I can see health

Chapter 925 Minions in Cardiology
Kyoto First Hospital.

Under the leadership of Amor, research on the "tricuspid valve repair system" is developing rapidly.

Therefore, the simulated surgery at the First Hospital in Kyoto was a success soon.

However, there are many problems exposed, the most obvious being valvular regurgitation.

This problem cannot be solved for the time being.

"However, after our simulated surgery is successful, the progress of research and development should surpass the Fifth Hospital of Shanghai, right?" Yao Jie murmured inwardly.

The Shanghai Fifth Hospital has not released any news about "tricuspid valve repair" for the time being.

The Kyoto No. [-] hospital is relatively more high-profile!
When the simulated operation was successful, they publicized it in major media across the country.

However, the current success is simulated surgery, which has not yet been applied to clinical patients.

Whoever can perform the first clinical operation in the fifth hospital of Shanghai and the first hospital in Kyoto will be the first in China!

However, Kyoto has overlooked one thing.

For Mayo's Amor, Kyoto is also considered a foreign country.

Non-my family, its heart must be different!
Mayo, it is impossible for them to share all the technologies completely!

Simulation surgery can be done, but once it involves clinical real patients, there are many variables!
……

The Fifth Court of the Devil's City.

Office of the Director of Cardiology.

"From simulated surgery to clinical surgery, you need the right patient and timing." Lu Chen looked at the eager Jin Miao, "This kind of thing can't be rushed."

"However, I see that the progress of the First Hospital in Kyoto seems to be very fast." Jin Miao whispered, "I'm afraid..."

"Afraid of losing?" Lu Chen smiled.

"Yeah." Jin Miao nodded, "We've expended so much energy, I'm afraid it's all wasted."

Lu Chen smiled, "How could it be wasted?"

"We developed this system to treat patients."

"The failure of the scientific research competition with the First Hospital of Kyoto is nothing more than losing the title of the first surgery in China, but the system we developed can still be used on patients."

Jin Miao nodded reluctantly: "That's what I said, but I still don't have much energy."

Everyone wants to get the first result!
Second, who knows it?
"Don't worry, I have arranged people from various departments to help publicize." Lu Chen said, "As long as there are patients who are interested in surgery, we can arrange them as soon as possible."

"Yeah, I understand the director." Jin Miao nodded, ready to leave and return to the ward.

At this moment, Gu Xinyue knocked on the door and came in.

He stood at the door with a stack of documents in his hand.

"Are you also here to ask about the operation?" Lu Chen asked with a smile.

Jin Miao also blinked, staring at Gu Xinyue curiously.

Unexpectedly, Gu Xinyue shook her head.

"No, Jin Miao is in charge of the operation. I came here today because I have a very strange patient."

While talking, Gu Xinyue handed Lu Chen a medical record.

Hearing this, Jin Miao shrugged helplessly, "What kind of patient? It's more important than surgery?"

"A little yellow man." Gu Xinyue cast a glance at Jin Miao, then looked at Lu Chen, "Director, you are our last hope, you must give me some advice!"

"Little yellow man?" Lu Chen picked up the medical records without any hassle.

Hearing what Gu Xinyue said, he suddenly became interested.

Minions are actually yellow skin and sclera.

Usually patients in the gastroenterology department or infection department, why did they suddenly come to the cardiology department?

With this doubt, Lu Chen turned over the medical records.

……

Patient, male, 63 years old.

Four years ago, I started to suffer from chest tightness when I was emotional. There was no chest pain, radiating pain, or sweating.

The patient was referred to another hospital, and underwent coronary angiography.

The coronary angiography report showed no meaningful stenosis in the left main artery, 30% stenosis in the proximal and middle sections of the left anterior descending artery, a myocardial bridge in the middle section, 50% stenosis of the first diagonal branch, and about 30% stenosis of the middle branch.

"What medicine is the patient currently taking?" Lu Chen asked, "What is his purpose for coming to our hospital this time?"

Gu Xinyue thought for a while, then said: "The patient usually takes aspirin and rosuvastatin for treatment."

"Beginning 1 month ago, the above-mentioned symptoms recurred, which lasted for 2-7 minutes and resolved spontaneously. The rest of the onset characteristics were the same as before. The patient came to our hospital for re-examination of coronary angiography and further treatment."

Lu Chen nodded, "Is he here for a follow-up coronary angiography?"

"Well." Gu Xinyue said, "The problem now is that the patient's skin is too yellow, and it needs to be evaluated whether it can be done for contrast imaging?"

Hearing Gu Xinyue's words, Lu Chen continued to look down.

The past history of the patient has a history of hypertension for 4 years, and the blood pressure is as high as 160/100mmHg.

Irbesartan and hydrochlorothiazide tablets were taken orally on weekdays, and the blood pressure was controlled at 130-140/80-90mmHg.

The most important thing is that the physical examination is "yellow"!
As for the little yellow man, Lu Chen wanted to see how far his yellow has reached the Fifth Hospital of Shanghai.

The patient's admission medical examination: blood pressure 147/101mmHg.Yellowing of skin and mucous membranes, yellowing of sclera.The jugular veins are not distended.Cardiopulmonary abdominal examination was negative.

"Director, here is another picture. I took the patient's arm and cheek." Gu Xinyue took out her phone and opened the photo album.

Lu Chen nodded and looked over.

There is a sharp contrast between the patient's skin and the white and flawless skin.

Worthy of being a "minion"!
"Is there any family medical history?" Lu Chen continued.

Gu Xinyue nodded immediately, "It really is!"

Yellow staining of the skin, mucous membranes and sclera was noted when the patient was a teenager.

The patient has 5 younger brothers and 1 younger sister. Except for 1 younger brother, all others have yellow staining of skin, mucous membranes and sclera.

And the age of Huang Ran was found to be similar to that of the patient. Because he did not have any discomfort symptoms on weekdays, he did not seek medical treatment all year round.

"This patient did not start seeking medical treatment until 4 years ago after coronary angiography was performed in another hospital."

Gu Xinyue continued to explain: "The patient reported that he had gone to the gastroenterology department of two hospitals successively, and had done many examinations."

"However, the patient only remembers high bilirubin in the laboratory test, and can't remember other specific conditions, and the inspection report can't be found. In short, there is no definite diagnosis."

Lu Chen nodded and began to analyze all the patient's medical history.

"Is the patient a close relative?" Lu Chen asked, "Is there any special contact history?"

Gu Xinyue shook her head, "Patient's parents are not consanguineous."

The patient himself and his brother and sister had no history of special drug use or exposure to special substances.

"The eating habits are the same as those of the people in the same village, and there is nothing special. No one in the same village has yellow stains on the skin, mucous membranes or sclera."

The patient's medical history is many, even messy.

Doctors are required to extract the most useful information in a short time.

Lu Chen first considered that it should be a family hereditary disease.

Although his parents did not have jaundice, it is entirely possible if recessive inheritance.

Of course, the reasons for the first gene mutation also need to be considered.

But with so many people in the immediate family getting sick, this possibility can be ruled out.

Can this patient undergo coronary intervention?
This is the question that Lu Chen will think about next.

(End of this chapter)