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Doctor Chen, Don't Be a Coward! Chapter 304
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Doctor Chen, Don't Be a Coward! Chapter 304

  Chapter 304 Surgical team!

"real?!"

"Are you sure?"

"real or fake?!"

   A group of people stood up immediately, and looked at Chen Nan quickly, with excitement and excitement flashing in their eyes.

  Duan Youguang is the same, but... After a short period of excitement and excitement, he immediately calmed down.

   "Director Chen, this matter is of great importance, and it is also related to the success of the patient's operation."

   "You may not be aware of this surgery, which is part of the national PD3Y plan."

   “If it doesn't work out, it will be a blow to a lot of people.”

   “Again, we are not afraid of failure, but…”

   “Patients cannot afford such a loss.”

   "We can't treat the patient's life as a trifling matter. This is a craniotomy, and it also needs to go through the third ventricle, enter the thalamus area, and remove the vl nucleus..."

   "Are you sure, acupuncture anesthesia can play the role of anesthesia?"

  The words expressed the thoughts of Duan Youguang and the others, as well as the worries in everyone's heart.

  Yu Jinhua on the side couldn't help but said:

   "Acupuncture anesthesia, I know something about it, but...acupuncture anesthesia is a very unstable technique!"

   "It can be tried or applied at ordinary times, but the PD3Y plan, as a three-year plan proposed by the country for Parkinson's, is of great importance."

   "I don't think it's possible to try."

"Of course, what I said is not unfounded. According to the latest acupuncture anesthesia research theory, acupuncture anesthesia is very unstable. Our hospital has also conducted related research, but the effect is not very good. This point , I believe everyone is very clear."

  Yu Jinhua didn't want to see Chen Nan come directly and take this great credit.

  Of course, he didn't think Chen Nan could do this either.

  After Yu Jinhua finished speaking, Chen Nan was calm and did not speak.

   Luo Qiping on the side suddenly smiled and said:

   "Yesterday, after Director Chen arrived, he participated in an operation."

   "It is an ankle fracture operation. The patient has an infection on the back, so spinal anesthesia is not suitable, and the patient is a national-level athlete. General anesthesia will more or less affect it."

   "Therefore, Director Chen performed acupuncture anesthesia, and the effect was remarkable. The operation lasted for one and a half hours. During the period, the patient cooperated with the operation very well, and the anesthesia effect was remarkable."

   "I think it is feasible!"

   "And, Director Duan, if acupuncture anesthesia is feasible, you can continue with your surgery. If there is any abnormality, prepare relevant anesthesia drugs in time, whether it is local anesthesia or general anesthesia, it will not affect it."

"Right?"

   "The effect of acupuncture anesthesia is still very significant. The patient's consciousness is very clear, and he can make some cooperative related movements."

"Although I don't know much about Parkinson's surgery, I do know some things. For example, when looking for the vl nucleus, the patient must cooperate to find it. Moreover, during the operation, the patient needs to perform operations such as raising hands many times. , to judge the effect of the operation.”

  “I think there is no better way than acupuncture anesthesia.”

   "By the way, director Sha, the anesthetist director in the operating room, witnessed yesterday's operation, and the operation process is also recorded."

   "If you have time, you can go and have a look."

   "The specific effect can be seen at a glance."

   Seeing Luo Qiping being so determined, Duan Youguang couldn't help but nodded: "Director Li, everyone, let's go and have a look."

  Everyone looked at each other and nodded in agreement.

  Duan Youguang: "Then... Director Lauro."

  Luo Qiping smiled, nodded, and was about to get up and leave when he suddenly thought of something, turned to Dean Ge Yerong and said:

   "Director Ge, I have already made a decision about the Department of Medical Oncology in our integrated traditional Chinese and Western medicine ward."

   "After Director Chen arrives, he will also serve as the director of the Department of Medical Oncology."

   "Director Yu also offered me a resignation invitation some time ago, and I agreed. Director Yu is relatively busy. We can handle the affairs of our integrated traditional Chinese and Western medicine ward by ourselves."

  Ge Yerong heard the sound, looked at Chen Nan curiously, and nodded with a smile.

"Ok!"

"it is good!"

   "Director Chen, there are two Laos in the integrated traditional Chinese and Western medicine ward."

   "However, right now, the most important thing is that you should cooperate with Dean Duan and the others to handle this Parkinson's surgery."

