Chapter 911 - 452: Super Interventional Surgery—Worthless When Explained

Chapter 911: Chapter 452: Super Interventional Surgery—Worthless When Explained

Li Jingsheng felt the goodwill and gratitude from Mr. Wan and his wife, which made him particularly gratified. He was more determined to improve his medical skills and benefit more patients.

Now, the two buildings of the clinic have been successfully purchased.

Although it exhausted all his savings, it was well worth it. Now he is the owner of these two buildings and no longer has to worry about the landlord raising the rent or even evicting him.

Moreover, since the property is his, he can renovate it as he wishes.

He used to want to create a better operating room but was concerned about the expense of tens of thousands in renovations, and when the lease expired, the place might not be rented again.

At that time, many things couldn’t be moved.

The loss would be tremendous.

It’s different now. As long as he is willing to keep the clinic running, there’s no need to worry about this.

"I need to work hard to save money to prepare for establishing an endoscopy room in the future."

Also, he plans to marry Qinglan next year, and he at least needs to buy a wedding house. Separating the workplace and living place is definitely a good thing.

He didn’t have that condition before, as long as there was a place to sleep.

Now that he has strong earning power, buying a house shouldn’t be an issue.

He hasn’t decided whether to go all out and buy a villa or get a large three-bedroom apartment.

This matter requires a good discussion with Ou Qinglan, as the two of them will live there together in the future.

After work, Li Jingsheng headed to the People’s Hospital. Today he agreed to work with Wang Weiwei and Luo Binggang on interventional research.

Interventional treatment has great advantages, one being minimally invasive and the other being the quick restoration of blood flow in the vessels.

This allows patients to regain blood circulation in a very short time.

This is significant for the rescue of patients with acute myocardial infarction, cerebral infarction, cerebral hemorrhage, etc.

Some myocardial infarction patients risk more dead heart muscle cells with every second blood flow isn’t restored. In the end, even if the person is saved, extensive myocardial death causes the heart’s contraction to weaken.

This can lead to heart failure later for the patient.

At worst, even a few steps can cause shortness of breath and he cannot do heavy work. If severe, the patient might need a pacemaker or even a heart transplant.

Besides, there can be serious complications.

Like ventricular aneurysm, pseudoaneurysm, etc.

Li Jingsheng arrived at Wang Weiwei’s laboratory.

Some research is done in laboratories, possibly using some simulators. Some research is done directly on actual patients.

"Jingsheng is here! Come in quickly, Old Luo and I are waiting for you."

"Xiaoli, look at this blood vessel. I set multiple obstacles in it. The vessel wall is severely calcified, there are many plaques, and there is vascular deformity. This happens to be the critically important left anterior descending artery. If it can’t be unblocked in time, the consequences are serious. But Old Wang and I have tried various methods but couldn’t get the guidewire through."

Luo Binggang is a research fanatic.

Once he studies the treatment of a disease, he becomes obsessed, working tirelessly and thinking of ways to overcome its challenges.

Even myocardial infarction comes in various cases.

The conditions of the blocked vessels differ, and the difficulty of treatment varies greatly.

Interventional treatment is easier for chronic myocardial infarction. Doctors have plenty of time for treatment and the vessels are not completely blocked.

However, chronic myocardial infarction has a major flaw, as most patients have had chest pain and tightness for a long time but endure it.

They refuse to come to the hospital for treatment.

Only when severe symptoms arise or a sudden cardiac arrest occurs, they then rush to the hospital.

Usually, they are taken to the hospital by a 120 ambulance.

By this time, the patient’s blood vessels are completely blocked and many myocardial cells have died. The ejection value of the left ventricle is even less than 10%. In this situation, whether it’s interventional treatment or bypass surgery, the significance is limited.

If after hospitalization, the ejection value doesn’t improve, there is little meaning in heart surgery.

Often, an artificial heart or heart transplant is needed.

If the problem hasn’t developed that severely, even implanting a cardiac pacemaker can ensure a relatively high quality of living for the patient.

"Are you suggesting I use massage and manipulation to help your guidewire successfully navigate through the clogged diseased vessel, right?"

Li Jingsheng observed the blood vessels inside the human model.

The blockage was indeed very severe.

And due to the vascular deformity, it undoubtedly increased the difficulty of the guidewire passing through.

"We’re counting on your massage, Old Wang and I have already tried no less than twenty times, all ending in failure." Luo Binggang was already eagerly holding the control handle.

The guidewire was now stuck at the blocked vascular segment and couldn’t pass.

"OK, I’ll try massaging from this side."

Li Jingsheng began massaging the human model.

Although seemingly just a human model, it was extremely expensive, costing more than 1.3 million yuan. It was custom-made by Luo Binggang and Wang Weiwei.

Even in some designing work, they and Li Jingsheng were involved.

Li Jingsheng mastered the Bone Touching Skill and has immensely rich experience.

He is indeed well-informed.

