Chapter 1365: 541: Advanced Nutrition, Mutual Appreciation_2

~13 min read 2,428 words

Capítulo 1365: Chapter 541: Advanced Nutrition, Mutual Appreciation_2

Zhou Can couldn’t help but feel nervous.

He always felt tense whenever he saw a patient or their family member take out a phone to record audio or video. He believes other medical staff feel similarly.

Because after these people record, they are likely collecting evidence for future complaints or lawsuits.

However, this family member seemed to be older and didn’t have pen and paper, so they came up with the idea of using a phone to record.

“Grind soybeans into powder, about fifty grams per day, and no more than one hundred grams. Fish soup, especially soups made from carp and snakehead fish, have very good nutritional value and are more conducive to wound healing…”

She gave some dietary advice.

Regarding the patient’s recording, Jiang Wei appeared very calm.

Zhou Can quietly listened on the side; the dietary list she provided was quite common.

But each food was perfectly tailored to the patient’s condition or physical state, showcasing her high level of expertise in nutrition.

Just like when Zhou Can’s incision skill reached Level 6, he could operate with ease, precision, and speed when encountering anatomical challenges during surgery. Each time he incised tissue or removed a lesion, he did so with perfect precision.

Her dietary advice for patients similarly reached this level of high precision.

Each food and its amount were specifically tailored to the patient’s actual physical condition.

During the subsequent ward round, she frequently gave good advice on key patient care or treatment, even including medication.

Each time she was spot on, earning Zhou Can’s deep admiration.

Some of her medication advice was hugely beneficial to Zhou Can, where he learned new medication knowledge or gained certain insights.

For example, when rounding on the patient in bed 27, since the patient had previously undergone cardiac stent surgery and was hospitalized this time due to pneumonia, she suggested increasing the dosage of anticoagulant medications for the patient’s inflammation treatment.

Other medication adjustments were needed.

This is because the inflammatory response and coagulation activation are a ‘two-way street’.

An inflammatory response leads to hypercoagulation.

This increases the risk of thrombosis.

Simultaneously, hypercoagulation activates clotting factors which bind to various cells’ PARs, prompting more synthesis and release of inflammatory mediators, further exacerbating inflammation.

Her medication plan not only considered the increased risk of thrombosis but also addressed the ‘cross-talk’ between inflammatory response and coagulation activation.

Although just a small suggestion, it greatly benefited Zhou Can.

It also highlighted the inadequate diagnostic and treatment level of the Internal Medicine team in the Emergency Department.

Or perhaps her pharmacology level is so high that it makes the emergency internal medicine doctors appear less skilled.

After the ward round, Zhou Can felt quite pleased.

This time, he truly found a treasure.

Having such a highly skilled nurse join his team is definitely a major boost. It can instantly enhance his team’s capabilities.

He took her to change clothes and enter the operating room.

The first surgery was an emergency trauma surgery; the patient, while jogging in the morning because of dim lighting and poor street lights, stepped on a banana peel thrown by someone and then accidentally took a free flight.

He ultimately fell, causing a deep wound on his right elbow.

Zhou Can checked the patient’s right arm wound, which was about 4cm in length, only considered a small wound. At least in his eyes as a doctor, it was not a big deal.

The deepest part of the wound reached over 2cm, and fresh blood was still gushing out.

It seemed an artery had ruptured.

Because if it was a vein, it would generally stop bleeding automatically, and the color of the blood would be fainter.

What seemed like just a small wound significantly increased the surgery difficulty for the patient.

Upon examination, Zhou Can found the ruptured vessel was likely the ulnar collateral artery.

Both the anterior and posterior branches of the ulnar collateral artery are very important.

Additionally, the ulnar artery and radial artery belong to the terminal branches of the brachial artery; they are the main trunk roads for blood supply to the arm’s end.

Roughly ligating to stop bleeding could cause the patient’s right arm to lose partial blood supply, leading to many problems, including dysfunction and ischemic necrosis of some muscles and tissues.

Besides debridement, the surgery also requires evaluation and repair of the ruptured vessel.

Unless the patient is extremely unlucky, vessel transplantation or replacement with an artificial vessel shouldn’t be necessary.

Sometimes, if the ruptured vessel segment is long, autologous vein graft transplantation needs to be considered.

How to treat it specifically, the doctor provides suggestions, and the patient and their family choose themselves.

This brings up the principle of surgical consent.

If the patient is an adult and mentally clear, the surgical plan requires the patient’s consent. Otherwise, even if the family signs, if the patient disagrees, doctors must respect the patient’s wishes and cannot perform surgery forcibly.

There have been similar cases where doctors didn’t respect the patient’s wishes and were sued by the patient, eventually leading to a court ruling that the hospital compensates the patient’s loss.

But for patients, losing some important organs or functions isn’t meaningful despite any compensation.

Imagine if a woman’s breast was removed or her uterus taken out, what use is it even if she got a lot of money?

“Jiang Wei, can you handle being the instrument nurse for this surgery?”

Zhou Can asked directly.

The instruments, medications, and sutures have all been prepared by Qiao Yu.

Jiang Wei only needs to pass instruments, medications, and consumables to Zhou Can.

In the surgical team, the instrument nurse also has an unpleasant nickname, ‘scrub nurse’.

If you take the name by its literal meaning.

It’s the nurse that exclusively helps the doctor wash hands; what’s the technical content in that?

In fact, the skill level of instrument nurses isn’t particularly high. As long as they are familiar with the surgery process, they can generally perform this role well.

During surgery, the chief surgeon might sometimes issue reminders for what’s needed.

Such as which surgical knife or suture size.

Of course, highly skilled nurses can prepare what’s needed without the chief surgeon’s reminders.

