Chapter 190
Accompanying them was a woman, probably the patient's wife. She stared at Jiang Suying with a pair of eyes that looked like walnuts from crying: "Amputate... amputate? What does that mean?"
"It means sawing off his legs."
The skin, muscles and bones of this person's right leg were severely damaged, and there was a large area of tissue necrosis.
Necrotic limb tissue is a breeding ground for bacteria and is very prone to infection and wet gangrene.
So when frostbite reaches the point of tissue necrosis, amputation may be the only option to avoid further spread of infection and its serious complications to healthy tissue.
"No!" The woman was terrified. She pushed Jiang Suying and Jiang Xiaomi away, rushed to the patient's bed, opened her arms like a hen to stop him, and shook her head like a rattle: "He is the pillar of our family, how can we amputate him! No, absolutely not, doctor, please think of other ways!"
"There is no other way." Jiang Suying patiently comforted him: "He has been severely frostbitten, and his blood vessels are blocked, which means that the blood in his body is no longer flowing to his legs. His legs are not getting blood supply and have already died."
"Then why don't you just supply blood to his legs? With blood, he can live, right?" The woman rushed forward and pulled Jiang Suying: "Then supply blood quickly!"
"No—" Jiang Suying staggered after being pushed. Jiang Xiaomi quickly helped her up and pushed the woman down with her backhand: "The leg is already necrotic. Can you and I give this blood just because we say so?! Just say what you want, why do you have to do anything!"
Her mother can understand the emotions of the patient's family and doesn't care about them, but she is cold-blooded and can't understand a thing. If you dare to touch her mother, you can do it to her even if you have a big reason! No! It doesn't make sense!
Seeing Jiang Xiaomi's ferocious look, the woman didn't dare to do anything else and collapsed immediately: "Then how can I supply blood to my legs?"
"It's already necrotic and can't be supplied anymore!"
I've said it many times!
Jiang Suying also wanted to collapse, she felt so helpless! How come there were so many people who just couldn't understand what she was saying?
There is no way to communicate at all!
"I do not believe!!"
The woman had a loud voice. Seeing that Jiang Suying was indifferent and Jiang Xiaomi was beside her, she was so sad that she sat down on the ground and cried to the sky: "After sawing off his leg, he can't do anything. He can't work or go to work. He can't even walk properly and needs someone to take care of him. You want our whole family to prepare for the future!"
Jiang Suying sighed. It was indeed difficult, but: "At least try to save your life first."
She also knew that in this era, it was already difficult for normal people to survive, and it was even more difficult for disabled people. In ancient times, there were no preferential policies for disabled people.
But, we can’t just watch people die!
The woman sneered miserably: "What's the point of saving my life? I've lost my legs. What's the point of saving my life? I might as well just die!"
The woman looked very excited and her face looked a little ferocious.
"No!" She jumped up suddenly. Because Jiang Xiaomi was there, she had felt the strength of her hand and did not dare to get too close. She just pointed at Jiang Suying and said, "What do you know as a woman? What kind of doctor are you? Where are the real doctors? Where are old Doctor Jiang, Doctor Jiang, and young Doctor Jiang? Where are they? Come and save my man! He really can't live without legs!"
The other patients in the clinic had already been peeking out when Jiang Suying and the woman started talking, and now they all looked over when they heard the loud noise.
Seeing the woman crying louder and louder, someone tried to persuade her: "This female doctor is the granddaughter of old doctor Jiang. She is a very skilled doctor. She saved all of us. You shouldn't talk like that!"
The woman didn't say anything, but just looked at Jiang Suying suspiciously. She didn't know whether she wanted to confirm from her face whether she was the granddaughter of Dr. Jiang, or whether she had medical skills.
"Auntie, now that we are at the clinic, you still have to listen to what the doctor says. If you delay, it will be too late..."
There was another person who joined in the argument, but before he could even utter the last word "了", the woman glared at him and scolded him back: "What are you saying here? You are not the one whose leg is going to be sawed off! Wait until your leg is sawed off and you can still say such things!!"
"you………"
"What about me?!" The woman started crying again: "My life is so miserable!"
Everyone in the clinic was buzzing with tears. Jiang Suying closed her eyes. It was true that her husband was going to have his leg amputated, which was very pitiful. But in this hospital, who was not pitiful in his tattered clothes?
