Chapter 937: Preparation for Pregnancy Successful?

Remember [new] in one second! "Director Lu, which method is better?" the man said eagerly.

"In the current situation, it is difficult to repair and the effect is not good." Lu Chen said, "As for replacing the entire valve, it involves two methods, one is surgical thoracotomy, and the other is minimally invasive medical intervention."

The man nodded and listened carefully to Lu Chen's words.

"The first is thoracotomy, which is straightforward and can directly replace the entire valve. The surgical effect is good. However, the risk of surgery is high. The patient is currently in critical condition and cannot tolerate this kind of surgery. In other words, the patient is very You may not be able to get off the operating table or leave the operating room.”

"Then... what about the second one?" the man asked quickly.

"The second method is simple." Lu Chen said seriously, "Through minimally invasive intervention, peripheral vascular puncture, and minimally invasive internal medicine methods, we can enter the heart valve position and replace the entire valve without opening the chest."

"Okay! Director Lu, we will choose this kind of interventional surgery!" The man's voice was urgent.

"Calm down first and listen to me."

Lu Chen emphasized again.

The man was extremely excited.

Lu Chen's words seemed to ignite his last hope.

"You say it, you say it, I'll listen." The man nodded quickly, sat back in his chair, and stared at Lu Chen expectantly.

"First of all, this kind of surgery is very difficult." Lu Chen said slowly, "This is the first of yours in our country!"

To put it bluntly, he is the first person in China to "eat crabs".

"It's difficult and risky." Lu Chen paused. "The cost of the surgery is not cheap, and it is not covered by medical insurance reimbursement."

This means that the entire surgery cost will not be reimbursed.

For a working-class family, this is most likely the straw that breaks the camel's back.

"The result of the operation is likely to be a loss of life and money!"

Sure enough, when the man heard this, he suddenly became quiet.

This is not because Lu Chen is cruel.

The preoperative discussion needs to be thorough, and nothing can be left to chance.

Otherwise, if something unexpected happens to the patient's family, it may cause medical disputes.

A long while.

The man slowly said: "Director Lu, how confident are you about this operation?"

Lu Chen shook his head slightly: "When I perform surgery, I never talk about the success rate. Because once failure happens to you, there is a 100% failure rate."

The man calmed down.

Other hospitals declared his mother's "death sentence", but only in the Fifth Hospital of Shanghai, there was such a glimmer of hope.

"How much does the surgery cost?"

"The cost of the entire operation is about 200,000 yuan, which does not include the postoperative expenses. If there are complications after the operation, more may be needed!"

Two hundred thousand Chinese coins is definitely not a small amount for a working-class family.

"Two hundred thousand..."

There was a trace of pain on the man's face.

On the hospital bed was the mother who gave birth to him and raised him.

Now, his career is just picking up.

The tree wants to be quiet but the wind doesn't stop; the child wants to be nurtured but cannot be kissed!

"Director Lu, if I can raise some money first, can I do the surgery first?" the man said slowly.

Lu Chen thought for a while and said, "Okay!"

The man's eyes flashed with light, "Really?"

Lu Chen nodded slightly.

This is not the arrival of His Holy Mother Heart.

"Although this is a new procedure that is not reimbursed by medical insurance, we have similar clinical trials." Lu Chen said, "If you participate in clinical trials, we will have a corresponding cost policy. You should only need to pay 50-60% ”

Hearing this, the man stood up excitedly.

He grabbed Lu Chen's hand tightly.

"Director Lu, you...are you telling the truth? We are participating in this clinical trial!"

Lu Chen smiled and nodded: "Of course it is true. After all, this is our first operation in China, and we will have policies to take care of it. In addition, although it is a clinical experiment, we will not harm the interests of the patients during the actual process. It’s just that some physical data of the patient needs to be collected before and after surgery.”

"Okay, no problem, we agree!"

The man nodded quickly, very afraid that Lu Chen would regret it.

In fact, clinical patients who can participate in clinical trials can not only reduce the experimental costs, but also for some patients who have been sentenced to "death", this is a new way out.

Moreover, once you participate in a clinical trial.

Doctors will pay special attention to patients participating in the experiment and closely monitor various vital signs and laboratory indicators.

In foreign countries where clinical trials are developing, many patients will ask if there are any relevant experiments and actively ask to participate.

But in China, everyone’s thinking has not changed yet.

I feel like using you for experiments means using you as a guinea pig and harming you!

This kind of clinical experiment is most common in the field of oncology medicine.

Many new oncology drugs undergo extensive clinical trials before being launched on the market.

Some patients with advanced tumors have significantly prolonged survival after undergoing this clinical trial.

…

In the end, after discussion with the mdt team of the Fifth Academy of Magic City, it was decided to implement the tee technique as soon as possible.

After communicating with the patient's family, Lu Chen planned to use Abbott's mitraclip to perform transcatheter mitral valve edge-to-edge repair surgery.

"Director Lu, do you want to perform this operation yourself?"

In the office, Jin Miao asked subconsciously.

"Yes, or you can do it?" Lu Chen smiled.

Jin Miao waved her hand quickly, "I have no experience. But, Director, you..."

Seeing Jin Miao stuttering, Lu Chen frowned, "If you have something to say, say it quickly, if you don't have anything to say, go to do preoperative preparations, we have to do the operation as soon as possible."

"That..." Jin Miao seemed to have mustered up great courage, "Aren't you preparing for pregnancy and not doing surgery?"

Lu Chen's face stagnated, and he looked at Jin Miao helplessly.

"You said you are so busy at ordinary times, and you still have these free time to gossip?"

Jin Miao whispered: "Director, we are also concerned about you..."

"Don't worry." Lu Chen suddenly smiled, "You are worrying too much."

"Ah?" Jin Miao was stunned, "Is the preparation for pregnancy successful?"

Lu Chen: "..."

...

The operation started soon.

Before the operation, Lu Chen checked the patient's valve again.

In the four-chamber and two-chamber sections of ultrasound, the formation of left ventricular high lateral wall aneurysm and mitral valve leaflet prolapse with severe regurgitation can be seen.

X-section, indicating that the valve leaflet prolapse is mainly located in the a2/p2 area, with severe regurgitation.

3dmvview, the anterior and posterior mitral valve leaflets are not fully aligned, and a2/p2 slightly deviates from the 1st area and a patent gap can be seen.

Comprehensive examination is to fully evaluate the patient's valve status in order to deal with various possible situations.

During the operation.

Lu Chen looked solemn.

Jin Miao and Gu Xinyue stood beside him.

This operation was the second time Lu Chen stood on the operating table after a gap of two years.

If he didn't do it, it would be fine. Once he did it, he would fill a gap in the field of domestic interventional surgery!

And this operation also attracted the attention of the entire Chinese cardiology department.

Even in the distant Mayo Clinic in the United States.

In the cardiology ward, Professor Debed has turned on the live broadcast of the Fifth Hospital of Shanghai.