Four Hundred and Eighty One Invitation
People who engage in technology have a common problem. It's why he can do it and how can I do it. Of course, paddling is not counted. With this characteristic, technology will develop more and more excellence.
When Zhang Fan's scalpel was like an elf, wandering on the edge of the aorta and lungs, the two assistants went from panic at the beginning to surprise later, and finally became silently bearing Zhang Fan's pressure. Thrillers for them.
Thoracic surgery brings together a series of highly difficult operations. After all, it is the location of the two core organs of the human body. Coupled with the special environment of closed negative pressure in the thoracic cavity, the starting point of thoracic surgery is not small. Thoracic surgery is also the type of surgery that is most affected by the patient's own situation, and the degree of thoracic adhesions directly affects the difficulty of surgery. When a patient with extensive pleural adhesions undergoes pneumonectomy, the anatomical relationship of the lungs may be completely lost, and the shape of the lung lobes cannot be figured out. During the operation, there is continuous bleeding and air leakage.
This kind of operation is also the most basic operation outside the chest. If it is not done well, not only will it be difficult to hold your breath, but it will also be like a pump pumping air from a certain flower. The surface of the human body is like circle after circle. The plastic containing gas is like a rubber doll.
The ultimate form of lung surgery is unilateral lung plus total pleurectomy. This hugely invasive surgery is used to treat pleural malignant tumors, and it is necessary to remove all the contents of half of the chest cavity. Not only is the operation difficult, but there are also great challenges in filling the surgical side and preventing mediastinal displacement after surgery.
It's so hard to die, this one from Wanzi Country has this disease, a hemangioma is crawling on the most important part of one lung.
"What should I do?" The director of Maruko Country's head grew big. When Zhang Fan finally found the lesion in the center of the bottom of the lung, everyone did not breathe a sigh of relief, but took another breath.
"Go and talk to the family members about conservative and non-conservative treatment. Non-conservative treatment means total resection of one side of the lung, and conservative treatment means tumor embolization. Go!"
After Zhang Fan finished speaking, while the doctors from Jade Bird Province and Wanzi Country were still hesitating, Ren Li had already left with the medical records.
The risk of non-conservative treatment is the greatest, and long-term observation is required after surgery. That is to say, after one step is in place, the patient will lose half of his lungs. If other accidents occur, there are almost no alternatives.
However, if there are no accidents, patients can still look like normal people for decades after surgery.
Conservative treatment not only costs a lot, but also takes long-term medication after surgery and regular checkups. Once the tumor is out of control, surgery is still required. The benefits are quite obvious, that is, the patient’s organs are healthy. Even if there is an accident, the future options are still relative. Say more.
Ordinary patients often choose non-conservative treatment, which is the so-called one-step treatment. Because there are too many non-medical issues involved. For example, the cost of conservative treatment, after discharge from the hospital, various drugs and various examinations are really not affordable by the average middle class.
However, if non-conservative treatment is chosen, although the damage is large and there are few options in the later stage, in general, in terms of the cost of surgery in Huaguo, there are too few relatively conservative medicines. This is also a benefit of the so-called medicine and medicine.
If you change the country, the cost of this kind of surgery is absolutely sky-high. Because there are too few doctors who can do this kind of surgery.
"We choose non-conservative treatment!" After Ren Li explained the various prognosis and risks of the operation to the patient's family, they directly chose non-conservative treatment.
For patients of this level, money matters are not a problem, and money can be used to buy one more chance to be healthy, without even thinking about it.
After signing the consent form for the operation, Ren Li immediately entered the operating room. "Zhang Yuan, non-conservative treatment!"
"Okay!" Zhang Fan replied softly.
The other doctors were also relieved.
In layman's terms, conservative treatment is to use a particularly advanced embolism to embolize the patient's thymoma,
Blocking its pathway is equivalent to starving the tumor to death. To make an analogy, it is equivalent to using a wooden plug to block all the openings of the human body, such as the mouth, such as the anus, and then wait for death.
The advantage of this type of surgery is that it does little damage and hardly damages organs. If the tumor is starved to death, it can be said to be a fairly perfect minimally invasive surgery. But its disadvantage is that tumors are not easy to mess with, and often starve to death, this thing will be darkened.
Rather than conservative treatment, it is relatively rough, and all the organs are cut directly, so that the tumor is not almost developed, and it is cut off. But the damage is extremely huge, it is really a way to kill 10,000 enemies and lose 8,000 or 9,000.
Half of the lungs have been removed, no matter how young you are, it will be useless in the eyes of normal people in the future. And there is no guarantee that the tumor will not recur.
Anyway, there are pros and cons to each.
After Ren Li underwent surgery and informed Zhang Fan's family of her choice, Zhang Fan started conservative treatment.
"Twenty, twenty!" When Zhang Fan started to embolize, several doctors in the observation room murmured silently.
