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Since 1981 Health School Chapter 522

  Chapter 522 Tarry black stool

   Seeing the serious faces of his subordinates, Chen Qi didn't care.

  Anyway, he has become the dean of Yuezhong People's Hospital, so it is impossible for him to be surrounded and beaten by his family members at every turn like when he was in Huangtan or the Fourth Hospital, right?

  If you know about beating deputy department-level cadres, then you can go online, arrest you directly and go to the Pingshui labor camp, and make your life worse than death, believe it or not.

"Okay, okay, if we can't find out the reason, let's look for it one by one. See that the patient is only 22 years old. I heard that he just got married not long ago. From the perspective of serving the people, we must go all out to ensure the patient's life. ,right."

  Chen Qi's loyal fan Yi Zewen was the first to jump out again:

   "Yes, Dean Chen said it well. We doctors must be able to cure this difficult and miscellaneous disease. Only then can we show our heroic qualities. Let everyone see how the medical level of our People's Hospital is!"

  Zhang Xing also nodded firmly: "Yes, we must have confidence. What should Chen do now?"

   "What else can I do? Let's push it back to the emergency department first. There are still some blood test reports that have not come out. Let's wait for the checklists to arrive, and then come to the hospital for a general consultation."

  Emergency doctors are all general doctors, but they are definitely not universal doctors.

  Once encountering a disease that is beyond the scope of one's cognition, they will often issue a consultation request, just like ordering food, whichever department they want to order.

  The departments that were named did not dare to refuse, no matter how busy they were, they had to spare time to go to the consultation within the stipulated time.

  This is dead rules, high-tension lines, whoever violates it will die.

  Of course, the emergency department does not want to accept patients, so it is difficult for you to send them out. The departments that are named often do not want to accept them. At this time, psychological warfare begins.

  Emergency departments often say:

   "Department XX, I have a patient here. The condition is quite mild. The patient wants to stay for a few days to recuperate. I can earn some examination fees for you and reduce the ratio of prescribing medicine. Let me send it to you."

  Okay, you agreed, the emergency department couldn't wait to send the patient up.

  As soon as it was sent to your department, the doctor in the emergency department ran away, and then you checked, good guy, this is a troublesome patient who is in critical condition.

   But at this time, your resident doctor has no choice but to transfer the patient's bed, issue a doctor's order, and go all out for rescue.

   Then the doctors in your inpatient department suffer a lot. Many times, the emergency department calls again, not talking about consultation, but directly saying that they want to transfer a patient.

   Resident doctors look at the wall showing that there are still 3 or 4 beds vacant, and they often close their eyes and talk nonsense:

  I'm sorry that our beds are full, you can think of a way for yourself, then hang up the phone quickly, and never give the emergency doctor a chance to beg for mercy.

  So many times, emergency doctors and inpatient doctors are fighting wits and courage.

   Even the emergency departments of different hospitals will fight with each other.

  For example, an emergency patient came to a secondary hospital, and for various reasons he could not handle it by himself, or he did not want to accept this troublesome patient, what should he do?

  Of course it will be sent to a tertiary hospital, but if you find it bothersome, so will other tertiary hospitals, so they will often refuse on the phone.

  Don't send them here, our place is already full, and the beds were not rescued.

   At this time, the doctors in the second-level hospital will come up with a despicable method, that is, whether you agree with the third-level hospital or not, I will bring the patient to you first.

  When I arrived at the door of the emergency room of the tertiary hospital, I didn't even enter the door.

  After pulling the patient out of the car, he left it at the door and ran away. He didn't even need a rescue bed. Anyway, he will get it back in the future.

  Using this method to force the tertiary hospital to accept this troublesome patient, at this time the emergency physicians in the tertiary hospital are also cursing and immediately carry out rescue.

  So emergency doctors not only have to fight wits with patients and diseases, but also have to fight wits with colleagues and colleagues.

  Looking at the emergency department, the male doctors are just like IT men, and few of them are bald.

  Chen Qi and his team pushed the patient Bai Xue, and ran to the emergency department in a mighty manner, attracting many passersby's attention along the way.