   "The matter is of great importance, so don't dare to be careless."

  Chen Nan nodded and smiled: "Don't worry, Dean Ge, I will definitely do my best."

  After the group left the office.

   Yu Jinhua and Ge Yerong were left standing in the office, and the atmosphere was somewhat awkward.

  Yu Jinhua took a deep breath, his face was gloomy, and he made a decision in his heart.

  He wants to establish both their oncology department and the oncology department in the traditional Chinese medicine ward, making the integrated traditional Chinese and Western medicine medical oncology a joke!

  Chen Nan, let's wait and see!

   Yu Jinhua is very confident in this point.

  After all, I have been engaged in tumor research for so many years, visited famous teachers and doctors at home and abroad, participated in the study, and have my own system of tumor treatment in my hands.

  He didn't believe that anyone could compare himself to the past!

and…

  The operation has not been successful yet.

  Let's ride a donkey and play the book, we'll see!

   An hour later, Chen Nan and Luo Qiping took Duan Youguang and others out of the operating room of the integrated traditional Chinese and Western medicine ward.

   Duan Youguang, Li Huapeng and others looked excited.

  I am full of anticipation for tomorrow's operation.

   "Director Chen, I will be counting on you tomorrow!" Duan Youguang looked at Chen Nan with a smile. This time, there was more trust in his eyes.

  Chen Nan smiled slightly, nodded and agreed: "Okay!"

  Li Huapeng also smiled and said: "Director Chen, let's go through the operation in detail. If there is no problem, we will go back."

   "This operation requires the cooperation of the patient several times, as well as the duration of the operation. You must have an understanding here."

  The whole morning passed just like that.

   At noon, several people also went back full of joy.

   But Chen Nan came to the Oncology Department in the afternoon, located in the ward on the 15th floor.

  When Chen Nan arrived, Lu Zhilin also gave a grand introduction to everyone.

  However, many people are still a little uneasy about this young and outrageous director.

  Can this director hold on?

this is a problem!

   And the members of the department, like ants on a hot pot, are restless.

   After all, there are many problems in today's oncology department, and it has fallen into a difficult situation.

  After the introduction, Lu Zhilin brought Chen Nan into the office, and then heaved a long sigh.

   "Director Lu, I would like to ask, did the department... encounter any difficulties?"

  Lu Zhilin smiled wryly and shook his head: "Director Chen, what did you see?"

  Chen Nan also said with a smile: "It's already written on my face, if I can't see it anymore, this is a strange thing!"

   "Director Lu, now... I'm here too. If you have any questions, please tell me in detail. If there are any difficulties, we can discuss and solve them. What do you think?"

  Lu Zhilin nodded, took out a notebook from the drawer and put it on the table.

   "Director Chen, I won't keep it from you anymore."

   "The department has indeed encountered many difficulties at present."

   "Hey... everyone's enthusiasm is not very high now, and many patients have been discharged from the hospital."

   "The main reason is here, Yu Jinhua buried a hole for me!"

  "During the days when he was the director, the department did develop very well. He sent a lot of people to study, and bought new equipment. It's going to be a big job."

   "Director Luo and the dean are very supportive of his ideas!"

"However, he left suddenly, which made us fall into a passive state. The personnel training cycle has not yet ended, but we are good at using Haifu Knife, SBRT stereotaxic body radiotherapy, digital linear accelerator uRT-linac306... These instruments are empty. Our department and ward."

   "Now, we have to pay the hospital bill!"

   "However, he patted his **** and left. Everyone complained."

   "During this period of time, many of the patients admitted came here for their reputation."

   "But now the relevant treatment cannot be carried out, and the salary of the department staff is being deducted every month."

   "The current department is full of internal and external troubles!"

   "Although we are an oncology department that integrates traditional Chinese and Western medicine, but... it is really embarrassing."

   “The hospital has a western medicine oncology department, modern equipment and technology, and it is very complete.”

   "There is also a TCM oncology department, which was established and established with the help of a master of traditional Chinese medicine."

   "Our department is really not perfect!"

   "Now... it's almost a mess!"

   "You said, after spending so much money, if it can't be carried out, there is really no place to put my old face!"

  Lu Zhilin is not young anymore, he is 57 years old this year, so he won't be able to work for a few years.

   Director Lu knew that he had little talent and learning, so he welcomed Jinhua's arrival at that time, and even took the initiative to give up the power to him as the department director.

