Chapter 852: You can do it
Ten years ago, I made four stents, and four years ago I made five, which is really a lot of money.
At present, the cost of a heart stent is about 8,000 yuan if it is domestic, and the price of a stent is basically about 20,000 yuan if it is imported.
Entering the ward, Fang Han also saw the so-called rich man, the patient was in his fifties, emaciated, purple and dark, covered with spots, and the whole person looked extremely tired and weak, wheezing from time to time.
There are quite a few family members of the patient, seven or eight men and women, ranging in age from 20 to 30, waiting in the ward.
Wang Zhicheng whispered in Fang Han's ear: "They are all the children of patients. ”
"Eight?"
Fang Han looked at these children, they were dressed ordinarily, and they didn't look like rich people.
"Dr. Solis, Director Qian, Director Wang. ”
Seeing a large group of doctors coming in, one of the patient's sons hurriedly stepped forward to greet him.
"Is there an operation soon, we are already prepared, and we are paying attention to all kinds of precautions. ”
"Wait for the surgery. ”
Qian Xiaolin nodded and said, "Do another examination before the operation." ”
"Thank you, Director Qian, thank you, Director Wang, and thank you, Dr. Solis. The patient's son didn't care if Solis understood it or not, but thanked him anyway.
As he spoke, the doctors were already standing at the bedside, and Solis and his team of doctors gathered around the patients as if they were ready to watch them, and the eyes of the otherwise listless patients were instantly opened.
"I don't think I'm going to be a funeral. ”
The patient is also humorous, and there is a kung fu joke about this point.
But not to mention, such a large group of people in white coats standing in a circle does make people feel panicked.
"Don't think about it, just do a preoperative check-up. ”
As he spoke, Fang Han had already sat down on the edge of the bed, stretched out his hand and pulled the patient's arm and began to check the pulse, and asked while checking the pulse, "How do you feel now?"
"Panic, discomfort, lack of energy, wheezing, arm pain........"
"How's the sleep?"
"I had a very poor sleep, and I had to take sleeping tablets every night to fall asleep. One of the patient's sons said hurriedly.
"Where's the poop?"
"The stool is loose and unformed, and there is a feeling of sagging in the anus. Wang Zhicheng added.
The patient's situation is already very clear, that is, Fang Han's first contact with the patient.
Fang Han let go of the patient's wrist, replaced it with another arm, checked the pulse, and then stood up and looked at the patient's tongue coating.
"Doctor Fang, is there anything you need to add?"
Seeing Fang Han get up, Solis hurriedly asked.
In fact, Solis and a group of people were standing around the hospital bed just now, and they were just curious about the pulse, otherwise they would not be interested in understanding the situation again, after all, they had only understood.
"Doctor, can I get better with a heart bypass?"
The patient also said weakly: "When I first got sick, the doctor said to do stents, and I did one after another, and I did eight or nine of them intermittently, and now I have to do a bypass, and it is terrible to think about this heart bypass." ”
"Dad, don't worry about it, treat the disease with peace of mind, and we will do the rest. The patient's son hurriedly comforted him.
"You guys are not rich, how much money have you spent on me for so many years, and this bridge will cost hundreds of thousands, right?"
"Not so much, about 100,000, a few of us can get together or make it up, you can treat the disease with peace of mind." ”
Fang Han looked at the patient's children, and there was no dissatisfaction on their faces, but they all looked very worried.
Seven or eight children, and they are all so filial, it's not easy.
Fang Han didn't say much, but walked out of the ward, and Solis and the others also walked out of the ward together.
Walking out of the ward, Fang Han deliberately slowed down a few steps, and walked with Qian Xiaolin, and Wang Zhicheng also came over when he saw this.
"Xiao Fang, did you find anything?"
"I just examined the patient, but I don't have to have bypass surgery. Fang Han said in a low voice.
"Xiao Fang, what do you mean?" Qian Xiaolin hurriedly asked.
"According to the patient's condition, the patient made nine stents intermittently, which not only did not relieve myocardial infarction, but caused heart failure.
"As far as heart bypass surgery is concerned, patients with heart, lung and kidney insufficiency are indeed not very suitable, the patient's heart failure, the risk of surgery is indeed relatively large, with the current situation of the patient, there are definitely only a handful of people in China who can do this surgery, but since Solis agreed to do it, I think there is a certain certainty. ”
Wang Zhicheng is the director of cardiac surgery at Yenching Hospital, and he is not only proficient in heart valve surgery, but also proficient in stents and heart bypasses, so he still understands the risks and contraindications of this surgery.
