MTL - The Sweetest Thing In the World-Chapter 70 excellent

"Director Xu's is also a doctor, what a coincidence." The aunt sighed and continued: "It must be a very good doctor, right?"

Xu Mai smiled and said, "Well, she is excellent."

Unexpectedly being praised, Min Yue blushed and raised the tray high to cover her face.

Seeing that she had packed up, Xu Mai turned and walked out, beckoning her to follow. The two walked into the meeting room. The family members had been waiting for a while, and finally saw the doctor coming, and hurriedly got up to greet them.

Asking Min Yue to sit in the main seat, he took a seat next to him. Xu Mai said, "Sorry, I was delayed for a few minutes. Now, Dr. Min will introduce the operation related to the day after tomorrow."

After Xu Mai finished speaking, he retreated, leaned on the back of the chair, and quietly looked at the little apprentice, with an expression of entrusting the power to you.

Min Yue swallowed nervously, silently said "I hold" three times, and raised her eyes to observe the three family members opposite.

The two elderly people were the patient's parents, and they looked a little uneasy. The other woman is his wife, wearing rimless glasses, with a strong bookish look, relatively calm, and should be the backbone of the three, with the most right to speak.

Min Yue looked into her eyes and said: "Your husband complained of palpitation and shortness of breath. After hospital examination, he was diagnosed with atrial septal defect. In layman's terms, it means that the blood from the left atrium shunts to the right atrium. It is a common congenital heart disease. One or two-year-old children generally have small shunts and have no obvious symptoms. As they age, the shunt flow increases, and symptoms such as dyspnea and fatigue will begin to appear."

"Sick children under one year old have the possibility of self-healing, and the probability is about 40%. Over one year old, the possibility of self-healing is very small. Once diagnosed, no matter whether there are symptoms or not, no matter how old they are, surgery is recommended. .”

Min Yue pulled out the echocardiogram and drew the defect with her fingertips for them to see. "This gap is in the middle of the atrial septum, with a size of about 40*27mm. There is an obvious left-to-right shunt signal during diastole, and there is also a regurgitation signal from the tricuspid valve."

Seeing that the three family members were still at a loss, Min Yue repeated it again: "Your husband's disease is called a secundum atrial septal defect, which is the most common type. It is also accompanied by mild tricuspid regurgitation. It is recommended to repair it." Operation."

"The mortality rate of this operation is less than 1%. After the operation, patients can work and work normally without affecting their lives. The recurrence rate is also relatively low, only 2%." Min Yue paused and gave another result.

"If you don't do surgery, if you continue to develop, with intimal hyperplasia and medial thickening, pulmonary hypertension will occur, which is likely to lead to right-to-left shunt, heart failure, cardiac arrhythmia, and may also be combined with endocarditis, pulmonary local infection."

"By that time, it will be life-threatening, and the difficulty of surgery will be greatly increased. There are no contraindications at present, so I personally recommend surgery as soon as possible, early treatment and early recovery. But his symptoms are not particularly serious now, should he be observed? Let's talk about it later, it's up to you to decide." Min Yue quieted down after the introduction, leaving time for the family to think.

The three of them looked at each other, and after unifying their opinions, the wife said: "We all listen to the doctor, and it is best to have an operation as soon as possible, so as not to leave future troubles and worry every day."

Min Yue smiled: "Your husband's surgery is initially scheduled for the day after tomorrow, and our Director Xu will be the chief surgeon."

The family members all looked at Xu Mai, who nodded in response.

Min Yue went on to introduce: "At present, there are five main methods of repairing atrial septal defect, three of which are suitable for your husband's situation. The first is total thoracoscopic surgery, which only uses three holes in the chest cavity without sawing. For the sternum, the surgical incision is small, with less bleeding and faster recovery. The second is robotic surgery, which is similar in principle to the first, but has a better surgical field of view and is more expensive. The third is traditional median thoracotomy, which requires sawing Broken sternum is very traumatic, but the surgical field of view is the best, and it is also the method most hospitals use. You can discuss it and decide which surgical plan to use.”

The family members were undecided, so they asked for advice: "Which one does Dr. Min think is suitable for us? How much is robotic surgery expensive, and will the medical insurance cover it?"