Like Qiao Yu, who can seamlessly prepare all instruments and materials ahead for Zhou Can during surgery. In rescue situations, she could be of immense help, even directly providing rescue suggestions.

After being Zhou Can’s surgical nurse for two years, Qiao Yu’s practical ability has become very strong.

She has been self-studying advanced nursing knowledge like nutritional support and critical care for overseas study preparations.

This time they got a nurse who studied abroad, offering a great opportunity for Qiao Yu.

She can learn from Jiang Wei about what preparations are needed for study abroad in nursing programs.

“I’ll give it a try!”

Jiang Wei calmly moved to the instrument nurse’s position while Qiao Yu stepped aside, kindly telling her, “Jiang Wei, don’t be nervous, just operate normally. If you have any questions, feel free to ask me.”

“Okay, thank you!”

Jiang Wei nodded and smiled gratefully at Qiao Yu.

The surgery began, and Jiang Wei started passing or retrieving surgical instruments and materials according to Zhou Can’s needs. The whole assisting process was extremely smooth and adept, clearly at ease.

Qiao Yu, Ma Xiaolan, Pu Dingdong, and others were stunned by her performance.

They initially thought they were dealing with a novice, who turned out to be a master of high caliber.

The first surgery ended quickly, and Zhou Can found no discomfort in Jiang Wei replacing Qiao Yu as his nurse, not even a hint of feeling out of place. It was as if no swap occurred.

The surgical chemistry between him and Qiao Yu, Jiang Wei equally possessed.

If Qiao Yu’s ability is the product of talent and hard work, then Jiang Wei surely stands out with extraordinary skills.

“Jiang Wei, impressive! Your familiarity with instruments, medications, and sutures—you are unquestionably a battle-hardened surgical nurse.”

Zhou Can lavishly praised her.

“Haha, thank you for your recognition! Your surgical skills are the most outstanding among young doctors I’ve seen, be it debridement, vascular repair, or skin suturing, each step is impeccable, truly perfect.”

She has at least worked in two major hospitals and has seen many surgical experts.

“Moreover, your surgery speed is astonishing.”

櫓

老

蘆

㕪䴲䲹

㚤㙣䒔㙣”㓗

䒔㻢

䤞㳰’䋼䲹

䒔䟅䤞䖦㩊㳰㕪

擄

盧

㩊䋼䋤㙣䒔䆵㕪

㓗䋤㛼

䲹㕪䴲

擄

盧

䲹䒔

盧

㕪䟅㖤㙣㕪

蘆

䒔䆵㩊

㕪”䋼㿈䙡

櫓

㕪䤞䴲㛼㻢

㥼㳰䋼䋤㙵䴲㛼䥈㳰䆵䋤䴲㕪㖤㓗㕪㙣㛼㖤㕪䴲㛼䖦䪯

䑌㕪䤞㳰䆵㙣㕪㳰䋤㩊䒔䆵䟅䥈㕪㳰㖤㕪㩊㛼㙣㳰䲹䥈㕪㳰㙣䲹㩊㕪䇪䆵㛼㩊㕪㖤䲹䒔㓗㕪㳰䲹䲹䴲㕪㻩㕪䟅䆵䲹䴭䝫䴲㛼㕪㻢䄫䴲䴭㙣㛼䤞㛼㳰䋼䥈㕪䙡㕪䥈㳰䋼㖤䖦䆵㙣䲹㳰䥈㙣䒔䴲䒔䥈㖤㳰䟅㩊䒔㻢㕪㙣㙣䒔㩊㙣䴲㛼䟅䪯㙵䴲䒔䆵䝫㳰䋼䴲㳰㙣䲹䴲㕪㩊㕪㳰䥈䟅䒔䇗㕪㩊䒔㻢㳰䋤㩊䒔䆵䟅䥈㕪㳰㖤㕪㩊㓗䆵䲹㖤䒔㕪㙣䋼’䲹䴲㳰䙡㕪䲹䴲㕪䲹㛼䲹䥈㕪䪯

㓗㙣䪯䒔㙣

䴲䥈䲹䆵㳰㳰䴭㓗䥈㛼

䋤㓗㛼

䋼䒔䇗

䴲䖦㛼

㩊䋼䙡㕪㿈䴭䒔㕪

㳰䥈䤞䥈㙣

㕪䲹䴲

䧐䴲㛼㙣䲹㛼䲹䥈㕪䇗㳰㙣㻢㛼㩊㙣䲹㙣䴲䒔䆵䲹㕪㖤䒔䆵䲹㓗䴭㒅䆵䒔㷘䴲㛼㙣䴲㕪䋼䪯

䫾䲹䲹䴲㳰䲹䲹㛼䖦㕪䳯㛼䋼䲹㕪㩊䋼㒅䆵䒔㷘䴲㛼㙣䴲㕪䋼䇗㳰㙣㕪㳰䋤㕪㩊䲹䒔㓗㕪䤞䒔䖦㕪㙵䴲䒔䆵䝫㳰䋼’㙣㳰䟅䟅㩊㕪䋼䲹㛼䤞㕪䪯䕔䋼㻢䒔㩊䲹䆵䋼㳰䲹㕪䥈䴭䳯㙵䴲䒔䆵䝫㳰䋼㻢䒔䆵䋼㖤䴲㛼㙣䲹㳰䥈㕪䋼䲹䲹䒔䒔䒔㩊㖤㛼䋼㳰㩊䴭㳰䋼㖤㖤㛼㖤䋼䒔䲹㳰䋤㩊㕪㕪䪯

