medical simulator

"The child's body is quite far from the second scene and the third scene, and there is no particularly obvious blood stain found at the location of the body."

"Where the motorcycle fell, we found blood and bones."

"These scenes now look like nothing to do with it. If Luo Sangen had hit a child, he wouldn't have been able to move his body that far with his bones broken."

"However, after all, we still need to be more cautious in order to find out the truth of the matter."

"As for the current suspect, the current situation is such that it is difficult for us to take him back, and we will definitely not be able to interrogate him here. So I hope that Director Cai can cooperate with us and cure the patient as soon as possible."

"Or take some time to get him and his family to agree to the amputation, and then cooperate with us to investigate the case as soon as possible." Ding Meng said.

Cai Dongfan narrowed his eyes slightly, then moistened his lips, and replied to Ding Meng: "Officer Ding, it's not that we don't want to cooperate with you, but the patient's current situation, that's what it is."

"It's not the kind of emergency department that is particularly urgent. If it is the first emergency department, and the patient's family members are not present at the time, the hospital's general on-duty can make the decision to perform an amputation in an emergency to save the patient's life. "

"But the patient has been treated in the county hospital before, and now he comes here for limb salvage surgery. We have communicated with the patient and family members many times. If the attitude of the patient and family members is very firm, then we really There is no way."

The right to informed consent, whoever touches this bottom line will die.

No matter whether he is a suspect or not, or even a death row inmate, when he comes to the hospital, his other status is that of a patient, and as a patient, he has the right to informed consent.

He didn't agree, he committed suicide, and you can't operate against the wishes of patients and family members.

Otherwise, one will tell one.

Ding Meng wanted to put the pressure of persuading patients to undergo amputation on Cai Dongfan, how is that possible?

Then, Cai Dongfan asked again: "Officer Ding, the patient's vital signs are actually quite stable now, and he has undergone debridement. Under such circumstances, you can't take him back for interrogation, and then take him to another hospital." Do you want to continue treatment?"

Cai Dongfan very much hoped that Ding Meng could drag the person away for interrogation, and then transfer him wherever he should, and don't let him go. He really doesn't want to deal with this stubborn issue.

Ding Meng shook his head: "The death row prisoner still has the right to life. He is only a suspect and has not been convicted yet. He has suffered such a serious injury, and our forensic doctor has judged him. His current condition must be treated. , it is his right."

"So, before he is completely out of danger, we can't transfer him to other places. As for the treatment of the hospital, this is not something we can decide, and we are not responsible for the treatment fee."

It is also a face of embarrassment.

However, at this moment, Ding Meng's cell phone rang.

The other end of the phone just said a few words: "Luo Sangen's fingerprints were found on the child's body. The child's death is definitely inseparable from Luo Sangen!"

"Ding Meng, how is Luo Sangen's situation now? How long will it take to leave the hospital?"

Ding Meng also talked about the situation here.

The other side was silent.

Cai Dongfan also remained silent.

This enters into an endless loop --

To save limbs, he needs to be transferred to another hospital for treatment, but the patient and his family members insist that they have no money.

Amputation, the patient does not do it.

It has been dragged on like this, who knows when it will be dragged on?

After Ding Meng hung up the phone, he straightened his hat and said politely to Cai Dongfan: "Director Cai, it has been preliminarily determined that the victim's death is obviously related to Luo Sangen, and we will continue to interrogate him."

"If it's convenient, can you arrange a separate room for Luo Sangen so that we can interrogate him?"

Although it can't be taken back for interrogation, but now that it has been confirmed, it still needs to be interrogated in the hospital without affecting his life safety.

Cai Dongfan nodded: "Officer Ding, it's not difficult, I'll ask our head nurse to arrange it, and they are in charge of the beds."

……

After Ding Meng brought people to find Luo Sangen, Cai Dongfan immediately brought all the people in his group, except Xiang Haibin, into his director's office.

After everyone sat or stood, Cai Dongfan clapped his hands and said, "We're having a small meeting today. If you have any ideas, feel free to speak up."

"The main content of our meeting is still 27 beds, Luo Sangen's treatment plan. But before we talk about his treatment plan, we need to know one more thing."

So, Cai Dongfan told him the question that Ding Meng told him.

After hearing Cai Dongfan's words, Luo Yun and the others suddenly felt astonished. Even Luo Yun, Zhou Cheng and the others clenched their fists involuntarily.

Luo Yun even said bluntly: "This Luo Sangen and his wife are absolutely unwilling to transfer to our hospital and agree to amputation because they want to stay in our hospital and avoid being taken for interrogation?"

