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Text Chapter 80 A brand new surgery?  (please collect)

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    In the center of the Cardiac Surgery Consultation Room of the Affiliated Hospital of Union Medical College is Professor Zhang Shanwei, who is an authority in the cardiac field of the Affiliated Hospital and enjoys special national allowances.  On his right side, President Wang Tao, the vice president of the hospital, is also an expert in the heart field.  Below are doctors from cardiac surgery and general internal medicine.  Yu Xiaoming sat at the back of the cardiac surgery department and listened carefully to the experts' discussion.  In terms of Western medicine, although Yu Xiaoming can perform several heart operations, his proficiency and speed seem to be very good, and he can perform the operations quite perfectly.  But he understands his own shortcomings. Now he is more like a tool. Others can use him to perform any surgery they want, but this tool cannot think and can only do what others want.  This expert consultation, especially Mr. Zhang, who has rarely appeared in person, personally presided over this consultation, but this operation was too difficult.  If the operation can be successful, to a certain extent, it can be said to fill a gap in the country.  The patient this time is a 79-year-old man with a heart valve problem.  Because of his advanced age, he had to use traditional methods to replace the valve. It was probably because the body's functions had aged and his body simply could not withstand such a major surgery.  The patient's family also knew about this situation and knew that the operation was very risky. Even if the operation was successful, it might take as little as half a year or as much as a year to survive due to postoperative recovery problems.  Such examples can be said to be common among elderly people.  Usually when encountering such an operation, most hospitals or doctors are not willing to perform such operations on the elderly. Even if many hospitals perform such operations, most of the patients will die within a short period of time.  The cardiac surgery department hopes that this operation can be successfully completed through a safe method.  Yu Xiaoming looked through the cases in his hands, and he already knew the patient's condition well.  At the same time, I understand that if such an operation is left to me and uses a combination of traditional Chinese and Western medicine, it will be difficult for this old man to die.  Traditional thoracotomy takes a huge toll on the patient's body, but Yu Xiaoming can use traditional Chinese medicine to minimize the damage.  Therefore, if this operation is left to Yu Xiaoming, it will not be a problem at all.  But why would he do this?  Yu Xiaoming can now see that he wants to be a doctor, not a nanny.  That's right, he feels like he's like the one in the dungeon in the online game.  His miraculous traditional Chinese medicine methods are not meant to give you a leg up on Western medicine.  We have to earn some face for the Chinese medicine practitioner we have.  Therefore, at the beginning of the consultation, Yu Xiaoming closed his eyes and rested his mind, just listening to their various discussions.  He has also heard people ask whether TCM methods can be used to stabilize the patient's condition, and then use TCM methods to restore the patient's recovery speed after surgery.  Yu Xiaoming curled his lips and said nothing.  No one asked him, and he didn't want to talk.  He knew that when this guy opened his mouth, he just wanted to call him to take action. The question was, why should I be a wet nurse? I want to be a powerful DPS output.  ¡°I am young and inexperienced, but it is just a heart valve replacement surgery. I have watched as many as eight hundred videos.  Technically, it is not a problem at all. With my magical Chinese medicine, as long as I have a team, such an operation is not a problem at all.  But is it possible?  I went to see Qi Zhiming and explained to him tactfully that I could treat him.  However, Qi Zhiming did not agree to Yu Xiaoming's request for the sake of safety.  Firstly, I don¡¯t know how much to believe Xiaoming¡¯s words.  Secondly, it was also to protect him. Yu Xiaoming was young. If he took over this patient, the patient's family would not agree at all.  Even some other doctors in the hospital may have opinions on performing heart valve replacement on elderly people, which is a relatively difficult issue internationally. ?? If they say that Yu Xiaoming has the ability to solve 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 makes them unpredictable about the risks of surgery.  If Yu Xiaoming said that this type of heart disease can be treated with traditional Chinese medicine, they might give it a try. After all, they have seen Yu Xiaoming's traditional Chinese medicine methods.  Moreover, Chinese medicine is relatively mild, so even if it doesn¡¯t work, you can still use Western medicine.  But if the method used for Xiaoming fails, the person will die.  That had a huge impact.  Yu Xiaoming is young and not well-known. Moreover, he is just a freshman who has just graduated from undergraduate degree. If the patient dies because of this operation, he will not be able to survive.  The patient's family members can complain to the hospital or even superior departments about Yu Xiaoming's various qualifications.  This is not good for either the hospital or Xiaoming itself.  And he is still young, a little older than his own children. If this incident left any shadow on his psychology.  If a genius in the medical field could become completely depressed like this, then his sin would be great.  So no matter what, he would not consider Yu Xiaoming taking over this operation.  