  But this time, Yu Jinhua's irresponsible behavior of letting go of the pick has touched Director Lu's bottom line!

   Before the voice finished speaking, at this moment, suddenly a little nurse hurried in.

   "Not good, Director!"

   "The family members of Mr. Wang are making trouble again!"

  Lu Zhilin suddenly stood up with a headache: "Didn't you say that, just let them transfer to another hospital!"

   "No, look I remember."

   "Just let them transfer to the oncology department in the western medicine ward."

   "Our department can't do the old man's Haifu knife now, tell the old man."

   While Lu Zhilin was speaking, a few people came in from outside.

  The woman headed by looked at Lu Zhilin with a serious expression:

   "Director Lu, when can my dad have surgery?"

   "This has been delayed for a few days!"

  Lu Zhilin had a headache: "President Wang, it's not that I don't want to do it, it's that there are no such talents in the department now."

   "It was Director Yu who admitted you in the first place, but... Director Yu is not in charge of our department now."

   "But don't worry, I will contact the oncology department now, and let's go through the transfer procedures."

  The woman frowned and sighed, "Hey!"

   "Director Lu, I won't keep it from you anymore."

   "Then Yu Jinhua's department and wards were full at that time, and there was no room for them."

   "Don't want to accept us!"

  Lu Zhilin didn't expect the other party to do such a great job!

   For a moment, a trace of anger flashed in his eyes.

   "Well, Mr. Wang, don't worry, I'll contact Xiehe. A friend of mine is the director of Xiehe."

   "What happened this time is indeed our cause!"

   "I'm causing you trouble."

  Lu Zhilin was about to make a phone call while speaking, but the woman said helplessly:

   "Director Lu, actually... we have also contacted Xiehe."

   "The other party dare not accept it!"

   "My father's pancreatic cancer was previously hospitalized in Xiehe."

   "I also made a Haifu knife once, but...failed."

  “The specific reason is that my father is too old to tolerate general anesthesia, so… At that time, conservative intramuscular injection of morphine was used to sedate the pain.”

   "But...Haifu Knife hurts too much. The severe pain and the double pain caused by this Haifu Knife made the old man unable to bear it at all, so the operation had to be abandoned halfway."

"Hey…"

   "It's not that I want to make trouble, I also want to operate on my father as soon as possible!"

   "Why don't you, Director Lu, think of another way?"

  After hearing these words, Lu Zhilin laughed at himself: "Hey!"

   "I'm not kidding."

   "Our level is far worse than others' Concord."

   "We can't guarantee the surgery that others can't do!"

   "Mr. Wang, we are also old friends. I, Lu Zhilin, am a human being, and you know it well. I will not deceive you by lying."

   "There is really no other way!"

   "You also saw it, what does the department look like now?"

   "When your father came to the hospital, it was so overcrowded that it was hard to find a bed."

"now what?"

   "The hospital beds are quite empty now!"

   "It's because we are not yet able to maturely master these instruments."

"Hey!"

  During this time, Lu Zhilin has been explaining to the patient for how long and how much he has said nicely.

   This is why he hates Jinhua so much.

  After Lu Zhilin finished speaking, he felt ashamed!

  He felt that he had been charged with an irresponsible crime.

  As a doctor, it is indeed his duty to save lives and heal the wounded, but... the key is that he does not have such ability!

  There is nothing Xiehe can do, so can he?

  Lu Zhilin felt pain in his heart, and there was some helplessness and entanglement in his eyes.

  Standing there, speechless for a long time.

  The family members of Mr. Wang also sighed helplessly at this time.

  Without surgery now, the condition of the elderly will only get worse.

  Pancreatic cancer itself is a cancer that is prone to metastasis. If you miss the best period for surgery, everything for the elderly will be over!

  Even Wang Jing knew that Lu Zhilin might have no choice...but he still wanted to give it a try.

   For a while, the room fell completely silent.

   At this moment, a voice suddenly sounded in my ear:

   "Please go and get the old man's medical records, I'll take a look."

  The nurse was stunned for a moment when she heard the voice, but after seeing Chen Nan, she nodded quickly: "Okay, Director Chen, wait a moment."

  Lu Zhilin looked at Chen Nan, hesitant to speak.

  Wang Jing on the side looked at Chen Nan curiously: "Director Lu, this is..."

