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Chapter 1313 Mitral Valvuloplasty

"Our director leads the team to check a room." The young resident doctor jogged into the ward, first notified him, and then pushed a few annoying benches aside.

For young doctors, the director's rounds for any reason are considered a big deal, at least equivalent to the level of an in-class test. For example, when a large number of doctors in departments gather, any behavior during rounds will be extended into a face-saving existence.

If you are in an internal medicine outpatient clinic, a doctor's reputation among colleagues is 50% reflected in the ward rounds.

Although surgery is much rougher, it still has many tests on young doctors. Some of the young doctors who have bed tasks can't help but peek at the cheat sheet.

The patients and family members in the ward were also extremely active. They helped to clean up, and some people also stood up to wake up the patients.

Several people obviously knew that the director was very different from ordinary doctors. The family members of the patient at bed 100 asked immediately: "Is it Director Huo?"

"Yes, Director Huo and Dr. Ling Ranling were with him." The young resident explained.

The patient's family stood up "oh" and took a photo of his father lying on the bed twice at the same time, saying, "Doctor Ling is the doctor who has agreed to be the chief surgeon, and there are famous people all over the country."

"Dr. Ling just returned from Cleveland Hospital. Cleveland Hospital has the world's number one heart center. Dr. Ling is very popular and recognized in Cleveland. We probably will also shoot promotional videos later, and there are a lot of news now." The young resident doctor whispered.

For the young doctors of Yun Doctor, the Cleveland Clinic is also a very high-end place.

The patient's family nodded repeatedly: "I know Cleveland Hospital. I have contacted an overseas medical agent before, and the introduction of Cleveland Hospital. Later, for various reasons, I still didn't go there."

"You have also contacted an agent who went abroad. We have consulted it, but in the end I still feel worried. I am still unfamiliar with the place abroad and the cost is also expensive..." The family members of bed 101 next door interjected a sentence and started chatting with the family members of bed 100.

"You can't use medical insurance abroad." The patient in bed 102 also listened with his ears.

"That's sure. The commercial insurance we bought in China is basically not allowed to go abroad for medical treatment, let alone Cleveland Hospital. It costs millions of dollars more to do heart surgery on its own." The family members of Bed 101 sighed as they said.

"We are doing it at Yun Doctor, and 100,000 yuan should be enough." The patient of 102 frowned and asked directly about the young resident doctor at the door.

The resident doctor hesitated for a few seconds and said, "If you have medical insurance, there should be no big gap, but it depends on the specific situation."

"That's not what you said before." The patient of 102 breathed, lifted up the quilt, and sat up directly: "My body is not that bad either. I spend too much, so I won't do it."

"Dad..." The daughter who was accompanying the bed shouted helplessly: "Your health is like this. If you don't do it, is it easy for us to arrange this hospital bed? Don't be so willful, okay?"

"I have saved up so much money in the past few years since I drove the truck. I can't just hand it over to the hospital. I won't tell you how much money I spend, I have to have a count. I can't finish the surgery and I'll have a lot of debts..."

The resident sighed and explained patiently: "I will tell you something, for example, if you have been anesthetized for 4 hours or 6 hours, are the amount of anesthetics you use different? Then, when calculating the cost, are they different?"

The 102 truck driver was stunned for a moment and wanted to refute, but was grabbed by his daughter again.

"My dad just feels sorry for money, and there is no other meaning." My daughter Xiaoyi explained: "My dad used to drive a big car. After resting in the past two years, he has no sports car and has to spend money to take medicine, so he always wants to save a little..."

The inpatient nodded and didn't say much. Patients with different family conditions are also sensitive to medical expenses. The family conditions of No. 100 and No. 101 are obviously good, but they have not yet reached the level of being able to go to the United States for a heart surgery at their own expense, so I can only take a look. The expected expense of millions of dollars is obviously not something that ordinary people can afford.

The patient's conditions on No. 102 are several levels worse. Although it is not enough to not get tens of thousands of yuan or hundreds of thousands of yuan, it is obvious that every extra ten thousand yuan will increase his financial and psychological burden.

The resident turned his head slightly. With his salary level, he now needs to do a heart bridge. It is probably the same. There is no way to do sympathy.

