"Thank you, thank you, doctors!" After receiving the good news, the child's father wiped his eyes and was about to cry again. This should be the best result so far.
When returning to the NICU, Luo Jingming looked at Dr. Hu, then walked back and closed the door.
After the child's condition stabilized, Nie Jiamin stood with Xie and asked about the details of what happened tonight.
Teacher Nie probably wanted to know about Teacher Hu's eye problem. Xie Wanying thought that she couldn't hide it from the boss anyway, so she said, "Teacher Hu has an eye disease, it's RAO."
In addition, since Teacher Nie comes from abroad, he may be able to bring some latest news about foreign treatment of RAO, which will be helpful to Teacher Hu.
"RAO." Nie Jiamin sighed, "This disease is very difficult to cure."
It seems that there are no good treatment options for this disease abroad either.
"What do you think?" Nie Jiamin suddenly turned around and asked for her personal opinion.
According to the teacher, there is no specific medicine for this disease abroad. Xie Wanying could only use her own brain to deduce. She said: "Teacher Hu is old, so she has arteriosclerosis. If there is no specific medicine, we can only consider how to help her relieve this symptom based on her overall condition. The central retinal artery is the terminal artery of the ophthalmic artery and is very sensitive to blood circulation. The normal origin of the ophthalmic artery is connected to the internal carotid artery. Once there is any abnormality in the internal carotid artery, it will directly affect the central retinal artery."
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...
"So--" It was obvious that Nie Jiamin was listening to her analysis with great interest. The corners of her lips were slightly curved, and she looked at her, waiting for her to speak.
Perhaps the boss had already thought of her professional inference, but the teacher always likes a smart student to express his or her own thoughts in front of him or her.
Xie Wanying continued to discuss with the teacher: "The connection between the ophthalmic artery and the internal carotid artery is a normal blood supply system. If an abnormality occurs, the human body will try to self-adjust and establish collateral circulation."
After a blood vessel is blocked, the human body will establish collateral circulation by itself, striving to continue to supply blood to human cells and tissues to maintain life functions. This can happen in every part of the body. The simplest example is the demonstration surgery that classmate Xie Wanying performed in the hepatobiliary surgery department. I wonder if you still remember the various collateral circulations that formed a terrible collateral circulation network.
Collateral circulation can be good or bad. Once doctors understand this principle, they can make full use of it to solve human diseases.
"If the internal carotid artery is blocked, other blood supply branches can be found for the ophthalmic artery, and the abnormal origin point, the middle meningeal artery, can be seen clinically. If the collateral circulation is open to compensate, it can be through the anterior communicating artery ACoA of the cerebral artery circle and the circle of Willis, through the posterior communicating artery PCoA and the pia mater, and through the collateral pathway OA of the external carotid artery. Therefore, I think it is more meaningful to ask the neurosurgeon to check the condition and direction of these blood vessels. After all, ophthalmology alone can no longer solve this problem." After speaking, Xie Wanying waited quietly for the teacher to comment.
Nie Jiamin, who is cautious and slow-tempered, was straightforward about her idea and said, "What you said is OK. I have good knowledge of anatomy. NO PROBLEM for now."
Teacher Nie's Mandarin seems to have improved, and his combination of Chinese and Western languages is getting better and better. Xie Wanying blinked.
"She needs to find a better neurosurgeon. Well, this suggestion is good." Nie Jiamin once again affirmed her judgment.
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