I Can See Health

   Chapter 776 Okay, I'll do it!

   This patient was soon signed and discharged.

  Lu Chen did not operate on him, even if he continued to live in the Cardiology Department of Guanghai First Hospital, he could only be treated conservatively with drugs.

   As for where the patient went, Director Zhang Liang did not ask.

  Lu Chen returned to the second district in his heart.

   "Director Lu, can this patient really give it a try?" Jin Miao whispered, "Left ventricular outflow tract obstruction is not an absolute contraindication to surgery, right?"

   Surgery contraindications are divided into absolute contraindications and relative contraindications.

   Absolute contraindication, that is definitely not surgery.

   Relative contraindications, if you are ruthless, there is still a little chance of surgery.

"This is not just a problem of left ventricular outflow tract obstruction." Lu Chen shook his head, "I went to see the patient at the bedside just now, and his condition was extremely bad. The risk of surgery was already high, and left ventricular outflow tract obstruction was added. There was no benefit to his condition from the operation."

   "Will TAVR surgery not improve his symptoms of heart failure?" Jin Miao asked again.

   "The probability is extremely small!" Lu Chen said, "The patient is old, and if you take ten thousand steps back, even if he undergoes surgery, his survival time will not be any different from that without surgery, so why should we have surgery?"

   An operation with such an obvious result, Lu Chen would not have done it.

   If you try, it can only be the end of people and money.

   "Oh, I see." Jin Miao nodded.

   In fact, in his mind, if the patient's family signs and is willing to take all risks, they can try the operation.

   After all, one more patient has surgery, which also increases their chances of practicing hands.

  …

  Guanghai Central Hospital.

  Professor's Office of Cardiology.

   After this period of study, Shi Langqin felt that this class organized by Lu Chen was really good!

  I learned a lot of new surgical skills by myself.

   If the previous emergency TAVR surgery was put in front of him again, he thought he could give it a try.

   Of course, this is what he thought about it, and he has not put it into action.

  Because of Lu Chen's golden name, the number of patients undergoing TAVR surgery in Guanghai Central Hospital has plummeted, and naturally there are fewer such difficult operations.

   "Director, here comes the patient!"

   A tiger suddenly interrupted Shi Langqin's thoughts.

   The fat doctor came to the office panting, with a smile in his eyes.

   "TAVR surgery patient?" Shi Langqin immediately stood up.

   "Yes!" The fat doctor nodded slightly.

   "Where is the patient?"

  Shi Langqin put on a white coat and was ready to go out.

   "The patient's heart failure is relatively serious, and he is currently in the CCU." The fat doctor replied.

   As long as Guanghai Central Hospital has a patient for TAVR surgery, Shi Langqin must check it first.

   "Go, go and see!"

  Shi Langqin strode out, the wind blowing under his feet.

  …

   Came to the CCU ward.

  Shi Langqin saw the patient lying on the hospital bed.

  An elderly man in his sixties, with a dull complexion and withered, looks like a man in his seventies.

   After seeing the patient, Shi Langqin called the doctor aside.

   "What's the condition of the patient?" Shi Langqin asked.

  The receiving doctor said quickly: "Professor Shi, this patient has just been transferred from Guanghai First Hospital. He is a patient with severe aortic valve stenosis, severe heart failure, and his condition is not very good."

   "Transfer from Guanghai First Hospital?" Shi Langqin was taken aback.

   What is this situation?

   It was the first time that he met a patient who had missed TAVR surgery from Guanghai First Hospital.

   "I heard from the patient's family that the Guanghai No. 1 Hospital will not operate on them." The doctor said.

   "The patient's family conditions are not good?" Shi Langqin asked in confusion.

  This TAVR surgery, although it is a minimally invasive surgery, is not cheap, and it is not covered by medical insurance for the time being.

"Probably not." The receiving doctor shook his head, "I see that the patient's family members are dressed in good conditions. I haven't figured out why Guanghai First Hospital didn't do it. I just heard from the family members that there are any taboos. disease."

  Shi Langqin was silent for a long time, then lowered his head and thought deeply.

   This is a great opportunity.

  Guanghai Central Hospital has not had the opportunity to perform TAVR surgery for a long time.

   However, he now has to figure out why Lu Chen in the first hospital did not operate on this patient.

What are the contraindications for    patients? !

   "Call the patient's family over and I'll talk to him." Shi Langqin said casually.

"OK."

   The receiving doctor left immediately.

   Normally, family members of patients are not allowed to enter the CCU ward, but now it is a special case.

   The ward receiving doctor took the patient's family directly to the lounge of the CCU ward.

   "You are Professor Shi, right?" The middle-aged man was excited when he saw Shi Langqin, as if he had caught a life-saving straw.

   "I am." Shi Langqin nodded calmly, "Tell me about your father's situation, why doesn't Guanghai First Hospital operate on your father?"

   "This..." The middle-aged man paused, "I don't practice medicine. I don't know the specific reason. I really want to know what the obstruction is."

  Shi Langqin listened. He said slowly, "Left ventricular outflow tract obstruction?"

   "That's right! That's it." The middle-aged man nodded immediately, "The professor at the first hospital said that the operation was too risky, so he wouldn't do it for my father. Later, Director Zhang Liang introduced me to you."

   "It turned out to be Zhang Liang." Shi Langqin nodded.

  Zhang Liang is the director of the three districts in the heart of Guanghai No. 1 Hospital, and he has a good relationship with him.

   "Professor Shi, can you perform surgery here?" The middle-aged man gathered his courage and asked. He stared at Shi Langqin, afraid of hearing bad news again.

  "I didn't see the specific ultrasound report." Shi Langqin said, "If it really is left ventricular outflow tract obstruction, it should be a contraindication to surgery."

   "Professor Shi... you can't do it here?" The middle-aged man heard this, his face darkened, and he was extremely disappointed.

   After going through many hospitals, is the hope of this one finally dashed?

   But what Shi Langqin said suddenly made hope in the middle-aged man's heart.

"Left ventricular outflow tract obstruction is a relative contraindication, not absolute." Shi Langqin said solemnly, "It doesn't mean that surgery is 100% impossible. I once saw a medical record of a severe aortic stenosis combined with left For patients with ventricular outflow tract obstruction, TAVR surgery was completed at the First Affiliated Hospital of Kyoto University."

"Really?"

   The middle-aged man's expression became somewhat radiant again.

   "How could we cheat on this kind of thing, you can search on Baidu now." Shi Langqin said.

   "Then... can you do it here?" the young man said again.

  Shi Langqin did not reply immediately, but lowered his heart and seemed to be making a difficult decision.

   After a long while, he slowly said to the middle-aged man: "The patient is very ill, the risk is too high, and it is very likely that he will not be able to get off the operating table."

   "You can rest assured." The middle-aged man said quickly, "Whether the operation is successful or not, I will not blame you."

   "The cost of this operation is not cheap, and it is not covered by medical insurance." Shi Langqin said, "It is very likely that both people and money will be empty!"

   "I know, I accept the risk, I can sign!"

   Seeing the positive attitude of the patient's family, Shi Langqin finally nodded in agreement.

   "Okay, I'll make it for your father!"

   (end of this chapter)