I Can See Health

   Chapter 941 Was the pregnancy preparation successful?

   "Director Lu, which method is better?" the man said eagerly.

   "In this situation, repairing is very difficult and the effect is not good." Lu Chen said, "As for the replacement of the entire valve, there are two methods involved, 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, with good results. However, the risk of surgery is high, and the patient is currently in critical condition and cannot tolerate this surgery at all. In other words, the patient is very It's possible that you won't be able to get off the operating table or get out of the operating room."

   "Then... what about the second type?" the man said quickly.

   "The second one is easy." Lu Chen said sternly, "Through minimally invasive intervention, peripheral vascular puncture, and minimally invasive medical methods, you can enter the heart valve without opening the chest and replace the entire valve."

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

   "You calm down first and listen to me."

  Lu Chen emphasized again.

   This 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 the chair, and stared at Lu Chen with a hopeful expression.

   "First of all, this kind of surgery is also very difficult." Lu Chen said slowly, "In our country, you are the first case!"

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

   "The difficulty is high and the risk is high." Lu Chen paused, "The cost of surgery is not cheap, and it does not enter the scope of medical insurance reimbursement."

  This means that the entire operation cost is not reimbursed.

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

   "As a result of the operation, it is very likely that both people and money will be empty!"

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

   This is not because Lu Chen is cruel.

  The discussion before surgery needs to be comprehensive, and there should be no luck.

  Otherwise, unexpected things happen to the patient's family, which may lead to medical disputes.

   for a long time.

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

  Lu Chen shook his head slightly: "I never talk about the success rate of surgery. Because once failure falls on your head, it is a 100% failure rate."

  The man sinks his heart.

  Other hospitals have declared his mother's "death penalty". Only in the Fifth Hospital of the Magic City, there is such a glimmer of hope.

   "How much will the surgery cost?"

   "The cost of the entire operation is about 200,000 yuan, and this does not include the cost after the operation. If there are complications after the operation, you may need more!"

  200,000 Chinese coins, which is definitely not a small amount for a working family.

   "200,000..."

   A trace of pain appeared on the man's face.

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

   And now, his career has just picked up.

  The tree wants to be quiet but the wind doesn't stop, the child wants to be nourished but the kiss doesn't wait!

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

  Lu Chen thought about it and said, "Yes!"

   The man's eyes flashed a ray of light, "Really?"

  Lu Chen nodded slightly.

   It wasn't that the Heart of his Virgin came.

"Although this is a new surgical procedure, which 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 fee policy, and you should only need to pay 50-60%. costs.”

   Hearing this, the man stood up excitedly.

   He grabbed Lu Chen's hand tightly.

   "Director Lu, you...are you telling the truth? Let's participate 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, in the actual process, we will not harm the interests of patients. It's just before and after surgery, to collect part of the patient's body data."

   "Ok, no problem, we agree!"

  The man nodded quickly, very afraid that Lu Chen would go back on his words.

   In fact, the fact that clinical patients can participate in clinical experiments can not only reduce the experimental fees, but also provide a new way out for some patients who have been sentenced to "death penalty".

   And, once participating in clinical trials.

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

  In foreign countries where clinical trials are being developed, many patients will ask if there is any relevant experiment and take the initiative to ask to participate.

   In China, everyone's thinking has not changed.

   I feel that using you as an experiment means using you as a guinea pig and hurting you!

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

  Many new types of oncology drugs undergo extensive clinical trials before they are marketed.

   For some patients with advanced tumors, after receiving this clinical experiment, the survival time has been significantly prolonged.

  …

  In the end, after discussion with the MDT team of the Fifth Academy of the Magic City, it was decided to perform TEER surgery as soon as possible.

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

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

   In the office, Jin Miao asked subconsciously.

   "Yes, why don't you do it?" Lu Chen smiled.

  Jin Miao waved his hand quickly, "I have no experience. However, Director, you..."

   Seeing Jin Miao talking hesitantly, Lu Chen frowned, "If you have something to say, just say it, and if you have nothing to do, prepare for the operation. We need to do the operation as soon as possible."

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

  Lu Chen's expression froze, and he glanced at Jin Miao helplessly.

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

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

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

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

  Lu Chen: "..."

  …

   Surgery started very soon.

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

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

  X-plane view, suggesting that valve leaflet prolapse is mainly located in the A2/P2 area, with severe regurgitation.

  3DMVView, incompatibility of the anterior and posterior mitral valve leaflets, and the patent gap can be seen in the A2/P2 area slightly deviated from 1.

  Comprehensive examination is to fully assess the valve status of the patient in order to deal with various conditions that may occur.

in surgery.

  Lu Chen's expression was solemn.

  Beside him stood Jin Miao and Gu Xinyue.

  This operation was two years later, and Lu Chen stood on the operating table again.

   If he doesn't make a move, he has to fill a gap in the field of domestic interventional surgery!

   And this operation also attracted the attention of the entire Huaxia Cardiology Department.

  Even, in the distant United States of Mayo.

   In the Cardiology ward, Professor Debed has already started the live broadcast of the Fifth Hospital of the Magic Capital.

   (end of this chapter)