Huo Shuangqing is also an expert in cardiology. How could she not know that radiofrequency ablation is one of the most effective methods to cure atrial fibrillation? But she knows better that this surgery releases radiofrequency current inside the heart by puncturing blood vessels, thereby causing endocardial fibrillation. coagulative necrosis of the underlying myocardium, thereby achieving the purpose of destroying the origin of the arrhythmia.

"Kill one thousand enemies, but damage oneself eight hundred." Although this kind of surgery is very effective, Huo Shuangqing is still a little hesitant. It would be better for young people, but once the elderly undergo this kind of surgery, it is likely to cause heart failure. If this complication does occur, the elderly will incur a large amount of medical expenses in the later period. Secondly, the key is that the elderly's health will deteriorate.

Without Zhou Yi's miraculous performance, Huo Shuangqing would have had no hesitation in using radiofrequency ablation at this time. But Zhouyi gave her another hope, and she did not want to use radiofrequency ablation in such a hurry. After all, the patient was already over seventy years old, and she needed radiofrequency ablation. This method of treatment is more about "making an explanation", but it does not really consider the patient.

“What treatment is radiofrequency ablation?”

Zhao Xuechu asked, it was about his mother, so he had to be cautious.

"This is not possible. Is this called curing a disease? Letting myocardial coagulation necrosis? My mother is seventy-two years old, how can she endure it?"

Zhao Xuechu snorted coldly, not giving Hua Wenfeng any face at all, and turned his attention to Zhou Yi: "Dr. Xiao Zhou, I just want to hear your opinion."

"Xiao Zhou, tell me what you think?"

Huo Shuangqing looked at Zhou Yi seriously: "If you have an opinion, just say it. As long as it is good for the patient, there is nothing to worry about."

Hua Wenfeng looked at Zhou Yi with a sneer: "Tell me, I want to hear what you have to say." Although the methods Zhou Yi showed before were miraculous, they did not completely cure the patient after all, which gave him confidence. , I feel that Zhouyi is nothing more than this.

"Director Huo, Mr. Zhao. I think blindly using radiofrequency ablation before the cause of the disease is found is extremely irresponsible to the patient." Zhou Yi shook his head and said: "The patient is over seventy years old, and radiofrequency ablation is performed at this age. , there is an 80% chance of developing heart failure. I think everyone should understand, what is the concept of heart failure for a 70-year-old man?"

Having said this, Zhou Yi glanced at everyone: "We can't 'cure' the patient, but not long after being discharged from the hospital, the patient will be covered with diseases, right? How can such a hospital have the face to face patients? "

"Zhou Yi, you have to be careful with your words!" Hua Wenfeng was almost mad at him. This guy was clearly here for him, and he even looked at me before he spoke? Damn, what are you looking at? "It's in the United States and Hong Kong. , radiofrequency ablation is also the best way to treat atrial fibrillation! The surgical level of our hospital is not necessarily worse than that of foreign countries, right?" He seemed quite patriotic.

"Haha, let me ask Director Hua..."

Zhou Yi said leisurely: "Don't talk about foreign countries, let's talk about our own hospital. We have also done a lot of radiofrequency ablation surgeries. This is a small operation in itself, and there is no technical level. The key is, under what circumstances we are all Did you just do it? I think there are two situations!"

"One is secondary atrial fibrillation after a patient's heart surgery. For example, atrial fibrillation caused by mitral valve replacement cannot be converted to 'sinus rhythm' for more than a week, and severe atrial fibrillation may lead to heart failure. Radiofrequency ablation will be considered, but even so, the patient's age and physical condition must be taken into consideration, and if conservative treatment is possible, conservative treatment is still required."

"The second case is primary atrial fibrillation. It is generally difficult to wait for conversion to sinus with conservative treatment. Even if conservative treatment is managed, radiofrequency treatment is usually required after a period of time." Zhou Yi hehe.

Yixiao: "However, these primary atrial fibrillations have very obvious 'arrhythmia origin points'. With the X-ray angiography machine, they can be accurately ablated, and the surgical prognosis is good. But, does this happen to patient Zhao Shuyi?

Director Hua?"

Hearing this, Dr. Guo, who was standing behind Hua Wenfeng, couldn't help but froze: "How is it possible? How is it possible! He is just a newly graduated master's degree. It is said that he has never even experienced an internship. He obviously relies on Dean Liu's relationship

He just became a resident doctor, how did he spot the problem?"

Huo Shuangqing was also stunned. As the chief director, she was responsible for the eight major departments of the Department of Traditional Chinese Medicine. How could she read every medical case in detail? She looked at Zhao Shuyi's medical case in more detail, but most of her attention was on the doctor in charge of the early stage.

In terms of diagnostic opinions, the most she can do is to look at the conclusions of various reports. There is really no examination one by one, and look at the pictures carefully. This is like the commander-in-chief of the armed forces. It is impossible for her to have to bear the responsibility of a scout.

Work.

