When the Doctor Uses A Hack

Chapter 819: Chapter 819: Don’t Be Mad at the Iron Blockhead!

Chen Cang and his group made their way to the cardiac surgery department.

To have the head of the cardiac surgery department come down and personally invite them, one could imagine the patient’s family must be either rich or of high status, yet the ward was just a regular room with no fancy VIP frills; in fact, at the emergency center, there was no such thing as VIP wards.

This was a rule set by Wu Tongpu, no one got a private room.

The patient’s family had returned to the ward, while Xu Ziming led Ma Yuehui and Chen Cang to the doctors’ office.

Xu Ziming, the head of the cardiac surgery department, had been curious for a long time. He glanced at Ma Yuehui, “Group leader Ma, how is it that… Chen Cang is in your department?”

Xu Ziming was on the expert judging panel for the cardiac surgery skills competition at that time and had personally witnessed Chen Cang’s championship wins.

So his impression of Chen Cang was even more profound.

Ma Yuehui was taken aback, glanced at Xu Ziming, then turned and stared at Chen Cang, asking, “Eh? Director Xu, you two know each other? Chen, you know Director Xu?”

Chen Cang was momentarily stunned, “I… don’t know him…”

Xu Ziming was irritated beyond belief by Ma Yuehui, this brainless blockhead! What kind of way is that to ask a question!

Chen Cang had only been at the hospital for a few days!

Of course, he didn’t recognize himself, but he recognized Chen Cang, and yet… such questioning was really disrespectful!

Chen Cang’s words were spoken, how hurtful they were, no! It was embarrassing…

Sure enough, several doctors around started looking their way.

Xu Ziming’s face turned red!

I, Xu Ziming, the distinguished director of the emergency center cardiac surgery department, am not known by him, but I know him, how embarrassing!

He looked at Ma Yuehui, who was completely oblivious to his own blunder, and sighed, “Ah, let it go. Arguing with him is just going to kill me eventually!”

Even his own boss couldn’t be bothered to deal with him, so why should I?

Don’t get angry!

Xu Ziming calmed his expression, “Chen may not know me, but I know Chen!”

Ma Yuehui was taken aback, “Director Xu, you’re mingling… and yet you’re not as well-known as Chen Cang!”

Xu Ziming felt another line of frustration draw across his face and merely pretended not to hear: “I was a judge at the cardiac surgery skills competition at the end of last year. Chen stood out from the crowd in the competition, so naturally, I knew of him!”

Upon hearing this, Chen Cang hurriedly gave an awkward smile, “Director Xu, I’ve been looking up to you for a long time! I’ve actually read many of your articles, and they are insightful. Your perspective on heart valve disease, I feel, is very accurate.”

“Actually, I’ve admired you for a long time, though we have never met! In fact, Director Xu could be considered half a mentor to me!”

Upon saying this, everyone felt much more comfortable, and the cardiac surgeons began busying themselves with their work again.

Hearing Chen Cang say this, Xu Ziming suddenly smiled, pleased. Good! It’s nice to have a conversation with someone intelligent!

And indeed, Xu Ziming knew that Chen Cang was not just being polite but had actually read his articles, otherwise he wouldn’t have been able to speak about them.

Ma Yuehui coughed, “Chen, it’s good to be polite, but one must not speak untruths!”

This time, Xu Ziming clenched his fists!

He decided to let Ma Yuehui “enjoy himself”!

Xu Ziming said to the attending doctor of the patient, “Bring over the chart for bed 12.”

The attending doctor heard this, immediately got up, printed a copy, and then brought over the medical record book.

“Patient: male, 15 years old, diagnosed with mitral valve insufficiency syndrome, accompanied by left ventricular dysfunction…”

The doctor in charge of the patient’s bed actually just read through the patient’s admission record, giving everyone a general impression of the patient.

There was no need to say for Xu Ziming; he already had an ample understanding of the patient, otherwise, he wouldn’t have called Ma Yuehui and Chen Cang up.

He picked up the medical record, and Ma Yuehui along with Chen Cang flipped through it, getting some understanding.

The patient’s heart condition was not good, with left ventricular dysfunction and a slightly low ejection fraction—it was not good news.

But specifically, they still needed to depend on the imaging films to take a detailed look.

Xu Ziming turned around and said, “Go and get the films!”

A short while later, the patient’s parents, along with the attending physician, came in together.

They were carrying a large amount of imaging materials and photographs.

Zhu Hanliang handed over the films: “These are the ones we took in Hong Kong, these from the Mayo Clinic, and these from the California Public Hospital, USA…”

Zhu Hanliang spread out a large pile of films and reports, which truly shocked Chen Cang.

This is perhaps what it means to have money, right?

Traveling the world for medical treatment!

But when Chen Cang looked over the various reports, his brows immediately furrowed!

This patient’s mitral valve could not undergo repair surgery!

Rather, a mitral valve replacement was needed!

What’s the difference between mitral valve repair and mitral valve replacement?

You could understand it this way: if a door has cracks, you can fix them!

But if there is a hole in the door, you can only patch it up, and if there are too many holes, or they can’t be properly fixed, you’ll have to replace the door!

For those with mitral valve regurgitation that cannot be corrected by repair surgery, generally, a mitral valve replacement must be chosen!

However, this brought forth another serious issue for everyone present!

That was, the contraindications for mitral valve replacement surgery!

Left ventricular dysfunction!

This truly was not good news.

After Ma Yuehui finished reading, she frowned tightly: “Director Xu, the left ventricular function has too great an impact on the outcome of the mitral valve replacement surgery!”

Indeed, who wouldn’t know this?

Chen Cang also reflected deeply, considering the strategies.

Because following the mitral valve replacement surgery, early on, there would be a further continuous decline in the function of the left ventricle!

Therefore, before the surgery, it was necessary to accurately assess the function of the patient’s left ventricle.

If it was discovered that the patient had poor preoperative left ventricular function, everyone would be reluctant to proceed with the surgery!

Since the patient’s tolerance to the surgery was poor to begin with, and following the replacement, the left ventricular function continued to drop, the mortality rate would be very high!

Even if the surgery was successful, and the abnormal mitral valve function was corrected, sometimes the myocardial contractility still struggled to return to normal.

At this point, the patient’s father, Zhu Hanliang, sighed and said: “Actually, Mingming’s condition has persisted for many years now, and we haven’t been dragging our feet, always searching for hospitals.”

“We went to many hospitals in the capital, visited West China Hospital, Xiangya Hospital, and went to Hong Kong, and later even went to Singapore! But there was no particularly good solution.”

“Basically, everyone’s opinion was that the surgical risk was too great, and they didn’t recommend immediate surgery!”

“We were also worried that as the child gets older, his cardiac function would deteriorate, making surgery less viable, but being anxious was of no use.”

“Whenever we made up our minds to opt for surgery, we were always informed of the high mortality rate, which dissuaded us.”

“Until a few days ago, when the child felt uncomfortable in his heart, we rushed to call 120 and sent him to the emergency center.”

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