Director Qian called Nong Zhiwen and said that the beds were too tight and that he needed to wait for another two or three days, so that Nong Zhiwen would now bring his father's medical records to Appendix 4 to find him, and he would talk to Nong Zhiwen about his father's condition in detail and communicate some things well in advance, so that he could be hospitalized and operated on immediately, saving time and cost to the greatest extent.

So Nong Zhiwen immediately went to Director Qian with the information, after all, Director Qian was the main surgeon of the two surgeries, and he knew his father's condition best.

In the office of the director of the Fourth General Surgery Department, Nong Zhiwen met Director Qian, who politely asked Nong Zhiwen to sit down and poured him a glass of water.

"Little farmer, you wait patiently, there should be a bed in two days, your father's current situation is like this, the results of the first two surgeries are very good." Director Qian said earnestly.

"Thank you, Director Qian, the subsequent review did not say that there were signs of recurrence." Nong Zhiwen said gratefully.

Director Qian thought for a while and said: "Well, as a malignant tumor, the effect of this surgery is very rare, and we must cherish it, so this time in addition to repairing the recurrent laryngeal nerve, it is more important to do some strengthening treatment for the tumor. ”

"Director Qian, what do you mean?" Nong Zhiwen understood.

Director Qian paused and said: "This time we have to carry out targeted therapy, and it is estimated that the overall cost is relatively high, almost more than 50,000 yuan, I don't know how you are prepared?" ”

More than 50,000 yuan, I only prepared 20,000 yuan, and Director Fang of Sanbo Hospital said that it didn't cost much, the total cost was only more than 20,000 yuan, and if there was medical insurance, the self-paid part might not exceed 10,000.

"Sanbo Hospital said more than 20,000?" Nong Zhiwen said embarrassedly.

"Twenty thousand? That's what they told you? It's so irresponsible, really, so irresponsible! It's no wonder that they didn't do the surgery, they simply helped you repair the nerves, and didn't consider the treatment of the tumor at all, the treatment of the tumor is the most important. ”

Director Qian said angrily.

"In this way, considering your actual situation, we will help you find a way to save a province, and try to control it at about 50,000, what do you think? The main thing is to use a little targeted therapy drug after surgery, so that the effect is good. You see, now the postoperative effect is very good, there has been no sign of recurrence, it is best to use targeted therapy drugs for a period of time, expensive is a little more expensive, but you can send the disease farther, targeted drugs are at your own expense, it costs twenty or thirty thousand, here accounts for the majority, your father has spent so much money, don't care about this money, don't lose a lot of money, once it relapses, all our previous efforts will be wasted, you think about it yourself. ”

"You see, no one can guarantee that these abnormal signals here are residual tumors, so it's best to use targeted drugs to clean them again."

"What is Sanbo Hospital, you must not go again, how can there be such a thing, without considering the patient's condition at all, what is the use of doing a simple nerve repair, wasting money."

Director Qian pointed to the picture on the reading lamp, with a patient-centered attitude.

Nong Zhiwen is indeed very embarrassed, and what Director Qian said is also, now is not the time to save money, but where to find so much money now, since this medicine is so important, if you don't use it, I'm sorry father, if you want to use it, you really can't get this money.

"That's it, I have a friend who is engaged in drug sales, I will say hello to him and see if I can sell this medicine to you cheaper, at least I can help you save 10,000 yuan, but you can't tell others, because it is not compliant to do so, I can't help it, ordinary people I don't help with this."

Director Qian said in embarrassment.

Nong Zhiwen was very grateful at this time: "Thank you, don't worry, I will not talk nonsense." ”

"Also, you see, there is a small lump on your father's liver, of course, now that it is so small, it is impossible to see what it is by imaging examination, but combined with the medical history, I personally think it is still necessary to deal with it, in case it is a bad thing, it will be too late to deal with it when there is a problem, I have always advocated that bad things should be eliminated in the bud, of course, different doctors have different opinions on this issue, and the general doctor will be troublesome and will recommend observation, but I think that we as doctors still think more about patients, Don't be afraid of trouble. ”

Director Qian pointed to the color ultrasound report on the liver, and the color ultrasound report considered a liver cyst.