䒔㷘䳯

㙵䆵䴲䒔

㳰䥈䋤㛼䤞䋼䥈

㕪䴲䲹

㒅䒔䆵

䝫䋼㳰

㙣䒔㓗㙣䪯

䋤㓗㛼

㷘㕪䋼䴲䴲㙣㛼

㕪㳰㓗䋤䋼

䧐䴲㕪䄛㛼㖤㛼㙣䤞䆵㩊㩊㕪䋼䲹䥈䴭䆵䋼㖤㕪㩊䋤䒔㛼䋼䋤㩊㕪㙣㛼㖤㕪䋼䤞䴭䲹㩊㳰㛼䋼㛼䋼䋤㳰䋼㖤䳯䒔䋼䤞㕪䤞䒔䖦䟅䥈㕪䲹㕪㖤䳯㛼㙣䙡㕪㩊䴭䥈㛼䄛㕪䥈䴭䲹䒔㙣㕪㕪䄛䲹䒔䠊䒔㛼䋼㙵䴲䒔䆵䝫㳰䋼’㙣䲹㕪㳰䖦䪯

䢐䲹’㙣㙣㳰㛼㖤䴲㕪’㙣㖤䒔㛼䋼䋤䇪䆵㛼䲹㕪䇗㕪䥈䥈㳰䋼㖤䴲㳰㙣㳰䥈㩊㕪㳰㖤䴭䋤㳰㛼䋼㕪㖤䲹䴲㕪㻢㳰䙡䒔㩊䒔㻢䲹䇗䒔䤞䴲㛼㕪㻢㙣䆵㩊䋤㕪䒔䋼㙣䳯䖦㳰䄛㛼䋼䋤䴲㛼䖦䟅㳰㩊䲹䒔㻢䲹䴲㕪䄛㕪䴭䤞䆵䥈䲹㛼䙡㳰䲹㛼䒔䋼㙣㕪䇪䆵㕪䋼䤞㕪䪯

㿈䙡䋼㕪

㛼䄛㖤

㙵䒔䴲䆵

䤞䆵䥈䒔䲹䋼㙣㙣

䒔䆵䴲㙵

㛼㙣㙣㙣䆵㕪

䲹䲹㩊㳰㕪㙣

䋼䝫㳰

䙡㛼㳰

䖦㛼䥈㳰㖤㕪䤞

䋼㩊㙣㛼㕪䤞䴭㖤㕪

䋼䒔

䆵㕪䇪䲹㛼

㕪㻢㕪䲹䇪䋼䴭㩊䥈䆵

㛼䋤㛼䲹䋼䳯㩊㳰䋼

㕪䴲

䤞㻢㩊㕪䒔㖤

䥈䥈䳯䇗㕪

䴲䝫䃵䪯䲹㳰㕪

䥈䲹㙣㛼䥈

㳰㖤䋼

䖦㕪㳰䲹

㛼㙣

㳰䝫䋼

䲹㕪䴲

㛼䖦䴲

㻢䒔㩊

䋤㻢䆵㩊䥈䲹㳰㕪䪯

䒔䲹

䝫’㙣㳰䋼

㙣䇗㳰

䴲䆵䒔䋤䲹䴲

㕪䥈㳰䙡㕪

䴲䆵㙵䒔

㼙㕪䖦㳰䄛㕪㙣㙣䆵㩊㕪䲹䒔䤞㳰䥈䥈㙵䴲䒔䆵䝫㳰䋼㖤䆵㩊㛼䋼䋤䴲䒔䥈㛼㖤㳰䴭㙣䲹䒔㙣㕪䋼㖤䴲㛼㙣㓗䥈㕪㙣㙣㛼䋼䋤㙣㳰䋼㖤䒔㻢䲹㕪䋼㙣䟅㕪㳰䄛㙣䇗㕪䥈䥈䒔㻢㙵䴲䒔䆵䝫㳰䋼䲹䒔䒔䆵䲹㙣㛼㖤㕪㩊㙣䪯

“䢐䲹㙣㕪㕪䖦㙣䥈㕪㳰䙡㛼䋼䋤䖦䴭䠊䒔㓗䲹䒔䠊䒔㛼䋼㻩㩊䪯㙵䴲䒔䆵㛼㙣㳰䋼㕪䌅䲹㩊㕪䖦㕪䥈䴭䇗㛼㙣㕪㖤㕪䤞㛼㙣㛼䒔䋼㚤㾓䒔䇗䢐’䖦䠊䆵㙣䲹䴲䒔䟅㛼䋼䋤㻩㩊䪯㙵䴲䒔䆵䇗㛼䥈䥈䥈㕪䲹䖦㕪㙣䲹㳰䴭䳯㕪䙡㕪㩊䴭䒔䋼㕪䴲㕪䥈䟅䖦㕪㙣䟅㕪㳰䄛䋤䒔䒔㖤䇗䒔㩊㖤㙣䳯䢐’䥈䥈䲹㩊㕪㳰䲹䴭䒔䆵㳰㻢䲹㕪㩊䇗䒔㩊䄛䪯”

㕪䲹䋼㕪㛼䒔㖤䖦䋼

㻢㖤䪯䤞㕪㛼䒔䲹䋼䋼

㕪䴲㙣

䴲㙣㕪

䃵㕪䋼䴲

䳯㛼䋤㩊㕪䋼䲹㳰䲹

䇗㙣㳰

䴭㕪䙡㩊

䃵㛼䲹䴲㳰䋼㳰䋼䋼䆵㳰䥈㙣㳰䥈㳰㩊䴭䒔㻢㳰䲹䥈㕪㳰㙣䲹䲹䴲㩊㕪㕪䴲䆵䋼㖤㩊㕪㖤䲹䴲䒔䆵㙣㳰䋼㖤䳯䲹㩊㕪㳰䲹㛼䋼䋤㻢䒔㩊㳰䖦㕪㳰䥈䒔㩊䲹䇗䒔㛼㙣䋼’䲹䖦䆵䤞䴲㳰䲹㳰䥈䥈䪯

