Shi Yu thought it was interesting to watch the little fool eat and cook, and it relieved his gloomy mood for the day, so he decided to take time out to teach Jiang Sheng a simple family dish every day.

The next day, before Jiang Sheng reached the office, she saw intern Zhu Jiajia running towards her in a hurry.

Jiang Sheng was also surprised when he saw her. Zhu Jiajia, who had just graduated from school, was the intern arranged by the leadership of the hospital. She took leave some time ago. Jiang Sheng expected that he would not see her for a long time, but this person appeared now.

in front of her.

Zhu Jiajia: Sister Shengsheng, I have returned to the hospital, and I will continue to work with you. Don’t dislike me. I have missed you these past few days since I went home, and I can’t wait to come back soon.

Jiang Sheng is less than two years older than Zhu Jiajia, and she is not called Jiang Sheng by any other name. She is called Sister Sheng Sheng.

Jiang Sheng: OK, there is a special surgery today. Prepare to follow me into the operating room to see the operation and write a post-operative summary.

After saying that, he went to the office, put on a white coat, and took Zhu Jiajia for ward rounds.

Jiang Sheng doesn't like to teach interns too much knowledge from books. He always takes people into the operating room directly and objectively, allowing them to watch the operation directly on the spot. Then he goes back to the operating room to ask questions or write a summary report.

Compared with other doctors, many interns are willing to follow Jiang Sheng. Jiang Sheng is beautiful, has a good personality, and has strong professional abilities. He is able to stand on the operating table with ease and has a unique way of leading interns.

There is a large group of interns in the hospital, which was established by the interns themselves. The group name is "One day when I want to be Dr. Jiang's intern." The group chatters about Dr. Jiang every day, and at the same time sends waves of envious looks to Zhu Jiajia.

.

After completing the ward check, Jiang Sheng led Zhu Jiajia into the office and took out a medical record from the drawer for her to analyze.

This is an infectious corneal disease.

‘This patient was previously diagnosed with a marginal corneal ulcer, which was immune-related. It must have been cured with electrosteroids, but I didn’t expect that it didn’t heal after taking the medication, and it got worse, and it was almost affecting the pupil.

It is highly suspected that it is a bacterial infection. This situation cannot be a virus, let alone amoeba. The virus has a history of recurring attacks, and the symptoms are not like this, and it will not develop so quickly. Amoeba needs a long-term onset

History, corneal lesions cannot be ulcerative. It usually takes 5-7 days for fungal infection to develop a small lesion, and it takes at least 10 days for it to develop to such a large scale.

Immediately flush the corneal flap under the flap, perform culture, and conduct collagen cross-linking to control infection and enhance the resistance of the corneal flap to prevent further dissolution.

After the flushing treatment, the condition was relatively stable for the first two days. With the medication, the visual acuity returned to 0.4 on the fourth day after the operation and the lesions were stable.

Starting from the third day after surgery, the visual acuity was 0.03, and the local lesions were stable, but diffuse granular opacity under the valve was found! Typical DLK manifestations, so the dosage of hormones was increased immediately, with DiBis once an hour and Levox once an hour.

It improved significantly in a week, and the visual acuity returned to 0.6. However, the lower periphery never healed and expanded clockwise. Even after using a lot of repair medicine, it was ineffective.

An anterior street OCT showed thickening under the flap, supporting epithelial implantation.

The infection was under control, inflammation was stable, and epithelial debridement was performed immediately.

The postoperative recovery was rapid, the epithelium healed quickly, and the visual acuity recovered to 0.8 before discharge.

The reexamination two weeks later showed that the corneal epithelium was intact and there was no epithelial implantation. The visual acuity was 0.8 and there was 3 days of astigmatism.’

After reading this, Zhu Jiajia asked, "When doing cross-linking in patients with ulcers, should we use a 9mm aperture or an aperture with the same diameter as the ulcer? The energy should be different from the energy used by the cone, right?"

Jiang Sheng pointed out to her in the picture, "It is exactly the same as the keratoconus pattern. It must be larger than the ulcer surface, and peripheral reinforcement is also very necessary."

Jiang Sheng explained to her that "collagen cross-linking plays a good role, which can not only control infection, but also help prevent the dissolution of the corneal flap. Some people may think that this case cannot rule out that local infection is mainly controlled, and it can be controlled through cross-linking and medication."

, and transformed into DLK. However, the bed was relatively hard during the first flush, there were no ulcers, and the immune response was still supported.”

"Okay, Sister Shengsheng, I've written it down."

After the surgery in the morning, as soon as I returned to the office, I saw Dr. Ning waiting in the office with his pocket in his pocket.

Jiang Sheng opened the thermos and took a sip of water without asking, just looking at him.

"Shengsheng, did Ye Zhen tell you about our separation? I want to know why she decided to break up a year ago?"

Regarding this matter, Jiang Sheng knew the inside story, but did not agree with Ye Zhen's approach.

Jiang Sheng was silent for a while, "I know, but I don't know the details."

"Why on earth? We were fine the night before, but when we woke up the next day, she was nowhere to be seen. I couldn't find her. Later, I went on a business trip to country Y for a year, and I couldn't contact her at all."

"Your mother visited Ye Zhen several times and decided to leave because you called a woman's name in your dream, not just once, but many times."

"What's the woman's name?" Dr. Ning said in disbelief.

"Yes, this is what Zhen Zhen told me personally."
Chapter completed!