medical simulator

Chapter 145 Be sure to think of a way for me!

Zhou Cheng had been a little surprised that Yang Yifeng would come so early today, but Yang Yifeng had always been aloof and the most unrestrained in the department.

Even Director Yan didn't ask much about his affairs, and let him do his own thing in the department, Zhou Cheng naturally couldn't ask more questions at the first time.

Just happened to meet him at this moment, so he asked: "Brother Yifeng, this seems to be the first time you have come to the department so early?"

Zhou Cheng didn't have Yang Yifeng's high realm, nor his status, so he arrived early every time.Even if it is a morning run, it is still rain or shine, and I feel envious in my heart.

Yang Yifeng nodded and explained: "Well, the plot of the novel has fallen into a small bottleneck recently."

"Some time ago, I only focused on picking characters. After writing the recent plot, I feel that there is a little shortage of cases, which is not enough to support the story to continue downward, so I want to come to the department early to see if I can find suitable cases. Look for inspiration."

Yang Yifeng is embarrassed to say that he took Zhou Cheng as the prototype of the supporting role, and then made the protagonist's current combat power a bit collapsed. The main purpose now is to come for Zhou Cheng.

It's just that when looking at Zhou Cheng, Yang Yifeng suddenly felt that he seemed to be obsessed too much recently, and even laughed at himself secretly, thinking why should he care so much about Zhou Cheng?

Internet novels are nothing but literary works, and literary works can be processed and handled.

After a night of thinking, he probably found a solution, but the solution still needs to be reflected in a special case.

But it’s just seeing the truth from the details, it doesn’t necessarily need to be true, as long as you know what to write, and what you write can highlight that the protagonist is better than the supporting role Lu Cheng, who is based on Zhou as the prototype.

It is quite easy to write these points out with my current knowledge background.

After Zhou Cheng's incident, Yang Yifeng had a deeper experience in writing medical novels.

That is to write novels. You don’t have to stick to the existing format and content. Internet novels are actually a kind of recreational literature. You can write very proficient and obscure, or you can write very straightforward.

With the development of online novels, more and more attention is paid to daily life and sense of substitution. Speaking of it, that is to say, the ability to let readers gather in the story allows him to integrate into the story.

Readers are becoming more and more disgusted with pretense and face-slapping, just like doctor's articles, there will not be too many plots of pretense and face-slapping, but it is also favored by readers.

Therefore, this shows that there is actually no fixed number in the format of how online novels will behave.

It will also be an excellent way of writing to write characters well, chat at home, chat and interact with readers.

Just keep in mind that it can make readers have a sense of expectation, and don't feel obscure during the reading process, then it is a good novel.

Yang Yifeng's comprehension is quite high, the sense of substitution.

That's what he wants to ponder.

The achievement of his current novels is not because they are derived from reality and surpass reality, but they can also be revealed in reality, allowing readers to feel the authenticity of the storyline, and then process and shape the characters.

Based on real people, it is more approachable.

Therefore, this time, Yang Yifeng didn't simply look for cases with a curious nature!

Special cases are well written and well written, which can even refresh colleagues who read books.However, if the whole article is written like this, it is nothing more than repeating the complaint, and it is completely worthless.

He felt that he might be able to dig out common cases and express them in different forms.

As long as the reader can be brought into the story in an appropriate way.

That's a good story.

However, Yang Yifeng originally had such a mentality, but the unexpected situation is that, in the process of seeing the case today, he happened to bump into a rare case——

Isn't this even more coincidental?

Fractures are common cases in orthopedics, and bone defects are not uncommon, but large bone defects are also defects in which bone segments disappear due to trauma.

As the saying goes, the bones are gone, which is not a common thing.

"Oh, that's right, did Brother Yifeng also see the patient in bed 27?" Zhou Cheng could also understand Yang Yifeng.

Yang Yifeng can definitely be called an out-and-out genius.

But no matter how talented you are, you will be limited by your experience and life experience.