   It turned out that before arriving at the emergency department, Bai Xue suddenly became a little irritable on the way, and she began to writhe around, which frightened everyone.

  Yi Zewen yelled again and again: "Hey, don't move around. Now you need absolute bed rest. Is there something uncomfortable? Tell me."

  Bai Xue whispered, so low that she couldn't hear her at all.

  Chen Qi knew at a glance that it was a matter of the patient's privacy. While calling for you to hold on, he quickly pushed to the emergency department.

  When the head nurse ran over to ask, Chen Qi found out that the patient said his stomach was uncomfortable and wanted to have diarrhea.

  Girls in this era are quite conservative, they can talk **** when they want to shit, and they are coy:

   "Head nurse, give her a potty and let her pull it directly on the hospital bed."

  Bai Xue did it as soon as she heard it, and refused with a blushing face: "No, I'm going to the bathroom, I, I don't want to be on the bed."

  Chen Qi frowned, and began to teach a lesson:

   "No, you may be in a coma again in your current situation. If you convulse and fall to the ground again, you may break your head. You won't be as lucky as the previous two times.

You either have a brain problem or a heart problem, and you need to rest in bed. Don't worry about it. I'm not scaring you. Maybe if you exert yourself so hard, or walk around, the time bomb that causes you to faint will explode completely. You will Do you know if you are dead? "

  Although Chen Qi had patiently frightened her, Bai Xue couldn't accept defecating on the bed, and was very anxious, impatient, and was about to get up soon.

  Chen Qi is upset now, thinking that all pretty girls are so stubborn? What kind of princess disease is this?

   "Come, come, come, all of you, comfort me, comfort me."

   Several nurses hurried over and held Bai Xue down.

  Yi Zewen was a little worried at this time: "Chen Tou, is this a recurrence of the disease? Why is this patient so irritable all of a sudden?"

  Chen Qi's heart skipped a beat, and he raised his eyes: "This possibility cannot be ruled out."

  So everyone's eyes turned to the patient on the hospital bed. Who knew that Bai Xue suddenly stopped moving at this moment, and closed her eyes in a daze.

  The face was full of shame, annoyance, and pain, and tears flowed down.

  Chen Qi, Yi Zewen, Zhang Xing and other male doctors were a little dazed, wondering what the **** this female patient was doing? Is it really a mental problem.

   At this time, the head nurse is more experienced.

  Changshou Yunzhen, a nurse in the emergency department, is personally in charge of the deputy director of the Nursing Department. She is in her 40s and is very experienced in clinical nurse work. It was also ordered by Comrade Lao Guo to come here.

  The head nurse Shou seemed to realize something, and was about to pull back the quilt to have a look.

  Bai Xue yelled suddenly, holding on to the quilt tightly: "Don't move~~~"

   A sudden shout startled everyone again.

  Bai Xue burst into tears again, and said in despair: "I'm pulling the bed~~~"

  When Chen Qi heard this, he quietly took a step back, thought about it and took another step, and then secretly held his breath.

  I'm sorry, even if you are a fairy girl, your **** still stinks.

  Although the other male doctors didn't say anything, they acted honestly and retreated towards the door. Only the nurses stepped forward to help.

   The emergency room was in a hurry, and the head nurse Shou comforted the patient while directing the people to clean the bed.

   "Tou Chen, does this count as **** incontinence?"

   Zhang Xing, who suspected epilepsy just now, came over and asked in a low voice: "Patients with epilepsy may have **** incontinence, and I feel that this fits the bill again."

  Chen Qi gave him a supercilious look,

   "Do you think he looks incontinent? He can't help it. Who can't help it. Incontinence is pulled out without knowing it."

  At this time, Bai Xue wanted to find a crack in the ground and slipped into bed in front of strange doctors and nurses.

  Chen Qi already smelled the stench at this time, and was about to go out with an excuse to ask the nurse to change the patient's clothes.

  Suddenly, head nurse Shou shouted:

   "Dean Chen, come and see, the patient's stool is a bit abnormal, this is, this is tarry black stool."

"What?"

