Animals all over the world love me

late at night.

Douglas Animal Hospital.

Doctor's dormitory.

Zhuang Mu is looking up cases about tetralogy of Fallot in the study.

In the past two days, with the establishment of the "Tetralogy of Fallot" project research medical team, Douglas Animal Hospital has gradually begun to receive case materials related to the project from animal hospitals all over the United States.

Because a considerable part of the materials are special materials such as CT photos, X-ray films, and B-ultrasound photos, these materials cannot be copied or sent by fax, so they can only be sent by express.

What Zhuang Mu is reading right now is a case just received today about a Bengal tiger suffering from Tetralogy of Fallot.

Just when he was engrossed in watching, the computer suddenly made a light "ding ding".

Zhuang Mu raised his eyes and saw that someone had sent him an email.

He thought it was a case file sent by another doctor, so he planned to open the email to have a look.

Unexpectedly, after opening it, it was not the case information, but a letter and some photos.

"Doctor Zhuang, hello, I admire you and Mr. Xia for exposing the poaching case at the Higgins Zoo in Missouri.

I can see that Dr. Zhuang is a very honest person.So I want to tell you a very important thing, there are many poaching organizations like Higgins Zoo in the United States.

On the surface, some of them are charity organizations, some are zoos, and some are animal hospitals, but in private they are all bloody and dirty.

I hope Dr. Zhuang can use your influence to expose all these damned poaching organizations, so that these cruel and shameless people will get the punishment they deserve!

Here is the list of ten hidden poaching organizations that I provided to you. If Dr. Zhuang doesn't believe it, he can find someone to investigate.I think Mr. Xia's friends should be able to help. "

After reading this email, Zhuang Mu felt a little dazed, and moved his mouse down. Below the letter were the names of the ten poaching organizations mentioned above, as well as some photos of poaching wild animals.

"Jingshen, come in." Zhuang Mu called to Xia Jingshen who was in the living room.

"What's wrong?" Xia Jingshen walked into the study.

"Come and have a look, I received a strange email." Zhuang Mu said.

Xia Jing walked over with a puzzled expression on his face.

After reading the email, he frowned: "This letter is written without beginning or end, and there is no signature. Even the account number is new, and I don't know who sent it."

"Do you think the things mentioned in this letter are true or false?" Zhuang Mu said with a frown.

"This will only be known after investigation." Xia Jingshen replied.

Then, he looked at the email on the computer screen and fell into thought.

What is the purpose of the person who sent the email?If what is said in the email is true, and there are even photos of poaching, why not directly expose them, but let them investigate these poaching organizations?

After thinking for a while, he was still at a loss. He glanced at Zhuang Mu, who was preoccupied, and said with a smile, "Leave this matter to me, and you can study this Fallot's disease with peace of mind. Don't worry! I can handle it!"

Zhuang Mu nodded after listening.

----

In an unknown ordinary apartment, two young guys were sitting in front of the computer, looking at the screen seriously.

What was displayed on the screen was the email sent to Zhuang Mu.

"Why don't you just tell them about the Brooks Zoo?" one of the young men with short yellow hair said to his companion.

"Although they exposed the Higgins Zoo last time, it is not certain that they are not from Brooks.

Douglas Hospital has a close relationship with Brooks. Although they are from China, they are not good people if they are not guaranteed.

Among the ten organizations this time, two were Brooks' offlines, if they exposed both of them.Then let's provide them with the Brooks Zoo information.

We are being watched now, so we have to be careful about everything.It is too dangerous to let others do things like exposure in the future. said the young man wearing glasses.

"Then we still have Douglas Hospital?" asked the young man with yellow hair.

"No, just concentrate on investigating the Brooks Zoo. Now that this predator has been dug up, let the other poaching organizations ignore it," said the young man with glasses.

After a pause, he said again: "You were sure you didn't disclose our identity information when you sent the threatening letter before? I always have an ominous premonition recently, and I always feel that Anderson Douglas is about to find us."

"No, no, I use different identity information to send letters, and the location is different every time. He can't find us, right?" the young man with yellow hair said hesitantly.

"His son was accidentally killed by us. If it were me, I would have to dig three feet to find the murderer!" The young man with glasses glared at his companion.

"I didn't know that the electronic brake system was so weak. After I hacked into the brake system at that time, I only implanted a very simple virus. It turned out that I just wanted to scare the Douglas family. Who knew that virus was so powerful." The yellow-haired youth said with a bitter face.

"...Maybe it's retribution!" The glasses youth said with a sigh. "Douglas did so many bad things, maybe God is going to punish him."

After wiping his face, he continued: "Let's spend all our time going to the dark web to practice hacking skills with those masters, and try to investigate poaching organizations through the Internet in the future.

We absolutely can't mess around like before. If we are accidentally discovered, it will be over.

