Chapter 1997 [1997] Personal Opinion
"Thank you, thank you, doctor!" Upon receiving the good news, the child's father wiped his eyes again and was about to cry. It 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 the problem with Teacher Hu's eyes. Xie Wanying thought that she couldn't hide it from the boss anyway, and said, "Mr. Hu's eyes are sick, it's RAO."
Furthermore, Teacher Nie's visit from abroad may bring some latest news about the treatment of RAO abroad, which is beneficial to Teacher Hu.
"RAO." Nie Jiamin sighed slightly, "This disease is difficult to treat."
It seems that foreign countries also have no good treatment options for this disease.
"What do you think?" Nie Jiamin turned around suddenly and asked her personal opinion.
According to the teacher’s feedback that there is no specific medicine for this disease in foreign countries, Xie Wanying can only use her own brain to calculate, saying: “Mr. Let’s consider how to help her relieve this symptom. The central retinal artery is the terminal artery of the ophthalmic artery, which is very sensitive to blood circulation. If the ophthalmic artery originates normally, it connects with the internal carotid artery. Once there is any abnormality in the internal carotid artery, it will directly affect the retina central artery."
"So——" Obviously, listening to her analysis was with relish, Nie Jiamin's lips curved slightly, and he looked at her and waited for her to say.
Maybe the boss has already thought of her professional deduction, but the teacher always likes a smart student to express his thoughts in front of his face.
Xie Wanying continued to discuss with the teacher after finishing her speech: "The connection between the ophthalmic artery and the internal carotid artery is a normal blood supply system. If there is an abnormality, the human body will try to self-adjust and establish collateral circulation."
After the human blood vessels are occluded and blocked, collateral circulation is established by itself, and efforts are made to continue to supply blood to human cells and tissues to maintain life functions. This situation can occur in every part of the body. The simplest example is the demonstration operation performed by Xie Wanying outside the liver and gallbladder. The various collateral circulation mentioned in it formed a terrible collateral circulation network. I don’t know if you still remember it.
There are good and bad collateral circulation, and doctors can make full use of it to solve human diseases after understanding this principle.
"If the internal carotid artery is blocked here, the ophthalmic artery can find other blood supply branches, and the middle meningeal artery, the abnormal origin point, can be seen clinically. If the collateral circulation is open and compensated, it can pass through the anterior communicating artery ACoA of the cerebral artery circle Willis circle , can pass through the posterior communicating artery PcoA and pia mater, and then through the collateral access of the external carotid artery OA. Therefore, I think it is more meaningful to find neurosurgery to check the condition and direction of these blood vessels. After all, ophthalmology alone has no way to solve this problem. It's over." After finishing speaking, Xie Wanying quietly waited for the teacher to make a comment.
Nie Jiamin, who was cautious and slow, was straightforward about her thoughts and said, "Everything you said is ok. Knowledge of anatomy is GOOD. NO PROBLEM for now."
Teacher Nie's Mandarin seems to have improved, and the combination of Chinese and Western is becoming more and more slippery. Xie Wanying blinked.
"She needs to find a better neurosurgeon. Well, this suggestion is good." Nie Jiamin once again affirmed her judgment.