Chapter 772: Okay, I’ll Do It!

The patient signed and was discharged from the hospital very quickly.

Lu Chen would not perform surgery on him. Even if he continued to stay in the cardiology department of Guanghai First Hospital, he could only receive conservative treatment with drugs.

As for where the patient went, Director Zhang Liang did not ask.

Lu Chen returned to the second area of ​​cardiology.

"Director Lu, can't we really give this patient a try?" Jin Miao whispered, "Left ventricular outflow tract obstruction is not an absolute contraindication to surgery, right?"

Surgical contraindications are divided into absolute contraindications and relative contraindications.

Absolute contraindications mean that surgery is definitely not allowed.

Relative contraindications mean that if you are determined, there is still a chance of surgery.

"This is not just a problem of left ventricular outflow tract obstruction." Lu Chen shook his head, "I went to see the patient by the bed just now. His condition is extremely bad. The risk of surgery is already high, and with left ventricular outflow tract obstruction, surgery will not have any benefit to his condition."

"Will the tavr surgery not improve his symptoms of heart failure?" Jin Miao said again.

"The probability is extremely small!" Lu Chen said, "The patient is old. Even if he has surgery, his survival time will not be any different from that without surgery. So why should we do the surgery?"

It turned out that Lu Chen would not do such an obvious surgery.

If he tried, he would lose both his money and his life.

"Oh, I see." Jin Miao nodded.

In fact, in his mind, if the patient's family members signed and were willing to take all risks, he could try the surgery.

After all, one more patient surgery also increased their opportunities to practice.

...

Guanghai Central Hospital.

Professor's office of the Department of Cardiology.

After this period of study, Shi Langqin felt that the study class organized by Lu Chen was really good!

He learned a lot of new surgical skills.

If the emergency tavr surgery was put in front of him again, he felt that he could give it a try.

Of course, this was just his thought, and he had not put it into action yet.

Because of Lu Chen's golden signboard, the number of patients undergoing tavr surgery in Guanghai Central Hospital has dropped sharply, and this kind of high-difficulty surgery is naturally less.

"Director, a patient is here!"

Suddenly, a word of tiger interrupted Shi Langqin's thoughts.

The fat doctor came to the office panting, with a hint of smile in his eyes.

"A patient for tavr surgery?" Shi Langqin stood up immediately.

"Yes!" The fat doctor nodded slightly.

"Where is the patient?"

Shi Langqin put on his white coat and prepared to go out.

"The patient's heart failure is quite serious, and he is currently in poor condition." The fat doctor replied.

As long as a patient for tavr surgery comes to Guanghai Central Hospital, Shi Langqin must be the first to check him.

"Let's go and see!"

Shi Langqin strode out with a breeze under his feet.

...

Come to the ward.

Shi Langqin saw the patient lying on the bed.

An elderly man in his sixties, with a dark complexion and haggard appearance, looks like a man in his seventies.

After seeing the patient, Shi Langqin called the doctor to the side.

"What's the patient's condition?" Shi Langqin asked.

The doctor who received the patient hurriedly said, "Professor Shi, this patient has just been transferred from Guanghai First Hospital. He is a patient with severe aortic valve stenosis and severe heart failure, and his condition is not very good."

"Transferred from Guanghai First Hospital?" Shi Langqin was stunned.

What's going on?

This is the first time he has encountered a patient who was missed from Guanghai First Hospital for tavr surgery.

"I heard from the patient's family that Guanghai First Hospital does not perform surgery on them." The doctor who received the patient said.

"The patient's family conditions are not good?" Shi Langqin asked in confusion.

Although this tavr surgery is a minimally invasive surgery, it is not cheap, and it is not included in the scope of medical insurance for the time being.

"It shouldn't be." The doctor who received the patient shook his head, "I saw the patient's family members dressed up, and the conditions should be considered good. I haven't figured out why Guanghai First Hospital didn't do it. I only heard from the family members that there are contraindications."

Shi Langqin was silent for a while, bowed his head and thought deeply.

This is a good opportunity.

Guanghai Central Hospital has not had the opportunity to perform tavr surgery for a long time.

However, he now wants to find out why Lu Chen from the First Hospital did not operate on this patient.

What exactly are the patient's contraindications? !

"Call the patient's family over, I'll talk to him." Shi Langqin said casually.

"Okay."

The doctor who received the patient left immediately.

Normally, the patient's family is not allowed to enter the U ward, but this is a special case.

The doctor who received the patient in the ward took the patient's family directly to the lounge of the U ward.

"Are you Professor Shi?" After seeing Shi Langqin, the middle-aged man looked excited, as if he had grabbed a life-saving straw.

"I am." Shi Langqin nodded calmly, "Tell me about your father's situation, why didn't Guanghai First Hospital operate on your father?"

"This..." The middle-aged man paused, "I'm not a doctor, I don't know the specific reason, I think it's an obstruction."

Shi Langqin heard it. Slowly said: "Left ventricular outflow tract obstruction?"

"Yes, yes, yes! That's it." The middle-aged man nodded immediately, "The professor at the First Hospital said that this operation is risky, so he would not perform it on my father. Later, Director Zhang Liang introduced me to you."

"So it's Zhang Liang." Shi Langqin nodded.

Zhang Liang is the director of the third area of ​​cardiology at Guanghai First Hospital, and he has a good relationship with him.

"Professor Shi, can you perform surgery here?" The middle-aged man asked with courage. He stared at Shi Langqin, afraid of hearing bad news again.

"I didn't see the specific ultrasound report." Shi Langqin said, "If it is really left ventricular outflow tract obstruction, it should be a contraindication for surgery."

"Professor Shi... you can't do it here?" The middle-aged man heard this and his face darkened, extremely disappointed.

After going to many first hospitals, is the hope of this family going to be shattered?

But Shi Langqin's sudden words ignited hope in the middle-aged man's heart again.

"Left ventricular outflow tract obstruction is a relative contraindication, not an absolute one." Shi Langqin said in a deep voice, "It doesn't mean that the operation cannot be performed 100%. I once saw a medical record of a patient with severe aortic stenosis and left ventricular outflow tract obstruction who completed a TAVR operation at the First Affiliated Hospital of Kyoto University."

"Really?"

The middle-aged man's expression became a little more spirited.

"For such a thing, UU reading books wｗw．uukanshu.net, how could we fake it? You can go online and search on Baidu now." Shi Langqin said.

"Then... can you do it here?" the young man said again.

Shi Langqin did not reply immediately, but calmed down, as if he was making a difficult decision.

After a while, he slowly said to the middle-aged man: "The patient's condition is very serious, the risk is too high, and it is very likely that he will not be able to get off the operating table."

"Don't worry." The middle-aged man said hurriedly, "Whether the operation is successful or not, I will not blame you."

"The cost of this operation is not cheap, and it is not covered by medical insurance." Shi Langqin said, "It is very likely that both the person and the money will be lost!"

"I know, I accept the risk, I can sign!"

Seeing the patient's family's attitude so positive, Shi Langqin finally nodded and agreed.

"Okay, I will do it for your father!"

.