I can see health
Chapter 871 Something More Delicious Than Instant Noodles
Chapter 871 Something More Delicious Than Instant Noodles
Cardiology cath lab.
Lu Chen's operations continued.
"Shut up the cold salt water!"
"Try ablation at 15 W, 55°C first!"
After one second, the VT ceased.
"Stepwise titrate the power to 30W and the temperature to 55°C."
Afterwards, Lu Chen's operation discharged a total of 90 seconds.
During this period, there was no atrioventricular block or left bundle branch block, and the AH and HV intervals were normal.
After the discharge was terminated, pacing at the rate of tachycardia was performed at the successfully ablated target site, and the resulting 12-lead QRS pattern was exactly the same as that of ventricular tachycardia.
And the interval from the stimulation signal to the start of the QRS wave is equal to the interval from the PP to the start of the QRS wave during ventricular tachycardia.
"ended."
Under Xiao Shikang's astonished expression, Lu Chen took off his gloves.
He threw disposable gloves, hats, all into the yellow medical trash can.
"Mr. Xiao, observe for 30 minutes." Lu Chen said slowly to Xiao Shikang.
"Oh." Xiao Shikang was taken aback for a moment, and then he reacted.
The end of the ablation does not mean the end of the operation.
It needs to be observed for 30 minutes after the operation, and then after intravenous infusion of isoproterenol, S1S1 stimulation of the ventricle and atrium is performed to see if ventricular tachycardia can be induced.
Once ventricular tachycardia is induced, it means the failure of the entire ablation procedure.
……
Half an hour passed.
The audience in the live broadcast room waited with Xiao Shikang.
When the nurse gave the patient isoproterenol, everyone stared intently at the ECG monitor next to the operation.
on the monitor.
The patient's heart rate suddenly increased!
Isoproterenol is one of the drugs that can increase the heart rate clinically.
Its side effect is that it can induce malignant arrhythmia.
The audience in the live broadcast room also raised their hearts.
An increase in heart rate is most likely a precursor to a malignant arrhythmia.
The patient's heart rate quickly increased from 1 beats per minute to 70 beats per minute.
The defibrillator and the ambulance are also prepared on the side.
Slowly, as the pump of isoproterenol is exhausted, the patient's heart rate gradually slows down.
And the ventricular tachycardia that always patronized this patient before, this time, it did not happen again!
"Okay, the operation is over!"
When Lu Chen finished speaking, everyone in the live broadcast room was completely relieved.
Someone inadvertently glanced at the number of viewers, and was taken aback!
The number of viewers has more than doubled compared to the beginning of the operation.
Moreover, more and more viewers began to enter the live broadcast room.
They were all introduced by other doctors and friends, and wanted to see this exciting operation.
"The operation was a success!"
When Lu Chen said this to the patient on the stage, the corners of the young patient's eyes became moist.
For so many years, others have been unable to empathize with the long-term pain of electric shock.
However, he couldn't withdraw the ICD.
This is a life-saving thing!
He is still so young, he doesn't want to just leave.
For this reason, he inquired many ways, found many connections, and finally got this quota for a Mayo cardiologist to perform the operation.
"Thank you Professor Lu!"
The patient held Lu Chen's hand and kept saying words of thanks.
"The operation will take a while to recover. Pay attention to rest and don't get tired." Lu Chen warned a few times. Although this is a minimally invasive operation, there are also some delayed complications, such as myocardial damage and heart perforation.
"Well, I'll listen to you." The patient looked at Lu Chen and sighed, "Professor Lu, it would be great if you were in Huaxia, we still have many patients here, just like me, they suffer a lot of pain every day... ..."
After saying this, the patient himself felt that his words were inappropriate, and quickly said, "I'm sorry, Professor Lu, I don't mean anything else, I just thought that it would be great if Huaxia had a doctor as good as you."
Lu Chen smiled, "There will definitely be, and there will be many in the future."
"Really?" A smile appeared on the patient's face, "Then I look forward to that day."
at this time.
Lu Chen noticed the prompt that popped up on his system panel.
"Congratulations, I received a thank you value of +5 from Xiao Shikang!"
"Congratulations, I received a thank you value from...!"
"Congratulations……"
A series of thank you reminders surprised Lu Chen.
The number of viewers this time was at least tens of thousands.
Even if each person provides a little gratitude value, the little amount will add up, and this gratitude value is still considerable!
It won't be long before Lu Chen can exchange for the second advanced skill card!
……
The patient was pushed to the CCU observation room.
The operation is officially over.
Lu Chen walked out of the catheterization room slowly, picked up the mineral water and took a sip.
The total time for this operation is about two hours.
Standing for a long time made Lu Chen's waist a little sore.
At this moment.
Shen Wenguang and Yang Feng walked towards each other.
"Director Yang, let me introduce to you, today's surgeon is one of the best attending physicians in our Mayo's Department of Cardiology."
