Chapter 608 Bone damage causes bone hyperplasia and bone transplantation
Some patients will deliberately hide the truth from their doctors.
If they do this just to get the doctor to treat them, there is nothing wrong with that.
It's just that some patients or their families deliberately concealed some important medical history and conditions, and then the doctors treated them out of kindness. As a result, something went wrong during the treatment.
At this time, the patient's family members will immediately show a ferocious face.
There are complaints, lawsuits, and huge claims.
The doctor meant well but ended up with a tragic end. He tried his best to treat the patient, but ended up with a tragic end.
The father of this big boy is obviously not a good person.
Li Quan was almost 100% sure that if an accident occurred during the boy's treatment, the boy's parents would turn against him.
When they were still interns, Professor Liu warned them that there are three situations in which patients should not be treated.
The case will not be treated if the situation is unclear, if family members do not sign, or if the prepaid fees are not in place.
These three conditions may seem cruel, but they are actually to protect doctors.
If the situation is unclear, even an experienced doctor may fail miserably. If a medical malpractice occurs, no one can bear the responsibility.
If the family members don't sign, and you dare to treat it, you would be like a dog biting a rat and meddling in other people's affairs.
Even if you cure the patient, the family members may not be grateful to you.
If the disease cannot be cured, then you will be sued, punished, and have to pay compensation.
The last one is that the doctor will not treat the patient if the prepaid fee is not paid in full, because sometimes the cost of rescuing the patient or a major operation may be as high as hundreds of thousands of yuan. If the patient and his family delay paying the fee, the doctor will have to bear part of the cost.
For an ordinary attending physician, if he encounters one such incident in a month, that month's work will be wasted.
It is also possible to lose money.
"You little doctor, are you deliberately making things difficult for our patients? I've told you everything I need to know, but you're still making excuses. It's obvious that you don't want to treat my son. Call your dean. I want to see how you leave today."
The older boy's father kept rolling up his sleeves with a fierce look in his eyes. I don't know if he didn't want to hit anyone?
"This is our dean. If you have any requests, just tell us directly."
Chen Xia said from the side.
This family member was so arrogant and unreasonable that she couldn't stand it anymore.
"What?"
The boy's father looked at Li Quan with a suspicious expression, then looked at Chen Xia.
He suspected that Chen Xia was lying to him.
"Is there such a young dean? Who are you kidding?" The boy's father looked incredulous.
"This is indeed our Dean Li Quan, and he is the Dean. Excuse me, but everyone in Huier Hospital, from top to bottom, has to listen to Dean Li. If you want to get Dean Li fired, you probably have to contact the higher authorities."
Tang Zhengyuan looked at the boy's father with a mocking expression.
Not to mention this person, even the leading figures in Shanghai might not be able to get Li Quan fired.
Li Quan is no longer the little intern he used to be.
He has made great contributions to the country and is highly appreciated by senior leaders of the medical system.
They also intend to train him to become a pillar of the country's medical field.
"Cough... cough..." The boy's father's forehead began to sweat and his expression became very uncomfortable.
Only then did he realize that the young man he looked down upon actually had such a prominent background.
"Can you now tell me the true situation of your son?" Li Quan asked.
"Uh... well, maybe I didn't sleep well these days, so my mind is a little confused. I forgot to mention that this is not the first time my son has had the disease. He had it twice a year ago. He was discharged after surgery in another hospital. But it relapsed every three to five months. This time we went to the People's Hospital of our province for treatment, and the doctors there told us that they could no longer cure this disease.
He suggested that we go to the capital for treatment.”
This time, the boy's father finally told the truth.
The thoracic vertebrae are the main beam of the ribs and are closely connected to important organs such as the heart, lungs, and liver.
This surgery is very risky.
In addition, the patient has undergone multiple surgeries, which will undoubtedly increase the difficulty and risk of the operation.
Also, even if the bone spurs are removed and smoothed out through surgery, they will still recur within a few months.
Li Quan realized that the boy's illness was far more difficult to treat than he had imagined.
The essence of bone spur formation is bone hyperplasia.
There are many reasons for bone hyperplasia, such as aging, trauma, physical condition, excessive fatigue, etc.
The boy was still only thirteen, so his age was obviously not a problem.
It should be caused by trauma.
Generally speaking, there are many ways to treat bone hyperplasia.
