Director Fang felt that this matter was not simple, and there must be something strange in it.

But scolding is scolding, rumors are rumors, and it is difficult to explain anything about a single case, maybe there were some special circumstances at that time, after all, it was not a party, and it was not possible to say that conclusions could be made.

If you can get the 20 medical records of Director Qian's diagnosis and treatment, and the 20 medical records are all done in this way, then it can explain a lot of problems.

Now Director Fang's energy is focused on studying the cases, and he has no time to think about this matter for the time being, so he plans to find someone to attach four copies of twenty medical records to take a look.

This kind of thyroid zombie tumor is indeed very rare, and it is easy to be confused with thyroid adenocarcinoma in imaging, if there is no experience in this area, it is difficult to make an accurate judgment, today Director Fang learned a trick from Yang Ping, the next time he encounters this similar thyroid nodule, he will definitely not misjudge.

With Professor Yang, I can really learn things everywhere and all the time.

The knowledge of medicine is really profound, Director Fang has been a doctor for more than ten years, and he always thinks that he is a master, but he didn't expect that in front of Professor Yang, he looks like a primary school student.

Professor Yang is so young, how can he be so experienced, it seems that he has seen everything, has done everything, just like playing a game and opening the invincible mode, Director Fang is very puzzled.

The closer he got to Professor Yang, the farther Director Fang felt that he was from Professor Yang, because the more he got to know Professor Yang, the more he knew how powerful Professor Yang was, and the more he felt that Professor Yang was like a god.

"Let's go see Nong Tiesheng!"

Director Fang was seriously thinking about what Yang Ping said just now about the image identification of this kind of thyroid zombie nodules, and Yang Ping told him.

"Yes, let's go see Nong Tiesheng, and it's time to take off his cancer hat."

Director Fang came back to his senses from his thoughts.

So the two came to the general surgery ward rounds, Nong Tiesheng and his son were having dinner, each of them had a bowl of white rice, and the common dish was a large jar of chili sauce, not the kind bought outside, but brought by their own home.

Seeing the doctor coming to check on the ward, Nong Tiesheng and Nong Zhiwen immediately put down the dishes and chopsticks, probably because the father and son didn't have any food, they huddled together and ate with chili sauce, Nong Tiesheng felt very embarrassed.

"I just had surgery, eat less of this pickle, add some nutrition, and eat a few more eggs." Yang Ping told Nong Tiesheng.

"Well, I have a bad appetite and want to eat some chili peppers to appetize." Nong Tiesheng explained, the rice in his mouth was still chewing slowly.

After his son Nong Zhiwen heard it on the side, his face immediately turned red, where is this appetizing, it is obviously to save money and save a day's living expenses.

During this time, the three meals a day for the two of them were white rice and chili sauce, and sometimes they went to the breakfast shop to buy a few big steamed buns and ate two at a meal, which was also a day.

"Supplement at least two eggs a day, the nutrition keeps up, and the native eggs at home are the best nutrients." Director Fang also said on the side.

Nong Tiesheng nodded, just smiled honestly, because the eggs at home have to be taken out and sold for money, where are you willing to eat, the treatment is basically smashing the pot and selling iron, and now the family has been exhausted, now it is to try to save a little, save a little is a little.

"Don't worry, your surgery was very successful, in our experience, it will take about half a year for your recurrent laryngeal nerve function to recover, after half a year, these symptoms will disappear, your voice will no longer be hoarse, you will no longer choke when you drink and eat, and your breathing will become normal, your current breathing effort is because one recurrent laryngeal nerve is broken, and the other recurrent laryngeal nerve is compressed, and now both problems have been solved, so you can rest assured." Yang Ping told Nong Tiesheng.

Director Fang immediately told Nong Tiesheng a good news: "The money spent on this inpatient operation will be very small, and there is basically no need for any medicine after the operation, probably a total of 20,000 yuan, excluding the reimbursement of medical insurance, it is estimated that I will pay five or six thousand yuan." ”

Nong Tiesheng heard that the operation was very successful, and he only needed to pay five or six thousand yuan, he couldn't believe that this was true, such a big hospital, for such a major operation, how could he pay a few thousand by himself. For the first time, he felt that hospitalization was so easy, and this ease meant financially.