  Lu Zhilin introduced: "This is the deputy director of our integrated traditional Chinese and Western medicine ward, and is also the new director of our department transferred this time."

   "Didn't Yu Jinhua leave, and we transferred a new director."

   "Don't look at Director Chen as young, he is really capable!"

  As soon as these words came out, the Wang family immediately became excited, and Wang Jing looked at Chen Nan with anticipation in her heart.

   "Director Chen, hello!"

  Chen Nan nodded and smiled: "Hello."

   "I'll take a look at the old man's medical records first, and I'll go find you later."

  Wang Jing looked around: "Director Chen, then...then don't disturb me."

   "Thank you!"

   After speaking, he got up and left.

   After everyone had left, Lu Zhilin whispered from the side: "Director Chen...you...you know how to hold a knife?"

  Chen Nan smiled: "It's okay."

  Hearing Chen Nan's words, Lu Zhilin's eyes widened in disbelief.

   "Really?"

   "Aren't you...in the Department of Traditional Chinese Medicine?"

  Chen Nan smiled: "I have so many teachers, and Haifu Knife is not a hidden technique, so it's not too much to learn, right?"

  When Lu Zhilin heard this, he smiled and nodded.

   "That's true!"

   "By the way, Director Chen, what level is your Haifu knife...?"

   "This old man Wang has pancreatic cancer, and his condition is quite serious. He is in his eighties and his body cannot tolerate anesthesia."

   "This is how you can make a Haifu knife, and the effect may be mediocre!"

  Chen Nan heard the voice: "I'll look at the medical records first."

   "After reading it, I will have a good chat with Director Lu."

  When Lu Zhilin heard this, he nodded quickly, but his heart was filled with excitement.

  This... did you find a treasure? !

   For a moment, looking at Chen Nan, Lu Zhilin couldn't help becoming excited.

  The old man's name is Wang Cunyou. After reading the other party's medical records in detail, Chen Nan made up his mind.

  Haifu knife can be performed under acupuncture anesthesia!

  Professional Haifu Knife, Chen Nan still trusts in his own strength.

   Acupuncture anesthesia, although it cannot achieve complete pain relief for this kind of patients, it can fully support the operation.

   This is a good thing!

   And Chen Nan also made a decision in his heart.

   This time I came to the capital, the ChinJapan Friendship Hospital.

   It is necessary to rely on a core technology to open the situation, that is, acupuncture anesthesia.

   Acupuncture anesthesia has a foundation here, and a lot of basic research has been carried out.

   And his acupuncture anesthesia is still mature.

  If possible, even the subject is not a problem at all.

  As early as a few years ago, the country applied for the international status of acupuncture anesthesia, but because of its immaturity, it has not been recognized, but only affirmed.

  He is now based in the ChinJapan Friendship Hospital. If acupuncture anesthesia can be promoted successfully, it will definitely be a good thing for the promotion of Chinese medicine!

  After making up his mind, Chen Nan smiled and said to Lu Zhilin, "Director Lu!"

   "Let's go!"

   "Let's go see Mr. Wang."

  Lu Zhilin suddenly became excited: "Director Chen...you mean..."

   "Does it work?"

  Chen Nan nodded: "That's right!"

   "Although the patient cannot tolerate general anesthesia."

   "The effect of local anesthesia is average, but... my acupuncture anesthesia effect is relatively stable."

   "We can use acupuncture anesthesia, combined with Haifu Knife, to treat patients."

   "I'm sure!"

  Hearing Chen Nan's words, Lu Zhilin immediately became excited.

"it is good!"

"it is good!"

"OK!"

"Hahaha…"

   "Director Chen, I bet right."

   "I knew it, you have a way."

   "Exactly."

   "It seems that this time, I didn't make a wrong choice."

  Lu Zhilin was extremely happy.

   While talking, the two walked together and arrived at Mr. Wang's ward.

  Wang Jing quickly stood up: "Director Chen, Director Lu."

   "Hi there."

   "Director Chen... do you... have any ideas?"

  Chen Nan nodded: "Yes!"

   "I also understand the situation of the elderly."

   "Let me give the answer first, surgery is possible!"

   "Surgery, there is no problem."

"can proceed!"

   "However, for anesthesia, we choose acupuncture anesthesia. This technique is relatively mature, so you can rest assured."

