Doctor of Healing

"Mr. Meng, your statement is a bit..."

"Hehe, that's just my own feeling. When I think about it, I'm almost forty. It's like you don't know how to do surgery. When you appear in your 20s, you can be brave and diligent. But if you are 50 years old , I’m afraid it’s not dementia.”

Ji Xiang and Meng Qingfei chatted without saying a word, and Dr. Merz was on the phone in the cold wind at the gate of the Second Affiliated Hospital, and he was frozen like a dog.

"Jones, I have met a patient." Dr. Melz briefly told what he had seen and heard.

"Why is the patent foramen ovale? How could it be a patent foramen ovale? What is the relationship between the foramen ovale and abnormalities in the nervous system? Do you have the latest research success?"

"My dear Merz, are you interested in heart surgery? For God's sake, you'd better do your joint surgery. You don't know how much I envy you."

"Jones, I... I'm asking you why!" Dr. Meltz was a little impatient.

"Did you not have surgery? No way!"

This sentence stirred up painful memories in Dr. Merz's heart, and he said angrily, "Jones! I just encountered a problem, damn it! Don't make fun of me, okay?"

"I'm about to have surgery."

"Explain to me before going on!"

The doctor opposite was a little surprised. After all, Dr. Merz is an expert in sports medicine. He couldn't understand why Dr. Merz suddenly became interested in cardiac surgery.

But Dr. Jones could already hear Dr. Merz's furious mood on the phone.

"The foramen ovale is a fissure in the middle of the atrial septum, located at the upper edge of the primary atrial septum, at the junction of the first atrial septum and the second atrial septum, which is the lower edge of the second atrial septum, and is usually covered by a thin sheet of the primary atrial septum .”

"Before birth, the fetus did not establish pulmonary circulation, so the foramen ovale acts as a physiological channel as a valve during the fetal period, allowing blood to flow from right to left, but preventing blood from right to left, allowing blood to flow from the right atrium to the left. The atrium maintains blood circulation in the fetus.

Dr. Meltz listened with strained patience for a few minutes before interrupting Jones.

"I want to know why, not hear you tell me about damned histology and regional anatomy."

"Merz, your temper is very grumpy today. Could it be that the patient had an accident because of a patent foramen ovale during your operation? That's really sad news."

"No, I'm in a community hospital!" Dr. Merz stressed. "Tell me why, you're still having surgery. Damn, it's cold out here."

Dr. Merz shivered and complained about the cold wind in the parking lot of the Second Affiliated Hospital.

"The exact mechanism by which migraine occurs in patients with patent foramen ovale is unknown.

Some scholars think that it may be microthrombosis or serotonin and other headache-triggering substances that are usually filtered in the lungs. If there is too much of this substance, it will not be deposited and inactivated in the lungs, and the pressure in the right heart will increase, such as coughing, holding your breath, and diving. When venous blood from the right atrium flows into the left atrium, a right-to-left shunt occurs. "

"Right-to-left shunts are also usually asymptomatic, but as in the right heart system, that is, a thrombus of some material in the venous system such as the deep veins of the lower extremities or the pelvic veins."

"Fat emboli formed after surgery or trauma. Follow the blood flow to the right heart and enter the left heart through the patent foramen ovale, and then the embolus enters the brain through the arterial system and causes cerebral vascular embolism, which can produce symptoms."

"The patient has no history of surgery and trauma, and is a young woman. Young!!!"

Dr. Merz emphasized that he was waving his arms, as if he was fighting against the cold wind outside the Second Affiliated Hospital.

"Yes, it's no surprise that most patients with severe headaches from patent foramen ovale are under the age of 45." Dr. Jones's hearty voice came, "Melz, what I said above It’s just a guess, at least it sounds like it’s true.”

picture!

Dr. Merz is about to explode.

"I guess it won't be long before those theories will be overturned, but there is no large-scale research sample yet."

"why?"