"You see, color ultrasound is considering cysts, what does it mean to consider, but not sure, what if? This thing can't be gambled, a few years ago I had a patient in my hand, similar to this situation, I suggested early surgery to cut out, in fact, after the surgery was cut off, it was okay at all, but he heard that people are cysts are fine, and the result was not operated, after two years, liver cancer, advanced stage, the gods can not be saved. ”

Nong Zhiwen thought about it, Director Qian was actually right, no one dared to guarantee that it must be a cyst.

"If we are positive, we better cut off this lump and nip it in the bud, your father is only in his fifties, and now the average age of Chinese is close to 77 years old, and your father is only in his fifties, are you going to give up like this?" This money can be earned back quickly, to be honest, but people's health is priceless. ”

Director Qian said earnestly.

After Director Qian said this, Nong Zhiwen is indeed very guilty now, he can't delay his father because of money, the disease has been cured to this extent, is there still the last bit of money, Nong Zhiwen gritted his teeth and decided to think of another way.

"You think about it, if it's really financially tight, let's be sloppy, a little negative, people who are already in their fifties, right, just do a nerve repair and improve the symptoms, as for the rest, that's it, I understand what I can't do." But if you can still find a way to make some money, I think try not to deal with it so sloppily, you must deal with it seriously, the old man is only in his fifties, and you are so filial to your children, right, this money, gritted your teeth and solved it, but it saved a life. ”

Director Qian is a good guide.

"I'll think about it."

Nong Zhiwen hesitated.

"You think about it, try to make a decision before hospitalization, because your father is my old sick number, so I tell you so much, if the treatment is too sloppy, it's a pity, other doctors won't tell you that, how good it is to simply deal with the nerves, you have to be grateful to the doctor, saying that saving so much money, I said so much, it's a thankless thing, I don't understand how the doctor is."

Director Qian's eloquence is very good, and his tone is also sincere, so Nong Zhiwen is hesitant now.

——

Director Fang felt strange how Nong Zhiwen had taken the pathology report for so long and had not replied.

According to the phone left at that time, Director Fang dialed the phone number of Nong Tiesheng's son Nong Zhiwen, and learned from the other end of the phone that the pathology report was not found, but Director Qian had promised to accept his father for hospitalization.

Why do you want so much money, Director Fang doesn't understand very well.

Nong Zhiwen explained: Targeted drugs need about tens of thousands, and tumors on the liver need surgery, and it is best to do da Vinci robotic surgery, so that the effect is good, if it is an ordinary operation, the location of the tumor is very deep, there is no way to cut it clean, and the effect of the operation will be reduced.

After listening to this, Director Fang almost scolded foul language, Director Qian is famous in the circle, and it is only famous, Director Fang has never dealt with him, and now through this patient, he really understands what is the mouse in the soup.

Damn, isn't this patient just doing recurrent laryngeal nerve repair? How can you still do a liver tumor, isn't that a cyst? Just check it regularly, it's fine.

Moreover, targeted therapy is also engaged, and the drugs for targeted therapy are all self-expensed, and tens of thousands of drug costs are at every turn.

You must not let the surnamed Qian do whatever he wants, this patient is quite pitiful, and he must be accepted.

If you do this surgery yourself, if there is a rural cooperative medical care, you can get it by paying a few thousand yuan, but now you have to pay more than 100,000 yuan, most of which are at your own expense, robotic surgery is at your own expense, targeted drugs are at your own expense, and there are many messy projects at your own expense.

Director Fang's whole person's thinking has changed since his realm has been raised, and he will be a world-class doctor in the future, how can he tolerate such an abominable behavior.

"You got hospitalized over there?" Director Fang asked.

Nong Zhiwen said: "Not yet, but there should be beds soon." ”

"Let me tell you, as long as you spend a few thousand yuan, this problem can be solved, there is no need to spend hundreds of thousands, you take the time to come to me, and I will talk to you properly." Director Fang advised.

Nong Zhiwen was stunned, why is there such a big difference between the doctors on both sides, who do you believe?

After all, there were more than 100,000 yuan involved, Nong Zhiwen decided to slow down for a while, and then talk about it after figuring it out, he decided to take the time to find Director Fang and listen to Director Fang's opinion.