Ordinary minor surgeries, skilled handsIt's okay for Yu Xiaoming to use it to practice his skills and increase his reputation, but this operation is obviously impossible.  "Doctor Yu, using your traditional Chinese medicine methods and Western medicine, can you ensure that the patient can persist until the operation is completed?" The person who spoke was the vice president Wang Tao, who was deeply impressed by Xiaoming.  He graduated from cardiac surgery, so he naturally knew about the genius of cardiac surgery.  Moreover, some doctors have suggested that this operation can be completed using Western medicine plus Chinese medicine. If Chinese medicine can keep up, it is completely feasible.  As for Chinese medicine, only Yu Xiaoming has this ability.  Yu Xiaoming curled his lips and didn't want to answer.  But when the leader asked, he had to speak.  If you dare to doubt the uncle's ability in Chinese medicine, is it because the old man has eaten arsenic and become impatient?  He was about to blurt out, but he suddenly felt a pain in his calf.  The sudden change made him suppress the urge to speak and glanced at Qi Zhiming next to him.  Seeing him winking at him constantly.  Yu Xiaoming knew that he was telling himself not to be impulsive.  You must not take this risk if you are not completely sure.  The patient's family members are not ordinary people. If this matter is not handled well, it will be difficult to end it.  Wang Tao saw Yu Xiaoming¡¯s troubled look and thought he was not completely sure.  He pressed his hand and said: "Let's do it. I wonder who has any good ideas?" Yu Xiaoming was helpless. This was obviously a good opportunity to become famous and increase his prestige, but Qi Zhiming wouldn't let himself do it.  Qi Zhiming takes good care of himself, and it must be reasonable for him to do so.  I had just come to the hospital not long ago, so nothing happened.  Just as I was about to continue listening, I suddenly thought that some time ago, when I logged into a foreign medical forum with the Queen¡¯s account, I saw a hypothesis put forward by a foreign scholar.  It seems that this assumption is theoretically feasible.  "Mr. Zhang, Dean Wang, I have a solution here, can you tell me?" After all, this thing has not even been tested abroad, it is just a theoretical idea, so he is not confident in what he said.  Zhang Shanwei had just gotten to know Xiaoming, a young man, and knew that he was a leader of the younger generation in the hospital, with unparalleled medical talent.  He has been able to independently complete many heart surgeries, and he also has miraculous traditional Chinese medicine methods that have performed very well in many surgeries.  "Don't worry, even if it's a flash of an idea, as long as you put it forward, it will provide an idea for all of us. Even if it doesn't work, we can't blame you. It's good to be able to speak boldly." Mr. Zhang said about  Xiaoming's words were full of encouragement for the young reserve. Regardless of whether Yu Xiaoming's idea is feasible or not, his courage is worthy of appreciation.  Yu Xiaoming breathed a sigh of relief and recalled the article he had read before.  After sorting out his words, everyone present focused their attention on him, and he suddenly became the focus of the audience.  Zhang Lao smiled and nodded to him encouragingly, telling him to relax.  "Mr. Zhang, Dean Wang, this idea of ??mine is actually not my idea. It was when I browsed foreign medical forums some time ago that I saw foreign scholars putting forward a brand-new way of thinking. They believed that theoretically,  "Using minimally invasive methods can replace heart valves for patients." As soon as Yu Xiaoming's method came out, everyone was talking in twos and threes about minimally invasive heart valve replacement.  With his starting point, some people who initially thought it was unbelievable and a fantasy, thought about it carefully and admitted that the minimally invasive method seems to be able to do this.  Minimally invasive replacement of some parts of the heart has a very professional name called transcatheter aortic valve implantation.  Everyone present had undergone heart stent surgery and was no stranger to this surgical method.  Minimally invasive heart valve replacement is to apply stent placement to valve replacement, but compared with the former, the latter is more difficult and risky.  But it is a feasible method after all. As long as a suitable method is found, the risk of surgery will be better.  It also carries lower risks to patients than traditional open heart valve replacement surgery.  By this time, many people had picked up the patient¡¯s case and began to conduct feasibility studies based on the patient¡¯s condition in conjunction with this new idea.  The size of the valve on the aorta is different for everyone. If it is too big or too small, it is not good for the heart.  Before performing this kind of surgery, multidisciplinary cooperation is required to determine the size of the valve to be implanted, and the most accurate valve replacement must be achieved.  This method cannot be like traditional thoracotomy valve replacement. If the valve is not suitable, it can be repaired on site.  Everyone present understands this and knows that the valve must be accurate. How to determine the accuracy of the valve to be replaced is the first difficulty that must be overcome.  Secondly, how should the valve be wrapped so that problems such as valve damage will not occur during the valve implantation process.  In short, although this method is feasible, it is difficult at almost every point.   ~~~~~~~~~~~~~~~ The first update has been delivered, please collect it and support it!  !  Thank you (Scarecrow), Dawo Cheng, Harmony Attention, Shushanyoul for your generous reward!  Thank you for the small update ticket of I Like Sugar Cane!
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