Chapter 1314: Chapter 1313 mitral valvuloplasty
Translator: 549690339“Our director is leading a team to do a ward round.”The young resident doctor jogged into the ward. He first informed the young resident doctor before he casually pushed a few annoying stools to the side.
For young doctors, a ward round by the director for any reason was considered a major event. It was at least equivalent to an in-class test. When a large number of doctors gathered in a department like this, any performance during ward rounds would be expanded into a matter of face.
If it was in the outpatient department of Internal Medicine, 50% of a doctor’s reputation among his colleagues would be reflected in ward rounds.
Although the surgery department was much rougher, there were still many tests for young doctors. Some young doctors who had the task of managing beds could not help but peek at the cheat sheets.
The patients and their family members in the ward were also unusually active. Some of them helped to tidy up the place while others stood up to wake the patients up.
!!The few of them clearly knew that there was a huge difference between the chief physicians and ordinary young doctors. The family members of the patients in bed 100 immediately asked, “Is it chief physician Huo?”
“Yes. Chief physician Huo is with Doctor Ling ran,”the young resident doctor explained.
The patient’s family member stood up and patted his father, who was lying on the bed, at the same time. He said, “Doctor Ling is the Doctor Who was supposed to be the chief surgeon. He’s famous all over the country.”
“Doctor Ling just came back from Cleveland Hospital. Cleveland hospital has the world’s number one heart center. Doctor Ling is very popular and recognized in Cleveland. “We will probably shoot promotional videos in the future. There is quite a lot of news now,”the young resident doctor explained in a low voice.
To the young doctors in Yun Hua Hospital, the Cleveland Clinic was a very high-class place.
The patient’s family members nodded repeatedly. “I know about Cleveland Hospital. Previously, we contacted the Overseas Medical Agency and recommended Cleveland Hospital. After that, for various reasons, we still did not go.”
“You also contacted the Overseas Medical Agency. We also consulted them, but in the end, we still felt worried. We’re still unfamiliar with foreign countries, and the fees are also expensive…”the family member of bed 101 next door interrupted, he started chatting in a low voice with the family member of bed 100.
“You can’t use medical insurance abroad, right?”The patient of bed 102 also listened attentively.
“That’s for sure. The commercial insurance that we buy in China basically can’t go overseas to treat patients, let alone Cleveland Hospital. They pay for heart surgery at their own expense, and it will cost millions of dollars,”the family member of bed 101 said while sighing.
“If we do it in Yun Hua Hospital, 100,000 dollars should be enough, right?”The patient in bed 102 frowned and directly asked the young resident doctor at the door.
The resident doctor hesitated for a few seconds and said, “If you have medical insurance, the difference shouldn’t be too big, but it depends on the specific situation.”
“That’s not what you said before.”Patient 102 exhaled, lifted the blanket, and sat up. “My body isn’t that bad. I spent too much, so I won’t do it.”
“Dad…”the daughter who was accompanying the bed first shouted helplessly, “Your body is already like this. If you still don’t do it, will it be easy for us to arrange this hospital bed? Don’t be so willful, okay!”
“I’ve only saved up a little money after driving the truck for these few years. I Can’t just hand it all over to the hospital. Let’s not talk about how much it will cost. There has to be a figure. If I can’t finish the surgery by myself, I’ll be in debt…”
The resident doctor sighed, he explained patiently, “Let me tell you a little. For example, if you were under anesthesia for four hours or six hours, wouldn’t the amount of anesthetic used be different? Wouldn’t the amount of anesthetic used be different when calculating the expenses?”
The truck driver from No. 102 was stunned. He wanted to retort, but his daughter stopped him.
“My father is just worried about money. He doesn’t mean anything by it,”his daughter explained carefully. “My father used to drive a big car. After resting for the past two years, he didn’t have a sports car and had to spend money to take medicine. He always wanted to save a little…”
The resident doctor nodded and didn’t say much. Patients with different family conditions had different sensitivity to the medical expenses. The family conditions of No. 100 and No. 101 were obviously not bad. However, they had not reached the point where they could go to the United States to perform heart surgery on their own, so they could only take a look. The estimated cost of millions of dollars was obviously not something that an ordinary family could afford.
The condition of the patient in No. 102 was a few grades lower. Although it was not to the point where he could not afford tens of thousands or hundreds of thousands of dollars based on the conditions of his clothes, it was clear that each additional ten thousand dollars would increase his financial and psychological burden.
The resident doctor turned his head slightly. With his salary, he would probably be in the same condition if he wanted to do a heart bypass surgery. Sympathy was one thing, but there was no way to solve it.
