Famous Among Top Surgeons in the 90s-Chapter 1997: Personal Opinions
"Thank you, thank you, doctors!" With this good news, the child’s father wiped his eyes again, on the verge of tears. At this point, this result should be the best outcome.
Returning to the NICU, Luo Jingming glanced at Doctor Hu, then went back to close the door.
After the condition of the child stabilized, Nie Jiamin stood with Student Xie to inquire about the detailed events of the night.
Teacher Nie probably wanted to know about Teacher Hu’s eye problem, so Xie Wanying, thinking it would be pointless to hide it from the boss, said, "Teacher Hu has an eye disease, it’s RAO."
Moreover, since Teacher Nie is from abroad, he might bring some of the latest news on RAO treatments that could benefit Teacher Hu.
"RAO." Nie Jiamin’s tone carried a hint of a sigh, "This disease is very difficult to treat."
It seems that there are no good treatment options for this disease abroad either.
"What do you think?" Nie Jiamin suddenly turned around, asking for her personal insight.
Based on the teacher’s response that there is no specific medicine for this disease abroad, Xie Wanying could only rely on her own calculations, saying, "Teacher Hu is getting on in age, so arteriosclerosis is present. Without a specific medicine, we can only consider how to help alleviate her symptoms based on her overall condition. The central retinal artery is the terminal artery of the ophthalmic artery and is very sensitive to blood circulation. If the ophthalmic artery originates normally, it is connected to the internal carotid artery. Any anomaly in the internal carotid artery would directly affect the central retinal artery."
"So—" Clearly, Nie Jiamin listened intently to her analysis, a slight smile appearing at the corner of his lips, eyes watching her as he waited for her to continue.
Perhaps the boss had long thought of her professional deduction, but teachers always appreciate a smart student articulating their thoughts in front of them.
Xie Wanying continued discussing with the teacher, "The connection between the ophthalmic artery and the internal carotid artery is part of the normal blood supply system. If there’s an abnormality, the body will attempt to self-adjust and establish collateral circulation."
When blood vessels in the body become occluded or blocked, the body will establish collateral circulation to continue supplying blood to body cells and tissues to maintain vital functions. This situation can appear in any part of the body. The simplest example is the demonstration surgery at the Hepatobiliary Surgery department that Student Xie attended, where various collateral circulations formed a terrifying network—perhaps everyone still remembers.
Collateral circulation has its pros and cons, and after understanding this principle, doctors can effectively utilize it to solve human diseases.
"If the internal carotid artery is blocked, the ophthalmic artery can look for other blood supply branches. Clinically, we can observe an abnormal origin at the middle meningeal artery. The compensation through collateral circulation can be through the anterior communicating artery ACoA of the cerebral arterial circle Willis Circle, through the posterior communicating artery PCoA and pia mater, as well as through the collateral path of the external carotid artery OA. Therefore, I think it makes sense to refer to neurosurgery to check these vascular conditions and routes. After all, ophthalmology alone can’t solve this issue." After speaking, Xie Wanying quietly waited for the teacher’s comments.
The cautious and patient Nie Jiamin responded positively to her ideas, "What you said is all okay. Your anatomical knowledge is GOOD. For now, NO PROBLEM."
It seems that Teacher Nie’s Mandarin has improved, integrating Western and Chinese knowledge more fluently. Xie Wanying blinked her eyes.
"She does need to find a relatively good neurosurgeon. Hmm, that suggestion is a good one." Nie Jiamin affirmed her judgment once again.