For example, Zhou Cheng feels that his skills are definitely not bad now.

But compared with Luo Yun, there is still a certain gap in realm.

That's because Luo Yun's knowledge is broader than his, his understanding of medicine is deeper than his, and his education and experience are also at a higher level than his.Therefore, it is often possible to talk about the essence of some diagnosis and treatment processes.

Although these may not be the essence, but for the current Zhou Cheng, some of Luo Yun's insights and opinions have already touched something beyond medical treatment, or something above diagnosis and treatment.

This is something Zhou Cheng can't do at present, but Zhou Cheng doesn't force it either.

Zhou Cheng went on to say: "I have never seen this case before, so I am very curious, and I didn't hold back when I waited for the ward rounds, so I wanted to have a look in advance."

Zhou Cheng thought to himself that he had been a resident doctor for two years in clinical practice, and had seen all the routine orthopedic emergencies, but such open fractures and traumas were really unheard of!

Even the mechanism of how to cause such a fracture and injury was not understood.

With such a rare case, Zhou Cheng naturally wanted to see it earlier.

Yang Yifeng also nodded and said, "To be honest, I haven't seen it either."

"Bone defects are very common, but in general, most bone defects are caused by surgery or other reasons, resulting in bone defects caused by osteotomy. Is this a traumatic defect?"

"And it's so damaged?"

"I've never seen it before."

Yang Yifeng touched his head while walking side by side with Zhou Cheng.

Both discovered that the other had the same purpose, and they went together to the patient's bedside.

After entering the ward, Zhou Chengcheng found out.

The patient is a middle-aged male, about 40 years old, tall and thin.

His eyes are not deep, and even full of indescribable innocence.But what doesn't match his eyes is that he has a blue dragon tattoo on his arm, and he looks like a decent social figure.

For such a social figure, the blue dragon tattoo is not complete anymore, the color has faded in some places, and I don't know why he didn't make it up.

The person sitting next to him was a middle-aged woman, the same age as him, with an indescribable figure, to be conservative, she could be said to be fat.

After seeing Zhou Cheng and Yang Yifeng, he asked his wife to sit up while shaking him, and asked, "Doctor? You two should be my doctors, right?"

Zhou Cheng nodded, and took the initiative to reply: "Yes, we are all doctors in Director Cai Dongfan's team, and will be your doctor in charge in the future, but the doctor who mainly contacts you is Dr. Xiang Haibin. He is your bed doctor."

"If you have a problem, you can go to anyone."

In the past, the 27 beds were managed by Zhou Cheng, but now the 25-27 beds are assigned to Xiang Haibin, and the other beds are managed by Du Yanjun and Zhang Zhengquan.

Xiang Haibin doesn't work in orthopedics, so if there are too many beds in charge, I'm afraid he won't be able to take care of them and something will happen.

So let Du Yanjun and Zhang Zhengquan take more care.

"Ang." The tattooed man immediately said excitedly, "You guys are here."

"I asked for a long time yesterday, and the doctor on duty told me that my doctor is not in the department. I asked him to call you to the department, but he said it was the weekend."

"What do you mean? The doctor still has weekends? But I'm so anxious. You said that I came to the hospital to find a doctor, and the doctor is not here. What's the matter?"

"After I came in, the doctor on duty came to take a look, and no one took care of me."

"Oh, I really don't understand your hospital." He complained, with a slight social atmosphere in his tone, but the taste in his words was not offensive, much better than the yin and yang of some more decent people.

His wife is a middle-aged woman with a 'slightly' fat body, while shaking his bed.

While scolding the patient: "It's useless for you to say a few words!"

"Tell me about you, you haven't done a single useful thing throughout the day."

"You don't want to take the bus, but you insist on riding your motorcycle, and you have to drive (guo) fast. Now it's all right, you can't drive your thigh bones."

The middle-aged man with the blue dragon tattoo may also feel a little guilty, perhaps because he has lost too much bloodiness by life.