  Hearing Chen Nan's words, Wang Jing stood up excitedly: "Really?"

   "Can be operated on?!"

   "Director Chen, are you sure?"

   "Can my dad really have surgery?"

  Chen Nan nodded: "Yes, yes!"

   "Director Lu, please arrange the operation time."

  Lu Zhilin nodded: "Okay!"

   At this time, Chen Nan walked up to Mr. Wang and said, "Mr. Wang, let me take your pulse!"

   "Since we are an oncology department integrating traditional Chinese and Western medicine."

   "In terms of treatment, we must also focus on the combination of traditional Chinese and Western medicine."

"Right?"

   "Surgery belongs to surgery, and medical treatment must keep up."

  Wang Cunyou nodded quickly: "Yes!"

   "Makes sense."

   "I'm sorry, Director Chen."

  While speaking, Wang Cunyou took the initiative to stretch out his hand, and Chen Nan began to feel his pulse.

   Chen Nan has some experience in the medical treatment of tumors.

  But... there is still no systematic targeted treatment.

   This is what Lu Lao said to Chen Nan.

   is called nuanced!

  The so-called subtlety means that we need to feel the precise changes in the patient's lesions, and then take relevant treatment plans.

  Chen Nan is currently in control, and he has just learned the secret, so there is still some distance to be subtle.

  He also hopes to use this time to improve his own strength.

   Subdividing departments gave Chen Nan such an opportunity.

  As the deputy director of the ward of integrated traditional Chinese and western medicine, Chen Nan is bound to participate in various internal medicine departments. In this way, he will have enough time and opportunity.

   This trip is not in vain!

   Moreover, Chen Nan had great ambitions in his heart.

  When I first came here, I saw the "PD3Y" national plan released by the state, which shows how big this platform is!

  Chen Nan didn't plan to hide the front and defend the clumsiness, on the contrary, since he came this time, he will show his grand plans!

  Old Lu and the others are already old, how long can they rely on themselves?

  Only relying on yourself is the real way out.

   Afterwards, Chen Nan prescribed a prescription for the old man.

  After leaving the ward, Chen Nan said to Lu Zhilin, "Director Lu, the day after tomorrow, let's have a good meeting in the department."

   "About the new development plan of the department."

  Lu Zhilin nodded quickly: "Okay!"

   "Director Chen, listen to you."

   the next day.

  Nine o'clock in the morning.

  Neurosurgery operating room in Western medicine ward.

  Many experts came to the operating room early to wait.

  President Ge Yerong personally took the lead, took several leaders, and several people to sit in an operation observation room outside the operating room.

  In this room, you can clearly see the situation in the operating room, as well as the details of the operation!

  Although it is the first operation, there is a risk of failure, but...the above still attaches great importance to this operation.

  The photographer on the side stood cautiously at the back of the room, holding the camera tightly in his hand.

"take it easy!"

  The old reporter on the side exhorted.

  The photographer couldn't laugh or cry: "Master, how...how did you shoot this?"

  Old Remember smiled: "I told you, everything that needs to be filmed must be filmed."

   "Not only to shoot, but also to shoot clearly."

   "But...if it fails, keep the film."

  "If it succeeds, these things will be worth publishing."

   "After all, this is the first attempt, and there are all possibilities."

  The photographer nodded quickly: "Okay!"

   "However... a lot of famous people came today!"

  The old reporter said the same thing to the other party: "Don't talk nonsense, remember, the camera lens is your eyes, and don't look at other places, let alone take pictures!"

  For this operation, a reporter was invited.

  After all...if it is successful, what an inspiring thing it will be if the official media publicizes it.

  The surrounding people also sat down with some anxiety at this time, and the leaders of the courtyard accompanied them respectively.

   And the scene outside the operating room is even more shocking than the scene here!

  More than a dozen experts from major hospitals came to the scene to observe the operation in person.

  After putting on the surgical gown, stand on both sides, waiting for the arrival of the chief surgeon.

   And Chen Nan is just in this rank!

  This operation is not only an experiment, but also a good learning opportunity.

   Those who can be invited to observe this operation are all well-known neurosurgery experts in the capital!

  Even if it was just to observe, everyone was a little nervous!

   At this time, Li Huapeng and Duan Youguang led the way and walked forward.

   Behind them are the two directors of Xiehe Hospital and Xuanwu Hospital.

