Cardiac Surgery Consultation Room, Affiliated Hospital of Peking Union Medical College

The central position is the authority in the heart field of the affiliated hospital, and Professor Zhang Shanwei, who enjoys the special allowance of the state. On his right, Wang Tao, the vice president of the hospital, is also an expert in the field of heart. Below, there are doctors from the Department of Cardiac Surgery and the Department of Internal Medicine. Yu Xiaoming sat at the back of the cardiac surgery and listened carefully to the experts' discussions.

In terms of Western medicine, although Yu Xiaoming can perform several heart surgeries, his proficiency and speed seem to be very good, and the surgeries can be done quite perfectly. But he himself understands his own shortcomings, and now he is more like a tool, others can use him to do any surgery they want to achieve, but this tool does not think, can only do what others want.

This expert consultation, especially Zhang Lao, who has rarely come forward, personally presided over, but the difficulty of this operation is too great. If the operation can be successful, to a certain extent, it can be said to fill the gap in the country.

This time, the patient was a 79-year-old man who had a heart valve problem. Because of his advanced age, he used the traditional method to replace the valve, and it is likely that the body functions have been aged, and the body simply cannot withstand such a major operation. The patient's family also knows about this situation and knows that the operation is very risky, and even if the operation is successful, it may be due to postoperative recovery problems, at least half a year, and at most a year of life and death.

Such examples can be said to be common in the elderly. In the past, when encountering such surgery, ordinary hospitals or doctors are reluctant to do such surgery for the elderly, and even if many hospitals do such surgery, the vast majority of patients will pass away in a short period of time. On the side of the Department of Cardiac Surgery, we hope that through a safe method, this operation can be successfully completed.

Yu Xiaoming looked at the case in his hand, and he already knew the patient's situation. At the same time, I understand that if such an operation is handed over to myself and the method of combining traditional Chinese and Western medicine is adopted, it will be difficult for this old man to die. Traditional thoracotomy is extremely depleting to the patient's body, but Yu Xiaoming can use traditional Chinese medicine to minimize it. So if this operation is handed over to Yu Xiaoming to do, it will not be a problem at all.

But why did he do it? Yu Xiaoming can also see it now, he wants to be a doctor, not a wet nurse. That's right, he feels like the milk in the online game dungeon now. His miraculous Chinese medicine methods are not for your Western medicine. We also have to earn some face for the Chinese medicine we have mastered.

Therefore, at the beginning of the consultation, Yu Xiaoming closed his eyes and recuperated, just listening to their various discussions. He also heard some people asking whether it was possible to use TCM to stabilize the patient's condition, and then use TCM to restore the patient's recovery after surgery.

Yu Xiaoming pursed his lips and did not speak. No one asked him, and he didn't want to talk. He knew that this guy opened his mouth, just to make a move, the question is, why am I just a wet nurse, I want to be a strong output of DPS.

I'm young and inexperienced, but it's not a heart valve replacement operation, and the videos I've seen are not 1,000 but 800. Technically, it is not a problem at all, and then you have your own magical Chinese medicine, as long as you give yourself a team, such an operation is not a problem at all.

But is it possible? I went to Qi Zhiming and tactfully explained to him that he could be treated. But Qi Zhiming did not agree to Yu Xiaoming's request for the sake of insurance. First, I don't know how much to believe in Xiaoming's words. Second, it is also to protect him, Yu Xiaoming is young, if he takes over this patient, not to mention that the patient's family will not agree at all. Even some other doctors in the hospital will have an opinion, and it is a difficult problem to perform heart valve replacement for elderly people.

If Yu Xiaoming is capable of solving such international problems, they don't believe it. It's not that I don't believe in Yu Xiaoming's traditional Chinese medicine skills. It's just that the method he uses is still based on Western medicine, supplemented by traditional Chinese medicine. This gives them an unforeseen view of the risks of the operation. If Yu Xiaoming said that this kind of heart disease can be treated with traditional Chinese medicine methods, they may let them try it, after all, they have seen Yu Xiaoming's traditional Chinese medicine methods. Moreover, Chinese medicine is relatively mild, even if it does not work, it is completely possible to use Western medicine. But the method used for Xiaoming, if it fails, the person dies. The impact was too great.

Yu Xiaoming is young and not famous, and he is just a freshman who has just graduated from his bachelor's degree, if the patient dies because of this operation. The patient's family can complain to the hospital or even the higher authorities about their qualifications. This is not good for the hospital or Xiaoming itself. And he is still young, and he is older than his own children, if this incident leaves any shadow in his psyche. A genius in the field of medicine may be so completely depressed, then his sin is great.

So no matter what, Yu Xiaoming will not consider taking over this operation. Ordinary minor surgeries, mature surgeries, Yu Xiaoming used them to practice his hands, and then increase his fame, which is nothing, but this operation is obviously impossible.