"Because the treatment of this kind of disease can now be treated with interventional closure surgery, the operation is very small and very simple." Dr. Jones said, "There is already a simple way to solve it clinically. Who would study so hard?"

"In young migraine patients, after excluding migraine symptoms caused by other causes of arterial embolism, it is necessary to be alert to whether there is a patent foramen ovale. Timely detection, early treatment, and elimination of symptoms."

"Just remember that young patients with intractable headaches need to be checked more often, and they can follow the procedures of the insurance company, and there will be no problems."

"Dear Merz, do you understand what I mean? This is just a small branch problem, so don't pay too much attention to it. But if you are interested in the diseases of our cardiac surgery, you can come to me to do special research."

Dr. Merz has a hard time.

He would never say that he faced an arrogant and domineering demon king. When he was sure that the patient had a nervous system disease, the demon king jumped out and told him that the patient had congenital heart disease.

The knight was defeated at the feet of the big devil, the script is definitely not designed like this!

Dr. Merz clenched his fists, thinking viciously about the face of the arrogant young doctor in front of him!

"It has nothing to do with your sports medicine. There is not much research on patent foramen ovale in cardiac surgery, so don't think about it." Dr. Jones suggested.

It was cold and windy, and there was snow. Dr. Merz took a deep look at the Second Affiliated Hospital after hanging up the phone.

A 120 ambulance came roaring, and the blood-stained person was lifted off from above.

Dr. Merz couldn't understand why the young doctor had come to the emergency room.

To increase clinical experience?All young doctors at some point in their careers will have some interest in the emergency room.

This is the reason Dr. Merz originally came up with.

However, due to the headache caused by the patent foramen ovale, Dr. Merz vaguely guessed that the young doctor's level was extremely high, even far exceeding his own understanding of medical treatment.

So Dr. Merz rejected his previous ideas.

Damn, he is just a young doctor, how could he give himself a powerful illusion?

After watching his operation again, I must kill the big devil after I learned it. Dr. Merz has already imagined in his heart that he snatched the sword while the big devil was unprepared, and then beheaded the big devil. .

Regarding the operation, Dr. Merz is still very confident. He estimated that the young doctor must have noticed some details in the new operation.

As long as you go to see the operation yourself, you can understand the whole process.

After all, I have done countless similar operations myself, so the principle is the same.

Dr. Merz felt that he was only temporarily deceived by "magic", no!He was deceived by the devil's black magic.

Just wait and see!

Dr. Merz took a deep breath, trying to suppress the flame burning deep in his heart.

But the cold wind mixed with snowflakes was sucked into his respiratory tract, and the severe cough made Dr. Merz very uncomfortable.

This damn weather, this damn big devil!

……

The next day, Wenbanyama came to the Second Affiliated Hospital.

What made Dr. Merz happy was that he was by Lin Jiuze's side, and Lin Jiuze and the young big devil didn't drive him away or drive him away.

As long as they don't speak, they pretend they don't exist.

This is the arrogance of the Great Demon King!He didn't think he'd be able to learn that damn operation, Dr. Merz became more and more certain.

Every arrogant guy gets what he deserves!

The villain died of talking too much! !

Wenban Yama's postoperative recovery is not good, and local tissue adhesions are relatively serious. If the rehabilitation plan is followed, it will take at least half a year before he can go on the field.

And whether it is a lateral move or the first step, the starting speed will be affected.

But this is already within the capabilities of Dr. Merz and his medical team, and Dr. Merz does not believe that anyone can do better than himself!

Because Wenban Yama's team brought complete materials, after coming to the Second Affiliated Hospital and doing several related inspections, they submitted the operation order and prepared for the operation.

Dr. Merz lay down early to rest, to recharge his batteries.

But that night, Dr. Merz tossed and turned, as long as he closed his eyes, his eyes were filled with the appearance of that damned young big devil.

He is arrogant, he is rebellious, he has no manners, and he breaks the balance of the industry.Even top athletes came to him for surgery and offered sky-high prices.

$900 million, that damn green paper.

