Chapter 1314： bear

"Doctor, let me see if there is any other way for my disease. Or just treat it conservatively, which can last a few years and count as a few years." The old driver did not directly say that he was discharged from the hospital. As an ordinary patient, he also knew that it was not easy to get to Ling Ran, and he didn't want to give up the opportunity either.

Ling Ran has had some understanding of all kinds of patients up to now. Listening to the patient in bed 102, we know that this person is planning to be discharged.

Ling Ran has always had realistic views on the real problems of the real world. It's like watching onlookers. You can use various languages ​​and methods countless times to ridicule or discourage people from watching, but there is no less crowd onlookers.

Similarly, people who do not want to undergo surgery because they have no money are not only not uncommon in hospitals, but also very common. It is difficult and complicated even for a sociologist who focuses on the corresponding problem to deconstruct it completely and accurately.

Ling Ran had always faced up to the problem itself for such complex issues.

This is like being onlookers. If all onlookers are the object of speech and moral elaboration and social condemnation are done in an educational way, the height will stand still, but the onlookers cannot solve it.

In the face of the onlookers, Ling Ran either waited for the help of a third party or spoke to a single person.

Just like now, Ling Ran didn’t mean to talk about the cost of the operation. Instead, he slowly took out the alcohol gel and squeezed it out skillfully. While wiping his hands, he said: “From recent research, In your situation, that is, severe coronary atherosclerosis, myocardial infarction combined with chronic ischemic mitral regurgitation, the survival rate and prognostic effect of surgical intervention far exceed conservative treatment."

The somewhat academic answer made the patient stunned, but turned around with a wry smile and said: "Good things are expensive, we have no money, and no choice."

Ling Ran shook his head, "I do the operation, or if another doctor performs the operation, the cost is basically the same."

"In China, the operation performed by Dr. Ling himself is definitely a good thing." Zuo Cidian smiled and stood up. This kind of occasion is what he is good at.

"I'm not talking about this..." The patient was a little helpless. He has just entered a sentimental mood, now he wants to argue with others?

"You are afraid that you don't understand the survival rate and prognosis issues that Dr. Ling said." Zuo Cidian slipped out Yu Yuanti easily, and said, "Tell me."

Yu Yuan was like a temporary wrench. Regardless of whether she was taken out for screw heads or human heads, she responded to the task as soon as possible and opened her mouth: "The conservative treatment that Dr. Ling refers to is usually In contrast, medical treatment can increase the long-term survival rate of patients after surgical intervention by 50%, which is half."

"Maybe I'm the other half..." The old driver's patient rejoiced.

"It's half your life." Zuo Cidian said more directly, and then signaled Yu Yuan to speak.

Yu Yuan pulled her cheeks a bit, and then played the role of a tool: "The specific reference is a report that compared 111 patients with moderate or more mitral regurgitation and multiple vessel stenosis. They compared drug treatment and simple treatment. The results of coronary artery bypass grafting, and coronary artery grafting combined with mitral valve replacement. Among them, the effect of medical treatment is the worst."

The old driver patient looked at several people blankly.

"In short, surgical treatment is the best plan. In your case, it is best to remove the coronary artery and mitral valve together." Zuo Cidian came forward and said softly in human words: "The same operation, more It won’t cost too much money to do one item. Moreover, you have medical insurance, right? A part of the medical insurance report should only cost tens of thousands of dollars."

"Tens of thousands..." The old driver shook his head embarrassedly. He hadn’t worked for several years due to physical reasons. The truck he used to be sold was also due to the daily medical expenses. It can be said that he was in a state of sitting and eating. This time he decided to have an operation, mainly because his body couldn’t support it. Adding in the amount of money from his daughter's filial piety, he could barely make up enough expenses, but it would be too difficult for him to add tens of thousands of yuan to this amount.

Can't really sell the house. Not to mention that the old houses in the town are small and dilapidated. They cannot be sold for a long time. They are really sold. What will they live in when they return? Moreover, if no inheritance is left, he can't live with himself. turn off……

"Think about it again. The opportunity for Dr. Ling to perform the operation in person is still relatively rare." Zuo Cidian sympathized with the 102-bed patient. Looking at him, he seemed to be able to see how he used to be when he was old.

Therefore, Zuo Cidian also persuaded a few more words, but he could only stop here. Surgery is risky after all, and heart surgery is even more risky. According to international standards, heart bypass surgery combined with heart valve surgery has an operating mortality rate of about 5%.

If you try your best to persuade, and you encounter a terrible situation, not only the family will be unbearable, but the hospital, the department, and Ling Ran will probably also be under tremendous pressure.

In fact, when Zuo Cidian said these words, he was also under pressure.

He doesn't need to look back, knowing that Huo Congjun must be staring at the back of his neck...

A group of doctors regrouped and threw out from the ward mightily.

Zuo Cidian took the initiative to find Huo Congjun, lowered his eyebrows and said pleasingly: "Director, can you reduce or exempt some fees for 102?"

"It can't be reduced." Huo Congjun saw Zuo Cidian taking the initiative to come over, feeling a little more comfortable, and said: "The condition of No. 102, how do you say, is that it is less than the top, more than the bottom. He has medical insurance and a pension. More than 2,000 yuan a month, there is still a small house of his own in the town, and his daughter’s family conditions are also acceptable. Compared with many low-income households, his conditions are even better than those of some old men without a pension without a pension..."

"If you do this, he will return to poverty due to illness." Zuo Cidian shook his head slightly. He couldn't be more familiar with this kind of sick old man in a small town. When he was in the town health center, many old patients had similar attributes, and the old people who were willing to pick up vegetable leaves in the small town's vegetable market were also like this.

Huo Congjun could only sigh: "He got sick but it was not because of us."

"So, is there any project funding or project funding?" Zuo Cidian took out the Cleveland Clinic and said carefully, "When we were in the United States, Director Osborn was looking for suitable patients. Millions of dollars in funding..."

"Do you think we need to spend money to find patients?" Huo Congjun said.

"That..." Zuo Cidian glanced back, and through the open door of the ward, he happened to see the 102-bed father and daughter speechless.

Zuo Cidian licked his lips: "Or, allow them to postpone the payment?"

Huo Congjun's eyes slanted: "Are you going to be their bed doctor?"

According to Yunyi's policy, if the patient defaults on the payment or simply leaves, the hospital, the department, the attending doctor, and the doctor in charge of the bed will all share part of the money.

Zuo Cidian knew this policy naturally, and touched his CK underwear through a white coat: "Okay."

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