Zhou Chengcheng explained: "That's right, brother, our doctor will also come to the department on weekends. We were still in the ward yesterday morning, and we visited the outpatient clinic all day. There is a doctor on duty in the ward on guard 24 hours a day."

"We went to the outpatient clinic yesterday and saw that it was 05:30 in the afternoon. Under such circumstances, unless a fatal emergency patient came to the department and had to be operated on immediately, otherwise, we would also have to take a rest on weekends to continue our lives."

"What are you? How did you get hurt?"

The tattooed man also said politely to Zhou Cheng: "It was hit by a motorcycle yesterday. Originally, we went to the county hospital and went to the operating room."

"But the doctors there said that all my bones were gone, that my fracture was very special, that it might not be seen in decades, and they couldn't handle it, so they sewed up my opening and sent me to another hospital. "

"I'm here for you."

I don't know if it's his big heart or what, when he said that his fracture was rare in decades, he was quite proud, and he didn't realize how serious his condition was.

I also felt that I was injured very special, as if I was very dragged.

Before Zhou Cheng and Yang Yifeng said anything, his wife scolded: "What's the use of you?"

"Really." Then he looked at Zhou Cheng: "Doctor, what should I do with my husband? His bones are gone, so how will he walk in the future?"

"Also, is he numb in pain here? So he doesn't know the pain? I think he seems to be more relaxed than the post-operative patients in the other beds."

The patient immediately said: "Yes, I really don't feel any pain except this foot is weak."

"They all say I'm not afraid of pain, and I think so too." The tattooed man was a little complacent.

Yang Yifeng's eyes rolled white.

Zhou Cheng explained: "Your fracture has a large defect in the bone, so the fracture end does not have the friction of other people's fracture ends, forming a large discontinuous defect, so there may not be much pain. , plus we've already taken analgesic treatment."

"So the feeling of pain is actually okay. It doesn't feel particularly painful."

Speaking of this, Zhou Cheng continued to ask: "You just said that you had an operation in the county hospital before? Then why don't you continue to be hospitalized with them?"

Although this patient is rare, rare cases must be difficult to deal with, and the consequences are even more unpredictable.

In addition to hard work, it is also troublesome to admit and treat rare patients, which is far less easy than common cases.

The man with the tattoo said, "That's the county hospital over there. The medical skills are poor. After seeing that my bones were gone, I didn't dare to do it anymore. I suggest that I transfer to another hospital."

"Then I was transferred to you. The doctor on duty yesterday also transferred me to the Affiliated Hospital of Shonan University and the Second Affiliated Hospital, so how could I go?"

"The last time my mother was hospitalized there, it was also an orthopedic department. It only took three or four days. After reimbursement, I still had [-] yuan. It was a waste of money. If I don't go, I believe that you can do a good job here."

"You are all top three hospitals, but the cost is too low!" the tattooed man murmured.

When it came to [-] yuan in three or four days, he made a gesture to Zhou Cheng and Zhou Cheng in a very exaggerated way.

Yang Yifeng continued to roll his eyes when he heard this.

They are all tertiary hospitals, why is there a difference in charges?Don't you have any compulsion in your heart?
But he didn't open his mouth to speak, and gradually began to set up a person for the patient in his heart.

Upon hearing this, Zhou Cheng continued: "Your current situation is very serious. Although our hospital is also a third-class hospital, there is a big gap with the Affiliated Hospital of Shonan University and the Second Hospital."

"Besides, most of our other patients' conditions are only fractures, so an internal fixation is enough to fix the bones."

"Your bone is gone, have you thought about the possible consequences? Where do you go to get this part back?"

"If you can't find it, you will never be able to walk again in the future, and you may even lose your legs!"

Zhou Cheng felt that this big brother was really too big, and he didn't know if he was really not afraid, or if he was ignorant and fearless.But Zhou Cheng had to explain the seriousness of the matter to him. If the patient and his family had always had this mentality and thought it was a minor illness, then there would definitely be problems later on.

