Animals all over the world love me

Higgins Zoo.

Under Zhuang Mu's remote command, Vincent is checking and diagnosing the North American bison calf suspected of cardiac insufficiency.

Just now, after Xia Jingshen learned from Vincent that the calf might have a heart problem, he called and told Zhuang Mu about the sudden situation.

"Dr. Zhuang, it has been half an hour now, and the calf has not shown any signs of standing up. The preliminary diagnosis is that it has poor mobility. It is also accompanied by paroxysmal asthma." Vincent said to Zhuang Mu in the mobile phone video.

"Is there any cyanosis?" Zhuang Mu asked.

The so-called cyanosis refers to the increase of deoxygenated hemoglobin in the blood, which makes the blood color darker, resulting in a blue-purple change in the skin and mucous membranes. Because the displayed color is blue-purple, it is also called cyanosis.

"From the point of view of the skin, there shouldn't be any." Vincent frowned slightly.

"Look at the inner wall of your mouth and your tongue." Zhuang Mu reminded.

Cyanosis, a special color change on the body surface, usually occurs in areas with thinner skin, less pigment and richer capillaries, such as lips, fingers (toes), and nail beds.

If it is humans or some species with less pigment on the body surface, then this phenomenon will be easy to observe.

However, the bison skin itself is dark brown, so it is difficult to see whether there is cyanosis from the skin.

In fact, it is impossible not to know this with Vincent's clinical experience.The reason why he still needs Zhuang Mu's reminder is entirely because Zhuang Mu's medical skills are too powerful, and the invisible pressure on him is too great.

When facing a god-level figure, some people will inevitably be nervous and lose their previous judgment.

After hearing Zhuang Mu's words, Vincent immediately checked the inner wall of the calf's mouth and tongue.

"Yes, there is cyanosis, the inner wall of the mouth and the tongue have turned blue." Vincent said.

"Jingshen, bring the camera closer, let me see the calf's tongue and the inner wall of the mouth, and turn on the flashlight." Zhuang Mu said to Xia Jingshen who was holding the phone.

"Okay." Xia Jingshen responded, then turned on the flashlight, pointed the camera at the calf's mouth and leaned over.

"Severe cyanosis, paroxysmal panting, poor mobility, these are symptoms of severe funnel-shaped stenosis or atresia." Zhuang Mu said with a frown.

"Vincent, listen to the heart sound again, and listen to the position of the pulmonary artery orifice. Judging from the calf's symptoms, it should be suffering from ventricular septal defect." Zhuang Mu said to Vincent.

"Okay." Vincent nodded.

Immediately, he picked up the stethoscope and listened to the calf's heart sound again.

"How is it? Can you hear the heart murmur?" Zhuang Mu asked.

Vincent pressed the stethoscope on the part where the calf's pulmonary artery connects to the heart, and shook his head with a serious expression: "I could hear it a little bit before, but now I can't hear it at all."

In general, when the ventricular septal defect is naturally closed, a characteristic expulsion murmur can be heard at the orifice of the pulmonary artery.

"Is this a good thing?" Xia Jing asked, frowning deeply.

【Heart murmur】These three words don't sound like a good thing. On the other hand, it should be a good thing not to hear the heart murmur.Xia Jing thought deeply.

Zhuang Mu shook his head: "Under normal circumstances, it is indeed a good thing that there is no heart murmur. However, when the funnel is narrowed, it is not a good thing not to hear the heart murmur."

Xia Jingshen didn't understand, and looked at Vincent blankly.

Seeing that Zhuang Mu was thinking, Vincent had no choice but to explain to Xia Jingshen himself: "When the infundibulum of the ventricle is congenitally narrow, the intensity of the heart murmur is inversely proportional to the narrowness of the infundibulum. That is to say, if the heart murmur cannot be heard, It got worse."

"Vincent, please send the calf to Watson Hospital for a detailed examination as soon as possible," Zhuang Mu said.

"Okay, Doctor Zhuang." Vincent responded immediately.

"Jing Shen, please help Vincent send the calf to Watson Hospital first, and then we will contact you later." Zhuang Mu said to Xia Jingshen.

"Okay, that's it for now, bye." Xia Jingshen said.

After hanging up the phone, Xia Jingshen and Vincent found a cart to transport the calf out of the cage.

However, just when the two of them were about to lift the calf, the cow that had been silent for a long time suddenly let out a low cry, and lowered its head, pointing its horns at the two of them, as if ready to attack at any time .

