My medical path

Chapter 104 How to cure?
After listening to Chen Bo's introduction, Li Debao felt remorse and annoyance about the pesticides he might have drunk for more than ten or twenty years.

He looked at Chen Bo and asked:

"Doctor Chen, if I do have this disease, how can I treat it?"

"You, there are two options, conservative treatment and surgical treatment."

Chen Bo introduced:
"Conservative treatment is medication, mainly drugs for promoting blood circulation and anti-osteoporosis, as well as hyperbaric oxygen... but it is only suitable for very early patients..."

"You have been doing this for so long, I guess these plans have limited effect on you..."

"That means I must have undergone an operation?"

Li Debao asked nervously.

"I guess I need surgery, but I won't know until I come back from filming the film."

Although Chen Bo already knew about Li Debao's situation, he couldn't tell him directly, otherwise it would be too scary.

"What if I need surgery?"

Hearing what Chen Bo said, Li Debao guessed that he would not escape the fate of surgery, so he asked.

"There are hip preservation surgery and joint replacement surgery. Generally, we recommend joint replacement surgery for older people. For young people, it is recommended to have a joint replacement surgery first, and then replace it if you can't keep it. For middle-aged people like you, it mainly depends on you. wishes."

Chen Bo explained.

"Doctor Chen, can you tell me more about it?"

"That's it..."

After taking a sip of tea, Chen Bo said:

"I can only briefly introduce the advantages and disadvantages of each to you..."

"First of all, hip preservation surgery preserves your original femoral head. This is the fundamental difference. The advantage is saving money, because the cost of artificial joints is still relatively high..."

"The disadvantage is that within a few months after the operation, you can't walk with weight...and the hip preservation is unsuccessful, and you have to undergo another operation..."

Listening to Chen Bo's introduction, Li Debao nodded frequently.

"Joint replacement surgery is to remove your femoral head and replace it with an artificial one. The advantage is that you can walk down very early after the operation, but the artificial joint has a long life. At your age, it is likely that you will need to replace it for a second time. The second or even the third time...and the cost of artificial joints is relatively high..."

"Then if I choose hip-preserving surgery, what should I do?"

After listening to Chen Bo's introduction, Li Debao was already inclined towards hip preservation surgery, and he was convinced by Chen Bo's patient explanation to him.

"There are many ways of hip preservation surgery, such as simple drilling for decompression, bone graft filling after excavation of necrotic bone, filling with bone segment with blood vessels after excavation of necrotic bone, and even ilium osteotomy ..."

"Generally speaking, the easiest way is to drill holes for decompression. Others basically focus on how to fill the necrotic bone after excavation. At present, there is no unified surgical method..."

These surgical methods sound rather abstract. After thinking about it, Chen Bo gave Li Debao a simple explanation:

"What is this like? It's like the foundation of a mud-brick house in the past. A certain part is hollowed out by ants, and this part has no strength. At this time, if you want to solve this problem, you have to remove the ant nest. It’s done in one pot...but what to do if there is such a big hole left after taking this ant nest? Then fill it up with brick mud or something..."

"That's roughly what it means!"

"So what's the success rate of this hip-preserving surgery?"

This is what Li Debao is more concerned about.

"To tell you the truth, this success rate doesn't mean much to you personally. It's [-]% if you succeed, and [-]% if you don't..."

"And this success rate is related to each patient's condition, each surgeon's technique, and each patient's recovery after surgery. There are too many variables, so the statistical data in each place is different... Little reference value..."

Li Debao nodded after listening to Chen Bo's introduction, and then he asked another question that he ignored just now:
"Then if I choose hip preservation surgery, how long will it take me to walk? Can my pain be relieved?"

"First of all, no matter which operation you perform, it should be able to relieve your pain to a certain extent. Of course, the simple drilling and decompression did not dig out the broken bone in your femoral head, and the cause of the disease was not removed, so it can only be certain. Pain relief to a certain degree…”

"If the method of excavating and filling with bone grafts is effective, it is possible for you to get rid of the pain..."

"In terms of time, it will take at least three to six months to be unable to walk with weight..."

Chen Bo answered patiently.

"Can I use a wheelchair?"

"No, because your femoral head will also bear weight in a wheelchair."

"Then I've been lying in bed all this time after the operation?"

Li Debao thought that he might have to lie in bed for several months, and he was about to die.

"It is recommended to lie down obediently within three months. After three months, you can use crutches to get off the ground, but the side of the surgery still cannot bear weight..."

When Chen Bo said this, he remembered that his other side also had necrosis, and said again:
"We found a lot of patients like you. Although you don't have pain on the left side, necrosis may also appear, but the symptoms may not be obvious in the early stage..."

"If this is the case, if you have to do it on the left side, then you really have to lie down for enough time."

"So serious? Will the left side also suffer?"

After hearing Chen Bo's judgment, Li Debao's face became more sad.

"If you really have necrosis on the left side, even if there are no symptoms for the time being, I still suggest that you get rid of it together, because your waist has already had a side bend, which is a functional side bend caused by pain. Slowly correct, during this process, your left side will continue to be stressed, which may aggravate the necrosis of your left femoral head..."

Chen Bo gave an in-depth explanation.

"Thank you so much, Dr. Chen, you are the most patient doctor I have ever met!"

Li Debao expressed his sincere gratitude.

"You're welcome! I'll give you an inspection list first, and after you've finished the inspection, come back and watch the film on my computer."

Chen Bo turned his gaze to the computer while talking.

It didn't matter, but Chen Bo was shocked like a splash of water!
"Oops! I've had enough chatting, I didn't pay attention to the time!"

Chen Bo grumbled inwardly.

This patient account has already taken him 10 minutes, and looking at the registration column of the computer, there are already [-] patients lined up behind...

"It's only past eight o'clock... It's about to explode again..."

"Brother, this patient bladder can't bear it..."

Chen Bo suppressed the wailing in his heart, immediately prepared the checklist, handed it to Li Debao, and immediately called the next patient.

Deputy Director He, who was so idle in the clinic next door, had already drank three glasses of water in boredom after reading his three patient numbers. At this time, he also wailed in his heart:

"Uncle's lonely bladder can't bear it..."

(End of this chapter)