"He's not afraid of inconvenience after amputation, just to delay time!"

The others also agreed with Luo Yun's point of view, and nodded while looking at Luo Yun.

Cai Dongfan took a deep breath and said, "We are just doctors, and now Luo Sangen lives in our hospital, just as a patient."

"We shouldn't consider his other social relationships. Nor can we look at them with colored glasses."

"Let me first summarize the current difficulties. First, patients and their families have a strong willingness to save their limbs."

"Second, the patients and their families don't have much money."

"Third, patients and their families are unwilling to be transferred."

"Based on these difficulties, everyone should think about how to solve them one by one, so that patients can be discharged from the hospital early and happily. This is what we need to consider."

Cai Dongfan's little eyes are firm and his face is expressionless.

This posture, where he didn't consider the patient's social relationship, and where he didn't wear colored glasses, he clearly wanted to send the patient in earlier!

Hearing what Cai Dongfan meant, everyone became excited in an instant.

They all straightened their bodies slightly, and immediately said: "Director Cai, actually, it is not difficult to solve such things as patients and their families who have a strong willingness to save their limbs and are unwilling to be transferred to another hospital. We can use this rare The large bone defect surgery is treated as a teaching surgery, and an application form is sent to the capital or Shanghai."

"I believe that there will be interested professors coming over to perform the surgery. If Director Cai thinks it is necessary and necessary, I can ask my teacher to contact me!"

Luo Yun and Cai Dongfan have been working together for several years, so naturally he heard what Cai Dongfan meant immediately, so he was not afraid of big things, so he directly showed his trump card.

He also achieved the benevolence of a doctor——

The purpose is to meet the needs of patients, and the goal is to make patients get better and leave the hospital.

Just to get him out of the hospital sooner.

Luo Yun then frowned slightly: "It's just about the cost. It's a little more troublesome. No matter how much you save, you may get 30 to [-]."

"Director Cai, this, can you use your relationship to talk to the equipment company, and you can come forward in person and ask them to support it voluntarily, and see if you can lower the price of the material. "

However, before Luo Yun finished speaking, Zhang Zhengquan suggested: "Mr. Luo, go talk to the equipment company, why don't you ask the patients to collect donations online, maybe the medical expenses can be donated soon." Done."

"Then the operation can be performed immediately, and the time can be faster!"

Cai Dongfan turned to look at Zhang Zhengquan, and said, "That's hundreds of thousands, how can it be so easy?"

"It's good to be able to make up a little bit. The patients and their families also have to help find a way. After all, it's for their own good."

"I'll help the patient's family to make a water drop later." Zhang Zhengquan recommended himself.

I thought to myself, Teacher Cai, if you spend some money, you can send such people in, some of them are 'taken for granted'...

Ren his lady.

Hitting someone and throwing the body, it can't be said that the person is not dead, but fell to death...

After finishing speaking, Zhang Zhengquan couldn't help but said: "Mr. Cai, Mr. Luo, I think I should help the patients and their families now, let them collect more expenses, and prepare for the financial foundation as soon as possible!"

It's not too big of a deal to watch the excitement. It's not good for Zhang Zhengquan to stuff money directly into the patient's bill, but there are other ways to stuff him.

Although Cai Dongfan felt that Zhang Zhengquan's method was unreliable, Zhang Zhengquan couldn't do anything else, so he waved his hand casually and said, "Then you go."

Looking at the back of Zhang Zhengquan leaving the office in a hurry, Yang Yifeng and Du Yanjun both looked at each other. From the eyes of each other, they seemed to see a "poor" patient slowly rising.

After Zhang Zhengquan left!

Yang Yifeng, who has always been in the department without much sense of presence, said: "Director Cai, if you still feel that the risk of general anesthesia or spinal anesthesia is relatively high when you talk to patients and their families before the operation, you can say here The risk of anesthesia can be minimized as much as possible.”

"Nerve block anesthesia is currently the safest method in anesthesiology."

"And if necessary, I can contact the patient to install a venous filter for free, which completely eliminates the corresponding risk of venous thrombosis! For anesthesia monitoring, I can invite Professor Qin from the Department of Anesthesiology of our hospital to personally help He oversees the monitoring of the entire anesthesia process."

"Similarly, if the patient is still worried about fat embolism, we can also perform color ultrasound monitoring during the operation to see the size of fat droplets in the heart at any time. We can prepare for emergency rescue of cardiovascular fat embolism at any time."

