Yang Yifeng's eyes rolled white.

Zhou Chengze explained: "Your fracture has a large defect in the bone, so the fracture end does not have the friction of other people's fracture ends, forming a large discontinuous defect, so you may not feel much pain.

, plus we have already carried out analgesia treatment.”

"So the feeling of pain is actually not bad. It doesn't feel particularly painful."

Speaking of this, Zhou Cheng continued to ask: "You just said that you had an operation at the county hospital before? Then why don't you continue to be hospitalized there?"

Although this patient is rare, rare cases are certainly difficult to deal with, and the consequences are even more unpredictable.

Treating rarer patients is not only hard work, but also troublesome, and is far less easy than common cases.

The tattooed man said: "That's the county hospital over there. The medical skills are poor. After seeing that my bones were gone, I didn't dare to do it anymore. I suggested that I be transferred to another hospital."

"Then I was transferred to your place. Yesterday, the doctor on duty asked me to be transferred to the Shonan University Affiliated Hospital and the Second Affiliated Hospital. How could I go?"

"The last time my mother went there to be hospitalized, it was also an orthopedic surgery. It only lasted three or four days. After reimbursement, she still had 80,000 yuan left. It was a waste of money. I won't go, but I believe you can take care of me here."

"You are both a tertiary hospital, but the difference in cost is huge!" the tattooed man muttered.

When it came to 80,000 yuan in three or four days, he made a very exaggerated gesture to Zhou Cheng and the others.

When Yang Yifeng heard this, he continued to roll his eyes.

They are both tertiary hospitals, so why are there differences in charges? Don’t you have any idea?

But before he spoke, he gradually began to develop a personality for the patient in his mind.

After Zhou Cheng heard this, he continued: "Your current situation is very serious. Although our hospital is also a tertiary hospital, the gap between it and the Affiliated Hospital of Shonan University and the second hospital is huge."

"And most of our other patients here only have fractures, so just do an internal fixation to fix the bones."

"Your bones are all gone. Have you thought about the possible consequences? Where are you going to get this piece back?"

"If you can't find it back, you will never be able to walk again, and you may not even be able to save your legs!"

Zhou Cheng felt that this elder brother was simply too arrogant, and he didn’t know whether he was really unafraid or ignorant. But Zhou Cheng had to explain the seriousness of the matter to him. If the patient and family members had always had this mentality, he felt that this was

If there is a minor illness, there will definitely be problems later.

Zhou Cheng was not simply trying to scare them, but his femur started from 3cm below the lesser trochanter to 4cm above the medial and lateral femoral condyle, with at least a dozen centimeters of gaps in between.

Maybe even twenty centimeters!

Other people's bone defects are usually only one or two centimeters.

Then just do internal fixation and bone grafting.

But he?

Even though Zhou Cheng had perfect bone defect transplantation, he still found it very troublesome.

The middle-aged man said carelessly: "Doctor, didn't your doctor figure out a solution for this fracture?"

"That's why we came to you, otherwise why would I come to you?"

"Broken bones are not that scary. I have checked them online and they say they are one of the few diseases that can be fully recovered. There is no problem."

"I won't go to Shonan University Affiliated Hospital. The doctors and nurses there are very indifferent and just ignore them. It's too expensive!"

"It's better here. Since I was admitted to the hospital, at least seven or eight waves of people have come to see me. How enthusiastic is this?" The elder brother was very open-minded and didn't know what he had checked online.

Zhou Cheng immediately realized that Yang Yifeng was looking at him with complicated expressions in his eyes.

I didn’t seem to know what to ask, so when I gently touched my middle thigh with my hand for a simple physical examination, I found it was soft.

The patient was still a little scared and kept blowing on his thigh from a distance for fear of being hurt by Yang Yifeng.

Seeing this scene, Zhou Cheng and Yang Yifeng called the patient's wife out. They felt that it was better for his wife to tell him about this matter. The two of them seemed to have some communication difficulties with the patient.

After leaving the ward, the patient's wife said: "Doctor, just tell me directly. I knew yesterday that my husband's condition is very serious, but he is still like a child and does not realize the seriousness of the problem.

!”

"Does he really need to have his leg amputated?" The middle-aged woman straightened her messy hair expressionlessly.