To tell the truth, in the matter of treatment, the information of doctors and patients is asymmetrical, doctors occupy an overwhelming advantage, and the knowledge of patients is almost zero, and they can only obey the doctor's arrangement, that is, doctors are equivalent to having absolute power, if doctors do not have self-restraint or external constraints, it is easy to over-treat, especially driven by economic interests.

Director Qian's teacher is the famous Director Tang, Director Tang was famous in the circle back then, but until he retired, there was no single complaint, there was no medical dispute, and it belonged to the kind of legend that the patient was treated to death, and the patient's family had to send a pennant to thank him.

After retiring, Director Tang was hired by a private hospital to serve as the chief expert with a high salary, and continued to exert his spare energy, relying on his personal charm, attracting a large number of patients, and the income generated by one person accounted for 80% of the hospital.

After seeing this situation, the boss directly sent the director of the soup to join the company, and set up a hospital for him, so that he could give full play to his strengths, and sure enough, the retired director Tang kept pace with the times and used the power of the Internet to build himself into an Internet celebrity doctor, attracting huge traffic and making the hospital make a lot of money.

Director Tang was originally engaged in general surgery, but the doctors of that era were more miscellaneous, and he did all kinds of orthopedic and urological surgeries, so he retired to a private hospital and did all kinds of surgeries.

Now the owner of the private hospital has set up a specialized oncology hospital for him, and he has become an oncologist, and I heard that the hospital is now full of patients.

Of course, Director Qian is not as powerful as Master Director Tang, but he can be regarded as getting the true inheritance of Director Tang, and he has some skills, this guy is as his name suggests, everything is for the purpose of making money.

The annual revenue of the Department of General Surgery where he works is extremely high, and both the turnover and the number of surgeries ranked first in the four years attached to Nandu Medical University, so he won the certificate of outstanding department director every year.

Because of the high revenue of the department, the bonus of the department doctor is also very high, although the reputation in the circle is notorious, but none of the department doctors say bad to him, who can't get along with the money, and the income of any of the attending officers in their department exceeds that of the deputy Gao Zhenggao of other departments.

From the leaders, to the doctors and nurses, they all like Director Qian, this is a capable person.

For a patient like Nong Tiesheng, who only spent 20,000 yuan on a recurrent laryngeal nerve repair, Director Qian was absolutely unacceptable, and each of his beds must create the greatest economic value.

Moreover, Nong Tiesheng's case is a bit special, the recurrent laryngeal nerve injury was injured by Director Qian himself during surgery, and a long section was accidentally cut off at that time.

Because it was the first time to use the da Vinci surgical robot to do radical thyroidectomy for patients, he was not proficient, and he was very reluctant to do it at that time, and cut out the recurrent laryngeal nerve in a daze, but Director Qian was not afraid, he wrote very clearly on the record in his hand that the tumor invaded the left recurrent laryngeal nerve and was segmentally resected.

In this case, if a direct anastomosis is done, the two broken ends cannot be pulled together at all, so direct anastomosis is impossible, and a section of nerve is taken to bridge the anastomosis, the defect is too long, and the postoperative effect will be not good, because the distance that needs to be bridged is too long.

As for the third method, use another nerve to connect this nerve, it seems that the nerve suitable for nerve displacement at that time has been cut off, and now a suitable nerve displacement can not be found, even if a suitable nerve is found, the main nerve is not the maternal vagus nerve of the recurrent laryngeal nerve, and the functional areas of the brain are different, and after the anastomosis nerve, a series of exercises are required.

Director Qian knew that this case could not be done at all, so he didn't want to do any recurrent laryngeal nerve repair for Nong Tiesheng at that time.

Originally, Director Qian thought that the matter would pass like this, but he didn't expect Nong Zhiwen to take his father to Sanbo Hospital to see a doctor, and he also saw Yang Ping, which is troublesome, what kind of person is Yang Ping, what level is it, doesn't he Director Qian know, when Yang Ping comes to power, he can't hide anything in front of him.

Therefore, Director Qian had to admit the patient first, but he couldn't occupy a bed for nothing, so Director Qian issued a large treatment plan of 100,000 yuan to Nong Zhiwen according to his own principles.

(End of chapter)