Chapter 569: Far in the Sky, yet Close at Hand

Remember [new] in one second! "If this foramen ovale is not repaired in time, there may be a major stroke next time!"

Lu Chen said slowly.

He's not scary.

By assessing the woman's current symptoms, this is a highly likely event!

This sentence made the woman start to feel scared again.

"Can we be treated immediately?" the woman couldn't wait to ask Lu Chen.

Lu Chen shook his head slightly, "The bubble test only shows the possibility of a patent foramen ovale in your heart. It's not necessarily the case. It could also be an atrial septal defect or other congenital anomalies. As long as it can cause air bubbles to pass through the left Diseases of the heart may cause your current situation.”

Therefore, the next step is to do a further cardiac color Doppler ultrasound to see if we can directly find a patent foramen ovale, which would be a decisive step!

Lu Chen reported the patient's condition to Xiao Shikang.

"Positive foaming test, patent foramen ovale?" Xiao Shikang was also very surprised. He glanced at Lu Chen. This guy is really awesome. Why did he suddenly think of this disease?

"Mr. Xiao, I'll take the patient for ultrasound first..." Lu Chen said, "I won't transfer him to the Department of Neurology for the time being."

"Okay." Xiao Shikang nodded.

But it suddenly occurred to him that Dong Feng had reminded him in the morning that Lu Chen's independent bed management qualification would be revoked after the "relationship" was transferred to the Department of Neurology...

"Forget it, let's talk to Lu Chen later."

…

Lu Chen immediately arranged for a regular cardiac ultrasound for the woman, but it seemed that the patent foramen ovale was not found. It might be too small and unsightly.

But the foaming test did prove that there was a problem, so Lu Chen mobilized the patient for further transesophageal cardiac color ultrasound.

"Although it's a little uncomfortable, this examination seems to be more accurate." Lu Chen explained.

The woman agreed.

I endured the pain and completed a transesophageal cardiac ultrasound.

Fortunately, it's all worth it.

After transesophageal ultrasound examination, the diagnosis of patent foramen ovale was confirmed!

At this moment, two prompts popped up on the system panel.

"Congratulations, I received a +1 thank you from Ding Rongli!"

"Congratulations, the system upgrade completion rate has increased!"

Lu Chen's face was filled with joy. The cause of his strange migraine was finally found!

Now, the patient is even less likely to be transferred to the neurology department.

"This is a heart surgery, but it is an interventional surgery. The surgery is not complicated." Lu Chen said to Ding Rongli, "We can do it ourselves. There is no need to go to the surgery to open the chest."

Ding Rongli also looked up the treatment methods and learned that foramen ovale closure is the main method to treat patent foramen ovale.

The reason is very simple. There is a secret passage between the two rooms. All we have to do now is to block the secret passage and that's it.

…

"The surgery must be done, and it must be done by the most skilled doctor." Ding Rongli began to use the energy of her connections again.

She found Qin Sifeng directly.

"Professor Qin, it would be great if you could perform this interventional surgery yourself." Ding Rongli sat in the office with a smile on her face.

"Then you are mistaken." Qin Sifeng leaned back on the office chair, "I am older now, and I don't do general surgeries, but I am not as skilled as those young people. Let me tell you, find a young doctor Just do it.”

Ding Rongli knew that this was a disguised rejection. Professor Qin rarely performed surgery himself, except for some difficult surgeries.

"Then you must introduce me to a doctor with better skills." Ding Rongli retreated and said the next best thing.

Even if Qin Sifeng doesn't do it himself, he still has to let a doctor with senior qualifications and high surgical proficiency do it.

Qin Sifeng suddenly smiled, "Then you don't have to look for me. This person is far away and right in front of you!"

"Ah?" Ding Rongli was stunned, "You mean Dr. Xiao Shikang?"

She had read Xiao Shikang's resume and had just been promoted to deputy chief physician. Although she had done a lot of electrophysiological surgeries, she always felt that it was a little unsafe.