  Chen Qi, who was about to leave, turned around in a swish, and ran over quickly, not caring whether Bai Xue's white buttocks were seen or not, and Bai Xue screamed again in fright.

  Melena is shiny black stool, exactly the same color as tar.

  Bai Xue's pants, sheets, and buttocks are all black like this.

  Chen Qi immediately estimated based on experience in his mind that the amount of bleeding must be at least several hundred milliliters.

   This is definitely not a small problem.

  Chen Qi doesn't care about whether men and women are in love or not. Anyway, he is a surgeon. What kind of bare p-butt woman has he never seen? He just looked at Bai Xue eagerly and asked:

   "Have you ever had black **** before?"

  Her lips trembled a little, and it could be seen that she was also nervous.

   It is estimated that the stomach is a little more comfortable, and the nervousness is the nervousness. After defecating, Bai Xue looks less anxious, so she replied:

   "I used to have black stool occasionally, and I didn't care about it, but it was not as much black as today, and the color is darker."

   "Did you have gastric ulcer or duodenal ulcer before? Or stomach pain or something?" Chen Qi continued to ask.

   "I, I don't know, maybe I have a stomachache, and I don't care."

   "Have you ever had a gastroscopy?" Chen Qi pressed forward step by step.

   "No, no."

   "Do you often have stomach discomfort, pain, acid reflux, bloating, etc.?" Chen Qi felt that he was about to get the answer.

   "Well, it happens occasionally. It happens when I eat uncleanly. It's been many years." Bai Xue is trying to remember.

  Hearing these conversations, even Manager Xie, who doesn't understand medicine, realized something was wrong, and blamed through the curtain:

   "Comrade Bai Xue, tell us earlier if you have this problem, you see what happened to you today."

   Manager Xie has his worries. As the saying goes, good things don't go out, and bad things travel thousands of miles. The way Bai Xue fell to the ground and twitched today must have spread throughout the unit.

  As far as the mouths of these women in department stores are concerned, it's strange to hear good things, and I don't know why everyone is arranging Bai Xue.

  If everyone believes that Bai Xue has "goat epilepsy", even if Bai Xue is cured and discharged from the hospital this time, her reputation will be ruined after returning to the unit, and everyone will treat her as if she is mentally ill.

   In addition, Manager Xie was worried about how Bai Xue's family would react if they found out.

  But Bai Xue didn't realize the seriousness of the matter. Hearing Manager Xie's kind blame, she replied unhappy:

   "You didn't even ask me."

  Didn't you ask?

  Chen Qi muttered, that is, you are a patient who fainted and convulsed, who would ask you about the condition of your stomach?

  Black stool means that the patient has gastrointestinal bleeding, and the bleeding site should be relatively high, possibly the duodenum or a lower position.

  After such a large amount of blood is digested in the intestine, it will turn black.

  Chen Qi's eyes lit up suddenly, and he said to Zhang Xing:

   "Hurry up to the Department of Gastroenterology and ask Director Lan to come and tell her that there is a patient with gastrointestinal bleeding and ask her to bring all the gastroscope instruments."

   What Chen Qi thought was that if it was gastric bleeding, it would be the best. He originally wanted to teach gastroenterologists how to use endoscope to perform surgery, and now the opportunity was in front of him.

   Zhang Xing ran out immediately after hearing good news.

  Finding the possible cause of the disease made Chen Qi feel happy again. Doctors are most afraid of overturning, not to mention that he is still the dean, and he has to fight for face.

"Nurse, you immediately speed up the fluid rehydration, fill up the blood volume quickly, and arrange for someone to go to the blood transfusion department to ask for blood, including red blood cells and plasma. Lao Yi, you are going to use some hemostatic drugs. We are now waiting for the gastroenterologist. Come for a consultation."

  Chen Qi is arranging for rescue, but Manager Xie is not calm over there.

   "Doctor, you now suspect that Comrade Bai Xue has stomach bleeding or intestinal bleeding, right? But I don't understand. Is this gastrointestinal bleeding related to coma and convulsions?"

   Manager Xie's words immediately attracted all the doctors in the emergency department.

  Based on simple common sense, your digestive tract is your digestive tract, your brain is your brain, and your heart is your heart. They are basically two different things.

