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"Rest assured, the cost of Han Ding Hospital is not as scary as you imagined. Pen & Fun & Pavilion www.biquge.info" He Xiaokang hurriedly comforted the two of them.

"Doctor, how much does my son have to pay for medical treatment?" Liu Cunyue was not reluctant to pay for medical expenses, but wanted to ask about the medical expenses so that he could find a way.

"Don't ask so much. I didn't know how much medical expenses would be required without a careful examination. In my experience, the cost of the examination plus the cost of the surgery will not exceed $100,000 at most. Think of a way, you can always get through it. Han Academy Hospital can treat first and pay later. Treat the child's illness first, and slowly figure out a way after the money. There's always a way. Isn't it? He Xiaokang said.

The medical costs of H&Q Hospital are indeed much lower than those of ordinary hospitals. First of all, the cost of the examination is much lower than that of ordinary hospitals. After all, the cost of various tests is lower, and the purpose of H&Q Hospital itself is not to put profit first. In terms of examination costs, Han Academy Hospital has greatly reduced it. In addition, the cost of each treatment and the cost of drugs and consumables used is also very transparent. Most of the pharmaceutical consumables are produced by H&Q itself, which has better performance and lower price than imported pharmaceutical consumables. Once several aspects are combined, the medical costs of Han Academy Hospital are naturally much lower.

"Really?" Liu Cunyue and his wife suddenly put their hearts at ease.

"The patient, Liu Feitian, 13 years old, had a heart murmur, chest tightness and shortness of breath after exertion. Physical examination on admission: cyanosis of the lips and clubbing. Cardiac auscultation is murmur-free. Echocardiography: enlargement of the left atrium, left ventricle, and right ventricle. A patent ductus arteriosus can be seen at the bifurcation of the left pulmonary artery near the pulmonary artery, about 10 mm long and 8 mm thick, and the arterial level shunts right to left, forming pulmonary hypertension. Diagnoses were: congenital heart disease, patent ductus arteriosus, pulmonary hypertension, Eisenmenger syndrome. Measures are now taken: H&Q Xingxin pills, oral once a day. The condition has been relieved. Although Liu Feitian has been transferred to cardiothoracic surgery. As the receptionist, He Xiaokang will still follow up on the case.

"Have you been diagnosed with Eisenmenger syndrome?" Qin Chuan asked.

He Xiaokang nodded. The natural history of Eisenmenger syndrome spans a large span, and the survival rate of patients with Eisenmenger syndrome is higher than that of patients with pulmonary hypertension due to other causes. Most patients who are not treated with surgery survive for three to four decades, and it has even been reported that patients can survive up to seven decades with appropriate medical treatment. Conversely, patients with Eisenmenger syndrome who undergo surgery will survive significantly shorter than those who do not. This leads to a very critical problem in clinical work, that is, how to determine whether a patient has an indication for surgery.

Eisenmenger syndrome is a contraindication to surgery. The patient loses the opportunity for surgery and can only be treated with medication maintenance. Congenital heart disease should be detected and treated early. For the above-mentioned patients, sildenafil, bosentan and other drugs were generally used for conservative treatment in the past, but the cost was high. This is unbearable for the average family.

"Everyone, tell me, what are we going to do with this case?" Qin Chuan asked.

He Xiaokang first said: "It should be safer to use conservative treatment. The effect of H&Q Baoxin Pill is better than that of sildenafil, bosentan and other drugs, and the cost is not particularly high. However, the patient is still a thirteen-year-old child, and if he can only maintain the status quo, the quality of life may not be up to the level of ordinary people. Other than that. Although the price of heart pills is relatively cheap, it is taken for a long time. The pressure on a family is still very high. In this case, the patient's family situation was not very good, and it was difficult to maintain the child's long-term medication needs. ”

"Dr. Ho, we are doctors, and our main task is to treat patients. The patient's physical health is guaranteed as much as possible. Although there may be times when the patient's family situation can be properly considered, it should be more beneficial to the patient's condition when determining the treatment plan. Eisenmenger syndrome: This is inherently contraindicated. If we have surgery. May be suspected of overtreatment. Guo Mengyu, chief physician of the Department of Cardiothoracic Surgery at Han Academy, feels that conservative treatment should be given.

