【Elderly News】Zhong Zhimin: A “techie” cardiovascular surgeon

From “protecting the family” to “for everyone” when talking about why he started to work in medicine, Zhong Zhimin coyly said, in fact, he only wanted to protect his own family at the beginning, when he was a child, the sick people in the family did not escape death after treatment, which made him feel lost. The seeds of becoming a doctor who could save lives were planted in Zhong Zhimin’s heart. Graduated from medical school in 1997, Zhong Zhimin and the general rotation of doctors like in various departments around, and general surgery can be said to be the most special stop. At that time, the general surgery department could not compare with other departments in terms of technology or patient quality, but the then director of general surgery was determined to separate the cardiac and thoracic areas of general surgery for more refined treatment. Zhong Zhimin, who has strong hands-on ability, was also naturally recruited by the department director to start his own cardiovascular surgery road. “The first three years can be said to be the most difficult three years on the road of cardiovascular surgery, cardiac surgery, including our director a total of only five people, the workload is very large. At that time, people were not aware of the health concept of cardiovascular disease, and most of them were already seriously ill when they came to the department, which added to our original shortage of manpower. However, there are always two sides to the coin, and the hard work exposed me to more real cases in cardiovascular surgery, and I had a solid improvement in both surgery and clinical judgment, one step at a time.” After spending three years eating, sleeping, and caring for patients all day in the hospital, the pain of anorexia and insomnia from the stress of these jobs made him feel doubly tired for a short time. Between 2003 and 2005, Zhong Zhimin received advanced training in various emerging or mature cardiovascular surgery techniques at home and abroad, which has helped him to perform more than 5,000 complex cardiovascular surgeries and save countless cardiovascular patients in the last decade. This has given him a stronger backbone to save countless cardiovascular patients. Analysis of cases Coronary heart disease Some surgeries make life easier Coronary heart disease is a common disease among middle-aged and elderly people, especially those who have high blood pressure. However, many times due to the age of the disease, those who can be treated with medication are very shy about surgery, and even when it comes to the point where surgery is necessary, they still resist. A patient in his 60s who had suffered from coronary heart disease for many years insisted on taking medication, but when a physical examination revealed that he had reached the level of surgery, the patient refused on the grounds that he “felt good about himself”. In that cold autumn and winter, the old man with coronary heart disease had sudden chest pains and difficulty in breathing, and could not be resuscitated after being sent to the hospital, which made Zhong Zhimin also feel sad. Another patient was much more fortunate. Liang Bo, who also suffered from coronary heart disease, was also afraid of surgery and had been avoiding it, but in a chance attack of angina, he was sent to the hospital by his family in time and saved his life after several resuscitations. He was diagnosed with three branches of coronary artery disease, which is already a serious condition. After a detailed and comprehensive examination, Zhong Zhimin performed a heart bypass surgery for Uncle Liang at the first time. After two weeks of hospitalization and simple conditioning, Mr. Liang recovered and went home. In fact, coronary heart disease, if the criteria for surgery are met, in the current medical technology can be said to be mature and reliable, and do not worry too much. Zhong Zhimin said, coronary heart bypass surgery this year to “minimally invasive”, “non-stop” development, for patients, especially elderly patients, is undoubtedly a blessing. In many of his cases, the success rate of heart bypass for elderly people in their seventies is as high as 99%. Of course, the main means of treating coronary heart disease is heart bypass surgery or heart stent surgery. And there is no superiority or inferiority of the two surgeries, and the choice needs to be based on the indications. Congenital heart disease Surgery is the root of the cure Congenital heart disease is more often found in fetus or infancy, and problems like ventricular septal defect, atrial septal defect, and patent ductus arteriosus are very common. Some parents are very nervous and overwhelmed if these problems are found after ultrasound examinations during fetal life. Zhong Zhimin said, in fact, like the defect is relatively light can first smooth delivery of the baby, some defects can even be self-repair. Of course, if the defect still exists, children in better condition can opt for repair surgery at the age of 2 to 3, while some thin, very poorly fed, pneumonia-prone and light-weight babies must be surgically repaired as early as possible, and age is not an absolute contraindication. “If the child is stable, does not have too much shortness of breath or shortness of breath, and has good growth and development, surgery can be considered between 6 months and 1 year of age. However, if the child has had repeated episodes of hypoxia or syncope, early surgery should be performed regardless of age to avoid severe hypoxia affecting growth and development and even serious complications.” Zhong Zhimin explained. The “flap replacement” restores the vitality of rheumatic heart disease Ms. Zhang, who is in her 40s, has suffered from rheumatic heart disease for many years and has been taking medication, but unfortunately, kidney failure has also infested her, which has overwhelmed her already fragile body. After a period of kidney dialysis treatment in other hospitals, the doctor could not continue and suggested her to deal with her heart problem first. After making many inquiries, Ms. Zhang came to Zhong Zhimin’s department by name. As Ms. Zhang’s situation was urgent and serious, Zhong Zhimin did not dare to slow down and organized a consultation at the first time to develop a detailed plan, adopting the way of “ultrafiltration” to eliminate the toxins and urine that Ms. Zhang could not eliminate in her body during the surgery, and then implement the most common “valve replacement” surgery for rheumatic heart disease. Then, the most common operation for rheumatic heart disease, “valve replacement”, was performed. In the end, Ms. Zhang regained her former vitality. “Rheumatic heart disease is prone to shortness of breath, panic, chest tightness and these very obvious manifestations, and most of the patients’ physical strength will slowly decline until their bodies cannot support them, so the ‘valve replacement’ surgery with high success rate is able to improve these problems to the maximum and restore the body’s vitality. Of course, the requirements for patients before the surgery are more demanding, the diet should be low in salt, avoid overeating, and water consumption should be reduced, if the normal person’s water consumption in 2000 ml per day, then the combined kidney failure patients had better reduce to half.” Zhong Zhimin reminded. Advice Health Surgery is not a one-time thing Healthy attitude is indispensable In fact, many people who suffer from heart disease appear to deteriorate due to unhealthy attitude towards life. Like young people who have rheumatic fever, because the symptoms are not heavy, early or participate in strenuous exercise, do not pay attention to improve the treatment, or smoking and drinking with the body, greasy diet, then it is very easy to lead to the emergence of rheumatic heart disease. In addition, some patients with coronary heart disease have the misconception that successful surgery means the disease is all healed. In order to achieve good results, in addition to insisting on taking medication after surgery, it is necessary to take more rest, do appropriate exercises such as walking, and ensure that the diet is adequate in terms of fruits and vegetables and low-fat, high-protein foods. At the same time, smoking and alcohol should be avoided, and regular annual or semi-annual check-ups should be conducted to facilitate timely treatment by doctors.