Sleepless Doctor

Chapter 337: Tricky patient

A private hospital on the outskirts of Natick, Massachusetts, is quiet and peaceful, with birds calling from time to time, and the years are peaceful.

   But the quiet years are just the appearance, the meeting room on the top floor of the hospital, the atmosphere is solemn, as if winter is approaching.

  CEO Jack Jones sat at one end of the long conference table, looking at the various medical data on the opposite screen, with a cold expression on his face.

  The patient is a crown prince from the Middle East. At the age of 78, he has already lost the possibility of becoming a king, but he has a lofty status and...a huge amount of money.

   But as we get older, money cannot reverse the aging of the body.

   His muscles gradually loosened and weakened, and his heart began to have problems. Although the most advanced technology is available for treatment, it has reached the stage of severe mitral regurgitation, massive regurgitation and heart failure.

  In Jack Jones's opinion, His Excellency Prince Apdul Aziz has faced death head-on, perhaps now or in the near future, he will die quietly at a certain moment.

   This is the best result. It is always better than heart failure and using machines to extend meaningless lives.

   One month ago, Crown Prince Apdul Aziz came to the United States to seek treatment. After consultation with the top experts, surgical procedures were first ruled out.

   Crown Prince Apdul Aziz is too old, and his heart function is particularly poor. For him, thoracotomy is an insurmountable gap.

   It is indeed difficult for the elderly to bear the huge blow of thoracotomy, even under general anesthesia, it may make Apdul Aziz’s old and weak heart stop beating anytime and anywhere.

   Apdul Aziz is honored for his status and money, but it is also because of his status and money that no doctor is willing to carry out surgical treatment for him with huge risks.

   The operation failed, and a series of complex issues such as Apdul Aziz’s huge family and inheritance will be triggered. As a surgeon, there is no doubt that he will be pushed to the front desk to accept the baptism of the storm.

  The nationwide and even the world’s top cardiac surgeons consulted, and finally decided to use interventional surgery for minimally invasive treatment.

   The mitral valve is located at the apex of the human body and is the valve between the left atrium and the left ventricle. The mitral valve is like a door, blocking blood from entering the left atrium.

When various reasons affect the mitral valve and organic disease occurs, as the heart contracts, part of the blood enters the aorta normally; but because of the insufficiency of the mitral valve, another part of the blood enters the left atrium and does not participate in blood circulation .

   If there is only a small amount of reflux, the human body can adapt to it. This is the so-called compensation period.

   But as the mitral valve regurgitation increases, the regurgitant flow into the left atrium can reach more than 50% of the left ventricular discharge.

   In this case, the left atrium receives blood from the left ventricle in addition to the blood returning from the pulmonary veins.

   Therefore, the increase in left atrial pressure can cause an increase in pulmonary vein and pulmonary capillary pressure, which in turn will dilate and congestion. At the same time, the diastolic volume load of the left ventricle increases, causing the left ventricle to expand.

   After a series of reactions, the patient's condition became worse and worse, and finally broke the balance. Even getting out of bed for a walk has become an extremely luxurious thing.

  Patients can only lie on the hospital bed to minimize the body's demand for arterial blood and give the weak heart a chance to survive.

   Orchid's mitral valve clip has a limited effect, and clinical trials can only be effective for a small number of patients.

   However, due to various pressures, and Apdul Aziz’s physical condition and willingness, mitral valve closure was performed under interventional surgery.

   And Apdul Aziz’s mitral regurgitation is more suitable for Lanco’s new products to some extent.

   Minimally invasive surgery has a very small impact on the patient, which is within the tolerance of Apdul Aziz. Jack Jones also knows that mitral valve closure under interventional therapy can only benefit the patient's condition to a certain extent, but it cannot cure it.

   can extend life span by several years, and Apdul Aziz is also very satisfied with this.

   So 23 days ago, Professor Saipan Carr performed an interventional operation and used Lanco's new consumables to perform a mitral valve closure operation for Prince Apdul Aziz.

  Surgery...the effect is hard to say.

   After the operation, Apdul Aziz did improve to a certain extent, which is refreshing news. But 1 week has not passed, and the patient's condition has taken a turn for the worse, and severe heart failure has appeared again.

   After a series of rescues in the private hospital controlled by Rank Corporation, Apdul Aziz barely stayed in this world and did not return to God.

   Because the situation has deteriorated rapidly, the family of Apdul Aziz invited the world's top cardiac surgeons and circulatory interventional doctors for a consultation. The location of the consultation is in this hospital of Orchid.

"The situation is clear, I still recommend taking the risk of surgical treatment." A circulatory intervention doctor said, "Ultrasound evaluation showed that the patient's posterior lobe prolapsed range was very large, with both reach and P3 prolapsed, and the width of the reflux neck Up to 13mm. Severe mitral regurgitation leads to poor heart function and low blood pressure. Professor Saipan Carr has completed his mission, and it turns out that interventional surgery is not perfect~www.wuxiaspot.com~ There is no way... "

   Jack Jones didn't listen to the next words, he was quite disgusted with this statement. He knew what the doctor meant, but what the doctor said to some extent negated the efforts made by Orchid Corporation over the years.

"Surgery has huge risks. I believe that no doctor is willing to perform this operation. Even if Professor Saipan Carr can convince the crown prince, I will not perform this type of operation with a success rate of less than 30%." Stephen Dadley of Mayo, dressed in a white suit, sat in a chair and said.

   As a doctor from the Mayo Clinic, Stephen Dadley, who is known as the world's strongest surgeon in heart surgery, still weighs heavily in his opinions. Except for Wu, who is far away, no one can ignore his judgment.

   He directly cut off the possibility of surgery.

But Stephen Dadley seemed to feel that it was not enough, and continued, “Even if the 30% possibility becomes a reality, the huge trauma of surgery is still a problem. After the postoperative recovery, Crown Prince Apdul Aziz still has more than half. Chance of death."

   "This is my suggestion."

   "Interventional surgery has proved that it is limited by existing technology and cannot accomplish this impossible mission." Professor Saipan Carr retorted.

   Next, the interventional doctor started a quarrel with the outside doctor, which made Jack Jones upset.

   The failure of the operation not only means that the friendship located in the Middle East kingdom cannot be obtained, but more serious is that the mitral valve clip that Orchid has invested heavily in research and development cannot be used in clinical applications.

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