"Shall the poor people in the world and enjoy their faces" has never been a dilemma that doctors can solve. The so-called "advancement" saves the world, and retreats" saves the people. There are many difficulties in saving the people, but the road to saving the world is full of fog.

Krakkakkakkakka.

A group of doctors surrounded Huo Congjun and Ling Ran and came into the door.

The three patients and their families who were still talking and talking just now stopped voluntarily.

"How do you feel today?" Huo Congjun met and asked about his condition directly, making a little pretending.

Of course, he doesn't understand cardiac surgery, but he pretends to ask questions and is a director.

The patient on No. 100 sat up a little, covered his chest and said, "I still feel a little uncomfortable. Director, when can I have surgery?"

"You need to lower your blood sugar." Ling Ran looked directly at the test form in IPAD and took over the conversation.

"My blood sugar is not too high..."

"After lowering blood sugar, the safety and prognosis of the surgery can be significantly improved, and the sugar level must be continued." Ling Ran did not have the intention to discuss with the patient. These are clear evidence-based conclusions. Unless a Lancet-level paper is submitted, the patient or his family will definitely not accept refutation.

Huo Congjun happily retreated to the second line and watched Ling Ran perform.

The patients and family members in the ward seemed to be shining with dazzling eyes. Looking at Ling Ran, who was surrounded by stars, someone even had a smile and lust that they had not yet noticed.

Ling Ran analyzed and observed the patient's reports as always, and did a physical examination at the same time, and asked him to tell me what the difference was...

The sensation of a patient with a 300 pound is indeed very different.

Ling Ran poked one palm and when he used his strength, he could bury most of his hand in the patient's flesh.

The slightly greasy feeling made Ling Ran not like it very much, but he still gave everyone a physical examination.

When he was the veteran driver of No. 102, Ling Ran only listened to the sound for a moment, then put down the stethoscope and took out the IPAD again and started to watch.

"Have you ever diagnosed mitral valve regurgitation before?" Ling Ran checked IPAD and listened again, and asked the veteran driver of 102.

The old driver shook his head blankly.

The daughter became anxious: "If mitral valve regurgitation, is the condition worsening?"

"Many patients with acute myocardial infarction or long-term coronary artery sclerosis have chronic mitral valve regurgitation, but your father's condition is relatively serious." Ling Ran put away the stethoscope and said with certainty: "The signs of mitral valve regurgitation are already very obvious. You can do a few tests to clarify."

Ling Ran started an inspection as he said that.

"I know mitral valve regurgitation..." the daughter whispered: "So, can I still have surgery in this case?"

"If it is more serious, it is recommended to intervene in the mitral valve while operating bypassing the bridge." Ling Ran said.

“How to intervene?”

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"Mitral valve pilloplasty, or mitral valve replacement." Ling Ran put down IPAD and said: "I am good at mitral valve pilloplasty. If mitral valve replacement is needed, I need to find another doctor to cooperate."

Mitral valve plasty (master level) was a task he completed when he went to Cleveland: expanding the field, and was drawn from the intermediate treasure chest he gave.

The 100 heart bypass cases required by his mission have met the requirements during Ling Ran's Cleveland Clinic.

However, in the Cleveland Clinic, among the cases screened by professional cardiologists, there were no patients with severe mitral valve regurgitation, and this skill was never useful.

In other words, the patients provided by the Cleveland Clinic are all relatively simple patients who need heart bypass. Even if there are more complex underlying diseases, the surgical procedures required are coronary artery bypass transplantation.

But in Yun Medical, although Huo Congjun also found Director Kang, who was indifferent to the heart, his technical strength was obviously still poor.

Ling Ran found obvious problems just after checking the third patient.

However, Ling Ran was not dissatisfied with this. The symptoms of chronic mitral valve regurgitation are themselves hidden, and many patients have coronary ischemia. Therefore, it was not until the preoperative examination that the accompanying mitral valve regurgitation was found, which can be said to be very common, but it is nothing more than whether surgical intervention is needed.

The patient and his family were already anxious.

The old driver sat up and couldn't help but say, "How much does that cost?"

Ling Ran was about to answer, but the patient's daughter had already wiped her tears: "Money is money... can we stop talking about money!"

The old driver's weathered cheeks became gentle: "If you don't talk about money, where does the money come from?"
Chapter completed!
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