Before Yang Feng replied, Lu Chen smiled, shrugged, and said to Shen Wenguang, "Director Shen, I have known Director Yang Feng from the Department of Cardiology at the First Affiliated Hospital of Kyoto University for a long time."
When Lu Chen spoke, there was a faint smile on his face.
But there was a trace of indifference in the words.
"Oh? Really? Then this is even better." Shen Wenguang smiled, "I hope everyone can communicate and cooperate in multiple fields in the Department of Cardiology in the future."
Yang Feng didn't smile when he looked at Lu Chen, but when he turned his head to look at Shen Wenguang, he also showed a smile, "Okay, I will have a good communication with Dr. Lu in the future."
Lu Chen smiled, and didn't pay much attention to Yang Feng's words.
Some things, once missed, may be irreversible.
Lu Chen didn't want to say anything more to these leaders, so he said, "Director Shen, I have another operation to do next, so I'll prepare it first."
"Okay, you go." Shen Wenguang nodded, and patted Lu Chen's shoulder, "Don't run away tonight, have dinner with me."
"Yes." Lu Chen nodded slightly, he really had no reason not to participate in group dinners.
……
Second electrophysiological surgery.
Xiao Shikang is the main surgeon and Lu Chen is the assistant.
The difficulty of this operation is a grade less than the previous difficulty, it is just a leadless pacemaker implantation.
Lu Chen would have performed this type of surgery five years ago.
For him now, it is not difficult at all.
Under the guidance of Lu Chen, Xiao Shikang started the operation.
Lu Chen will take the initiative to help when encountering a more difficult place. Most of the time, it is Xiao Shikang who completes the operation independently.
Because the live broadcast of the operation this time is also an opportunity for Huaxia doctors to show themselves.
It's better for Lu Chen not to overwhelm the host.
……
After an hour of operation, the operation was successfully completed.
Lu Chen was the assistant for this operation, and he didn't receive much thanks.
But today's harvest is enough.
night.
Lu Chen was dragged by Kebed to the hotel where the group had dinner.
The leaders of Huaxia Hospital and Shen Wenguang sat at a table.
The other doctors sit freely.
Kebed tugged at Lu Chen's sleeve, "Hey, Lu, you forgot your promise to me!"
Lu Chen was about to take a bite of tamales, he was taken aback, and looked back at Kebed, "What promise?"
"Take me to eat something better than instant noodles." Kebed blinked and looked at Lu Chen expectantly.
Lu Chen was taken aback, he really forgot about it, so he smiled, "Okay, I'll take you out for supper tonight."
"What to eat?" Kebed wondered.
"Skewers..."
(End of this chapter)
Cardiology cath lab.
Lu Chen's operations continued.
"Shut up the cold salt water!"
"Try ablation at 15 W, 55°C first!"
After one second, the VT ceased.
"Stepwise titrate the power to 30W and the temperature to 55°C."
Afterwards, Lu Chen's operation discharged a total of 90 seconds.
During this period, there was no atrioventricular block or left bundle branch block, and the AH and HV intervals were normal.
After the discharge was terminated, pacing at the rate of tachycardia was performed at the successfully ablated target site, and the resulting 12-lead QRS pattern was exactly the same as that of ventricular tachycardia.
And the interval from the stimulation signal to the start of the QRS wave is equal to the interval from the PP to the start of the QRS wave during ventricular tachycardia.
"ended."
Under Xiao Shikang's astonished expression, Lu Chen took off his gloves.
He threw disposable gloves, hats, all into the yellow medical trash can.
"Mr. Xiao, observe for 30 minutes." Lu Chen said slowly to Xiao Shikang.
"Oh." Xiao Shikang was taken aback for a moment, and then he reacted.
The end of the ablation does not mean the end of the operation.
It needs to be observed for 30 minutes after the operation, and then after intravenous infusion of isoproterenol, S1S1 stimulation of the ventricle and atrium is performed to see if ventricular tachycardia can be induced.
Once ventricular tachycardia is induced, it means the failure of the entire ablation procedure.
……
Half an hour passed.
The audience in the live broadcast room waited with Xiao Shikang.
When the nurse gave the patient isoproterenol, everyone stared intently at the ECG monitor next to the operation.
on the monitor.
The patient's heart rate suddenly increased!
Isoproterenol is one of the drugs that can increase the heart rate clinically.
Its side effect is that it can induce malignant arrhythmia.
The audience in the live broadcast room also raised their hearts.
An increase in heart rate is most likely a precursor to a malignant arrhythmia.
The patient's heart rate quickly increased from 1 beats per minute to 70 beats per minute.
The defibrillator and the ambulance are also prepared on the side.
Slowly, as the pump of isoproterenol is exhausted, the patient's heart rate gradually slows down.
And the ventricular tachycardia that always patronized this patient before, this time, it did not happen again!
"Okay, the operation is over!"
When Lu Chen finished speaking, everyone in the live broadcast room was completely relieved.
Someone inadvertently glanced at the number of viewers, and was taken aback!
The number of viewers has more than doubled compared to the beginning of the operation.