"Uh..." Xia Jing was taken aback for a moment, and then retracted his outstretched hands.

Vincent also retracted his hands to his chest.

However, at this time, the cows, who had never had any overreaction to them before, now have a completely different attitude towards them.

Seeing that Xia Jingshen and Vincent still stayed in the cage although they withdrew their hands, the cow became more and more irritable, and began to dig the ground with its hooves.

"...Or?" Xia Jing took a deep look at Vincent, and pointed out with his finger.

"First, go back first!" Vincent stared cautiously at the cow's horns, and said to Xia Jingshen beside him.

No way, the cow refused to let them move the calf, so the two had to leave the cage first.

Seeing Xia Jingshen and Vincent leaving the cage, the cow's mood gradually returned to calm.

It slowly approached the calf, licked the calf's body continuously, and at the same time made soft calls from its mouth, as if to encourage the calf to stand up.

However, the calf's heart function is not complete, its mobility is very poor, and it has no strength to stand up at all.

"What should I do?" Xia Jingshen asked.

As soon as he finished speaking, a soft bang rang in his ears, and then he saw an anesthetic needle inserted into the cow's buttocks.

Looking back, it was Tyler Hoffman who fired the shot.

"You can go in after a few minutes." Taylor said to Xia Jingshen and the two.

As time passed, the cow slowly began to bend down, and then slowly lay down beside the calf.

"Okay, let's go in!" Taylor said.

Xia Jingshen and Vincent nodded, opened the cage door and walked in.

Taylor followed closely behind and went in to help.

Xia Jingshen came to the calf, and was about to reach out to lift the calf, when he caught a glimpse of the cow beside him from the corner of his eye, he thought for a while, and reached out to touch the cow's raised shoulder.

"Don't worry, we will try our best to treat your child." Xia Jing said softly.

At this time, the cow seemed to be asleep because the anesthetic had not fully taken effect, and her shoulders suddenly shook, which made Xia Jingshen tremble in fright, and quickly took her hand back.

Turning his head, he found that Vincent and Taylor were looking at him in bewilderment.

He smiled a little embarrassedly, pointed to the calf: "Hurry up and carry it out."

The three immediately lifted the calf out of the cage and put it on the cart.

Then, they used a cart to transport the calf to the parking lot, and then sent the calf to Watson Hospital non-stop.

Before leaving, Vincent told Taylor: "Remember to give the cow a resuscitator. In addition, I have contacted the hospital just now and asked the hospital to send two more doctors. They should be here soon."

"Okay, I see, you go to the hospital!" Taylor nodded.

----

Office of the Superintendent, Watson Animal Hospital.

Dean Mark Russell is having a video call with Zhuang Mu.

"Doctor Zhuang, according to the examination report, it is basically confirmed that the calf has tetralogy of Fallot." Mark said to Zhuang Mu.

"Tetralogy of Fallot?!" Zhuang Mu was taken aback for a moment, "Bison also suffer from tetralogy of Fallot?"

"This is also the first time I have seen bison suffering from tetralogy of Fallot since I practiced medicine," Mark said.

"President Russell, can you please send me the inspection report?" Zhuang Mu asked.

"Of course! Please wait a moment, I will send you the report and X-rays." Mark replied immediately.

"Okay, then thank you Dean Russell." Zhuang Mu said.

Afterwards, Mark Russell sent all the inspection reports of the calf to Zhuang Mu.

----

Douglas Animal Hospital Zhuang Mu Office.

Zhuang Mu opened the electrocardiogram photo sent by Mark, and read out the information while looking at it.

"QRS complex axis deviates to the right, typical waveform of right ventricular hypertrophy."

Then he looked at a chest radiograph of the calf.

"The pulmonary artery segment is depressed, the pulmonary blood flow is reduced, the lung contour is obviously enlarged, the right ventricle and right atrium are hypertrophic, the apex of the heart is tilted, and the heart shadow is boot-shaped..."

He let out a sigh of relief, wiped his face, and sighed helplessly: "It's really Tetralogy of Fallot..."

At this time, John Lynch knocked on the door and walked in.

"Zhuang, what are you looking at so engrossed in?" John asked with a smile.

"Professor." Zhuang Mu immediately stood up and greeted John respectfully.

"Sit down, sit down, I told you that we don't need to be so polite." John waved to him and told him to sit down quickly.

"What were you looking at, I just heard about tetralogy of Fallot?" John asked.

“There was a newborn bison calf at the Higgins Zoo over there in Missouri with tetralogy of Fallot,” Zhuang said.