For example, physical therapy, massage, acupuncture, electrotherapy, cupping, laser, ultrasound, paraffin therapy, etc., all have certain effects. However, these treatments are mainly for patients with mild symptoms of bone hyperplasia.
These physical therapy methods mainly play the role of anti-inflammatory, analgesic, blood circulation and blood stasis removal.
It cannot actually cure bone hyperplasia.
It is only treating the symptoms and not the root cause.
The boy's bone hyperplasia is so severe that physical therapy cannot be used.
Even isolation therapy and drug therapy are not effective.
The so-called closed therapy is to inject drugs around the pain points and nerve roots, which can reduce inflammation, relieve pain and improve blood circulation.
It is also a method that only treats the symptoms but not the root cause.
It is easy to relapse.
The most effective method is still surgical treatment.
However, the risk of surgical treatment is extremely high, and bone hyperplasia often occurs in the cervical spine, lumbar spine and knee joints.
If a surgical procedure goes wrong, the patient may lose the ability to walk at best, become paralyzed or even die at worst.
Li Quan took the patient's film and placed it on the light board, observing it carefully.
Apprentices Tang Zhengyuan, Luo Wenhao and others were also learning nearby.
"Look carefully and see if you can find the root of the problem."
Li Quan said to several disciples.
Since you asked this question, it means that Li Quan has already discovered where the problem lies.
"Dean, we can't figure out what the problem is. Please teach us!"
Luo Wenhao stared at the film on the light board for a long time, but still couldn't find the root cause of the problem.
"Tang Zhengyuan, what about you? Have you discovered anything? Why does the patient's bone hyperplasia recur repeatedly?" Li Quan looked at Tang Zhengyuan.
In terms of talent, Tang Zhengyuan's medical talent is stronger than Luo Wenhao's.
Whether it is comprehension or hands-on ability, Tang Zhengyuan has a high talent.
"The bones in this area seem to be looser than those in other areas." Tang Zhengyuan said, pointing to the area with bone spurs.
"Yes, this sternum was injured before, and after multiple surgeries, it has been destroyed beyond recognition. This is also the reason why the hospital where the patient is staying doesn't dare to perform another surgery. It will only make the condition worse."
Li Quan explained the reason why the patient suffered from repeated bone hyperplasia.
Normally, hospital doctors do not allow family members to be present during consultations.
In order to save time, Li Quan asked the family members to listen together. When the family members were asked for their opinions, they only needed to answer whether they agreed or not.
"Dean Li, what about my son? You must find a way to save my son, he is still so young." The boy's mother was so anxious that she began to wipe away her tears.
Family members know their own business.
Her son has been refused admission to the Provincial People's Hospital, which is enough to show the seriousness of the problem.
"If I'm not mistaken, the time it takes for your son to relapse is getting shorter and shorter, right?" Li Quan was sure that the sick child's bones were damaged like this, and the bone hyperplasia would definitely become more and more serious.
The duration of the disease will also be shortened.
"Your guess is absolutely correct. The first relapse was more than a year later, the second was more than eight months later, and the third was less than four months later."
Seeing that he could no longer hide the truth, the boy's father had to admit it with a blushing face.
Fortunately, Li Quan did not bother with him.
"President Li, before I came to Huier Hospital for treatment, I heard from several fellow villagers that your medical skills are amazing. Especially in treating orthopedic diseases, there is nothing you can't cure. Please, be merciful and find a way to save my son."
As he spoke, the boy's father took out a bulging red envelope from his pocket with a bit of pain in his heart .
I'm afraid there's more than a thousand yuan stuffed inside.
He stuffed the red envelope into Li Quan's hand.
"What are you doing? Medical staff in our hospital are forbidden to accept red envelopes from patients and their families. I will find a way to cure your son's illness." Li Quan refused sternly.
Not to mention that he is not short of money, even if he is poor, he will not make such a principled mistake.
There are only zero and countless times to receive red envelopes from patients.
Or always stick to your bottom line and refuse to accept all red envelopes and gifts.
Either you accept it the first time, then the second time, the third time... and finally you fall.
No one doesn't like money.
Especially for some low-paid grassroots doctors, they need money more.
"Let me first tell you about the child's condition. The child's thoracic vertebrae have been severely damaged and it is almost impossible for them to repair themselves. If we want to prevent the disease from recurring and cure it once and for all, we must transplant a piece of bone to replace the damaged part."