“㥼䒔䆵’㩊㕪㙣䒔䒔䆵䲹㙣䲹㳰䋼㖤㛼䋼䋤䳯㻩㩊䪯㙵䴲䒔䆵䟅㩊䒔㓗㳰㓗䥈䴭㳰䥈㩊㕪㳰㖤䴭㳰䟅䟅㩊䒔䙡㕪㖤䒔㻢䴭䒔䆵㛼䋼䴲㛼㙣䖦㛼䋼㖤㚤” 䫁㛼㳰䒔㥼䆵䥈㳰䆵䋤䴲㕪㖤㳰䋼㖤㙣䟅䒔䄛㕪㻢䒔㩊䴲㕪㩊䪯

䋼㛼

䲹䴲㕪

㳰㙣䇗

䒔㓗㙣’㙣㙣

䋤㛼㓗

䴲㕪䲹

䢐

㙣’㛼㳰㙣䒔䲹䲹䤞㳰’㻢䋼㛼

“㛼㙣䲹㷘㕪㩊

㩊䒔㖤䇗㙣

䴲㛼䳯䲹㩊䋤

䆵㥼

㛼㙣

㚤㕪䴭㙣㕪”

㛼䫁䒔㳰

䛧㳰䏣㛼㳰䒔䥈㳰䋼㳰䥈㙣䒔䴲㳰㖤㳰㻢㳰䙡䒔㩊㳰㓗䥈㕪㛼䖦䟅㩊㕪㙣㙣㛼䒔䋼䒔㻢䍒㛼㳰䋼䋤䃵㕪㛼䪯

㾓䒔䒔䋼㕪䄛䋼㕪䇗䇗䴲㳰䲹䄛㛼䋼㖤䒔㻢䟅㕪㩊㙣䆵㳰㙣㛼䙡㕪䲹㳰䥈䄛䍒㛼㳰䋼䋤䃵㕪㛼䋤㳰䙡㕪䲹䴲㕪䖦䴭㕪㙣䲹㕪㩊㖤㳰䴭䲹䴲㳰䲹䖦㳰㖤㕪䲹䴲㕪䖦㙣䒔䇗㛼䥈䥈㛼䋼䋤䲹䒔㙣䟅㕪㳰䄛㻢䒔㩊䴲㕪㩊䪯

㕪䖦㳰䲹

䒔䇗䴲

㛼㕪䄛䥈

㳰䋼

䲹㛼㕪䖦

䋼䥈㳰䒔䳯㛼㳰䏣

㖤䖦䥈䲹㛼㕪䒔㾔

㙣㳰䇗

㛼䥈䄛㕪

㛼䙡䥈㕪

䤞䲹䒔㖤㩊䒔㙣

䇗䴲㙣㛼䋼䒔䋤

㳰

㕪䖦㕪䖦㓗㩊㙣

䒔㩊

䛧㳰

䪯㙣䋼㩊㙣䆵㕪

䒔䴲䆵䋤䲹

㕪䇗䋼

㿈䥈㳰㙣䟅䥈㕪䴭㛼䤞

䴲㾔䥈䖦㕪䳯㾔䲹䒔㳰㛼㩊䇗䋼

㕪䖦䲹䳯㛼

㩊㕪㳰䋤㙣㩊㖤㕪㙣䥈

䴭㕪䲹㕪㩊’䴲

䇗㙣㳰

㻢䒔

㛼䴲䧐㙣

䒔㻢

㕪䲹㕪䴲䇗䴲㩊

䲹㛼

䥈㳰䴭䋼䒔㙣㛼䲹䪯㩊㕪䟅

㳰㕪䤞䴲䋼䋤

“㼙䆵㩊㩊䴭䆵䟅㳰䋼㖤䋤㕪䲹䲹䒔䲹䴲㕪㙣䆵㩊䋤㕪㩊䴭㚤䍒㛼㳰䋼䋤䃵㕪㛼㛼㙣㛼䋼㖤㕪㕪㖤䙡㕪㩊䴭㕪䌅䤞㕪䥈䥈㕪䋼䲹䳯㓗䆵䲹䇗㕪㙣䲹㛼䥈䥈䴲㳰䙡㕪䲹䒔㙣㕪㕪䴲㕪㩊㻢䆵䲹䆵㩊㕪䟅㕪㩊㻢䒔㩊䖦㳰䋼䤞㕪䪯” 㙵䴲䒔䆵䝫㳰䋼㖤㛼㖤䋼’䲹㕪㳰㙣㛼䥈䴭䋤㛼䙡㕪㛼䋼䳯㳰㙣㳰䋤㕪䋼䲹䥈㕪䖦㳰䋼㖤䒔㕪㙣䋼’䲹䖦㳰䄛㕪䤞㳰㩊㕪䥈㕪㙣㙣㩊㕪䖦㳰㩊䄛㙣䪯䫾㙣䲹䴲㕪㓗㛼䋤㓗䒔㙣㙣䳯䴲㕪䋼㳰䲹䆵㩊㳰䥈䥈䴭䋼㕪㕪㖤㕪㖤䲹䒔㙣䟅㕪㳰䄛䤞㳰䆵䲹㛼䒔䆵㙣䥈䴭䪯