When Cai Dongfan, Luo Yun and the others heard this, they immediately turned to look at Yang Yifeng, their toes gripping the ground fiercely.

While stunned, he secretly smiled——

Are you really ruthless, directly cutting off the patient's escape route?

From this point of view, as soon as the money is in place, just make a phone call, no matter whether the patient needs amputation or limb salvage surgery, it can be carried out immediately?

The most feared thing about surgery is death caused by cardiovascular accidents. If you put a venous filter on it, the possibility of venous thrombosis is eliminated, and it is estimated that it is difficult for air emboli to flow back into the cardiovascular system.

Fat emboli were also monitored during the operation, and the guardian directly invited a top professor of anesthesiology, just for such a patient who obviously did not have too many contraindications to surgery?

Isn't this just sending him in with determination?

Cai Dongfan took a deep breath, and didn't ask Yang Yifeng how to arrange it, but said: "Then Yifeng will work hard to arrange it. In this way, it will be easy for me to talk to patients and their families."

"Luo Yun, do you have any other opinions?"

Luo Yun shook his head.

Now that they have done so much preparatory work, why do they need other opinions?

Cai Dongfan was about to say, let’s prepare like this, when Zhou Chengcheng raised his hand suddenly and said, “Ms. Cai, I noticed this morning that the patient’s account still has more than 2 yuan.”

"Although this amount of money is not much, it is still far from hundreds of thousands, but I think we can save a little bit by doing the surgery in this way."

"I don't know, do I?"

"Look, if we can make a pedicled fibula, and then fix the distal and proximal ends of the femur to the tibia and ilium with external fixation brackets, and then take the iliac crest for grafting, and then add a titanium mesh structure as the outer layer. Fixed scaffold for bone graft crawling..."

"Considering these factors, we don't actually need to spend a lot of bone graft materials. After all, the patient has two fibula..."

"These are all materials that can be obtained from the patient's own body. We have kept the cost of the operation down to the limit, and it should be able to be done with tens of thousands of dollars. There is no need to wait for the money to be raised, and the operation can be opened this afternoon."

"During the operation, check whether the cost is in place, and then perform bone grafting of allograft bone according to the situation..."

What the hell!

It's a wolf!

How did you come up with such an inhuman surgical plan?

First, the patient's fibula was cut directly, and both of them were cut?

Although it is said that the fibula is not a weighing bone, if you cut two, can the patient agree?

However, although Zhou Cheng's words sound cruel, they are indeed a genius plan!

Similarly, he is very courageous, just like a mouse fucks a cat B.

Cai Dongfan and the others were silent.

In the end, Cai Dongfan only asked, "Who will do this operation?"

Zhou Cheng looked at Cai Dongfan: "Mr. Cai, you are the chief surgeon, and Mr. Luo is the first assistant. I will be the second assistant. The operation will not take long."

"Also, Mr. Cai, I think I can take care of this patient myself, so I don't need to ask Haibin to take care of it. If we talk, I think we can talk to the patient and his family together!"

……

The meeting ended instantly in a very strange atmosphere.

Everyone had their own ghosts, and they didn't ask each other what to do, just like Zhou Cheng didn't ask Yang Yifeng how to make a filter, how to get anesthesia, Yang Yifeng, Cai Dongfan and others didn't ask Zhou Cheng What the hell is going on with bone grafting?

Anyway, it was Cai Dongfan who performed the surgery.

……

While Cai Dongfan and the others were still discussing Luo Sangen's operation plan.

Zhang Zhengquan assisted Luo Sangen's family members to complete Luo Sangen's fundraising plan. Because the medical records were sufficient, the fundraising plan was approved from the background.

Then the staff quickly rushed to the hospital. After seeing Luo Sangen and his wife, they first read their medical records, and then said: "Mr. Luo, your luck is really good. The funding plan has been successfully completed.”

"After collecting a certain service fee on our platform, we will directly contact the hospital and transfer it to your hospital account, which will only be used as the cost of your medical treatment."

The staff is very enthusiastic. Although there is no handling fee on their fundraising platform, there is a service fee. This fundraising is quite a lot, and it can be completed so quickly, which he did not expect, but he can exceed the task...

Hearing that the staff came to collect evidence, Luo Sangen and his wife were quite happy at first.

He has no money, really no money, just.

Got the money together so quickly?

Wouldn't the matter of being transferred to another hospital for treatment be on the way?

Luo Sangen and his wife looked at each other, and immediately asked: "Have we raised all the funds? When can we give the money directly to us?"