“Great shelter for all the poor people in the world”was never a predicament that doctors could solve. As the saying went, ‘advance and save the world, retreat and save the people.’there were many difficulties in saving the people, but the road to salvation was shrouded in fog.
* crack crack crack crack crack. * .
A group of doctors escorted Huo Congjun and Ling ran into the door.
The three patients and their family members who were still talking and discussing just now automatically stopped.
“How are you feeling today?”When Huo Congjun met them, he directly asked about the condition of the patient. He was a little pretentious.
He naturally did not know anything about heart surgery, but as a department director, he knew how to put on an act and ask questions.
Patient Number 100 sat up a little, covered his chest, and said, “I’m still a little uncomfortable. Department director, when can we do the surgery?”
“We need to lower your blood sugar.”Ling ran directly looked at the test results on his IPAD and took over the conversation.
“My blood sugar isn’t too high…”
“After lowering my blood sugar, it can obviously improve the safety and prognosis of the surgery. We still need to continue lowering my blood sugar.”Ling ran had no intention of discussing this with the patient. These were all clear evidence-based conclusions, unless the patient or his family submitted a lancet-level research paper, they would definitely not accept any rebuttal.
Huo congjun cheerfully retreated to the second line and watched Ling ran perform.
The patients and their family members in the ward looked as if they were illuminated by a piercing gaze. They looked at Ling ran, who was adored by everyone. Some of them even had a smile and a lecherous smile on their lips that they had not noticed yet.
Ling ran analyzed and observed the various reports of the patients as usual. At the same time, he performed a physical examination. If there was any difference..
The feeling of a 300-pound patient’s flesh was indeed very different.
Ling ran poked the patient with one palm. When he used too much strength, he could bury more than half of his hand into the patient’s flesh.
Ling ran did not like the slightly greasy feeling, but he still performed a physical examination on everyone.
When he became number 102’s old driver, Ling ran only listened to the sound for a moment before he put down the stethoscope and took out his IPAD to read it again.
“Have you diagnosed mitral regurgitation before?”Ling ran checked the IPAD and listened to the sound again before he asked number 102’s old driver.
The old driver shook his head in a daze.
His daughter became anxious. “If it’s mitral regurgitation, is the condition getting worse?”
“Many patients who have had acute myocardial infarction or long-term coronary atherosclerosis have chronic mitral regurgitation, but your father’s condition is relatively serious.”Ling ran put away the stethoscope, he said with certainty, “The signs of mitral regurgitation are already very obvious. We can do a few more examinations to confirm it.”
As Ling ran spoke, he started the examination.
“I know about mitral regurgitation…”his daughter said in a low voice, “Then, can we still perform surgery in this kind of situation?”
“If it’s more serious, I suggest that we intervene with the mitral valve while the surgery is done,”Ling ran said.
“How do we intervene?”
“Mitral valvuloplasty, or mitral valve replacement surgery.”Ling ran put down his IPAD and said, “I’m good at mitral valvuloplasty. If I need mitral valve replacement surgery, I’ll need to find another doctor to cooperate with me.”
Mitral valvuloplasty (master level) was one of the tasks he completed when he went to Cleveland. It was one of the intermediate treasure chests that were given to him to expand his field of expertise.
During his time in the Cleveland Clinic, Ling ran had already met the requirements for the 100 cases of heart bypass surgery that his task required.
However, in the Cleveland Clinic, there were no patients with severe mitral regurgitation among the cases that were screened by professional cardiologists, and this skill was never used.
In other words, the patients provided by the Cleveland Clinic were relatively simple patients who needed a heart bypass. Even if there were more complicated basic diseases and other situations, the surgical methods that needed to be performed.., were all coronary artery bypass grafting surgeries.
However, in Yun Hua Hospital, even though Huo Congjun had also found department director Kang from cardiopulmonary bypass to screen the patients together, his technical ability was clearly still lacking.
Ling ran discovered an obvious problem just by examining the third patient.
However, Ling ran was not dissatisfied with this. The symptoms of chronic mitral regurgitation were very subtle. Many patients’symptoms were coronary artery ischemia. Therefore, it was very common for patients to only discover the accompanying mitral regurgitation during preoperative examinations, it was nothing more than the question of whether or not surgery was needed.
However, the patient and his family members were already anxious.
The old driver sat up and could not help but ask, “How much would that cost?”
Just as Ling ran was about to answer, the patient’s daughter wiped away her tears. “Money, money, money… can we not talk about money? !”
The old driver’s weather-beaten face became gentle. “If we don’t talk about money, where will the money come from?”
The daughter wanted to say “I’ll pay”, but the words stuck in her mouth.