I Can See Health

Chapter 770: An alternative heart murmur

Two days later.

The leadership of Guanghai First Hospital officially issued a red-headed document.

Comrade Yan Wanfeng was hired as the director of the second ward of the Department of Cardiovascular Medicine.

Comrade Lu Chen was unusually appointed as the deputy director of the second ward of the Department of Cardiovascular Medicine.

At this point, the pattern of the Department of Cardiology in Guanghai No. 1 Hospital began to change.

As a representative of the new generation, Lu Chen began to formally touch the leadership.

Yu Weiguang, who is far away in Kyoto, was recently officially promoted to deputy chief physician.

The good talk between Nan Luchen and Yu Weiguang continues.

In terms of establishing a TAVR surgery team, Lu Chen received recommendations from various directors one after another.

Each ward has one or two doctors who want to join the surgical team.

Lu Chen's plan is to recruit five to six people.

In addition to Jin Miao, who currently has a quota, Lu Chen still needs to recruit four people.

"Director Lu, this is a list of all the doctors who applied."

Jin Miao handed Lu Chen the list of all doctors who wanted to apply to join the surgical team.

"Okay." Lu Chen nodded.

Each doctor's past surgeries, professionalism and other comprehensive capabilities were all subjects of Lu Chen's inspection.

After two days of review, Lu Chen finally selected four doctors, three men and one woman, to join the TAVR surgical team.

Together with Jin Miao, these four doctors will participate in a study class held in the Catheterization Laboratory of the Cardiology Department of Guanghai No. 1 Hospital.

In addition, Lu Chen officially had his own office in the department.

There is a separate office and even a small bed where you can rest.

Lu Chen collected all the things in the break room and started his office life.

Usually in clinical practice, except for some severely ill patients, Jin Miao can handle most things alone.

In the extra time Lu Chen had, in addition to providing guidance on TAVR surgery, he was also working on applying for the National Natural Science Project.

The surgical team and scientific research team are the cornerstones of Lu Chen's future development.

The "tavr surgery" simulation device that Lu Chen mentioned before was also approved by the hospital leaders.

This is another big event for the Department of Cardiology of Guanghai No. 1 Hospital!

From this, Guanghai No. 1 Hospital can continue to cultivate surgical talents with the help of Lu Chen and the simulated surgical equipment.

This process won’t take long!

When Shi Langqin of Guanghai Central Hospital learned about this, he was even more determined to surpass Guanghai No. 1 Hospital.

He is also a miserable person.

From coronary intervention, electrophysiology, to now TAVR surgery, I have always been outshined by others.

However, Dean Dai Wansong's words somewhat awakened Shi Langqin.

He himself even signed up for the "tavr surgery class" organized by Lu Chen, and fully encouraged doctors from his hospital to study there.

Lu Chen was quite supportive of this.

Only with healthy competition can we achieve better development.

It is very dangerous when patients are left with only one choice for treatment.

On the other hand, everyone in District 2 began to slowly accept the fact that Lu Chen became the deputy director of the department.

Of course, this is all due to Lu Chen's own strength.

His outstanding clinical level and skillful surgical skills made everyone ignore that he was still under thirty years old.

Time flies, and a month has passed in the blink of an eye.

Lu Chen began to officially get used to his status as deputy director.

When it comes to leadership, Lu Chen usually has an extra responsibility.

However, he focused more on clinical and scientific research.

As for official career, it is not yet under consideration.

District 2, Deputy Director's Office.

Lu Chen is checking the latest literature.

As a doctor, you have to keep learning so as not to be abandoned by the mainstream academic circles.

It is not advisable to rely solely on experience to treat diseases.

"Huh... when will an influential Chinese magazine be published?"

Looking at the foreign language on the screen, Lu Chen still felt a little uncomfortable even though he had an advanced literature reading skill card.

Lu Chen always thought that sooner or later, a world-famous top Chinese magazine would be published!

"Ring ring ring!"

The landline phone in the office rang, and Lu Chen immediately picked up the phone.

"Director Lu, I have a patient here with severe aortic stenosis. If you have time, could you help me take a look?"

Lu Chen recognized it. It should be the voice of Zhang Liang, director of the third district of the Department of Cardiology.

