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The Surgeon’s Studio - Chapter 1031

Published at 30th of September 2021 09:09:05 AM


Chapter 1031: 1031

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Dr. Charles Moore nodded. He was a little tired because of his illness. He did not put on a pair of sterile gloves and continue the autopsy with Zheng Ren. Instead, he turned around, waved his hand, and returned to his seat.

Zheng Ren knew that coronary artery ectasia was very rare, and there was no particularly good way to treat it. Interventional stents were a method.

But Dr. Charles Moore was in the Mayo Clinic, the best hospital in the world for cardiac treatment. There was no reason why he could not get off the stents.

His condition was a little confusing because the System panel was only light red. It was probably not serious. What troubled Dr. Charles Moore was probably stable angina pectoris.

This kind of angina pectoris was the same as angina pectoris of myocardial ischemia, but it was not fatal.

Zheng Ren was a little curious. This old man’s dissection technique was the most exquisite he had ever seen. The previous discussion seemed to have opened a brand new door, so Zheng Ren wanted to ask about the specific situation.

Zheng Ren took off his gloves. Before he said anything, a person rushed in in a hurry.

“Doctor Zheng, why are you here?” Professor Danilo Acosta said.

Zheng Ren smiled and asked, “Have you completed the preoperative preparations?”

“Yes. If you have the time, you can start the surgery at any time.” Danilo’s words were more polite, but his expression betrayed his true thoughts.

He was very impatient, very impatient.

“Keep your voice down,” Dr. Charles Moore’s assistant scolded.

Danilo rushed in in a hurry and did not notice who was sitting inside. He had not slept the whole night. He was exhausted and had a bad temper. He turned his head and was about to scold someone.

However, the moment he saw Dr. Charles Moore, all the anger on his face seemed to have been blown away by the strong wind. He said gently and humbly, “Hello, Dr. Charles. Why are you here?”

“What surgery?” Dr. Charles Moore closed his eyes, frowned slightly, and asked in a low voice.

“When we were researching renal-derived hypertension, there were some problems. We consulted Dr. Zheng. He thought that surgery could be done. After…”

“Is it the subject of percutaneous radiofrequency ablation to treat the sympathetic nerves of the kidney?” Dr. Charles Moore asked.

“Yes, yes,” Danilo immediately answered.

“Oh, see, I told you that interventional surgery has no future.” Dr. Charles Moore’s eyes opened slightly. He glanced at Zheng Ren and asked, “What happened? How are you going to deal with it?”

“I believe that the process of radiofrequency ablation caused the fusion of the renal sympathetic nerves and the renal arteries, which combined with the narrowing of the renal arteries, leading to the patient’s stubborn hypertension.” Zheng Ren smiled and said, “Going to do a peeling surgery, and then lower the renal artery stent.”

This time, Dr. Charles Moore did not say what the future of interventional surgery was like. Instead, he thought for a moment and said, “You guys go to the surgery first. I’ll go take a look later.”

Upon hearing Dr. Charles’ words, Danilo was relieved.

Coming out of the lecture hall, Su Yun felt a little strange. He asked the Professor, “Why do I feel that Dr. Charles is biased against interventional surgery?”

Rudolf Wagner smiled helplessly, but his smile was stiff. In the end, it turned into a sigh.

“Don’t put on an act. Hurry up and say it.” Su Yun was unhappy.

“Brother Yun, nine years ago, Dr. Charles Moore was diagnosed with coronary atherosclerosis heart disease and underwent stent surgery. After the surgery, there was a problem. The symptoms of angina never eased,” the Professor explained.

When Zheng Ren heard this, his heart skipped a beat. He asked, “Is it a post-operative complication of coronary artery dilatation?”

“Yes,” the Professor replied.

As an interventional doctor with ambition for the Nobel Prize, he secretly called Charles a devil, so how could the professor not know?

Su Yun glanced at Zheng Ren with disdain. This guy said that he was not interested in the Nobel Prize, but in fact, he had secretly investigated the relevant people. Otherwise, he would not have known that Dr. Charles Moore had coronary artery dilatation after the surgery.

“That’s too bad, but there is no possibility of sudden death due to myocardial ischemia. As long as we monitor whether an aneurysm will form, it will be fine,” Zheng Ren said casually.

“It is very easy to form an aneurysm. The degradation and loss of elastic fibers in the middle layer of the coronary artery is considered to be the central part of the disease, but there are many reasons. It is difficult to find a definite reason and treat it.” Su Yun had a very detailed understanding of the heart disease. Although it was a rare disease, he casually explained it.

“It’s like this.” Zheng Ren nodded and said, “Although under normal circumstances, we can use stents to solve the problem, I suspect that there will be more trouble if we don’t do it for Mayo.”

“I don’t recommend it. Dr. Charles Moore is considered an elderly patient. Without the elastic fibers in the middle layer of the coronary artery, the coronary artery is very thin and fragile. If there is no aneurysm, I still recommend conservative treatment.”

Zheng Ren knew that Su Yun was right. Most doctors shared the same opinion.

Coronary artery ectasia without an aneurysm was not fatal. The only problem was that they needed to take warfarin for a long time and face the problem of stable angina.

It was just pain. Compared to risky surgery, conservative treatment was better.

However, this also explained why Dr. Charles Moore was biased against interventional surgery.

When the coronary stent was inserted, it formed a rare coronary artery dilatation. If it were anyone else, they would also have a strong sense of distrust toward interventional surgery.

However, this matter had nothing to do with Zheng Ren. He did not want to get involved in such troublesome treatment. Su Yun was right. All surgeries for elderly patients had to be done with caution. Otherwise, if the surgery was performed, they would face countless troublesome matters.

Back in the laboratory of renal-derived hypertension, there were many people here, and they were all busy. It was completely different from the situation where there were only two doctors and two nurses on night duty in the early morning.

‘This is the real Mayo Clinic,’ Zheng Ren thought.

Rudolf Wagner and Su Yun were responsible for handling the various documents and procedures before the surgery. Zheng Ren did not bother with their communication.

Although he had the passive skill of being proficient in language, Zheng Ren was still not interested in interpersonal communication. He only wanted to perform the surgery.

He looked at the patient lying inside through the transparent glass. His blood pressure was very high, and this was under the premise that he was pumping blood pressure medicine.

‘There did not seem to be any special changes in the situation,’ Zheng Ren thought to himself.

Then, he would give it a try. He immediately entered the System space, exchanged for surgical training, and began the last simulation surgery before the surgery.

The surgery went very smoothly. After all, Zheng Ren had already simulated it many times and found the most basic cause of the disease.

Looking at the 98% completion rate of the surgical progress bar, Zheng Ren was very satisfied.

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