Min Yue replied: "I think total thoracoscopic surgery is the most suitable. Your husband's gap is not too big, and the symptoms are not serious. There is no need for traditional thoracotomy. Robotic surgery requires four holes, which is more than total thoracoscopic surgery." One hole, and the price has doubled several times, it’s not worth it.”

What she said was reasonable and thoughtful, and the family members didn't hesitate after hearing it, and said, "Then let's do the thoracoscopy one."

"Okay, let's talk about the situations that may be encountered during the operation and the precautions after the operation."

Min Yue spoke more and more fluently, full of confidence, and completely put aside the rigidity at the beginning, even speaking with gestures, she almost wanted to draw a 3D heart anatomy map in the air.

Xu Mai listened quietly all the time, without interrupting.

After finishing the last sentence, Min Yue suddenly realized that he had talked too much, licked his lower lip in embarrassment, and asked, "Is there anything you want to add, Master?"

Xu Mai shook his head.

Min Yue looked at the family members again: "Maybe I didn't explain clearly in some places. If you don't understand, you can ask my master again."

The family members who had been crammed for half an hour quickly waved their hands: "No, no, no, Dr. Min explained it in detail, we have nothing more to ask."

"Let me see...there are only signatures left." Min Yue took out the risk notification letter from the stack of documents, took out a pen and handed it to his wife, who signed his name without hesitation, said goodbye and left.

Xu Mai glanced at his watch, more than half an hour had passed, twice as long as the usual pre-operative conversation.

Seeing the other party leaving so impatiently, Min Yue was a little hurt: "Master, are they tired of listening? Am I nagging? I feel like I said 'keep warm and don't catch a cold' three times."

Xu Mai smiled: "You are very careful."

"Master laughed at me too." Min Yue lay down on the table in frustration, and sighed sadly: "I'm probably the person who talks the most nonsense in Corey. It's like a foot wrap, smelly and long."

Xu Mai patted the little apprentice's head, and comforted him: "No, you spoke very well."

Min Yue's eyes were bright, like a child waiting for praise, her face was full of anticipation. "How good is it? How good is it?"

Xu Mai said: "Excellent."

Remembering that Xu Mai told the aunt in bed 11 just now that the other half is a very good doctor, Min Yue smirked, stretched out the sleeves of the white coat, stretched it out, and said with a flattering smile: "Master will help me write superior."

"Write what?"

"Excellent!" Min Yue was triumphant, "I want to wear Master's score on my body so that others can see at a glance that I am an excellent doctor recognized by Master."

Xu Mai let her make trouble, took out the pen cooperatively, and wrote the word "excellent" on the white coat. When he finished the pen, he found a familiar mark on her right cuff, and couldn't help but take a second look.

Min Yue looked at this and then that, so beautiful that it was bubbling, and then took the initiative to stretch her two sleeves to Xu Mai's eyes.

Now Xu Mai could see clearly that the blue and black words on her right cuff were her own name.

"Master, do you still remember?" Min Yue helped her recall, "That time in the lecture hall, Dr. Song asked you to sign. Get you signed on a white coat."

Xu Mai recalled that such a thing did happen a long time ago, but the name on her cuff was as brand new as if it had just been signed.

"Haven't you washed it?" Xu Mai asked while touching the two words.

"Reluctant, afraid of fading." Min Yue looked down at the cuff, eyes full of cherishment.

In the past, it was thrown directly into the washing machine. After Xu Mai signed it, she began to wash it by hand, and carefully rinsed and wrung the rest of the place. Only the cuffs were kept, and she dared not soak them in water or expose them to the sun.

Because, this is the rose in her heart, the white moonlight that was once elusive.

Thinking of the time of unrequited love in the past, Min Yue showed a pitiful expression. Xu Mai held her hand, and asked softly, "Have you been wronged?"

Min Yue hummed coquettishly, Zeng Yuan, Dr. Song, the single male doctors and nurses in the hospital are all staring at you like wolves. How many enemies have I defeated? I just caught up with you.

"Don't be afraid in the future, I'm yours."

"what?"

Xu Mai held her and intertwined his fingers with her, with a calm and warm smile. "You're mine too."

You have been stamped with the brand name "Xu Mai", and every smile and breath of yours is in my eyes.

So don't worry anymore, because my love for you can withstand water and fire, span years and light years, and never fade.