Huo Shuangqing is also an expert in cardiology, so how could she not know that radiofrequency ablation is one of the most effective means to cure atrial fibrillation? But she knows better that this kind of surgery is to puncture blood vessels and release radiofrequency currents inside the heart, thereby causing coagulative necrosis of the subendocardial myocardium, so as to achieve the purpose of destroying the origin of arrhythmia.

"Kill a thousand, and lose eight hundred." Although the effect of this surgery is remarkable, Huo Shuangqing is still a little hesitant. If the young people are better, once the elderly have this kind of surgery, it is likely to lead to heart failure, if this complication really occurs, then the elderly will incur a lot of medical expenses in the later stage, the key is that the old man's body will deteriorate.

If it weren't for Zhou Yi's magical performance, at this time, Huo Shuangqing would not hesitate to go to the radio frequency. But Zhou Yi made her see another hope, and she didn't want to use radiofrequency ablation in such a hurry, after all, the patient was over 70 years old, and the treatment with this method was more of an 'explanation', but it was not really for the sake of the patient.

"What is radiofrequency ablation?"

Zhao Xuechu asked, it was about his mother, so he naturally had to be cautious.

"This can't be done, is this called curing? Let the myocardium coagulate and die? My mother is seventy-two, how can she stand it!"

Zhao Xuechu snorted coldly, he didn't give Hua Wenfeng any face at all, and turned his gaze to Zhou Yi again: "Doctor Xiao Zhou, I just want to hear your opinion." ”

"Xiao Zhou, tell me what you think?"

Huo Shuangqing looked at Zhou Yi very seriously: "If you have an opinion, just say it, as long as it is good for the patient, there is nothing to worry about." ”

Hua Wenfeng looked at Zhou Yi with a sneer: "Say, I also want to hear what you can say." Although Zhou Yi's previous methods were magical, they did not completely cure the patient after all, which gave him confidence, and he felt that Zhou Yi was nothing more than that.

"Director Huo. Mr. Zhao. I think it would be extremely irresponsible for the patient to blindly use radiofrequency ablation before the cause is found. Zhou Yi shook his head and said: "The patient is over 70 years old, and there is an eighty percent chance of heart failure after radiofrequency ablation at this age." I think everyone should understand, what is the concept of heart failure in a seventy-year-old man?"

Speaking of this, Zhou Yi glanced at everyone: "We can't 'cure' the patient, but not long after being discharged from the hospital, let the patient fall into a sick body, right?" What other face to face the patient?"

"Zhou Yi, you have to pay attention to proportions when you speak!" Hua Wenfeng was about to be mad by him. This kid is obviously coming for himself, and he deliberately glanced at Lao Tzu before speaking? Nima, what do you see: "Even in the United States and Hong Kong, radiofrequency ablation is also the best way to treat atrial fibrillation! The surgical standard of our hospital is not necessarily worse than that of foreign countries, right?" He seems to be quite patriotic.

"Hehe, then I'll ask Director Hua ......"

Zhou Yi said leisurely: "Don't talk about foreign countries, let's talk about our own hospital." We have also done a lot of radiofrequency ablation surgery, which is a minor operation in itself, not to mention any technical level. The point is. Under what circumstances did we do it? I think there are two situations!"

"One is secondary atrial fibrillation after cardiac surgery. For example, radiofrequency ablation will be considered if atrial fibrillation is caused by mitral valve replacement and cannot be converted to 'sinus rhythm' for more than a week, and atrial fibrillation may cause heart failure in severe cases. Even so, it is necessary to comprehensively consider the age and physical condition of the patient, and if it can be treated conservatively, it is still necessary to treat it conservatively. ”

"The second scenario. It is primary atrial fibrillation, and it is generally difficult to wait for conversion to sinus with conservative treatment, even if it is barely treated conservatively. Usually after a period of time, it is still necessary to use RF means. Zhou Yi smiled: "But these primary atrial fibrillations have very obvious 'arrhythmia origin points', and with the X-ray angiography machine, they can be accurately ablated, and the prognosis of the operation is good." But is this the case with the patient Zhao Shuyi, Director Hua?"

Hearing this, Dr. Guo, who was standing behind Hua Wenfeng, couldn't help but stiffen: "How is it possible? How is it possible? He is just a recent master's degree, and it is said that he has never even experienced an internship, and it is obvious that he became a resident doctor because of Dean Liu's relationship, how did he see the problem?"

Huo Shuangqing was also stunned. As the chief director, she has to be in charge of the eight major departments of the Chinese medicine department, how can she go to see every case in detail? Zhao Shuyi's case she has seen in detail, but most of her attention is on the diagnosis opinions of the doctor in charge in the early stage, at most she is looking at the conclusions of various reports, and there is really no examination of each item, and she looks carefully at each picture. It's like the commander of the three armed forces, she can't take on the job of a scout.

