Chapter 143: Only by scaring the family members can the negotiation be concluded. Director Wen is a little bit weak.

Zhou Can curled his lips. Now Cheng Gang could still scold him.

Once he shows up in the operating room a few more times and his status improves, Cheng Gang will probably have to treat him differently.

Follow Dr. Ou to talk to the family members.

The patient and his wife were waiting anxiously.

After the rupture of the brain aneurysm was discovered, the patient and his family were extremely worried and were even more terrified about the rapid deterioration of the disease.

"Doctor Ou, when will the hospital treat my husband?"

The patient's wife was so anxious that tears welled up in her eyes.

From yesterday till now, she had been accompanying the patient all day without taking off her clothes. Her hair was a little messy and she had no time to comb it.

"I'm sure you all know the results of the examination. I didn't expect his disease to progress so quickly. The aneurysm ruptured and could threaten his life at any time. So he must be treated early."

Almost all doctors will first explain the seriousness of the consequences when talking to family members.

It's not just to scare family members and patients.

But prepare for the worst.

Let family members be mentally prepared in advance.

If the patient is cured, he/she will feel that the doctor is very skilled and has saved his/her life. If the patient is not cured, the family members will be able to accept the fact that they have already informed the doctor. The psychological gap will not be too big.

Also, if you make the consequences sound more serious, family members will be more likely to accept the treatment plan when discussing it with them.

Many family members and patients are particularly afraid of surgery and often hesitate.

The condition of this patient cannot be delayed any longer. Frightening them appropriately can avoid unnecessary adverse consequences caused by the hesitation of the family members.

"Doctor, please, please save my husband!"

The woman was about to kneel down as she spoke.

"Don't do that, don't do that!"

Doctor Ou supported the woman.

"It is our duty as doctors to save the dying and the wounded. We will definitely find a way to save your husband. Just now, the doctors in our hospital discussed and drew up two surgical plans. You can listen to them and then choose one of them."

Dr. Ou is very skillful in talking with family members, and there are many things Zhou Can can learn from him.

For example, although Wu Baihe had told him about two surgical options in advance, he told the family members that these were the results of discussions among the hospital doctors after the patient was found to have cerebral hemorrhage.

This makes it easier for patients to accept.

"The first option is to perform a craniotomy. Cut open the scalp, dig out a piece of skull, and then use the gaps in the brain tissue to find the aneurysm. Use a special clip to clamp it to prevent blood from flowing into the aneurysm. The bleeding will eventually stop and the harm of the aneurysm will be eliminated. This type of craniotomy is extremely risky and the recovery period is long."

"The second option is to do a new type of aneurysm interventional surgery, where a guide wire is inserted from the femoral artery and moved upstream to the location of the brain aneurysm. A coil is then inserted to fill the aneurysm space, forming a thrombus around the coil, which ultimately seals the bleeding and eliminates the threat of the aneurysm. This option is slightly more expensive than craniotomy."

"But it causes less harm to the patient and the recovery is quick. If the situation is ideal, the patient can be discharged from the hospital in about three days. Compared with the hospitalization period of traditional craniotomy, it is more than ten days shorter. The saved hospitalization fee should be enough to offset the difference in treatment costs of traditional craniotomy."

There are two surgical treatment options, the second of which has only been developed in recent years.

Domestic technology in this area lags far behind that of foreign countries.

Compared with traditional surgery, emerging interventional surgery and robotic surgery do have more advantages.

Interventional surgery causes little trauma and quick recovery, which is of great benefit to patients who have poor tolerance for surgery.

For example, if the patient is too old or too weak, the doctor dare not perform a craniotomy. In the past, in such cases, the patient could only receive conservative treatment.

It almost means waiting to die.

Now you can choose to undergo interventional surgery, which may save your life.

"Doctor Ou, how much will my husband's interventional surgery cost?"

For ordinary families, medical expenses are a common concern.

"His aneurysm is quite large, but fortunately there is only one. The cost is conservatively estimated to be around 120,000. But as you know, during the operation, the situation changes rapidly. Once on the operating table, our doctors are concerned about how to save the patient's life and how to cure the patient's disease. The cost can only be calculated by the finance department after the operation is completed."

Dr. Ou’s quote is just an estimate based on previous patients who had similar surgeries.

"What is the cost of traditional surgery? "

The patient's wife asked again.

"About 60,000 to 80,000. "

The price of traditional surgery is indeed much cheaper than interventional surgery.

However, considering the long hospitalization period and the high risks brought by the operation, interventional surgery is obviously more advantageous if financial conditions permit.

The woman discussed it quietly with her husband.

Their family situation should be neither good nor bad.

Because the couple looked like they were not too poorly educated. Her dress was similar to that of the white-collar ladies in the city.