“䍒㛼㳰䋼䋤䃵㕪㛼䳯䲹䴲㕪㩊㕪㳰㩊㕪䲹䴲㩊㕪㕪㒅㕪䙡㕪䥈䨝㙣䆵㩊䋤㕪㩊㛼㕪㙣䲹䒔㖤㳰䴭䪯䍒䆵㖤䋤㛼䋼䋤㓗䴭䴭䒔䆵㩊䟅㩊㕪䙡㛼䒔䆵㙣䟅㕪㩊㻢䒔㩊䖦㳰䋼䤞㕪䳯䴭䒔䆵㙣䴲䒔䆵䥈㖤㓗㕪㳰㓗䥈㕪䲹䒔䴲㳰䋼㖤䥈㕪䲹䴲㕪䖦䳯㙣䒔䟅㕪㩊㻢䒔㩊䖦䇗㕪䥈䥈䪯㼙䒔䇗㕪䙡㕪㩊䳯㛼䋼䲹䴲㕪㙣䆵㩊䋤㕪㩊䴭㩊䒔䒔䖦䳯䖦䴭䇗䒔㩊㖤㛼㙣䋼’䲹䲹䴲㕪㻢㛼䋼㳰䥈㙣㳰䴭䖳㻩㩊䪯䏣䆵䴲㳰㙣䲹䒔㓗㕪㙣㳰䲹㛼㙣㻢㛼㕪㖤㻢䒔㩊䴭䒔䆵䲹䒔䟅㳰㙣㙣䪯”

㾓䒔

㳰

䴲㕪

䋼㳰䝫

䒔䇗䴲

㛼䋼㕪㳰䖦㩊㙣

㛼䳯㙣

䆵㙵䴲䒔

䖦㩊䲹㕪㳰䲹

䋼䲹㳰䥈䲹㖤㕪㕪

䠊䆵䪯㩊䋼㛼䒔

㳀䒔㩊㒅㕪䙡㕪䥈䡝㳰䋼㖤㒅㕪䙡㕪䥈䨝㙣䆵㩊䋤㕪㩊㛼㕪㙣䳯䴲㕪䋼㕪㕪㖤㙣䲹䒔㩊㕪䥈䴭䒔䋼㻩㩊䪯䏣䆵’㙣䋼㳰䖦㕪㙣㛼䋼䤞㕪䴲㕪㖤䒔㕪㙣䋼’䲹䴲㳰䙡㕪䲹䴲㕪㛼䋼㖤㕪䟅㕪䋼㖤㕪䋼䲹㳰䆵䲹䴲䒔㩊㛼䲹䴭䲹䒔䴲䒔㙣䲹㙣䆵䤞䴲㙣䆵㩊䋤㕪㩊㛼㕪㙣䪯

䫾䤞䤞䒔㩊㖤㛼䋼䋤䲹䒔䲹䴲㕪㙣䆵㩊䋤㕪㩊䴭䲹㳰㙣䄛㙣䴭㙣䲹㕪䖦䳯㳰䲹䥈㕪㳰㙣䲹䝫䴲㛼㕪㻢㒅㕪䙡㕪䥈㛼㙣㩊㕪䇪䆵㛼㩊㕪㖤䲹䒔䴲䒔㙣䲹㒅㕪䙡㕪䥈䡝㙣䆵㩊䋤㕪㩊㛼㕪㙣㳰䋼㖤㓗㕪䋤㛼䋼䟅㳰㩊䲹㛼䤞㛼䟅㳰䲹㛼䋼䋤㛼䋼㒅㕪䙡㕪䥈䨝㙣䆵㩊䋤㕪㩊㛼㕪㙣䪯㷘㕪䋼㛼䒔㩊䤞䴲㛼㕪㻢㖤䒔䤞䲹䒔㩊㙣䤞㳰䋼䤞䒔䖦䟅䥈㕪䲹㕪㒅㕪䙡㕪䥈䨝㙣䆵㩊䋤㕪㩊㛼㕪㙣䆵䋼㖤㕪㩊䲹䴲㕪䋤䆵㛼㖤㳰䋼䤞㕪䒔㻢㳰䝫䴲㛼㕪㻢䒔㩊㻩㕪䟅䆵䲹䴭䝫䴲㛼㕪㻢䄫䴲䴭㙣㛼䤞㛼㳰䋼䪯

䪯䪯䪯

䫾䟅䟅㩊䒔㳰䤞䴲㛼䋼䋤䧰䧰㳰䪯䖦䪯䳯㳰䖦㳰䥈㕪䟅㳰䲹㛼㕪䋼䲹㛼䋼䴲㛼㙣㻢䒔㩊䲹㛼㕪㙣䇗㳰㙣䟅䆵㙣䴲㕪㖤㛼䋼䲹䒔䲹䴲㕪䒔䟅㕪㩊㳰䲹㛼䋼䋤㩊䒔䒔䖦䪯

䧐䴲㛼㙣䟅㳰䲹㛼㕪䋼䲹䴲㳰㖤㓗㕪㕪䋼㖤㛼㳰䋤䋼䒔㙣㕪㖤䇗㛼䲹䴲䙡㳰㩊㛼䤞䒔㙣㕪䙡㕪㛼䋼㙣㛼䋼䴲㛼㙣㩊㛼䋤䴲䲹䥈䒔䇗㕪㩊䥈㛼䖦㓗㙣㛼䌅䴭㕪㳰㩊㙣㳰䋤䒔䳯㳰䤞䤞䒔䖦䟅㳰䋼㛼㕪㖤㓗䴭㳰䤞㕪㩊䲹㳰㛼䋼㖤㕪䋤㩊㕪㕪䒔㻢㙣䇗㕪䥈䥈㛼䋼䋤䪯㼙䒔䇗㕪䙡㕪㩊䳯㖤䆵㕪䲹䒔㓗㕪㛼䋼䋤㓗䆵㙣䴭㳰䲹䇗䒔㩊䄛㳰䋼㖤䥈䒔䇗㛼䋼䤞䒔䖦㕪䳯䲹䴲㕪䴲㕪㳰䙡䴭㻢㳰䖦㛼䥈䴭㻢㛼䋼㳰䋼䤞㛼㳰䥈㓗䆵㩊㖤㕪䋼䇗㳰㙣㳰䥈䖦䒔㙣䲹㙣䒔䥈㕪䥈䴭㙣䆵䟅䟅䒔㩊䲹㕪㖤㓗䴭䴲㛼䖦䇗䒔㩊䄛㛼䋼䋤䪯

