1031 Prejudice
Dr. Charles Moore nodded. He was a little tired due to the disease. He did not put on a pair of sterile gloves and continued to do the dissection with Zheng Ren. Instead, he turned around and waved his hand and returned to his seat.
Zheng Ren knew that coronary artery dilation was rare and there was no particularly good way to treat it. Interventional stents were a means.
But Dr. Charles Moore is in Mayo Clinic, a hospital in the world's number one hospital for cardiac treatment. There is no reason to get rid of the stent but not the one.
The condition is a bit confused because the system panel is just light red, and the situation is probably not serious. What bothers Dr. Charles Moore may be stable angina pectoris.
This kind of angina pectoris is the same as myocardial ischemia, but it is not fatal.
Zheng Ren was a little curious. The old man's anatomy technique was the most exquisite one he had ever seen so far. Previous discussions seemed to open a brand new door, so Zheng Ren wanted to ask about the specific situation.
After taking off his gloves, Zheng Ren had not spoken yet, and rushed in alone.
"Doctor Zheng, why are you here?" said Professor Danilo Acosta.
Zheng Ren smiled and asked, "Has the preoperative preparation been completed?"
"It's done. If your time allows, you can start the surgery at any time." Danilo said politely, but his expression betrayed his truest thoughts.
He was very impatient, especially impatient.
"Speak softly," scolded Dr. Charles Moore's assistant.
Danilo rushed in in a hurry and didn't pay attention to who was sitting inside. He didn't sleep all night, was exhausted, had a very strong temper, and turned his head and wanted to scold people.
However, the moment he saw Dr. Charles Moore, all the anger on his face seemed to be blown away by the strong wind, and said gently and humbly: "Hello Dr. Charles, why are you here?"
"What surgery?" Dr. Charles Moore asked in a low voice, his eyes closed, his brows slightly frowned.
"When studying nephrogenic hypertension, some problems arose. We asked Dr. Zheng for consultation, and he thought the surgery could be done. After..."
"Is it the subject of percutaneous radiofrequency ablation to treat renal sympathetic nerves?" asked Dr. Charles Moore.
"Yes, yes." Danilo replied immediately.
"Oh, look, I just said that interventional surgery has no future." Dr. Charles Moore's eyes opened slightly, he glanced at Zheng Ren, and asked, "What happened? What are you going to do?"
"I judged that the renal sympathetic nerve and renal artery fusion during the radiofrequency ablation resulted in the fusion of renal sympathetic nerves and renal artery stenosis, resulting in the patient's stubborn hypertension." Zheng Ren smiled and said: "It's enough to do a stripping operation and then the lower renal artery stent."
Dr. Charles Moore did not say that the interventional surgery had no future, but thought about it and said, "You guys go to the surgery first, I'll go and see it later."
Danilo was relieved to hear Dr. Charles say this.
After coming out of the staircase, Su Yun was a little surprised and asked the professor: "How do I feel that Dr. Charles is biased against interventional surgery?"
Professor Rudolf Wagner smiled helplessly, but his smile stiffly and finally turned into a sigh.
"Don't pretend, say it quickly." Su Yun was unhappy.
"Yun Geer, Dr. Charles Moore was diagnosed with coronary atherosclerotic heart disease 9 years ago and underwent stent surgery. However, problems occurred after the operation, and the symptoms of angina pectoris never relieved." The professor explained.
When Zheng Ren heard this, he felt aroused and asked: "Is it coronary artery dilation after surgery?"
"Yes." The professor replied.
As an interventional doctor who is ambitious about the Nobel Prize, Charles is called the devil in secret, so how can the professor not know?
Su Yun glanced at Zheng Ren with contempt. This guy said he was not interested in the Nobel Prize, but in fact he conducted a private investigation on the relevant people. Otherwise, he would not know about this kind of thing, how could he know that Dr. Charles Moore had coronary dilation after surgery?
"That's a pity, but there is no possibility of sudden death from myocardial ischemia. Just monitor whether an aneurysm will form." Zheng Ren said casually.
"It is easy to form an aneurysm. The degradation and loss of elastic fibers in the middle layer of coronary blood vessels is considered to be the central link of the disease, but there are many reasons, and it is difficult to find a certain cause and treat it." Su Yun has a very detailed understanding of heart diseases. Although it is a rare disease, he tells it casually.
"That's right." Zheng Ren nodded and said, "Although the problem can be solved with a bracket in general, Mayo has been slow to do it, and I suspect there will be more trouble."
"I don't recommend it. Dr. Charles Moore is an elderly patient. He lacks the elastic fibers in the middle of the coronary artery. The coronary artery is very thin and brittle. If there is no aneurysm, it is recommended to treat conservatively."
Zheng Ren knew that Su Yun was right, which was the common idea of most doctors.
Coronary dilation without aneurysms is not fatal. The only problem is that you need to take warfarin for a long time and face the trouble of stable angina.
It's just pain, and it's better to treat conservatively than risky surgery.
However, this also explains why Dr. Charles Moore is biased against interventional surgery.
When the coronary artery stent is in, a rare coronary dilation occurs. If someone else changes, he will also have a strong sense of distrust of the interventional surgery.
But this matter has nothing to do with Zheng Ren, and he doesn't want to get into troublesome treatment. Su Yun is right. All surgeries of elderly patients must be cautious, otherwise the surgery will be done and countless troubles will be faced.
Back in the laboratory of nephrogenic hypertension, there are many people here, each busy. It is completely different from the situation where there are only two doctors and two nurses on night shifts here in the early morning.
This is the real Mayo Clinic, Zheng Ren thought to himself.
Professor Rudolf Wagner and Su Yun were responsible for handling various preoperative document procedures, and Zheng Ren didn't care about their communication.
Although he has the passive skills of language proficiency, Zheng Ren is still not interested in interpersonal communication and only wants to undergo surgery.
Looking at the patient lying inside through the transparent glass, his blood pressure was very high, and this was still under the premise of pumping antihypertensive drugs.
There seemed to be no special change in the situation, Zheng Ren thought to himself.
Then let's try it. He then entered the system space, exchanged for surgical training, and began the last simulated surgery before the operation.
The operation went smoothly. After all, Zheng Ren had simulated it many times and found the most basic cause.
Chapter completed!