Zhou Cheng didn't simply scare them, but his femur started from 3cm below the lesser trochanter to 4cm above the medial and lateral femoral condyles, and there was a gap of at least ten centimeters in the middle.

Maybe even twenty centimeters!
Other people's bone defects are usually only one or two centimeters.

Then do an internal fixation and bone grafting.

But he?

Even if Zhou Cheng has a perfect level of bone defect transplantation, he still finds it very troublesome.

The middle-aged man said carelessly: "Doctor, didn't your doctor come to find a solution for this fracture?"

"That's why we came to you, otherwise why would I come to you?"

"Fractures aren't too scary. I've checked online and they say it's one of the few diseases that can be fully recovered. There's nothing wrong with it."

"I don't want to go to the Affiliated Hospital of Shonan University. The doctors and nurses over there are very concerned. It's fine to ignore them. It's too expensive!"

"It's better here. Since I was admitted to the hospital, at least seven or eight waves of people have come to see it. How enthusiastic is this?"

Zhou Cheng immediately realized that Yang Yifeng was looking at him with complicated eyes.

It seems that I don't know what to ask, but when I gently touched the middle of the thigh with my hand for a simple physical examination, I felt limp.

The patient was still a little scared, and kept blowing on his thigh from a distance, for fear of being hurt by Yang Yifeng.

Seeing this scene, Zhou Cheng and Yang Yifeng called the patient's wife out, thinking that it was better for his wife to tell him about it. The two of them seemed to have some communication barriers with the patient.

After leaving the ward, the patient's wife said: "Doctor, just tell me directly. I found out yesterday that my husband's situation is very serious, but he is still like a child, and he doesn't realize the seriousness of the problem at all." !"

"He, is he really going to amputate?" The middle-aged woman straightened her slightly messy hair expressionlessly.

Also very helpless, with such a heartless husband, usually more funny than happy, but even if he doesn't remember things, he can't handle things, as if he is here to make fun of the gods in the world.

When she was in the county hospital, someone also came to her and said that his situation was difficult to deal with.When I came to the hospital yesterday, the doctor on duty talked to her a little bit and said it was difficult to deal with.

Amputation is possible.

It's just how she is willing to have her husband amputated like this, what will the family do?Do you support yourself alone?

Then she must not be able to bear it.

No matter what, men can earn more than women with the same conditions.

Zhou Chengcheng said: "His situation is very complicated!"

"I wonder if you paid attention to what I just said?"

"With such a big bone defect, the original bone is gone, and I can't use my own bone to fill it up. To put it bluntly, it will take a lot of money to fill her up!"

"And, even after it's patched up, it's impossible to perform the physical activities that normal adults can do, only normal walking and aesthetic functions. You know what I mean?"

"This is a very thankless task." Zhou Cheng vaccinated the patient's family members in advance.

Anyway, the patient's wife is considered a sensible person and can listen to others, otherwise, she really doesn't know how to communicate!

With a hippie smile, I always feel that doctors are gods, and such gods are scary.

"How much will it cost?" The middle-aged woman asked the most concerned question.

"If you want to do limb salvage surgery, and it's the kind of limb salvage surgery that can't restore function, you have to consider at least hundreds of thousands."

"This is not a small amount, and how much it will cost can only be known after a careful evaluation before the operation."

"The final specific value has to be determined according to the actual situation during the operation."

"Bone grafting materials are very expensive. For ordinary people, only a small amount of bone grafting costs more than 1 yuan!" Zhou Cheng made a metaphor while talking.

Compared with a small defect.

How expensive are artificial allograft bone graft materials?A pack of several thousand yuan, with a clearly marked price, can fill a bone defect that is not as big and deep as a spoon!

After Zhou Cheng said a huge number, he said again: "It's very rare for him to be in such a situation."

"And it's not going to end up being a great outcome."

"Hundreds of thousands?" This sentence immediately scared the middle-aged woman?

After taking a few steps back, he leaned against the wall as if he had collapsed.