As for the next thing, let's see what Zhuang Mu and the others do. If they expose the ten poaching organizations, then we will have an extra ally. "

"We have not been discovered in the past few years, which proves that we are very lucky. I think we will definitely not be discovered in the future." The young man with yellow hair said confidently.

"I hope!" The young man with glasses sighed softly, with a slightly uneasy expression on his face.

The young man with glasses is called Kit Seed, and the young man with yellow hair is called Pedro Chapman.

The two have been investigating poaching organizations across the United States since they graduated from college. As the investigation deepened and more and more things were discovered, Kit became more and more disturbed.

Especially after they accidentally killed Ian Douglas last time, Kit felt more and more panicked.

This also prompted him to make up his mind that he must practice hacking skills hard in the future. It is the safest way to hide himself in the network, and he can no longer be rampant like before.

----

Douglas Animal Hospital.

Under the leadership of Zhuang Mu, a total of ten members of the research team devoted themselves to the research of surgical treatment methods for tetralogy of Fallot day and night.

In addition to five doctors from the Douglas Animal Hospital, including Zhuang Mu and John, the research team members also have three doctors from the Columbus Animal Hospital, and the other two are heart disease specialists working in other animal hospitals in the United States. expert doctor.

With the joint efforts of these ten doctors, the progress of the research can be described as rapid progress.

Of course, Zhuang Mu played the biggest role in this.

Zhuang Mu used his super strength to control the research direction, allowing the team members to avoid wasting time on the wrong path as much as possible.

Throughout the research process, Zhuang Mu solved several key difficulties in the operation of tetralogy of Fallot with his super surgical ability, and convinced all the team members.

Even John Lynch had to admire Zhuang Mu's growth rate.

In just one month, Zhuang Mu successfully refined a treatment plan.

After countless dissections and simulated operations, Zhuang Mu decided to lead the team members to conduct the first experimental operation.

The subject of the experimental surgery was a Dutch poodle.

In this experimental operation, Zhuang Mu used quadruple syndrome correction.

This method is that Zhuang Mu gets inspiration from relevant human cases, and then extracts the main points and improves it to make it suitable for animals.

----

operating room.

The Dutch poodle has been under general anesthesia and is lying on the operating table in a supine position.

Tetralogy of Fallot's disease is a major operation, and Zhuang Mu alone cannot do it.Therefore, this time, Zhuang Mu was the chief surgeon, and the deputy surgeon was a doctor from Columbus named Stephen Stoke.

As for the other assistants and nurses, they are all the most experienced medical staff of Douglas Animal Hospital.

While the rest of the team watched the operation from the operating room.

"Okay, the next operation is to open the chest first." Zhuang Mu turned his head and said to Stephen, the assistant surgeon, "Stephen, you open the chest."

Because this is a major operation, it needs to be done for several hours, maybe even ten hours.

Therefore, the main surgeon must conserve his strength, and the assistant surgeon usually performs some relatively simple surgical steps.

"Yes!" Stephen replied very simply.

Although Zhuang Mu is much younger than him, in the operating room, the chief surgeon's order is above all else!

Stephen held a scalpel and made an incision in the middle of the Dutch poodle's chest, then sawed the sternum longitudinally, and removed the thymus.

"Stop the bleeding." Stephen said to the assistant.

Next, Stephen used a scalpel to cut the pericardium to the right, and then explored the heart.

"The development of the left superior vena cava and coronary artery is normal without malformation, and the left ventricle and pulmonary artery are well developed." Stephen reported to Zhuang Mu.

"Okay, get ready for intubation." Zhuang Mu ordered.

"Yes." Stephen replied.

Then, with the assistance of nurses and assistants, he began to insert the perfusion catheter into the ascending aorta and the left ventricle decompression catheter into the right superior pulmonary vein.

"Now start to cut off the large bronchi collateral circulation blood vessels." Stephen performed the operation while reporting.

"It has been cut, and the ligation and sutures have started." Stephen continued.

Although Stephen's blood vessel suture was not as good as Zhuang Mu's, it was more than enough to deal with such a simple part.

"The ligation is complete." Stephen said.

"Start extracorporeal circulation." Zhuang Mu ordered the nurse standing next to the extracorporeal circulation machine, "Report your body temperature."

"The current body temperature is 36°C." The nurse replied.

Tetralogy of Fallot's operation is complex and it is a heart operation, so extracorporeal circulation must be used to maintain blood circulation.

Generally speaking, deep hypothermia and low-flow perfusion are used in extracorporeal circulation, as well as coronary artery perfusion and heart cooling with cold-blooded cardioplegia. This method has a better effect on myocardial protection than perfusion with cold crystalloid cardioplegia.

After a while, the nurse continued to report: "The body temperature has dropped to 30°C."

"Stephen, block the aorta." Zhuang Mu ordered.

"Yes." Stephen responded, and immediately began to block the aorta.