   It is understandable that you said that gastrointestinal bleeding may cause the patient to faint, so how to explain this convulsion?

  Don't say that Mr. Xie, a commoner, can't understand, even the little doctors started to argue.

Connected?

  Then you have to tell a related truth. Modern medicine pays attention to evidence when seeing a doctor.

  No contact?

   If there is no contact, it means that there is still a problem with Chen Qi's diagnosis. If he has not found the real cause of the patient's syncope and convulsions, then his level is not good.

   Obviously everyone wants to know the answer.

  Chen Qi didn't want to answer at first, because at this time the laboratory report had already been delivered, and rescuing patients was the first priority.

  But seeing everyone's earnest and suspicious eyes, Chen Qi had to say a few words:

"This problem is easy to explain. The patient's heavy bleeding in a short period of time will lead to a rapid insufficiency of circulating blood, which will lead to brain dysfunction due to ischemia and hypoxia. Syncope is the most common. Although convulsions are rare, they are not uncommon. "

   "Oh~~~"

  (end of this chapter)

Chapter end

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Chapter 750
Chapter 749
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Chapter 747
Chapter 746
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Chapter 744
Chapter 743
Chapter 742
Chapter 741
Chapter 740
Chapter 739
Chapter 738
Chapter 737
Chapter 736
Chapter 735
Chapter 734
Chapter 733
Chapter 732
Chapter 731
Chapter 730
Chapter 729
Chapter 728
Chapter 727
Chapter 726
Chapter 725
Chapter 724
Chapter 723
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Chapter 720
Chapter 719
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Chapter 717
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Chapter 715
Chapter 714
Chapter 713
Chapter 712
Chapter 711
Chapter 710
Chapter 709
Chapter 708
Chapter 707
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Chapter 705
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Chapter 703
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Chapter 701
Chapter 700
Chapter 699
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Chapter 697
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Chapter 692
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Chapter 683
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Chapter 680
Chapter 679
Chapter 678
Chapter 677
Chapter 676
Chapter 675
Chapter 674
Chapter 673
Chapter 672
Chapter 671
Chapter 668
Chapter 667
Chapter 666
Chapter 665
Chapter 664
Chapter 663
Chapter 662
Chapter 661
Chapter 658
Chapter 657
Chapter 656
Chapter 655
Chapter 654
Chapter 653
Chapter 652
Chapter 651
Chapter 650
Chapter 649
Chapter 648
Chapter 647
Chapter 646
Chapter 645
Chapter 644
Chapter 643
Chapter 642
Chapter 641
Chapter 640
Chapter 639
Chapter 638
Chapter 637
Chapter 636
Chapter 635
Chapter 634
Chapter 633
Chapter 632
Chapter 631
Chapter 630
Chapter 629
Chapter 628
Chapter 627
Chapter 626
Chapter 625
Chapter 624
Chapter 623
Chapter 622
Chapter 621
Chapter 620
Chapter 619
Chapter 618
Chapter 617
Chapter 616
Chapter 615
Chapter 614
Chapter 613
Chapter 612
Chapter 611
Chapter 610
Chapter 609
Chapter 608
Chapter 607
Chapter 606
Chapter 605
Chapter 604
Chapter 603
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Chapter 601
Chapter 600
Chapter 599
Chapter 598
Chapter 597
Chapter 596
Chapter 595
Chapter 594
Chapter 593
Chapter 592
Chapter 591
Chapter 590
Chapter 589
Chapter 588
Chapter 587
Chapter 586
Chapter 585
Chapter 584
Chapter 580
Chapter 579
Chapter 578
Chapter 577
Chapter 576
Chapter 575
Chapter 574
Chapter 573
Chapter 572
