When the Doctor Uses A Hack-Chapter 820 - Success Rate Doubled
Chapter 820: Chapter 820: Success Rate Doubled! Chapter 820 -820: Success Rate Doubled! Zhu Hanliang looked utterly dejected!
As a father, the boss of a company with hundreds of employees, a man with a fortune of hundreds of millions, he was still helpless in the face of his child’s illness.
The feeling was agonizing!
He would even trade his company for a healthy heart for his child, if such a thing were possible.
He would willingly do so.
Beside him, the child’s mother had already started crying.
Zhu Hanliang took a deep breath, “We really don’t know what to do anymore, when the child suddenly had an attack, we were devastated, and we didn’t even dare think of anything else.”
“My wife has already had a tubal ligation, we can’t have a second child, this is our only child!”
“How much I wish he could live a healthy life!”
“Even if he were mediocre, or even a spendthrift… I just hope he can be a little healthier…”
Zhu Hanliang’s voice was low, perhaps these words were meant for himself.
At this, Xu Ziming looked at the film and said to Ma Yuehui, “Team leader Ma, this is roughly the situation, and this is why I asked you to come.”
“Because at this time, if we proceed with cardiopulmonary bypass surgery, I’m not saying the surgery success rate is high, but postoperative mortality will be very high, as we all know!”
“I was wondering if we could perform the surgery on a beating heart, to give the patient a chance!”
After hearing this, Ma Yuehui exchanged a glance with Chen Cang, finally understanding the specific situation!
However, at this moment, Chen Cang furrowed his brow, closed his eyes in thought for a while, then suddenly opened them and couldn’t help saying, “Let’s go see the patient first!”
Zhu Hanliang nodded, comforted his wife, and saw his wife’s tears, “Wife, take a rest before you come in. I’ll accompany him by myself.”
He didn’t want the child to see his mother cry.
As they spoke, they arrived at the room. After they opened the door and entered, they saw a boy lying on the bed, his hairstyle and attire very much like an animated character. A set of rock-style clothes hung on a nearby clothing rack, and a wooden guitar was placed beside the bed!
The boy lay on the bed, wearing headphones, eyes closed, with a face showing a rebellious or even a defiant smile.
Zhu Hanliang took off the headphones, smiled, and said, “Mingming, let the doctor check you so we can arrange the surgery as soon as possible!”
The boy didn’t seem worried about his condition at all. Instead, he laughed heartily, comforting his father, “Don’t worry, Dad! It’s all right, has Mom gone to cry again? You go comfort her first.”
Chen Cang observed the fifteen or sixteen-year-old boy, conducting a cardiac percussion and auscultation… After examining him, an image of a constantly beating heart with a defective mitral valve, regurgitation, and left ventricular dysfunction appeared in Chen Cang’s mind…
At that time, Chen Cang pondered the possibilities of surgery.
After a moment, Chen Cang turned and said,
“Let’s do a cardiac function test now, I want to see the latest ejection fraction!”
Upon hearing Chen Cang’s words, everyone stayed put!
Instead, they glanced at Ma Yuehui.
Ma Yuehui was taken aback, “Director Xu, organize the test… why are you looking at me?”
The patient’s father, Zhu Hanliang, stared at Ma Yuehui in astonishment, “Team leader Ma, aren’t you going over to check?”
Ma Yuehui was momentarily dumbfounded but quickly realised, “I’m not the chief surgeon, Doctor Chen Cang is the chief surgeon, just listen to him!”
With that, silence fell upon everyone around.
Everyone stared at Chen Cang with a look of shock and curiosity.
Including the somewhat anime-styled little boy on the bed.
Ma Yuehui continued, “That mitral valve surgery performed under a beating heart the other day was actually completed by Chen Cang on his own. You should talk to him.”
At this, the people around were taken aback.
Xu Ziming couldn’t help but gasp. This young man, in such a short time, had started to perform surgeries on a beating heart?
And the attending physician didn’t even know who he was dealing with!
Xu Ziming quickly said, “Hurry up with the test, follow Doctor Chen’s instructions!”
The attending physician nodded, after all, his job was to do the work. He quickly got up to give medical orders and request a doctor…
Xu Ziming had personally watched Chen Cang’s surgery videos dozens of times, each time being more shocked than the last, each time marveling at the surgeon’s level. Originally, he had wondered when Ma Yuehui acquired such skill!
But unexpectedly, the person who really had the skill was Chen Cang!
Now it seemed… suddenly more acceptable, after all, a genius is a genius… what can’t be explained by the two words ‘genius’?
At that moment, Xu Ziming suddenly felt at peace.
It didn’t take long for the examination results to come out: “Ejection fraction slightly decreased, now it is 0.45! Left ventricular end-systolic volume index (ESVI) ＞60ml/㎡!”
As soon as this statement was made, Xu Ziming’s brows immediately furrowed with urgency!
When Chen Cang heard that the patient’s ejection fraction was around 0.45, he couldn’t help but close his eyes and began calculating.
Generally speaking, some indicators could directly influence the success rate of the surgery.
For example, preoperative invasive and non-invasive (such as ultrasound) examinations show, certain indicators with significant representative meaning have a great impact on operative mortality rate and postoperative myocardial function recovery!
Different surgeries have different indicators.
For instance, during the mitral valve replacement that the patient needed at the moment, one very important indicator was the ejection fraction!
The ejection fraction of a patient with mitral valve insufficiency generally increases due to the existence of a compensatory function.
Therefore, if the ejection fraction is within the normal range, it indicates that the myocardial contractility has already decreased!
And when the ejection fraction slightly decreases (0.4～0.5), it means there is already severe myocardial damage, and if the ejection fraction is ＜0.4, the mortality rate of valve replacement surgery is extremely high, because the myocardium may not tolerate the sudden increase in postoperative left ventricular afterload.
And now, both the ejection fraction and the left ventricular end-systolic volume index were dangerous!
Chen Cang finally knew why no one had operated on him.
Because the mortality rate of the surgery was indeed very high.
Chen Cang continued to deduce, and after a few minutes, Chen Cang opened his eyes: “The surgery must be done; the patient can’t wait any longer.”
Upon hearing this, Zhu Hanliang sighed deeply, “Ah…”
However, the boy smiled, “Okay! I can’t wait either.”
Chen Cang looked at the boy and smiled, suddenly understanding why he was dressed that way; no wonder when he came in, he seemed so much like someone.
That someone was Gao Taiming, the main male character in the animated series “Dream of Fairy and Elves.”
He comes from a wealthy background, loves rock music, plays in a band, and has congenital heart disease that could endanger his life at any moment.
Perhaps that was his idol?
A fifteen or sixteen-year-old child, that’s precisely the age to be obsessed with these things.
This content is taken from fгee𝑤ebɳoveɭ.cøm.
Xu Ziming looked thoughtfully at Chen Cang, and on impulse asked a question, “Dr. Chen, with the heart beating uninterruptedly during surgery, how confident are you?”
Chen Cang had already thought it through: “Seventy percent!”
The room fell silent at these words!
Even the boy couldn’t help but shiver.
Zhu Hanliang’s eyes bulged out, staring at Chen Cang, filled with disbelief and hope!
“Really…?”
Chen Cang shook his head, “It might even be eighty percent. It’s hard to say, we’ll have to see how it goes during the surgery.”
The highest success rate Zhu Hanliang had heard of was only forty percent!
And now… this probability had just doubled; how could he not be excited?
…
…
ps: Thank you to “Chi Mei Lingaled Guage” for the 10,000 reward.