With a look of horror on his face: "Then where do we have so much money?"

Seeing this, Zhou Cheng said again: "However, if you want to know how to treat it later, you can still ask our superior doctor for details during our ward rounds. There are also cheap treatments."

Zhou Cheng didn't want to talk to death, he still escaped, and he still wanted to leave a glimmer of life for others.

It's just that if the missing bone is to be filled with bone graft, it's really not something ordinary people's families can afford.

Even if the fibular bone is transported, a lot of fillings are required to build up the skeleton. In the end, this foot only has the function of beauty and walking, and has no other abilities.

If he hadn't seen that the patient himself was too optimistic, Zhou Cheng would not have said so much!

I just hope that they can make good psychological preparations, and the patient's wife will also do some psychological construction for her husband earlier.

Amputation, cheap.

It took a few thousand yuan to do it, but the consequence was that I lost a leg completely.

Even with prosthetics, it is difficult to find a job.

Limb salvage costs a lot, and the consequences are not necessarily good.

And not necessarily anyone dares to do it.

If patients and their families are unable to realize the seriousness of this, medical disputes that should not have occurred will surely follow.

But in the end, how to do all of this will depend on Cai Dongfan's final decision during the ward rounds.

I just came here to take the lead.

The middle-aged woman walked back to the ward with a heavy heart, without thanking Zhou Cheng and Yang Yifeng.

……

On the way back, Yang Yifeng suddenly asked curiously: "Brother Zhou Cheng, why didn't you directly talk to the patient about the amputation? What kind of surgery do you have in mind for such a bone defect?"

Such a large bone defect, where can you get such a bone support?
Hearing this, Zhou Cheng frowned slightly.

Secretly thought that he just wanted to find a solution just now, and entered the state of possessing the skills of bone defect transplantation, but forgot that such bone defects may not be considered by current medicine.

Yes, although there is already a certain foundation in bone defect transplantation.

However, the transplantation skills that Zhou Cheng has obtained now are not comprehensible in reality.

Yang Yifeng is a really knowledgeable person, and he is also a specialist in orthopedics.

So he might be curious about what he thinks.

But Zhou Cheng didn't know how to explain it for a while, so he said: "Actually, I just said that casually, but I can't wipe out the patient's only hope of limb salvage."

"Let Director Cai and the others figure out a solution for such a complicated problem. I don't dare to think too much about it." Zhou Cheng became very honest.

But Yang Yifeng was not as easy to fool as Du Yanjun and Zhang Zhengquan.

Still smiling, he asked: "Brother Zhou Cheng, you should have some ideas, you are not the kind of person who speaks casually."

This was a chatter left by Zhou Cheng. If the communication was good, Yang Yifeng might still be able to find Zhou Cheng's loophole.

Medical confrontation, no matter life or death.

If the master fights, the one who strikes first will be slightly disadvantaged!

Zhou Cheng turned his head and said, "Brother Yifeng, it's not that I don't want to talk about it now, but it's hard to say. It's getting late now, so let's talk in detail later, after the shift checks are over?"

Zhou Cheng didn't mean that he didn't want to reveal the skills he knew at all, but that he couldn't explain clearly.

Moreover, if he talks too much, Yang Yifeng will be a special existence at that time. If he said a few words to Cai Dongfan during the rounds, then Zhou Cheng would say something about such a patient. To be cured or not to be cured?

If there is a cure, who will perform this operation?

Do it yourself, this is a Super IV surgery, which is a serious leapfrog.

Cai Dongfan going?
Even Cai Dongfan couldn't do it. The best plan in Zhou Cheng's heart was to either suggest that the patient be transferred to another hospital, or invite someone to come over for a consultation operation.

Because such a super-level IV operation is a minefield in the Eighth Hospital.

I don't know what Dong Qiansheng, who was on duty yesterday, was thinking. He took this patient in, and instead of letting them go to his group, he assigned him to his own group.

