In the past few days at the National Association Hospital, medical staff and students from various departments have been actively discussing the case of Bed 22 in the Department of Cardiac Surgery in private.
Why do you all start to care so enthusiastically about cardiac surgery patients when you are not from the department of cardiac surgery?
First, let's talk about the complaints of the cardiac surgery interns that night. They were driven away early by the on-duty doctor Pan Shihua, and they didn't get to see the legendary Chinese medicine master Teacher Wen. These people were so disappointed that they even scolded Dr. Pan for being a senior.
Doctor Pan Shihua: Can you blame me? You should blame Doctor Fu who gave the order. Doctor Fu just didn't let you see his fiancée.
After the news spread, everyone knew the truth about who had been hiding his mistress for many years.
Then, you have to know that the National Medical Association is a high-level medical institution, and the main topic of discussion can never be personal gossip, and it must all be centered around medical topics. Therefore, no one really discussed the personal gossip between Dr. Fu's fiancée and Dr. Fu, because serious doctors never like this kind of gossip.
Look at who those interns are blaming: Mr. Wen, Teacher Wen.
Everyone is curious about Teacher Wen’s traditional Chinese medicine techniques.
"Mitral valve stenosis can cause tricuspid valve problems, which is very common. They can check the tricuspid valve during the surgery and treat it together."
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"Don't you know why the patient came to our National Association to pursue Dr. Xie for surgery?"
Traditional mitral valve surgery includes the newly developed full-thoracoscopic mitral valve surgery. The most commonly used surgical route is through the right atrium to the atrial septum and then to the mitral valve. This surgical route is closest to the mitral valve and is easier to operate than other routes. Another surgical route is to make a small incision directly from the left ventricle, which is more difficult to do.
"Can Dr. Xie perform the latter type of surgery?"
“She can, and she does it very well.”
If the examination only revealed a problem with the mitral valve, the patient certainly would not want the doctor to remove his right atrium and would want to operate directly on the affected area. It is not surprising that the patient chased Dr. Xie all the way to the National Association for Disease Control.
"This patient can undergo interventional surgery if the mitral valve disease is not very severe."
Mitral stenosis does not necessarily require surgical intervention. It can be solved by interventional surgery. The latter is mainly aimed at patients with less severe lesions and should meet the patient's medical requirements.
In fact, patients' requirements for treatment are diverse, just like shopping in a shopping mall.
Patients like this, after learning from other sources that interventional surgery is prone to recurrence, prefer to undergo a replacement surgery. Although the latter is also not a permanent solution, the chance of reoperation is lower than that of interventional surgery.
After hearing this, everyone finally understood why Dr. Fu Xinheng was so cautious about this type of case that he even invited someone to come for a consultation.
You asked if this case was difficult to handle. Maybe it was not difficult for Dr. Xie. What is the difficulty? What if there is a problem if you do not perform the most common surgical method?
Medical disputes often occur in such places, which requires foolproof preparation.
As a leader, Dr. Fu was right to be overly cautious.
Everyone nodded: Dr. Fu’s nickname of robot is not false, he is really following the established procedures.
"In this way, Dr. Wen is really amazing."
Indeed, Mr. Wen pointed out that the lesions will appear after a week. If the surgery is performed within this week, even if the most common surgical route is taken and the tricuspid valve is checked at the same time, no problem may be found.
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