I Can See Health

   Chapter 58 System Activation!

   for a long time.

  The middle-aged uncle finished the phone call and walked quickly to Lu Chen.

   "Dr. Lu, we agree to the operation! You push the patient into the operating room first, and I'll go to the first floor to pay."

   "Okay! We'll arrange surgery right away!"

   Hearing the middle-aged uncle's answer, Lu Chen breathed a sigh of relief and handed him the informed consent form for the operation again.

   "I have already told you about the necessity of surgery, and now it is about the risk of surgery, and I would like to stress it to you again."

   "Coronary angiography is a minimally invasive interventional treatment. Generally, the radial artery is punctured, a cardiac catheter is sent into the blood vessels of the heart, and then a contrast agent is injected to show whether the blood vessels are narrowed and the degree of stenosis."

   "So the common complication of cardiac angiography is the place where the radial artery is punctured, there may be bleeding, hematoma or even infection, and there is also the risk of local anesthetic allergy, contrast medium allergy, and even the risk of the catheter puncturing the heart blood vessel..."

   "Uncle, if you agree with these risks, then you can sign in the column agreeing to the surgery."

  The middle-aged uncle carefully looked at the informed consent form for the operation.

   "How about the success rate of your surgery?"

  Lu Chen said solemnly: "Coronary angiography is a minimally invasive procedure, and the chance of serious complications is very low. In Jinghua Cardiology Department, there are hundreds of interventional procedures every month, and most of them are successful."

   "But there will also be individual cases of accidents and even sudden death, so we will not guarantee the success rate of surgery for each patient."

   "Because once this complication happens to you, it happens 100% of the time."

   "Okay, your Jinghua Second Hospital is the best hospital in Jinghua City, I believe in you!"

  The middle-aged uncle picked up the pen and signed his name with two strokes.

   After signing, Lu Chen went to the ward with the informed consent form.

   "Mr. Li, the family agrees to the operation!"

   "Okay, Liu Mei, prepare the defibrillator and rescue medication." Li Yao ordered, "Guo Guo, you and the nurse will **** the patient to the CCU ward on the fourth floor."

"receive!"

   Everyone in the ward was surprised.

  According to the character of this family member, he has always been hesitant, and the family has no money, why did he suddenly agree to the operation.

   But as long as the family agrees to the operation, now is the time to count!

   "Family, come and help push the bed!"

  Sun Guoguo and Liu Mei put the defibrillator and rescue medicine box on the ward.

   At this time, the middle-aged uncle ran into the house and started to help push the bed.

  Lu Chen was already contacting the logistics center and asked the emergency elevator to wait on the eighth floor.

   Everyone escorted the ward to the elevator.

   "Lu Chen will **** him with you. Everyone else should go back to the ward."

  Li Yao named Lu Chen to **** him, while the others returned to the ward.

  …

  The distance from the eighth floor to the fourth floor is very short, but for Zhang Guangming, every floor is a life challenge.

  In the elevator, Lu Chen, Sun Guoguo, and Liu Mei were constantly paying attention to Zhang Guangming's vital signs.

   Afraid that he will have ventricular fibrillation again!

   "Son, how are you feeling now? Can you talk?"

  The middle-aged uncle leaned over to Zhang Guangming's ear.

   Zhang Guangming was extremely weak now, and slowly opened his eyes and closed them again.

   "Uncle, now the patient needs to rest, so don't disturb him."

  Sun Guoguo reminded.

   Although the middle-aged uncle was anxious, he could only nod helplessly.

  The elevator descends slowly.

"Ding!"

   When they reached the fourth floor, the three of Lu Chen breathed a sigh of relief.

  CCU is just around the corner. As long as the patient can be successfully sent to the CCU, even if the patient becomes sick again, the probability of successful rescue will be much higher!

  The hospital bed is safely parked at the entrance of the CCU.

   The security uncle at the door immediately swiped his card to open the door and shouted to the CCU:

   "Come to the emergency patient!"

  Because the CCU had been informed in advance, the ward doctors and nurses were in place quickly.

  Sun Guoguo immediately handed over the condition to the CCU doctor.

