Surgery Godfather Chapter 505 - 505 461 Difficult Couple

Chapter 505: Chapter 461 Difficult Couple Chapter 505: Chapter 461 Difficult Couple Should this gout patient undergo surgery, or not? And if he does, then which type of surgery should be chosen?

The doctors in the departnt found themselves in quite a dilemma, for the gout had progressed so severely, such that they were devoid of any sound solutions for this patient.

The patient had visited nurous hospitals seeking treatnt. Both his ankles were ruptured by massive tophi from the gout, releasing endless quantities of “chalk-like” substances. The wound was becoming increasingly larger and deeper, inhabited by various drug-resistant bacteria. It was persistent and did not show any signs of improvent. The terminations of both his tibia and fibula, talus, and heel bones were all exposed, with so parts necrotic, developing into chronic osteomyelitis.

A wound like this had virtually no chance of healing.

In fact, the wound has been treated by nurous hospitals, employing techniques such as wound debrident, vacuum-assisted closure and so forth, with a host of recently attempted surgeries. Yet, they were all in vain.

The only response the doctors from each hospital gave was to shake their heads: ‘Amputation is the only solution!’. They further suggested seeking better hospitals for the surgery.

But, where could they find better hospitals? The patient’s family had no answers.

Because the patient’s both lower limbs were swamped with urate crystals, there would be an extrely high risk of non-healing following an amputation. Once a chronic wound occurred again, the doctors would be driven into a corner, harassed to death, unable to extricate themselves from their predicant.

Therefore, the best strategy seed to be — to not touch it!

Keep one’s distance!

In this way, there would be no issues. Over the years, the doctors’ courage had waned. “Other than amputation, are there any other alternatives?” Song Zimo broke the silence.

Yang Ping shook his head: “Amputation is the best course of action for him.”

Above the ruptured wound, both of his lower limbs should be amputated at the level of his shins.

Although the stump might not heal, that was only a possibility. As for the current situation, there was absolutely no chance for the chronic wounds at both his ankles to heal.

“Everyone, don’t be so disheartened. For several patients, amputation is a reconstructive surgery, not a destructive one. An amputation could lead the patient from darkness towards the light!”

Because if the stump healed well post-amputation, a prosthetic could be fitted, and the patient could recover his normal walking functionality. In such a case, he would be able to rejoin society.

As lower limb prosthetics are highly developed, the modern dical perspective on lower limb amputations has undergone transformation.

Amputation — sotis, it brings hope, it illuminates, it is reconstructive surgery.

In cases of severe lower limb injuries, after prolonged treatnts, multiple surgeries, a lot of ti, energy and money being used, the salvaged limb often has poor functionality, incomparable to a prosthetic.

Preserving such limbs is a tornt to the patient, it is an ineffective treatnt plan. At these tis, amputation becos a reconstructive surgery, removing the useless limb, fitting a prosthetic, restoring the normal walking functionality, helping the patient quickly return to a regular, brighter life.

“I agree! Both his ankles have developed chronic osteomyelitis. Continuous treatnts would only be futile, wasting ti and money. The lower limbs should be amputated at the lower third of the shins. If the stump doesn’t heal, another round of amputations should be conducted, each ti increasing the level until the wound heals. The other tophi could be carefully excised. The patient’s goal is to resu a regular civilian’s life. If a prosthetic could put an end to his current terrible life, and turn him back into an ordinary person, why should we perceive amputation as terrifying?” Song Zimo strongly agreed with Yang Ping’s opinion.

His emphasis being particularly on Yang Ping’s statent: Sotis, an amputation is a reconstructive surgery, not a destructive one. An amputation could lead the patient from darkness towards the light!

It seed like others didn’t have better solutions and the disease had reached a dead end, leaving not much choice.

Once the treatnt plan was decided, when the patient’s daughter heard the news in the eting room, she was quite disappointed.

She thought coming here could offer so better or unique solutions.

“The most beneficial solution to him is the best one, it doesn’t have to be the latest, or the most expensive, most treatnt plans are common ones!” Seeing her disappointnt, Yang Ping patiently explained.

“Amputation, if successfully done, can end his currently dark life. Once fitted with a prosthetic, he can walk as he used to.”

Yang Ping said with great confidence.

The patient’s daughter was moved. Other hospitals had ntioned it, but none of the doctors were willing to undertake the surgery.

Yang Ping also seed to perceive the issue. The patient’s daughter had been looking after her father for so long that she had gained so knowledge about the disease. Hence, she would question the treatnt details repeatedly and scrutinize every single dication choice.

It easily gave the doctors an impression — she didn’t trust them.

If there isn’t trust, of course the doctors were unwilling to take unnecessary risks, and wouldn’t perform this operation. Regardless from a legal or ethical standpoint, the doctors wouldn’t have to take the bla for not conducting the surgery. On the other hand, if they did perform the surgery and encountered failure, they would likely have to face never-ending hassles.

“Is the success rate of the surgery high?”

It was the biggest concern of the patient’s daughter.

