From small clinic to medical empire

Chapter 174 This is the Miracle 【Subscription】

In the afternoon, light rain began to fall in S city.

In fact, throughout autumn, it rained more than half of the time in S City.

The dim light outside the window and the white noise of the rain dripping on the window sill made people drowsy.

"Mr. Du, it's time for you to recover and exercise."

Two stout aunts came in pushing wheelchairs.

The aunt spoke Donghai dialect, regardless of whether Durant understood it or not, she stuffed him into the wheelchair and pushed him out.

Considering the bad records of the ghosts in China, Zhang Zifan tried to arrange as few little girls as possible in the international department, and more aunts, especially those who are powerful.

这两个大妈，一个身高1米6，腰围1米8，一个身高1米7，腰围1米7。

Durant held him down with his bare hands, and then put on a special large raincoat.

Their destination is [Intermediate Training Room].

Li Jingwang just finished today's daily training. He was naked and dripping with sweat, so he could play with Mr. Du.

Of course, even if Zhang Zifan's surgical technique has improved a lot compared to half a year ago, and construction and medicine have their own bonuses, but Durant's Achilles tendon is not so good that he can basically recover in the afternoon after surgery in the morning.

Zhang Zifan estimated that it would take about two weeks before Durant could try to move around.

According to the agreement, a team doctor from the Brooklyn Nets will fly to City S in five weeks to evaluate Durant's recovery from injury.

Only when his Achilles tendon recovery level exceeds 80%, Zhang Zifan can get a final payment of 500 million US dollars, which is equivalent to more than 500 million yuan.

That's a crazy number.

In theory, Durant and his team should not offend a medical institution that can save a professional sports career.

But there are no absolutes. Who knows if those quack doctors of the Nets will be jealous of each other?

To be on the safe side, Zhang Zifan decided to let Durant train in the [Intermediate Training Room] from the first day in order to recover to the peak after 5 weeks.

If the leg can't move, just use your hands, move your waist, and move the other leg.

In short, Zhang Zifan's request to Li Jingwang was to make Durant sweat.

I believe that Lao Li will definitely hand in a satisfactory answer.

……

Shortly after Durant left, Li Chao was also awakened from his sleep.

Zhang Zifan, Kong Xiang, Pan Qian, and Liu Guanyan appeared in the ward together.

Liu Guanyan was the policewoman who partnered with Li Chao before and wrote a lot of information on the intranet, and now she is also the instructor of the Aries Institute.

She has a very good relationship with Li Chao, and she came to visit this time in a half-public and half-private capacity.

If it was someone else, Zhang Zifan would have declined. After all, Political Commissar Liu Huanghe wanted to send someone to stay and take care of the patients, but Zhang Zifan refused in the name of maintaining medical order in the special care ward.

However, Liu Guanyan is also an old friend of Haoran, so Zhang Zifan can only take her to visit his colleagues while Durant is away.

Seeing that Liu Guanyan's eyes were red, Li Chao smiled and said, "Xiao Liu, you have to write a good manuscript for me this time. Those people in the bureau are not as good as you in writing!"

"Super brother..."

Liu Guanyan wiped away his tears, nodded vigorously and said, "Well, I will definitely write down your deeds beautifully!"

"That's a good relationship!" Li Chao grinned and said, "I remember your handiwork is good. After I take off my eyes, you give me the whole blindfold, like Pirates of the Caribbean, you should be more handsome!"

"Pfft!"

Liu Guanyan also couldn't help laughing, "How can the People's Police make such a shape... Modern technology is so advanced, the prosthetic eye they made is very realistic!"

"Which..."

Although he didn't want to disturb their comrades-in-arms reunion, Zhang Zifan looked at the time and had to say, "Lao Li might have his eyeballs removed, let alone blind. Director Kong and I have designed a surgical plan, and there may be turnaround.

Director Kong, please introduce the operation plan to Officer Li and sign it. "

Hearing Zhang Zifan's words, Li Chao and Liu Guanyan looked at Kong Xiang in unison.

They all know now that Director Kong Xiang is the ophthalmology supernova who was in the news at the beginning of the year, and is one of the top ophthalmology surgeons in China.

"Cough cough..."

Kong Xiang blushed. On the one hand, he didn't want to take credit, but on the other hand, he was really not optimistic about Zhang Zifan's unreasonable surgical plan.

He said hastily, "This surgical plan is entirely due to Dean Zhang, the idea is completely designed by him, and I only perform a part of the operation.

The entire surgical process is roughly like this..."

After listening to Kong Xiang's careful introduction, Li Chao looked confused.

To be honest, he didn't understand any of those professional terms, but they sounded very lofty.

"Anyway, I'll listen to you, if it doesn't work, I'll take my eyes off!"

Li Chao simply stopped asking any more questions and signed his name with a stroke of his pen.

……

Kong Xiang asked Pan Qian and others to dilate Li Chao's affected eye in advance, and transported the fundus laser machine and other specialized equipment to the operation supply room for disinfection. He and Zhang Zifan walked into the birth passage together, and began to change clothes and wash hands.

