Metropolis: My IQ is 300

Chapter 128

Chapter 123 God and I want a pair of eyes (for subscription, third more)

"Eyes are the most primitive ability of mankind, and it is also a window for mankind to discover the beauty of the world. If you lose your eyes, the loss to a family is huge."

"Incomplete statistics, without the light, a person may lose millions in his lifetime."

"And if you can treat eye diseases, then you can really save a family."

Regarding the development of the eyes, there have been a lot of progress, and the treatment methods have also been advanced too much.

The cost of surgery is always the first core, and the success rate of surgery also needs to be considered.

Li Fansheng watched Chen Fan's surgery the next day, unconsciously immersed in it.

"Are you sure? Destroy and recreate?"

"Yes, I think, maybe this is the best way, because the original gene has acquiesced in this matter."

"I know what you mean, but how to build it? That's a problem."

Chen Fan said: ‘I don’t know, I don’t know what materials I can find to obtain these during the operation, so this is the most ideal solution. I hate medicine. ’

Li Fansheng smiled awkwardly.

"Do you think that no matter how you do it, there is no way to be perfect?"

"Yes, because if you don't create a new one, the gene's order is still wrong, even if it is connected, what can you do?"

"Short-term light."

"Yes, it is short-lived, and there is still need for follow-up surgery. Isn't this the same as treating cancer? It's just that the cycle becomes longer, but when it gets old, it still doesn't work. When the human body is old, there is no way to proceed. It's an operation."

Li Fansheng said: "Then deal with it as you said. It's best to let people see the short-term light first. Don't think about the following things. This is not something we can think about. Maybe the future technology will be even better, everyone. Can you think of how to modify the gene?"

"Do you think it's possible? Modify the gene, isn't that the modification during the embryo?"

"I remember that in minimally invasive surgery, there is a theory of genetic modification in animals, but it is actually artificial modification. Do you think this can be done?"

"The ones that are used are plants and animals, because the genes are relatively simple and easy to construct... Wait, I seem to think that what you said is OK, you wait for me to write an algorithm, I think it is possible, nothing more than a change. It's complicated, and it needs to be read by the system."

Chen Fan continued to write.

Li Fansheng sighed helplessly, turned off the live broadcast, and went to the conference room for a meeting.

Today, there is a surgical report seminar.

This is what Chen Fan wears. Doctors’ communication with each other and regular research can really promote the overall progress of medicine.

A young man stood up and said: "The strength of the cornea is closely related to the length of the RK incision: lengthening the incision, especially when passing through the limbus, the eyeball strength is significantly weakened [2]. The mini-RK with a short incision can maintain most of the strength of the eyeball. [1]. The experiment proved that after excluding the influence of corneal thickness and postoperative healing time, number of shots and distance between shots on the experimental results, the corneal strength of the mini-RK group was significantly higher than that of the traditional RK group. In addition, through analysis The type of eyeball wound also shows that the RK incision is a weak point of the cornea, and mini-RK can significantly increase the strength of the cornea."

Li Fansheng listened attentively. The operation discussed this time is the treatment of radiating the cornea of the strong eye.

"What is the data?"

The young man froze for a moment and said, "Well, I'm still sorting it out. I haven't sorted it out. The experimental data is too little."

"I have a data here,"

Li Fansheng put on the screen, pointed to the data and said: "The corneal strength is closely related to the postoperative healing time: the corneal strength at the end of the operation is equivalent to 50% of the normal eye, and the corneal strength after 5 months is the same as that of the normal cornea. Closer, indicating that the longer the healing time, the higher the corneal strength, and the fastest increase in corneal strength 3 weeks after surgery [3, 4]. However, RK will still significantly reduce corneal strength for a period of time after surgery. Many literatures have reported RK Cases of incision lacerations still occur in the next few years"

After reading the beginning, everyone has a little estimate in their minds, is this? Is this calculated or is it big data?

"Director, what's your data?"

"If I said it was calculated by a computer, do you believe it or not?"

The boy looked at the half of the data in his hand and said, "Director, I don't want to believe it, but the data on my side is the same as you gave."

Li Fansheng pointed to the third article and said: "Increase the depth of the incision to a certain extent can significantly weaken the corneal strength [2,3]. Experiments have shown that the number of incisions is not the main factor affecting the strength of the cornea, which is consistent with some reports in the literature.

The young man nodded and said: "Yes, in the latest medical journal, a scholar shared these and showed that the number of incisions does not affect the strength of the cornea, and the eyes are much stronger than we thought. "

A director said: "Epithelial emboli significantly reduce corneal strength [5-7]: In this experiment, the incidence of epithelial emboli was relatively high, and solid cell mass implantation and epithelial cyst formation were also found. This is extremely rare in clinical practice. It is also rarely reported in domestic and foreign literature. The reason may be that the incision was not washed after the operation."

Li Fansheng said: "This is an area that needs improvement. More than 50% of the data show that after eye treatment, there has always been a big problem. How to protect the eyes, whether the eyes are perfectly integrated, and whether the human body will appear particularly large. You need to pay attention to the contrast between the two. I propose to bring up the nursing schedule to improve the accuracy and intensity of nursing and follow-up treatment."

Many people nodded, and the person sitting beside the meeting minutes was also writing.

"By the way, what else do you want to suggest?"

The young man continued: “Epithelial emboli can be formed when a small amount of epithelium is implanted. The implant is related to the local nutritional status. For example, if the local nutritional status is good, a certain number of epithelial cells are implanted to form cell clusters. Otherwise, collagen can be formed. Substitution. The solid cell masses eventually turn into epithelial cysts: After the solid cell masses are formed, the cells in the central part of the cell are in poor nutritional status, necrosis, degeneration and liquefaction occur, resulting in cavities. In addition, it can also be due to the secretions produced by the cells. Storage to form cysts and cysts.