Fang Han's skills are copied, and a copy card can only copy one skill, so Fang Han's shortcomings in the heart are very big, but Wang Zhicheng learned it by himself, although heart valve surgery is not as good as Fang Han, but people know more.
"Xiao Fang, do you mean that the patient does not need to have heart bypass surgery?" Qian Xiaolin heard Fang Han's words.
"I think I can try it in the way of Chinese medicine. Fang Han said.
Just now, when the patient's family asked Solis about it in the ward, Fang Han didn't say that it was for this reason that in his opinion, surgery was not the only choice for the patient.
There were many people in the ward, so Fang Han didn't say anything, and after coming out, he discussed with Qian Xiaolin and Wang Zhicheng.
"If you can do without surgery, it's better not to have surgery. Qian Xiaolin pondered slightly, and asked in a low voice, "Xiaofang, how sure are you?"
"The patient's current heart failure, the risk of surgery is high, and the prognosis of conservative treatment is not worse than the current situation. Fang Han naturally wouldn't pack a ticket for this kind of thing, but just said the most conservative situation.
As Wang Zhicheng said, patients with heart, lung, and kidney insufficiency are not suitable for heart bypass surgery.
"Then talk to Dr. Solis. Wang Zhicheng said.
"Okay, let's go to the consultation room. ”
........
"Walter, no surgery?"
Hearing Qian Xiaolin and Wang Zhicheng's suggestion, Solis instantly opened his mouth wide, and he was surprised to be able to stuff a duck egg.
The patient has already made preoperative preparations, he has already prepared for surgery here, but now he says no, what is the international joke?
"Dr. Solis, we're just deliberating now. ”
Wang Zhicheng said patiently: "What Fang Han means is that the patient's condition can also choose traditional Chinese medicine treatment, surgery is not the first choice, whether surgery is required, we also have to discuss with the patient's family, and solicit the opinions of the patient's family, as for your side, we can arrange more suitable patients." ”
For Solis, he doesn't really care who he does the surgery on, he does it for Wang Mazi, it does it for Li Si, and it does the same for Zhang San, and there is nothing to do for anyone.
It's just that Solis has already understood the patient's situation, and now everything is ready, only the east wind is owed, and the patient is sent to surgery, but someone proposes that surgery can be done, which is what Solis was surprised about.
"What does Doctor Fang mean?" Solis looked at Fang Han.
"Well, I mean. Fang Han nodded: "I think with the patient's current situation, conservative treatment is more prudent." ”
"With the treatment of Chinese medicine?" Solis forced not to laugh.
He was cured by Fang Han using the methods of Chinese medicine, and he no longer doubted Chinese medicine, and was very interested in learning about Chinese medicine, but this did not mean that he instantly raised the status of Chinese medicine to the same status as the modern medicine he had studied for many years.
He just had a cold, although it didn't heal for a long time, although it was quite troublesome, but after all, it was just a cold, and there were no complications or dangers.
But at present, the patient's situation is different, the patient is accompanied by palpitations, palpitations, difficulty in moving, unbearable wheezing, and was sent to the hospital because of the pain of myocardial infarction.
Can such patients be treated by traditional Chinese medicine?
"Doctor Fang, you're not kidding, if the patient's condition continues to be delayed, even if there is no danger of illness in a short period of time, it may cause the patient to miss the best time for surgery, are you sure to do this?" asked Solis.
For the sake of Fang Han curing his cold, he didn't say anything excessive, and his tone was quite polite.
"I think even if there is no cure, the situation is definitely better than it is now, and the patient's surgery will not be delayed. Fang Han said.
"You mean, even if the methods of Chinese medicine can't be cured, it will definitely not be worse than now?" Solis heard Fang Han's voice.
"Well, that's pretty much what it means. Fang Han nodded.
"Oh no, I'm still a little unconvinced. ”
Solis said: "If Chinese medicine really works, why don't you use Chinese medicine as soon as possible, why wait until now?"
"Because I just got to know the patient. ”
Fang Han explained: "The patient is an extracardiac patient, and I am a doctor in the emergency department. ”
"I ......."
Wang Zhicheng opened his mouth, turned around and whispered to Qian Xiaolin: "Xiao Fang's answer is really ........"
"It's speechless, isn't it, it's good to get used to it. Qian Xiaolin smiled slightly.
"It's very domineering. Wang Zhicheng said in a low voice.
Why didn't I treat it before, because I didn't know, because I didn't participate, because I didn't understand, but now I understand, so I have a new plan.
Even Solis was speechless for a while, he had encountered a domineering one, but he had never encountered such a domineering one.