General eye surgery is basically performed under local anesthesia, and can be done in the outpatient operating room of the eye center.

The reason why it took so much trouble is because Li Chao's "Ke Zong's eyeball reconstruction technique" is relatively complicated.

The operation involves quite a lot of microsurgery content, and it is necessary to ensure that the patient is under efficient anesthesia for a long time, and general anesthesia is more appropriate.

In addition, unlike Durant's Achilles tendon surgery, the aseptic requirements of eye surgery are very high.

Theoretically, the ophthalmic operating room should meet the aseptic standard of a level 1 operating room.

However, most hospitals in the country cannot meet this standard, so there is a certain risk of intraocular infection.

Therefore, Zhang Zifan specially appointed Shi Xiaoya to disinfect the operating room and the patient's operating area this time.

This operating room is the one where Durant operated before, and the interval between the two operations is very short, which can be regarded as half-way.

Even now, there is still a little bit of black body odor in the operating room.

Only Asians in the world have the gene mutation for axillary deodorization, and the carriers are as high as 95%.

Others, regardless of blacks, whites, Arabs, and Indians, must rely on perfume to cover up body odor.

Even more so with an athlete like Durant.

So despite the fresh air system, there is still a little bit of this smell in the operating room.

However, this does not mean that the operating room is contaminated and unclean.

In medicine, the definition of cleanliness is completely different from that of ordinary people.

A stinky insole is naturally unclean.

But you put this smelly insole under light, enzymatic, high temperature and high pressure sterilization, and vacuum aseptic packaging.

After opening, it may still smell bad, but it is sterile and clean.

You put it on the wound as a dressing, no problem at all, no infection, no poisoning, great!
But having said that, Zhang Zifan still silently took out his mobile phone and wrote down a note on the memo:
"Additional operating room air purification fee of US$2000, don't forget!"

……

At [-]:[-] in the afternoon, a surgery that changed the history of fundus medicine began at Haoran Hospital.

Kong Xiang thought that Zhang Zifan knew nothing about ophthalmic surgery, which was actually incorrect.

With the establishment of [Intermediate Ophthalmology Center], Zhang Zifan has an E-level ophthalmology level.

Of course, Zhang Zifan is self-aware, Kong Xiang has an A+ professional level, and even Pan Qian and Zhai Qiang, who are supporting the stage, have C and C+ levels.

Don't show off your little tricks and make yourself ashamed.

Therefore, Zhang Zifan acquiesced to the cognition of Kong Xiang and others, that is, he does not know how to operate ophthalmology at all.

In fact, he really won't.

If you go to a township health center with this level, you can be a village doctor who specializes in dispensing eye drops. There is no problem at all, but such things as eye surgery are out of the question.

However, it doesn't matter if he doesn't know how to operate. This does not prevent Zhang Zifan from using the [Default Eye] to see what surgery is suitable for the patient.

At the E-level level, the names of the classic techniques in the textbooks are still familiar.

After some presuppositions by Zhang Zifan, he found that "closed vitrectomy" is the most suitable operation for the current situation.

Kong Xiang also chose this technique.

Sure enough, I see the same thing as the boss!
Zhang Zifan was very pleased.

……

Kong Xiang's left hand has now fully recovered, and his surgical skills have gradually returned to the peak.

He skillfully cut the bulbar conjunctiva circularly at 2 mm behind the limbus, sutured the puncture wound on the surface of the sclera, and electrocoagulated the surface to stop bleeding.

Then the upper and lower rectus muscles are stretched and fixed.

Avoiding the anterior ciliary artery, use the MVR knife perpendicular to the scleral surface from the line of defense parallel to the limbus, and puncture toward the center of the globe until the blade is visible in the pupil. At this time, the lens is quickly removed.

Then use the reserved injection head to infuse the perfusion fluid to maintain the intraocular pressure.

Next, there are more sophisticated and dazzling operations.

Landers ring fixed...

The light guide fiber head and the vitrectomy head enter the eye...

Vitreous removal, proliferative membrane treatment, gas-liquid exchange, laser sealing of holes, injection of silicone oil...

……

Sure enough, it's easy to cooperate with God teammates!
I was used to cooperating with Yuan Qiang, a platinum waste, and suddenly changed to the King's 300-point teammate, Zhang Zifan, an extraordinary master, and felt very comfortable.

Seeing Kong Xiang's surgical operation that was like a work of art, Zhang Zifan was so moved that he wanted to cry. If everyone in the hospital was A-level, he could just lie down and be the dean, right?

"Okay, Professor Kong, replace me later!"

Kong Xiang looked up in surprise, then smiled and said, "Sharp sense of surgery!"

Indeed, if it weren't for the sharp sense of surgery, it would be difficult to know when to take over the other party's stage in the general Kwaco operation.

Here is the contribution of ophthalmology, but Zhang Zifan himself is indeed talented in surgery.

