This doctor is very stable

Chapter 14 Hepatectomy
While deftly debridement and suturing, Lin Ran ordered the nurse, "Go and help me see if Dr. Zhao has come to work?"

The hospital stipulates eight hours of working time a day, but the working hours of doctors have always been stipulated for show.

Although Li Xiaowu didn't understand why Lin Ran wanted to find a superior doctor, it didn't prevent her from looking for someone.

Li Xiaowu did not find Zhao Jie, but instead called Chen Qiufeng, the director of the emergency department.

Chen Qiufeng walked into the treatment room, Lin Ran's stitching had just been done halfway.

Chen Qiufeng didn't make a sound and signaled Li Xiaowu to keep quiet, and just stood quietly behind and watched Lin Ran do the stitching.

Seeing Lin Ran suturing the patient's wound with ease, Chen Qiufeng nodded in satisfaction.

Lin Ran's growth rate is a bit fast!Yesterday he also saw that Lin Ran was using interrupted sutures, and the sutures could only be regarded as quite satisfactory.

But now Lin Ran has changed to the figure eight stitching method, and the stitching has been fast and stable, and the naked eye can see that the quality of Lin Ran's stitching is more than twice as good as yesterday.

After suturing, Lin Ran found the two people behind him. After bandaging, he asked, "Uncle Li, I suggest you go for a liver function test."

The dark-skinned Li Dashan sighed, and said: "Oh! I have an old liver disease, and it will pass after a while. It's fine."

"Then you wait first..." Lin Ran looked at Chen Qiufeng after speaking.

Chen Qiufeng saw that Lin Ran had something to say, so he nodded slightly.

The two walked out of the treatment room, and Chen Qiufeng asked, "Xiao Lin, don't you see that this patient is seriously ill again?"

Lin Ran explained: "Director, the patient had liver cirrhosis before, and now he may have a liver tumor."

Once liver cirrhosis occurs, it is generally irreversible. If a tumor is discovered during the course of anti-fibrosis and anti-cirrhosis drugs, it is probably liver cancer, which is relatively common in clinical practice.

But Chen Qiufeng was amazed at how Lin Ran was diagnosed, physical examination plus traditional Chinese medical examination?Or did Lin Ran have his own diagnostic methods?

Chen Qiufeng thought for a while and said, "Let the patient go for a liver and kidney function test and a B-ultrasound. We will pay for the examination fee at the emergency department."

Lin Ran was 100% sure that Li Dashan had liver cancer now! "Thank you, Director, but what if the patient is found to have liver cancer?"

Chen Qiufeng looked at Lin Ran and sneered: "Lin Ran, have you heard the saying that you don't save the poor? After the test results come out, it is not within the scope of our doctor's responsibility to decide whether the patient wants to be treated and whether he can afford the treatment. What our doctors can do is to provide patients with the best quality diagnosis and treatment plan, instead of paying for patients, do you understand?"

Chen Qiufeng also knew about the ultra-long CPR performed by Lin Ran and the others yesterday. The ultra-long CPR can save people. This is very good and deserves praise.

But now Li Dashan's situation is different. It is the limit of what he can do to be able to save the money for the examination. The hospital is not a charity after all!

Lin Ran nodded silently, indeed all he could do was to check.

Waiting for the test results to come out...

Lin Ran turned his head, and Chen Qiufeng stopped him again, "Don't be impulsive, you can pay this patient with your own money, but you will still pay for a patient who looks down on the doctor later? How much money do you have?"

Lin Ran turned around, "Director, I understand."

Even if Lin Ran wanted to support Li Dashan, he didn't have the capital!
"Well, it's good to understand. By the way, your suturing skills have improved again. Yes, and how did you diagnose the patient with a liver tumor? It seems that you saw Huang Yihui's brain tumor patient early in the morning. What do you have? Special consultation skills?"

Lin Ran was slightly taken aback, what can he say about the support function of the system?Certainly not!
"Director, I have also learned a little Chinese medicine, and every time I see a patient, I will take notes, what kind of symptoms will appear, and what treatment methods are used. If I don't understand, I will also consult the literature. It has been four years since the internship started.”

The medical field pays attention to both talent and accumulation, Lin Ran believes that saying this should be able to fool the past.

Hearing Lin Ran's answer, Chen Qiufeng nodded in satisfaction, "Seeing a doctor is the foundation of every doctor. It's good that you can keep records. It's good to keep accumulating experience. Of course, you also have the talent to see a doctor. Continue. effort."

After speaking, Chen Qiufeng left. A common liver cancer patient did not arouse his interest, but Lin Ran's rigorous academic attitude made him quite satisfied.

[Ding: Congratulations to the host for participating in the debridement and suturing of a V4 liver cancer patient, and receiving a reward of RMB: 1000 yuan, liver resection (primary), and liver anatomy experience 200 times. 】

【叮:触发三星级任务(鲜红的肝脏)1/30，任务奖励，1、人民币:10000元，2、肝切除手术经验2000。】

Lin Ran was overjoyed to be given the third-level surgery skills directly, but then the problem came again, let alone a third-level operation as a trained doctor, he couldn't even perform a free operation of the first-level appendectomy!Can hepatectomy be his turn?
Unexpectedly, it was such a good method, so Lin Ran had no choice but to go back to the treatment room.

