I can see health

Chapter 774 An Alternative Heart Murmur

Two days later.

The leadership of Guanghai No. [-] Hospital officially issued a red-headed document.

Comrade Yan Wanfeng was hired as the director of the second ward of the Department of Cardiovascular Medicine.

Comrade Lu Chen was exceptionally hired as the deputy director of the second ward of the Department of Cardiovascular Medicine.

At this point, the pattern of the Cardiology Department of Guanghai First Hospital began to change.

As a representative of the new generation, Lu Chen began to officially touch the leadership.

And Yu Weiguang, who is far away in Kyoto, was recently officially promoted to be the deputy chief physician.

The good talks between Nan Luchen and Yu Weiguang are still going on.

……

As for the formation of the TAVR surgery team, Lu Chen received recommendations from various directors one after another.

Each ward has one or two doctors who want to join the surgical team.

Lu Chen's plan is to recruit five to six people.

In addition to Jin Miao who currently occupies the quota, Lu Chen still needs to recruit four people.

"Director Lu, here is a list of all the doctors who apply."

Jin Miao handed over to Lu Chen the forms of all doctors who intend to apply to join the surgical team.

"Okay." Lu Chen nodded.

Lu Chen inspected each doctor's comprehensive abilities such as previous surgery conditions and professionalism.

After two days of review, Lu Chen finally selected four doctors, three men and one woman, to join the TAVR surgery team.

These four doctors, together with Jin Miao, will participate in a class held in the catheterization room of the Cardiology Department of Guanghai No. [-] Hospital.

……

In addition, Lu Chen officially has his own office in the department.

The independent office even has a small bed where you can rest at ordinary times.

Lu Chen collected all the things in the lounge and started his office life.

Usually in the clinic, except for some critically ill patients, Jin Miao can handle most of the things alone.

In Lu Chen's extra time, besides giving guidance on TAVR surgery, he is also working on the application for the National Natural Science Project.

The surgical team and scientific research team are the cornerstones of Lu Chen's future development.

The "TAVR surgery" simulation device that Lu Chen mentioned before has also passed the approval of the hospital leadership.

This is another big event for the Cardiology Department of Guanghai No. [-] Hospital!
As a result, with the help of Lu Chen, Guanghai No. [-] Hospital can continue to train surgical talents with the help of simulated surgical devices.

This process won't take too long!
When Shi Langqin of Guanghai Central Hospital knew about this, he lost his will to surpass Guanghai No. [-] Hospital.

He is also a miserable person.

From coronary intervention, electrophysiology, to the current TAVR surgery, others have always been overwhelmed.

However, Dean Dai Wansong's words awakened Shi Langqin a little bit.

He even signed up for the "TAVR Surgery Study Class" held by Lu Chen, and fully encouraged the doctors in this hospital to study.

Lu Chen is quite supportive of this.

Only with healthy competition will there be better development.

When patients have only one choice for treatment, it is very dangerous.

……

On the other hand, everyone began to slowly accept the fact that Lu Chen became the deputy director of the department in the second zone of their hearts.

Of course, this is all due to Lu Chen's own strength.

His outstanding clinical level and proficient surgical ability made everyone ignore his age of less than 30 years old.

Time flies, and a month has passed in a blink of an eye.

Lu Chen began to formally get used to his role as deputy director.

When it comes to the leadership, Lu Chen usually has an extra responsibility.

However, he still focuses more on clinical and scientific research.

As for the official career, it is not within the scope of consideration for the time being.

Xinxin District [-], Deputy Director's Office.

Lu Chen is checking the latest literature.

As a profession of doctor, one has to study continuously so as not to be abandoned by the mainstream academia.

It is not advisable to treat diseases only by experience.

"Huh... when will an influential magazine in China be released?"

Looking at the foreign language on the screen, although Lu Chen has an advanced skill card for document reading, he is still a little uncomfortable.

Lu Chen always thought that sooner or later, a world-renowned top Chinese magazine would be published!

"Ring bell bell!"

The landline in the office rang, and Lu Chen immediately picked up the phone.

"Director Lu, I have a patient with severe aortic valve stenosis. If you have time, can you help me take a look?"

Lu Chen recognized it. It should be the voice of Zhang Liang, director of the third division of the Department of Cardiology.