"Okay, that's right!" Yang Yifeng also looked at the time, and it was true that the shift was almost over, so he resolutely didn't ask Zhou Cheng.

I was just thinking secretly in my heart, if I was going to be the chief surgeon, how would I choose...

However, no matter how Yang Yifeng thought, he still felt it.

For such patients, the benefits of amputation will be even greater.

With such a large and long bone defect, can that thing still be preserved?
Could it be that Zhou Chengcheng really wanted the patient to spend hundreds of thousands of dollars to have a useless leg for this operation?Just plain good looking?

If you want to look good, you have to spend a lot of time and effort to install a prosthetic limb and put on pants, isn't it different?
After the limb salvage operation, even if his function recovered a little, would he be able to earn back the money for the limb salvage in his physical condition for the rest of his life?
……

Today's Monday is the beginning of the week, but Yan Haihan became extremely quiet again this morning, which is completely different from the shift shift at the beginning of this month.

After finishing the shift, without saying a word, I took someone to round the room.

Xu Yanlin, who was on duty yesterday, was in their team, and today is Monday, their surgery day again, so Yan Haihan sneaked off to the operating room after quickly checking the room.

Even Cai Dongfan and Hu Ming are not used to such a straightforward manner.

It seems that recently, Yan Haihan stopped doing things in the department and became honest. Is this still Yan Haihan?
However, the two didn't waste much time, and each found the person in their group.

Cai Dongfan also looked at Luo Yun with a smile, and asked on the way to the ward round, "Luo Yun, how did you see the outpatient clinic yesterday? You should be used to it, right?"

Before this month, there were only Yan Haihan's group in the department, and there were two outpatients. Hu Ming and Cai Dongfan were both working alone, so the number of patients was relatively insufficient.

Now that Luo Yun has filled the position, he can lead Hu Ming again. Although there is no shortage of patients in the department, who would not want to admit more high-quality patients that can be selected after there is no shortage of patients?
Luo Yun said, "Director Cai, it's okay."

"Although I haven't seen the outpatient clinic for a long time, it's a little rusty, but it's okay."

"Director Cai, don't worry, I only brought in two patients. It didn't take up many beds." Luo Yun was quite honest.

Before, Cai Dongfan promised that as long as Luo Yun can obtain the IV level operation authorization and open the joint surgery clinic, he will give Luo Yun three beds.Luo Yun was not so greedy, and only sent in two patients.

Cai Dongfan looked at Luo Yun in astonishment, and immediately stared at him with small eyes: "Have you already admitted patients to the hospital?"

Is this Luo Yun so resolute?

"Then who does the joint surgery?"

Cai Dongfan asked, and felt that he was asking too much. In the current Eighth Hospital, who else can do it except Luo Yun?

Then lowered his voice and asked anxiously, "You have already obtained the surgical authorization for Class IV surgery? Why didn't I know?"

Cai Dongfan stood still and led the whole group to stand still.

Then these words made everyone look at Luo Yun, with inconceivable expressions in their eyes.

Before Luo Yun, he could only perform level II surgery routinely, and only occasionally performed level III surgery. He had never been exposed to level IV surgery, let alone authorized.Because there are not many level IV surgeries that can be performed in the Eighth Hospital, Cai Dongfan does not perform a lot of level IV surgeries.

In the Eighth Hospital, the authorization of Class III and IV operations is not a process, but is granted by the medical department according to the professional title. It is impossible to get the operation authorization out of the ordinary.

If Luo Yun wanted to get a grade IV surgery, he would definitely not be able to bypass the medical department. If he didn't bypass it, the medical department would call Cai Dongfan to inquire about the situation.

But now, Cai Dongfan didn't know about it at all, so he felt very confused.

Luo Yun nodded and said calmly: "Yes, Director Cai, I copied the authorization approval form for surgery when I was a graduate student, and after my teacher called the medical department here, the leader of the medical department They didn’t embarrass me, and approved me to pass the exception authorization for Class IV surgery.”

