This doctor is very stable

Chapter 59 Get the top and get the bottom [I'm asking for votes! 】

After a while, Qian Xuan and Liu Chengtao also arrived.

Seeing everyone arrived, Xu Hong greeted everyone to sit on the sofa next to the coffee table, and then began to say: "These patients have many underlying diseases, difficult treatment, long treatment time, and high treatment risk, so most of them should be given up by the hospital. patients."

"Then should we treat such patients who have nowhere to seek medical treatment? I think we must, and we must. Even if the final treatment result may not achieve a radical effect, as doctors, we should prolong the life of patients as much as possible. Possibly improving the quality of life of patients for the best part of their lives."

"You should understand the truth of [seeking for the top, seeking for the bottom, seeking for the bottom.] You should understand the truth! It is not so easy to make achievements in the medical industry, and it is not so easy to become a good doctor. Capable people What you can't do is the most basic standard for a good doctor."

The greatest advantage of a medical monk is that he can do two things at once. When Xu Hong spoke, Lin Ran had already read the medical records in his hand.

His mind was thinking about the feasibility of the treatment plan.

The patient has high blood pressure, a history of coronary heart disease, and had a heart bypass a few years ago, so he underwent laparotomy to remove the liver segment of the liver cyst.

Laparotomy for hepatic cyst requires occlusion of the hepatic vein.

For patients with high blood pressure, coronary heart disease and heart bypass, the heart is like a dilapidated house.

Opening the abdomen to block the hepatic vein is like spraying water in a house, so this dilapidated house will collapse if it does not!
There is a high probability that the hands will cause myocardial infarction, heart failure and other consequences.

At that time, the operating room will become an emergency room, and patients may not be able to get off the operating table.

However, the patient's sex cysts are multiple, and as the volume of the cyst increases, it has been compressed to other tissues, which means that the patient is in great pain now.

So whether the cyst ruptures or the cyst compresses the liver veins and arteries, the patient's life may end at any time.

Laparotomy to remove liver cysts is no longer advisable, so what about tumor interventional therapy!
Tumor interventional therapy is a minimally invasive surgery, which refers to the perfusion of drugs into tumors with puncture needles, catheters, and guide wires under the guidance of B-ultrasound, angiography, nuclear magnetic resonance, and endoscopy.

Embolization, decompression, and drainage are performed on local tumors to control tumors, relieve symptoms, and improve the quality of life of patients.

Liver cysts are not tumors, so interventional therapy for liver cysts is also different from interventional therapy for tumors.

The difference in the use of drugs and the difference in postoperative efficacy.

Interventional treatment of cysts is far simpler than interventional treatment of tumors, and the therapeutic effect that can be achieved after surgery is more ideal than that of interventional treatment of tumors.

Therefore, interventional therapy is a feasible treatment plan, but interventional therapy also has limitations.

Interventional treatment usually requires 3 to 4 operations, and one interventional treatment is performed in a cycle of 6 to 8, and it must be combined with radiotherapy, so the charges may be quite staggering.

Lin Ran was a little worried that the families of the patients sent from the townships and counties would not be able to afford the medical expenses!

……

Seeing that Lin Ran was fascinated by the medical records in his hand, Xu Hong asked, "Lin Ran, is there a feasible treatment plan for the patient in your hand? Tell me about it."

Lin Ran nodded, stood up and said, "The patient I am dealing with is a liver cyst patient with high blood pressure, coronary heart disease, and heart bypass surgery. It is unrealistic to remove the cyst by laparotomy."

"So I think the method of cyst ultrasound interventional treatment can be used."

"After percutaneous puncture into the cystic cavity, the cystic fluid is aspirated, the cystic cavity is washed with normal saline, and the cystic cavity is rinsed with lauromacrogol."

"In this way, the endothelial cells of the cystic cavity, that is, the endothelial cells that produce cystic fluid, undergo necrosis, lose their exudative ability, and gradually be absorbed by the body."

"Surgery combined with radiotherapy can improve the quality of life of patients and achieve the effect of long-term living with a cyst."

"Very good." Xu Hong applauded lightly, and said again: "If you don't see it, just use your brain, there are still treatment options, even liver cysts in patients with high blood pressure and coronary heart disease have feasible treatment options, you still have one What are you doing with a frowning face?"

After Xu Hong finished speaking, Qian Xuan raised his hand and asked, "Ultrasonic interventional treatment of liver cysts is an operation that has not been performed even in the interventional department of our hospital! Can we do it? And will the cost be too high?"

Xu Hong looked at Lin Ran, he believed that since Lin Ran could propose this plan, Lin Ran must have a solution.

Lin Ran smiled confidently: "I can do ultrasound interventional surgery. As for the cost of surgery, it's never something that our doctors consider. We provide feasible surgical plans and let the family members of the patients choose by themselves!"

"I believe that there is a cure, and the family members of the patient will not give up easily. Since our hospital has not carried out ultrasonic interventional therapy for liver cysts, it is a new operation for our hospital! I think the departments in the hospital There should be a discount here."

Inadvertently creating a new technique, Lin Ran did not think of it.

At the same time, he also had some doubts in his heart. Xu Hong's method of embolization of the femoral artery last time was obviously very sophisticated!

