I can see health

Chapter 941 Did you prepare for pregnancy successfully?
"Director Lu, which method is better?" the man said eagerly.

"In this situation, it is very difficult to repair it, and the effect is not good." Lu Chen said, "As for the replacement of the entire valve, there are two methods involved, one is surgical thoracotomy, and the other is minimally invasive internal medicine intervention."

The man nodded and listened carefully to Lu Chen's words.

"The first one is thoracotomy, which is straightforward, and the entire valve can be replaced directly, and the surgical effect is good. However, the operation risk is high, and the patient is currently in a critical condition and cannot tolerate this operation at all. In other words, the patient is very It is possible that you will not be able to get off the operating table or walk out of the operating room."

"Then... what about the second one?" the man asked hastily.

"The second method is easier." Lu Chen said solemnly, "Through minimally invasive intervention, peripheral vascular puncture, and minimally invasive methods in internal medicine, it is possible to enter the heart valve and replace the entire valve without opening the chest."

"Okay! Director Lu, we will choose this kind of interventional surgery!" The man's voice was urgent.

"Calm down first and listen to me."

Lu Chen emphasized again.

The man was extremely excited.

Lu Chen's words seemed to ignite his last hope.

"Say it, tell me, I'll listen." The man nodded quickly, sat back in his chair, and stared at Lu Chen expectantly.

"First of all, this kind of operation is very difficult." Lu Chen said slowly, "In our country, this is the first case of yours!"

To put it bluntly, he is the first person in China to "eat crabs".

"It's very difficult and risky." Lu Chen paused, "The cost of surgery is not cheap, and it's not included in the scope of medical insurance reimbursement."

This means that the entire cost of the operation is not reimbursed.

For a working-class family, this is very likely to be the last straw that breaks the camel's back.

"The result of the operation is very likely to be empty of people and money!"

Sure enough, when the man heard this, he immediately fell silent.

This is not because Lu Chen is cruel.

The preoperative discussion needs to be comprehensive, and there should be no fluke mentality.

Otherwise, if something unexpected happens to the patient's family, it may cause medical disputes.

half an hour.

The man said slowly: "Director Lu, how sure are you about this operation?"

However, Lu Chen shook his head slightly: "When I perform surgery, I never talk about the success rate. Because once the failure falls on you, it is a [-]% failure rate."

The man sinks his heart.

Other hospitals have announced his mother's "death sentence", only in Shanghai Fifth Hospital, there is such a glimmer of hope.

"How much will the surgery cost?"

"The cost of the entire operation is about 20 yuan, which does not include the postoperative cost. If there are complications after the operation, you may need more!"

20 Huaxia coins, this is definitely not a small amount for a working family.

"20 million..."

There was a trace of pain on the man's face.

On the hospital bed was the mother who gave birth to him and raised him.

And now, his career is just taking off.

The tree wants to be quiet but the wind doesn't stop, the child wants to support but the relatives don't wait!
"Director Lu, if I can raise some money first, can I have the surgery first?" the man said slowly.

Lu Chen thought for a while and said, "Yes!"

A light flashed in the man's eyes, "Really?"

Lu Chen nodded slightly.

This is not his Heart of Mary came.

"Although this is a new procedure and the medical insurance does not reimburse it, we have a similar clinical trial." Lu Chen said, "If you participate in the clinical trial, we will have a corresponding fee meeting policy, and you should only need to pay 50-60% costs."

Hearing this, the man stood up excitedly.

He tightly grasped Lu Chen's hand.

"Director Lu, are you... are you telling the truth? Let's participate in this clinical experiment!"

Lu Chen smiled and nodded: "Of course it is true. After all, this is our first surgery in China, and we will take care of it with policies. In addition, although it is a clinical trial, in the actual process, we will not harm the interests of patients. Only before and after surgery, part of the patient's body data is collected."

"Okay, no problem, we agree!"

The man nodded quickly, very afraid that Lu Chen would go back on his word.

In fact, clinical patients can participate in clinical trials, which can not only reduce the cost of experiments, but also for some patients who have been sentenced to "death penalty", this is a new way out.

Moreover, once participating in clinical trials.

Doctors will pay special attention to the patients participating in the experiment, and closely monitor various vital signs and laboratory indicators.

In foreign countries where clinical trials are developed, many patients will ask whether there are related experiments and actively ask to participate.

In China, however, everyone's thinking has not yet changed.

I feel that using you as an experiment is just using you as a guinea pig and harming you!

This kind of clinical trial is the most common in the field of tumor medicine.

Many new tumor drugs will undergo a large number of clinical trials before they go on the market.

Some patients with advanced tumors have significantly prolonged their survival after receiving this clinical trial.

……

Finally, after discussion by the MDT team of Shanghai Fifth Hospital, it was decided to perform TEER as soon as possible.

After communicating with the patient's family, Lu Chen planned to use Abbott's MitraClip for transcatheter mitral valve edge-to-edge repair.

"Director Lu, do you want to perform this operation yourself?"

In the office, Jin Miao asked subconsciously.

"Yes, why don't you do it?" Lu Chen smiled.

Jin Miao quickly waved his hands, "I have no experience. But, Director..."

Seeing Jin Miao's hesitant speech, Lu Chen frowned, "Speak quickly if you have something to do, and prepare for the operation if you have nothing to do. We need to perform the operation as soon as possible."

"That..." Jin Miao seemed to muster up great courage, "Aren't you preparing for pregnancy and not having surgery?"

Lu Chen's face froze, and he looked at Jin Miao helplessly.

"You said that you are usually so busy, and you still have this spare time to gossip?"

Jin Miao whispered: "Director, we are also concerned about you..."

"Don't worry." Lu Chen suddenly smiled, "You guys are worrying too much."

"Ah?" Jin Miao was taken aback, "Is the pregnancy preparation successful?"

Lu Chen: "..."

……

Surgery will begin soon.

Before the operation, Lu Chen checked the patient's valve again.

In the four-chamber view and two-chamber view of the ultrasound, aneurysm formation on the high lateral wall of the left ventricle and mitral valve leaflet prolapse with severe regurgitation can be seen.

The X-plane section shows that the valve leaflet prolapse is mainly located in the A2/P2 area, with severe regurgitation.

3D MV View, the anterior and posterior leaflets of the mitral valve are incompact, A2/P2 is slightly deviated from zone 1, and a patent gap can be seen.

A comprehensive examination is to fully assess the patient's valve status in order to deal with various situations that may occur.

in surgery.

Lu Chen looked solemn.

Beside him stood Jin Miao and Gu Xinyue.

After two years of surgery, Lu Chen stood on the operating table again.

If he doesn't make a move, it's enough. Once he makes a move, he will fill a gap in the field of interventional surgery in China!

And this operation also attracted the attention of the entire Huaxia Cardiology Department.

Even, in the distant American Mayo.

In the cardiology ward, Professor Debed has already started the live broadcast of the Fifth Hospital of Shanghai.

(End of this chapter)