Chapter 770: A Different Kind of Heart Murmur

Two days later.

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

Comrade 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.

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

As a representative of the new generation, Lu Chen began to officially touch the leadership.

And Yu Weiguang, who was far away in Kyoto, was also recently officially promoted to deputy chief physician.

The good talk between Nan Luchen and Yu Weiguang is still continuing.

…

In terms of forming a tavr surgical team, Lu Chen has 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 has a quota, Lu Chen needs to recruit four people.

"Director Lu, this is the status table of all doctors who apply."

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

"Okay." Lu Chen nodded.

Lu Chen inspected the doctors' previous surgical experience, professional qualities and other comprehensive abilities.

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 training course held in the catheterization room of the Department of Cardiology of Guanghai First Hospital.

...

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

An independent office, even with a small bed for rest.

Lu Chen collected all the things in the lounge and started his office life.

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

In addition to guiding tavr surgery, Lu Chen is also working on the application of the National Natural Science Foundation of China project.

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

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

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

Therefore, with the help of Lu Chen, Guanghai First Hospital can continue to cultivate surgical talents with the help of simulated surgical equipment.

This process will not take too long!

When Shi Langqin of Guanghai Central Hospital learned about this, he was even more determined to surpass Guanghai First Hospital.

He is also a miserable person.

From coronary intervention, electrophysiology, to the current tavr surgery, he has always been overshadowed by others.

However, the words of Dean Dai Wansong have awakened Shi Langqin.

He even signed up for the "tavr surgery training class" held by Lu Chen, and fully encouraged doctors in the hospital to go to study.

Lu Chen is quite supportive of this.

Only with healthy competition can there be better development.

When patients have only one choice for treatment, it is very dangerous.

...

On the other hand, everyone in the second area of ​​​​cardiac surgery 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 skills made everyone ignore his age of less than 30 years old.

Time flies, and a month has passed in the blink of an eye.

Lu Chen began to get used to his deputy director's position.

Touching the leadership, Lu Chen usually has more responsibilities.

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

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

Cardiology District 2, Deputy Director's Office.

Lu Chen is looking through the latest literature.

Doctors must keep learning in order not to be abandoned by the mainstream academic community.

It is not advisable to treat diseases based solely on experience.

"Huh... When can an influential Chinese magazine be published?"

Looking at the foreign language screen, although Lu Chen has the advanced skill card for literature reading, he still feels a little uncomfortable.

Lu Chen always thinks that sooner or later, a world-famous top Chinese magazine will be published!

"Ring, ring, ring!"

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

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

Lu Chen heard that this should be the voice of Zhang Liang, director of the third district of cardiology.

"Okay, Director Zhang, I have time now, I'll go and see it right away." Lu Chen said immediately.

"No problem, come on, I'll wait for you in the office." Zhang Liang smiled. He had a good relationship with Lu Chen, mainly because the candidate he recommended was selected by Lu Chen for the TAVR surgery team.

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

He took his white coat from 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 from everyone's department.

"Hello, Director Lu."

Everyone greeted Lu Chen one by one.

"Yeah." Lu Chen nodded and responded, mainly because there were many young nurses in the department, and he couldn't recognize them all.

Unlike when he was in the clinic before, he didn't have to work night shifts, and his relationship with doctors and nurses was not as familiar as when he was a master's and doctoral student.

Lu Chen didn't rush to the third area of ​​​​cardiology, but first went to the doctor's office in the second area.

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

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

"No, I'm going to see the patients in the third district of the heart. You can come with me," Lu Chen said.

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

"You want surgery?" Jin Miao's eyes lit up.

"It's not clear 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 of ​​​​the heart.

…

Heart Zone 3, doctor's office.

Director Zhang Liang is already waiting for Lu Chen's arrival.

He ordered the junior doctors to prepare all the patient's information.

"Director Zhang." Lu Chen walked into the office in Xin Nei District 3 with a smile.

Zhang Liang turned around and saw that Lu Chen came in with a doctor. He quickly smiled and said: "Director Lu, you are here. This patient has severe heart failure caused by valvular disease. You are an expert in this field. It is really troublesome." Come and see."

After saying that, a young doctor in the third district of the heart handed the patient information to Lu Chen.

"Okay, let me look at the medical records first."

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

After Jin Miao finished reading, Lu Chen said to Zhang Liang: "Preliminarily, it is an indication for TAVR surgery. It needs to be operated on as soon as possible, but the risks of surgery are not small."

Zhang Liang nodded slightly: "Director Lu, are you confident about this patient's surgery?"

Lu Chen smiled and said, "Director Zhang, you also know that we never guarantee the success rate of surgery. I can only say that I have done many similar surgeries and none have failed yet. Even so, I cannot guarantee you success. rate. Because once the risk occurs to this patient, it is a 100% probability.”

"Okay, I understand." Zhang Liangming nodded, "This patient is an old patient of mine. He had no TAVR surgery before, and he couldn't bear the thoracotomy, so he has been treated conservatively. Now the patient's heart failure symptoms are getting worse. I just have to give it a try.”

"If the patient agrees, we can start the operation as soon as possible in the next 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."

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

…

Come to the ward.

Lu Chen found something not quite right.

When he was auscultating the patient's heart, he heard the murmur of the patient's heart valve auscultation. UU Reading www.uｕkanshu.net

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

Lu Chen recalled the patient information just now, and it seemed that except for aortic stenosis, he saw no other problems.

This is a little strange!

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

"good."

Jin Miao was quick with her hands and feet and quickly brought the ultrasound machine over.

Lu Chen coated the ultrasound probe with coupling agent and placed it on various sections of the patient's heart.

Sure enough, a problem was discovered.

The patient's left ventricular outflow tract is obstructed!

This is a contraindication for TAVR surgery!

.