He has his own unique insights into blood vessels.

He tried massaging the upper abdomen of the human model.

The ribs and organs were very realistic.

The internal blood vessels were clearly visible.

Doing research is very costly, but at Wang Weiwei and Luo Binggang’s level, they usually can secure some scientific research fund support.

Domestic large enterprises also manifest very supportive attitudes in this field.

They have set up special medical research funds, like Penguin Company, which specifically funds top doctors and scientists for research.

A person can receive six million a year, a grand gesture that’s not something just anyone can put forth.

With Li Jingsheng’s manipulation, the anterior descending branch within the human model has undergone some significant changes.

Compared to the feel of a real person, there is a certain discrepancy, but not too much.

"Good, very good, just like that!"

Luo Binggang exclaimed excitedly.

Wang Weiwei was also watching from the side, greatly invigorated. They had conducted similar experiments multiple times.

Simulating various vascular blockage scenarios, and then researching together on possible ways to clear them.

Not only can valuable practical experience be accumulated in simulation experiments, but also research in extreme cases of vascular blockage to see if intervention is possible and the duration for opening.

"It’s stuck! The guidewire won’t pass!"

Luo Binggang concentrated on controlling the guidewire, trying to pass, but all efforts ended in failure.

"Old Luo, let me try."

Wang Weiwei volunteered to take over as he watched anxiously from the side.

However, he failed as well.

Easy to watch, hard to do.

Both of their skills are comparable; Luo Binggang failed, and Wang Weiwei’s chances of success are very slim.

"I’ll try a different approach."

Wang Weiwei was undeterred, opting to enter through the hand’s vascular route.

It still ended in failure.

"Facing these extreme situations, it seems there’s no possibility for intervention." Luo Binggang began summarizing.

"Old Wang, help me hold the model’s upper abdomen, press it to the left side."

Li Jingsheng picked up the control handle.

Wang Weiwei and Luo Binggang simultaneously widened their eyes.

"You... are you going to try?"

"I don’t give up easily without trying."

Li Jingsheng replied with a smile.

His insertion technique has reached an impeccable level, virtually unbeatable in colonoscopy. In Jiangli City, he’s one of the top experts.

Now, he’s taking on the challenge of a cardiovascular intervention procedure.

He operated the guidewire, swiftly advancing, showcasing an excellent level of intervention skills.

"Xiaoli, impressive! I haven’t seen you do intervention procedures for a while, and you’ve improved so much."

Luo Binggang’s eyes were sparkling.

Wang Weiwei was equally shocked, watching the guidewire’s tip under Li Jingsheng’s control, like a fierce, advancing snake.

Some obstacles in the blood vessel stood no chance against it.

"Old Wang, press a little harder, push to the left."

"Okay!"

Professor Wang Weiwei, despite his high status, willingly assisted Li Jingsheng.

The guidewire, under Li Jingsheng’s control, managed to slowly thread into the tightly clogged segment of the blood vessel.

"My heavens, it actually passed through."

Luo Binggang watched as the guidewire successfully navigated through the blockage, feeling a face full of disbelief.

Just moments ago, he had tried all possible techniques and methods himself, but couldn’t get through.

Not only did Li Jingsheng successfully guide the wire through, but he did so very quickly.

If this were in a real case, the patient’s rescue success rate would greatly increase.

Moreover, the myocardial cells of the patient could be spared from significant death.

"Jingsheng, how did you do it? Today, you can’t keep this to yourself; Old Luo and I are your elder brothers, you need to teach us."

Though he was watching from the side, Wang Weiwei could only grasp the surface unless the person involved explained.

Understanding the intricacies was beyond his grasp.

Medical techniques sometimes seem simple when described. That’s because those who follow tread on the paths of predecessors’ successes, making it appear simple.

But exploring by oneself involves high difficulty.

"Honestly, it’s not difficult at all. Do you see this large plaque?"

Li Jingsheng pointed at a large plaque in the vascular blockage segment.

Once calcified, blood vessels harden and can easily form plaque.

Theoretically, the older the age, the greater the amount of plaque inside blood vessels. The probability of forming large plaques increases dramatically.

A person of fifty or sixty without plaque in their arterial blood vessels would be abnormal.

"Please elaborate."

Both Wang Weiwei and Luo Binggang were incredibly interested.

"Watch my guidewire pass through the edge of the plaque. Because the plaque is hard, once the segment is wholly clogged, it will still offer some support. Passing along the edge offers a chance of success."

Li Jingsheng said with a smile.

Plaques are generally circular or oval, expanding into a mound-like appearance as they grow.

In terms of vascular clogging, it’s generally unlikely for the plaque to completely block the vascular cavity; often, a thrombus might be present. At this point, the thrombus is soft, jelly-like.

Once stuck by the plaque, this section of the vessel becomes completely blocked.

Nevertheless, the contact surface with the plaque is vast, allowing tiny gaps to possibly form. This is Li Jingsheng’s opportunity.