of patients since he started performing surgeries. From the words of the patient in Bed 102, he knew that this patient had plans to be discharged.
Ling Ran always had a realistic view of the real world's problems. It was like watching a crowd. You could use all kinds of words and methods to ridicule or dissuade people from watching, but there would always be a crowd of onlookers.
Similarly, people who did not want to receive surgery because they did not have money were not rare in the hospital, but they were very common. Even sociologists who focused on the corresponding problems would find it difficult and complicated to completely and accurately deconstruct it.
When it came to such complicated problems, Ling Ran had always faced the problem itself.
It was like being watched. If he spoke to all the onlookers and used the method of education to expound morality and social condemnation, he would stand tall, but the onlookers would not be able to solve the problem.
When Ling Ran faced onlookers, he would either wait for help from a third party or talk to a single person.
Just like now, Ling Ran did not want to talk about the surgery fees. Instead, he slowly took out a bottle of alcohol-based hand sanitizer and skillfully squeezed out a lump. He wiped his hands and said, "Based on recent research, your situation is like severe coronary arteriosclerosis, myocardial infarction, and chronic ischemic mitral regurgitation. The survival rate and prognosis of surgical intervention are far better than conservative treatment."
The somewhat academic answer stunned the patient. He turned around and smiled bitterly. "All good things are expensive. We don't have money, and we don't have a choice."
Ling Ran shook his head. "If I perform the surgery, or if another doctor performs the surgery, the cost is basically the same."
"In the country, surgery performed by Doctor Ling is definitely considered a good thing." Zuo Cidian smiled and stood up. This kind of situation was what he was good at.
"I'm not talking about this …" The patient felt a little helpless. He had just entered a sentimental mood. Was he going to argue with others about this now?
"I'm afraid that you don't understand the survival rate and prognosis that Doctor Ling mentioned." Zuo Cidian grabbed Yu Yuan and said, "Tell me about it."
Yu Yuan was like a wrench that was used at the last minute. She did not care whether she was brought out to fix a screw head or a human head. She immediately responded to the task and said, "The conservative treatment that Doctor Ling mentioned is usually drug treatment. In comparison, the long-term survival rate of patients who receive surgical intervention can be increased by 50%, which is half."
"I might be the other half …" The old driver tried to be cheerful in his misery.
"It's a longer life by half." Zuo Cidian was more straightforward with his words. He then gestured for Yu Yuan to speak.
Yu Yuan moved her cheeks a little and continued to play her role as a tool. "The specific reference is a report that compared 111 patients with mitral regurgitation of more than moderate degree with multiple stenosis. They compared the results of drug treatment, coronary artery bypass transplantation alone, and coronary artery transplantation combined with mitral valve replacement. Among them, medication is the least effective. "
The old driver looked at them blankly.
"In short, surgical treatment is the best plan. In your case, it's best to remove the coronary artery and mitral valve together." Zuo Cidian came forward and said softly in human language, "You won't spend too much money if you perform one more surgery for the same surgery. Besides, you have medical insurance, right? You'll only spend tens of thousands of RMB if you pay for it."
"Tens of thousands …" The old driver shook his head in distress. Because of his body, he had not worked for a few years. He had also sold his truck. Coupled with the daily medical expenses, he could be said to be in a state of sitting ducks. This time, he decided to undergo surgery mainly because his body could not take it anymore. He only managed to scrape together the money that his daughter gave him out of filial piety. However, it was too difficult for him to add tens of thousands of RMB to this amount.
He could not really sell his house. Not to mention that the old house in town was small and rundown. It would take a long time for him to sell it at a high price. Even if he really sold it, where would he live after he went back? Besides, if he could not leave any inheritance behind, he would not be able to forgive himself …
"Think about it again. It's quite rare for Doctor Ling to personally perform surgery." Zuo Cidian felt a little sympathy for the patient in Bed 102. When he looked at him, he seemed to be able to see himself in his old age.
Therefore, Zuo Cidian tried to persuade him a little more, but that was all he could do. Surgery was risky, and cardiac surgery was even riskier. According to international standards, cardiac bypass surgery combined with cardiac valve surgery had a mortality rate of about 5%.
If he tried his best to persuade the patient and encountered a bad situation, not only would the family find it difficult to bear, the hospital, the department, and Ling Ran would also likely be under great pressure.
In fact, when Zuo Cidian said this, he was also under pressure.
He did not need to turn his head to know that Huo Congjun was definitely staring at the back of his neck …
The group of doctors bunched up again and threw themselves out of the ward in a mighty manner.
Zuo Cidian took the initiative to find Huo Congjun and said obediently, "Department director, can you reduce some of the expenses for Patient 102?"
"No." When Huo Congjun saw that Zuo Cidian took the initiative to come over, he felt a little better and said, "How should I put this, Patient 102's conditions are not as good as the best, but they are better than the worst. He has medical insurance and a pension of more than 2,000 RMB a month. He also has a small house in town, and his daughter's family conditions are not bad. Compared to many low-income households and some elderly people who don't have pensions but don't have houses, his conditions are better … "
"But if we do this, he will return to poverty because of his illness." Zuo Cidian shook his head slightly. He was very familiar with this kind of elderly people who were sick in small towns. When he was in the town hospital, many old patients had similar characteristics, and the old people who were willing to put down their pride to pick up vegetables in the small town's market were also this kind of old people.
Huo Congjun could only sigh. "He's sick, but it's not because of us."
"Then, is there any research fund or project fund?" Zuo Cidian brought up the Cleveland Clinic and carefully probed, "When we were in the United States, I heard that Department Director Osborn spent a few million USD to find suitable patients …"
"Do you think we need to spend money to find patients?" Huo Congjun spread his hands.
"Then …" Zuo Cidian turned around and took a look. Through the open door of the ward, he saw the father and daughter on Bed 102 looking at each other speechlessly.
Zuo Cidian licked his lips. "What if we allow them to delay the payment?"
Huo Congjun gave him a sideways glance. "Are you going to be their doctor in charge?"
According to Yun Hua Hospital's policy, if a patient owed the fees or simply left, the hospital, department, attending physician, and the doctor in charge would have to share a portion of the money.
Zuo Cidian naturally knew this policy. He touched his CK underwear through his large white coat. "Okay."
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