Chapter 921: Minions in the Department of Cardiology

Kyoto First Hospital.

Under Amor's leadership, research on the "tricuspid valve repair system" is developing rapidly.

Therefore, the simulated surgery at Kyoto No. 1 Hospital was quickly successful.

However, there are many problems exposed, the most obvious one being valvular regurgitation.

This problem cannot be solved for the time being.

"However, after our simulation surgery is successful, the progress of research and development should surpass the Fifth Hospital of Magic City, right?" Yao Jie murmured in her heart.

The Fifth Hospital of Shanghai has not released any news about "tricuspid valve repair" for the time being.

The Kyoto First Hospital is relatively more high-profile!

When the simulated surgery was successful, they publicized it in major media across the country.

However, the current successes are simulated surgeries and have not yet been applied to clinical patients.

Whoever can perform the first clinical operation between the Fifth Hospital in Shanghai and the First Hospital in Kyoto will be the first in China!

However, Kyoto has overlooked one thing.

Kyoto is also considered a foreign country for Mayo’s Amor.

Non-my family, its heart must be different!

Mayo, it is impossible for them to completely share all their technologies!

Simulated surgeries can be performed, but once real clinical patients are involved, there are many variables!

…

The Fifth Courtyard of the Magic City.

Office of the Chief of Cardiology.

"From simulation surgery to clinical surgery, you need the right patient and the right time." Lu Chen looked at Jin Miao who looked eager, "This kind of thing cannot be rushed."

"But, I think the progress at Kyoto No. 1 Hospital is also very fast." Jin Miao whispered, "I'm afraid..."

"Afraid of losing?" Lu Chen smiled.

"Yeah." Jin Miao nodded, "We have spent so much energy, I'm afraid it's all wasted."

Lu Chen smiled, "How could it be wasted?"

"We developed this system to treat patients."

"The failure in the scientific research competition with Kyoto First Hospital is nothing more than losing the title of the first surgery in the country, but the system we developed can still be used on patients."

Jin Miao nodded reluctantly: "That's what I said, but I still feel uncomfortable."

Everyone wants to get first place!

Second, who knows it?

"Don't worry, I have arranged for people from various departments to help promote it." Lu Chen said, "As long as patients are interested in surgery, we can arrange it as soon as possible."

"Yeah, I understand, director." Jin Miao nodded and prepared to leave and return to the ward.

At this moment, Gu Xinyue knocked on the door and came in.

He stood at the door with a stack of information in his hand.

"Are you here to ask about the surgery too?" Lu Chen asked with a smile.

Jin Miao also blinked and stared at Gu Xinyue curiously.

Unexpectedly, Gu Xinyue shook her head.

"No, Jin Miao is in charge of the surgery. I came here today because there is a very strange patient."

Gu Xinyue said while handing Lu Chen a medical record.

Hearing this, Jin Miao shrugged helplessly, "What kind of patient is this? Is it more important than surgery?"

"A minion." Gu Xinyue glanced at Jin Miao, then looked at Lu Chen, "Director, you are our last hope, you must give us some advice!"

"Minion?" Lu Chen picked up the medical records.

Hearing what Gu Xinyue said, he suddenly became interested.

Minions are actually yellowish stains on the skin and sclera.

Usually a patient from the Department of Gastroenterology or Infectious Diseases, why did he suddenly end up in the Department of Cardiology?

With this doubt, Lu Chen turned over the medical records.

…

Patient, male, 63 years old.

Four years ago, I started to have chest tightness when I was emotional. I had no chest pain, radiating pain, or sweating. Each time lasted about 2-3 seconds and relieved itself.

The patient was admitted to an outside hospital and underwent coronary angiography.

The coronary angiography report showed that there was no meaningful stenosis in the left main trunk, 30% stenosis in the proximal and middle part of the left anterior descending branch, myocardial bridge visible in the middle part, 50% stenosis in the first diagonal branch opening, and about 30% stenosis in the middle branch opening.

"What medicine is the patient currently taking?" Lu Chen asked, "What is his purpose of coming to our hospital this time?"

Gu Xinyue thought for a while and then said: "The patient is usually treated with aspirin and rosuvastatin orally."

"Starting one month ago, the above symptoms recurred, lasting 2-7 minutes and resolving spontaneously. The rest of the symptoms are the same as before. The patient came to our hospital for review of coronary angiography and further treatment."

Lu Chen nodded, "Is he here to review the coronary angiography?"

"Yes." Gu Xinyue said, "The problem now is that the patient's skin is too yellow and needs to be evaluated to see if he can undergo angiography?"

After hearing Gu Xinyue's words, Lu Chen continued to look down.

The patient's past history included a 4-year history of hypertension, with a blood pressure of up to 1 hg.

Oral treatment with irbesartan and hydrochlorothiazide tablets is done on weekdays, and the blood pressure is controlled at 130-140/80-90mmhg.

The most important thing is that the physical examination shows "yellow"!

Lu Chen wanted to see what level his Minion had reached in the Fifth Academy of Magic City.

The patient's physical examination on admission: blood pressure 147/101mmhg. Jaundice of skin, mucous membranes, and sclera. The jugular veins are not distended. Cardiopulmonary and abdominal examination were negative.

"Director, here is another picture. I took a picture of the patient's arm and cheek." Gu Xinyue took out her mobile phone and opened the photo album.

Lu Chen nodded and looked over.

There is a strong contrast between the patient's skin and the flawless white skin.

It is worthy of being called "Minions"!

"Do you have a family history?" Lu Chen continued.

Gu Xinyue nodded immediately, "Yes!"

The patient was found to have yellow skin, mucous membranes and sclera when he was a teenager.

The patient has 5 brothers and 1 sister. Except for 1 brother, the others all have yellow skin, mucous membranes and sclera.

The age of the patient who was found to have yellow was similar to that of the patient. Because he had no discomfort symptoms on weekdays, he did not seek medical treatment for many years.

"This patient did not start to seek medical treatment until he had coronary angiography in another hospital 4 years ago."

Gu Xinyue continued to explain: "The patient reported that he had visited the gastroenterology department of two hospitals and had many examinations."

"However, the patient only remembered that the bilirubin test was high, and he could not remember other specific conditions, and he could not find the examination report. In short, there was no clear diagnosis."

Lu Chen nodded and began to analyze all the patient's medical history.

"Is the patient married to a close relative?" Lu Chen asked, "Does he have any special contact history?"

Gu Xinyue shook his head, "The patient's parents are not married to close relatives."

The patient himself and his younger brother and sister have no history of using special drugs or contacting special substances.

"The eating habits are the same as those of people in the same village, and there is nothing special. No one in the same village has been found to have yellow skin, mucous membranes and sclera."

The patient's medical history is very long, even very messy.

The doctor needs to extract the most useful information in a short time.

Lu Chen should first consider a family hereditary disease.

Although his parents do not have yellowing, it is entirely possible if it is recessive inheritance.

Of course, the cause of the first gene mutation in oneself also needs to be considered.

But so many people in the immediate family have developed the disease, so this possibility can be ruled out.

Can this patient undergo coronary intervention?

This is the question Lu Chen will think about next.

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