“It’s hard to say about a specific success rate. His condition is rare, and there’s no similar data to rely on. If we had to estimate, it’s fifty-fifty. If it fails, and the amputation stump doesn’t heal, forming a new difficult-to-heal wound, we would just amputate again, each ti increasing the level.” Yang Ping explained the contingency plan if the surgery failed.

The patient’s daughter was still undecided: “So, how many tis would we have to do it? Wouldn’t there be any assurance?”

Does this an that doctors always operate without certainty?

“No one can be certain! His current condition has already determined that this will be an uncertain surgery. It’s not because the doctor isn’t confident in his abilities, but because his body has already reached a point where healing is uncertain. The outco is decided by his body. Whether it will be successful or not, the decision isn’t up to ; it’s up to him. I can only do my best with what I have to do.” Yang Ping stated with honesty.

Although these words are unpleasant to hear, they are nevertheless true and candid.

The patient’s daughter’s face was filled with anxiety. She hesitated and then finally asked, “If the surgery fails, do you still charge for the failed surgery? Does it beco free?”

Yang Ping hadn’t expected such a question from the patient.

Yang Ping said seriously, “Every surgery, whether successful or not, has to be charged.”

“How can you charge for a failed surgery? That’s not fair. If I go to a shop and buy sothing that’s broken and unusable, I can return it or get a new one. Likewise, I’ve paid for dical services, but if they don’t achieve the desired outco, why should I still have to pay? Even if things don’t get done, the money is still collected?” The patient’s daughter finally gathered enough courage to speak up.

Yang Ping was not angered by this, “Treating patients can’t be compared to commodity transactions; you’re using the wrong taphor. If you think this is a commodity transaction, then I can refuse to provide dical services. In other words, I can refuse to sell this commodity. Is that okay with you?”

The patient’s daughter’s face flushed and went pale, and she was montarily speechless.

“The human body is extrely complex, and all treatnt outcos are statistical. Nothing can guarantee 100% success. That’s the nature of dicine. If your logic holds, then let be straightforward with you—no doctor would be willing to perform surgery on your father, including !” Yang Ping had to tell her this harsh reality.

These matters had to be cleared before surgery, otherwise, it would lead to complications afterward.

“To be honest, Dr. Yang, even though my father has dical insurance, our financial burden is quite heavy after such a long treatnt period. We have several elders in our family, and we are feeling the strain.” The patient’s daughter revealed the truth.

Yang Ping also felt helpless, “I sympathize with you, but I’m just a doctor. I can’t help you out financially. We can only try to help you save as much as possible on hospital fees. If you are truly having financial difficulties, we can try to secure so charitable financial aid for you. If you’re willing to share the surgical risks with , I will give it my all. But if you’re not willing to take on the risk or think that doctors should bear all the risk, then I’m afraid, regretfully, I can’t bear it all.”

In the face of risk, doctors can only share wisdom. If patients and their families insist on not taking risks, no one can force them to make a choice.

The choice lies with the patient; doctors can only help him make it.

“Let think, are there any other options? More conservative ones?” The patient’s daughter was still hesitant.

Yang Ping shakes his head, “Right now there are only two options. Maintain the status quo or amputate the limb. Face the risk and pursue a normal life.”

Many tis, money is the deciding factor!

Money isn’t everything, but you can’t do anything without money.

If the patient’s daughter didn’t have to think about money, she wouldn’t have so many worries and she wouldn’t have asked such difficult questions.

Her biggest worry was that the surgery would fail and further surgeries would be needed. In the end, the money would be gone, the disease wouldn’t be cured, and the leg would be lost.

Every family has its difficulties. The patient’s daughter started to call her husband in front of Yang Ping to seek his advice.

Her husband fell silent for a mont. He sounded a bit worn out as he briefly responded, “Go ahead with it. What else can we do?”

His tone was helpless and resigned.

After finishing the call with her husband, the patient’s daughter seed to be searching her phone’s contacts, as if there was nobody else to discuss this with.

Both husband and wife were only children. Who could they turn to for advice? No one was there to help, and they had to bear everything on their own.

Her phone rang again. It was her husband, “Honey, don’t worry. Let’s go with what the doctor says. Do you need to co over now? Everything in life carries risks. Even eating can be dangerous if you choke. If it doesn’t work out, we can try again. If it still doesn’t work, we can try yet another ti. We can’t carry on like this. In the worst-case scenario, if it doesn’t work out, how bad can it get?”

“What about, what about…” The wife was worried about the money, but she couldn’t bring herself to voice it.

The man on the other end of the call knew what she was thinking. He chuckled, “I’ll advance next month’s salary from my company. Let’s arrange the surgery.”

>Not so long ago, an elder mber of the family had to be hospitalized due to a stroke. A lot of money was spent. He had just been discharged, and now soone else was admitted.

“Hasn’t next month’s salary already been advanced?”

The wife had a good mory.

She realized she was still in the eting room. She smiled at Yang Ping and indicated she needed to step out for the call, “Dr. Yang, I’m sorry, we need to discuss this and decide later.”

Yang Ping nodded.

“Oh, we haven’t fully advanced it yet, we can still advance so more!”

The husband hemd and hawed on the other end of the phone.