These are all damning charges. Dr. Meltz has sealed the Great Demon King in his heart and cast countless curses.

On the morning of the operation, Dr. Merz arrived at the hospital with dark circles under his eyes.

What he was worried about was that Lin Jiu would not let him go to the operating table to watch the operation process.

For this reason, Dr. Merz even approached friends in the embassy in advance, and if they refused, he was ready to use all resources to exert pressure.

What could be imagined didn't happen, the young big devil didn't seem to realize that he was going to take away his sword, and Dr. Merz happily followed him to perform the operation.

Putting on the lead suit, Dr. Merz complained about the wear and tear of the lead suit.

He was wearing a full lead suit, and he refused Lin Jiuze's request to let him observe in the operation room.

If you want to see it, you have to stand at the nearest position to watch the operation, or you might as well not watch it!

Dr. Merz is full of confidence in himself.

Wenban Yama is 2 meters 23. After gaining muscle, he no longer looks like a stick before the draft.

He was lying on the operating table, as if he had been operated on in Massachusetts a few months ago.

Dr. Merz watched silently. With the airtight lead door closed, there were only two groups of surgical personnel, instrument nurses, and the doctor in charge of the Wenban Yama medical team in the operating room. He came behind Ji Xiang.

Lin Jiu was doing the puncture, and the young big devil was disinfecting for the last time.

Cut along the outside of the last incision, the young big devil patiently cut off the scar tissue.

Dr. Merz was disdainful in his heart, this was all superficial work, Wenbanyama wouldn't care, and no one would care.

It's not plastic surgery, it's meaningless to be so smooth, the key point of surgery is inside.

This step, Dr. Merz gave a very low evaluation.

Lin Jiuze's operation proceeded very quickly. Tubes were placed, superselection was performed, and radiography was started.

It's really radiography!Dr. Merz was surprised to find that it was a hybrid surgery just like the legend.

The moment the radiography was completed, the young big devil had already cleaned up the adhesions, and was preparing to suture the poorly healed area in the previous operation.

The method of clearing the adhesions was good, but it didn't matter. Dr. Merz watched the operation carefully.

Not to the point yet!

He cheered up and prepared to study seriously, which was an important step to take the sword from the hand of the Great Demon King.

The young Great Demon King raised his head, glanced at the contrasted images, and then began to match them.

Before the anastomosis, he asked for a pair of scissors to cut some parts where the sutures were stitched in the previous operation.

Dr. Merz was a little puzzled. According to conventional secondary surgery, destructive surgery is not necessary.

The Great Demon King is seeking his own death.

Ordinarily, this should be the focus of the operation, but Dr. Merz still doesn't know what the young big devil is doing based on his years of rich clinical experience and experience accumulated from countless operations.

Jixiang cut off part of the tissue and began to stitch.

His stitching seemed haphazard, some of the tissue wasn't even aligned.

That's it?

Dr. Merz couldn't believe his eyes.

He raised his hand to take off the lead mirror, rubbed it vigorously, and took a closer look.

That's it!

Indeed, the young big devil didn't do any operations beyond his common sense, he just skillfully cleaned up the connective tissue adhesions and sutured again.

The key step must be after this, maybe they invented some magical potion!

Dr. Merz's eyes fell on the instrument table in front of Tang Yan.

All the equipment is very ordinary, and there is no new equipment at all.

Why in the end!

The operation was completed so quickly, and there was nothing beyond his own cognition.

Except for Lin Jiuze's pretentious radiography, there are no other details that are different from the existing surgery.

If there is, the young big devil's operation is "rough" when suturing, which makes Dr. Merz a little confused.

"Ready to rinse." Ji Xiang asked for warm salt water.

it is this!Dr. Merz's eyes lit up.

If he had the legendary potion, he would not put it in a bottle with a hole in it, but would put it in a salt water bottle and use it inadvertently.

definitely is!

Dr. Merz "discovered" the essence of the problem.

But they are so wasteful when they use warm salt water, like it is really 0.9% sodium chloride solution.