I Can See Health

"Okay, wait a moment, I'll be there right away!"

Lu Chen was a little surprised.

What kind of surgery was it that made him go back?

In the cardiology inpatient department at Mayo Clinic, there are quite a few doctors on the team.

One attending doctor, followed by two fellows.

In addition to Lu Chen, kebed also has another fellow, and that is Kenji Yamada.

After Lu Chen exchanged a few words with the patient from China, he left.

…

Mayo Clinic Cardiology Inpatient Unit.

In the emergency room at this time.

The alarm on the electrocardiogram monitor next to the bed kept ringing.

The bed nurse is busy changing the patient's dressing.

Kebed, the attending doctor in the team, has a solemn gaze. He is using a stethoscope to perform heart and lung auscultation on the patient.

On the side of the rescue room, Yamada Kenji was quiet, his expression extremely serious.

On the hospital bed.

The patient's lips were cyanotic and his breathing was rapid.

Although a ventilator is used, the blood oxygen is still hovering around 90%.

"The patient has severe aortic valve stenosis, accompanied by severe calcification." Kenji Yamada frowned and said, "The patient had a TAVR surgery before. It has been eight years since now, and his artificial valve should have broken again!"

There are no such patients in China.

Because China has only carried out this TAVR surgery in recent years, the valve has not yet reached the stage of failure.

This case was also the first case that Lu Chen encountered where tavr failed on its own!

"Doctor Kebed, I'm back."

Lu Chen tidied up his white coat and walked into the emergency room.

"Come and see this patient!"

Kebed waved his surgery towards Lu Chen.

"Here we come." Lu Chen nodded, and Ku Jin'er stepped forward to take a look.

On the hospital bed, a fat man sat on the edge of the bed panting.

His face was pale, his breathing was rapid, and he was in an extremely uncomfortable state.

The health value on the head is 36 (---)!

The changing trend of three minus signs indicates that his condition has reached an extremely dangerous stage.

Lu Chen was checking on the patient, and Kebed beside him was quickly introducing the patient's condition.

"We currently believe that the patient suffered from cardiogenic shock caused by severe aortic stenosis."

"But the difficulty now is that the patient had already had a TAVR operation eight years ago."

Lu Chen was slightly stunned, and he immediately understood what kebed meant.

The prognosis for patients like this is not very good.

"Convert to thoracotomy?" Yamada Kenji whispered from the side.

Lu Chen shook his head slowly: "I'm afraid not, the patient's body can no longer tolerate thoracotomy."

"Then what should we do?" Yamada Kenji frowned, "Do nothing? Just look at him..."

As the attending physician, Kebed has absolute authority to decide the patient's next diagnosis and treatment plan.

…

"Lu Chen, I want to hear your opinion." Kebed hesitated for a long time, still unable to make a final decision.

At this time, Lu Chen gritted his teeth.

"Mr. Kebed, how about we try a second TAVR operation?"

"Huh? Second TAVR surgery?"

Yamada Kenji was shocked.

"But after the patient's first surgery, his vascular condition will definitely not be good." Kenji Yamada raised his own questions, "The surgery is difficult, and we have no similar experience."

After saying that, Yamada Kenji looked at Lu Chen.

Lu Chen shook his head, "I have never had a second surgery for valve failure, but I think I can give it a try."

Kebed listened to the discussion between the two and fell into deep thought.

The patient was transferred from a nearby hospital.

The patient's family is well off and he has many connections, so the patient can be sent to Mayo.

To be fair, if a patient cannot even handle Mayo, he or she can basically only be declared clinically dead.

"Use medication to maintain treatment first." Kebed said softly, "As for the second surgery, we will hold a meeting to discuss it and communicate with the patient's family."

"Okay, I think it's okay." Lu Chen nodded.

Secondary surgery for valve failure is a world-leading innovation.

If it can be completed, then their team has created another top-notch technique.

One is to obtain the consent of the patient's family, but to obtain the consent of the Mayo Ethics Center.

…

At the invitation of Kebed, some doctors from the Department of Cardiology gathered together.

In a short period of time, several big names in the cardiology industry came to the hospital.

The topic of discussion was naturally the patient’s “secondary surgery”!

"The difficulty of the secondary surgery is not small, including the selection of the valve model, the determination of the valve release position, and how to prevent coronary artery blockage." A senior professor of cardiology said, "I think the surgery can be tried, but you need to communicate with it before the operation. There is no other way to communicate with family members!”

To use a Chinese saying, this is treating a dead horse as a living horse doctor!

"Major surgery like thoracotomy is not suitable for patients, but the effect of drug treatment is so poor, minimally invasive TAVR surgery is the only choice."

"Second surgery for failed valves is a procedure that has not yet appeared in the world. If you can succeed, it will definitely create a new field!"

The opinions of the professors are very unified.

He definitely couldn't sit for the surgical open-chest surgery.

If he did, it would be equivalent to accelerating the patient's death.

As for the secondary surgery of the decaying valve, this procedure has never appeared before!

If the kebed team can complete this procedure, it will undoubtedly add another honor to Mayo.

At this time.

Yamada Kenji, who was standing by, also slowly walked into the discussion room.

He came to kebed and whispered: "Doctor kebed, the patient's family agreed to the surgery and expressed their willingness to take all risks!"

"Okay, in that case, let's prepare for the surgery!"

Kebed did not hesitate.

Since the "second surgery" was chosen, it was necessary to start preparing as soon as possible.

Seeing this, Lu Chen was also a little eager.

This procedure does not currently exist in the existing medical technology industry.

It is a new technology and a new project, and Lu Chen has not found a similar surgery in the system virtual space.

Therefore, this surgery is also a brand new experience for Lu Chen!

Lu Chen really wants to know, if there is no help from the system, what step can he do by himself?

...

Preoperative preparations are ready.

Mayo's work efficiency is very high. UU Reading www.uukanshu.net

After kebed decided to perform the operation, all departments related to the operation began to make the operation plan.

As the attending physician in the group, kebed naturally became the surgeon in charge of the operation.

And Lu Chen was the first assistant in the operation.

Yamada Kenji was the second assistant in the operation.

The three of them slowly walked to the operating table and looked at each other, and they could see the solemnity in each other's eyes.

Even with the signature of the patient's family, no one dared to take it lightly.

And this operation was considered an open operation.

Next to the operating room, there was a small room for visitors.

As usual, residents or interns sat here.

But today, all the industry leaders in the Department of Cardiology gathered together. 　　16377/10852070