I Can See Health

  Chapter 774 Alternative Heart Murmurs

   Two days later.

  The leadership of Guanghai First Hospital officially issued a red-headed document.

  Yan Wanfeng was hired as the director of the second ward of the Department of Cardiovascular Medicine.

   Comrade Lu Chen was hired as the deputy director of the second ward of the Department of Cardiovascular Medicine.

   At this point, the pattern of the Cardiology Department of Guanghai First Hospital began to change.

  Lu Chen, as a representative of the new generation, began to formally touch the leadership.

   Yu Weiguang, who is far away in Kyoto, has also been officially promoted to Deputy Chief Physician recently.

   Nan Luchen and Yu Weiguang's good talk is still going on.

  …

   As for the formation of a TAVR surgical team, Lu Chen received recommendations from various directors one after another.

   Each ward has one or two doctors who want to join the surgical team.

  Lu Chen's plan is to recruit five to six people.

   In addition to Jin Miao, who currently holds the spot, Lu Chen still needs to recruit four more people.

   "Director Lu, this is a list of all applicants for doctors."

  Jin Miao handed over all the forms of doctors who intend to apply to join the surgical team to Lu Chen.

   "Okay." Lu Chen nodded.

  Each doctor's comprehensive abilities such as previous surgeries and professionalism are the objects of Lu Chen's inspection.

   After two days of review, Lu Chen finally selected four doctors, three men and one woman, to join the TAVR surgical team.

   These four doctors, together with Jin Miao, will participate in the study class held in the catheterization room of the Cardiology Department of Guanghai First Hospital.

  …

   In addition, Lu Chen officially has his own office in the department.

  Independent office, even a small bed, you can rest at ordinary times.

  Lu Chen picked up everything in the lounge and started his office life.

  In clinical practice, except for some critically ill patients, Jin Miao can handle most things alone.

   In the extra time Lu Chen has, in addition to the guidance of TAVR surgery, he is also working on the application for the National Natural Science Program.

   The surgical team and the scientific research team are the cornerstones of Lu Chen's future development.

   The "TAVR surgery" simulation device that Lu Chen mentioned before has also been approved by the hospital leaders.

   This is another big event for the Cardiology Department of Guanghai First Hospital!

   As a result, Guanghai First Hospital can continue to cultivate surgical talents with the help of Lu Chen and the simulated surgical device.

  This process will not take too long!

   When Shi Langqin from Guanghai Central Hospital found out about this, he was completely overwhelmed by the spirit of Guanghai First Hospital.

   He is also a hard worker.

   From coronary intervention, electrophysiology, to the current TAVR surgery, others have always been overwhelmed.

   However, Dean Dai Wansong's words somewhat awakened Shi Langqin.

   He even signed up for the "TAVR Surgery Study Class" held by Lu Chen, and fully encouraged the doctors of this hospital to study.

   In this regard, Lu Chen is quite supportive.

   With healthy competition, there will be better development.

   When the patient has only one option left for treatment, it is very dangerous.

  …

   On the other hand, in the second area of ​​the heart, everyone began to slowly accept the fact that Lu Chen became the deputy director of the department.

   Of course, this is all due to Lu Chen's own strength.

   His outstanding clinical level and skilled surgical ability made everyone ignore his age before he was thirty years old.

  Time flies so fast, a month has passed in a blink of an eye.

  Lu Chen began to get used to the status of his deputy director.

   When it comes to the leadership, Lu Chen usually has an extra responsibility.

   However, he still focuses more on clinical and scientific research.

   As for the career, it is not within the scope of consideration for the time being.

   Heart Second District, Deputy Director's Office.

  Lu Chen is checking the latest literature.

  The profession of a doctor requires constant study so as not to be abandoned by the mainstream academia.

  It is not advisable to rely solely on experience to cure diseases.

   "Huh... When will an influential magazine in China be published?"

   Looking at the foreign language on the screen, although Lu Chen has an advanced document reading skill card, he is still a little uncomfortable.

  Lu Chen always thought that sooner or later, a world-famous top China magazine would be published!

   "Bell bell bell!"

   The landline in the office rang, and Lu Chen answered the phone immediately.

   "Director Lu, I have a patient with severe aortic valve stenosis here. If you have time, can you help me to take a look?"

  Lu Chen heard it, it should be the voice of Zhang Liang, director of the third district of the Cardiology Department.