This result shows that RK weakens the corneal strength. The longer the incision, the more the number, and the shorter the healing time, the more obvious the weakening of the corneal strength. Therefore, in order to reduce the postoperative complications of RK, in addition to strictly grasping the indications for surgery, a deep, short incision should be adopted, and the number of incisions should be reduced, which is only used as a treatment method for low to moderate myopia. "

Li Fansheng looked at the young man in front of him.

"Who is your teacher?"

"My teacher is Director Jiang Chen, but she has retired."

"What's your name?"

"My name is Song Zifeng."

Li Fansheng thought about it again, and asked, "Who is your idol?"

"Um, it used to be Dr. Xiaomeng Qiu, now it is Chen Fan. I think Chen Fan is my idol."

After everyone in the room heard Chen Fan's name, the line of sight in their eyes softened.

This person is gradually changing medicine, and this person is not a doctor yet.

Li Fansheng said: "Tell me, he is so good."

"His robotic surgery is definitely the most daring surgical option. Moreover, I think the future development of medicine will also be mechanical, but we still need to retain the professionalism of medicine itself."

"This is inevitable, because people dominate the machines."

"Yes, and, I have calculated that mechanical surgery, if all aspects are considered, the success rate may actually be close to 100%."

Hahaha.

A director said: "It may be possible in cells, but it is difficult to succeed in nerves."

Li Fansheng said: "If Chen Fan succeeds, let's assume a topic, Chen Fan can treat all eye diseases, what should we do?"

"Nursing."

Li Fansheng nodded.

"So, what is the core of nursing? I need this information."

Someone started to persuade the director.

"Director Li, I think you seem to be thinking too far away. If our eyes are not treated well, we are thinking about nursing, is it a bit..."

"It's okay, as a topic discussion, maybe it's a success? By the way, did our hospital buy Chen Fan's technology?"

"I bought it, and the operation was very successful. So far, 732 people have been operated on, all of them were successful. No one had any physical errors."

Li Fansheng nodded and said, "Then, what we are discussing now is the care of the cornea."

Is this Director Li crazy? Forget it, let's discuss it first.

After analyzing for a long time, everyone got about six points.

"1. Cover the eyes with excipients and goggles after the operation to avoid light stimulation and ensure adequate rest for the eyes. 2. Drugs, usually need to receive several drugs according to a certain procedure and course of treatment, including corticosteroids, cyclosporine A and/or Antimicrobial treatment to deal with possible or existing rejections, infections, swelling and pain. What needs to be reminded is that it must be carried out strictly in accordance with the doctor's instructions, and the type, dosage and course of treatment cannot be changed without authorization.

3. Strictly ensure that eyes are not damaged, including rubbing eyes as much as possible, and avoiding heavy physical labor and strenuous exercise for a certain period of time.

4. Strictly follow the doctor's instructions for regular review within 1 year after the operation, so as to find the complications in time and deal with them.

5. Be wary of rejection. Rejection can occur within one year or even a few years after surgery. Once the above-mentioned rejection occurs, seek medical attention as soon as possible.

6. Suture removal, due to the lack of blood nutrition in the cornea and slow healing, the time of suture removal is very different from ordinary people's understanding of surgical suture removal. It is usually decided based on specific conditions from 6 months to 12 months after surgery. Children should be earlier.

Li Fansheng looked at the information compiled by everyone and said, "Then enter the second link, which is the postoperative vision correction. This also needs to be put on the agenda."

Are you poisonous?

Someone is dissatisfied.

"Director Li, I know you are a knife, but shouldn't we think about how to operate? For this kind of care, do you think that using us chief surgeons is overkill?"

Li Fansheng froze for a moment, and said, "What are you?"

"Please, everyone is very busy. The purpose of each seminar is to improve medical methods, reduce risks, and achieve the purpose of treating patients and saving people. The core of your discussion is how to perform corneal replacement surgery. Moreover, the eye There is no way to solve the problem of corneal cost. Let's discuss postoperative care. This is putting the cart before the horse. Everyone has an appointment for surgery. Moreover, the patient's family is waiting for us to bring light to them."

Li Fansheng said sorry and continued: ‘My last question, if I say that the operation can be 100% successful, then what needs to be done for nursing care? ’

"Hehe, if you can be 100% successful, what kind of care is needed? 100% success means that you will not be rejected. You are a knife of the whole China. You ask me this kind of question? I even doubt it now. Your level is up."

Li Fansheng was not angry, but propped his chin, thinking.

The phone rang.

Li Fansheng picked it up and took a look.

"I think we can discuss it now. Chen Fan has modified the procedure and we can complete the corneal replacement surgery mechanically."

Damn it.

"Have you been talking about this with Chen Fan?"

Li Fansheng said: "I suddenly understood what Chen Fan said, the human body, everything in nature, there are rules. If he can handle cancer surgery plans, he can sit down to 100%, then other surgical theories are also possible. Because the core of surgery is resection, replacement, and connection, and these three essences remain the same, so as long as you sit down to idealization, you can, and mechanically, you will never make mistakes."

"Then who will undergo this operation?"

Li Fansheng said: "Go and talk to your family. If they don't have money for treatment, there is a plan here. Our doctor is responsible for supervision. The replacement operation fails. I think we can do the second operation."

Everyone nodded.

The quarrel before, the next second becomes cooperation, this is the doctor.

If it is said to save people, then the doctor will never become the enemy.

Someone signed the agreement.

The operation is performed.

Docking.

wait.

One hour.

After checking, Li Fansheng gave a thumbs up.

Countless people cheered.

Times, once again changed because of Chen Fan.

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