This doctor is very stable

Chapter 204 Fake Orthopedic Doctors
It is true that although their liver surgery department is not an emergency department, it needs special treatment in case of an emergency.

Otherwise, what should we do if an accident occurs before the patient walks out of the hospital gate.

Fifty numbers a day, they saw more than 20 patients in one morning.

But in total, five patients were admitted, two patients who needed liver resection, one patient with pancreatic tumor, one patient with cholecystectomy, and finally a patient with liver abscess combined with subphrenic abscess.

Other patients either prescribe medicines and do not require hospitalization, or recommend other departments for treatment. In short, there are still very few patients suitable for admission.

As for the admission rates of other teams, it was even worse. Wang Nannan only admitted two patients. There were quite a few patients who were prescribed further examinations by the two attending physicians, but none of them had been diagnosed yet.

Some things can already be seen from this yield.When patients reserve tickets online, they often prefer to grab expert tickets!
Even if the registration fee of the attending physician is nearly twice that of the expert account.

But patients still prefer to choose an expert account, which shows the influence of a doctor's age, experience, and position on a patient!
It is worth mentioning that the patient Zhang Haibo has already been hospitalized, and Li Dafei, a patient with liver cirrhosis and liver cancer, probably has not finished the examination, and his daughter did not come back to inquire about the condition all morning.

On the way to the dining hall, Gu Tianyi looked at Lin Ran cheerfully and asked, "How do you feel after half a day's consultation? Do you feel more interesting than being in the operating room?"

"Well, it feels like a lot of benefits, but I prefer to be in the operating room."

With the system's diagnostic assistance function, seeing a doctor is not too difficult for Lin Ran. Although he can learn something, he still has three heavyweight tasks hanging on him.

500 cases of flying knife surgery tasks, 50 cases of endoscopic liver resection tasks, and 50 cases of interventional embolization tasks.

The liver resection task and the flying knife task with a BG stuck are okay, but the progress of the embolization task is a bit slow!
Interventional embolization is not the first choice of treatment like resection, so there are naturally fewer patients who are suitable for interventional embolization.

It is conceivable that this task is more difficult to complete.

However, Lin Ran is already full of motivation after completing a task quickly. Kidney replacement skills and any skill +1 are very attractive to Lin Ran!

"Combine work and rest! If you want to have an operation, I will arrange it for you tomorrow. In our group, Xiao Nan and I have performed all the operations for you. As for the operations of other groups, we should also think of a way to ensure that you can have enough operations tomorrow. .”

That's right, Boss Gu is already thinking about the operations of other medical teams outside the liver!

However, we still need to pay attention to the methods and methods. Surgery is the lifeblood of surgeons!

Surgery is the only way to make money. There are only so many hospital beds outside the liver. Hospital beds have always been a scarce resource!
The patient, Boss Gu, is never worried, but other people's cakes are never easy to move directly.

Have to think of a way to get the best of both worlds.

Hearing Boss Gu's words, Lin Ran began to think in his mind that ten surgeries a day could complete 500 flying knife surgeries in about two months, and laparoscopic liver resection should be much faster.

Thinking of this, Lin Ran glanced at the boss and said with a smile, "Thank you teacher."

Boss Gu is still capable of getting surgery!

More than an hour to eat.

Returning to the outpatient department again, Lin Ran and the others just went upstairs when they bumped into Li Xiaoyu outside the clinic.

Because the time is still open and the clinic time has not yet arrived, there are not many people outside the clinic. .

When Li Xiaoyu saw Gu Tianyi, she immediately came up to meet her. She came alone.

Just when her father finished the examination and one examination report after another came out, she almost collapsed.

"Director Gu, the results of my father's examination have come out."

Gu Tianyi didn't refuse, and nodded, "Well, let's go in and have a chat."

Walking into the consulting room, Gu Tianyi took the test results and imaging results and examined them carefully. Naturally, Lin Ran and the others would not let go of such a good learning opportunity.

Li Xiaoyu on the side clasped his hands nervously, "Director Gu, did my father suffer from liver cancer?"

After reading all the examination results, Gu Tian nodded his head, "That's right, the patient has liver cirrhosis combined with early liver cancer, and hepatic ascites has already appeared."

Li Xiaoyu stared closely at Gu Tianyi's eyes and asked: "Then there is still treatment?"

Seeing how nervous she was, Gu Tian stretched out his hand to signal, "Miss Li, sit down first, let's talk slowly."

"it is good."

After the people sat down, Gu Tianyi slowly said: "Your father's illness originally had a chance to be cured, but the patient's physical condition is very unsatisfactory due to his long-term high school senior year, so he needs to be hospitalized for a long time. The operation can only be decided after a multidisciplinary consultation, but once the treatment plan is started, there will definitely be a certain amount of economic pressure..."

The preferred treatment option for liver cancer is of course surgical resection plus chemotherapy, but for intractable diseases with many underlying diseases, the most important thing is to see the patient's physical tolerance.

Of course, it is also a big test for doctors.

Finally, it depends on the patient's family economic conditions. Without money, it is impossible to support a relatively long treatment process.