Unexpectedly, Qin Sifeng shook his head slightly.

"Isn't it Xiao Shikang?" Ding Rongli was stunned. The senior doctor in her medical team was Xiao Shikang. "Could it be Lu Chen?"

Thinking of this, Ding Rongli couldn't help but laugh.

How could she have such a strange idea!

Although Dr. Lu Chen was really good and solved the "migraines" that had troubled her for many years, she was still too young to undergo these surgeries.

"Yes, it's Lu Chen!"

However, Qin Sifeng's sudden words made Ding Rongli stunned.

"Professor Qin, are you kidding me?"

"Even if you don't want to operate on me, there's no need to joke about it, right?"

However, the expression on Qin Sifeng's face was extremely serious and did not look like he was joking at all.

Moreover, based on Ding Rongli’s understanding of Qin Sifeng’s temper, Professor Qin should not be such a person!

Could it be...that it was really Lu Chen?

Ding Rongli swallowed her saliva and confirmed again: "Professor Qin, are you serious?"

"Why did I lie to you?" Qin Sifeng said a little funny, and he took out a few newspapers and said, "You can read this."

Ding Rongli took the newspaper in confusion.

This is the hospital's internal newspaper, dated last year.

The headline in the newspaper was clearly - the cardiology department completed a difficult electrophysiology surgery.

She patiently continued reading.

"Electrophysiology surgery, chief surgeon Lu Chen?"

Ding Rongli knew why Qin Sifeng took out the newspaper.

If this Lu Chen is the same Lu Chen, then what Qin Sifeng said is not a lie...

Qin Sifeng continued: "In addition to this, Lu Chen has a national interventional certificate. Two days ago, he was in the catheter room and completed a difficult electrophysiological operation that even Xiao Shikang couldn't do."

"Lu Chen is the attending physician, and now he is your surgeon. I think he should be the best."

The evidence in front of her, combined with what Qin Sifeng said, made Ding Rongli believe that her young attending physician was really such a great surgeon?

Walking out of the director's office.

Ding Rongli was a little confused, and she found Xiao Shikang.

"Doctor Xiao, Professor Qin said that Doctor Lu Chen..." Ding Rongli paused, "Is he a very good interventional doctor?"

Xiao Shikang nodded without hesitation: "Yes, anyway, he is much better than me."

Ding Rongli began to believe it completely.

That young doctor who seemed to be ignorant of the world could be praised by so many people. It was really not simple!

…

Intracardiac area 1, doctor’s office.

This strange “migraine” case diagnosed by Lu Chen was known by many doctors in the department.

While everyone was amazed at Lu Chen’s excellent clinical thinking, they were also studying this case.

“Lu Chen, patent foramen ovale can cause stroke, which is understandable, but why does foramen ovale cause migraine?” Suddenly a graduate student from Kyoto University asked.

Lu Chen smiled slightly, UU reading www.uｕkａnshu.net “In fact, the reason is more complicated. It may be related to tiny emboli, bubbles, etc. that have passed through the brain, or it may be related to some inflammatory mediators. The mechanism research is not yet thorough.”

“However, many people have had migraines for many years, and later found that the foramen ovale was not closed. After the occlusion surgery, the migraine disappeared, which confirmed the relationship between patent foramen ovale and migraine.”

Lu Chen had a thorough understanding of these principles. After returning to the dormitory, he also read a lot of literature and had an in-depth understanding of the neurological symptoms caused by patent foramen ovale.

Looking at Lu Chen who was talking freely, all the other graduate students in the first area of ​​cardiology were very convinced.

Lu Chen was not only an expert in surgery, but also beat most of them in clinical practice.

This exchange student from a remote area of ​​Jinghua was really not simple!

But at this moment, the head nurse of the first area of ​​cardiology slowly walked into the doctor's office. She stood at the door, looked around, found Lu Chen, and then gently knocked on the door frame.

"Doctor Lu, I will temporarily hand over your four beds to Doctor Xiao."

...