Practicing Medical Skills in a Small Clinic

Chapter 625 - 287: Angiogenesis and the Use of the Bronze Award (Part 2)

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A spare one.

Because when the battery runs out, the patient’s artificial heart will stop beating.

This limitation is too significant.

Currently, abroad, the best site for developing an artificial heart is considered the human thigh.

Extract the femoral artery and a large vein, using a series of techniques to induce fusion, proliferation, and changes.

However, this experiment violates several legal provisions regarding human rights, making it impossible to conduct on human bodies.

Perhaps there are instances, but only conducted secretly in laboratories.

Just like the once-popular cloning technology.

If this technology were applied medically, it would also address the issue of organ transplant shortages.

It’s also banned for the same legal violations.

Mankind has reached a stage today where many new technologies warrant deep exploration.

Li Jingsheng seriously pondered the reason for the proliferation of these three small blood vessels.

Could it be that neurological disorders triggered vascular proliferation?

Considering the patient’s left upper limb has a nine-centimeter segment of the radial nerve swollen, accompanied by nerve constriction, and even nearly complete rupture in one place, he concluded it must be a neurological disorder.

Not caused by vascular disease.

"It’s necessary to conduct a pathological examination on the patient!"

This time, without hesitation, having reached this point, he wanted to see what caused such severe nerve disorders in the patient.

The results came quickly.

Pathological examination revealed inflammatory cell infiltration dominated by lymphocytes into the nerves, along with vascular lumen narrowing and partial closure.

Nerve swelling accompanied by axonal thinning and a significant reduction in number.

Li Jingsheng understood why those three small blood vessels proliferated after reviewing the pathological results.

Because the vessels have a substitution mechanism.

It’s also a survival mechanism.

For instance, in some patients, when the heart’s major blood vessels become obstructed or narrowed, heart blood supply becomes an issue.

The body makes adjustments, and some small vessels connected to this major vessel slowly thicken, replacing much of the blood-supply function of this major vessel.

These patients may experience palpitations, shortness of breath, fatigue, etc.

When examined at the hospital, it may be revealed that ancestors’ blessings caused the major artery to become completely blocked. Normally, they would have had a heart attack or sudden death, but the surrounding vessels of this aorta saved their lives.

Although they struggled to thicken, they still couldn’t meet the aorta’s blood supply requirements.

But they can replace 60-70% of the aorta’s blood supply capability.

Thus, the patient only feels weak, with palpitations and shortness of breath, but won’t have cardiac arrest.

This patient’s radial nerve was damaged by inflammatory cells dominated by lymphocytes, causing surrounding vascular lumen to narrow and partially close, forcing those three small vessels to proliferate, bridging the diseased radial nerve for blood supply.

At this point, the cause is basically clear.

But a more detailed cause can’t be further investigated.

At least he lacked the conditions to continue probing.

Perhaps when future scientists conduct more in-depth research, they can discover why inflammatory cells dominated by lymphocytes damage nerves.

Just like the initial malignant tumors, these also fall under unknown diseases.

Li Jingsheng also classified this illness as an unknown disease.

His diagnosis noted that the left radial nerve showed hourglass-like lesions, suggesting surgical treatment.

Then he provided a surgical plan.

Submit the answer.

"Damn it, lost two points."

Zhong Hu slapped his thigh with an extremely frustrated expression.

"What the hell, Xiaoli, how are you three points higher than me?"

Zhong Hu saw on the big screen that his group jumped from over twenty rankings to fourth place. Tied first with the top three.

This team strategy’s advantage is as long as one person answers correctly, it counts.

Zhong Hu lost two points, either due to a missed diagnosis or an unnecessary excess examination.

In terms of Li Jingsheng scoring one point above the perfect score, it was an extra point.

"Perhaps the tests I applied for were more intuitive! Did you examine the patient’s pathology?"

"What pathology? After applying for exploratory surgery, I already found the cause. Direct surgery can resolve the patient’s issue. Checking pathology would just be redundant!"

Zhong Hu’s temper and impulsiveness are actually unsuitable for a doctor.

But he became a doctor regardless, and a strong attending physician at that.

Effort sometimes overcomes some unfavorable factors.

"Check the patient’s pathological exam; I’ve never seen such a disease before. You have broad knowledge and experience, maybe you’ve encountered it."

Li Jingsheng asked Director Zhong Hu to review the patient’s pathological results.

As for ranking fourth, tied first with the top three teams, he appeared incredibly indifferent.

Once you win a gold medal, it loses its luster.

"Never seen such a disease before. Old Chen, Xiaohu, have you seen it?"

Zhong Hu is barely ten years older than Hu Jia, yet calls him Xiaohu.

Despite Hu Jia being an associate chief physician.

Fortunately, colleagues are accustomed to his personality.

Chen Anchen and Hu Jia reviewed the results and both confirmed they hadn’t seen such a disease.

"There’s too many unknown diseases. This seems to be a rare unknown disease primarily affecting bone nerves."

Chen Anchen said seriously.

The more experienced the doctor, the more unknown and strange diseases they’ve encountered.

The first question quickly concluded, with the orthopedic team gaining bonus points totaling eleven. Indicating their direction in diagnosis and application of tests faced no issues.

Responses in other aspects were also standard.

The competition enters the second round, similar to the previous orthopedic trauma contest.

Teams are required to first provide their surgical plans, followed by evaluation scores from the judges.

The team with the highest score gets surgical priority.

Li Jingsheng and Zhong Hu’s team’s luck wasn’t bad; they clinched the surgical qualification in the first round.

This time, Li Jingsheng largely didn’t worry; Director Zhong Hu answered everything.

It also showed Director Zhong Hu’s professional level is genuinely strong.

He so disdained Professor Wu, which is definitely not right, but he truly has remarkable ability.

...

Surgery completed successfully after more than forty minutes.

The process was relatively smooth.

Li Jingsheng’s suturing and separating skills played a significant role during the procedure.

As for the incision, Zhong Hu didn’t give him the chance to handle it.

Originally, his incision skill was the strongest.

Back in the break area, the team patiently waited for the final rankings.

"Damn, landed in seventh place."

Zhong Hu cursed after seeing the final rankings.

Fortunately, the venue noise is high, preventing others from hearing.

Otherwise, a chief physician swearing openly is quite damaging to their image.

"Director Zhong, congratulations! Obtained our hospital’s third bronze medal."

Chen Anchen congratulated him with a smile.

"Sigh, still a bit short, at least should’ve earned silver for glory! Afraid Wu would ridicule me again when I go back."

Zhong Hu voiced such sentiments while still showing joy that his team secured the bronze medal.

Despite not meeting his expectations.

"What right does he have to laugh at you? If he dares, directly toss the bronze trophy at his face."

Chen Anchen also had a disagreement with Professor Wu.

His words carried certain aggressiveness.

"Haha, that’s a good idea. The bronze trophy seems to have that much utility."

Zhong Hu laughed and looked at Li Jingsheng.

"Xiaoli, along with two young ladies, let’s go on stage to receive the award."