This embolic material is extremely expensive, and a simple embolic material costs 200,000 yuan.
"Okay, stop talking about it, it's a pity!" According to the routine, the general equipment company will give the doctor about 20,000 yuan for materials of 200,000 yuan, which is clearly marked. Fortunately this disease is extremely rare.
"Hey! When will I be able to perform such a high-end operation!" The nagging brother seemed particularly unwilling to say.
"Okay. What you are thinking about is not technology, but kickbacks!"
...
In eleven hours, everyone on the operating table changed except for Zhang Fan.
Originally, the director of Maruko Kingdom didn't seem like going off the operating table, but at the later stage of the operation, Zhang Fan asked the team to go down to rest in order to let the team know more about this kind of operation because there are not many opportunities to see it.
The old man got off the operating table aggrieved.
Although the operation was completed, the postoperative period was quite troublesome. The patient had to be fixed in one position, and postoperative recovery was also quite troublesome.
...
"How is it?" After the operation was over and Zhang Fan left the operating room, Lao Chen rushed over immediately. Zhang Fan stood in the operating room for eleven hours, while Lao Chen waited abruptly outside the operating room for eleven hours.
"It's okay. Is there any water? I'll take a sip." Before the operation, Zhang Fan ate two mouthfuls of chocolate. After the operation, his legs felt a little weak.
And dry mouth, feeling like the tongue has shrunk.
"Here, here, the goji berries I soaked for you! It's black goji berries!"
Like a robot cat, Lao Chen took out a water cup from his handbag.
Zhang Fan looked at Lao Chen with a slightly weird look, but didn't say much.
The next day, Zhang Fan didn't have a chance to sleep in. He had to get up early to see the patient who had undergone surgery. Although the child was swollen like dough, his body temperature and white blood cells began to drop. It shows that Zhang Fan's operating room was successful.
The patient's family members are also very polite. The director of the provincial hospital was even more polite. Zhang Fan did his ward rounds, and he gave him a lot of face. He was treated like an expert in his ward rounds.
"Zhang Sang has worked hard!"
"It's not hard, it should be."
After Zhang Fan's ward rounds were over, his family members and subordinates bowed to Zhang Fan at the gate of the ICU, and Zhang Fan also politely said that it was not hard work.
Then wait for the other party to pay.
But after waiting for a long time, this guy just kept saying polite words, and he didn't see the head of the provincial government give Zhang Fan an envelope. Zhang Fan was quite puzzled, such a large family business should renege on debts?
In the director's office of the Provincial Hospital, the father of the patient in Wanziguo finally began to talk about practical things.
"Zhang Sang, I would like to invite you to travel to the country of meatballs for a few days. By the way, if possible, I want the child to return to the country of meatballs."
"Ah!" Zhang Fan was taken aback.
"Don't worry, you don't have to worry about the fee. This is the fee for this time." After speaking, he gave Zhang Fan a check in front of the director of the provincial hospital.
Although this is deserved, it is still necessary to be polite. Of course, Zhang Fan would definitely not refuse, nor would he hypocritically say no, "It's a bit too much, it's not good."
"Oh, my face is full of smiles, I don't let go of the check, and I hypocritically say that it is too much!" The director of the Provincial Hospital despised Zhang Fan in his heart, and stared at the check. number. But it wasn't too shocking.
Because this time not only Zhang Fan had it, but also other doctors who came for consultation, especially Mr. Chen, I don’t know how much he gave.
Two million, not Japanese Yen, but RMB. This number is already a lot of extra, but he also has a lot of demands. I want Zhang Fan to go to the country of meatballs.
To be honest, Zhang Fan didn't want to go.
But looking at the check in his hand, Zhang Fan didn't want to let go.
Between hesitation.
The director of the provincial hospital also came out to help speak out, he really didn't want to take the blame. The initial diagnosis was wrong, which made the government criticize him.
"Yuan Zhang, you should just take a break and travel. In our line of business, there are endless surgeries. And he sincerely invites you."
The critical moment has come to Lao Li's side, and the younger brother has been arrested by himself. It seems a little unreasonable to go to the country of meatballs by myself.
Just between hesitation.
The Wanzi country expert who is in charge of gastroenterology at Chasu called, "Zhang Sang, please make sure to go to Wanzi country. With the support of this kind of enterprise, our cooperation may be able to improve to a higher level."
Then, Ouyang also called.
"Go, I asked you here, it's not a big problem for you to go now. I heard that they want to cooperate fully, but they must be responsible and go to the meatball country in person."
"Really go?"
"go!"
Ouyang said with certainty.
"But it's the Chinese New Year!"
Ouyang was on the other end of the phone, almost going berserk!
"Zhang Sang, we can invite your family to travel to the country of meatballs!" After hanging up the phone, fearing that Zhang Fan would not go to the country of meatballs, the local tyrant added another sentence.
"Okay, I'll go back to Chasu first and discuss it with my family."