Chapter 571
Chapter 570
Chapter 569
Chapter 568
Chapter 567
Chapter 566
Chapter 565
Chapter 564
Chapter 563
Chapter 562
Chapter 561
Chapter 560
Chapter 559
Chapter 558
Chapter 557
Chapter 556
Chapter 555
Chapter 554
Chapter 553
Chapter 552
Chapter 551
Chapter 550
Chapter 549
Chapter 548
Chapter 547
Chapter 546
Chapter 545
Chapter 544
Chapter 543
Chapter 542
Chapter 541
Chapter 540
Chapter 539
Chapter 538
Chapter 537
Chapter 536
Chapter 535
Chapter 534
Chapter 533
Chapter 532
Chapter 531
Chapter 530
Chapter 529
Chapter 528
Chapter 527
Chapter 526
Chapter 525
Chapter 524
Chapter 523
Chapter 522
Chapter 521
Chapter 520
Chapter 519
Chapter 518
Chapter 517
Chapter 516
Chapter 515
Chapter 514
Chapter 513
Chapter 512
Chapter 511
Chapter 510
Chapter 509
Chapter 508
Chapter 507
Chapter 506
Chapter 505
Chapter 504
Chapter 503
Chapter 502
Chapter 501
Chapter 500
Chapter 499
Chapter 498
Chapter 497
Chapter 496
Chapter 495
Chapter 494
Chapter 493
Chapter 492
Chapter 491
Chapter 490
Chapter 489
Chapter 488
Chapter 487
Chapter 486
Chapter 485
Chapter 484
Chapter 483
Chapter 482
Chapter 481
Chapter 480
Chapter 479
Chapter 478
Chapter 477
Chapter 476
Chapter 475
Chapter 474
Chapter 473
Chapter 472
Chapter 471
Chapter 470
Chapter 469
Chapter 468
Chapter 467
Chapter 466
Chapter 465
Chapter 464
Chapter 463
Chapter 462
Chapter 460
Chapter 459
Chapter 458
Chapter 457
Chapter 456
Chapter 455
Chapter 454
Chapter 453
Chapter 452
Chapter 451
Chapter 450
Chapter 449
Chapter 448
Chapter 447
Chapter 446
Chapter 444
Chapter 443
Chapter 442
Chapter 441
Chapter 440
Chapter 439
Chapter 438
Chapter 437
Chapter 436
Chapter 435
Chapter 434
Chapter 433
Chapter 432
Chapter 431
Chapter 430
Chapter 429
Chapter 428
Chapter 427
Chapter 426
Chapter 425
Chapter 424
Chapter 423
Chapter 422
Chapter 421
Chapter 420
Chapter 419
Chapter 418
Chapter 417
Chapter 416
Chapter 415
Chapter 414
Chapter 413
Chapter 412
Chapter 411
Chapter 410
Chapter 409
Chapter 408
Chapter 407
Chapter 406
Chapter 405
Chapter 404
Chapter 403
Chapter 402
Chapter 401
Chapter 400
Chapter 399
Chapter 398
Chapter 397
Chapter 396
Chapter 394
Chapter 393
Chapter 392
Chapter 391
Chapter 390
Chapter 389
Chapter 388
Chapter 387
Chapter 386
Chapter 385
Chapter 384
Chapter 383
Chapter 382
Chapter 381
Chapter 380
Chapter 379
Chapter 378
Chapter 377
Chapter 376
Chapter 375
Chapter 374
Chapter 373
Chapter 372
Chapter 371
Chapter 370
Chapter 369
Chapter 368
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
Chapter 318
Chapter 317
Chapter 316
Chapter 315
Chapter 314
Chapter 313
Chapter 312
Chapter 311
Chapter 310
Chapter 309
Chapter 308
Chapter 307
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 256
Chapter 255
Chapter 254
Chapter 253
Chapter 252
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
Chapter 204
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 112
Chapter 111
Chapter 110
Chapter 109
Chapter 108
Chapter 107
Chapter 106
Chapter 105
Chapter 104
Chapter 103
Chapter 102
Chapter 101
Chapter 100
Chapter 99
Chapter 98
Chapter 97
Chapter 96
Chapter 95
Chapter 94
Chapter 93
Chapter 92
Chapter 91
Chapter 90
Chapter 89
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
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Chapter 64
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Chapter 62
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Chapter 57
Chapter 56
Chapter 55
Chapter 54
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Chapter 49
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Chapter 47
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Chapter 44
Chapter 43
Chapter 42
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Chapter 39
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