Jiang Lingling is a pediatric general surgeon, but because Liu Feitian is a child, Jiang Lingling participated in the consultation. She also expressed her opinion: "Congenital heart disease can be treated at what age, refractory in teenagers, and incurable at dozens of years." For 13-year-old patient Liu Feitian, now is the best time for treatment. I think we should seize this opportunity to cure the sick in one fell swoop. If we give up this opportunity. In a few years, the opportunity may be lost. Although there are risks in the operating room, how can insurance treatment be riskless? It's just that our hospital is very risk-averse. Moreover, with the technical conditions of H&Q, we can completely avoid many risks in surgery. First of all, in terms of anesthesia technology, H&Q's biological acupuncture technology has basically solved the risk of anesthesia and the problem of pulsating high pressure. Problems such as atrial and ventricular septal defects, patent ductus arteriosus and other problems can also be solved by experts from the R&D department. Therefore, I believe that although there is a great risk in surgery, as long as we fully strengthen the technical conditions of H&Q, there may not be no chance of cure. ”

Wang Zhongnan of the Department of Cardiothoracic Surgery is also very worried about this operation: "As a cardiothoracic surgeon, I am very interested in this operation and want to try it. However, there are few precedents for such surgery at home and abroad. After all, Eisenmenger syndrome itself is a contraindication to surgery. We in cardiothoracic surgery also lack such surgical experience. Therefore, how to choose still needs to be carefully considered by the hospital. ”

Qin Chuan nodded: "Judging from the current situation, the patient's surgical prospects are indeed not optimistic. But I think we should still consider surgery. Although the difficulty of the operation is not small, if the difficulty is small, there is no need for us to take over from Han Academy. I suggest that this case be studied as a priority topic in the hospital. Conservative treatment is carried out temporarily, and surgery is considered after the surgical aversion plan has been discussed by experts. ”

Since the doctors in the cardiothoracic surgery department all held conservative opinions, Liu Feitian's operation was entrusted to Jiang Lingling, a pediatric cardiologist.

Cardiothoracic surgeons did not object, for them the operation was not so easy to do. If you don't get it right, you may die. Patients are treated conservatively and can live for decades. But if the operation fails, it can be fatal. The patient's family may be held accountable for overtreatment by the hospital. After all. This disease routine does not allow surgery. Therefore, cardiothoracic surgeons are reluctant to perform surgery. Jiang Lingling is willing to take over the patient, and they naturally will not object.

"Lingling." When Jiang Lingling sorted out the patient's information and was about to leave, Qin Chuan stopped her.

"Dean Qin, what's wrong?" Jiang Lingling stopped and looked at Qin Chuan. When Qin Chuan and Jiang Lingling were at home, they agreed not to show the relationship between the two in the hospital.

"What are you going to do with this surgery?" Qin Chuan asked.

"I haven't thought about it yet. I want to thoroughly understand our H&Q technology first. I think that under the technical conditions of our H&Q, the surgery can be done with very little risk. I would like to set up a professional medical team based on this case. There is a limit to the power of one person. But by pooling everyone's wisdom, maybe everything will become easier. Jiang Lingling said her plan. Apparently she was ready to make a big move.

"Well, that's a good idea. I'm sticking with you. Since the establishment of Han Academy, only the emergency department has maintained a real medical team. Other medical teams are not called teams but departments. In the face of difficult and serious diseases, he lacks the courage to forge ahead. In my current situation, there is no way to assemble an effective medical team. But you're different. Although the qualifications are still shallow, our Han Academy Hospital does not talk about qualifications, only about strength! Qin Chuan was very supportive of Jiang Lingling's idea. Han Academy needs such a force to maintain the true connotation of Han Academy.

However, it is necessary to perform the surgery. Consent from the patient's family is also required.

"That's exactly what happened. If you don't have surgery, you may have to live under the shadow of illness for the rest of your life. Conservative treatment, although relatively safe, is not absolute. In the event of an accident, every day will be in danger. On the other hand, the difficulty of surgery is indeed very high, and we are considering the safest way to operate. In order to cure the disease of Tiantian, we must use the most advanced treatment technology. The risks are for sure. If you choose surgery, you must have a certain amount of mental preparation. Jiang Lingling did not hide anything about the safety of the operation.

"How so? How so? Peng Si was obviously unprepared for his son's illness.

