I Can See Health

The patient was quickly signed and discharged.

Lu Chen refused to perform surgery on him. Even if he continued to stay in the cardiology department of Guanghai No. 1 Hospital, he could only receive conservative treatment with medication.

As for where the patient went, Director Zhang Liang did not ask.

Lu Chen returned to the second zone of his heart.

"Director Lu, can this patient really not give it a try?" Jin Miao whispered, "Left ventricular outflow tract obstruction is not an absolute contraindication for surgery, right?"

Contraindications for surgery are divided into absolute contraindications and relative contraindications.

Absolute contraindications mean that surgery cannot be performed.

Relative to the contraindications, if you are diligent, there is still a slight chance of surgery.

"This is not just a problem of left ventricular outflow tract obstruction." Lu Chen shook his head, "I just went to see the patient at the bedside. His condition was extremely bad. The risk of surgery is already high, and with left ventricular outflow tract obstruction, Surgery will not do any good for his condition."

"Can't TAVR surgery improve his heart failure symptoms?" Jin Miao asked again.

"The probability is extremely small!" Lu Chen said, "The patient is older. To put it another way, even if he undergoes surgery, his survival period will not be any different from that without surgery. So why should we do surgery?"

Lu Chen would not do an operation with such obvious results.

If you continue to try, it will only end in a loss of both human and financial resources.

"Oh, I know." Jin Miao nodded.

In fact, in his mind, if the patient's family members sign and are willing to bear all risks, the surgery can be tried.

After all, having one more patient for surgery also increases their opportunities to practice.

…

Guanghai Central Hospital.

Office of the Professor of Cardiology.

After this period of study, Shi Langqin felt that the class organized by Lu Chen was really good!

I learned a lot of new surgical skills.

If the previous emergency TAVR surgery was put in front of him again, he felt that he could give it a try.

Of course, this was just something he thought about in his mind, and he hadn't taken any action yet.

Because of Lu Chen's golden name, the number of TAVR surgery patients at Guanghai Central Hospital has dropped sharply, and naturally there are fewer such difficult surgeries.

"Director, a patient is here!"

Suddenly the word tiger interrupted Shi Langqin's thoughts.

The fat doctor came to the office out of breath, with a smile in his eyes.

"TAVR surgery patient?" Shi Langqin stood up immediately.

"Yes!" The fat doctor nodded slightly.

"Where is the patient?"

Shi Langqin put on his white coat and prepared to go out.

"The patient's heart failure is quite serious, and he is currently in the hospital." The fat doctor replied.

As long as a patient undergoing TAVR surgery comes to Guanghai Central Hospital, Shi Langqin must check it first.

"Let's go and have a look!"

Shi Langqin strode out, feeling the wind blowing under his feet.

…

Come to u ward.

Shi Langqin saw the patient lying on the hospital bed.

An elderly man in his sixties, with a gloomy complexion and a haggard appearance, looked like a man in his seventies.

After seeing the patient, Shi Langqin called the treating doctor aside.

"What's the patient's condition?" Shi Langqin asked.

The attending doctor quickly said: "Professor Shi, this patient has just been transferred from Guanghai No. 1 Hospital. He is a patient with severe aortic valve stenosis, severe heart failure, and his condition is not very good."

"Transferred from Guanghai No. 1 Hospital?" Shi Langqin was stunned.

What's going on?

This was the first time he met a TAVR surgery patient who had been missed from Guanghai No. 1 Hospital.

"I heard from the patient's family that Guanghai No. 1 Hospital does not operate on them," said the receiving doctor.

"The patient's family condition is not good?" Shi Langqin asked doubtfully.

Although this TAVR surgery is a minimally invasive surgery, it is not cheap and is not covered by medical insurance for the time being.

"Probably not." The treating doctor shook his head. "From the way the patient's family members are dressed, the conditions should be pretty good. I haven't figured out why Guanghai No. 1 Hospital doesn't do it. I only heard what the family members said about the taboos. disease."

Shi Langqin was silent for a long time, lowering his head and thinking deeply.

This is a good opportunity.

Guanghai Central Hospital has not had the opportunity to perform TAVR surgery for a long time.

However, he now wanted to find out why Lu Chen from the first hospital did not operate on this patient.

What are the patient's contraindications? !

"Call the patient's family over and I'll talk to him." Shi Langqin said casually.

"OK."

The treating doctor left immediately.

Normally, patients' family members are not allowed to enter the U ward, but this is a special situation.

The receiving doctor in the ward took the patient's family directly to the lounge of Ward U.

"Are you Professor Shi?" After seeing Shi Langqin, the middle-aged man looked excited, as if he had grasped a life-saving straw.

"I am." Shi Langqin nodded calmly, "Tell me about your father's condition. Why didn't Guanghai No. 1 Hospital perform surgery on your father?"

"Well..." the middle-aged man paused, "I'm not a doctor. I don't know exactly what the cause is. I really wonder what kind of obstruction it is."

Shi Langqin heard this. He said slowly: "Left ventricular outflow tract obstruction?"

"Yes, yes! That's it." The middle-aged man nodded immediately, "The professor at the first hospital said that this operation was very risky, so he refused to do it for my father. Later, Director Zhang Liang introduced me to you."

"It turns out to be Zhang Liang." Shi Langqin nodded.

Zhang Liang is the director of the Third District of Guanghai No. 1 Hospital, and we have a fairly good relationship with him.

"Professor Shi, can you perform surgery here?" The middle-aged man summoned up the courage to ask. He stared at Shi Langqin closely, afraid of hearing bad news again.

"I haven't seen the specific ultrasound report sheet." Shi Langqin said, "If it is really left ventricular outflow tract obstruction, it should be a contraindication for surgery."

"Professor Shi...can't you do it here?" When the middle-aged man heard this, his face darkened and he was extremely disappointed.

After going through multiple hospitals, will this family's hope be dashed in the end?

But Shi Langqin's sudden words ignited hope in the middle-aged man's heart.

"Left ventricular outflow tract obstruction is a relative contraindication, not absolute." Shi Langqin said solemnly, "It does not mean that surgery is 100% impossible. I once saw a medical record of a patient with severe aortic stenosis and left ventricular stenosis. The patient with ventricular outflow tract obstruction underwent TAVR surgery at Kyoto University First Affiliated Hospital.”

"Really?"

The middle-aged man's expression became somewhat energetic again.

"UU Reading www.uukanshu.net How could we fake this kind of thing? You can check it online on Baidu now." Shi Langqin said.

"Then...can you do it here?" the young man asked again.

Shi Langqin did not reply immediately, but settled down, seeming to be making a difficult decision.

After a long while, he slowly said to the middle-aged man: "The patient's condition is very serious, the risk is too high, and it is very likely that he will not be able to get off the operating table."

"Don't worry." The middle-aged man said quickly, "No matter whether the operation is successful or not, I will not blame you."

"The cost of this surgery is not cheap, and it is not covered by medical insurance." Shi Langqin said, "It is very likely that both people and money will be lost!"

"I know, I accept the risk, I can sign!"

Seeing the positive attitude of the patient's family, Shi Langqin finally nodded in agreement.

"Okay, I'll do it for your father!"

.