godfather of surgery

Chapter 105 Charity Surgery
After leaving Teacher Yan's ward, I went to see the young man with osteomyelitis.

Yang Ping asked the doctor in charge to bring the dressing change kit, changed the dressing himself, and measured the area of ​​the skin defect.

"After the operation, it was fine. Three months later, there was a bulge here, and then it broke, and it became a small opening. From then on, it continued to ooze pus," the young man said.

"How many operations have you had?" Yang Ping chatted with him while dressing up after changing the medicine.

"Yes, I did several debridements, cut off the skin, cut off the flesh, removed a piece of bone, and the nail was exposed. The doctor didn't dare to move the bone anymore, saying that it was all infected, and it was useless to cut it again. Originally He wanted to be a soldier, but it turned out like this, alas—" The young man was very depressed, a kind of sadness of disillusioned dreams.

Serving as a soldier, even if the osteomyelitis is cured, hyperthyroidism cannot go, and the road of being a soldier will not work.

After dressing up, Yang Ping said: "We are trying to find a way to cure it, but the process will be very troublesome. Today I took the bone for examination, and tomorrow morning I will draw blood. We will study your condition after the results come out."

"Can I still serve as a soldier after being cured? They say that the leg will be like this for the rest of my life, unless it is amputated?" The young man looked sad.

"Rest these few days, don't worry, there are more solutions than problems." Yang Ping comforted him.

"Well, I must go to be a soldier." The young man was very persistent in his ideal of being a soldier.

"You can choose many professions, and you don't have to be a soldier." Yang Ping reassured him.

"Doctor, as long as he is cured, he can go to the army and have as many surgeries as possible. You must be able to do something." The young man looked expectantly.

"Do your best!" Yang Ping said.

At this time, a pair of old man and old lady came in and delivered meals in insulated lunch boxes. The old couple seemed to be in their eighties, but they were still in good health and walked without crutches.

After changing the medicine, he found that Director Zeng had been waiting at the door. Yang Ping thought he had something to do.

It turned out that he wanted to invite Yang Ping to dinner, so he invited all the doctors in the department, except those who were on duty.

I originally planned to ask for it one day later, but I heard that Yang Ping will go to the countryside in two days, so I am afraid that the meal will be delayed, and my sincerity will fade.

So I temporarily decided to invite you now to a restaurant near the hospital.

The doctor in charge of the bed helped to clean up the garbage.

Let's go out to eat together, it's not far away, just walk there.

During the meeting, everyone had a very good atmosphere. Director Zeng couldn't help but pour out his sorrows, such as the many difficulties and sufferings of the grass-roots hospitals.

Speaking of the young man with osteomyelitis, Director Zeng showed embarrassment.

The young man's surname is Xu, but he is actually quite pitiful. His parents died when he was young, and he was raised by his grandparents. Now his grandparents are 80 years old.

Because chronic osteomyelitis treatment takes a long time and costs a lot, even with medical insurance, the out-of-pocket part is difficult to bear. In order to allow him to treat the disease, the old man sold his only house and now lives in an old bungalow of a relative.

That's not what Director Zeng said in his rounds that morning, and what he said contradicts himself.

Zhang Lin seemed to want to say something, but Yang Ping immediately said, "Zhang Lin, pour me a drink."

Zhang Lin also understood the meaning, don't deliberately embarrass people.

In fact, Yang Ping knew that what Director Zeng said on the first day was nothing more than telling himself not to act rashly, Director Zeng was thinking wrong.

"If this is the case, the cost is a problem, and we have to find a way." Yang Ping said that this problem is very realistic.

Let the hospital go out? If the hospital had to go out in this situation, the hospital would have closed down long ago.

Sanbo's medical aid this time is a charity activity, but it only refers to the voluntary labor of doctors in Sanbo.

Yang Ping and Director Zeng began to calculate the cost. If the inspection results meet the expected judgment, surgery can be performed.

The intramedullary nail needs to be removed, and the external fixator needs to be replaced. Where there is a bone defect, it needs to be filled with calcium sulfate containing antibiotics. This thing is more expensive than gold. Calculated by gram, it is estimated that this consumable will cost [-] to [-] to [-] yuan.

Even if the medical insurance reimburses part of the expenses, he will bear at least [-] yuan.

It is a way to find equipment manufacturers to sponsor consumables, but this grassroots county hospital uses very little, and they may not be willing, especially calcium sulfate. Director Zeng will definitely not use a few grams throughout the year.

The essence of doing business is to make money, and you need someone to sponsor you. The wool comes from sheep, and you rarely use it yourself, so how can people sponsor you?

Director Zeng was worrying about this matter. Moving this mountain was much more difficult than Teacher Yan's.

Yang Ping took a sip of his drink and said, "The biggest cost of this operation is the external fixator and calcium sulfate. Let me find a way!"

When Yang Ping said this, Director Zeng was relieved, and the matter of expenses was settled.

Everyone did not drink alcohol, for fear of an emergency, a small hospital with a small number of staff, and even fewer surgeons.

Unlike Sanbo Hospital, all the directors who lead the group are not on stage, so the operation will not be delayed, because the old attendings below, such as Dr. Jin, have no problem coping with it.

After dinner, he returned to the dormitory. Director Tian returned early today and had no entertainment.

He gave Zhang Lin a list: "The weather is relatively good these days. There is a trip to the countryside. You and Xiao Wu will arrange the personnel allocation. Those who are circled will not go. Let everyone go to the hospital conference room at noon tomorrow for a meeting." , set off the day after tomorrow, and have a whole day of activities, set off early in the morning and come back in the evening.”