"Uncle Li... We are developing a new surgery in the emergency department, so we can give you a liver and kidney function test and a B-ultrasound test for free. Do you want to do it?"

Hearing that the hospital still offers free examinations, Li Dashan smiled honestly and said, "Doctor, you won't lie! After I finish the examinations, I'll talk about the fees. I'll tell you to suture. The tens of dollars cost me a lot." It’s very distressing, and I really don’t have the money to do inspections!”

Lin Ran was quite helpless, and after thinking for a while, he said, "In this way, you should pay the suture fee first, and then I will take you for an examination in person. If you need money, can I pay you?"

Lin Ran also earns more than 5000 yuan now. It is not enough to help Li Dashan pay for the operation, and it is still possible to pay a few hundred yuan for the inspection fee, and Director Chen has said that it is free, so naturally there is no need for him to pay for the inspection results. Whether to treat or die after coming out can only be decided by the patient's family members.

Li Dashan hesitated for a moment and then nodded. Lin Ran took him to pay the fee first and then to do the examination.

The results of liver and kidney function tests and B-ultrasound examination confirmed that Li Dashan was in the middle stage of liver cirrhosis and the second stage of liver tumor.

Active treatment should prolong life. If Li Dashan is not treated, he may only live for a few months. It is certain that liver cirrhosis and liver tumors will deteriorate very quickly.

Seeing that Lin Ran remained silent for a long time after seeing the test results and film, Li Dashan asked, "Doctor, how is my test result?"

Lin Ran came back to his senses, "Uncle, there is nothing wrong with your test results, maybe I misread it. Can I talk to my son on the phone? I think your son is about the same age as me! Maybe I can talk to you." chat."

Lin Ran said that he was fine, but in a blink of an eye he asked his son to call. Li Dashan knew that maybe his condition was serious.

So he refused, "Doctor, I'm sorry, you should stop calling my son. He finally found a decent job, so don't bother him. I know my own illness well."

Lin Ran was at a loss as to what to do now. At this time, Zhao Jie just walked in from outside the hospital. Seeing Lin Ran from a distance, he walked over and asked, "What's wrong with this patient?"

Lin Ran was relieved to see Zhao Jie, he really didn't know how to persuade Li Dashan to accept the treatment.

Lin Ran handed the test results and the film to Zhao Jie and said, "Mr. Zhao, please show me!"

Zhao Jie carefully read the liver and kidney function test results and the B-ultrasound film, glanced at Li Dashan, and said, "Brother, your condition should be hospitalized immediately for surgery."

"What? An operation? Doesn't that cost a lot of money? I'm dying."

Li Dashan snatched the inspection results from Zhao Jie's hand, turned around and left.

Zhao Jie didn't stop him either, Lin Ran made a last effort, "Uncle Li, your illness really needs to be treated right away."

Li Dashan turned his head, "Thank you, Dr. Lin."

After he finished speaking, he left in a hurry, Zhao Jie looked at Lin Ran who was a bit disappointed and said with a smile: "Is this patient reluctant to spend money on medical treatment?"

Lin Ran nodded: "I have spent all my savings for my son who is worthless, and I don't want to spend money on medical treatment."

"You have been in the hospital for three years. Haven't you encountered such a situation? There is nothing we can do if the patient voluntarily gives up treatment. We are not Bodhisattvas who save the suffering. We can save the sick, but not the poor. Let's go! Go back."

…………

Back in the emergency room, Lin Ran shook his handsome head and stopped thinking about Li Dashan. Doctors are not omnipotent gods, even Zhao Jie can't help him, let alone him!

Lin Ran was once again engaged in chores such as debridement and sutures.

It was night in a blink of an eye.

Lin Ran was treating a trauma patient. Liu Qiaoxin brought a young man to find Lin Ran, "Doctor Lin, a family member of the patient is looking for you."

Lin Ran looked back at the young man next to nurse Liu Qiaoxin, and at a glance he could tell that this was the son of the liver cancer patient Li Dashan at noon, because he looked so much alike.

"When I finish suturing this patient, can we talk later?"

Liu Qiaoxin looked at Li Yanliang, "Wait!"

Five minutes later, Lin Ran finished suturing, and just as the patient was pushed away by the nurse, Li Yanliang asked impatiently, "Doctor Lin, does my father, Li Dashan, have liver cancer?"

Lin Ran nodded. Li Dashan's son was a bit filial to find the hospital.

"That's right, your father already had cirrhosis of the liver, and now a tumor has been discovered. If you don't actively treat him and have an operation right away, there should be three months left."

Li Yanliang's voice was a little trembling, "Then... how much will my father need for surgery if he receives treatment?"

Lin Ran thought for a while, "The cost of liver resection and post-radiotherapy will cost at least 10 yuan."

Li Yanliang gritted his teeth and said, "One hundred thousand? Okay, I'll borrow it. I'll go bankrupt and I'll also cure my father's illness. I'll send my father to the hospital tomorrow."

"Wait..." Li Yanliang was about to leave when Lin Ran stopped him and explained again, "Your father had cirrhosis of the liver, even if he underwent liver resection, it might not prolong his life much, maybe a year or two You don't want your father to spend his last days in various treatments, do you?"

Lin Ran thought about it when she came back at noon.

Perhaps for a poor family like Li Dashan, there is really no need for surgery if he is terminally ill.

(End of this chapter)