"North American bison? It's really rare for this population to suffer from tetralogy of Fallot!" John said to Zhuang Mu, "Let me see."

"Wait a minute, I'll put the X-ray on the computer so that I can see it more clearly," Zhuang Mu said.

Then, Zhuang Mu started to operate on the mobile phone and sent the calf's inspection data to the computer.

"Professor, look." Zhuang Mu turned the computer screen to John's side.

"The pulmonary artery is sunken and enlarged. The right ventricle and right atrium are hypertrophic..." John looked at the X-ray and said slowly, "It's really Tetralogy of Fallot!"

"Professor, does our hospital have information about tetralogy of Fallot?" Zhuang Mu asked.

"There are some, you can go to the reference room to have a look." John said.

After a pause, he looked at Zhuang Mu curiously: "By the way, you just said it was the zoo in Missouri, right? Did they ask you to throw knives?"

"Is such that……"

Zhuang Mu immediately told John Lynch everything about the poaching of bison at the Higgins Zoo and what happened when he was playing on Route 66.

After hearing this, John nodded suddenly: "It turns out that things here are so complicated."

He looked at Zhuang Mu: "I hear what you mean, do you want to operate on this North American bison?"

"I really want to operate on this bison, but you also know that Tetralogy of Fallot, not to mention I haven't done it, there is no successful case in the current clinical medicine." Zhuang Mu said helplessly.

"Yes! According to the current medical level, there is no surgical operation that can cure Tetralogy of Fallot." John said with a sigh.

"However..." John glanced at Zhuang Mu, "I think if you really want to do it, you can try it. Anyway, a dead horse is a living horse medicine. As long as you try, there will always be a chance! Medicine, isn't it just to keep trying?" Is it wrong to keep improving?"

I don't know why, but John always has a very special and strong confidence in Zhuang Mu. In his heart, he always feels that Zhuang Mu is a person who can perform miracles.

This feeling started to germinate from the first day he met Zhuang Mu, and after the crow incident, this feeling became even stronger.

After listening to John's words, Zhuang Mu smiled and said, "I think so too. If you don't try your best, you will never make progress."

"That's right!" John looked very relieved, and said with a smile, "If you decide to do it, then we will study it together. Maybe the first successful case will appear in our hands."

After hearing this, Zhuang Mu nodded heavily.

----

The so-called tetralogy of Fallot is a congenital cardiovascular malformation including four kinds of lesions including right aorta straddling the defective ventricular septum, right ventricular hypertrophy, pulmonary valve stenosis, and ventricular septal defect.

The cause of the disease is not yet clear, but it is generally believed to be caused by genetic inheritance.However, tetralogy of Fallot is quite uncommon in bison.

Zhuang Mu remembered reading a case in an unknown paper a long time ago, but that case eventually died of sudden cardiac insufficiency.

Tetralogy of Fallot cannot be cured clinically with current surgical operations.So to some extent, Tetralogy of Fallot is equivalent to a terminal illness.

However, as John Lynch said, medicine is always advancing through trial and error.The so-called terminal illness is just that there is no cure yet.

As long as you keep working hard, you can get closer to the correct answer step by step, and finally find a cure for Tetralogy of Fallot.

For Zhuang Mu, this calf was an opportunity to study Tetralogy of Fallot, and he decided to do his best to find a surgical treatment for the disease.

Otherwise, wouldn't he have let down the super brain that God gave him.

Zhuang Mu believes that since he can improve his medical skills to the current level in such a short period of time, he will definitely be able to solve the super difficult problem in the medical field of Tetralogy of Fallot.

----

Since he decided to overcome the medical problem of Tetralogy of Fallot, Zhuang Mu has devoted himself to related research.

John Lynch was also very concerned about this matter. He asked Dean Anderson Douglas to set up a research group specializing in tetralogy of Fallot.

At the same time, the research team will contact its animal hospital in the name of the hospital and ask other hospitals to provide all relevant cases of tetralogy of Fallot.

Of course, as a condition of cooperation, Zhuang Mu's surgery will be broadcast live to all partner hospitals, and all research reports on tetralogy of Fallot will also be disclosed to partner hospitals.

Dean Anderson Douglas disagreed with this idea.Although Anderson is the dean of the animal hospital, he is also a businessman at heart.

He agreed to set up a medical team to study tetralogy of Fallot, but he did not agree to share the research results with other hospitals.

Tetralogy of Fallot is a terminal disease, so if any hospital can cure this disease, the benefits it can bring will be huge.