She opened her eyes and said, "Sister, let me explain it to you again. If a leg is necrotic, generally speaking, it will rot and stink, and even get maggots. If a living person gets maggots, how long can he live? He will live in agony until he dies. By then, it will be too late if you want to have an amputation."
"If you have thought it over, our clinic will start preparing for the operation. If you don't want to treat him--" Jiang Yipei had been listening for a while and couldn't bear it any longer: "Then drag him back to where you came from and wait for death! Our clinic is very busy and we can't delay the treatment of others because of you. What? Have you decided not to treat him? Then drag him away quickly."
It’s really hard to say whether this person can survive until tonight after being dragged back, but what can we do?
In modern hospitals, surgery requires the signature of the family members. Some doctors are very strict with rules. If the family members cannot come in time to sign, the surgery will not be performed until the patient dies.
"Are you a doctor?" The woman immediately ignored Jiang Yipei's harsh words and looked at him hopefully.
"I'm not." Jiang Yipei shook his head coldly, but someone else spoke up for him: "This is Lord Jiang from Jiangjia Village who is an official in the capital. Don't you know him?"
"You are Jiang...Yipei!!"
The woman's wide-open eyes almost made Jiang Yipei lose his dignity: What, do you have a grudge against me?
Not really, it's just that Jiang Yipei's name is absolutely well-known in Luoshui County, especially in Nanxiang Town, where he is almost a household name. The most common words that the elders in the family say to encourage their children and grandchildren are: "If you can bring half the honor to the family like Jiang Yipei from Jiangjia Village, I would die with my eyes closed."
The woman didn't dare to do it again. She even apologized to Jiang Suying, but in the end she looked at Jiang Yipei with tears in her eyes: "Master Jiang, my man... is there really no other way except amputation?"
Jiang Suying: “???”
It's really a small knife that has opened the third eye. Don't be fooled by the fact that everyone calls him Lord Jiang, as if he is very great, but in fact he knows nothing about medicine.
You asked him?
You might as well ask my knees. At least my knees can still kick you during the knee jerk reaction. What can Lord Jiang answer you?
Lord Jiang said coldly: "Amputation or death, you choose one!"
The groundhog in Jiang Suying's heart was screaming desperately - Jiang Yipei, what are you doing?! If you can't speak, then don't speak, just be a background board! What are you doing!!
She quickly added, "No, no, no, he's not serious. I have to make it clear that even if the limbs are amputated, there is no guarantee that they will survive!"
Jiang Suying glared at Jiang Yipei. He was really looking for trouble for her. What was the most important thing for a doctor?
Medical skills?
This... is right!
Medical ethics?
That’s right… too?
what else?
It’s rigorous!
Which doctor dares to guarantee that the surgery you have done or the medicine you have taken will completely cure all your diseases? Without any side effects?
This is not medical treatment, it's a scam!
Even with a minimally invasive surgery, you have to observe for two days to see if the danger period has passed, and you have to go back for regular checkups. This is an amputation, who dares to guarantee a survival?
And it was in ancient times!
Therefore, doctors should not speak too confidently. Absolute words such as "definitely", "certainly", "it's okay" etc. should never be used.
Maybe, perhaps, probably, it’s up to you to decide, the doctor is just giving suggestions, etc. These are the mantras of serious doctors, okay!
"If you have any questions, just ask Doctor Jiang. Even Magistrate Chen praised her medical skills. I have something else to do, so I'll leave first." As he spoke, he put one hand in front and the other behind and walked out steadily and quickly. When he reached the door, he was sobered by the cold wind. Damn, he was not wearing gloves or a hat!
It was a cold draw!
But he couldn't turn back in front of everyone, so Jiang Xiumian twitched his mouth, grabbed his scarf, hat and gloves and chased after him.
At this moment, the woman was stunned when she heard what Jiang Suying said: "What...what do you mean? Madam Jiang, you mean that my man may not survive even if his limbs are amputated?"
Jiang Suying nodded: "That's not the case. If the operation is successful and the follow-up care is good, there is still a great chance of survival, but surgery has risks. Even if the operation is successful, there is a certain chance of infection in the later stage. But this is the only way. At the stage of surgery, it can be said that there is no choice."
