Chapter 229: with translation of chapter title

Liang Boshi drove and soon arrived at the hospital.

Zheng Ren, Su Yun, and Director Kong got out of the car, not going to the Intervention Department but rushing to the Eye Department.

Having a master-level skill book, Zheng Ren felt unafraid.

But even if used, it would only be an ordinary master-level, impossible to stand firm among the renowned doctors of Di Du. After all, Zheng Ren is a doctor in the General Surgery Department.

Solving this rare case? Just thinking about it, it's likely impossible.

Arriving at the Eye Department, Director Kong first went to see Lin JiaoJiao.

Lin JiaoJiao looks under thirty, very young; Zheng Ren estimates her real age is over forty, no wonder she is the boss of the nation's largest medical beauty center.

An eighteen- or nineteen-year-old girl stood by her side, eyes wet with tears, apparently Lin JiaoJiao's daughter.

Upon entering the ward, Lin JiaoJiao barely opened her other good eye, her face tearful and despondent, saying: 'Director...'

'Don't rush, what happened?' Director Kong immediately asked about the condition.

'Director, it's like this. Today I was supposed to get an injection, so I took advantage of the Evening when there were no clients and injected hyaluronic acid. After using it, less than an hour later I developed symptoms of vision deterioration. One and a half hours later, my right eye began to go blind. I immediately had my daughter drive me to the hospital to see Director Ma.' Lin JiaoJiao spoke concisely; it seems her years of medical foundation have not been abandoned.

'Hyaluronic acid?' Director Kong pondered.

Hyaluronic acid is also called glucuronic acid, hyaluronic acid.

Hyaluronic acid is an acidic mucopolysaccharide; in 1934, Professor Meyer et al. of the Eye Department at Columbia University in the United States first isolated this substance from bovine vitreous humor. Hyaluronic acid displays multiple important physiological functions in the body due to its unique molecular structure and physicochemical properties—such as lubricating joints, regulating the permeability of blood vessel walls, regulating proteins, water-electrolyte diffusion and transport, and promoting wound healing, etc.

In medical beauty, hyaluronic acid is mainly used for moisturizing, wrinkle removal, and anti-aging.

The primary and medically recognized function is moisturizing. Hyaluronic acid is called the best moisturizing substance in nature, and also the ideal natural moisturizing factor.

'Blindness, and injecting hyaluronic acid—is there a relation?'

Director Kong propped his chin with his hand, furrowed his brows, and sank into thought.

'Old Kong is here.' A female doctor in her fifties walked in, greeting Director Kong familiarly, 'I looked with the funduscope; the retinal blood vessels are ischemic, suspecting acute arterial occlusion.'

The one who entered was Director Ma of the Eye Department; after she finished speaking, she smelled alcohol on Director Kong's body, furrowed her brows, and said, 'You've been drinking?'

'Yeah, I just had a meal with Director Chu.'

'What's the use of you coming? You can't even go into surgery.' Director Ma said: 'I'll call Director Pan of Xiehe to come and save the case.'

'No, Director Pan isn't home. I can't go up, but isn't there Little Zheng?' Director Kong quickly said.

Director Pan of Xiehe's Intervention Department is a member of the Central Health Team; normally he wouldn't leave Di Du, but recently he hasn't been in Di Du, going to participate in aid-Tibet work.

Director Ma didn't know the inside story, but Director Kong did, so he stopped her.

'Little Zheng?' Director Ma wondered, 'Is he the new doctoral student you brought?'

'Let me introduce, this is Boss Zheng from Hai Cheng in L Province; he's quite good at interventional surgery, and this time he's here to participate in research.' Director Kong pointed at Zheng Ren and said.

Director Ma was taken aback, didn't extend her hand, maintaining the dignity of a top-tier three-A hospital director.

'I've contacted Director Meng of Tong Ren; he shares my view and suggests doing an interventional angiography to take a look.' Director Ma said, 'Who would have thought this old fellow would be so incompetent.'

Directors speak casually among themselves; Director Ma was very displeased, and it showed.

'Alright, let's go up. I can't go up, but having Boss Zheng is the same.' Director Kong immediately picked up the phone and called the on-duty Inpatient Chief.