"Okay, I'll take over next, and I'm going to make a heart incision." Zhuang Mu said.

After hearing this, Stephen stepped back immediately to make way for him.

Simple intracardiac repair only needs to use right ventricular transverse incision or parallel atrioventricular groove right atrial incision.

In order to protect the function of the right ventricle, after cutting the right atrium along the atrioventricular groove, Zhuang Mu retracted the right atrium and tricuspid valve to reveal the subspinal defect and infundibulum stenosis.

After the lesion was exposed, Zhuang Mu used a scalpel to remove the two hypertrophic bundles of the septum.

"5-0 polypropylene thread." Zhuang Mu said.

The nurse immediately brought the suture needle and thread to Zhuang Mu.

Zhuang Mu picked up the needle and thread and immediately began to repair the ventricular septal defect with continuous sutures.

At this time, the other doctors in the operating room who came to observe the group all opened their eyes wide, stretched their necks like giraffes, and looked at Zhuang Mu's hands intently.

These people are masters, and they are usually watched by others for surgery.It is really quite rare to see other doctors doing surgery so seriously like today.

……

The operation time passed by every minute and every second. Since performing an operation requires a high degree of concentration, the time passed very quickly.

Before he knew it, Zhuang Mu had already undergone eleven hours of surgery.

During the entire tetradrosis correction operation, Zhuang Mu performed very smoothly, every step seemed to have been done countless times, and there was a strange feeling in the precision.

After all, it was the first time for Zhuang Mu to undergo corrective surgery for tetralogy of Fallot.

Although, it has been simulated many times before, and many dead animals with similar diseases have been dissected.

However, there is always a distance between theory and practice.It is impossible to say that if you master the theory well, you will be able to succeed in practice.

This is especially prominent in medicine, because there are too many uncertainties in surgery, and the more complicated the surgery, the more unexpected situations may occur.

Even without any emergencies, there is a fundamental difference between a living animal and a dead corpse.

During the dissection, doctors don't need to consider so many issues, such as heartbeat, body temperature, infection and so on.

Not to mention the prognosis, the corpse itself is already dead, so the issue of postoperative survival rate was excluded from the beginning.

It is precisely because of this that doctors often open and close when dissecting, so they don't have to worry too much.

However, surgery is different.

When dissecting, as long as the doctor wants, he can cut the whole body from head to tail with one knife.

However, this cannot be done during surgery.In many cases, doctors have to consider many issues when they want to make a small incision.

Of course, after all, it is an operation on animals, and there are still fewer scruples when making an incision than when performing operations on humans.

After all, animals aren't as sensitive to scars as humans are.

However, if the surgical incision is too large, it will definitely affect the survival rate after surgery.And this is only the size of the knife edge, there are many other problems.

However, Zhuang Mu's performance in this practice operation is not at all like the first time to correct Farot's tetralogy.

For a few moments, the doctors watching in the operating room had the illusion that Zhuang Mu had already performed the same type of operation countless times.

Otherwise, it would not be able to explain why Zhuang Mu performed the operation so skillfully, and every step was as precise as a robot.

Although tetralogy of Fallot is just four different heart diseases gathered on the same heart at the same time.

For the doctors present, if any of these four diseases were separated, they could easily complete the corresponding operation.

However, once these four diseases are mixed together, they are helpless.

You must know that when two heart diseases are combined, the difficulty of surgical treatment is definitely not as simple as 1+1, and it is not even at the multiplier level, but at an exponential level.

What's more, Tetralogy of Fallot is four kinds of heart diseases appearing on one heart at the same time, so the difficulty is unimaginable.

In this state of the heart, a single surgical procedure cannot solve the problem at all.Not only could it not solve the problem, but also because the four diseases interacted with each other, some techniques could not be used at all.

The same operation may be able to solve one of the diseases, but it will aggravate the other three diseases, so not only is it useless, but it will also accelerate the death of the animal.

All in all, the reason why this disease is equivalent to a terminal illness is because the complexity of this disease is definitely at the abnormal level.

----

Finally, after 12 hours and 26 minutes, the quadruple syndrome correction surgery was a complete success.

The doctors in the operating room saw that the numbers on all the instruments showed that everything was normal, and everyone couldn't help but looked at each other in blank dismay, lost in thought.

It seemed like it was time to applaud and cheer, but at this moment they all felt strangely unreal.

Is that the end of the surgery?

Succeeded?

No accident at all?

Shouldn't it be a dream?

Everyone looked at each other, and then looked at Zhuang Mu together, with a trace of confusion and hesitation in their eyes...

Zhuang Mu raised his eyes and found that they were all looking at him with strange expressions, so he couldn't help being stunned for a moment.

"What's wrong?" Zhuang Mu asked hesitantly, and at the same time thought to himself, did something go wrong with me just now?No……

"You, is this really the first time to do this kind of surgery???"

The doctors looked dazed, like goose-headed geese.