Chapter 1030 Prejudice

Dr. Charles Moore nodded. He was a little tired due to his illness. Instead of putting on a pair of sterile gloves and continuing the dissection with Zheng Ren, he turned around, waved his hands, and returned to his seat.

Zheng Ren knows that coronary artery dilatation is rare, and there is no particularly good way to treat it. Interventional stents are a means.

But Dr. Charles Moore is in the Mayo Clinic, which is known as the world's number one hospital for heart treatment. There is no reason why he can get a stent but he can't.

The condition is a bit confusing, because the system panel is only light red, it is estimated that the condition is not serious. It was probably stable angina that troubled Dr. Charles Moore.

This angina is the same as that of myocardial ischemia, but it is not fatal.

Zheng Ren was a little curious. The 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.

After taking off his gloves, Zheng Ren rushed in hastily before he could speak.

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

Zheng Ren smiled and asked, "Have you completed the preoperative preparation?"

"It's done. If your time permits, you can start the operation at any time." Danilo's words were more polite, but his expression betrayed his truest thoughts.

He was impatient, very impatient.

"Talk down." Dr. Charles Moore's assistant scolded.

Danilo rushed in rather hastily, not paying attention to who was sitting inside. He didn't sleep all night, he was exhausted physically and mentally, and his temper was very violent, and he was about to curse at others.

However, the moment he saw Dr. Charles Moore, all the anger on his face seemed to be blown away by a strong wind, and he said gently and humbly: "Hello, Dr. Charles, why are you here?"

"What surgery?" Dr. Charles Moore asked in a low voice with his eyes closed and his brows slightly frowned.

"During the study of nephrogenic hypertension, there were some problems. We consulted with Dr. Zheng, and he thought that surgery was possible. After..."

"Is it the subject of percutaneous radiofrequency ablation of the renal sympathetic nerve?" Dr. Charles Moore asked.

"Yes, yes," Danilo replied immediately.

"Oh, look, I just said that interventional surgery has no future." Dr. Charles Moore opened his eyes slightly, glanced at Zheng Ren, and asked, "What happened, what are you going to do?"

"I judge that the fusion of the renal sympathetic nerve and the renal artery during radiofrequency ablation combined with renal artery stenosis resulted in the patient's intractable hypertension." Zheng Ren said with a smile: "After a stripping operation, the lower renal artery stent will be removed." OK."

Dr. Charles Moore didn't say this time that interventional surgery has no future, but thought about it and said, "Go for the surgery first, and I'll take a look later."

Hearing what Dr. Charles said, Danilo was relieved.

Coming out of the lecture theater, Su Yun was a little strange and asked the professor, "Why do I feel that Dr. Charles is biased against interventional surgery?"

Professor Rudolf Wagner smiled helplessly, but the smile was stiff, and finally turned into a sigh.

"Don't put on airs, tell me quickly." Su Yun was unhappy.

"Brother Yun, Dr. Charles Moore diagnosed coronary atherosclerotic heart disease 9 years ago and underwent stent surgery. However, there were problems after the operation, and the symptoms of angina pectoris have not been relieved." The professor explained.

When Zheng Ren heard this, his heart skipped a beat and he asked, "Is it complicated by postoperative coronary artery dilatation?"

"Yes." The professor replied.

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

Su Yun gave Zheng Ren a contemptuous look. This guy said he was not interested in the Nobel Prize, but in fact he investigated the relevant people in private. Otherwise, he didn't know about it, how could he know that Dr. Charles Moore was complicated with coronary artery dilatation after surgery.

"That's really a pity, but there is no possibility of sudden death from myocardial ischemia, as long as there is an aneurysm to be monitored." Zheng Ren said casually.

"It is easy to form aneurysms. The degradation and loss of elastic fibers in the middle layer of coronary vessels is considered to be the central link of the disease, but there are many reasons, and it is difficult to find a definite cause and treat it." Su Yun said on heart diseases He understands it in detail, and although it is a rare disease, he explains it casually.

"That's right." Zheng Ren nodded, and said, "Although the problem can usually be solved with brackets, but Mayo has not done it for a long time. I suspect that there are more troubles."

"I don't recommend it. Dr. Charles Moore is considered an elderly patient. The elastic fibers in the middle layer of the coronary arteries are missing. The coronary arteries are very thin and fragile. If there is no aneurysm, conservative treatment is still recommended."

Zheng Ren knew that what Su Yun said was right, it was the common thinking of most doctors.

Coronary artery dilatation without complicated aneurysms is not fatal. The only trouble is the need to take warfarin for a long time and face the trouble of stable angina.

It's just pain. Compared with risky surgery, conservative treatment is better.

But it also explains Dr. Charles Moore's bias against interventional procedures.

The coronary stent was put in, but a rare coronary artery dilatation was formed. If it were someone else, they would have a strong sense of distrust for interventional surgery.

But this matter has nothing to do with Zheng Ren, and he doesn't want to get involved in such a troublesome treatment. Su Yun is right, all operations on elderly patients must be done with caution, otherwise the operation will fail and you will have to face countless troublesome things.

Back to the laboratory of nephrogenic hypertension, there are many people here, each busy. It is completely different from the situation in the early morning when there are only two doctors and two nurses on the night shift here.

This is the real Mayo Clinic, Zheng Ren thought to himself.

Professor Rudolf Wagner and Su Yun were in charge of handling various preoperative document procedures, and Zheng Ren didn't care about their communication.

Although he has the passive skill of language proficiency, Zheng Ren is still not interested in interpersonal communication, and only wants to perform surgery.

Looking at the patient lying inside through the transparent glass, the blood pressure is very high, and this is still on the premise of pumping antihypertensive drugs.

The situation doesn't seem to have changed in any particular way, Zheng Ren thought to himself.

Then try it, he immediately entered the system space, exchanged for surgical training, and started the last simulated operation before the operation.

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

Looking at the evaluation of 98% completion rate of the operation, Zheng Ren is still very satisfied.