   And the middle-aged uncle was also called aside by another doctor to explain the risks of the disease, the necessity and risks of surgery again.

  Clinically, it is extremely important to repeatedly explain the risks to the patient's family members and keep a document record of the condition.

   After handing over the illness, the task of the three of Lu Chen was completed.

   The three looked at each other and smiled, relieved.

   "Junior Brother, why did this family suddenly change their minds?"

   The three walked up the stairs to the eighth floor, and Sun Guoguo looked at Lu Chen strangely.

   Just now Lu Chen was explaining his illness to his family.

After    explained, the middle-aged uncle suddenly agreed to the operation!

  Lu Chen smiled.

   "Because this patient was my first consultation, I knew a little about his family at the time..."

   After listening to the explanation, Sun Guoguo couldn't help but sigh.

   "It seems that his mother paid for it. Junior Brother, you are really attentive. You even inquired about the patient's family situation."

   "I also overheard the patient's family say it." Lu Chen said, "What's more, the patient is so young, if the conditions are available, his family will never give up the opportunity for surgery."

   "Well, now I just hope the surgery goes well."

  Sun Guoguo sighed.

  It is said that money is not everything, but it can solve most things.

  Many major diseases, even relying on spending money and consuming a lot of medical resources, can get more hope of survival.

  …

  The operation time of coronary angiography is very short, from vascular puncture to angiography, it can be completed within tens of minutes.

   However, some big hands can even cut the time to under ten minutes!

   Angiography is the preparatory stage, and stent implantation after angiography is the most important step, which takes several times as long as angiography.

   It takes a lot of time to determine the culprit vessel, choose the location, type, and quantity of implanted stents, and successfully deliver the stent into the lesion.

   The operation time for a coronary intervention is usually about one to two hours.

   In the case of complicated blood vessels, or the patient is in a serious condition, the operation time may be longer if IABP or even ECMO is used.

  Lu Chen refreshed the patient's surgical record while helping the patient go through the transfer procedures.

   View the real-time surgical situation.

  …

  11:30 in the morning, when I was about to get off work.

   Three hours have passed since the surgery!

  Lu Chen refreshed the page of the computer surgery record sheet again.

   "Yes, the operation is over!"

  Lu Chen's face was overjoyed, and the patient's operation status had already appeared in the operation record.

"Surgical record: The patient underwent selective coronary angiography in the cath lab today. The patient was placed in a supine position, routinely disinfected, draped, and local anesthesia with 1% lidocaine. The Seldinger method was used to puncture the right radial artery, and a 6F arterial sheath was placed. After giving 5000u of heparin and 200ug of nitroglycerin, a 6F multi-function angiography catheter was sent along the sheath to the left and right coronary openings for selective coronary angiography."

"The results of coronary angiography showed that there was no obvious stenosis in the LM (left main trunk), about 95% diffuse stenosis in the middle and distal segments of the LAD (anterior descending branch), 80-90% localized stenosis in the opening of the first septal branch, and the distal anterior Blood flow TIMI grade 3; LCX (circular branch) mid-segment complete occlusion, distal anterior flow TIMI grade 0..."

"PCI was performed on LAD and LCX lesions... The coronary angiography showed that the stent adhered well, there was no residual stenosis, intimal tear and thrombosis, and the distal anterior flow TIMI grade 3 PCI was successful; the patient had no complaints of discomfort and no Bacteria bandage and return to the ward."

   Surgery was a success!

   And looking at the operation records, there was no ventricular fibrillation during the operation, and the process went smoothly!

   Zhang Guangming’s two blood vessels, LAD (anterior descending branch) and LCX (circular branch), were severely occluded, and a total of three domestic drug-eluting stents were implanted.

   At this time, Lu Chen received a prompt from the system.

   "Congratulations, +1 for the thank you from Zhang Guangming!"

   "Congratulations, +1 for receiving thanks from Zhang Jun!"

   The last time the system was completed was 90%, so this time...

   Looking at the system panel, the system completion has indeed reached 100%!

   A line of text appears above the system light curtain.

   "The system is officially activated!"

   "Before the next upgrade, the completion degree is 0%!"

The    system light curtain started to change from the original blank.

   (end of this chapter)