Seeing Lin Ran's puzzled face, Xu Hong smiled and said, "Lin Ran, do you think my puncture technique is good, and I should also do liver cyst interventional treatment, right?"

Lin Ran nodded.

Xu Hong explained with a smile, "The emergency department is too busy, and the hospital beds are also very tight. Generally, patients who need interventional therapy for tumors and cysts need to stay in the hospital for a long time, so it is not suitable for us to do it in the emergency department, so we usually encounter patients who need interventional therapy. Generally, I would recommend them to go to specialized departments, but as for the interventional department of our hospital, let’s not talk about it, sometimes their techniques are not as good as mine!"

Lin Ran nodded, "So that's the case? Is it possible for Mr. Xu to talk about department discounts and hospital discounts?"

Xu Hong nodded slightly, "I can't say that, but you can apply for it. The medical department should consider it. But the application also needs a process. Lin Ran, you should take care of the patient's body first. High blood pressure is always a problem. Interventional surgery can’t be done, and special attention should be paid to medication, patients with coronary heart disease should still take medication, don’t be careless, drug conflict is not a trivial matter.”

"But you can't have too much hope for the hospital and the department. The fact that interventional therapy has not been carried out in Hengshan Hospital does not mean that it is not available in other tertiary cancer specialized hospitals! It is generally difficult to apply for preferential subsidies if it is not a new operation."

Lin Ran nodded, "Understood, Mr. Xu, then I should not talk about discounts when I communicate with patients."

"Very good, you should come up with a treatment plan and a conditioning plan first, and communicate with the patient's family. After we discuss it, we will start treatment."

"clear."

After speaking, Lin Ran sat down.

With Lin Ran taking the lead, others also began to think hard.

…………

Finally, Xu Hong looked at the time and said with a smile: "It's [-]:[-], you go to have a meal first, and you are thinking about the treatment plan when you come back, and you are fully responsible for all the treatment and conditioning plans for these eight patients, Lin Ran, and the rest The staff will cooperate with you, and I will be responsible for the final review."

Lin Ran didn't expect Xu Hong to come here again. He was in charge of eight V4 patients at a time and assigned five assistants.

Lin Ran grimaced, "Teacher, why don't you take care of these patients! I'm inexperienced! I'm afraid I might be negligent."

"No, these patients are admitted to train you. The reason why I serve as the team leader in the surgery group is just to play a guiding role. The real test is for you to face it yourself."

"But..." Lin Ran wanted to say something, but Xu Hong interrupted him directly and said, "Okay, Lin Ran, I believe you can do it, let's go eat!"

Lin Ran had no choice but to respond, "Okay!"

Xu Hong laughed again and said, "Aren't they still there to assist you? There are more people and more strength!"

After encouraging Lin Ran, Xu Hong looked at Qian Xiaopang again and said, "Qian Xuan, after dinner, you are responsible for entering the patient's medical records into the computer. You should all have notebooks! This way you don't have to hold the medical records all day. "

"Okay..." Qian Xuan responded.

The six people walked out of Xu Hong's office. Fortunately, the burden of the others did not fall on them.

Didn't Xu Hong and Lin Ran still stare at the sky falling?

As soon as he walked out of the door of Xu Hong's office, Qian Xuan immediately asked with a smile: "Doctor Lin, do you want to treat 8 critically ill patients to dinner?"

Lin Ran rolled his eyes at Qian Xuan, and smiled helplessly, "Such a heavy burden fell on me all of a sudden, it would be nice if I asked you to treat me to dinner."

Qian Xuan scratched his head, "That makes sense!"

At this time, Zhou Yue jumped out, "Let me treat everyone to dinner!"

She kept in mind the incident of Lin Ran eating instant noodles last time. She estimated that Lin Ran didn't have much money to train a doctor, so she wanted to help Lin Ran out!
Lin Ran glanced at Zhou Yue, and said, "You are an intern and you have to pay for an internship in the hospital. Where can you get the money for a treat?"

Zhou Yue's regular clothes usually don't have any brand-name products. Lin Ran reckons that this girl is just trying to be brave. The girl's family is not rich. She might finish her invitations today, and she will hide in a corner tomorrow to eat instant noodles!
"But I have a scholarship! And my family will give me living expenses every month."

"Okay, let me invite you! Recently, Director Chen is going to calculate my surgical performance for me."

Chen Qiufeng did say that Lin Ran had the operation and then had someone sign it on his behalf to calculate the performance.

But a few days passed, and Boss Chen never mentioned it. If the system hadn't given some living expenses, Lin Ran would have reminded Boss Chen to go.

Walking out of the emergency department, Qian Xuan heard that Lin Ran could get surgery results, and his mind came alive. He is also a regular doctor!Lin Ran can perform surgery, why can't he?

"Doctor Lin, what is the specific operation method? My brother is also poor!"

Qian Xuan's family is not a wealthy family, and it is impossible for an ordinary well-off family to give him a lot of money. Now that he has the opportunity to obtain surgical performance, how can he not care?
Having surgical performance equals economic freedom!

SP: There are a lot of brainless trolls, so the speech can be changed to a fan value. If you want to do nothing, you can spray people and get people's mentality. There are no windows!

(End of this chapter)