I can see health

Chapter 849 The most difficult operation! (the third update, and one more)
Time passed quietly.

Lunch is provided by Mayo.

Naturally pizza and sandwiches again.

Lu Chen could only endure it temporarily.

At five o'clock in the afternoon, it was finally Lu Chen's turn.

Also the last round!
"Members of the last group, prepare to enter the simulated operating room!"

The examiner walked into the waiting room.

The candidates below him, including Lu Chen, all stood up.

Everyone entered the simulated operating room in turn according to the number.

……

"Luna, who do you think the five fellows will be this time?"

In the small room in the surgery simulation room, all the examiners gathered together to discuss the exam.

For the sake of fairness, as examiners, they can only see the surgical field, not the person performing the operation.

Luna, who is the examiner, smiled, "I've heard that there seems to be Casas, Zarate, and the person from the island country is also good at surgery."

"That's right, the competition this year is really not small." Another white examiner also echoed, "I think there are still a few European doctors who are also very competitive."

As for the Fellow in Lu Chen's group, Kebed has not spoken.

As one of the examiners for this assessment, he sat in the corner of the room.

"Kebed, why don't you talk?" Luna looked at Kebed, "This is not like your style."

"I'm not familiar with these people." Kebed shook his head.

The only one he is familiar with should be the doctor from China, Lu Chen.

"I'm not familiar with these people, I just heard their names." Luna suddenly smiled, "How about we make a bet?"

"bet?"

Kebed looked at Luna suspiciously.

"Let's guess the shortlist this time and see who can guess more." Luna pursed her lips and smiled.

Kebed smiled, "Sure, but what's the bet?"

"What do you want to bet?" Luna looked Kebed up and down.

Kebed pointed to Luna's chest without hesitation.

Luna was startled, and looked at Kebed in disbelief.

Didn't expect Kebed to look so serious, but also be so unrestrained in private?
"Luna, I want your... stethoscope!"

Kebed's voice reached Luna's ears.

"Ah? What did you say?" Luna was about to accept that unreasonable request, but when she heard Kebed's words, she had to swallow her own words back.

"I want your very expensive stethoscope." Kebed grinned, "My stethoscope is broken, and I'm going to buy a stethoscope."

"This...well." Luna could only accept, "If I win, then you can treat me to a meal, which is very expensive."

"No problem!" Kebed nodded slightly.

After the two discussed, under the witness of the people around them, they began to write down the candidates.

Kebed is really not familiar with the people who took the Fellow exam this time.

However, after listening to everyone's conversation just now, he also had his own plan in mind.

He quickly wrote down four candidates, namely Casas, Zarate, Yamada Kenji, and Fenner from Europe.

As for the last candidate, Kebed was a little hesitant, and he really didn't think of anyone for a while.

At this time, a name suddenly popped up in his mind.

The Chinese doctor in the group, Lu Chen!
His clinical ability is definitely nothing to say, but his surgical ability...

Kebed really hadn't seen it before.

"Choose him?" Kebed felt a little troubled.

But other people, he is not familiar with at all.

Instead of choosing someone else, why not choose Lu Chen!

Kebed thought for a while, and wrote "Lu Chen" on the last name.

"If I lose, just ask Lu Chen to treat me to a meal." Kebed thought.

At this time, Luna on the opposite side also wrote out her own candidate.

Her five candidates are Casas, Sarat, Yamada Kenji, Fina, and Sitharaman from India!
The first four people, both of them are the same.

It's just that the last candidate, the two had a disagreement.

Luna looked at Kebed's choice with a smile, "Kebed, who are you, Lu? Looking at the name, you seem to be from China? You're not mistaken, you don't have to be so direct if you want to invite me to dinner?"

"His name is Lu Chen. You should have seen him before." Kebed said slowly, "He is a visiting doctor in my group this year."

"Oh, I remembered, it's the Huaxia doctor who spoke at the case conference?" Luna asked in confusion.

"Well, that's right." Kebed nodded.

"Hehe." Luna smiled, "Strong clinical ability does not mean surgical ability. I chose this Sitharaman from India. I have seen his surgery. Although it is not as good as the previous four, it is also worse. Not going anywhere."

Kebed spread his hands, "Miss Luna, you have a chance to win, and then dig a hole for me to jump by myself?"

"Haha." Luna put her hands behind her back, "Don't make it so obvious."

……

At this time, Lu Chen had already stood on the operating table.

The first round of assessment, coronary intervention!
The technique Mayo chose was extremely complicated.

After Lu Chen's angiography was over, he found that the simulated heart had serious lesions.

A 99% stenotic lesion at the end of the left main trunk.

A 90% stenosis can be seen in the proximal part of the anterior descending artery, and the middle part of the anterior descending artery is completely occluded.

85% stenotic lesions were seen at the opening of the circumflex branch; 90% stenotic lesions were seen at the proximal end of the right coronary artery.

Such a wide range of lesions is rare in clinical practice.

Moreover, the simulated anterior descending artery of the heart is a CTO bifurcation lesion, which is also a difficulty in intervention.

Lu Chen quickly went through the operation in his mind.

He has not come into contact with this technique in the system virtual space so far.

But he has almost developed the advanced skill card "Coronary Intervention".

If it was a real clinical operation, Lu Chen might not dare to do it.

But this time it was a simulation exercise, he was still confident of completing the entire operation!
……

Lu Chen first implanted a stent on the anterior bifurcation lesion with the Cutte technique.

Afterwards, the CTO lesion of the anterior descending artery was opened positively.

After overcoming various difficulties, the coronary guidewire was finally sent to the positive lumen of the distal anterior descending artery.

Lu Chen treated the anterior bifurcation and anterior descending artery CTO lesions for the simulated heart, and implanted a total of 4 coronary drugs for treatment during the operation!
"Although it's not perfect, it should be qualified!"

Because this is a simulated operation, it is not as cumbersome as a real operation.

The three rounds of surgery, the time spent in total, needs to be controlled within one hour.

Failure to complete all three surgeries on time will result in automatic elimination.

Twenty minutes later, Lu Chen finished his coronary surgery.

He immediately started the second round of electrophysiological intervention.

Fortunately, the second round of electrophysiological intervention was a relatively conventional ablation of atrial fibrillation.

Lu Chen has performed this type of surgery many times in the virtual space of the system, as well as in real life!

After about 15 minutes of localized ablation, he completed the ablation of atrial fibrillation.

……

25 minutes left.

What Lu Chen needs is the final TAVR intervention!

When Lu Chen saw this TAVR operation, he was also a little surprised.

The CT results of the simulated heart show that the aortic arch is severely tortuous and presents a 3D pattern.

The aortic valve was a TYPE 0 bicuspid aortic valve with obvious thickening and severe calcification in the leaflets and annulus.

The most shocking thing is that the heart simulation in front of him is still a very severe horizontal heart!
The difficulty of this operation is the most difficult one Lu Chen has ever seen in reality!
　There is one more change, please ask for votes, it's not too much.

　　
　
(End of this chapter)