As long as Zhuang Mu really develops a radical cure for Tetralogy of Fallot, Douglas Animal Hospital will most likely overwhelm Columbus Animal Hospital and become the top animal hospital in the United States.

Therefore, Anderson certainly hopes that his hospital can monopolize this big cake.

However, as a pure animal doctor, Zhuang Mu couldn't understand and absolutely agreed with Anderson's approach.

In his opinion, nothing is more important than saving the lives of animals.

Moreover, since other hospitals have provided help, it is normal to get something in return!

Tetralogy of Fallot simply cannot be successfully studied with the resources of Douglas Veterinary Hospital alone.

This is not just a problem of the ability of the researchers, but in the case of insufficient data and cases, even the most powerful doctors cannot research useful things.

Otherwise, with so many smart people in the world, the medical problem of tetralogy of Fallot has long been overcome.

Resource sharing and result sharing are currently the only possible solutions to this medical problem.

Zhuang Mu really couldn't figure out why Anderson couldn't figure this out.

Perhaps Anderson is not beyond his imagination, but Anderson thinks the ratio of output to input is wrong.

After all, interests are the key to most people's consideration of problems.

The two sides have been in a stalemate like this. Zhuang Mu and John Lynch have communicated with Anderson many times to no avail.

It's hard for a clever woman to cook without rice, and without enough resources, Zhuang Mu couldn't come up with a cure for Tetralogy of Fallot out of thin air, even if he had great abilities.

Just when Zhuang Mu was about to give up, things suddenly turned around.

The Columbus Animal Hospital on the east coast did not know where they received the news, but they actually sent Zhuang Mu a message seeking cooperation.

After Anderson learned of this, his attitude immediately changed 180°, and he immediately agreed with all Zhuang Mu's ideas before.

Faced with Anderson's full support at this moment, Zhuang Mu almost had hallucinations. He once thought that Anderson's firm opposition to the sharing of achievements was just a dream.

----

After receiving the invitation from the Douglas Animal Hospital, the animal hospitals on the west coast of the United States and nearby states and counties cherished this opportunity very much and expressed their willingness to provide all the case information on Tetralogy of Fallot in the hospital.

As for the Columbus Animal Hospital, Carlos, the dean, immediately negotiated with Anderson after learning about the measures taken by the Glass Animal Hospital, and expressed his willingness to cooperate with Douglas to study and solve the problem of Tetralogy of Fallot.

Probably Anderson finally understood that Zhuang Mu was not a little doctor he could handle at will, but a top doctor who played an important role in the field of animal medicine in the United States and even in the world.

So he agreed to Columbus Animal Hospital's request for cooperation.

Columbus Animal Hospital has dominated the east coast for many years, occupying half of the animal medical field in the United States, and is the leader of most animal hospitals on the entire east coast and nearby states and counties.

Now that Columbus Animal Hospital is taking the lead in wanting to cooperate with Douglas Animal Hospital, the following animal hospitals have all signed cooperation agreements with Douglas Animal Hospital.

The cooperation agreement stipulates that each animal hospital must not only provide all relevant cases of tetralogy of Fallot, but also if there is an animal suffering from tetralogy of Fallot, no matter whether it is still alive or not, as long as the owner of the animal agrees, it will also provide One of them was sent to Douglas Animal Hospital.

All of a sudden, countless materials started pouring in to Douglas Animal Hospital.Along with the case files gathered at Douglas Veterinary Hospital were many animals suffering from tetralogy of Fallot.

Of course, most of them were corpses.

Because tetralogy of Fallot is a severe congenital heart disease, very few animals survive for more than a year.

即使是在人类病例中，罹患重症法乐氏四联症的患者有25%～35%在1岁内死亡，50%患者死于3岁内，70%～75%死于10岁内，有超过90％的患者会夭折。

Of course, there are still very few human patients who can live to adulthood. Although the possibility of cure is extremely low, it is not impossible.

But for animals, because the ratio of input to output is seriously unbalanced, the medical research resources devoted to it by the animal medical community are insufficient, so tetralogy of Fallot is basically a terminal disease in animals.

This time, all animal hospitals in the United States, including Columbus Animal Hospital, are willing to cooperate with Douglas Animal Hospital on this medical problem, largely because of Zhuang Mu.

It has to be said that the previous crow incident not only shocked people all over the world, but also attracted the attention of animal hospitals across the United States and even the world.

For Zhuang Mu, a young animal doctor who seems to contain some kind of magical power, everyone wonders inexplicably whether he can perform miracles again.