21st Century Necromancer

803: Chapter 799: Installing a Heart Pump

803 -799: Installing a Heart Pump

The commotion caused by the patient’s family did not trouble Doctor Chen Yu too much.

After all, no professor at the University Hospital would take being accused as a fraud by a patient’s family member lightly—Doctor Chen Yu could have easily sued him for defamation.

Ultimately, the disruptive family member was restrained by hospital security, who then called the police.

The individual was taken to the police station.

As for the patient herself, seeing her family member escorted away by the police left her utterly panicked and stunned.

Chen Yu observed her demeanor, shaking his head slightly, and asked, “Do you have any other relatives or family members?

Or anyone who can make decisions for you?

Reach out to them.

But please, don’t let them behave like this person—threatening violence after exchanging just a few words.”

“I’m so sorry.

My uncle tends to be a bit unreliable.

This time, when I came to Tokyo for treatment, my husband was too busy with work and couldn’t accompany me.

My uncle volunteered, so I let him come along.” The patient heard Chen Yu’s remarks and acknowledged how unreasonable her uncle’s behavior had been.

She bowed deeply in apology.

“Anyway, I’m truly sorry for how things turned out!”

“An apology once is enough.

Instead of focusing on that, you should quickly contact your family and have them come over to prepare for the surgery.

Your condition can’t be delayed any longer.

I’ll arrange the surgery as soon as possible.

Ideally, we’ll perform the craniotomy and heart repair surgery together—that way, you won’t have to go through two separate procedures.” Chen Yu wasn’t particularly concerned about the apology and urged her to proceed with preparations for the operation without delay.

After what had just transpired, the patient calmed down somewhat.

Upon hearing Chen Yu’s explanation, she remained fearful but nodded, agreeing to undergo surgery.

However, she still asked curiously, “Doctor, what exactly is wrong with my heart?”

Chen Yu had intended to explain the patient’s heart condition earlier but had been interrupted by her uncle’s outburst.

As a result, the patient hadn’t been made fully aware of why heart surgery was necessary.

Fortunately, she knew she’d had a heart condition since childhood, even if she wasn’t entirely clear on the specifics.

Now, with Chen Yu bringing it up, she was somewhat mentally prepared.

“Your condition is innate.

Simply put, your heart didn’t develop fully.” Chen Yu pulled out a whiteboard and quickly sketched a simplified diagram of the heart before beginning his explanation to the patient.

“A normal heart consists of the left and right ventricles as well as the left and right atria.

Blood flows back to the heart from the body, enters the right atrium, and then moves into the right ventricle.

From there, it flows to the lungs, where oxygenation occurs—transforming it into arterial blood—before entering the left atrium and, finally, being pumped through the left ventricle to the rest of the body.

In a healthy heart, the left and right ventricles, as well as the left and right atria, are entirely separated and not interconnected.

However, your heart didn’t develop completely, so you only have one functional left ventricle.

The right ventricle is essentially just a small, undeveloped cavity, and the left and right atria weren’t fully partitioned either—they’re partially connected.

This causes a significant portion of your blood to bypass the lungs and skip oxygenation altogether before entering circulation, which results in your blood containing much lower oxygen levels than normal individuals.

Consequently, your body has been in a chronic state of oxygen deficiency.

However, the main issue isn’t just the lack of oxygen.

Because your body has been in this deficient state for so long, your blood’s hemoglobin levels have increased significantly, making your blood thicker and slower to flow.

This means that any bacteria present in your blood have the opportunity to linger and thrive, which is the reason you developed a brain abscess.

As for how the bacteria entered your blood, further analysis will be needed.

Can you recall anything abnormal about your bodily functions in recent months?

Or have you experienced any injuries?”

Following Chen Yu’s detailed explanation, the patient finally started to understand why heart surgery was necessary.

However, the mention of abnormal bodily functions left her scratching her head, unable to immediately recall any relevant details.

After racking her brain for some time, she eventually remembered something and said uncertainly, “A few months ago, I think I had a pimple on my face that lasted for over a month without healing.

Sometimes I’d pick at it, but it was very stubborn and wouldn’t go away.”

Pointing to a particularly noticeable pimple on her face, she asked Chen Yu tentatively, “Doctor, could it really be because of this?”

“That’s possible.

When you picked at the pimple, bacteria might have entered your bloodstream through breaks in the skin.

Given the issues with your circulatory system, the bacteria could have traveled through the blood to your brain, leading to the abscess.” Chen Yu gazed at the prominent pimple on her face and could only make that deduction.

This conclusion startled the patient once again.

However, after hearing Chen Yu’s explanation, she agreed to his proposal of combining the heart surgery and craniotomy, and began contacting her family.

————————————————

“Doctor Chen Yu, what are you planning to do about that patient with the heart malformation?” When Daimon Michiko left the consultation room after arranging for the patient’s admission, she questioned Chen Yu about her confusion.

Michiko had reviewed the patient’s heart condition herself.

It was essentially missing a right ventricle, and the left atrium hadn’t developed properly either.

While atrial septal defects could be repaired surgically, partitioning a single ventricle into two posed enormous challenges.

Even if the separation was achieved, the overly small right ventricle would remain unresolved.

Although Michiko considered herself a skilled surgeon who had encountered many complicated operations, cases of congenital single ventricle combined with atrial septal defects left her with only one viable solution: heart transplantation, which could completely resolve the issue.

However, beyond the surgical difficulty, the availability of donor hearts was a major concern.

After all, every person only has one heart—who would willingly donate theirs without compelling reason?

It wasn’t as if there were spares to offer.

Typically, donor hearts are only obtainable from the deceased who have consented to heart donation.

Otherwise, it’s impossible to proceed with a heart transplant.

Although the patient could wait, Chen Yu clearly wasn’t planning to pursue heart transplantation, which naturally piqued Michiko’s curiosity about his alternative approach.

“What about installing a pump on the patient’s heart?” When faced with Michiko’s inquiry, Chen Yu simply smiled and, half-jokingly but also seriously, replied, “The undersized atrium and ventricle impact the efficiency of blood circulation.

If we implant a pump into her heart to assist blood circulation, the problem could be solved naturally.”