Hundreds of thousands can definitely be taken out.

Medical insurance should be able to reimburse part of it.

“We do interventional surgery.”

She has already worked out the outcome.

"Okay, I'll arrange it for you right away. Before the operation, you need to deposit the money into the account you opened at the hospital. When will it be available?"

Dr. Ou asked.

If the patient does not pay the money, the hospital generally will not arrange the surgery.

"I'll get it now."

The woman did have some family wealth, and she could withdraw hundreds of thousands of dollars in savings at will.

…

Half an hour later, the woman had paid 120,000 yuan for the surgery.

The money was in place, and Dr. Ou called Wu Baihe, who was in surgery. It was a major operation that would take at least six to eight hours.

There is no other choice but to find Director Wen.

After some communication, Director Wen finally agreed to perform an expedited interventional surgery on the patient.

On the one hand, the condition is indeed critical, and on the other hand, the time for interventional surgery is relatively short.

If the condition is not complicated, it usually only takes one to two hours to complete.

The next step was simple. We arranged for the anesthesiologist to come over for a preoperative talk and to sign the anesthesia consent form. Dr. Ou asked the family members to sign the surgery consent form.

The hospital temporarily arranged an operating room.

The entire operation proceeded smoothly.

Zhou Can was very lucky as he got the opportunity to observe and learn from Dr. Ou in the operating room.

In the operating room, he finally met Director Wen of the Neurosurgery Department.

An old man in his fifties, probably around fifty-five or fifty-six. His hair was surprisingly black, as shiny and black as that of a young man.

However, age spots can already be seen on the face, back of the hands, etc.

The wrinkles on the forehead and corners of the eyes are also very obvious.

Time is merciless, and Director Wen’s hair is most likely dyed black.

He looks quite elegant, wears glasses, speaks slowly and calmly, and is full of mature masculine charm.

It is not easy to be awarded the title of director in Tuya Hospital at the age of 56.

Look at Dr. Ou, he is in his early fifties and is still just an attending physician.

It is conceivable how difficult it is to be evaluated for a senior professional title.

Not to mention a senior professional title, even an associate senior professional title is equally difficult to obtain.

Many excellent doctors can only work until they retire as attending physicians in their entire lives.

In the operating room, Dr. Wen was the lead surgeon, and in addition to Dr. Ou, there were two other attending surgeons, one male and one female.

The man was in his forties and the woman looked to be in her mid-thirties.

The remaining

As for Dr. Ou's appearance in the operating room and his participation in the operation, it was probably related to the fact that he was the attending doctor.

After the patient was helped onto the operating table, the anesthesiologist began to connect multiple life monitoring probes to him, put on a breathing mask, and implemented inhalation anesthesia.

This type of anesthesia is also one that patients can accept more easily.

After taking a few puffs, his consciousness became blurred and he quickly fell asleep.

It's not painful.

"The anesthesia was successfully administered, and the patient's vital signs are normal. The surgery can be performed."

Just waiting for this sentence.

Director Wen glanced at his two attending physicians.

"When performing this type of interventional embolization of brain aneurysms, the femoral artery at the base of the thigh is the preferred puncture point. Remember, you must not puncture directly from the upper body artery for the sake of convenience. For example, puncturing the carotid artery is a taboo."

The three graduate students under him took out their small notebooks and quickly took notes.

Most medical students are very hardworking.

"Also, you must learn how to read films. If the neck of the aneurysm is too wide, the effect of inserting the coil during interventional embolization surgery will not be ideal. At this time, a stent needs to be inserted to assist in preventing the coil from protruding..."

The knowledge of these surgeries is very advanced and very practical.

Zhou Can kept it in mind.

His memory was not bad, and he did not bring paper and pen with him, so he could just make up a surgical record when he got home from get off work.

"Before the operation, we have fully understood the location of the aneurysm based on DSA three-dimensional reconstruction. Now we will start the femoral artery puncture. Which of you two will do it?"

Director Wen looked at his two attending physicians, one male and one female.

As for Dr. Ou, he was like a child without a mother, being ignored and left alone. He could only watch and learn.

Not to mention Zhou Can.

Standing behind Dr. Ou, he was clearly distinguished from the residents and graduate students under Director Wen.

"Can I do it?"

The head female doctor asked in a coquettish tone.

"It seems that Tang Li has only completed two cases of coronary artery puncture. I think she can do it this time!"

Director Wen agreed and the male attending physician had to give up.

"Thank you Director Wen!"

She smiled and thanked him sweetly.

Female doctors have a big advantage over male doctors as long as they look decent.

Grab the opportunity to practice surgery and you will succeed.

"Let me help you!"

The male attending physician didn't win the fight, but instead of getting angry, he took the initiative to show his courtesy.