"Doctor Yu, with your traditional Chinese medicine methods and Western medicine, can you ensure that the patient can persist until the operation is completed?" It was Vice President Wang Tao who spoke, and he was deeply impressed by Xiaoming. He came out of cardiac surgery, and he naturally knew about the genius of cardiac surgery. Moreover, some doctors have proposed that it is completely feasible to use Western medicine and Chinese medicine to complete this operation if Chinese medicine can keep up. In terms of traditional Chinese medicine, only Yu Xiaoming has this ability.

Yu Xiaoming pursed his lips and didn't want to answer. But when the leader asked, he had to say it again. Dare to doubt the uncle's traditional Chinese medicine skills, isn't that the old birthday star eating arsenic and living impatiently?

He was about to blurt out when a sudden pain came from his calf. The sudden change suppressed the urge to speak just now, and glanced at Qi Zhiming next to him. I saw that he kept giving himself a look. Yu Xiaoming knew that he was asking himself not to be impulsive. If you are not completely sure, you must not take this risk. The patient's family is not an ordinary person, and it will be difficult to end this matter if it is not done well.

Wang Tao saw Yu Xiaoming's embarrassed appearance and thought that he was not completely sure. pressed his hand and said, "Then let's do it, I don't know who else has any good ideas?" ”

Yu Xiaoming was helpless, this was obviously a good opportunity to become famous and enhance his prestige, but Qi Zhiming didn't let himself do it. Qi Zhiming takes good care of himself, and it must make sense for him to do this. I've only been in the hospital for a short time, and it's really embarrassing.

I was just about to continue to audit, but I suddenly remembered that some time ago, when I used the Queen's account to log in to a foreign medical forum, I saw a foreign scholar put forward a hypothesis. It seems that this hypothesis is theoretically feasible.

"Elder Zhang, Dean Wang, I have a way here, can I say it?" After all, this thing has not even been tested abroad, it is just a theoretical idea, so what he said is very unconfident.

Zhang Shanwei has just learned about Xiaoming, a young man, and knows that this is the leader of the younger generation in the hospital, with unparalleled medical talent. He has been able to complete many heart surgeries with his reading ability, and he also has a magical Chinese medicine method, which has performed well in many surgeries.

"Don't worry, even if it's a flash of inspiration, just bring it up and give us all an idea. Even if it doesn't, we can't blame you, and it's good to be able to speak boldly. Zhang Lao was full of encouragement for the young reserve for Xiaoming's words, whether Yu Xiaoming's idea was feasible or not, his courage was worthy of appreciation.

Yu Xiaoming breathed a sigh of relief and recalled the article he had read before. After sorting out the language, everyone in the audience focused on him, and suddenly he became the focus of the audience.

Zhang Lao smiled, nodded to him encouragingly, and motioned for him to relax.

"Elder Zhang, Dean Wang, this line of thought of mine is actually not my way of thinking. Some time ago, when I browsed foreign medical forums, I saw that foreign scholars put forward a new kind of thinking, and they believed that in theory, the use of minimally invasive methods can replace heart valves for patients. ”

As soon as Yu Xiaoming's method came out, everyone talked about the minimally invasive method of replacing the heart valve.

With this beginning, some people who began to feel unbelievable and fantastical, after thinking about it carefully, also admitted that the minimally invasive method seems to be able to do this.

Some parts of the heart field are minimally invasively replaced, and there is a very professional name called transcatheter aortic valve implantation. All of the people present had had had heart stent surgery and were no strangers to this surgical method. The minimally invasive method of heart valve replacement is to introduce the technique of stent placement to valve replacement, but compared with the former, the latter is more difficult and risky.

But this is a feasible method after all, and as long as the right way is found, the risk of surgery can be even better. It is also less risky than traditional thoracotomy heart valve replacement surgery.

At this time, quite a few people had already picked up the patient's case and began to make a feasible surname argument in relation to the patient's condition in combination with this new idea.

The size of the valve on the aorta is different for everyone, and too big or too small is not good for the heart. Before this surgery, it is necessary to determine the size of the implanted valve and ensure that the most accurate valve replacement is achieved. This method is not like the traditional thoracotomy replacement valve, where the valve is not suitable and can be rested on site. This point is understood by everyone present, and they also know that this valve must be accurate, and how to determine the accuracy of the valve to be replaced is the first difficulty to overcome.

Secondly, how to wrap the valve so that the valve will not be damaged during the implantation process. In short, although this method is possible, almost every point has difficulties.

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The first more is delivered, kneeling for collection, kneeling for support!!

Thank you (scarecrow), big self, harmony attention, and shushanyoul for your generous tip!

Thanks to the small renewal ticket that I love sugar cane!

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