Postoperative infectious complications can also be fatal.
And the probability is much greater than in modern times.
If it wasn't absolutely necessary, Jiang Suying would never want to use a knife.
These words were spoken not only to the patient's family, but also to other people in the clinic. They were intended to simply popularize the concept of "surgery."
"That's it..."
The woman's eyes were dull and she had lost the energy and spirit she once had.
Jiang Suying knew that her words might have scared her, so she added, "You have to think carefully. If you don't amputate, you will definitely die. If you do, there is a 50% chance of survival."
"Let me ask you one last question. How much does the surgery cost?"
"Including the later stage of rehabilitation and prescriptions, it will cost about half a tael of silver." Jiang Suying added: "But don't worry, the county government will bear part of it, it will only cost more than 300 coins."
At this price, Jiang Suying really didn't charge too much at all, and it could even be said that she made no profit at all.
More than three hundred coins is a bit much for ordinary people, but it is not so much that they cannot afford it.
The woman stroked the purse around her waist: "That still costs money..."
“…Uh, that’s right!” There’s nothing wrong with what he said!
"Then - we... don't want to treat him." The woman thought for a long time and finally made up her mind: "Please prescribe some medicine for me. Whether I can survive depends on my fate."
"Are you sure?" Jiang Suying asked. Did she really want to give up her husband's life for a few hundred coins?
"Since there's a chance that I'll die even if I lose my limbs, it's better to go home and live out my last days in peace and quiet, rather than die with an incomplete body. By the way, if I want to get medicine, I'll go to the county government?"
Jiang Suying nodded: "I will also bear part of it."
"Then...what about us?!"
Throughout history, seeing a doctor has always cost money, and a lot of money at that. They had never thought it would be free, but when they heard that the county government would bear part of the cost, everyone became interested.
Jiang Suying said as she prepared the medicine: "It's the same. As long as you are a citizen of Luoshui County and have a household registration, the county government will provide subsidies!"
"Subsidy! Is this word the same as subsidy? I didn't expect that after living for so many years, there is still a time when the government subsidizes us ordinary people?"
"Mr. Chen is really a good man!"
"Yes! Only when we are in danger can we know who is a good official! Look at County Magistrate Chen, and look at what Lord Jiang has done for us these days. He asked people to rescue people and repair houses. Although he charges money, who would repair a house for free? Lord Jiang and his men repaired it, and it was sturdy and cheap. What a good official! He is really a good official!"
A group of people came to Jiang Suying to praise County Magistrate Chen and Jiang Yipei, saying that they were both the God of Literature who had come to earth to save people from suffering.
"Before boiling the medicine, soak the herbs for 15 minutes. This medicine can be boiled twice. The first time, boil one bowl of water into one bowl of water, and the second time, boil three bowls of water into one bowl of water. If the pain is really unbearable, boil a new packet, and always use a low fire."
Jiang Suying prescribed ten special medicines that could numb the pain - if this man didn't have his limbs amputated, his fate was already decided, and the only thing she could do was to make his death less painful.
"Okay, thank you, doctor. How much is it?"
"Just give me a hundred coins!"
The woman shuddered inwardly. One hundred coins! Still a “bar”?
"Didn't they say that the county government would provide subsidies?"
"If there is no subsidy, I should charge you 150 coins."
One hundred and fifty is 70% off, which is 105, and she even rounded off the change to five cents.
In fact, it’s not that the government office has subsidies, but they originally planned to collect 70% - but if the county government is willing to give the 30% subsidy to their clinic, they are also willing to collect it.
"Oh, so that's it!" The woman felt distressed as she took out the money. Even though the fifty cents were waived, she still felt it was expensive, although this price was much cheaper than other medical expenses in the past.
The bulging purse became deflated when a string of money was taken out, leaving only a few jingling coins.
Jiang Suying took the copper coins that the woman handed over reluctantly and said nothing. She respected all decisions made by the patients' families, even if the decision was not correct in her opinion.
If she had just started seeing patients, she would definitely communicate with the patient's family, explain the importance of the treatment, and let them choose the most correct one.
But now Dr. Jiang has learned to keep her mouth shut. She will tell the patient's family members the dangers first and analyze the pros and cons. But if they still don't listen, she will try to persuade them, but she will never try to change the patient's family's mind.
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