Cai Dongfan immediately pulled the corner of his mouth, his face twitching.

Okay.

It turned out that your teacher Zeng Lao came forward, and there was the authorization approval form for the extraordinary surgery in the hospital where you were studying in graduate school. It was definitely the upper-level hospital of the No. [-] Hospital, and they all agreed to the approval.

If the medical department of No. [-] Hospital still makes things difficult for you, then it's really a hole in the head.

However, what Cai Dongfan still didn't understand was that Luo Yun didn't seem to have told him about this before.

Why did Luo Yun suddenly pop up again, and he had obtained the authorization for Level IV surgery before?
Also, this unintentional Versailles almost made Cai Dongfan change his name.

Both Zhou Cheng and Yang Yifeng looked at Luo Yun with astonished eyes, and thought to themselves, oh, it turns out that Luo Yun saved another hand...

Just these things, in the hearts of Du Yanjun and Zhang Zhengquan, Luo Yun's figure suddenly became taller, and his status suddenly equaled that of Cai Dongfan.

There are only a few level IV surgeries in trauma surgery, and Cai Dongfan can do only a little bit...

Without comparison, there is no harm.

Cai Dongfan then hurriedly ended the topic, squeezed his throat, turned his small eyes and said, "Well, patients with joints, you can arrange it according to the situation. Let's go to the ward round first."

End the conversation quickly before you get hurt further.

……

And because of this episode, the rhythm of Cai Dongfan's rounds of people has become a little faster——

The doctors in charge of beds 25, 26, and 27 were Xiang Haibin, not Du Yanjun and Zhang Zhengquan.

Xiang Haibin didn't come to the department long in advance, so he took a look at the diagnosis temporarily, so Xiang Haibin didn't realize how difficult the patients he was in charge of would be.

The 25th and 26th beds are all regular patients who are about to be discharged from the hospital. Cai Dongfan took people on a tour, nodded and said yes, and then passed.They are thinking about their discharge date.

Cai Dongfan quickly brought Luo Yun and the others to bed 27.

"This is a patient with a femur fracture and a bone defect. He was admitted to the emergency department yesterday and has not yet undergone surgery." Briefly reported to Haibin.

When Cai Dongfan heard that he was a new patient, he immediately asked while taking the film: "What did you do for the preoperative examination?"

Xiang Haibin lowered his head slightly: "The patient was admitted to the hospital yesterday afternoon, and he hasn't had time to see it yet."

"Perfect the pre-operative examination well. If there is no problem, arrange the operation earlier." Cai Dongfan looked at Xiang Haibin without scolding him.

However, as soon as Cai Dongfan finished speaking, Luo Yun on the side immediately touched Cai Dongfan with his hand, signaling him to speak later, and then put the flat film in front of Cai Dongfan's eyes.

When Cai Dongfan mentioned the film and saw it, Cai Dongfan's small eyes immediately widened a little with fright, and he almost had a knife-free surgery to open the corners of his own eyes!

The corners of the eyes were almost cracked.

Then he squeezed Luo Yun and walked towards the door, lowered his voice, and asked sternly.

"Fuck, who took this patient in?"

"Is it you?" Cai Dongfan almost scolded his mother directly.

Cai Dongfan thought it was Luo Yun, but at this moment he scolded Luo Yun in his heart for being a mess. Although Luo Yun was going to have joint-related surgery, Luo Yun wanted to choose some that he was familiar with anyway. This fucking has something to do with joints?
You want me to cover you for such an operation, so you are hurting me on purpose.

Luo Yun said: "Yesterday, Xu Yanlin from Director Yan's group was on duty, and it should be taken in by Deputy Director Dong Qiansheng."

"I haven't even seen this patient, otherwise I would have reported it to you, Director Cai." Luo Yun hurriedly assured.

Luo Yun's scalp is also a little numb at the moment, such a patient should be admitted to the hospital?

Isn't that asking for trouble for yourself?

