Chapter 771 Lu Chen's Rejection

Intracardiac Zone 3, Doctor's Office.

"Left ventricular outflow tract obstruction?"

Director Zhang Liang looked at Lu Chen in surprise.

Lu Chen nodded, "I checked with bedside ultrasound, and the left ventricular outflow tract velocity increased, and I suspected outflow tract obstruction."

"But we did a cardiac ultrasound a few days ago, and there was no report of left ventricular outflow obstruction?" Zhang Liang still didn't quite believe it.

Professional ultrasound doctors, using professional machines, couldn't see it.

Can Lu Chen see it with a portable ultrasound machine?

"How about this, find Director Xia and ask him to do a bedside cardiac 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 Director Xia's level was the highest.

"Okay, no problem."

Zhang Liang also agreed with Lu Chen's opinion.

This patient has some relationship with him. If he can't check it carefully, the risk of rashly going for surgery is very high.

Afterwards, Zhang Liang immediately called Director Xia of the Ultrasound Department.

Director Xia had to give this face, and immediately pushed the ultrasound machine over.

In order to prevent Director Xia from being hinted, no one told him the relevant diagnosis in advance.

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

Director Xia said while doing the ultrasound: "The aortic valve calcification is very serious!"

"Bicuspid aortic valve (type 0), aortic valve stenosis (severe), average flow velocity of 4.7m/s, average pressure difference of about 102mmhg."

"..."

Director Xia said a lot of different parameters, but did not mention the left ventricular outflow obstruction.

Is it really not?

Lu Chen is quite confident in his ultrasound skills.

He has an ultrasound skill card and has been training in the system virtual space 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!

If yes, it is a contraindication to surgery and surgery cannot be performed!

If no, then the tavr surgery can be performed within a time limit.

As Director Xia's ultrasound operation was coming to an end, Lu Chen's frown deepened.

Between him and Director Xia, others would definitely believe in Director Xia's ultrasound operation ability.

But at this moment, Director Xia suddenly said "Huh".

His ultrasound probe stopped at the left ventricular outflow tract.

Lu Chen looked at the picture in front of him calmly, but Zhang Liang was a little uneasy and asked quickly: "Director Xia, is there any problem?"

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

Everyone was stunned. It was really the result of Lu Chen's work!

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

Zhang Liang smiled helplessly, "Director Lu also did an ultrasound just now and said it was outflow tract obstruction, but we still don't believe it."

"Really?" Director Xia glanced at Lu Chen with curiosity, "Director Lu's ultrasound surgery is not simple. It's not simple to notice this."

Conventional cardiac ultrasound can definitely identify the blood flow velocity in the outflow tract.

But this patient has severe aortic valve stenosis, and rarely notices the outflow velocity.

Even ultrasound doctors can miss it sometimes.

"Okay, the ultrasound results are almost what I said." Director Xia put away the ultrasound instrument after reading the cardiac ultrasound. "Overall, it's similar to the last time, but there is one more diagnosis, left ventricular outflow tract obstruction."

"Okay, thank you Director Xia for coming up in person." Director Zhang Liang hurriedly thanked.

"You're welcome, this is my job." Director Xia said, and glanced at Lu Chen, "Director Lu, we can have a good exchange if we have a chance."

"Okay, but Director Xia is definitely awesome." Lu Chen smiled.

"Hehe." Director Xia smiled and shook his head, then pushed the ultrasound machine away.

...

Intracardiac Zone 3, Doctor's Office.

Zhang Liang looked a little solemn, and he looked at Lu Chen.

"Can't the operation be performed?"

"This is an absolute contraindication!" Lu Chen said in a deep voice, "The patient is at a very high risk of sudden death during the operation!"

"Then watch the patient's heart failure continue to worsen?" Zhang Liang felt a little reluctant, "We won't do anything?"

"Strengthen drug treatment and see if we can use some other drugs to treat heart failure, such as nefovir or levosimendan." Lu Chen thought about it and mentioned a few newer drugs.

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

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

For this kind of patient, the risks of surgery far outweigh the benefits.

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

Whether the patient can benefit after the operation is still a matter of debate.

In addition to the expensive medical expenses, Lu Chen can't think of what this operation can bring.

After writing down his consultation opinion, he left with Jin Miao.

…

Director’s office, Cardiology Division III.

“Director Zhang, my dad…really can’t have surgery?”

A young man with a haggard face, disheveled 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 undergo this tavr surgery."

"But didn't you say before that it can definitely be done?" The young man gritted his teeth, hoping to hear some leeway from Zhang Liang.

"The previous ultrasound did not find outflow tract obstruction, but this time the reexamination 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 the moment.

Suddenly, there was a plop.

The young man knelt on the ground.

"Director Zhang, please, think of a way to operate on my father."

As the saying goes, a man's knees are gold.

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

"You don't have to do this, haven't we been trying to find a solution?"

"But you said before that if you don't have surgery, my father may not be able to survive this month!" The young man was emotional, and he seemed to find it difficult to accept this result.

Zhang Liang was silent for a long time, raised his head and said slowly: "Why don't we go to a higher-level hospital, Kyoto or Shanghai to ask?"

"Too far." The young man shook his head, "You said before that the risk on the road is very high. I'm afraid my dad will die before we get to Kyoto."

The custom here is that people cannot die in the hospital. They must be dragged home with one breath left.

Otherwise, they cannot enter the clan's ancestral hall.

"Director Zhang, is there any other place besides you where we can do the surgery?"

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

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

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

－－－－－－Digression－－－－－－

Recently, I've been really tired in the department, especially exhausted.

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

Go to bed early.

.