I Can See Health

Heart 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 found that the left ventricular outflow tract velocity increased, and I suspected outflow tract obstruction."

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

Professional sonographers, using professional machines, could not see it.

Lu Chen used a portable ultrasound machine. Can he tell?

"Well, let's find Director Xia and ask him to do a bedside heart ultrasound." Lu Chen suggested.

Director Xia is a director of the Ultrasound Department of Guanghai No. 1 Hospital who specializes in cardiac ultrasound.

Lu Chen spent a month in the cardiology department of Guanghai No. 1 Hospital and found that even Director Xia was the best.

"no problem."

Zhang Liang also agreed with Lu Chen.

This patient has some relationship with him. If he cannot investigate carefully, the risk of rashly undergoing surgery is very high.

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

Director Xia also had to sell this face, and immediately came with the ultrasound machine.

In order to avoid giving Director Xia any hint of influence, no one told him the relevant diagnosis in advance.

Lu Chen stood aside and stared closely at Director Xia's operations.

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

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

"..."

Director Xia mentioned many different parameters, but did not talk about left ventricular outflow obstruction.

Is there really none?

Lu Chen is relatively confident in his ultrasound technology.

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 those of any other specialist director.

Now, this left ventricular outflow tract obstruction determines the patient's fate!

Yes, it is a contraindication for surgery and surgery is not allowed!

No, then you can perform TAVR surgery within a limited time.

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

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

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

His ultrasound probe stopped at the left ventricular outflow tract.

Lu Chen looked at the scene in front of him calmly, but Zhang Liang became a little uneasy and quickly asked: "Director Xia, do you have any questions?"

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 Lu Chen who did it!

"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 just did an ultrasound and said it was outflow obstruction, but we still don't believe it."

"Really?" Director Xia glanced at Lu Chen curiously, "Director Lu's ultrasound surgery is not easy. It is not easy to be able to notice this."

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

However, this patient had severe aortic valve stenosis, and the flow velocity in the outflow tract was rarely noticed.

Even sonographers miss things sometimes.

"Okay, the ultrasound results are pretty much what I said." Director Xia put away the ultrasound equipment after watching the cardiac ultrasound. "Overall, it's almost the same as last time, except for one more diagnosis: left ventricular outflow tract obstruction."

"Okay, thank you, Director Xia, for coming here in person." Director Zhang Liang thanked him quickly.

"No thanks, this is my job." After Director Xia finished speaking, he glanced at Lu Chen and said, "Director Lu, we can have a good discussion if we have the opportunity."

"Okay, but Director Xia must be the best one." Lu Chen smiled.

"Haha." Director Xia shook his head with a smile, then pushed the ultrasound machine and left.

…

Heart Zone 3, doctor's office.

Zhang Liang's expression was a little solemn, and he looked at Lu Chen.

"Can't the surgery be done?"

"This is an absolute contraindication!" Lu Chen said solemnly, "The patient's risk of sudden death during the operation is extremely high!"

"Then let's just watch the patient's heart failure continue to worsen?" Zhang Liang couldn't bear it, "We won't do anything to deal with it?"

"Intensify drug treatment and see if we can use some other drugs to treat heart failure, such as neosin or levosimendan." Lu Chen thought for a while and named a few newer drugs.

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

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

In such patients, 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 will benefit from the operation is still a matter of debate.

Apart from the expensive medical expenses, Lu Chen couldn't think of anything else this surgery could bring.

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

…

District 3, Director's Office.

"Director Zhang, my dad... really can't have surgery?"

A young man had 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 invited an expert in TAVR surgery from our hospital to come and see it. Your father has surgical contraindications 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's mouth.

"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 said nothing, but his trembling shoulders betrayed his mood at this time.

Suddenly, there was a thud.

The young man knelt on the ground.

"Director Zhang, please, please think of a way to perform surgery on my dad."

As the saying goes, a man has gold at his knees.

Zhang Liang couldn't bear it and quickly stepped forward to help the young man.

"You don't have to do this. Aren't we always thinking of ways?"

"But, you said before that without surgery, my dad might not be able to survive this month!" The young man was very emotional, and he seemed to find it difficult to accept the result.

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

"It's too far." The young man shook his head. "You said before that the risks on the journey are very high. I'm afraid my dad will die before we get to Kyoto."

The customs here, UU reading www.uukanshu． net People can't die in the hospital, they have to be dragged home while still breathing.

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

"Director Zhang, besides your place, is there any other place where I can perform surgery?"

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

"They...can 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 surgical skills in the Guanghai area, except for Director Lu Chen of our hospital."

－－－－－－Digression－－－－－

I have been really tired in the department recently, very tired.

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

Go to bed early.

.