"The main reason for the child's illness is that it has dragged on for too long. If it is discovered in time shortly after birth or when you are a few years old. The risk of surgery is much smaller, and the certainty of success of surgery is greater. But now that it's like this. It is hoped that the family members will stabilize their emotions. Make a decision as soon as possible. The hospital has decided to set up a medical team specifically for Tian Tian's condition. Develop the most reasonable treatment plan. to cure the sickness of the day. If the surgery is successful, it is entirely possible to return to normal life every day. We have performed many complex surgeries at H&Q Hospital, and we have experience and strength in this area. Jiang Lingling said with great confidence.

Jiang Lingling's self-confidence infected Peng Si and Liu Cunyue.

"Doctor Jiang, it can be seen that you are very attentive to Tiantian's illness. We believe in you. You must cure the child's illness. We don't want to see him suffer from illness for the rest of his life. I believe that when I grow up, I will make the same choice as us. Liu Cunyue made a decision.

Peng Si also nodded: "Yes." Since I was a child, I wanted to be like other children. We were too careless. He suffered so much, we always thought that he was born with a weak physique. Who knew he had a heart condition. ”

"Do not condemn yourselves. You're not professionals, so it's normal that you can't see it. We also need to use instruments and equipment to be able to check the patient's condition. Since you have agreed to perform the operation, I will immediately report to the hospital and organize a medical team with capable forces. We will heal every day. Jiang Lingling said.

Jiang Lingling wanted to set up a medical team specializing in congenital heart disease correction surgery, and it quickly spread in the hospital. The doctors of cardiothoracic surgery are very dissatisfied.

"She, Jiang Lingling, a pediatric extracardiac doctor, actually set up a medical team for congenital heart correction surgery. Do you think about our cardiothoracic surgery? Ma Ruifeng, the chief physician of the Department of Cardiothoracic Surgery, said very dissatisfied.

"What's the solution? For this surgery, our Cardiothoracic Surgeon's opinion is conservative treatment. But Dr. Chiang thought it was possible. Dean Qin supported the operation. It was only natural for her to set up a medical team. President Qin's doing so is in line with the purpose of Han Ding Hospital to treat serious and difficult diseases. But if such an operation fails, isn't he worried about affecting the reputation of the hospital? Guo Mengyu was also annoyed. A patient in his own hands was taken over by someone else. Although he was giving out a hot potato. But Guo Mengyu was still a little unhappy in his heart.

Wang Zhongnan hurriedly persuaded his two colleagues: "The hospital has the position of the hospital. Dr. Chiang has Dr. Chiang's thoughts. Since we do not support surgery, it makes sense for the patient's family to choose the surgery and let the doctor who advocates the surgery take over. The goal of Han Academy Hospital is not to make money safely and steadily, but to overcome various medical problems. Now the problem has come, and you have chosen to avoid it. This is not in line with the style of Han Academy. ”

"Lao Wang, then why didn't you advocate surgery in the first place?" Guo Mengyu asked.

"It's too risky. The situation in this case is simply too serious. Even with conservative treatment, I feel that there is a lot of risk. Not to mention surgery. Wang Zhongnan shook his head.

"Then why did Dr. Jiang dare to operate?" Guo Mengyu asked puzzled.

"New technology. She may have wanted to apply H&Q's new technology. For a long time, we have not been able to understand the new medical technology of H&Q. She may be ready to introduce new techniques to corrective surgery for congenital heart disease. None of the medical team members she chose were doctors from our cardiothoracic surgeons, and all of them were fresh graduates introduced by H&Q in recent years. Since their admission, these graduates have been learning about H&Q's new technologies. Wang Zhongnan said.

"No matter how good the technology is, it has to be used by people in the end. Think you can become a miracle doctor by learning new technology? Hum. Such a person will not understand his own weight without going through some bloody lessons. As far as I know, Jiang Lingling is a medical master's degree who has graduated a few years ago. Didn't know where to work before. I just recently came to the Department of Pediatric Cardiac Surgery. Guo Mengyu has already gone to the child's heart to inquire about acquaintances.

"yes. Wait and see. Han Academy Hospital has been established for so long, and there has never been a CUHK medical accident, and this time, I am afraid that an exception will be made. Ma Ruifeng also said in a weird manner. (To be continued......)

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