"In other words, my father still has a chance to be cured, right? I will find a solution for the money. You can give me an approximate figure for how much money is needed. I will discuss it with my family when I go home..."

…………

Through the conversation, I learned that in the end Gu Tianyi asked Li Xiaoyu to go through the hospitalization procedures for the patient.

Although he didn't really want to accept this kind of patient whose treatment process was destined to be very long, but there was no way for the patient to go out of Zhongshan Third Hospital!

Gu Tianyi also inquired from the chat, and the patient's family had no medical relationship, so he decided to accept the patient.

The difficulty of treatment is definitely not small, but it cannot be said that there is no chance at all.

Li Xiaoyu left with hope, and Lin Ran said, "Teacher, from the perspective of surgery tolerance, the patient's physical conditioning is not small! Or consider a liver transplant patient, and the chance of recurrence is not small if liver resection is performed. "

Judging from the CT images, if the liver cancer and cirrhosis are resected together, the patient may not be able to bear it, but if only the cancerous part is resected, the liver cancer will recur at any time with the development of cirrhosis.

In many cases, liver cancer was discovered within half a year after surgery!
It cost more than 20 and [-] yuan, but the disease was not cured in the end, which is a tragedy for many families!
If so, surgery really wouldn't be a good option!

As for conservative treatment, since radiotherapy and chemotherapy are not sensitive to liver cancer, at most it can only alleviate the pain of patients in the early stage.

Gu Tianyi shook his head helplessly, "There is nothing we can do about it. We can only provide treatment plans, inform the risks, give suggestions, and finally let the patients choose! What kind of surgery to do, whether to have surgery, or not, respect The wishes of the patient's family."

Without dwelling on one case for too long, Lin Ran and the others started seeing the doctor again.

Busy and busy, the day passed quickly.

At six o'clock in the evening, the consultation work is over.

Gu Tianyi took them to the residence to check the results of the battle, prescribed medicines and doctor's orders to all the patients admitted today, and finally gathered everyone together to discuss the treatment plan, arrange the operation time, and so on.

At nine o'clock in the evening, since there was no surgery scheduled, Boss Gu and the others got off work early.

Originally, Gu Tianyi planned to ask Lin Ran to have supper together, but Lin Ran refused.

In the morning, Lin Ran specially brought two clothes over, just to work overtime!

Overtime is of course the first choice for emergency.

In any hospital emergency department support from other departments is welcome.

Lin Ran's visit to the emergency room was like going back to his hometown. He was still a little unaccustomed to surgery outside the liver.

In the busy emergency department, it doesn't matter what kind of doctor you are.

Just as Lin Ran walked into the emergency room, a nurse grabbed him and said, "This doctor, are you sent by another department to help?"

"Yes! Is there a patient who needs to be treated?"

The nurse asked as she walked, "Come with me, can you handle fracture patients? The X-rays have already been taken, and we will wait for the doctor to handle it."

Lin Ran naturally had no problem, "Of course, I'm an orthopedic doctor, and I can handle most fracture patients."

Outside the liver is not very popular in the emergency department, so Lin Ran can only pretend to be an orthopedic doctor.

orthopedics?not bad!Are you new here?How come I haven't seen you. "

The little nurse turned her head to look at Lin Ran, she was a little wary, she was simple-minded and capable of getting into trouble. "

Lin Ran knew not to be cowardly, "I deal with fractures, and our director praised me for my talent."

The little nurse stopped in front of a treatment room, "Well, here we are, I'll look at you."

Lin Ran nodded and walked into the disposal room. A fifteen or sixteen-year-old boy was sitting on the disposal table.

Standing next to him was a middle-aged young woman who still had a charming charm.

"Why isn't the doctor here yet?"

Just after muttering, Zhang Shaofen, who was spinning around, saw Lin Ran and the nurse walking in, and said, "What's the matter with your hospital? We waited for the doctor after the filming."

Lin Ran ignored her, walked to the side of the absorption pool to wash his hands, and put on gloves.

Undoing the temporary bandage on the patient's left calf, looking at his deformed fibula that moved slightly, Lin Ran asked, "How did you do it?"

Enduring the pain, the boy said directly, "I jumped over the wall."

On the side, Zhang Shaofen: "Hey, Cheng Ziang, you're quite proud, aren't you?"

Cheng Ziang looked at the stepmother in front of him with disdain, "Tch, you don't care about me anyway, you go home and watch your son, why don't you care about me."

A thirteen or fourteen-year-old boy is just at the age of junior high school, and it is also a rebellious period, and he reorganizes his family. He must be lawless!
Zhang Shaofen was squeezed by this and that, so he didn't get angry, "I don't care who cares about you, your father? He knows about work and work all day long, and he has cared about family affairs? I am both a biological mother and a stepmother. , you think I am easy? I am also someone else's stepmother for the first time, can I leave you alone?"

Lin Ran stood up, looked at the boy sitting on the treatment table, and said, "It hurts a lot! Lie down first, don't move around, wait until I heal your leg."

(End of this chapter)