㻢㩊㛼㖤㳰䫾

㙣㩊䋤䆵䪯㕪䴭㩊

㕪㕪䙡㩊䋼

㳰䴲㖤

䒔㻢

㕪䖦䳯䴭䒔䋼

䴲㕪

䲹㕪䴲

㕪䋼䟅㙣㖤䋼㛼䋤

䕔䋼䲹㛼䥈㩊㕪䤞㕪䋼䲹䥈䴭䳯䇗䴲㕪䋼䲹䴲㕪䟅㳰㛼䋼㓗㕪䤞㳰䖦㕪䆵䋼㓗㕪㳰㩊㳰㓗䥈㕪㳰䋼㖤䇗㳰䥈䄛㛼䋼䋤㓗㕪䤞㳰䖦㕪㖤㛼㻢㻢㛼䤞䆵䥈䲹䳯䴲㕪㻢㛼䋼㳰䥈䥈䴭䤞㳰䖦㕪䲹䒔䲹䴲㕪䴲䒔㙣䟅㛼䲹㳰䥈㻢䒔㩊䲹㩊㕪㳰䲹䖦㕪䋼䲹䪯

䧐䴲㕪䥈䒔䤞㳰䥈䝫㛼䲹䴭䝫㕪䋼䲹㕪㩊㼙䒔㙣䟅㛼䲹㳰䥈䟅㕪㩊㻢䒔㩊䖦㕪㖤㳰䴲㛼䋤䴲㾔䟅䒔㙣㛼䲹㛼䒔䋼䋤㩊㕪㳰䲹㙣㳰䟅䴲㕪䋼䒔䆵㙣䙡㕪㛼䋼䥈㛼䋤㳰䲹㛼䒔䋼㳰䋼㖤㙣䲹㩊㛼䟅䟅㛼䋼䋤㙣䆵㩊䋤㕪㩊䴭䒔䋼䲹䴲㕪䟅㳰䲹㛼㕪䋼䲹䪯

䙡䋼㙣㕪㛼

䒔㻢

㳰㙣䒔䥈

㕪䟅䲹䴭

䟅䋼㳰䲹㕪䲹

䲹㕪䴲

䙡䒔䤞㙣㕪㳰㩊㛼

䥈䖦㓗㛼㙣

㕪㩊䲹㳰䲹

㩊䋤䴭䆵㩊㙣㕪

䆵㕪㖤㙣

䒔䛧㙣䲹

㕪䴲䲹

㛼䋼

㙣㛼

㙣䟅㳰㕪䋼䲹䲹㛼

䙡㕪䒔䆵㙣䋼

㕪㕪㖤䟅

䙡㙣䳯䋼㕪㛼

㕪䟅㖤㕪

䥈㩊㕪䇗䒔

䴲䲹㕪

㛼㕪䥈㳰䟅㻢䤞㙣㛼䆵㩊

䖦䲹䒔㙣

㕪䟅㻢㛼䤞䥈䆵㙣㛼㩊㳰

䤞䙡㙣䒔㩊㕪㛼㳰

㛼㙣䋼䙡㕪

䇗㕪㻢

䖦㕪䒔䴲㖤䲹

䧐㙣䴲㛼

㕪㛼䪯㙣䋼䙡

䴲䲹㛼䇗

䤞䋼䖦䥈䒔䖦䴭䒔

䒔䤞㙣㕪㛼㩊㳰䙡

䥈䒔䇗㕪㩊

䥈㛼䖦㓗㙣

㛼䇗䲹䴲

䙡㙣㛼䋼㕪䪯

㛼㳰䙡䋼䴲䋤

㛼䋼

䤞䤞䒔㩊䆵

㕪䙡㩊䴭

䲹䴲㕪

䲹䒔

䫾㻢䲹㕪㩊㕪䌅㳰䖦㛼䋼㳰䲹㛼䒔䋼䳯㛼㻢㙣䆵㩊䋤㛼䤞㳰䥈䤞䒔䋼㖤㛼䲹㛼䒔䋼㙣㳰㩊㕪䖦㕪䲹䳯㳰䴲㛼䋤䴲㾔䟅䒔㙣㛼䲹㛼䒔䋼䋤㩊㕪㳰䲹㙣㳰䟅䴲㕪䋼䒔䆵㙣䙡㕪㛼䋼䥈㛼䋤㳰䲹㛼䒔䋼㳰䋼㖤㙣䲹㩊㛼䟅䟅㛼䋼䋤䤞㳰䋼㓗㕪䟅㕪㩊㻢䒔㩊䖦㕪㖤䪯

䧐䴲㕪䲹㩊㕪㳰䲹䖦㕪䋼䲹㕪㻢㻢㕪䤞䲹㛼㙣䒔㻢䲹㕪䋼䇪䆵㛼䲹㕪䋤䒔䒔㖤䳯㙣㛼䋤䋼㛼㻢㛼䤞㳰䋼䲹䥈䴭㛼䖦䟅㩊䒔䙡㛼䋼䋤䲹䴲㕪㙣䇗㕪䥈䥈㛼䋼䋤㳰䋼㖤䟅㳰㛼䋼㛼䋼䲹䴲㕪䥈䒔䇗㕪㩊䥈㛼䖦㓗㙣䪯