Li Quan gave an extremely horrifying treatment plan.
“Will it be dangerous to replace… the thoracic vertebrae?” The boy’s father widened his eyes.
"Any surgery has risks. This kind of major surgery involving opening the chest and replacing bones has higher risks than ordinary surgery. If the operation is successful, it can completely solve the child's bone disease once and for all, without having to worry about recurrence. In addition, it is generally recommended to take bones from one's own body for bone replacement. If it is an allogeneic bone transplant, it will increase the risk.
If you agree to the operation, I will take a bone from the child's head."
Li Quan never stops until he makes a shocking statement.
Even Tang Zhengyuan, Luo Wenhao and others who had blind worship for Li Quan were frightened.
In an instant, the dozen or so doctors in the orthopedic office became unusually quiet.
Open-chest treatment is already a major surgery with high risks, and Li Quan also wants to perform a craniotomy on the patient. Isn't this just looking for trouble?
It's just crazy.
"Director Li, won't the risk increase when you take bones from the patient's head?" Tang Zhengyuan couldn't help but remind him.
"The risk will certainly increase, but among the 206 bones in the human body, only the bones in the head are suitable for replacing the thoracic vertebra of the sick child. Risks and benefits are twin brothers. The greater the risk, the greater the benefit.
After the replacement is successful, there is no joint movement and friction at this position of the head, so there is no need to worry about bone hyperplasia after the damaged sternum is transplanted.
The human skull is the hardest part, and when it is transplanted onto the thoracic vertebrae, it can increase the strength of that section of the patient's thoracic vertebrae.
It is of great benefit to the patient's recovery, as well as his normal life and exercise in the future ."
Although Li Quan's treatment plan is crazy, it is not nonsense.
It is a choice made after careful consideration.
That is to say, his bone therapy skills have reached the master level, and his surgical skills have also been promoted to the master level, so he dared to try this operation.
Otherwise, this child's life will be ruined.
No one dares to treat it.
"Director Li, is this treatment expensive?" After listening to Li Quan's professional explanation, the boy's father seemed ready to undergo surgery.
But for any family without a mine, the first concern when receiving hospital treatment is whether there is enough money.
"The total cost of treatment is estimated to be $200,000, and the risk is relatively high. If the operation fails, your son may need to lie in bed for the rest of his life. You and your wife can discuss it carefully and decide whether to undergo surgery."
Li Quan had said everything that needed to be said, and all that remained was for the family to decide for themselves.
"Okay, let's go out and discuss it and give you an answer later." The boy's father took his wife's hand and walked out of the Traditional Chinese Medicine Orthopedics office.
Li Quan continued to treat other patients without mentioning it.
It was almost noon when the boy's parents finally finished their discussion.
The answer given is cure.
We have to sell everything we have to deal with it.
From this point of view, Li Quan had some good impressions of the boy's parents.
At least, they are a great and competent pair of parents.
Since the boy's condition is critical and could worsen at any time, and since his parents have agreed to the treatment, the sooner the surgery is arranged, the better.
Li Quan asked Chen Xia to ask the child's parents to sign a consent form for the operation and deposit 200,000 yuan of treatment fees into the hospital account.
At around three o'clock in the afternoon, Li Quan cured the last patient who could be repositioned manually and just returned to his office to drink some water and take a rest.
Chen Xia came to find him.
"Director, the parents of the patient named Qiu Xinggu have signed the consent form for the operation and have just deposited 200,000 yuan into the hospital account."
Li Quan was quite surprised that the boy's parents transferred the money into the hospital account so quickly.
It seems that the boy's family doesn't look like rich people.
Did I make a mistake?
"Two hundred thousand has been prepared so quickly. The financial situation of the patient's family is good enough! I will arrange surgery for the patient immediately." Li Quan was looking forward to the operation, but also a little nervous.
For him, this is a challenge to himself.
"I heard the boy's parents arguing and saying that they sold the house to a relative at a low price, and that was how they quickly raised the two hundred thousand yuan." Chen Xia said in a low voice.
"Ah... so that's how it is. They even sold their house to get their son treated. It's really admirable. We must do our best to make this operation a success."
Li Quan felt some invisible pressure on his shoulders.
The child's parents spent all their money to treat their son, so Li Quan naturally had to do his best to perform this unprecedented bone replacement surgery.
