People who work in technology have a common problem. It’s why he can do it and how can I do it. Of course, those who paddle around and dawdle in the water do not count. With this characteristic, technology will develop becoming more and more refined.
When Zhang Fan's scalpel was like an elf, wandering around the edge of the aorta and the lungs, the two assistants went from being frightened at first to being surprised, and finally to silently bearing the pain of Zhang Fan. Give them a scare.
Thoracic surgery brings together a series of 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 chest, the starting point of thoracic surgery is not easy. Thoracic surgery is also the type of surgery that is most affected by the patient's own condition. The degree of thoracic adhesions directly affects the difficulty of the surgery. When a patient with extensive thoracic adhesions undergoes pneumonectomy, the anatomical relationship of the lungs may be completely lost, and the shape of the lung lobes cannot be understood, resulting in constant bleeding and air leakage during the operation.
This kind of surgery is the most basic surgery outside the chest. If it is not done well, not only will it be difficult to breathe while holding your breath, but it will also feel like a pump is pumping continuously from a certain flower, and the surface of the human body will look like circles after circles. The gas-containing plastic is like a rubber doll.
The ultimate lung surgery is unilateral lung and total pleural resection. This huge wound surgery is used to treat malignant pleural tumors and requires the removal of half of the chest cavity. Not only is the surgery difficult to perform, but filling the surgical side after surgery to prevent mediastinal shift is also a big challenge.
It's better to die than to die. This person in Maruko Country has this disease. There is a hemangioma crawling on the center of one lung.
"What should I do?" The director of Wanzi Country had a big head. 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 heaved a sigh of relief.
"Go and talk to your family about conservative and non-conservative treatment. Non-conservative treatment is total resection of one lung, and conservative treatment is tumor embolization. Go!"
After Zhang Fan finished speaking, while the doctors from Qingniao Province and Wanzi Country were still hesitating, Ren Li had already gone out with the medical records.
Non-conservative treatment has the highest risk and requires long-term observation after surgery. This means that after one step is completed, the patient will lose half of his lungs. If other accidents occur, there will be almost no alternative. To put it bluntly, he will have to wait for death.
However, if no accidents occur, patients can live like normal people for decades after surgery.
Conservative treatment is not only expensive, but requires long-term medication and regular check-ups after surgery. Once the tumor cannot be controlled, surgery is still needed. The benefit is also quite obvious, that is, the patient's organs are sound, and even if an accident occurs, the options for the future are still relatively high. 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, various drugs and examinations after discharge are really not affordable by the average middle class.
If you choose non-conservative treatment, although the damage will be greater and there will be fewer options in the later stage, generally speaking, based on the cost of surgery in China, there are too few relatively conservative drugs. This is also one of the benefits of using medicine to support medicine.
If you change to another country, the cost of this kind of surgery would be 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 concern. Money can be used to buy one more chance of health without even thinking about it.
After signing the operation consent form, Ren Li entered the operating room immediately. "Zhang Yuan, non-conservative treatment!"
"Okay!" Zhang Fan replied softly.
The other doctors were a little relieved.
In layman's terms, conservative treatment is to use a particularly advanced embolism to plug the patient's thymoma and block its passage, which is equivalent to starving the tumor to death. For example, it is equivalent to using wooden plugs to block all openings in the human body, such as the mouth and anus, and then waiting for death.
The advantage of this kind of surgery is that it causes less damage and almost no damage to the organs. If the tumor is starved to death, it can be said to be a perfect minimally invasive surgery. But its disadvantage is that tumors are not easy to deal with, and they often starve to death, so this thing will secretly spread.
Instead of conservative treatment, it is relatively rough. All the organs are cut out directly, so that the tumor is cut off before it has even developed. But the damage was extremely huge. It was really like killing ten thousand enemies and damaging eight or nine thousand.
If half of the lungs are removed, no matter how young you are, from a normal perspective, you will be useless in the future. And there is no guarantee whether the tumor will 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 embolization, several doctors in the observation room muttered silently.
This kind of embolization material is extremely expensive. A simple embolization material costs 200,000 yuan.