Nodding, Zhang Zifan took over the C position, Yuan Qiang replaced Pan Qian as the medical assistant, and pushed the microscope around, Shi Xiaoya opened the special equipment bag of Dean Zhang.

Zhang Zifan's operation time officially started.

……

Like Zhang Zifan, Kong Xiang also watched Zhang Zifan's operation with great interest.

Previously, he was only operated by Zhang Zifan as a patient, and he had no chance to observe Zhang Zifan's surgical level up close.

As soon as the experts make a move, they will know if there is any.

When Zhang Zifan picked up the scalpel, Kong Xiang knew that Dean Zhang's surgical skills were indeed not inferior to his own.

And that confident calm demeanor was stronger than myself.

Because Kong Xiang could see that Zhang Zifan did not have much experience in anatomical fundus structures, but he seemed to have a special kind of self-confidence. After a short judgment, he could quickly decide where to resect or electrocoagulate.

This kind of decisiveness in the face of unknown fields is the unparalleled talent of surgeons.

……

Soon, the operation came to the most critical step, which was the butt joint of the optic nerve.

The optic nerve is the nerve fiber of the retina, starting from the ganglion cells of the retina. After the nerve fiber reaches the blind spot, it passes through the cribriform layer of the sclera and becomes the optic nerve.

After these optic nerves cross, they combine with the fibers in the temporal half of the retina of the contralateral eyeball to form the optic tract, which terminates in the lateral geniculate body. After exchanging neurons here, the fibers are sent out to form the optic radiation through the posterior part of the posterior limb of the internal capsule, which terminates in the lateral geniculate body. The central cortex of the cuneate gyrus and lingual gyrus on both sides of the calcarine fissure of the occipital lobe is the striatal area.

Li Chao's eyeball was punctured, and the damaged optic nerve was mainly those nerve fibers that were located in the eyeball and had not penetrated the blind spot.

In other words, Zhang Zifan's main task is to use [universal glue] to connect the optic nerve before the nerve crosses to the opposite side of the retina-related cell area one by one, just like spot welding a circuit board.

There are a lot of optic nerves. Even with the help of the system, Zhang Zifan still faces a considerable challenge if he wants to complete this work without any mistakes.

However, regardless of his personal or public interests, Zhang Zifan did not want Li Chao, a good policeman, to lose half of his light.

So no matter how difficult it was, he decided to try.

……

Kong Xiang couldn't help but hold his breath in surprise when he saw Zhang Zifan using microscopic equipment to connect an optic nerve less thick than a hair to the retina.

He originally thought that Zhang Zifan was going to suture the nerve bundles to the retina in certain areas.

To be honest, Kong Xiang is not very optimistic about the effect of doing so.

Maybe the retina and nerve bundles don't grow at all.

However, at this time Zhang Zifan chose to connect the nerve fibers to the retina, which greatly exceeded Kong Xiang's expectations.

There is a huge difference in difficulty between connecting nerve bundles and connecting nerve fibers!

Before Zhang Zifan performed nerve transplantation on Kong Xiang, he used the butt joint of nerve bundles, which was much simpler.

This is because the radial and sural nerves are straight nerves without bifurcations in the surgical field.

The connection between the optic nerve and the retina is obviously not a point-to-point relationship.

It is hundreds of small nerves corresponding to different areas of the retina, and then aggregated into a bundle.

Just linking that "bundle" will definitely not be comprehensive in signal acquisition, and even the images are garbled.

Only by connecting all small nerves at fixed points in a one-to-one way can the simulation of "Ke Zong's eyes" be realized.

But this...

Is it really achievable by humans?

Is this really what surgery can achieve?
If before, Kong Xiang called Zhang Zifan's nerve transplant surgery a miracle, then at this moment, Kong Xiang believes that the young doctor in front of him, the man he would like to call the dean, is truly challenging the realm of God !
That's right, completely transforming the structure of human eyeballs is no longer a miracle, it's a miracle!
Because of this, Kong Xiang was a little confused, or in other words, he couldn't believe that Zhang Zifan could do all this.

After all, ophthalmology is a highly independent professional discipline, and the treatment of fundus diseases is a worldwide problem.

If Zhang Zifan's operation can achieve even the slightest success, it will definitely be a shocking event in the ophthalmology industry.

Whether it is macular degeneration or other incurable diseases, it can be solved immediately.

This is equivalent to that professional ophthalmology doctors all over the world have been trying to open the door of truth, an incomparably exquisite Luban lock.

In order to understand each mechanism of the lock, countless elites went on and on, and only achieved some results, and the answers may not be completely correct.

As a result, a layman came now, who didn't care about Luban or Luban at all.

He glanced at the lock, and came directly with C4 in his hands. The ashes of the chain were blown away, and then he kicked the door open, and got the ultimate answer.

dean...

Dean, can he succeed?
A thin layer of sweat broke out in Kong Xiang's hands.

(End of this chapter)