"Okay, Director Zhang, I happen to have time now, so I'll go and have a look right now." Lu Chen said immediately.

"No problem, come on, I'll wait for you in the office." Zhang Liang smiled. He and Lu Chen had a good relationship, mainly because the candidate he recommended was selected by Lu Chen for the TAVR surgery team.

Lu Chen hung up the phone and put down the documents in his hand.

He took off his white coat from the hanger, put it on lightly, and walked out of the office door.

As soon as he walked out of the office, he met doctors and nurses from all departments.

"Hello Director Lu."

Everyone greeted Lu Chen one by one.

"Yeah." Lu Chen nodded, and then responded, mainly because there were many nurses in the department, and he couldn't recognize them all.

Now it is different from when he was in the clinic before, he doesn't have to work night shift, and the relationship with doctors and nurses is not as familiar as when he was a doctor.

Lu Chen didn't rush to the third district of his heart, but went to the doctor's office in the second district first.

"Director Lu, are you going to the cath lab?"

Jin Miao was writing the course of surgery, when she saw Lu Chen coming, she immediately asked.

"No, I'm going to the third area of ​​my heart to consult patients, you can come with me." Lu Chen said.

"Okay." Jin Miao looked happy, and immediately grabbed the stethoscope and followed behind Lu Chen.

Walking out of the gate of the doctor's duty room, Lu Chen said, "Director Zhang asked me to consult a patient with severe aortic stenosis."

"Surgery?" Jin Miao's eyes lit up.

"I don't know yet, let's see the patient's condition first." Lu Chen said.

"Ok."

Jin Miao followed closely behind Lu Chen and came to the third area of ​​the heart.

……

The third area of ​​the heart, the doctor's office.

Director Zhang Liang is already waiting for Lu Chen's arrival.

He ordered the subordinate doctor to prepare all the patient's information.

"Director Zhang." Lu Chen walked into the office in the third district of his heart with a smile.

Zhang Liang turned around and saw that Lu Chen came in with a doctor, he quickly smiled and said, "Director Lu, you have come here, this patient has severe heart failure caused by valvular disease, you are an expert in this field, it is really troublesome Come and see."

After finishing speaking, a young doctor in the third area of ​​the heart handed over the patient's information to Lu Chen.

"Okay, let me look at the medical records first."

Lu Chen flipped through it for a while, then handed it to Jin Miao.

After Jin Miao finished reading it, Lu Chen said to Zhang Liang: "At first glance, it is an indication for TAVR surgery, and it needs to be done as soon as possible, but the risk of surgery is not small."

Zhang Liang nodded slightly: "Director Lu, are you sure about this patient's operation?"

Lu Chen smiled, "Director Zhang, as you know, we have never guaranteed the success rate of the surgery. I can only say that I have done many similar surgeries and none of them have failed. Even so, I cannot guarantee you success. rate. Because once the risk appears in this patient, it is a [-]% probability for him.”

"Okay, I see." Zhang Liangliang nodded, "This patient is my old patient. He had no TAVR surgery before, and he couldn't bear open chest surgery, so he has been treated conservatively. Now the patient's symptoms of heart failure are getting worse and worse. I just have to give it a go.”

"If the patient agrees, we can start the operation as soon as possible within two days." Lu Chen said.

"Thank you Director Lu." Zhang Liang said with a smile, "I will communicate with the family."

"Okay, I'll go see the patient again."

Afterwards, Lu Chen took Jin Miao to check on the patient's condition.

……

Come to the ward.

Lu Chen found something was not quite right.

When he was auscultating the patient's heart, he heard the murmur of the patient's heart valve auscultation.

This kind of murmur is different from the murmur of severe aortic stenosis!

Lu Chen recalled the patient information just now, and it seemed that except for aortic stenosis, he didn't see any other problems.

This is a little weird!

"Jin Miao, go get the bedside ultrasound machine." Lu Chen was still a little worried, so he ordered Jin Miao to borrow the ultrasound machine.

"it is good."

Jin Miao was quick with his hands and feet, and quickly brought the ultrasound machine over.

Lu Chen coated the ultrasound probe with coupling agent and placed it on various sections of the patient's heart.

Sure enough, the problem was found.

The patient's left ventricular outflow tract is obstructed!

This is a contraindication to TAVR surgery!

(End of this chapter)