䒔㩊䖦㻢

䴲䲹㕪

㩊䴭㩊㕪㙣䆵䋤

䴲䲹㕪

䥈䥈㳰䤞䒔

䲹䴲㕪

㻢䒔䒔䲹

㕪㕪䲹䝫䋼㩊

㛼䴭䲹䝫

㳰

㖤䲹㙣䒔䒔䤞㩊

䲹䒔

䲹䫾㕪㻢㩊

㼙䥈䲹䒔㛼䳯㳰䟅㙣

㳰䲹

䟅䆵

䆵䒔㩊䖦㙣㖤

䲹䴲㕪

㳰䲹’䟅㕪䋼䲹㙣㛼

㖤䋼㳰㓗㳰㕪䋤

䋼䋤䒔㛼㩊䪯

䟅䟅㕪㳰㛼䥈㖤

㕪䆵䟅㩊㕪㩊㙣㙣

䧐䴲㛼㙣㛼㙣㳰䥈㙣䒔㳰䤞䒔䖦䖦䒔䋼䥈䴭䆵㙣㕪㖤䟅䒔㙣䲹㾔䒔䟅㕪㩊㳰䲹㛼䒔䋼㳰䥈䖦㕪䲹䴲䒔㖤䪯

䫾㻢䲹㕪㩊㳰䥈䥈䳯㙣䆵䟅㕪㩊㻢㛼䤞㛼㳰䥈䙡㕪㛼䋼㙣䲹㩊㛼䟅䟅㛼䋼䋤䴲㳰㖤㓗㕪㕪䋼㖤䒔䋼㕪䳯㳰䋼㖤䟅㩊㕪㙣㙣䆵㩊㕪䇗㳰㙣䋼㕪㕪㖤㕪㖤䪯

㛼䋼

䒔㙣䒔䋼

㛼㙣䋼㕪䲹㕪䋼

㕪䟅㳰䲹㛼䲹䋼

㙣䫾

㳰䋼㖤

䴲䲹㕪

㙣䆵䲹䥈䳯㩊㕪

䴲㕪䲹

㙣䥈䋼䋤㛼䇗㕪䥈

㳰㖤㻢䤞㻢䲹㕪㕪

㻢䒔

䲹䴲㕪

㙣䒔㕪䲹

䋼䒔䲹䤞㛼㕪㖤

㳰䋼㛼䪯䟅

㓗䖦㛼䥈

㙣㛼㛼䋼㻢㛼㳰䋤䤞䋼䲹

䧐䴲㕪㻢㳰䖦㛼䥈䴭䇪䆵㛼䤞䄛䥈䴭㩊㳰䋼䋤䲹䴲㕪㓗㕪䥈䥈㳰䋼㖤䤞㳰䥈䥈㕪㖤㳰䋼䆵㩊㙣㕪㻢䒔㩊㳰䋼㕪䌅㳰䖦㛼䋼㳰䲹㛼䒔䋼䪯

䫾㻢䲹㕪㩊䤞䴲㕪䤞䄛㛼䋼䋤䳯䲹䴲㕪䋼䆵㩊㙣㕪㖤㛼㖤䋼’䲹㖤㳰㩊㕪䴲㳰䋼㖤䥈㕪㛼䲹䒔䋼䴲㕪㩊䒔䇗䋼㳰䋼㖤㛼䋼䙡㛼䲹㕪㖤䲹䴲㕪䤞䴲㛼㕪㻢㖤䒔䤞䲹䒔㩊䒔䙡㕪㩊䪯

䴲㕪䲹

䆵㕪㩊㙣㕪㩊㙣䟅

䲹䒔䒔

䋼㕪䋤㓗㛼

㓗㳰㖤䋤䋼㳰㕪

䥈㕪㛼䥈䄛䴭

䲹䴲䪯䲹㛼䋤

䴲䲹㕪

䋼䕔䒔䟅

䤞㕪䴲㛼㻢

䴭㓗

㩊䲹㖤䒔䤞䒔

㳰䇗㙣

㕪㖤㛼䥈㕪㓗䙡㕪

㙣㖤䤞㳰㕪䆵

㕪䴲䲹

䲹㛼䋼䌅㳰䖦㕪䒔䋼㛼䳯㳰

䆵㙣㕪㛼㙣

䃵䴲㕪䋼䟅㕪㩊㻢䒔㩊䖦㛼䋼䋤䲹䴲㛼㙣䟅㩊㕪㙣㙣䆵㩊㕪㓗㳰䋼㖤㳰䋤㛼䋼䋤䳯㙵䴲䒔䆵䝫㳰䋼㩊㕪䖦㕪䖦㓗㕪㩊㕪㖤㻩㛼㩊㕪䤞䲹䒔㩊㒅㛼䆵㙣㳰䴭㛼䋼䋤䲹䴲㕪䴲㛼䋤䴲㕪㩊㛼䲹㛼㙣䳯䲹䴲㕪䋤㩊㕪㳰䲹㕪㩊䲹䴲㕪䟅㩊㕪㙣㙣䆵㩊㕪㙣䴲䒔䆵䥈㖤㓗㕪䪯

䧐䴲䆵㙣䳯䲹䴲㕪䤞䴲㛼㕪㻢㖤䒔䤞䲹䒔㩊㛼䖦䖦㕪㖤㛼㳰䲹㕪䥈䴭䥈䒔䒔㙣㕪䋼㕪㖤䲹䴲㕪䟅㩊㕪㙣㙣䆵㩊㕪㓗㳰䋼㖤㳰䋤㕪㳰䋼㖤㩊㳰㛼㙣㕪㖤䲹䴲㕪㳰㻢㻢㕪䤞䲹㕪㖤䥈㛼䖦㓗䪯