I am also very helpless, having to deal with such a heartless husband. I am more amused than happy on weekdays, but I just don't remember things and can't handle things. It seems like I am teasing the gods on earth.

When she was in the county hospital, someone also came to her and said that his situation was very difficult to deal with. When she came to the hospital yesterday, the doctor on duty talked to her for a while and said that it was very difficult to deal with.

Amputation may be necessary.

But how can she be willing to let her husband have his leg amputated like this? What will happen to the family? Can she support it by herself?

Then she definitely can't afford it.

No matter what, men can earn more than women with the same conditions.

Zhou Chengcheng said: "His situation is very complicated!"

"I wonder if you paid attention to what I just said?"

"With such a large bone defect, the original bone has disappeared and cannot be filled with your own bone. To put it bluntly, it will cost a lot of money to fill it!"

"Moreover, even after it is replenished, you will not be able to perform physical activities that normal adults can do. You can only have normal walking and aesthetic functions. Do you understand what I mean?"

"This is a very thankless task." Zhou Cheng gave the patient's family a vaccination in advance.

At least the patient's wife is an understanding person and can listen to what others say. Otherwise, she really wouldn't know how to communicate!

With a playful smile, I always feel that doctors are gods, and such gods are scary.

"How much will it cost?" the middle-aged woman asked the most concerned question.

"If you want to do limb salvage surgery, and it's the kind of limb salvage surgery that can't restore function, you have to consider at least hundreds of thousands."

"This is not a small amount, and the exact amount it will cost requires careful evaluation before surgery to know the approximate amount."

"The final specific value must be determined based on the actual situation during surgery."

"Bone grafting materials are very expensive. For an ordinary person, just a bone graft costs more than 10,000 yuan!" Zhou Cheng said while making a metaphor.

There is a very small defect.

How expensive are artificial allograft bone grafting materials? A pack costs several thousand yuan, and the price is clearly marked. The bone defect that can be filled is not as big or as deep as a spoon!

After Zhou Cheng mentioned a huge number, he added: "His situation is very rare."

"And it's not going to end well in the end."

"Hundreds of thousands?" This sentence immediately frightened the middle-aged woman?

He took several steps back and leaned against the wall as if he had collapsed.

With a look of horror on his face: "Then where do we have so much money?"

Seeing this, Zhou Cheng said again: "However, if you want to know how to treat it later, you can still ask our superior doctor in detail during our ward rounds, right? There are also cheap treatments."

Zhou Cheng didn't want to die saying that the forty-nine laws of heaven still escaped, but he still had to leave a glimmer of hope for others.

However, if the missing bone needs to be filled with bone graft, it is really not something that ordinary families can afford.

Even if you perform fibula bone transfer surgery, you still have to fill in a lot to build up the skeleton. In the end, this foot only has aesthetic and walking functions, and no other abilities.

If he hadn't seen that the patient himself was too optimistic, Zhou Cheng wouldn't be willing to say so much!

I just hope that they can be mentally prepared and that the patient’s wife can also start psychological construction of her husband as soon as possible.

Amputation is cheap.

It cost a few thousand yuan to do, but the consequence was that I completely lost one leg.

Even with prosthetic limbs, it is difficult to find a job.

Limb salvage costs a lot, but the consequences may not be good.

And not necessarily anyone would dare to do it.

If patients and their families are unable to realize the seriousness of this situation, medical disputes that should not occur will definitely occur in the future.

But in the end, it is up to Cai Dongfan to make a decision on how to handle all this.

I just came here first to take the lead.

The middle-aged woman walked back to the ward thoughtfully, without even thanking Zhou Cheng and Yang Yifeng.

…

On the way back, Yang Yifeng suddenly asked out of curiosity: "Brother Zhou Cheng, why don't you talk to the patient directly about amputation? With a bone defect like his, what kind of surgery are you thinking about?"

With such a large bone defect, where can you get such a bone support?

Zhou Cheng frowned slightly when he heard this.

I secretly thought that I had just been thinking about finding solutions, and had entered the state of possessing bone defect transplantation skills, but I forgot that bone defects like this may not be considered by current medicine.

Yes, although there is already a certain foundation in bone defect transplantation.

However, the transplantation skills that Zhou Cheng has now acquired are not understandable in reality.

Yang Yifeng is a truly knowledgeable person, and he is also a specialist in orthopedics.

So he might be curious about what he thinks.
To be continued...