In the two surgeries in Appendix 4, each time the cost is more than 100,000 yuan, and the two surgeries cost more than 300,000 yuan, plus multiple reexaminations and various auxiliary treatments, the treatment has cost 450,000 yuan, and most of the expenses cannot be reimbursed, it is self-expense.

This honest and stammering farmer in his fifties used to be the breadwinner of the family, and he was still working on the construction site when he was not sick.

Yang Ping's afterglow noticed that there was a tracheostomy bag on Nong Tiesheng's bedside table, which needed to be kept on hand for a few days after neck surgery, and he was mainly worried that postoperative bleeding would compress the trachea and cause suffocation, and if this situation occurred, a tracheostomy must be performed urgently.

Because this kind of thing happens very rarely, the average hospital doctor does not have this kind of awareness and is easy to ignore this kind of thing.

However, Director Fang still did this honestly, because once it really happened, this bag could be life-saving, and it was much better than panicking to find tools when needed.

This kind of life-saving thing is not the best, but it can't be without.

"Does the tumor still need to be treated? Long Zhiwen asked worriedly.

"We have seen all your test results, you have no tumor now, if your recurrent laryngeal nerve recovers well in the future, then you only need thyroid hormone replacement therapy in the future, so that you will be a completely normal person in the future!" Yang Ping said patiently.

Normal?

When Nong Tiesheng heard this, he didn't know how happy he was.

Anyway, he didn't understand, and when he heard the doctor say that he would be a normal person in the future, he couldn't help but cry.

"Don't worry, you don't need any other treatment except thyroid hormone replacement therapy, it's best to supplement some nutrition in the future, and then add some physical exercise, so that you can completely return to normal, as long as you insist on taking medicine, you can work and live normally in the future, the reason for taking medicine is because your thyroid gland has been removed and can't secrete thyroid hormone, so your body is lacking in thyroid hormone, and the purpose of your medicine is not anything else, but to supplement this hormone."

Yang Ping continued to explain to Nong Tiesheng, hoping to relieve him of the burden in his heart.

"What do you mean? Is my cancer cured? "Nong Tiesheng is still not at ease, and he wants to confirm it.

"I can responsibly say that you are now completely cancer-free, except for the absence of thyroid hormones, you are just a normal person." Yang Ping said firmly.

Now there is no cancer! Complete cure!

Nong Tiesheng didn't know how happy he was in his heart, cancer was like a mountain, weighing him down, his whole family was breathless, his lips trembled, he couldn't speak, he was so excited, it was like a new life.

Yang Ping is very confident in the repair effect of the recurrent laryngeal nerve, and in the future, Nong Tiesheng will not need any other treatment except for thyroid hormone replacement therapy.

Originally, this patient did not need any treatment, and looking at the examination results at that time, even the thyroid function was normal, which was really a pity.

Medically speaking, this thyroid nodule does not require any treatment, only regular color ultrasound observation, but Nong Tiesheng not only underwent two surgeries, but also underwent chemoradiotherapy and targeted therapy.

Afterwards, Yang Ping and Director Fang chatted with Nong Tiesheng's father and son, trying to give them confidence and help Nong Tiesheng get out of the shadow of cancer.

After checking the room, he returned to Director Fang's office, and Director Fang said to Yang Ping: "I don't know if I should say something?" ”

"Say it!" Yang Ping knew what Director Fang wanted to say.

Director Fang closed the door of his office and said:

"I made a rough inquiry, this situation is not a case in the general surgery of the fourth annex, I will not talk about other diseases, for the treatment of thyroid nodules, as long as they find thyroid nodules, no matter what the color ultrasound results are, all PETCT, bone scan, CT enhancement, MRI enhancement a set of examinations, and then it is recommended that the patient do da Vinci robotic surgery, followed by a lot of strange and expensive drugs poured up, I have only heard about it now, but the reliability of this information is still quite high."

"Director Qian's reputation is very stinky, and people who are familiar with him in the circle will never recommend patients to him, let alone introduce relatives and friends to him, and he is completely around."