Moreover, more and more viewers began to enter the live broadcast room.
They were all introduced by other doctors and friends, and wanted to see this exciting operation.
"The operation was a success!"
When Lu Chen said this to the patient on the stage, the corners of the young patient's eyes became moist.
For so many years, others have been unable to empathize with the long-term pain of electric shock.
However, he couldn't withdraw the ICD.
This is a life-saving thing!
He is still so young, he doesn't want to just leave.
For this reason, he inquired many ways, found many connections, and finally got this quota for a Mayo cardiologist to perform the operation.
"Thank you Professor Lu!"
The patient held Lu Chen's hand and kept saying words of thanks.
"The operation will take a while to recover. Pay attention to rest and don't get tired." Lu Chen warned a few times. Although this is a minimally invasive operation, there are also some delayed complications, such as myocardial damage and heart perforation.
"Well, I'll listen to you." The patient looked at Lu Chen and sighed, "Professor Lu, it would be great if you were in Huaxia, we still have many patients here, just like me, they suffer a lot of pain every day... ..."
After saying this, the patient himself felt that his words were inappropriate, and quickly said, "I'm sorry, Professor Lu, I don't mean anything else, I just thought that it would be great if Huaxia had a doctor as good as you."
Lu Chen smiled, "There will definitely be, and there will be many in the future."
"Really?" A smile appeared on the patient's face, "Then I look forward to that day."
at this time.
Lu Chen noticed the prompt that popped up on his system panel.
"Congratulations, I received a thank you value of +5 from Xiao Shikang!"
"Congratulations, I received a thank you value from...!"
"Congratulations……"
A series of thank you reminders surprised Lu Chen.
The number of viewers this time was at least tens of thousands.
Even if each person provides a little gratitude value, the little amount will add up, and this gratitude value is still considerable!
It won't be long before Lu Chen can exchange for the second advanced skill card!
……
The patient was pushed to the CCU observation room.
The operation is officially over.
Lu Chen walked out of the catheterization room slowly, picked up the mineral water and took a sip.
The total time for this operation is about two hours.
Standing for a long time made Lu Chen's waist a little sore.
At this moment.
Shen Wenguang and Yang Feng walked towards each other.
"Director Yang, let me introduce to you, today's surgeon is one of the best attending physicians in our Mayo's Department of Cardiology."
Before Yang Feng replied, Lu Chen smiled, shrugged, and said to Shen Wenguang, "Director Shen, I have known Director Yang Feng from the Department of Cardiology at the First Affiliated Hospital of Kyoto University for a long time."
When Lu Chen spoke, there was a faint smile on his face.
But there was a trace of indifference in the words.
"Oh? Really? Then this is even better." Shen Wenguang smiled, "I hope everyone can communicate and cooperate in multiple fields in the Department of Cardiology in the future."
Yang Feng didn't smile when he looked at Lu Chen, but when he turned his head to look at Shen Wenguang, he also showed a smile, "Okay, I will have a good communication with Dr. Lu in the future."
Lu Chen smiled, and didn't pay much attention to Yang Feng's words.
Some things, once missed, may be irreversible.
Lu Chen didn't want to say anything more to these leaders, so he said, "Director Shen, I have another operation to do next, so I'll prepare it first."
"Okay, you go." Shen Wenguang nodded, and patted Lu Chen's shoulder, "Don't run away tonight, have dinner with me."
"Yes." Lu Chen nodded slightly, he really had no reason not to participate in group dinners.
……
Second electrophysiological surgery.
Xiao Shikang is the main surgeon and Lu Chen is the assistant.
The difficulty of this operation is a grade less than the previous difficulty, it is just a leadless pacemaker implantation.
Lu Chen would have performed this type of surgery five years ago.
For him now, it is not difficult at all.
Under the guidance of Lu Chen, Xiao Shikang started the operation.
Lu Chen will take the initiative to help when encountering a more difficult place. Most of the time, it is Xiao Shikang who completes the operation independently.
Because the live broadcast of the operation this time is also an opportunity for Huaxia doctors to show themselves.
It's better for Lu Chen not to overwhelm the host.
……
After an hour of operation, the operation was successfully completed.
Lu Chen was the assistant for this operation, and he didn't receive much thanks.
But today's harvest is enough.
night.
Lu Chen was dragged by Kebed to the hotel where the group had dinner.
The leaders of Huaxia Hospital and Shen Wenguang sat at a table.
The other doctors sit freely.
Kebed tugged at Lu Chen's sleeve, "Hey, Lu, you forgot your promise to me!"
Lu Chen was about to take a bite of tamales, he was taken aback, and looked back at Kebed, "What promise?"
"Take me to eat something better than instant noodles." Kebed blinked and looked at Lu Chen expectantly.
Lu Chen was taken aback, he really forgot about it, so he smiled, "Okay, I'll take you out for supper tonight."
"What to eat?" Kebed wondered.
"Skewers..."
(End of this chapter)
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