I can see health

Chapter 857 Four leaf petals! (First update!)
After experiencing this new technique, Lu Chen also understood a little bit.

The highest level of the system's TAVR skill card must surpass the expert level!
The expert level only includes the existing spells.

But with every surgery, every time there is innovation.

Lu Chen's current vision is no longer satisfied with mastering the current techniques, but to explore more techniques in depth to solve more difficult and miscellaneous diseases.

And the patient with aortic stenosis from Huaxia successfully completed the TAVR operation in the hands of Lu Chen.

This time, Lu Chen was the chief surgeon, and Yamada Kenji was the first assistant.

"Congratulations, the completion of the system upgrade has increased!"

"Congratulations, I received the thank you value from...!"

The days in Mayo are very happy, and the gratitude value and system completion are increasing every day.

……

In the blink of an eye, it has been a year since Lu Chen came to Mayo.

During this year.

Lu Chen's name began to have a certain influence in Mayo's Department of Cardiology.

In the field of TAVR, Lu Chen's ability has been recognized by everyone.

"Lu, there is an operation patient in our group, er, I would like to ask you to go to the consultation."

"Lu, tomorrow your group will admit a patient with severe and refractory heart failure!"

"Lu, there will be a global cardiology TAVR summit next week, and the hospital has decided to send you out to attend."

Lu Chen had a good time in Mayo.

There is not too much intrigue here, and everyone focuses on clinical and scientific research.

Everyone gets the same salary!
No one squeezed his head and wanted to be a management team.

Lu Chen also has scientific research protection time, about 30% of the time every week, he can do his own scientific research.

Therefore, Lu Chen took advantage of the opportunity to join Kebed's scientific research team.

This place is not like Huaxia. As a fellow, Lu Chen cannot form his own scientific research team.

"Lu, regarding the development of the latest TAVR technique, we have to improve the entire system." Kebed said to Lu Chen.

As Lu Chen's ability was revealed, Kebed paid more and more attention to Lu Chen.

Even, he hardly manages clinical matters.

All patients are under the unified management of Lu Chen.

"Yes, Mr. Kebed."

Lu Chen understood that Kebed wanted to add their newly created spell to this year's TAVR guide.

However, the rewriting of guidelines requires the support of evidence-based medicine.

Simply performing one or two cases of surgery can't explain any problems at all.

At this time, Yamada Kenji suddenly walked into the office.

"Mr. Kebed, there is an emergency consultation with a patient in the coronary artery group, and I would like to invite you to go."

Kebed was taken aback, then looked at Lu Chen, "Lu, go ahead, I still have a lot of work to do in my lab."

"Okay." Lu Chen nodded.

Kebed then left.

In the office, only Lu Chen and Yamada Kenji were left.

"Lu Chenjun, Mr. Kebed's scientific research protection time is 50%, I think he wants to develop to 70% of the time?" Yamada Kenji raised his eyebrows.

"As the attending doctor, Kebed has this power." Lu Chen smiled, "Mayo's management is still very humane, and clinical and scientific research can be taken care of at both ends, or one end can be emphasized."

Kenji Yamada spread his hands, "Mayo is Mayo, with such resources and conditions. Mr. Lu Chen, let's go to the coronary artery team to see, their patient seems to be quite difficult."

"it is good."

Lu Chen took his stethoscope and came to the coronary intervention team with Yamada Kenji.

……

Cardiology at Mayo is divided into many groups.

Each group has a different focus. For example, the Kebed group is currently focusing on TAVR, while other groups include coronary intervention, electrophysiology, and congenital heart disease.

Lu Chen and Yamada Kenji came to the office of the coronary intervention team.

African-American Fellow Salat is checking the patient's medical records in his office.

Seeing Lu Chen and Yamada Kenji coming in, he immediately stood up, "Lu, you've come!"

As fellows from the same batch, they now clearly understand the gap between themselves and Lu Chen.

"Where is the patient?" Lu Chen asked.

"Where's the catheterization room!" Zarate said quickly, "I'll take you there now."

"Catheterization room? A patient for surgery?" Lu Chen was taken aback.

"Yes!" Sarat introduced while leading the way, "This operation was originally a coronary intervention, but the patient also had a problem with the aortic valve. The doctors in our group decided to solve it together."

In other hospitals, it is absolutely impossible for coronary intervention and TAVR intervention to be done by the same team.

But in Mayo, there are many areas that each doctor is good at.

Even doctors in the coronary intervention group can perform most TAVR operations.

"Then what is the patient's condition now? Why did you ask us to come for consultation during the operation?" Lu Chen wondered.

"It's just that the valve CT before the operation is different from what we found during the operation." Sarat said with a serious expression, "Lu, you will know when you go to the cath lab."

……

Mayo Cardiology Cath Lab.

In operating room No. 3 at this time.

The three surgeons were helpless facing the patient in front of them.

"We were so unlucky that we encountered a four-leaflet aortic valve!"

As the first assistant of the operation, Casas couldn't help but complain,
This was not found in the preoperative CT examination.

"It's useless to talk about it now!" Lambert, the attending doctor in the group, frowned. "The four-leaflet aortic valve is very difficult to position. If we do it alone, the success rate is too low!"

The incidence of four-leaflet aortic valve (QAV) is extremely low, and TAVR surgery is performed on such patients, and there are risks such as difficulty in valve positioning and coronary artery occlusion after valve implantation!

"Did the doctor from the TAVR team come?"

"A consultation has been requested, and it should be on the way," Casas said.

"Okay, let's stabilize the patient's vital signs first, and wait for the doctors from the TAVR team to come."

In 2 minutes, Lu Chen came to catheterization room No. 3.

"Lu, you're finally here!"

Lambert was not surprised by Lu Chen's arrival.

During the recent TAVR surgery consultation, Kebed basically didn't come, and Lu Chen did it for him.

On the other hand, Casas didn't say anything.

For Lu Chen, the exams reviewed by the Fellows are still vivid in his memory, and he is still a little unconvinced.

"What's the patient's condition?" Lu Chen immediately began to look through the patient's medical records.

"We were planning to do PCI+TAVR together." Lambert handed the patient's valve CT examination data to Lu Chen.

"We originally expected that the valvular disease was not serious, but now we have found a four-leaf deformity."

A normal aortic valve has only three leaflets!
But this patient has an extra leaf!
Lu Chen focused on the patient's CT.

CT shows a distributed four-leaflet valve with smaller sinuses, lower coronary ostia, and thickened leaflets.

The length of the left and right coronal leaflets exceeds the height of the STJ!

"We just reassessed that during the valve implantation process, the risk of coronary occlusion is very high!" Lambert said, "So I invited you here."

Lu Chen looked solemn.

This patient's situation is too special.

There are not only coronary artery disease, but also aortic valve disease. To complete two operations at the same time, the requirements for the operator are extremely high!

(End of this chapter)