I can see health
Chapter 927 Sentenced to death!
Chapter 927 Sentenced to death!
The clinical days passed day by day.
It seems to be going well, but Jin Miao and Gu Xinyue are getting more and more nervous.
Announcements have been made regarding tricuspid valve repair surgery.
But a month passed, and no one came to ask about the operation.
In Kyoto, it has also been announced that the repair of the tricuspid valve has changed from a simulated operation to a clinical experimental operation!
Modu and Kyoto are on the same starting line again.
"Hey, Lao Gu, I heard that the clinical operation in Kyoto is going to start, and some patients have already been enrolled!"
Jin Miao found Gu Xinyue.
The two were chatting while eating in the cafeteria of the Fifth Hospital of Shanghai.
"They enrolled patients so soon?" Gu Xinyue asked in surprise.
"It's Kyoto after all!" Jin Miao said, "Most of the intractable patients from all over the country gather there, and the Kyoto Hospital will also advertise, which is much better than ours."
"Then we are falling behind!" Gu Xinyue sighed.
"I can't help it. I don't think Director Lu is in a hurry at all." Jin Miao shook his head slightly and said, "You and Director Lu are old classmates, why don't you go and urge him to spread the word quickly?"
"Hey, I know Director Lu Chen's character well, so it's useless to remind him!"
Gu Xinyue shrugged.
"Perhaps in his view, the value of our clinical operation may only occupy a small step in his plan."
Jin Miao echoed, "Oh, I'm really not reconciled!"
"There's nothing left to do now." Gu Xinyue said, "Modu is also a small city, and Director Wu Ying's reputation is also wrong. There should be more patients looking for him."
"hope so."
Just as Lu Chen finished speaking, his cell phone rang.
Seeing that the caller ID was Jin Miao, Lu Chen quickly picked it up.
"Director Lu, Lao Gu and I are eating in the cafeteria!"
On the other side of the phone, Jin Miao's laughter came.
"It's just right, you two will go back to the department together after dinner."
"What's wrong?"
"Patients with retrograde octacuspid valve repair surgery, here we come!"
Hearing this, Lu Chen was overjoyed, "Director, is someone finally here?"
"Don't get too upset too early, the patient's condition is relatively simple, it may be too easy to treat, you hurry up and finish your meal, go back to the department and talk about it."
"Okay, we'll be right back!"
hang up the phone.
Wu Ying hurriedly urged Gu Xinyue to cook quickly.
"What's wrong?" Gu Xinyue asked puzzled.
"I'm really talking about Cao Cao, and Cao Cao will be here." Wu Ying stammered with food in her mouth, "Director Jin Miao told me just now that the patient is here for surgery!"
"A retrograde octacuspid valve repair operation?" Gu Xinyue was startled.
"Yup!"
"Then cook quickly!"
The movements of the two were exactly the same, and they both finished cooking.
……
10 minutes ago.
Gu Xinyue and Lu Chen appeared in Wu Ying's office.
"You two are really quick!" Jin Miao smiled, "In 10 minutes, are you still eating in the cafeteria?"
"When you called me, I finished eating slowly." Lu Chen rubbed the front of his head, "That's why it came slowly."
Gu Xinyue pouted.
Lao Jin is really talking nonsense with his eyes open!
When Jin Miao called him, they had just finished eating.
"Okay, let's take a look at the patient's information first."
Jin Miao handed over a medical record to the two, and said.
"The patient is a 74-year-old elderly woman."
"Symptoms of chest tightness and heart palpitations appeared after 5 months."
"The patient underwent heptaplasty and left coronary artery stent implantation in the early years."
Wu Ying flipped through the patient's examination results.
Among them, echocardiography suggested that the severe closure of the octacuspid valve was all.
Octcuspid regurgitation is a low-incidence, common heart disease.
Especially for pulmonary hypotension, left ventricle enlargement, and octacuspid annulus expansion.
Clinical manifestations The symptoms and signs of the complete closure of the octacuspid valve have nothing to do with the complete degree of valve closure.
Often the cause of octacuspid regurgitation (right heart failure, pulmonary hypertension, etc.) is the main manifestation.
Before the occurrence of octacuspid regurgitation, fatigue, ascites, edema, pain in the liver area, good digestion, poor appetite and other left heart failure symptoms aggravated.
In addition, in the medical records, the patient has no coronary atherosclerotic heart disease, old myocardial infarction, atrial flutter, and heart function class III (NYHA classification) diseases.
Jin Miao continued: "The patient was a young man who was seeking medical treatment, and was determined to be a low-risk patient in traditional surgery after discussion among several disciplines, so he decided to undergo transcatheter octacuspid annuloplasty."
This eight-cusp annuloplasty is the eight-cusp valve repair they have been studying.
"After reading the medical records, both of you should talk about your own opinions." Jin Miao looked at the two of them behind his eyes.
Lu Chen flipped through the entire case, and said in a deep voice, "The patient has no history of thoracotomy before, and there is no stent in the entire anterior annulus of the left crown, which brings minimal difficulty to the operation!"