Zheng Ren didn't speak the whole time, just staring blankly at the System Panel in the upper right of his field of view.

Lin JiaoJiao's diagnosis is clear: it is indeed a biomacromolecule ectopic embolism, causing the retinal blood vessels to be blocked, resulting in insufficient blood supply, leading to pseudo-blindness.

There are not many collateral branches in the retinal arterial network; after the main trunk is embolized, the retinal arteries cannot guarantee adequate blood supply.

It needs to be reopened within four hours to preserve retinal function; if it exceeds four hours, the retina will become ischemic and necrotic, leading to true blindness in Lin JiaoJiao's right eye.

This kind of surgery… the retinal arteries are very fine, and Zheng Ren lacks confidence in being able to reopen the vessel blocked by biomacromolecule embolism in Lin JiaoJiao.

Embolism, blocking vessels—Zheng Ren is skilled at that. But if it's about opening them up, Zheng Ren lacks confidence.

Nevertheless, we still have to go up and try; no matter how difficult, we must perform the surgery.

'What are you thinking?' Su Yun saw Zheng Ren spacing out and leaned in to ask.

'Biomacromolecule blocking the retinal arteries, causing pseudo-blindness.' Zheng Ren whispered: 'Director Ma's diagnosis is correct; first do angiography. I'm hesitant about the next steps—whether we can successfully perform thrombolysis.'

'Thrombolysis? According to your statement, it's a biomacromolecule blocking the retinal capillaries or microarteries. It's not a blood clot, so what are we dissolving?' Su Yun rebutted.

'It's been two hours since the blockage; I think a clot may have formed locally. The surgical steps should be first thrombolysis, then aspiration. As for whether it will work… that's up to fate.' Zheng Ren said the surgical method he had been pondering for a long time.

Su Yun shook his head; he didn't think highly of being able to complete this surgery, letting Lin JiaoJiao regain vision.

'Biomacromolecule?' Director Ma tilted her head upon hearing Zheng Ren's words.

'Um, I think the injection site of hyaluronic acid was off; some special cause led hyaluronic acid biomacromolecules to enter the capillary network or retinal microarteries, causing blockage.' Zheng Ren said.

Lin JiaoJiao, coming from a nursing background, her expression changed immediately upon hearing Zheng Ren's words.

Previously, the expectation was a thrombus blockage, which is relatively easy to reopen in a short time. But hearing Zheng Ren's judgment, it's actually a biomacromolecule… how to reopen it?

Could it be that I'm really going to go blind?

Lin JiaoJiao felt her other eye suddenly go dark, as if she were about to lose vision completely.

'Little Zheng? Is your judgment accurate?' Director Kong asked.

'Pretty much, need to check with intra-op angiography.' Zheng Ren said: 'Does the Operating Room have urokinase?'

'Yes.' Director Kong affirmed.

'Let's go now; it's been over two hours since the blockage, and we don't have much time left.' Zheng Ren's tone was firm.

Director Ma was surprised that a young doctor from Hai Cheng dared to speak with such certainty.

But she didn't say anything, had the junior doctor do the pre-op briefing, and she, Director Kong, Zheng Ren, Su Yun, and Lin JiaoJiao rushed straight to the Intervention Catheter Room.

The Inpatient Chief on duty tonight was a doctoral student named Shen. After clarifying the condition, Doctor Shen began to fill out the forms and prepare for the surgery.

Zheng Ren didn't rush to the System Space to do similar surgical training; he planned to first do angiography.

Ten minutes later, the surgery began.

…………

This was a real case from the professor's PPT during the academic conference a few days ago in the Three Jiang period. Of course, it's not that injecting hyaluronic acid will cause blindness; the probability is extremely small, extremely small, extremely small. That patient was rescued successfully, so naturally this one won't fail either. Boss Zheng must go from one success to another; that's inevitable.

The fifth watch erupted; finally it's over, I'm mentally and physically exhausted. Today I'll guarantee the third watch update, rest a day, and organize the outline for the sequel. The pacing has a few small problems—I'm afraid you might find it unpleasant. Starting January 1st, I'll guarantee updates and repay the owed chapters.

Thanks again for everyone's support. Um, it's the last day. If you have a monthly ticket, please support it. I bow~~~