Skin cleaning is usually done by nurses.

Even the second disinfection is mostly done by resident doctors.

It's a waste of talent for the attending physician to do this.

"Thank you, Dr. Zou!"

She has already started washing her hands in preparation.

After the injection, the blood turned dark red.

The corners of Zhou Can's mouth twitched twice. This woman probably doesn't have much real skills except for acting coquettishly towards the male doctor.

He became an attending physician at the age of 35, so his academic qualifications must be quite good.

In addition, he had a good relationship with the chief physician of the department, which enabled him to get promoted.

The young doctors at Tuya Hospital generally have a high level of educational background.

Basically 90% of them have a postgraduate degree or above.

When she inserted the needle, the blood drawn was dark red, indicating that a vein had been punctured.

When doing a puncture or indwelling needle, be sure to observe the color of the blood after the puncture.

If it is dark red, it is mostly venous blood. If it is bright red, it is rich in oxygen and the blood is bright red.

Once you've seen it a few times, it's easy to tell the difference.

"Oh, Director Wen, please help me check if I did the puncture wrong!"

She looked frightened.

"Maybe you punctured a vein. Let me do it!"

Director Wen's tone was gentle, without any blame.

This kind of behavior greatly reduced Zhou Can's impression of Director Wen.

Not every chief physician is upright and rigorous.

After all, people like Dr. Ou, Dr. Xu from the emergency department, and Director Shen from the orthopedics department who are rigorous and upright are only a minority.

Especially in recent years, Kamata-based hospitals have invaded massively and developed rapidly.

Many departments in hospitals were contracted out to doctors from the Kamata school to run. Those people were all ruthless and ruthless.

It is precisely because those people are particularly good at generating income and treating patients as ATMs. They use money to pave the way and have become a huge cancer in the medical community in China that is difficult to eradicate.

What is even more frightening is that the doctors who once thought highly of themselves were dragged down and even followed suit.

Over-medicalization, being told that you are sick when you are not, all kinds of unnecessary examinations as soon as you enter the hospital, a large number of consumables are prescribed for surgery, and expensive medicines are only prescribed that cannot be reimbursed by medical insurance.

They even induce patients to buy various nutritional supplements that have no medicinal value.

These behaviors have spread throughout the medical community.

Countless patients have suffered greatly.

Zhou Can was not sure that Director Wen had a bad style. But it was very unreasonable that his female doctor punctured the patient's vein without saying a word of blame.

Unless this female doctor is his daughter, he would be so tolerant.

Under normal circumstances, if a doctor makes an operational error, the surgeon in charge will not curse at the subordinates, but at least give them a warning.

Director Wen glanced and fell on Zhou Can.

Because in the operating room, this strange young doctor was the only one who was not his student. If he had to do miscellaneous work, he would definitely give priority to this kind of person.

"Clean the skin from the other thigh of the patient!"

The femoral artery puncture in that thigh failed. For safety reasons, it is best to change the leg in the short term.

Zhou Can obediently stepped forward to clean the patient's skin.

He has done this kind of thing countless times.

Quite skilled.

"Director Wen, it's done!"

He finished cleaning the skin and stepped down from the operating table.

It is definitely impossible for a trainee to be given this position.

Director Wen performed the puncture personally.

After one injection, the puncture was successful. But after seeing the other party's operation, Zhou Can shook his head secretly.

After all, he is a chief physician. Logically, his puncture skills should be at least at the deputy director level.

As a result, the level of the injection just now was at best a lower level of indication.

No wonder the female doctor he trained was so bad. If the master was only at this level, how good could the student be?

"See? You have to be careful when puncturing. It's not okay to puncture too deep or too shallow."

Director Wen successfully completed the puncture, with a hint of satisfaction on his face.

Next, a catheter is used to enter the abdominal aorta, thoracic aorta, aortic arch, and finally into the aneurysm sac through the femoral artery.

Although the whole process had some twists and turns, it was still smooth.

"The next most critical step is to introduce the coil through the microcatheter to fill the internal space of the aneurysm. To complete this step, a doctor's implantation skills are very tested."

As he finished speaking, he had already started inserting the first spring coil.

The entire operation can be clearly seen on the display.

The introduction of that spring coil was not smooth.

It got stuck in the neck of the aneurysm and couldn't get in.

Director Wen's forehead began to sweat.

"It is really difficult to insert a coil. I have practiced for more than ten years and have only achieved a small success."

His efforts to explain seemed more like an attempt to save face.

Others were watching and learning attentively.

No one dared to speak.

As time passed, Director Wen's face began to turn red.

An awkward, solemn and tense atmosphere filled the operating room.

Zhou Can watched the whole process. He felt that if he was given a chance to practice, he should be able to place the coil into the aneurysm sac.