From small clinic to medical empire

Chapter 59 Medical Consultants
"To the United States?"

Zhang Zifan was stunned, hesitant.

There are still ten days left in this month. Wouldn’t the [Famous] buff be wasted?

"Well, Uncle Nie, I still have some things to deal with in the outpatient department this month..."

Seeing Zhang Zifan's distressed expression, Mr. Nie quickly said, "Don't worry, Mr. Zhang, and he's not in a hurry to leave. Just go early next month."

After speaking, Nie Yuanping briefly described the difficulties he encountered.

It turns out that Nie Yuanping has a younger brother who lives in the United States and is currently waiting for surgery for actinic lip cancer.

The Nie family originally had five brothers and sisters, two of whom died young, and the other sister did not live to adulthood.

The eldest brother is like a father. It stands to reason that the two brothers depend on each other for life, and the relationship should be quite good.

It's just that from the words of old man Nie, Zhang Zifan felt that the two of them seemed to have some deep-rooted contradictions.

But this is a family matter, and it is Chen Zhima rotten millet decades ago, so Zhang Zifan is not interested in asking more.
In short, old man Nie's younger brother needs an operation now, and he is suffering from a life-and-death illness like cancer. Even if there are any grievances, the old man has let go and plans to go to the United States himself.

Although lip cancer is not a particularly common disease, in a provincial-level tertiary hospital like the First Affiliated Hospital, where complex cases from across the province are concentrated, it is natural to see more.

Zhang Zifan doesn't have much experience as a chief surgeon, but he has plenty of experience making two swords.

In fact, Professor Zhu is the chief surgeon of many operations, but it is just to reassure the patients and their families.

Professor Zhu is nearly [-] years old, how can he have the eyesight and physical strength to complete a cancer resection operation plus lymph node dissection in two to three hours?

Most of the time, he just made a general direction, and then handed it over to Zhang Zifan.

This is why, when an old friend asked for help, Professor Zhu thought of Zhang Zifan first.

After listening to Nie Yuanping's introduction, Zhang Zifan understood that the old man probably felt that he was unfamiliar with the place of life in the United States and wanted to find a reliable consultant.

There is no need for Zhang Zifan to do anything specific, just explain the old American doctor's treatment plan and so on, so that he can feel at ease.

only……

Zhang Zifan wondered: "Why should the operation be postponed to next month? Since the diagnosis is lip cancer, the operation should be performed as soon as possible to avoid metastasis!"

Oral and maxillofacial blood vessels and lymphatic vessels are very rich, and it is easy for cancer cells to spread along these channels.

Upper lip cancer will metastasize to preauricular, mandibular, and cervical lymph nodes, and lower lip cancer will metastasize to submental and mandibular lymph nodes.

Once metastasis occurs, the difficulty of surgery and the risk of recurrence will increase exponentially.

These are common medical knowledge. It is impossible for doctors in the United States not to know. Could it be that Mr. Nie’s younger brother did not take the fast track for krypton gold, but chose to take the regular channel?

Zhang Zifan once treated a patient who was also diagnosed with oral cancer in the United States. In the end, because he could not wait for the surgery appointment, he flew back to China for treatment.

In the United States, according to insurance requirements, patients must first call to make an appointment with a primary care doctor, also known as a PCP.

This appointment usually takes one to three days, but if you are unlucky, it may take a month.

When you come to the clinic of a basic health care doctor, generally speaking, for common diseases such as cold and fever, he will dispense painkillers to the patient, then let the patient go home for observation, and ask him to drink plenty of water. Of course, it is cold water instead of hot water. water.

If it is a disease such as cancer, the basic health care doctor will naturally be at a loss, and will recommend the patient to a designated community hospital and see a designated specialist doctor.

But there is a prerequisite for this, that is, the basic health care doctor can judge the condition in time.

It is conceivable that in many cases, basic health care doctors cannot differentiate and diagnose intractable diseases, which will cause patients to delay their treatment.

Then, the patient takes the recommendation letter to the designated specialist for treatment.

Most cases will be treated by this specialist, but if he feels it is necessary, he may also issue a recommendation letter to transfer the patient to a higher-level hospital for treatment.

However, whether it is a recommendation letter from a primary care doctor or a recommendation letter from a specialist doctor, it is not so easy to get.

The patient Zhang Zifan received was refused to issue a recommendation letter because the specialist doctor in the community believed that he was qualified enough to perform her operation.

On the insurance in-network physician directory, that specialist has a very low rating. People in the world call him the doctor of death, and he is especially good at treating your life.

The patient was so frightened that he peed.

But if you change the doctor, you have to pay a sky-high fee outside the insurance, which the patient cannot afford.

Moreover, even this doctor of death had a very full schedule for surgery, and within three months, it was simply not her turn to perform surgery.

After weighing again and again, the patient finally flew back to China for treatment.

……

Seeing that Mr. Nie was in distress, Professor Zhu explained to Zhang Zifan:
"Don't think that Lao Nie is unwilling to spend money to treat his brother's illness. In fact, he has already remitted more than 500 million yuan to the United States. You must know that Lao Nie has put a lot of thought into the country's foreign exchange control!

Just his two nephews...

Hey, anyway, his younger brother's operation will be at the beginning of next month, and Lao Nie is really worried, so he plans to go to the United States himself. "

500……

This money can jump the queue in Mayo!

Zhang Zifan sighed. He has been in the hospital bed for a long time without a filial son. As a doctor, Zhang Zifan has seen too many things where his children miss the old man's life-saving money.

……

In the end, Zhang Zifan agreed to Mr. Nie's request. After all, he should help him both ethically and morally.

And Zhang Zifan also discovered that occasionally leaving the outpatient department to download dungeons, sometimes the benefits would be higher than sticking to the daily tasks.

Mr. Nie's family also lived in Hehe District, but it was not a small row house like Sister Lu's, but a serious villa.

The location in Hehu Community is much better than Professor Zhu's courtyard, and the price per square meter is at least two or three times higher.

Old man Nie can't drive, and he doesn't have his own driver. This time, Nie Xiaohui was the driver who sent him here.

When going back, Zhang Zifan naturally took a ride along the way.

Taking advantage of this opportunity, Zhang Zifan mentioned to Nie Xiaohui about subletting the store, and Nie Xiaohui readily agreed.

It's not all because of Zhang Zifan's helpful relationship with the Nie family. Nie Xiaohui herself also plans to close the clothing store and make other investments.

However, these days, in addition to catering, various physical store businesses are becoming more and more difficult to do, and Nie Xiaohui has not yet figured out how to transform.

Now that Zhang Zifan wants to sublet, it is also a good thing for Nie Xiaohui to be a charter woman with peace of mind.

After all, like most private enterprises in China, Yuanhang Group is also family-owned. Her annual share dividends are enough for her to live comfortably, and running a small shop is just to pass the time.

In fact, Zhang Zifan hoped to buy the storefront.

However, according to the prices of shops in City S, Zhang Zifan couldn't afford that much money at all, so he had to do expedient measures first.

(End of this chapter)