Gu Xinyue nodded approvingly: "Thoracotomy, the patient must be able to tolerate it. But our routine repair path for the octacuspid valve is definitely suitable. I don't have any suitable ideas for the time being."
After the complex analysis of the two people, the patient's operation is not very challenging!
"Director Lu, the risk of this patient is too small." Lu Chen said anxiously, "What if we wait for other patients?"
In his plan, at the end of the clinical operation, it must be complicated.
With the familiarity of the operation, it can be gradually reduced to low difficulty.
But this ending is Wang Zha!
Let him be a little unbearable!
"I know all the things you said." Jin Miao said seriously, "But do you know why this patient found us in the Seventh Hospital of Shanghai?"
Wu Ying has no words for silence.
"Because the rhetoric of other hospitals is exactly the same as what you said!" Jin Miao continued, "The patients even went to the first hospital in Kyoto, and went to their other octacuspid valve repair surgery team, and the other party agreed with him!"
"If we agree again, is it a death sentence for the patient?"
If the two Huaxia hospitals with the lowest surgical techniques agree to the patient.
This is basically a death sentence for the patient!
"But... Director." Lu Chen paused, "The difficulty of this operation is special! In case of suicide..."
Did Lu Chen finish his sentence, but Jin Miao knew what he wanted to express.
"The patient's family has already communicated with me." Jin Miao said, "No matter what, they have to try once. If the operation is successful, the patient can live for a few more years. If the operation is performed, the patient will only have a short survival period." , I can take care of myself in daily life, so there is no guarantee at all.”
all of a sudden.
The atmosphere in the office is not noisy.
Seeing this, Gu Xinyue quickly said: "Director Lu, since you have agreed, Lao Jin and I will fully cooperate with you!"
"Okay, it's fine without your words!"
Jin Miao smiled.
Seeing this, Lu Chen could only slightly nod his head to express his refusal.
Director Lu refused.
Now only Wu Wu followed in front of him, trying to charge backwards!
……
After days of discussions with the heart team.
Jinmiao finally decided to implant their self-developed K-Clip (Octocuspid Valve Repair System) at the position of the anterior valve close to the septal valve.
Before the implantation of the system, the anterior septal annulus is regressed to reduce the annulus in order to improve the regurgitation and regurgitation of the octacuspid valve.
After eight days of postoperative preparation.
The first case of the Modu Seventh Hospital, or the first case of octacuspid valve repair surgery in the country, is officially over!
(End of this chapter)
The clinical days passed day by day.
It seems to be going well, but Jin Miao and Gu Xinyue are getting more and more nervous.
Announcements have been made regarding tricuspid valve repair surgery.
But a month passed, and no one came to ask about the operation.
In Kyoto, it has also been announced that the repair of the tricuspid valve has changed from a simulated operation to a clinical experimental operation!
Modu and Kyoto are on the same starting line again.
"Hey, Lao Gu, I heard that the clinical operation in Kyoto is going to start, and some patients have already been enrolled!"
Jin Miao found Gu Xinyue.
The two were chatting while eating in the cafeteria of the Fifth Hospital of Shanghai.
"They enrolled patients so soon?" Gu Xinyue asked in surprise.
"It's Kyoto after all!" Jin Miao said, "Most of the intractable patients from all over the country gather there, and the Kyoto Hospital will also advertise, which is much better than ours."
"Then we are falling behind!" Gu Xinyue sighed.
"I can't help it. I don't think Director Lu is in a hurry at all." Jin Miao shook his head slightly and said, "You and Director Lu are old classmates, why don't you go and urge him to spread the word quickly?"
"Hey, I know Director Lu Chen's character well, so it's useless to remind him!"
Gu Xinyue shrugged.
"Perhaps in his view, the value of our clinical operation may only occupy a small step in his plan."
Jin Miao echoed, "Oh, I'm really not reconciled!"
"There's nothing left to do now." Gu Xinyue said, "Modu is also a small city, and Director Wu Ying's reputation is also wrong. There should be more patients looking for him."
"hope so."
Just as Lu Chen finished speaking, his cell phone rang.
Seeing that the caller ID was Jin Miao, Lu Chen quickly picked it up.
"Director Lu, Lao Gu and I are eating in the cafeteria!"
On the other side of the phone, Jin Miao's laughter came.
"It's just right, you two will go back to the department together after dinner."
"What's wrong?"
"Patients with retrograde octacuspid valve repair surgery, here we come!"
Hearing this, Lu Chen was overjoyed, "Director, is someone finally here?"
"Don't get too upset too early, the patient's condition is relatively simple, it may be too easy to treat, you hurry up and finish your meal, go back to the department and talk about it."
"Okay, we'll be right back!"
hang up the phone.
Wu Ying hurriedly urged Gu Xinyue to cook quickly.
"What's wrong?" Gu Xinyue asked puzzled.