But when she was discussing the treatment plan with several directors, Zhou Yi looked at the old lady's angiogram. At first, he didn't find anything, but after taking a closer look, he discovered the problem.

Although Hua Wenfeng is not the directly responsible doctor, the patient is in his department, and he has plenty of time to see this problem, but why doesn't he raise it? Instead, he insists on giving the patient radiofrequency treatment? Huo Shuangqing has to question this person

The character of the chief physician was compromised. In her impression, Hua Wenfeng was not such a person. Did he give up his principles as a doctor just to compete with Zhou Yi?

Who is Huo Shuangqing? After listening to Zhou Yi's words and seeing Hua Wenfeng's somewhat stiff face, I immediately felt that something was wrong. After giving him a cold look, I quickly dug out the profile of Mrs. Huang Shuyi from the file bag next to me.

I looked at the angiogram carefully.

"Hua Wenfeng, what's going on? You need to give me a reason!"

What is her experience? She quickly saw the problem. In a rage, she threw the film heavily on the desk and stared at Hua Wenfeng coldly...

"Is there a problem?" Hua Wenfeng took the angiogram and looked at it carefully: "This...how is this possible? The patient's 'arrhythmia origin' is too strange, too strange...this...such a case,

Only three cases have been discovered in the world so far!”

Although there is only one 'origin point of arrhythmia' shown on the angiogram that is the most obvious, if you look carefully, you can see that there are dozens of small dots densely arranged like a spider web around the origin point. If you don't look carefully,

It's really easy to ignore.

"Director Hua is right. This 'spider web-like origin of arrhythmia' was first discovered in a patient in Australia..."

Huo Shuangqing looked at the confused Hua Wenfeng and seemed to understand something. She then looked at Dr. Guo behind him: "At that time, the Australian hospital also used radiofrequency ablation to destroy the largest origin point, but what was the result? Because

The coagulation necrosis of the subintimal myocardium produced a conditioned reflex, which successively triggered the remaining thirty-seven micro-origin points. As a result, the patient died suddenly due to acute heart failure less than a month after being discharged! Later, two cases were also discovered in the United States.

But they all found the cause of the 'spider arrhythmia' and successfully saved the patient through corresponding surgeries."

"Director Hua, the general diagnostic doctors in the laboratory department didn't discover this problem, didn't you find it either? You are the chief physician and an expert in the eyes of the patients!" Huo Shuangqing became more and more excited as she spoke, and her chest heaved violently: "Even if you are not a patient The doctor in charge, but Guo Yun is your student and the doctor in charge of the patient. Didn’t you follow up on everything?"

"Director Huo, I... I was negligent. I blindly believed in the diagnosis of the diagnostician without seeing the angiogram. It was my fault. I shouldn't have been so careless." Hua Wenfeng glared at Guo Yun: " Guo Yun! Are you going to deal with me like this? Tell me what’s going on!”

"Teacher, I admit that I discovered this problem and concealed it just now..."

Guo Yun glanced at Zhou Yi with some resentment: "But who am I doing it for? Since you know this case, you should know that now even Americans must find the cause of the disease in order to take effective treatment. I have also read the United States for this purpose Those two cases, but the causes of those two cases do not exist in Zhao Shuyi, that is to say, the cases in the United States have no reference for us!"

"Our hospital is already a well-known tertiary hospital in Henan Province. We have tried every means, but we have not been able to find out the cause of the disease. Even if we transfer the patient to Kyoto or Magic City, I am afraid the result will be the same! The old lady has a special status, we will never find out the cause of the disease. Nothing can go wrong, let alone it can’t be cured. So..."

"So you concealed the patient's true condition and rushed to use radiofrequency methods?" Huo Shuangqing said: "If the patient is like the Australian patient and died of heart failure soon after being discharged, can you live up to your conscience?"

"Director Huo, this is a dead horse treated as a living horse doctor. Huang Shuyi's condition is so weird, there is no precedent at all. Since no hospital has a 100% effective treatment method, radiofrequency ablation is the only effective method. The Australian patient was Inducing heart failure, doesn't it mean that she will definitely have the same problem? Speaking of danger, what kind of surgery is not dangerous? For those surgeries with a success rate of no more than 20 or 30%, the patient's family still has to sign ?”

Guo Yun sneered and glared at Zhou Yi: "I just can't stand some clowns being so proud!"

"Haha, Guo, I see clearly, you are really a bastard!"

Zhou Yi sneered and said: "Paralysis, people do surgery only after they understand it. Even if the risk of surgery is as high as 90%, the family members still admit it. What do you call this? Are you not treating people as guinea pigs? You keep saying that for the reputation of the hospital, I think it's for your own benefit, right? If the old lady dies after being discharged from the hospital, it's because she was unlucky and has nothing to do with you. If she's lucky enough to be fine, it's your credit. You can write a paper using this case. If you just wear a professional title and a vest, you will become a pervert, right? I, Zhou Yi, am a real villain, but I am a hundred times better than a hypocrite like you!"
Chapter completed!