   After that, there is the anesthesiologist, and Chen Nan!

  The anesthetist is Luo Huixiang, the chief anesthetist of the ChinJapan Friendship Hospital.

  After Luo Huixiang learned that Chen Nan's acupuncture anesthesia would be used for this operation, he was in a bad mood.

after all!

  This operation is amazing.

   Even, if successful, this is an operation that will go down in history.

  The anesthesiologist is also a participant in the operation.

  However, now, he has only become a spare tire.

   That's right!

   is the spare tire.

  His mission is to ensure that Chen Nan comes out to save the situation when there is a problem with acupuncture anesthesia.

   That's all!

  Originally, Luo Huixiang had high hopes for today's surgery.

  Successful, he is a hero, a rich resume.

pity!

  Everything was messed up by Chen Nan.

  As for Chen Nan, in fact, yesterday, he received a bad review from Luo Huixiang, but... he has never met this person.

   Still feeling a little curious!

  Because... The negative rating is high.

   This is somewhat unbelievable.

   It wasn't until Duan Youguang introduced it just now that Chen Nan knew that the chief anesthetist was that Luo Huixiang!

  However, Chen Nan also understood, because this operation is really amazing!

   Watch the top surgical teams standing on both sides!

  Chen Nan couldn't help being excited.

  Because this is right in the middle!

   It is the Huaxia Neurosurgery Team!

   And he, today is a member of Tiantuan, an anesthesiologist.

   A group of neurosurgery experts standing on both sides nodded to the four people in the middle. By the way, Chen Nan also enjoyed such a courtesy.

  Chen Nan's blood boiled with enthusiasm.

   There is even a kind of lofty ambition that a man should be a doctor.

  This white surgical gown is like the armor of a general, shining brightly.

   While speaking, a group of people entered the operating room!

  The patient was already lying on the hospital bed at this time. It was a 66-year-old man who signed the relevant consent form and actively participated in this operation.

  Even lying on the bed, the old man's hands were still shaking.

  His hands trembled greatly, which made Chen Nan feel a little emotional.

  Final pre-op session is over soon!

   At this time, Duan Youguang and the others moved their gazes to Chen Nan.

   nodded to Chen Nan: "Director Chen, prepare for anesthesia!"

   Chen Nan nodded!

   At this moment, everyone around noticed Chen Nan.

  In this heavenly team, this young man...is actually an anesthesiologist? !

   Everyone thought it was a nurse!

   Instantly!

  The focus of everyone in the audience, including the people outside watching the operation video, also looked at Chen Nan.

   A little surprised.

  So young? !

who is he?

  (end of this chapter)