"I'm really talking about Cao Cao, and Cao Cao will be here." Wu Ying stammered with food in her mouth, "Director Jin Miao told me just now that the patient is here for surgery!"
"A retrograde octacuspid valve repair operation?" Gu Xinyue was startled.
"Yup!"
"Then cook quickly!"
The movements of the two were exactly the same, and they both finished cooking.
……
10 minutes ago.
Gu Xinyue and Lu Chen appeared in Wu Ying's office.
"You two are really quick!" Jin Miao smiled, "In 10 minutes, are you still eating in the cafeteria?"
"When you called me, I finished eating slowly." Lu Chen rubbed the front of his head, "That's why it came slowly."
Gu Xinyue pouted.
Lao Jin is really talking nonsense with his eyes open!
When Jin Miao called him, they had just finished eating.
"Okay, let's take a look at the patient's information first."
Jin Miao handed over a medical record to the two, and said.
"The patient is a 74-year-old elderly woman."
"Symptoms of chest tightness and heart palpitations appeared after 5 months."
"The patient underwent heptaplasty and left coronary artery stent implantation in the early years."
Wu Ying flipped through the patient's examination results.
Among them, echocardiography suggested that the severe closure of the octacuspid valve was all.
Octcuspid regurgitation is a low-incidence, common heart disease.
Especially for pulmonary hypotension, left ventricle enlargement, and octacuspid annulus expansion.
Clinical manifestations The symptoms and signs of the complete closure of the octacuspid valve have nothing to do with the complete degree of valve closure.
Often the cause of octacuspid regurgitation (right heart failure, pulmonary hypertension, etc.) is the main manifestation.
Before the occurrence of octacuspid regurgitation, fatigue, ascites, edema, pain in the liver area, good digestion, poor appetite and other left heart failure symptoms aggravated.
In addition, in the medical records, the patient has no coronary atherosclerotic heart disease, old myocardial infarction, atrial flutter, and heart function class III (NYHA classification) diseases.
Jin Miao continued: "The patient was a young man who was seeking medical treatment, and was determined to be a low-risk patient in traditional surgery after discussion among several disciplines, so he decided to undergo transcatheter octacuspid annuloplasty."
This eight-cusp annuloplasty is the eight-cusp valve repair they have been studying.
"After reading the medical records, both of you should talk about your own opinions." Jin Miao looked at the two of them behind his eyes.
Lu Chen flipped through the entire case, and said in a deep voice, "The patient has no history of thoracotomy before, and there is no stent in the entire anterior annulus of the left crown, which brings minimal difficulty to the operation!"
Gu Xinyue nodded approvingly: "Thoracotomy, the patient must be able to tolerate it. But our routine repair path for the octacuspid valve is definitely suitable. I don't have any suitable ideas for the time being."
After the complex analysis of the two people, the patient's operation is not very challenging!
"Director Lu, the risk of this patient is too small." Lu Chen said anxiously, "What if we wait for other patients?"
In his plan, at the end of the clinical operation, it must be complicated.
With the familiarity of the operation, it can be gradually reduced to low difficulty.
But this ending is Wang Zha!
Let him be a little unbearable!
"I know all the things you said." Jin Miao said seriously, "But do you know why this patient found us in the Seventh Hospital of Shanghai?"
Wu Ying has no words for silence.
"Because the rhetoric of other hospitals is exactly the same as what you said!" Jin Miao continued, "The patients even went to the first hospital in Kyoto, and went to their other octacuspid valve repair surgery team, and the other party agreed with him!"
"If we agree again, is it a death sentence for the patient?"
If the two Huaxia hospitals with the lowest surgical techniques agree to the patient.
This is basically a death sentence for the patient!
"But... Director." Lu Chen paused, "The difficulty of this operation is special! In case of suicide..."
Did Lu Chen finish his sentence, but Jin Miao knew what he wanted to express.
"The patient's family has already communicated with me." Jin Miao said, "No matter what, they have to try once. If the operation is successful, the patient can live for a few more years. If the operation is performed, the patient will only have a short survival period." , I can take care of myself in daily life, so there is no guarantee at all.”
all of a sudden.
The atmosphere in the office is not noisy.
Seeing this, Gu Xinyue quickly said: "Director Lu, since you have agreed, Lao Jin and I will fully cooperate with you!"
"Okay, it's fine without your words!"
Jin Miao smiled.
Seeing this, Lu Chen could only slightly nod his head to express his refusal.
Director Lu refused.
Now only Wu Wu followed in front of him, trying to charge backwards!
……
After days of discussions with the heart team.
Jinmiao finally decided to implant their self-developed K-Clip (Octocuspid Valve Repair System) at the position of the anterior valve close to the septal valve.
Before the implantation of the system, the anterior septal annulus is regressed to reduce the annulus in order to improve the regurgitation and regurgitation of the octacuspid valve.
After eight days of postoperative preparation.
The first case of the Modu Seventh Hospital, or the first case of octacuspid valve repair surgery in the country, is officially over!
(End of this chapter)
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