How could he be so insane?
Cai Dongfan immediately scolded the street: "No wonder Yan Haihan ran so fast this morning, it turned out that he did such a bad thing! Second Austria."

"Since when did Dong Qiansheng become so black-bellied?"

Then, he walked in again and got to the bedside, ignoring Zhou Cheng and others looking at him, and said to the patient and his family: "Your situation is very serious, do you know?"

The patient nodded, but now his expression became more serious: "Director Cai, the little doctor here probably talked to me, but I still believe that you are the director. You are well-informed and can definitely think of a way."

"I hope Director Cai can rejuvenate and keep my leg. I will definitely miss you, Director." The tattooed man must have been confessed by his wife, so he is not so careless at the moment, at least he is serious .

Cai Dongfan hurriedly replied: "If you are willing to save your limbs, I suggest you transfer to the Affiliated Hospital of Shonan University. Otherwise, consider amputation!"

"This bone defect is too big!"

Cai Dongfan was very compelled, he didn't intend to touch this ghost thing, it was beyond his ability, even Cai Dongfan felt that there might not be any professors in the Affiliated Hospital of Shonan University who would dare to do it!
But at these words, the middle-aged tattooed man became anxious: "Hey, doctor, isn't my situation just a broken bone?"

"Should I be transferred to the Affiliated Hospital of Shonan University?"

"I just didn't want to run so far, so I came to you."

"Yesterday, Dr. Dong also asked me to transfer to another hospital. I didn't agree. I just believed in your hospital. Why do you insist on transferring me to the Affiliated Hospital of Shonan University?"

"And in the Affiliated Hospital of Shonan University, any operation is much more expensive than here. Last year, my mother went to have a hip replacement, which cost more than 7 yuan. After reimbursement."

"I don't dare to go there anymore." The middle-aged tattooed man shook his head fearfully.

For ordinary families, so much money is not a small sum of money, and it can be taken out by gritting their teeth.

But he can only buy motorcycles himself, how much money can he have?
Cai Dongfan took a deep breath and said formally: "Your situation is not simply about money."

"But, if such a large bone is gone, how to fill it up. This is the trouble."

"I have only seen your situation once, but the defect of that patient was only 5cm. It was in 02 and cost more than [-] yuan."

"That's more than one hundred thousand in [-]."

"You are more than 20cm!"

"If you want to save limbs, based on this ratio, it will cost hundreds of thousands. Moreover, in your case, the distance between the ends of the bones is too large. Even if you have money, no one will dare to do such limb-salvage surgery. You can understand me mean?"

If this patient has a strong desire to save his limb, he must be sent away.

The middle-aged man was startled by Cai Dongfan's words: "This?"

"Do you want so much money?" He obviously didn't think he was going to have his limb amputated, didn't he just hit it?

There are no other problems, people are fine, just the bones are broken and missing, and it will be fine if it is fixed again.

Cai Dongfan said: "This is not just a simple question of money, but a question of how to do it, how to do it, and whether it can be done."

"Anyway, I suggest that you go to the Affiliated Hospital of Shonan University or the magic capital of Kyoto. They must have more experience in dealing with such a rare disease."

Cai Dongfan also discovered that this patient was born with an optimistic spirit.Did you only hear about money?
Do you think that if you have money, you can solve such a thing?
Such a large bone defect, Cai Dongfan really couldn't get it off at all. However, such cases are often seen at academic conferences on trauma surgery, but those defects, more than ten centimeters are already the limit!
With such a long bone defect now, it is estimated that those top professors will find it interesting and challenging, right?

The patient became even more anxious: "Doctor, you have to find a way for me, where do we have so much money to visit Shanghai and Kyoto?"

"You must think of another way for me."

PS: Ask for a monthly pass, the goal is 100.It's only a little over [-], and I hope you guys will give me a little more.

Regarding the update, more than 40 words have been updated in May.

I'm going to be in the top three of the combat power list next month, so I'll save the manuscript for a while.

(End of this chapter)