Chapter 43 - Interventional Department seeks assistance.
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Chapter 43: Interventional Department seeks assistance.Lin Feng carefully explained acute myocardial infarction to the young man.
âOur coronary arteries are blocked acutely, causing the heart muscle to die due to insufficient blood supply and impaired cardiac function. This is a potentially life-threatening acute condition.â
âBut wait, Doctor, how could I have a heart attack out of nowhere? Iâve been working regularly, not engaging in strenuous activities or argumentsâ¦â The young man found it hard to believe.
âThere are many causes of a heart attack; even staying up late can contributeâ¦â
âStaying up late? Yes, I stayed up late for three days playing games with friendsâ¦â
âThat could be a contributing factor.â
While speaking, Lin Feng prescribed medication and had the nurse administer nitroglycerin tablets and aspirin to the young man, stabilizing his condition temporarily.
Then, Lin Feng arranged for further tests, including blood sampling, cardiac marker laboratory tests, coronary angiography, and echocardiography.
Lin Feng made an urgent call to the laboratory, and half an hour later, all the results were available. Among them, the cardiac troponin (cTn) level was significantly elevated, confirming a myocardial infarction.
âItâs a heart attack!â
âDoctor, what should I do now?â the young man asked nervously.
At that moment, the young manâs parents arrived at the hospital, and Lin Feng briefed them on the situation.
âWhat?â
âMyocardial infarction?â
The parents were bewildered.
Father: âDoctor, are you sure itâs not a mistake? How is this possible? He has been working regularly without any other issues!â
Lin Feng shook his head seriously. âWe conducted several types of examinations, all confirming that he has a myocardial infarction. Itâs a very dangerous condition. Heâs already at deathâs door, so we canât delay. He needs surgery immediately.â
Father: âI just looked it up on the internet, and it says that patients with acute myocardial infarction can undergo thrombolysis⦠no need for surgeryâ¦â
Lin Feng sighed in frustration. âThrombolysis is only suitable for myocardial infarctions that have occurred within three hours. The problem is, your son has been experiencing symptoms for more than six hours, so thrombolysis is not appropriate.â
Mother: âMay I ask who will perform the surgery?â
Lin Feng replied, âFor myocardial infarction, interventional surgery is the most effective and least invasive approach. I can perform the procedure.â
The parents looked at Lin Feng skeptically, their faces filled with distrust.
Mother whispered, âHoney, should we change doctors and seek a specialist, find someone more experiencedâ¦â
Father nodded, âAlright, letâs go and make an appointment immediately.â
And they hurriedly went to register.
Lin Feng: ââ¦â¦â¦â¦â¦.â
At this moment, Lin Feng was worried about whether this young man could hold on until the next doctorâs diagnosis and surgery because time was of the essence.
â¦
Ten minutes later, Dr. Zhang, the director of the Interventional Department, took over the case today since there were fewer patients, and the condition was urgent. He started examining the young man.
âThe emergency department provided the results? Myocardial infarction?â
âYes, Doctor⦠that doctor also said he could perform the interventional surgery.â
âWhat? A doctor in the emergency department can perform interventional surgery?â
Dr. Zhang was momentarily stunned.
âLin Feng⦠but I thought he looked too young, so I came to youâ¦â
âLin Feng can do it?â
Dr. Zhangâs voice increased eightfold!
He was dumbfounded!
If Lin Feng himself said he could perform interventional surgery, he should be able to!
But⦠where did Lin Feng learn interventional surgery?
Did he learn it just by âreading books and watching videosâ?
Dr. Zhang felt that his brain was not enough.
âLet me see the test reportsâ¦â
One minute later, Dr. Zhangâs tone turned serious, âDr. Linâs diagnosis is correct. It is myocardial infarction⦠proceed with the surgery. Speed is crucial to prevent any delay in the patientâs condition. Go and complete the admission and payment procedures immediately.â
The father repeatedly nodded, âIâll do it right away.â
Since it was an interventional surgery, it didnât require as many complicated preoperative preparations as open surgery.
Moreover, the chances of survival significantly decrease if the time since the onset of myocardial infarction exceeds 6 hours. Unfortunately, in the case of this young man, it has already been nearly 7 hours.
â¦
Ten minutes later, in the cardiac catheterization laboratory, the surgery began!
Dr. Zhang personally performed the procedure because it was too urgent, and he had the highest confidence in his skills.
Incision⦠Inserting the catheter, advancing it through the veins towards the heartâ¦
One hour passedâ¦
Two hours passedâ¦
â¦
Lin Feng lazed around in the emergency department, picking up a medical journal to read.
Ring, ring, ring~~~
The sound of the nurseâs station phone suddenly rang. Sá´aÊch* Thá´ NÊvá´l(F)ire.ná´t website on Gøøglá´ to access chapters of nøvels early and in the highest quality.
Nurse Xiao Li answered, âHello, this is the emergency department.â
âThis is the cardiac catheterization laboratory. Please ask Dr. Lin to come to the cath lab⦠Itâs an emergencyâ¦â
The voice on the other end sounded urgent, indicating a major issue.
Xiao Li shouted, âDr. Lin, theyâre calling you from the cardiac catheterization lab⦠Itâs urgentâ¦â
Lin Fengâs heart skipped a beat.
Did something go wrong with that patientâs surgery?
Without hesitation, Lin Feng called for the supervising physician, Zhang Yuan, and rushed toward the cardiac catheterization laboratory.
Zhang Yuan: ââ¦â¦â¦â¦â