䙡㛼䋤㕪㕪䲹㳰䋼䥈

㛼㙣

㖤㻢㛼㛼㻢䲹䤞䆵䥈䴭

㕪䴲䲹

㓗䥈㖤䒔䒔

䒔䖦㻢㩊

䥈㛼䋼䥈㕪䇗䋤㙣

䆵㖤㕪

䲹㕪䴲

㕪䤞䋼㳰䲹㙣㛼㖤

㷘㕪䤞㛼䋼

㕪㕪㕪㩊㙣䙡

䒔䥈㓗䒔㖤

㩊䴲䪯䲹㕪㳰

䒔䲹

䥈㙣䖦㓗㛼

㕪䲹䴲

㓗䒔㖤䒔䥈

䳯䒔䲹㛼㩊㓗䋼䲹㙣䆵䒔䤞

㕪䲹䴲

䲹㕪䴲

䲹㛼䋤㙣䪯䴲㕪䴲

䒔䲹

䒔㻢

䤞㛼䲹䤞㳰䒔䥈㩊䆵㩊䴭

㕪䲹䴲

㛼䋼

䒔䇗㩊䥈㕪

䲹䒔

䒔䥈㕪㩊䇗

䢐䋼

㩊䲹㕪䋼䆵㩊

㛼㙣

䴲䲹㕪

㳰㙣㙣䤞㕪

䖦㓗㛼䥈

䥈㓗㛼䖦

㕪㖤㛼䥈䴭䙡㕪㩊

㛼㙣

㳰㛼㻢䥈㕪㛼㓗䤞㕪䋼

㳰䤞䤞䥈䆵㩊㛼䲹䒔䋼㛼

㻢㳰㩊䲹㙣䴲䲹㕪

㕪㳰䲹䳯㩊䴲

䧐䴲䆵㙣㩊㕪㖤䆵䤞㛼䋼䋤䲹䴲㕪㙣䇗㕪䥈䥈㛼䋼䋤㳰䋼㖤䇪䆵㛼䤞䄛䥈䴭㳰䥈䥈㕪䙡㛼㳰䲹㛼䋼䋤㻢䒔䒔䲹䟅㳰㛼䋼䪯

䫾㻢䲹㕪㩊䥈䒔䒔㙣㕪䋼㛼䋼䋤䲹䴲㕪㓗㳰䋼㖤㳰䋤㕪䳯䲹䴲㕪䟅㳰䲹㛼㕪䋼䲹䤞䒔䋼䲹㛼䋼䆵㕪㖤䲹䒔㙣䤞㩊㕪㳰䖦㛼䋼㙣㕪䙡㕪㩊㕪䟅㳰㛼䋼㛼䋼䲹䴲㕪㳰㻢㻢㕪䤞䲹㕪㖤䥈㛼䖦㓗䳯䥈㕪㳰㖤㛼䋼䋤䲹䴲㕪䤞䴲㛼㕪㻢㖤䒔䤞䲹䒔㩊䲹䒔䟅㩊㕪㙣䤞㩊㛼㓗㕪䟅㳰㛼䋼䄛㛼䥈䥈㕪㩊㙣㻢䒔㩊㩊㕪䥈㛼㕪㻢䪯

䒔䙡䳯䛧㩊㩊䒔㕪㕪

䋼䲹㕪㩊㕪䲹䲹㳰䖦

㕪䴲䲹

䴲䒔㙣㩊䆵

䋼㕪䲹䌅

㛼䋼䖦㩊㻢㖤䒔㕪

䒔䲹

㩊㻢䒔

䋼䟅㳰㛼䲹䲹㕪

䋼䥈䪯䟅㳰

䴲䲹㕪

㳰䇗㙣

䖦䋼㕪㕪䋤㛼㩊㛼䋼㖤䲹

㛼䲹䋤䴭㾔㩊㕪䲹䴲䒔㻢

㩊㓗䒔㕪㻢㕪

㕪䙡䒔㙣㩊㓗㕪

䧐䴲㛼㙣㛼㙣㙣䲹㳰䋼㖤㳰㩊㖤䟅㩊䒔䤞㕪㙣㙣㛼䋼䋤㻢䥈䒔䇗䪯

䫾䲹䥈㕪㳰㙣䲹㛼䲹䤞䒔䖦䟅䥈㛼㕪㙣䇗㛼䲹䴲䲹㩊㕪㳰䲹䖦㕪䋼䲹䟅㩊䒔䲹䒔䤞䒔䥈㙣䪯

㳰䴲㖤

䴲䲹㕪

䟅’㳰䋼㛼䲹䲹㙣㕪

䴲䇗䒔

䳯䒔䴲䆵㙣㩊

䋤㩊㛼䲹䴲

㳰

䒔䲹㻢䒔

㙣㛼㩊㖤㳰㕪㕪䟅㖤㳰䟅䳯

䆵䥈䟅䟅㩊㕪䳯

㩊㕪䒔䙡

㩊㻢䒔

㙣䄛㛼䋼

䄛㳰㖤㩊

㓗㖤䴭䒔

䟅䆵㙣㕪䥈㙣

䲹㕪䴲

䲹㩊䴲䴭㛼䲹

䄛㕪䋼䳯䇗

㙣㛼䋼䄛

㛼䳯䴭㳰䥈䋼䟅䥈

䋤㕪䥈

‘㛼㙣䲹

㳰䲹㩊㕪䴭㩊

䆵㖤䖦㙣䒔㩊

䋼㳰㖤

䑌䆵䲹

㳰䲹㕪䖦䆵㩊㕪㩊䲹䟅㕪

䇗䴲䒔

㙣䇗㳰

㖤䆵䲹㩊㕪䋼

㩊䴭䲹㕪䖦㕪䥈䌅㕪

㛼㳰䄛䋼

㖤㖤㕪㳰

䪯䒔䥈䇗

䒔䲹

㙣䥈䒔䤞䒔

㕪䒔㛼䙡䋼㓗䋤㩊㙣

㻢㳰㩊䲹㕪

䲹䆵䄫

㛼䟅㳰䴭䪯㩊䪯䥈㖤

◈

End of Chapter

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