"Okay, stop talking about it, what a pity!" For materials worth two hundred thousand yuan, according to the norm, the general device company will give the doctor about twenty thousand yuan, which is a clearly marked price. Fortunately this disease is extremely rare.
"Hey! When will I do this kind of high-end surgery?" The nagging man seemed to be particularly unwilling to say.
"Okay. What you're worried about isn't the technology, it's the rebates!"
…
In eleven hours, everyone on the operating table changed except for Zhang Fan.
Originally, the director of Wanzi Country didn't like to leave the operating table, but at the end of the operation, Zhang Fan asked the team to go down and rest in order to let the team see more. There were not many opportunities to see this kind of surgery.
The old man got off the operating table aggrievedly.
Although the operation is completed, it is quite troublesome after the operation. The patient has to be fixed in one position, and the postoperative recovery is also quite troublesome.
…
"How was it?" After the operation was over and Zhang Fan left the operating room, Lao Chen came over immediately. Zhang Fan stood in the operating room for eleven hours, and Lao Chen waited 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 were a little weak.
My mouth is so dry that it feels like my tongue has shrunk.
"Here, here, the wolfberry I brewed for you! It's still black wolfberry!"
Like a doraemon, Lao Chen took out a water cup from his handbag.
Zhang Fan looked at Old Chen with a slightly strange look, but didn't say much.
The next day, Zhang Fan had no chance to sleep in. He had to get up early to see the patients who had undergone surgery. Although the child was as swollen as dough, his body temperature and white blood cells began to drop. This 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 was treated very favorably during his rounds, just like an expert's treatment.
"Thank you for your hard work, Zhang Sang!"
"It's not hard, it should be."
After Zhang Fan's ward rounds, his family and subordinates bowed to Zhang Fan at the entrance of the ICU, and Zhang Fan politely said it was not a hard work.
Then just wait for the other party to pay.
But after waiting for a long time, this guy kept saying kind words and didn't see the provincial dean give Zhang Fan an envelope. Zhang Fan was puzzled, could such a large family have to default on its debts?
In the director's office of the provincial hospital, the patient's father finally began to talk practical things.
"Zhang Sang, I would like to invite you to travel to Maruko Country for a few days. By the way, if possible, I would like my child to return to Maruko Country."
"Uh!" Zhang Fan was stunned for a moment.
"Don't worry, you don't have to worry about the cost. This is the cost this time." After saying that, he gave Zhang Fan a check directly in front of the director of the provincial hospital.
Although this is deserved, you still have to be polite. Of course, Zhang Fan would definitely not refuse, nor would he hypocritically say no, "It's a bit too much, that's not good."
"Oh, I'm smiling all over my face. I didn't even let go of the check. I was hypocritical and said too much!" The director of the Provincial Hospital despised Zhang Fan in his heart and stared at the check. number. But it's not too shocking.
Because this time it was not only Zhang Fan, 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 money, but he also has many demands. I want Zhang Fan to go to Wanzi Country.
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 hesitations.
The director of the provincial hospital also came out to help. He really didn't want to take the blame. The diagnosis was wrong at first, which made the government criticize him.
"Zhang Yuan, just take it as a break and travel. In this line of work, there are endless surgeries. And I sincerely invite you."
Lao Li's side has reached a critical moment, and the junior brother has been captured by himself. It seems a little unreasonable to run to the country of meatballs by yourself.
Just between hesitation.
The expert from Wanzi Country who is in charge of the gastrointestinal tract at Chasu called, "Zhang Sang, please go to Wanzi Country. If there is support from this kind of enterprise, our cooperation may be able to take it to a higher level."
Then, Ouyang also called.
"Go ahead, I asked you here. It won't be a big problem for you to go now. I heard that they want to fully cooperate, but they must be responsible and go to Maruko Country in person."
"Really go?"
"go!"
Ouyang said affirmatively.
“But it’s the New Year!”
Ouyang was on the other end of the phone and almost went berserk!
"Zhang Sang, we can invite your family to travel to the Wanzi Country together!" After hanging up the phone, fearing that Zhang Fan would not go to the Wanzi Country, the wealthy man added another sentence.
"Okay, I'll go back to Chasu first and discuss it with my family."