   "Okay, Director Zhang, I happen to have time now, so I'll go take a look right away." Lu Chen said immediately.

   "No problem, come on, I'll be waiting for you in the office." Zhang Liang smiled. He and Lu Chen had a good relationship, mainly because the person he recommended was selected by Lu Chen as the TAVR surgical team.

  Lu Chen hung up the phone and put down the document in his hand.

   took off his white coat on the hanger, put it on gently, and walked out of the office door.

   As soon as he walked out of the office, he met the doctors and nurses in the various departments.

   "Hello Director Lu."

   Everyone greeted Lu Chen one by one.

   "Yes." Lu Chen nodded and responded, mainly because there were many nurses in the department, and he couldn't fully recognize them either.

  Now is different from when he was in the clinic before, he no longer has to work night shifts, and his relationship with doctors and nurses is not as familiar as when he was a master and doctor.

  Lu Chen didn't rush to the third district in his heart, but went to the doctor's office in the second district first.

   "Director Lu, are you going to the catheterization lab?"

  Jin Miao was writing the course of the operation, and when she saw Lu Chen coming, she immediately asked.

   "No, I'm going to the three districts in my heart to consult patients. Come with me." Lu Chen said.

   "Okay." Jin Miao looked happy, immediately grabbed the stethoscope and followed behind Lu Chen.

   Walking out of the door of the doctor's duty room, Lu Chen said, "Director Zhang asked me to consult a patient with severe aortic stenosis."

   "Surgery?" Jin Miao's eyes lit up.

   "I don't know yet, let's take a look at the patient's condition first." Lu Chen said.

"OK."

  Jin Miao followed Lu Chen closely and came to the third area in his heart.

  …

  The three areas in the heart, the doctor's office.

   Director Zhang Liang was already waiting for Lu Chen to arrive.

   He instructed the lower-level doctor to prepare all the patient's information.

   "Director Zhang." Lu Chen walked into the office in the third district of his heart with a smile.

Zhang Liang turned around and saw that Lu Chen came in with a doctor, he hurriedly said with a smile: "Director Lu, you have come, this patient has severe heart failure caused by valvular disease, you are an expert in this field, it's really troublesome Come and see."

   After finishing speaking, a young doctor in the third district in his heart handed over the patient information to Lu Chen.

   "Okay, I'll look at the medical records first."

  Lu Chen flipped through it for a while, and then handed it to Jin Miao.

   After Jin Miao finished reading, Lu Chen said to Zhang Liang, "At first glance, it is an indication for TAVR surgery. It needs to be operated as soon as possible, but the risk of surgery is not small."

   Zhang Liang nodded slightly: "Director Lu, do you have a good grasp of this patient's surgery?"

Lu Chen smiled, "Director Zhang, as you know, we never guarantee the success rate of surgery. I can only say that I have done many similar surgeries and none of them have failed so far. Even so, I can't guarantee you success. Because once the risk appears in this patient, it is a 100% probability for him.”

"Okay, I see." Zhang Diantian nodded, "This patient is my old patient. He didn't have TAVR surgery before, and he couldn't afford thoracotomy, so he has been treated conservatively. Now the patient's heart failure symptoms are getting worse and worse. Just give it a shot."

   "If the patient agrees, we can start the operation as soon as possible in these two days." Lu Chen said.

   "Thank you, Director Lu." Zhang Liang smiled, "I will communicate with the family."

   "Okay, I'll go see the patient again."

   Then, Lu Chen took Jin Miao to check on the patient's condition.

  …

   came to the ward.

  Lu Chen found something not quite right.

   When he auscultated the patient's heart, he heard a murmur on the patient's heart valve auscultation.

   This murmur is different from the murmur of severe aortic stenosis!

  Lu Chen recalled the patient data just now, and it seems that apart from aortic stenosis, he did not see any other problems.

   This is a little weird!

   "Jin Miao, go get the bedside ultrasound machine." Lu Chen was still a little worried, so he ordered Jin Miao to borrow the ultrasound machine.

"it is good."

  Jin Miao has quick hands and feet, and quickly brought the ultrasound machine over.

  Lu Chen coated the ultrasound probe with couplant and placed it on each section of the patient's heart.

   Sure enough, I found the problem.

   Patient's left ventricular outflow tract obstruction!

   This is a contraindication to TAVR surgery!

   (end of this chapter)