My Medical Skills Give Me Experience Points

Chapter 1268: Chapter 499: Double Outlet Right Ventricle, A Competitor’s Blunder

Zhou Can examined the little girl and found a noticeable bulge in her precordial area, with a significant tremor between the third and fourth rib at the left margin of the sternum.

Especially when pressing with the fingertip on this area, the tremor was more pronounced.

He tried using a stethoscope to examine this area and heard a very distinct murmur. This was the sound of a murmur produced during myocardial contraction.

"Could there be a problem with the right ventricle?"

Zhou Can was not too certain, but based on experience, he made a preliminary diagnosis of the patient’s lesion.

He carefully listened to the patient’s intercostal murmur again.

His eyebrows slightly furrowed, this kind of murmur was very strange, he was sure he had never heard it before.

There are so many types of congenital heart disease.

What kind of lesion could produce such a murmur?

Performing an echocardiogram for the patient might be a good choice.

Considering the particularity of congenital heart disease, a cardiac X-ray should also be conducted to assist in diagnosis.

The examination results came out quickly after checking.

The patient’s aorta was 2CM, the left ventricle was 3.3cm, the right ventricle was 2.6cm, the pulmonary artery was 1.2cm, with normal positioning of the atrium, right-sided loop of the ventricles, both the aorta and pulmonary artery originating from the right ventricle and positioned anteriorly and posteriorly, with the aorta in front and the pulmonary artery behind.

There was a 2.2cm interruption of the ventricular septal echo, the defect located at the membranous outflow tract, the blood from the left ventricle entered the aorta via the ventricular septal defect, the pulmonary valve echo was enhanced, the valve opening was narrowed with a diameter of only 0.3cm.

At this moment, Zhou Can finally understood the reason behind that strange murmur.

It turned out the patient had a double outlet right ventricle.

The patient’s pulmonary valve opening was so narrow, no wonder the blood oxygen was so poor.

On examination, the forward flow velocity at the pulmonary valve was only 3.1m/s, with a transvalvular pressure gradient of 10.44kPa, and a mild regurgitation signal observed at the pulmonary valve.

The cardiac X-ray showed that the patient’s pulmonary vascular markings were fine, the pulmonary artery segment was retracted, and both the right ventricle and right atrium were enlarged.

At this step, it was already confirmed without a doubt to be congenital heart disease.

The patient had a double outlet right ventricle with pulmonary artery stenosis.

It requires surgery to be cured.

The surgery is high-risk and complicated.

The cost is also not cheap.

"Your daughter’s condition is congenital heart disease, and it’s serious, requiring prompt surgical correction. We can’t perform such a major surgery in the emergency department; we need to inquire further with the Cardiothoracic Surgery Department. I happen to be going to the Cardiothoracic Surgery Department, and if you’re willing, I’ll take you there."

Zhou Can told the family members.

Xue Yan from the Cardiothoracic Surgery Department had already called twice urging Zhou Can to go over.

However, since the examination results for the little girl had not yet come out, Zhou Can could only wait a little.

After all, the little girl’s condition was very bad, and the on-duty Dr. Xie lacked resuscitation experience; if not handled properly, this was a human life on the line!

The family members were naturally very glad to accompany him to the Cardiothoracic Surgery Department, seeing how enthusiastic Zhou Can was.

The Tuya Hospital was too large; at night, it was not easy for them to find the Cardiothoracic Surgery Department on their own.

Following proper procedures in the emergency department might mean a long wait, even until the next day, before a cardiothoracic surgeon comes to escort them.

Upon reaching the Cardiothoracic Surgery Department, Zhou Can arranged for a doctor to receive the child and gave some instructions before heading to the operating room.

It seemed that dinner was out of the question today.

Director Xue had previously called him, and knowing that he had just come out of surgery and encountered a congenital heart disease patient, guessed that he hadn’t had dinner and prepared two slices of bread and a bottle of milk for him.

Zhou Can, unreservedly, finished them in a few bites, feeling a bit more comfortable in his stomach.

A tough battle was ahead.

Today’s cardiovascular catheterization surgery was bound to be of hellish difficulty.

...

Inside the interventional operating room, the patient made a special request.

"Doctor, could I livestream the entire surgical process?"

This surgery did not require general anesthesia.

The patient would be conscious throughout the procedure.

He wanted to broadcast the entire surgery process to share the experience with his followers.

"Why do you need to livestream during the surgery itself? You could share the surgical experience with netizens after the surgery is over!"

Xue Yan was evidently not keen on the idea.

Normally, the hospital would outright refuse such a request.

The reason being, it directly involves patient privacy and does not comply with related regulations.

In the hospital, patients are in a weaker position and can’t confront the hospital.

Unless they don’t want to be treated.

"I’ve already posted several videos before the surgery, informing my more than two million followers that I would livestream the surgical process and share my treatment experience tonight. If you can help me make the surgery successful, it will be great publicity for your hospital, your department, and even the doctors yourselves. This is a free advertising opportunity!"

The patient’s actions were quite unscrupulous.

To gain followers and increase interaction with them, he went ahead without prior consent.

He chose to bring this up in the interventional room with the doctors, not mentioning it at all while in the ward.

It was like a bride, waiting until the groom had already invited the guests to the feast, suddenly demanding a last-minute bride price increase on the wedding day, putting the groom and future in-laws on the spot, forcing them to agree.

"Mr. You, please understand that livestreaming the entire surgery would place considerable pressure on the medical staff performing the operation. It would add obstacles to the surgery in unseen ways."

Xue Yan was still trying to find a way to refuse this request.

"Pressure creates motivation! If you refuse to let me livestream, it might indicate a lack of confidence. Fear of errors during surgery or even failure makes you respond this way."