I Can See Health

   Chapter 775 Lu Chen's Rejection

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

   "Left Ventricular Outflow Tract Obstruction?"

   Director Zhang Liang looked at Lu Chen in surprise.

  Lu Chen nodded, "I took a bedside ultrasound to see that the velocity of the left ventricular outflow tract increased, and I suspected outflow tract obstruction."

   "But we did a cardiac ultrasound a few days ago, and there was no report that the left ventricular outflow was obstructed?" Zhang Liang was still a little unconvinced.

  Professional sonographers, using professional machines, did not see it.

  Lu Chen used a portable ultrasound machine, can he tell?

   "Well, find Director Xia and let him do a bedside heart ultrasound." Lu Chen suggested.

  Director Xia is a director of the Ultrasound Department of Guanghai First Hospital who specializes in cardiac ultrasound.

  Lu Chen spent a month in the Cardiology Department of Guanghai First Hospital, and found that even this Director Xia had the highest level.

"no problem."

   Zhang Liang also agreed with Lu Chen's opinion.

   This patient still has some relationship with him. If you can't check carefully, the risk of rushing to surgery is very high.

   Then, Zhang Liang immediately notified Director Xia of Ultrasound.

   Director Xia also had to sell this face, and immediately came with an ultrasound machine.

   In order to prevent Director Xia from hinting in his heart, everyone did not tell him the relevant diagnosis in advance.

  Lu Chen stood aside, staring closely at Director Xia's operations.

   Director Xia said, "The calcification of the aortic valve is very serious!"

   "Bicuspid aortic valve (Type 0), aortic valve stenosis (severe), the average velocity is 4.7m/s, and the average pressure difference is about 102mmHg."

  “…”

   Director Xia mentioned many different parameters, but he did not speak about the obstruction of left ventricular outflow.

   Is it really not?

  Lu Chen is quite confident in his ultrasound technology.

   He has an ultrasound skill card and has been training in the virtual space of the system for a long time, especially in cardiac ultrasound.

  Lu Chen's ultrasound skills are not inferior to any other specialist directors.

   Now, this left ventricular outflow tract obstruction determines the patient's fate!

  Yes, it is a contraindication to surgery and cannot be operated!

  No, then TAVR surgery can be performed within a limited time.

   As Director Xia's ultrasound operation drew to a close, Lu Chen's brows became deeper and deeper.

  Between him and Director Xia, others will definitely believe Director Xia's ultrasound ability.

   But at this moment, Director Xia suddenly made a light "huh".

   His ultrasound probe stopped at the left cardiac outflow tract.

  Lu Chen looked at the scene in front of him indifferently, but Zhang Liang was not calm, and he quickly asked, "Director Xia, is there any problem?"

   Director Xia frowned and said slowly: "The flow velocity of the left ventricular outflow tract has increased significantly, it should be left ventricular outflow tract obstruction!"

   Everyone was stunned, it was really the result of what Lu Chen did!

   "Director Zhang, I don't think you are very surprised?" Director Xia looked at Zhang Liang and said softly.

   Zhang Liang smiled helplessly, "Director Lu also had an ultrasound just now, and he said that the outflow tract was obstructed. We still don't believe it."

   "Yeah?" Director Xia glanced at Lu Chen curiously, "Director Lu's ultrasound surgery is not easy, it's not easy to be able to notice this."

   Conventional echocardiography must be very good at identifying the flow velocity of the outflow tract.

   However, this patient had severe aortic valve stenosis and seldom noticed the flow velocity in the outflow tract.

   Even a sonographer sometimes misses it.

   "Okay, the ultrasound results are almost what I said." Director Xia put away the ultrasound equipment after watching the cardiac ultrasound. "Overall, it is similar to the last time, except that there is one more diagnosis, left ventricular outflow tract obstruction."

   "Okay, thank you Director Xia for coming in person." Director Zhang Liang quickly thanked him.

   "No thanks, this is my job originally." Director Xia finished speaking and glanced at Lu Chen, "Director Lu, if we have the opportunity, we can have a good discussion."

   "Okay, but it must be Director Xia, you are amazing." Lu Chen smiled.

   "Haha." Director Xia shook his head with a smile, then pushed the ultrasound machine and left.

  …

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

   Zhang Liang's expression was a little dignified, he looked at Lu Chen.

   "Can't the operation be done?"

   "This is an absolute contraindication!" Lu Chen said solemnly, "The risk of sudden death during surgery is extremely high!"

   "Then watch the patient's heart failure continue to worsen?" Zhang Liang couldn't bear it, "We won't do anything?"

   "Let's strengthen drug treatment and see if we can use some other drugs to treat heart failure, such as Xinhuosu or Levosimendan." Lu Chen thought about it, and then listed a few relatively new drugs.

   "Hey, but... you really can't try surgery?"

   "No!" Lu Chen shook his head firmly, "Anyway, I won't do it for him here."

   In such patients, the risks of surgery far outweigh the benefits.

   Even if the operation is barely successful, the harm to the patient is great!

  Whether the patient can benefit from the surgery is a matter of two things.

   Apart from the expensive medical expenses, Lu Chen couldn't think of what this operation would bring.

   wrote down his consultation opinion, and he left with Jin Miao.

  …

  The three districts in the heart, the director's office.

   "Director Zhang, my dad... Really can't have surgery?"

  A young man with a haggard face, fluffy hair, and red eyes, as if he hadn't had a good rest for many days.

   "No." Zhang Liang shook his head, "I asked an expert in TAVR surgery in our hospital to see that your father has contraindications to surgery and cannot do this TAVR surgery."

   "But didn't you say it before, surely you can do it?" The young man gritted his teeth, hoping to hear a little leeway from Zhang Liang's mouth.

   "No outflow tract obstruction was found in the previous ultrasound, but this time, we found the problem." Zhang Liang explained patiently.

   The young man lowered his head and did not speak, but his trembling shoulders had betrayed his mood at this time.

  Suddenly, a plop.

  Young man, kneeling on the ground.

   "Director Zhang, I beg you, think of a way to operate on my dad."

   As the saying goes, a man has gold under his knees.

   Zhang Liang couldn't bear it either, and hurriedly stepped forward to help the young man up.

   "You don't have to do this, haven't we been trying to figure out a way?"

   "But, you said before that without surgery, my dad might not be able to survive this month!" The young man was emotional, and he seemed to have a hard time accepting the result.

  Zhang Liang was silent for a long time, then raised his head and said slowly: "Would you like to go to a higher-level hospital, ask in Kyoto or the magic capital?"

   "It's too far." The young man shook his head. "You said before that the risks on the road are very high. I'm afraid my dad will die before I reach Kyoto."

   The custom here is that people can't die in the hospital, they have to take a breath and drag them home.

   Otherwise, you cannot enter the ancestral hall of the clan.

   "Director Zhang, there are other places besides yours, can you perform surgery?"

   "How about...you go to Guanghai Central Hospital and ask?" Zhang Liang looked at the young man's hopeful eyes and could only let him go to Shi Langqin to try his luck.

   "They...can do it?" The young man stopped crying and looked up at Zhang Liang.

   "Professor Shi Langqin from the Central Hospital is an expert with the strongest TAVR surgical ability in Guanghai area, except for Director Lu Chen of our hospital."

   I have been really tired in the department recently, especially tired.

   Sometimes I really want to go to a relaxed department...

   Go to bed early.

   (end of this chapter)