I can see health

Chapter 776 Okay, I'll do it!

The patient was quickly signed and discharged.

Lu Chen refused to operate on him. Even if he continued to live in the Cardiology Department of Guanghai No. [-] Hospital, he could only be treated conservatively with drugs.

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

Lu Chen returned to the second area of ​​his heart.

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

Surgical contraindications are divided into absolute contraindications and relative contraindications.

Absolute contraindication, that is definitely not surgery.

Relative contraindications, if you are determined, there is still a little chance of surgery.

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

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

"The probability is extremely small!" Lu Chen said, "The patient is old, and taking a step back, even with surgery, his survival period is no different from that without surgery, so why do we need surgery?"

It turned out that Lu Chen would not do such an obvious operation.

If you try, you will end up with nothing but money.

"Oh, I see." Jin Miao nodded.

In fact, in his mind, if the patient's family members sign and are willing to bear all risks, they can try the operation.

After all, having one more patient undergoing surgery also increases their chances of practicing.

……

Guanghai Central Hospital.

Office of the Professor of Cardiology.

After studying for this period of time, Shi Langqin felt that the study class held by Lu Chen was really good!

I learned a lot of new surgical skills.

If the previous emergency TAVR operation was placed in front of him, he felt that he could also try it.

Of course, this is just what he thought in his heart, and he hasn't put it into action yet.

Because of Lu Chen's famous brand, the number of TAVR patients in Guanghai Central Hospital has dropped sharply, and there are naturally fewer such difficult surgeries.

"Director, here comes the patient!"

Suddenly, a word of tiger interrupted Shi Langqin's thoughts.

The fat doctor came to the office panting, with a smile in his eyes.

"TAVR patient?" Shi Langqin immediately stood up.

"Yes!" The fat doctor nodded slightly.

"Where is the patient?"

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

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

As long as Guanghai Central Hospital came to the patient for TAVR surgery, Shi Langqin must be the first to check.

"Go, go and see!"

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

……

Came to the CCU ward.

Shi Langqin saw the patient lying on the hospital bed.

An elderly man in his 60s, with a dull complexion and haggard appearance, looks like a man in his 70s.

After seeing the patients, Shi Langqin called the doctor aside.

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

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

"He transferred from Guanghai First Hospital?" Shi Langqin was taken aback.

Is this awkward?
It was the first time he met a TAVR patient who was missed from Guanghai No. [-] Hospital.

"I heard from the family members of the patients that Guanghai No. [-] Hospital does not operate on them," said the receiving doctor.

"The patient's family conditions are not good?" Shi Langqin asked doubtfully.

Although this TAVR operation is a minimally invasive operation, it is not cheap, and it is not included in the scope of medical insurance for the time being.

"Probably not." The receiving doctor shook his head, "I think the dress of the patient's family members should be considered good. I haven't figured out why Guanghai No. [-] Hospital didn't do it. I only heard from the family members that there are any taboos." disease."

Shi Langqin was silent for a while, bowed his head in deep thought.

This is a good opportunity.

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

However, he now wants to figure out why Lu Chen from the First Hospital didn't operate on this patient.

What exactly are the patient's contraindications? !

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

"Ok."

The attending doctor left immediately.

Generally speaking, family members of patients are not able to enter the CCU ward, but this is a special situation.

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

"You are Professor Shi, right?" The middle-aged man looked excited after seeing Shi Langqin, as if he had grasped a life-saving straw.

"I am." Shi Langqin nodded calmly, "Tell me about your father's situation, why didn't Guanghai No. [-] Hospital perform surgery on your father?"

"This..." The middle-aged man paused, "I don't practice medicine. I don't know the specific reason. I really think it's an obstruction."

Shi Langqin heard it.Slowly said: "Left ventricular outflow tract obstruction?"

"That's right! That's it." The middle-aged man nodded immediately, "The professor of the first hospital said that the operation was too risky, so he didn't do it for my father. Later, Director Zhang Liang introduced me to you."

"So it's Zhang Liang." Shi Langqin nodded.

Zhang Liang is the director of the third heart area of ​​Guanghai No. [-] Hospital, and he has a good friendship with him.

"Professor Shi, can you perform surgery here?" The middle-aged man mustered up his courage and asked, staring at Shi Langqin closely, afraid of hearing bad news again.

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

"Professor Shi...you can't do it here, can you?" The middle-aged man's face darkened when he heard this, extremely disappointed.

After going through many houses, will the hope of this family be shattered in the end?

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

"Left ventricular outflow tract obstruction is a relative contraindication, not absolute." Shi Langqin said in a deep voice, "It doesn't mean that surgery is [-]% impossible. I once saw a medical record of a severe aortic stenosis with left A patient with ventricular outflow tract obstruction underwent TAVR at the First Affiliated Hospital of Kyoto University."

"really?"

The middle-aged man's expression became a little brighter again.

"How could we cheat on this kind of thing, you can check it on Baidu now." Shi Langqin said.

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

Shi Langqin didn't reply immediately, but settled down, as if he was 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, "Whether the operation is successful or not, I won't blame you."

"The cost of this operation is not cheap, and it is not included in the medical insurance." Shi Langqin said, "It is very likely that people and money will be lost!"

"I 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 make it for your father!"

(End of this chapter)