MTL - I Can See Health-v2 Chapter 854 Second surgery for valve failure! (first update)
Chapter 854 Secondary surgery for valve failure! (first update)
"Okay, wait a minute, I'll go right away!"
Lu Chen was a little surprised.
What kind of surgery is it that he wants to go back?
There are quite a few doctors in the Mayo Cardiology Inpatient Department.
One attending doctor followed by two Fellows.
Kebed has another Fellow besides Lu Chen, that is Kenji Yamada.
Lu Chen left after explaining a few words to the patient from Huaxia.
…
Mayo Cardiology Inpatient Unit.
In the emergency room at this time.
The alarm of the bedside ECG monitor kept ringing.
The nurse in the tube bed is busy changing the patient's dressing.
Kebed, the attending doctor in the group, has a solemn gaze. He is using a stethoscope to auscultate the patient's heart and lungs.
On the side of the rescue room, Kenji Yamada was silent, his expression was extremely serious.
on a hospital bed.
The patient had cyanotic lips and shortness of breath.
Although the ventilator is used, the blood oxygen is still around 90%.
"The patient has severe stenosis of the aortic valve with severe calcification." Kenji Yamada frowned and said, "The patient had a TAVR operation before, and it's been eight years since now, his artificial valve should be broken again!"
In China, there would be no such patients.
Because Huaxia has only carried out this TAVR operation in recent years, it has not yet reached the time of valve failure.
This case is also the first case that Lu Chen encountered, a case of TAVR self-decaying!
"Doctor Kebed, I'm back."
Lu Chen slightly tidied up his white coat and walked into the emergency room.
"Come and see this patient!"
Kebed waved the surgery at Lu Chen.
"Here it is." Lu Chen nodded and leaned forward to take a look.
On the hospital bed, a fat man was sitting beside the edge of the bed panting.
He was pale, breathing rapidly, and the whole person was in a state of extreme discomfort.
The health value on the head is 36 (---)!
The changing trend of the three minus signs indicates that his condition has reached an extremely dangerous time.
Lu Chen was checking on the patient, and Kebed on the side was giving a quick introduction to the patient's condition.
"We are currently considering that the patient is in cardiogenic shock due to severe aortic stenosis."
"But the difficulty now is that the patient had already had a TAVR procedure eight years ago."
Lu Chen was taken aback for a moment, he immediately understood what Kebed meant.
For patients like this, the prognosis is not very good.
"Turn to thoracotomy?" Kenji Yamada whispered beside him.
Lu Chen slowly shook his head: "I'm afraid not, the patient's body can no longer tolerate chest opening."
"What should we do then?" Yamada Kenji frowned, "Do nothing? Do you just look at him..."
As the chief physician, Kebed has absolute authority at this time to decide the patient's next diagnosis and treatment plan.
…
"Lu Chen, I'd like to hear your opinion." Kebed hesitated for a while, still unable to make a final decision.
At this time, Lu Chen gritted his teeth.
"Mr. Kebed, how about we try a second TAVR procedure?"
"Huh? Second TAVR surgery?"
Yamada Kenji was surprised.
"But after the patient's first operation, his vascular condition will definitely not be good." Kenji Yamada raised his own doubts, "The operation is difficult, and we have no similar experience,"
After , Yamada Kenji looked at Lu Chen.
Lu Chen shook his head, "I haven't had a second operation for valve failure, but I think I can give it a try."
Kebed fell into contemplation as he listened to the two of them talking.
This patient was transferred from a nearby hospital.
The patient has a wealthy family and has many connections, so that the patient can be sent to Mayo.
In all fairness, if there is a patient that even Mayo can’t handle, it can only be declared clinically dead.
"Maintenance treatment with medication first." Kebed said softly, "As for the issue of the second operation, we will have a meeting to discuss and communicate with the patient's family."
"Okay, I think so." Lu Chen nodded.
Secondary surgery for valve failure, which is a world-leading innovation.
If it can be done, then their team has created another top-level spell.
First, the consent of the patient's family, but the consent of the Mayo Ethics Center.
…
At the invitation of Kebed, some cardiologists gathered together.
In a short period of time, several industry leaders in the field of cardiology have come.
The topic of discussion is naturally the patient's "second surgery"!
"The difficulty of secondary surgery is not small, including the selection of valve type, the determination of valve release position, and how to prevent coronary artery blockage." A senior professor of cardiology said, "I think surgery can be tried, but it needs to be discussed before surgery. There is no way to communicate with family members!"
In Chinese sayings, this is a dead horse as a living horse doctor!
"The major surgery of thoracotomy is not suitable for patients, but the effect of drug treatment is so poor, minimally invasive TAVR surgery is the best choice."
"Secondary surgery for a decayed valve, this is an operation that has not yet appeared in the world. If you can succeed, it will definitely create a new field!"
The opinions of the professors are very unified.
Surgical thoracotomy, definitely can not sit.
done, that is equivalent to hastening the death of the patient.
As for the secondary operation of the decayed valve, this kind of operation has not appeared before!
If the Kebed team can complete this spell, it will undoubtedly add another honor to Mayo.
At this moment.
Yamada Kenji also slowly walked into the discussion room.
He came to Kebed and whispered: "Doctor Kebed, the patient's family agreed to the operation and expressed their willingness to take all risks!"
"Okay, since that's the case, let's prepare for surgery!"
Kebed did not hesitate.
Since the "secondary surgery" has been chosen, it is time to start preparations as soon as possible.
When Lu Chen saw this, he felt a little anxious in his heart.
This type of surgery does not currently exist in the existing medical technology industry.
is a new technology and project, and Lu Chen has not found a similar operation in the virtual space of the system.
Therefore, this operation is also a brand new experience for Lu Chen!
Lu Chen wanted to know, what step could he have done without the help of the system?
…
Ready for surgery.
Mayo works very efficiently.
After Kebed decided to operate, various departments related to the operation started the operation plan.
As the chief doctor in the group, Kebed naturally became the chief surgeon of the operation.
And Lu Chen was the first assistant in the operation.
Yamada Kenji is the second assistant for the operation.
The three of them slowly walked up to the surgery day and looked at each other, all of them could see the solemnity in each other's eyes.
Even with the signature of the patient's family, no one dares to take it lightly.
And this time the surgery is considered as public surgery.
Beside the operating room, there is a small room for visiting.
As usual, here are residents or interns.
But today, all the big names in the field of cardiology have gathered together.
(end of this chapter)