Zhang Lin took it over and said, "Aren't we going to the countryside now? Are we still going to the countryside? Where are we going?"

"Go to the mountains, enter the village, send medicine to the doctor, and see a doctor for physical examination." Director Tian said.

"how long?"

"In one day, there are a total of ten villages, all of which are inhabited by ethnic minorities. Village doctors and village cadres will lead the way." Director Tian said.

"This is good. We should do it for a few more days, maybe a week." Zhang Lin was very happy.

Director Tian glanced at him and said, "Are you here in Zhibian, or are you on vacation?"

"Both poetry and carelessness, Dean Tian! This is the spirit of revolutionary optimism."

Zhang Lin took a pen and began to sketch on the paper.

Fatty Liang asked, "I'll go too? Shall I deliver the anesthetic?"

"You don't need to do the matter of losing your head. You can measure your blood pressure. Aren't you losing weight? Walking up and down the mountain road, you will lose five catties of meat, and all your luggage is included. Ten catties is not impossible." Director Tian said leisurely Say.

When Director Tian was free, Yang Ping approached Director Tian and said, "Director Tian, ​​I have something to report to you."

For patients with chronic osteomyelitis, Yang Ping had briefly reported it before, but now he needs to report in detail. When it comes to calcium sulfate and external fixators, Yang Ping said that Director Zeng wanted to find a supplier to solve it, but there must be difficulties.

Director Tian thought for a while and said, "They don't use much, how can they help him? The loss is to make more money in the future. I'll take care of this. How much is the calcium sulfate?"

"At least thirty grams." Yang Ping estimated.

Director Tian immediately picked up the phone: "Xiao Lin, I'm Tian Yuan. I have a charity operation at Nanqiao County People's Hospital and I need [-] grams of calcium sulfate. I'll send you the address and send it over. I need it as soon as possible. It's urgent. I need it in the evening." Just express delivery? That's the best."

After hanging up the phone, he made another call to fix the external fixation bracket.

"They will deliver the goods tonight, and they will arrive tomorrow or the day after tomorrow. It won't affect the operation. If not, I'll ask them to send a special car." Director Tian is very enthusiastic.

"That's no need, the operation will definitely be done in a few days." Yang Ping said.

Originally, he was just reporting first, there was no need to be in such a hurry, and it was still uncertain whether the operation would be done, but it turned out that Director Tian resolved it within a few minutes and two phone calls.

The issue of consumables is settled, and the rest is the diagnosis. No one is absolutely sure whether the patient's condition is the same as his own speculation, until the result comes out.

To solve this problem, Yang Ping slept soundly at night.

Another day passed, the third day at work.

Just after finishing the shift and before the ward rounds, Director Zeng received a call from the director of the laboratory department.

"Thyroid hormones, T3, T4, FT3, FT4 have all increased, especially T3 and FT3 increased more! The thyroid function is really hyperactive!"

Director Zeng put down the phone with an excited tone, as if he was looking forward to the patient's hyperthyroidism.

If the imaging examination is the first evidence.

Well, the second evidence has already supported his own judgment.

Now wait for the third evidence - bacterial culture!This is the most important piece of evidence. If bacteria are cultured from all the samples taken, the previous two pieces of evidence will automatically stand aside.

Bacterial culture usually takes three to five days to produce results, so be patient.

This patient is not like Teacher Yan, who can be diagnosed very quickly, and the results will be seen immediately after a single operation. Diagnosis alone is a troublesome matter.

Teacher Yan is fine now, except for the slight pain from the surgical incision, the previous numbness in the right lower extremity has completely disappeared, and there is no worrying rebound.

During the ward round, he was on the phone: "It's too small, make it bigger, make it bigger--"

His son went to buy breakfast, and a pair of crutches were placed beside the bed. He had a wound on his buttocks, making it inconvenient to sit, but it was easier to walk.

Seeing Yang Ping come in, he immediately beamed with joy: "I had a good sleep last night. It was so relaxing. It was so relaxing. A few tablets of Valium in the past were like eating beans. It didn't work. I didn't take Valium last night. Fall asleep and wake up at almost eight o'clock, this is the life of a person."

After lunch, I went to the conference room of the hospital. Director Tian and Director Pan called everyone to have a small meeting, which was to send health to the countryside tomorrow.

Ten villages were selected, all of which were relatively remote and inhabited by ethnic minorities. Each village sent two or three people with a medical kit to give the villagers medical examinations and medical treatment.Doctors assigned by Sanbo to traditional Chinese medicine hospitals and maternal and child health care centers do not need to participate.

The Health Bureau will send a car to take people to the entrance of the village, and each group will be accompanied by village or township cadres throughout the process.

In the afternoon, everyone should not go to work and go back to the dormitory to prepare.

Yang Ping tidied up his backpack and checked the weather forecast on his mobile phone. The weather has been sunny for the past few days, so it is indeed more suitable for going to the countryside.

The village here is a real village. The concrete road only leads to the village entrance. The so-called village entrance is only a conceptual village entrance, not a geographical one.

Because the distribution of their residents is very scattered, some of the roads into the mountains are completely over the cliffs, and there is no way to build roads to get in.

"It's sunny, what are you doing with your raincoat?" Zhang Lin watched Yang Ping pack the raincoat.

Yang Ping felt that the weather forecast was not [-]% reliable, so he should take one with him to rest assured.

"Prepare for a rainy day!"

Yang Ping folded the two raincoats.

　Thanks to the campfire dealer for the reward!The update is working hard to improve the speed!Will definitely improve!thank you all!
　　
　
(End of this chapter)