However, when she was discussing the treatment plan with several directors, Zhou Yi looked at the old lady's angiography and found nothing at first, but after a closer look, she found the problem.

Although Hua Wenfeng is not the doctor in charge directly, but the patient is in his department, he has time to see this problem, but why doesn't he bring it up? On the contrary, he wants to give the patient radio frequency means? Huo Shuangqing has to question the character of this chief physician, in her impression, Hua Wenfeng is not this kind of person, did he give up the principle of a doctor in order to compete with Zhou Yi?

After listening to Zhou Yi's words, and seeing Hua Wenfeng's somewhat stiff face, he immediately felt that something was wrong, and after glancing at him coldly, he quickly turned out the angiography of Mrs. Huang Shuyi from the file bag beside him, and looked at it seriously.

"Hua Wenfeng, what's going on? You need to give me a reason!"

What kind of experience did she have? Soon she saw what the problem was, and in a fit of rage, she threw the film on the desk and glared at Hua Wenfeng coldly......

"Is there a problem?" Hua Wenfeng took the angiogram and looked at it carefully: "This ...... How is this possible, the patient's 'arrhythmia origin point' is too strange, too strange...... This...... There are only three cases of this kind in the world!"

Although only one of the 'arrhythmia origin points' shown on the angiography chart is the most obvious, if you look closely, you can see that there are dozens of small dots arranged like spider webs around the origin point, and if you don't look carefully, it is really easy to ignore.

"Director Hua is right, this 'spider web arrhythmia origin point' was first discovered in a patient in Australia......

Huo Shuangqing looked at Hua Wenfeng, who was at a loss, and seemed to understand something, and turned to look at Dr. Guo behind him: "At that time, the Australian hospital also used radiofrequency ablation to knock out the largest origin point, but what was the result? Because of the coagulative necrosis of the subintimal myocardium, conditioning reflexes were generated, which successively triggered the remaining thirty-seven micro origin points. Later, two cases were found in the United States, but they both found the cause of the 'origin point of spider web arrhythmia', and successfully saved the patient through corresponding surgery. ”

"Director Hua, the general diagnostician in the laboratory department didn't find this problem, didn't you find it either? You are the chief physician, and you are an expert in the eyes of the patient!" Huo Shuangqing became more and more excited, and his chest rose and fell violently: "Even if you are not the doctor in charge of the patient, but Guo Yun is your student and the doctor in charge of the patient, haven't you followed up on everything?"

"Director Huo, I'...... It was my negligence, I didn't see the angiogram, and I blindly believed the diagnostician's diagnosis, it was my fault, I shouldn't have been so careless. Hua Wenfeng glared at Guo Yun angrily: "Guo Yun, are you going to deal with me like this? Tell me, what's going on!"

"Teacher, I admit that I found out about this problem and hid it just now......"

Guo Yun glanced at Zhou Yi with some resentment: "But who am I for? Since you know about this case, you should know that even Americans must find the cause of the disease before they can take effective treatment." For this reason, I have also looked through the two cases in the United States, but the cause of those two cases does not exist in Zhao Shuyi, that is to say, the cases in the United States have no reference effect for us!"

"Our hospital is already a well-known tertiary hospital in Henan Province, and we have tried our best to find out the cause of the disease, even if we transfer the patient to Kyoto and the magic capital, I am afraid it will be the same result! The old lady has a special status, and we must not make any mistakes, let alone say that we cannot be cured. So ......"

"So you conceal the true condition of the patient and rush to use radio frequency means?" Huo Shuangqing said: "If the patient is like the Australian patient, who induces heart failure and dies soon after being discharged from the hospital, can you be worthy of your conscience?"

"Director Huo, this is originally a dead horse as a live horse doctor. Huang Shuyi's condition is so strange that there is no precedent at all, since no hospital has a 100% effective treatment method, then radiofrequency ablation is the only effective method. Just because a patient in Australia is suffering from heart failure doesn't mean that she will have the same problem? Speaking of danger, what surgery is not dangerous? Shouldn't the patient's family have to sign for those surgeries with a success rate of no more than 20 or 30 percent?

Guo Yun sneered and glared at Zhou Yi fiercely: "I just can't get used to seeing some clowns so proud!"

"Haha, surnamed Guo, I understand, you are really a king~ bastard!"

Zhou Yi sneered: "Paralysis, people only start when they have figured out the operation, even if the risk of surgery is as high as ninety percent, the family members will admit it." What are you calling this? Aren't you taking people as white rats? You keep saying that for the reputation of the hospital, I think it's for yourself, right? If the old lady dies after being discharged from the hospital, it's because she's unlucky, and it has nothing to do with you. If she's lucky, it'll be your credit, you can write a paper with this case, mix it up, put on a vest and become a brick family, right? I'm a real villain, but I'm a hundred times stronger than you, a hypocrite!"

"Good scolding!" Huo Shuangqing's face turned pale: "Guo Yun, you get out of here!" (to be continued......)