Chapter end

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Chapter 439
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Chapter 434
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Chapter 418
Chapter 416
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Chapter 413
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Chapter 372
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Chapter 367
Chapter 366
Chapter 365
Chapter 364
Chapter 363
Chapter 362
Chapter 361
Chapter 360
Chapter 359
Chapter 358
Chapter 357
Chapter 356
Chapter 355
Chapter 354
Chapter 353
Chapter 352
Chapter 351
Chapter 350
Chapter 349
Chapter 348
Chapter 347
Chapter 346
Chapter 345
Chapter 344
Chapter 343
Chapter 342
Chapter 341
Chapter 340
Chapter 339
Chapter 338
Chapter 337
Chapter 336
Chapter 335
Chapter 334
Chapter 333
Chapter 332
Chapter 331
Chapter 330
Chapter 329
Chapter 328
Chapter 327
Chapter 326
Chapter 325
Chapter 324
Chapter 323
Chapter 322
Chapter 321
Chapter 320
Chapter 319
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Chapter 317
Chapter 316
Chapter 315
Chapter 314
Chapter 313
Chapter 312
Chapter 311
Chapter 310
Chapter 309
Chapter 308
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Chapter 306
Chapter 305
Chapter 304
Chapter 303
Chapter 302
Chapter 301
Chapter 300
Chapter 299
Chapter 298
Chapter 297
Chapter 296
Chapter 295
Chapter 294
Chapter 293
Chapter 292
Chapter 291
Chapter 290
Chapter 289
Chapter 288
Chapter 287
Chapter 286
Chapter 285
Chapter 284
Chapter 283
Chapter 282
Chapter 281
Chapter 280
Chapter 279
Chapter 278
Chapter 277
Chapter 276
Chapter 275
Chapter 274
Chapter 273
Chapter 272
Chapter 271
Chapter 270
Chapter 269
Chapter 268
Chapter 267
Chapter 266
Chapter 265
Chapter 264
Chapter 263
Chapter 262
Chapter 261
Chapter 260
Chapter 259
Chapter 258
Chapter 257
Chapter 255
Chapter 254
Chapter 253
Chapter 251
Chapter 250
Chapter 249
Chapter 248
Chapter 247
Chapter 246
Chapter 245
Chapter 244
Chapter 243
Chapter 242
Chapter 241
Chapter 240
Chapter 239
Chapter 238
Chapter 237
Chapter 236
Chapter 235
Chapter 234
Chapter 233
Chapter 232
Chapter 231
Chapter 230
Chapter 229
Chapter 228
Chapter 227
Chapter 226
Chapter 225
Chapter 224
Chapter 223
Chapter 222
Chapter 221
Chapter 220
Chapter 219
Chapter 218
Chapter 217
Chapter 216
Chapter 215
Chapter 214
Chapter 213
Chapter 212
Chapter 211
Chapter 210
Chapter 209
Chapter 208
Chapter 207
Chapter 206
Chapter 205
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Chapter 203
Chapter 202
Chapter 201
Chapter 200
Chapter 199
Chapter 198
Chapter 197
Chapter 196
Chapter 195
Chapter 194
Chapter 193
Chapter 192
Chapter 191
Chapter 190
Chapter 189
Chapter 188
Chapter 187
Chapter 186
Chapter 185
Chapter 184
Chapter 183
Chapter 182
Chapter 181
Chapter 180
Chapter 179
Chapter 178
Chapter 177
Chapter 176
Chapter 175
Chapter 174
Chapter 173
Chapter 172
Chapter 171
Chapter 170
Chapter 169
Chapter 168
Chapter 167
Chapter 166
Chapter 165
Chapter 164
Chapter 163
Chapter 162
Chapter 161
Chapter 160
Chapter 159
Chapter 158
Chapter 157
Chapter 156
Chapter 155
Chapter 154
Chapter 153
Chapter 152
Chapter 151
Chapter 150
Chapter 149
Chapter 148
Chapter 147
Chapter 146
Chapter 145
Chapter 144
Chapter 143
Chapter 142
Chapter 141
Chapter 140
Chapter 139
Chapter 138
Chapter 137
Chapter 136
Chapter 135
Chapter 134
Chapter 133
Chapter 132
Chapter 131
Chapter 130
Chapter 129
Chapter 128
Chapter 127
Chapter 126
Chapter 125
Chapter 124
Chapter 123
Chapter 122
Chapter 121
Chapter 120
Chapter 119
Chapter 118
Chapter 117
Chapter 116
Chapter 115
Chapter 114
Chapter 113
Chapter 88
Chapter 87
Chapter 86
Chapter 85
Chapter 84
Chapter 83
Chapter 82
Chapter 81
Chapter 80
Chapter 79
Chapter 78
Chapter 77
Chapter 76
Chapter 75
Chapter 74
Chapter 73
Chapter 72
Chapter 71
Chapter 70
Chapter 69
Chapter 68
Chapter 67
Chapter 66
Chapter 65
Chapter 64
Chapter 63
Chapter 62
Chapter 61
Chapter 60
Chapter 59
Chapter 58
Chapter 57
Chapter 56
Chapter 55
Chapter 54
Chapter 53
Chapter 52
Chapter 51
Chapter 50
Chapter 49
Chapter 48
Chapter 47
Chapter 46
Chapter 45
Chapter 44
Chapter 43
Chapter 42
Chapter 41
Chapter 40
Chapter 39
Chapter 38
Chapter 37
Chapter 36
Chapter 35
Chapter 34
Chapter 33
Chapter 32
Chapter 31
Chapter 30
Chapter 29
Chapter 28
Chapter 27
Chapter 26
Chapter 25
Chapter 24
Chapter 23
Chapter 22
Chapter 21
Chapter 20
Chapter 19
Chapter 18
Chapter 17
Chapter 16
Chapter 15
Chapter 14
Chapter 13
Chapter 12
Chapter 11
Chapter 10
Chapter 9
Chapter 8
Chapter 7
Chapter 6
Chapter 5
Chapter 4
Chapter 3
Chapter 2
Chapter 1
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