Chapter 200 This Is Not Huge Profits
Li Quan saw the first patient coming, which meant that the business was open.
I couldn't help but feel refreshed.
He also understood that Dr. Luo was nominally a senior doctor, but in reality he was just cheering for him. The only person who actually treated him was Li Quan.
"As long as it is indeed a dislocated joint and there is no bone fracture, we can treat it."
Li Quan took over the patient's family's words without hesitation.
"Okay, please ask the doctor to help my mother. She was in the bathroom the day before yesterday, and because the floor was slippery, she accidentally fell and broke her left leg. We took an X-ray at the local People's Hospital, and they said that surgery is necessary to have a chance of recovery. However, considering that my mother is old and in poor health, the hospital recommends conservative treatment."
The patient's son briefly explained the situation.
At the same time, he took out a bag containing ultrasound films, medical records and other information and showed it to Li Quan.
Li Quan took the ultrasound film and looked at it. There was no obvious abnormality . The femur at the hip position was obviously displaced.
"Is the patient unable to stand now?" Li Quan decided to check the patient's basic condition first, which is commonly known as a physical examination.
"My mother has been lying down ever since she fell. She screams in pain even when she turns over, let alone standing up," replied the patient's son.
Li Quan nodded.
"That means the patient can't even sit down now, right?"
"Well, she can't sit. We tried to help her sit in the wheelchair, but she cried out in pain before she even sat down." The patient's son nodded in confirmation.
After listening to the patient's description, Li Quan nodded.
He walked up to the patient and used foresight to make a preliminary diagnosis.
Although the art of diagnosis by observation has now reached a small level of success, it is still subject to many limitations.
For example, the patient can only lie down now and cannot move.
Naturally, it was difficult for his visual diagnosis skills to diagnose the specific location of the patient's lesion.
At this time, it is necessary to cooperate with pulse diagnosis to diagnose the cause of the disease.
Li Quan took the patient's pulse with a serious face.
As for moving the patient's legs, this is a taboo and absolutely not allowed. Because the cause of the disease is still unknown, if you move the patient, she will scream in pain. At that time, the family members nearby will easily get angry.
After careful feeling, the old man's pulse was not good, very weak, and a little rapid.
This shows that the elderly are in poor health.
Li Quan continued to examine to understand the meridian condition of the femur.
Generally speaking, the blood vessels near the injured bones will also be damaged, resulting in hematoma and congestion.
Sure enough, Li Quan quickly diagnosed that there was blockage in the pulse around the femur.
The blood vessels in that area were not particularly damaged. There was no sign of bleeding. There should be no fractures.
As to whether there is a bone fracture, it is hard to say.
Li Quan is now also taking pulses and accumulating experience through comparison.
The local people's hospital was reluctant to perform surgery on the old man because the damaged joint was in the femur. If surgery was required, it would have to be a major operation.
Considering that the old man is old and in poor health.
After such a major operation, the prognosis is likely to be extremely poor, and the elderly may even die shortly after the operation.
Conservative treatment is the option recommended by most hospitals.
"Preliminary examination shows that the patient should have a displacement of the femoral head. Does the patient have any existing diseases? For example, heart disease, diabetes, etc." Li Quan asked.
"No." The patient's son shook his head.
"Let's take the patient to get an X-ray of the femur first. If we determine there is no fracture or bone break, we can manually reposition the patient. No surgery is needed, the patient will recover as the treatment progresses."
Li Quan said to the patient's family.
"Okay, okay, okay!" The patient's family readily agreed.
They must have asked in other hospitals, but they were afraid that no hospital could manually reposition the femur for this patient.
Even for surgery, few hospitals dare to take it.
Surgery is never cheap.
Ten thousand is the starting price.
For Li Quan, if the bone can be repositioned manually, the patient will naturally be willing to do so.
Doctor Luo was now willing to serve as Li Quan's assistant and immediately requested an X-ray examination.
The patient's family took the patient for a check-up and naturally did not mention it.
About twenty minutes later, the patient was carried back.
"Doctor, these are the test results, please take a look." The patient's family was very polite to Li Quan.
Because they really hope to cure their mother's illness without undergoing surgery.
"Doctor Luo, can you check if there are any bone fractures? If there is any fracture, I checked and found no bone fractures." In fact, Li Quan checked and found no bone fractures.
Asking Dr. Luo to take a look would not only save Dr. Luo's face, but also reduce omissions when two people consult.
"Well, I checked, there's no bone fracture."
Doctor Luo examined the patient very carefully because he was a senior doctor. If he didn't do a good job, he would be responsible if something went wrong.
"Doctor Luo, do you think we need to do any other tests?" Li Quan asked.
"Let's have the patient undergo a routine blood test and four coagulation tests. This is mainly to prevent the patient's coagulation function from being impaired. Internal bleeding is prone to occur during joint reduction. If the patient has a coagulation function disorder, then we have to consider the high risk involved."
Dr. Luo gave his own opinion.
Li Quan accepted it humbly.
Patients with coagulation disorders are usually leukemia patients. Even a common nosebleed can be fatal.
This really needs to be screened.
After the patient underwent routine blood and coagulation tests, the results showed normal.
This time you can reset it with confidence.
"You are the patient's son, right? Before we perform the manual reduction on your mother, there are some things we need to discuss with you. If you agree, we will perform the manual reduction on the patient."
Li Quan learned from last lesson.
Now everything is going according to normal procedures. Risks that should be avoided must be avoided in advance.
"First of all, one thing must be made clear. Manual reduction cannot guarantee 100% success. In addition, after successful reduction, the patient may suffer from femoral head dislocation again because of not paying attention to recuperation or not listening to the doctor's advice..."
Li Quan informed the patient's family of some of the risks.
"Doctor, please treat my mother. We can accept these risks."
The patient's family agreed.
"Let me talk about the cost. Since it is a manual reduction, if it fails, there is no charge. If it succeeds, the cost of this reduction is 1,200 yuan. In addition, we will prescribe you some oral anti-inflammatory and swelling medication and a course of calcium tablets for the elderly. The total cost is..."
Li Quan did not have the right to prescribe medicine. He looked at Dr. Luo who was operating the computer.
"The total cost is 1,672 yuan. You can go to the payment window now to pay the fee, and then we can treat the patient."
Dr. Luo took over the topic.
The two of them work in perfect harmony and are both working hard to generate revenue for the department.
However, each charge is a reasonable price.
"Doctor, it costs 1,200 yuan just for a reduction surgery? Can it be less?" The patient's son thought the charge was too expensive.
"Manual reduction may seem simple, but it actually requires very high professional skills, and our doctors bear considerable risks. 1,200 yuan may not seem cheap, but compared with surgical treatment, it is more than ten times cheaper. The patient also suffers less and recovers faster..."
Doctor Luo has a very powerful eloquence.
The patient's family was moved by what he said.
"Okay, I'll pay right away."
It is really worth spending more than a thousand yuan to cure such a serious disease.
Critical patients can suffer less.
The first deal was almost done. Now it was up to Li Quan.
As long as they can successfully reposition the patient, they will successfully earn more than 1,600 yuan. Add the cost of X-ray examinations, blood routine tests, etc., and the total is nearly 2,000 yuan.
