I Can See Health

I can see the four-leaf valve in Chapter 853 of the main text volume of HP! After experiencing this new technique, Lu Chen also understood something.

The highest level of the system's tavr skill card must exceed the expert level!

Expert level only includes the existing techniques.

But with every surgery, every time, there are innovations.

Lu Chen's current vision is no longer satisfied with mastering the current techniques, but to explore more techniques in depth to solve more difficult and complicated diseases.

The patient with aortic stenosis from China successfully completed the TAVR surgery in Lu Chen's hands.

This time, Lu Chen was the chief surgeon and Yamada Kenji was the first assistant.

"Congratulations, the system upgrade completion rate has increased!"

"Congratulations, I received the thank you value from...!"

My days at Mayo are very happy, and my gratitude and system completion are increasing every day.

…

In the blink of an eye, it has been a year since Lu Chen came to Mayo.

During this year.

Lu Chen's name began to have a certain influence in the Mayo Clinic Department of Cardiology.

In the TAVR field, Lu Chen's ability has been recognized by everyone.

"Lu, there is a surgery patient in our team. I would like to ask you to go to a consultation."

"Lu, your team will admit a patient with severe refractory heart failure tomorrow!"

"Lu, there is a global cardiology TAVR summit next week, and the hospital has decided to send you out to participate."

Lu Chen had a good time in Mayo.

There is no excessive intrigue here, everyone is focused on clinical and scientific research.

Everyone gets the same salary!

No one is trying to be a manager.

Lu Chen also has scientific research protection time. About 30% of his time every week can be used to conduct his own scientific research.

Therefore, Lu Chen took advantage of the situation and joined kebed's scientific research team.

This place is not like China. As a fellow, Lu Chen cannot form his own scientific research team.

"Lu, regarding the development of the latest tavr technique, we have to improve the entire system." Kebed said to Lu Chen.

As Lu Chen's abilities were revealed, Kebed paid more and more attention to Lu Chen.

In fact, he hardly manages clinical matters.

All patients are managed uniformly by Lu Chen.

"Okay, Mr. Kebed."

Lu Chen understood that kebed wanted to add their latest technique to this year's tavr guide.

However, the rewriting of the guidelines requires the support of evidence-based medicine.

Simply performing one or two surgeries cannot explain any problems at all.

At this time, Yamada Kenji suddenly walked into the office.

"Mr. Kebed, there is a patient in the coronary team for emergency consultation, and I would like to invite you to come."

Kebed was stunned for a moment, then looked at Lu Chen, "Lu, go ahead, I still have a lot of things to do in the lab."

"Okay." Lu Chen nodded.

Then kebed left.

In the office, only Lu Chen and Yamada Kenji were left.

"Lu Chenjun, Mr. Kebed's scientific research protection time is 50%. I think he wants to develop to 70% of the time, right?" Yamada Kenji raised his eyebrows.

"As the attending physician, Kebed has this power." Lu Chen smiled, "Mayo's management is still very humane. You can take care of both clinical and scientific research, or you can focus on one."

Yamada Kenji spread his hands and said, "Mayo is Mayo, with such resources and conditions. Lu Chenjun, let's go and have a look at the coronary team. Their patient seems to be quite difficult."

"good."

Lu Chen took his stethoscope and came to the coronary intervention team with Kenji Yamada.

…

Mayo's cardiology department is divided into many groups.

Each group has a different focus. For example, the kebed group is currently focusing on tavr, and other groups include coronary intervention, electrophysiology, congenital heart disease, etc.

Lu Chen and Kenji Yamada came to the office of the coronary intervention team.

African American fellow Salate is checking the patient's medical records in the office.

Seeing Lu Chen and Yamada Kenji coming in, he immediately stood up and said, "Lu, you're here!"

As fellows who came from the same batch, they now clearly understand the gap between themselves and Lu Chen.

"Where is the patient?" Lu Chen asked.

"Where's the cath lab!" Zarate said quickly, "I'll take you there now."

"Cath lab? Surgery patient?" Lu Chen was stunned.

"Yes!" Zarate introduced as he led the way, "This surgery was originally a coronary intervention, but the patient's aortic valve also had problems, so our team of attending doctors decided to solve it together."

In other hospitals, it is absolutely impossible for coronary intervention and tavr intervention to be performed by one team.

But at Mayo, every doctor here has many areas of expertise.

Even doctors in the coronary intervention team can perform most TAVR surgeries.

"So what's the patient's condition now? Why did he call us for consultation during the operation?" Lu Chen asked confused.

"It's just that the valve CT before the operation is different from what we found during the operation." Sarat said with a solemn expression, "Lu, you will know when you get to the cath lab."

…

Mayo Cardiology Cath Lab.

In operating room No. 3 at this time.

The three surgeons were at a loss to deal with the patient in front of them.

"We were so unlucky that we encountered a four-leaf aortic valve!"

As the first assistant in the operation, Casas couldn't help but complain,

This was not found in the preoperative CT examination.

"It's useless to talk about it now!" Lambert, the attending doctor in the team, frowned. "Four-leaf aortic valve is very difficult to position. If we do it alone, the success rate is too low!"

The incidence of four-leaflet aortic valve is very low. When performing TAVR surgery on such patients, there are risks such as difficulty in valve positioning and coronary artery obstruction after valve implantation!

"Have you called the doctor from the TAVR team?"

"I've asked for a consultation and should be on the way." Casas said.

"Okay, let's stabilize the patient's vital signs first and wait until the doctor from the TAVR team arrives."

In two minutes, Lu Chen arrived at Catheterization Laboratory No. 3.

"Lu, you are finally here!"

Lambert was not surprised by Lu Chen's arrival.

During the recent TAVR surgery consultations, Kebed basically stopped coming, leaving Lu Chen to do it instead.

Casas on the side didn't say anything.

For Lu Chen, the exam reviewed by fellow was still fresh in his mind, and he was still a little unconvinced.

"How is the patient?" Lu Chen immediately began to look through the patient's medical records.

"We were planning to do PCI+TAVR together." Lambert handed the patient's valve CT examination data to Lu Chen.

"Our original expectation was that the valve disease in UU Reading www.uukanshu.net would not be serious, but now we have discovered four-leaflet deformity."

A normal aortic valve has only three leaflets!

But this patient has an extra leaf!

Lu Chen looked at the patient's CT scan attentively.

CT showed distributed four-leaf valves with smaller sinuses, lower coronary openings, and longer and thicker valve leaflets.

The length of the left and right coronary leaflets exceeds the stj height!

"We have just reassessed that the risk of coronary artery obstruction during valve implantation is very high!" Lambert said, "That's why we invited you here."

Lu Chen looked solemn.

This patient's situation is too special.

There are not only coronary artery disease, but also aortic valve disease. Completing two surgeries at the same time places extremely high demands on the operator!

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