How to manage Bone Fracture Management

Title: Leg Bone Fracture Management. 31st March 2022.
Right Leg fracture, Patient Woman, Age 86 years, No blood pressure, neither diabetics, light slim body. Summary: this case study helps readers to find out the way how to handle any mishap or similar situation, estimate medical expenses before going into treatment process. This report helps paramedical staff that their moral values are more important than their medical services, This report helps medical team to understand and to organize their case, within economic and social parameter’s constraints of the patient and their family, especially in developing  country, And this case study helps researchers of sustainable development goals SDG-1 and SDG-3 to review existing system and to formulate an improved mechanism for all three stakeholders the patient, doctor’s panel, and the affected family. X-Ray before treatment.


Case History: 31 March 2022.
I received a phone call from my family members that my mother has injured at home just due to slipped and her leg bone fractured. Feeling pain and unable to move, family members rushed to city hospital where a concerned surgeon attended the case and provided first aid, and advised for an operation. Discharged from hospital to decide. Health status: Patient Woman, Age 86 years, No blood pressure, neither diabetics, light slim body. Type of Injury: Right Leg fracture. After this incident, patient become unable to sit on ground, severe pain at fractured point, the patient complaining terrible pain at the fractured point because both ends of fractured bone were cutting internal tissues. Reason of fracture, slipped at home while coming out from washroom. Immediately brought to orthopedic surgeon at large hospital of the city, where the doctor advised operation, patient's family asked some time to plan about all related issues, cost of operation, health status, and presence of responsible person who takes responsibility of operation. The duty doctor who examined the patient and provided temporary treatment that was pulling straight the leg by hooking the leg with strips and hanging the weigh to keep the leg up-straight. The doctor advised for operation as early as possible.  It became most critical event for the family, there were few important factors (1) does the health of the patient may afford this treatment of surgery, (2) selection of the best reliable surgeon in the city (3) expense of operation. After passing two days in the same pain full condition of the patient and the family, one of the family member reference a similar case and referred a doctor of one specific Hospital.  On the next day. The family with the patient approached the hospital’s orthopedic surgical unit and got an appointment with an Orthopedic FRCS surgeon. The Doctor repeat the advice of immediate surgery and allowed for hospitalization. Affected family aggress to hospitalize the patient because there were no other option. And there is no other option in such circumstances age of the patient, location of fracture, painful condition of the patient. Still two factors were not clear, health of the patient? And expense of the process? Health examined by team of four doctors, among those concerned surgeon, heart specialist, anesthesiologist, General physician. In this case all team members shared their opinions, explained their reservations of risk factor, but hope for the best, and there was no other way, except operation. Fractured bone in this age cannot be restored by other way. Heart specialist advised to raise Hemoglobin,  level up to standard level for operation gradually. (Here I appreciate Heart specialist Doctor's keen interest and best wishes with the patient his words and encouragement were moral medicines for the patient and the family members)The surgeon told about two expenses, operation charges and the cost of metal part. Being head of the family  appreciates all segments of the hospitals, The doctors (Orthopedic, Heart specialist, anesthesiologist, Gen Physician), Ward Duty doctors, nursing staff, OT staff, ICU Staff, Pharmacy Staff, security staff, Billing Department, and X-Ray unit. Here I like to share my case with other people to understand medical expense and develop an estimated plan before going into process.  Dear readers, Health is the secondary priority of all humans and an unavoidable factor, everyone has to need about it. And no need to compromise for treatment for the best quality of life. No doubt that bad factors are available in every society that may be due to by their nature or negligence or lack of knowledge and skills. Competency, honesty and loyalty are tools of professionals in every field. Select best options for your health. Patient hospitalized on 4th April 2022. Due to low hemoglobin, stayed in ward and blood transfusion takes place on alternate day two pints. After satisfactory health status. Operation included in coming plan. Operation performed on 8th April 2022. After few hours of operation, at about noon, 8th April 2022. Patient shift in ICU ward. The patient discharged on 9th April 2022. Transported by private ambulance to home, advised to continue medicines for five days. No vent tube needed, no urine bag need, comfortably treatment completed. Stitches removed on 18th April 2022. After inspection of the wound, Doctor allowed for short air travel, traveled to hometown 19th April 2022. And the patient shifted to hometown after 6 Hrs. Travel, 1 Hrs. Travel from residence to airport, 2 hrs. Flight time, 2 hrs. Travel by road back to home. Now the patients are feeling better and improving slowly due to age factor, feeling appetite, sound sleep, and toilets needs are normally. For the convenience of family members of the patient, here I would like to analyze type of expenses inter relational ratios of expenses, stages of expenses and gross expense of the operation. Before going into detail of the operations expense, few basic requirements are needed to understand. Doctor’s consultation charges and a few medical tests are basic requirements of every medical case. Tests may be physical examination or test by blood or test by equipment. Initial medicines are used to further clarify the health issues and to guide the doctors what is the problem and what are the appropriate treatment. X-ray after the treatment.
Anesthesiologist

Expense sheet attached. Major function was fracture management whose expense is marked as X. while the total cost, compared with basic need of treatment, has found higher. This comparison helps readers to find the best estimate among estimates of different hospitals. Conclusion: Medical treatment may be needed in two situations, emergency and general use the facilities available in case of emergency. There are certain social service institutions in each area. It would be better to contact them and get the facilities as per the usual procedure. And safe from unnecessary hassle. Under usual circumstances. Under normal circumstances we need to make a plan to handle the situation like Find hospitals around our location. Determine the best and most suitable of these hospitals. Get information about the expertise of doctors in these hospitals. Consider the type of expenses they have shown in their estimates. Choose according to your budget. Consult your family doctor.