"In the past, a deputy chief physician in their department reported him with his real name, and it was very fierce at the time, but then I don't know what happened, he was fine, and the person who reported him left his job inexplicably.

"I inquired about these things, and I don't know if it's true."

Yang Ping just listened and didn't say anything, with this one case, it is difficult to draw conclusions now, if he can come up with a certain number of medical records to study it, he will definitely be able to find out the matter.

Yang Ping didn't have much time to pay attention to this kind of thing, if the rumors were true, this kind of black sheep would definitely not let him continue to do evil.

"I'm going to get twenty medical records out and see what's going on, how about it?"

Director Fang asked tentatively, because this was no longer a matter of professional knowledge, and he didn't know if Yang Ping would pay attention.

"Okay, you can do it."

Yang Ping felt that if the matter was true, it was necessary to stop this absurd and outrageous thing.

With Yang Ping's support, Director Fang's waist is also much harder, because Director Qian has been able to be proud of the spring breeze over the years, and there must be some kind of strong support behind him, otherwise it would be impossible to be unscathed until now.

Not to mention the rest, this kind of treatment alone, without a pathology report, is an extended radical resection, and it is also radiotherapy and chemotherapy, which is difficult to happen in a regular tertiary teaching hospital.

So if you go to muddy waters, Director Fang feels that there is a lot of resistance, and maybe he will backfire on himself, under normal circumstances, who is willing to do this kind of thankless thing that has nothing to do with him.

The current Director Fang is different, he is a person with ideals, the realm is different, and the pattern is naturally different.

In fact, Director Fang also found a doctor who used to work in the Department of General Surgery of the Fourth Affiliated Department to inquire, and this doctor was probably unwilling to go along with the same thing, so he switched to another hospital.

When Director Fang contacted him, he was still willing to tell some information.

Director Qian does not do this once, but often does this, and those who can do robotic surgery will never do ordinary surgery, because robotic surgery is hundreds of thousands at a time, and whether the drugs used are symptomatic or not, those expensive imported drugs must be arranged, and all kinds of overwhelming examinations will be carried out.

For example, whether it is a liver cyst, a benign polyp in the intestine or a thyroid nodule, he advocates a big deal, such as thyroid nodules, even if it is TI-RADS grade 2 and 3 nodules, Director Qian must arrange PET-CT, bone scan, and so on.

Even if the patient goes bankrupt and smashes the pot and sells iron, it has nothing to do with his director Qian.

Of course, he professes that he has only one purpose, everything for the patient, and what if it is something bad.

The drugs for treatment, he is even more outrageous, all kinds of purchased drugs are tens of thousands, thousands of dollars of drugs he doesn't bother to care, and he has a fixed cooperative outsourcing point, this outsourcing point is actually opened by himself with shares, it is said that the boss who sells drugs is his mistress.

He assigns tasks to the doctors in the department, and there are indicators every month, below which he will be warned, and of course, he will also give the doctors high rewards.

So the doctors in their department also followed him to make a lot of money, hello everyone, hello me, hello everyone, plus the relationship between the director of this money is very hard, so basically he has no fear, he has been reported a few times, he is fine, but the person who reported it is something, so no one dares to report it later.

There is a lot of money accumulated without fear, and with money, many things are easy to do, so Director Qian not only firmly occupies the position of director of general surgery, but also holds various academic positions, and is a master's supervisor and a doctoral supervisor.

Director Fang felt that if the matter was true, this guy was a cancer, and he felt that he needed to do something.

Originally, it was not a hospital, the well water did not interfere with the river water, and I had heard rumors about him before, but at that time, it was just a story to listen to, who knows if the rumors are true or false.

But through Nong Tiesheng's case, Director Fang felt that the rumors might be true, and later asked his colleagues in his original department to get some information, which was simply shocking.

Since Professor Yang didn't object, Director Fang decided to find out, damn it, if it's really a bastard, this cancer can't be left, absolutely can't be left.

It's about to get off work, and Director Fang can't pester Yang Ping for too long, so he said: "Professor Yang, it's hard work, I'll check this matter, if it's true, I think I have to think of a way." ”

Yang Ping said painlessly anyway: "You can just take out the medical records and show them to me, if you think so, then talk about it." ”

The first is the latest.