I Can See Health

   Chapter 849 The most difficult surgery! (The third update, there is one more)

   Time passed quietly.

  Lunch is provided by Mayo.

   Naturally, pizza and sandwiches again.

  Lu Chen could only endure for a while.

   It was five o'clock in the afternoon, and finally it was Lu Chen's turn.

   is also the last round!

   "Members of the last group, get ready to enter the simulated operating room!"

  The chief examiner walked into the waiting room.

Several candidates under   , including Lu Chen, all stood up.

   Everyone enters the simulated operating room in sequence according to the number.

  …

   "Luna, which five do you guess the Fellows will be this time?"

  In the small house of the surgery simulation room, the examiners gathered together to discuss the exam.

   For the sake of fairness, as examiners, they can only see the surgical field of the operation, but not the person who performs the specific operation.

   As the examiner, Luna smiled, "I've heard that there seem to be Casas and Salat, and that person from the island country has a pretty good level of surgery."

   "Yes, this year's competition is really not small." Another white examiner also echoed, "I think there are several European doctors who are also very competitive."

   The Fellow and Kebed in Lu Chen's group never spoke.

   As one of the examiners for this assessment, he sat in the corner of the room.

   "Kebed, why don't you talk?" Luna looked at Kebed, "This is not your style."

   "I'm not very familiar with these people." Kebed shook his head.

   The only person he knew was the doctor from China, Lu Chen.

   "I'm not familiar with these people, I just heard their names." Luna suddenly smiled, "How about we make a bet?"

   "Bet?"

  Kebed looked at Luna suspiciously.

   "Let's guess the shortlist this time and see who has the most guesses." Luna pursed her lips and smiled.

  Kebed smiled, "Yes, but what to bet?"

   "What do you want to bet on?" Luna looked Kebed up and down.

  Kebed pointed at Luna's chest without hesitation.

  Luna was startled and looked at Kebed in disbelief.

  I didn't expect Kebed to look like such a serious person and so bold in private?

   "Luna, I want your...stethoscope!"

  Kebed's voice reached Luna's ears.

   "Huh? What did you say?" Luna was about to accept that unreasonable request, but when she heard Kebed's words, she had to swallow her own words.

   "I want your expensive stethoscope." Kebed grinned. "My stethoscope is broken, and I'm going to buy a stethoscope."

   "This... okay." Luna could only accept it, "If I win, then you invite me to a meal, it's expensive."

   "No problem!" Kebed nodded slightly.

   After the two of them discussed it, they began to write down their candidates under the witness of the people around them.

  Kebed is really not familiar with the people who took the Fellow exam this time.

   However, after listening to everyone's conversation just now, he also had his own plans in mind.

   He quickly wrote down four candidates, namely Casas, Sarat, Kenji Yamada, and Fina from Europe.

   As for the last candidate, Kebed was a little hesitant. He really didn't expect anyone for a while.

   At this time, a name suddenly popped into his mind.

The Huaxia doctor in the    group, Lu Chen!

  His clinical ability is definitely worth mentioning, but his surgical ability...

  Kebed has never seen it before.

   "Choose him?" Kebed felt a little troubled.

   But other people, he is not familiar with at all.

   Instead of choosing someone else, it's better to choose Lu Chen!

  Kebed thought about it and wrote "Lu Chen" as the last name.

   "If I lose, just ask Lu Chen to treat me to a meal." Kebed thought.

   At this time, Luna, who was opposite, also wrote her own candidate.

   Her five candidates are Casas, Sarat, Kenji Yamada, Fina, and Sitharaman from India!

   The first four people, both of them are the same.

   is just the last candidate, and the two have differences.

  Luna smiled and looked at Kebed's choice, "Kebed, who are you, Lu? Look at the name, it seems to be from China? You are right, if you want to invite me to dinner, you don't have to be so direct, right?"

   "His name is Lu Chen, you should have met him." Kebed said slowly, "He's the visiting doctor in my group this year."

   "Oh, I remember, that's the doctor Huaxia who spoke at the case conference?" Luna wondered.

   "Well, that's right." Kebed nodded.

"Haha." Luna smiled, "Clinical ability does not mean surgical ability. I chose this Sitharaman from India. I have seen him perform surgery. Although it is not as good as the first four, it is still worse. Not going anywhere."

  Kebed spread his hands, "Miss Luna, you have the chance to win, then dig a hole for me and let me dance by myself?"

   "Haha." Luna put her hands behind her back, "Don't make it so obvious."

  …

   At this time, Lu Chen was already on the operating table.

  The first round of assessment, coronary intervention!

  The technique chosen by Mayo is extremely complicated.

   After Lu Chen's angiography, it was found that the lesions of the simulated heart were serious.

   99% stenotic lesions at the left main end.

  90% stenosis can be seen in the proximal part of the anterior descending artery, and the middle part of the anterior descending artery is completely occluded.

  85% of stenotic lesions were seen in the opening of the circumflex branch; 90% of the stenotic lesions were seen in the proximal right coronary artery.

   Such a wide range of lesions is rare in clinical practice.

   In addition, the anterior descending branch of the heart is simulated, which is a CTO bifurcation lesion, which is also a difficulty in intervention.

  Lu Chen quickly went through the operation in his mind.

   This spell, he has not touched in the system virtual space yet.

   But he has already developed the advanced skill card "Coronary Intervention".

   If it was a real clinical operation, Lu Chen might still be a little reluctant to do it.

   But this time it was a simulation exercise, and he was confident enough to complete the entire technique!

  …

  Lu Chen first used the Cultte procedure to implant stents for the lesions of the anterior bifurcation.

   Afterwards, the anterior descending artery CTO lesions were opened forward.

  After overcoming various difficulties, the coronary guide wire was finally delivered to the main lumen of the distal anterior descending branch.

  Lu Chen treated the anterior bifurcation and anterior descending artery CTO lesions for the simulated heart. A total of 4 coronary arteries were implanted for drug treatment during the operation!

   "Although it's not perfect, it should be qualified!"

  Because this is a simulated surgery, it is not as cumbersome as a real surgery.

  Three rounds of surgery, the total time spent needs to be controlled within an hour.

   If the three surgeries are not completed on time, they will be automatically eliminated from the competition.

   Twenty minutes later, after Lu Chen finished coronary surgery.

   He immediately started the second round of electrophysiological intervention.

   Fortunately, the second round of electrophysiological intervention is a relatively routine ablation of atrial fibrillation.

   This type of surgery, Lu Chen has performed many times in the virtual space of the system, as well as in real life!

   After about fifteen minutes of localization ablation, he completed the ablation of atrial fibrillation.

  …

   Twenty-five minutes left.

  What Lu Chen needs to do is the final TAVR interventional treatment!

   Lu Chen was also a little surprised when he saw this TAVR operation.

   The CT results of the simulated heart showed that the aortic arch was severely tortuous and showed a 3D pattern.

   The aortic valve is a TYPE0 bicuspid aortic valve, the valve is obviously thickened, and the valve leaflets and valve annulus have severe calcification.

   The most shocking thing is that the heart simulation in front of you is still a very severe horizontal heart!

   The difficulty of this operation was the hardest that Lu Chen had ever seen in reality!

   There is one more update, please ask for votes, it's not too much.

   (end of this chapter)