"Okay, Director Zhang, I happen to have time now, so I'll go take a look right away." Lu Chen said immediately.

"No problem, come on, I'll wait for you in the office." Zhang Liang smiled. He had a good relationship with Lu Chen, mainly because the candidates he recommended were selected by Lu Chen for the TAVR surgery team.

Lu Chen hung up the phone and put down the documents in his hands.

He took off his white coat from the hanger, put it on gently, and walked out of the office door.

As soon as I walked out of the office, I met doctors and nurses from various departments.

"Hello, Director Lu."

Everyone said hello to Lu Chen one by one.

"Yeah." Lu Chen nodded and responded, mainly because there were many young nurses in the department, and he couldn't recognize them all.

Now, unlike when he was in clinical practice before, he no longer has to work night shifts, and his relationship with doctors and nurses is not as familiar as it was during his master's and doctoral studies.

Lu Chen did not rush to the third district of the heart, but first went to the doctor's office in the second district.

"Director Lu, are you going to the cath lab?"

Jin Miao was writing the course of the operation. When she saw Lu Chen coming, she immediately asked.

"No, I'm going to see the patients in the third district of the heart. You can come with me," Lu Chen said.

"Okay." Jin Miao looked happy, immediately grabbed the stethoscope and followed Lu Chen.

Walking out of the door of the doctor's duty room, Lu Chen said: "Director Zhang asked me to consult a patient with severe aortic stenosis."

"You want surgery?" Jin Miao's eyes lit up.

"It's not clear yet. Let's take a look at the patient's condition first," Lu Chen said.

"OK."

Jin Miao followed Lu Chen closely and came to the third area of ​​​​the heart.

Heart Zone 3, doctor's office.

Director Zhang Liang is already waiting for Lu Chen's arrival.

He ordered the junior doctors to prepare all the patient's information.

"Director Zhang." Lu Chen walked into the office in Xin Nei District 3 with a smile.

Zhang Liang turned around and saw that Lu Chen came in with a doctor. He quickly smiled and said: "Director Lu, you are here. This patient has severe heart failure caused by valvular disease. You are an expert in this field. It is really troublesome." Come and see."

After saying that, a young doctor in the third district of the heart handed the patient information to Lu Chen.

"Okay, let me look at the medical records first."

Lu Chen flipped through it for a while, then handed it to Jin Miao.

After Jin Miao finished reading, Lu Chen said to Zhang Liang: "Preliminarily, it is an indication for TAVR surgery. It needs to be operated on as soon as possible, but the risks of surgery are not small."

Zhang Liang nodded slightly: "Director Lu, are you confident about this patient's surgery?"

Lu Chen smiled, "Director Zhang, you also know that we never guarantee the success rate of surgery. I can only say that I have done many similar surgeries and none have failed. Even so, I cannot guarantee you success. rate. Because once the risk occurs to this patient, it is a 100% probability.”

"Okay, I understand." Zhang Liangming nodded, "This patient is an old patient of mine. He had no TAVR surgery before, and he couldn't bear the thoracotomy, so he has been receiving conservative treatment. Now the patient's heart failure symptoms are getting worse. I just have to give it a try.”

"If the patient agrees, we can start the operation as soon as possible in the next two days." Lu Chen said.

"Thank you, Director Lu." Zhang Liang smiled, "I will communicate with the family."

"Okay, I'll go see the patient again."

Afterwards, Lu Chen took Jin Miao to check on the patient's condition.

Come to the ward.

Lu Chen found something not quite right.

When he was auscultating the patient's heart, he heard the murmur of the patient's heart valve auscultation. UU Reading www.uukanshu.net

This murmur is different from the murmur of severe aortic stenosis!

Lu Chen recalled the patient information just now, and it seemed that except for aortic stenosis, he saw no other problems.

This is a little strange!

"Jin Miao, go get the bedside ultrasound machine." Lu Chen was still a little worried, so he asked Jin Miao to borrow the ultrasound machine.

"good."

Jin Miao was quick with her hands and feet and quickly brought the ultrasound machine over.

Lu Chen coated the ultrasound probe with coupling agent and placed it on various sections of the patient's heart.

Sure enough, a problem was discovered.

The patient's left ventricular outflow tract is obstructed!

This is a contraindication for TAVR surgery!

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