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Since 1981 Health School Chapter 653
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Since 1981 Health School Chapter 653

  Chapter 653 Artificial Kidney + Artificial Liver

  Chen Qi wanted to laugh when he saw everyone's dejected looks:

"Yes, it is hemodialysis, but artificial kidney technology like hemodialysis alone is not enough, and an artificial liver technology is also needed. The focus of treatment is not only to remove the arsenic toxin in the patient's body and blood, but also to let the patient There are liver cells that can grow back until they can regain their function."

  Artificial liver + artificial kidney?

   To doctors in the eighties, this sounded like fantasy.

  Hemodialysis is understood as an artificial kidney, so what the **** is a worker's liver? What is the principle of operation? How about alternatives? Don't tell me you've seen it, you've never heard of it.

  It may be a big problem for others, but it is a very simple matter for Chen Qi.

  Because whether it is a continuous renal replacement therapy dialysis machine (CRRT) or an artificial liver support system (ALSS), both of these machines are available in his space hospital.

   This kind of stuff that looks like black technology in the 1980s is a routine equipment in major hospitals in 2022, and the operation is also very simple and the degree of automation is very high.

  But how to use these machines is a very headache for Chen Qi.

   After all, these machines are all cross-generational, not to mention that they don't exist in China, and they don't even exist in foreign countries. Such a big machine can't be hidden even if you want to hide it. How can you explain that this thing suddenly appeared?

  In case of being stabbed out, it will be another dispute, especially under the premise that some teams want to control everything, any accidents are not allowed by them.

   It wasn't until after get off work in the afternoon that Chen Qi thought of a way to get the best of both worlds.

   "Who was originally scheduled tonight?"

  Surgical doctor Wu Guoliang and internal medicine doctor Yang Caisheng weakly raised their hands: "Dean, we are on duty tonight."

  Chen Qi smiled and shook his hands:

"Let's go, let's count your luck. You don't need to be on duty tonight. Dr. Lan and I are on the night shift. In addition, let me tell everyone that Dr. Lan and I will be on the night shift for the next week. In addition Nursing class, Chen Li and Yang Xiuxiu work hard, and stay with us on the night shift for a week."

  Wu Guoliang and Yang Caisheng couldn't believe their ears, because only the little doctor was on duty for the leader, but they had never heard of the dean's department director being on duty for the little doctor.

   Is it not guaranteed that this is the dean's temptation? Can not be ignorant of flattery.

   "Dean, we, we are on duty, no problem."

  Chen Qi said sincerely: "It's okay, you usually work very hard at work, this time, let Dr. Lan and I do it for a week first, and then you will do it."

   The two little doctors wanted to say something, but they were suddenly pulled gently by head nurse Liu, signaling them to listen to the dean.

   As for Chen Li and Yang Xiuxiu, of course they have no objections. The dean named them to work the night shift. This is not to punish them, but to represent the dean's trust in them.

  Because often when the African team is on the field, it is Dean Chen who has some technology or equipment that he does not want others to know.

  This kind of trust can only be enjoyed by the confidant of the confidant.

  Lan Lijuan is such a smart woman. Once she heard her husband arrange this way, she knew that he must be making trouble in the middle of the night, so she also nodded:

   "Then I'll go back first and settle down with the two little ones before going to work."

  Chen Qi looked at his watch: "No hurry, come over after 9:00 p.m., I will bear it first."

  The dean said so and arranged it. Whether the other doctors were curious or didn't care, they all got off work obediently. The dean's secret is not something outsiders can know casually.

  When everyone left, you could still see Dean Chen thinking about several monitors.

  At 8:00 p.m., Lan Lijuan came early with a few thermos buckets:

   "Chen Qi, come here, this is the pork rib soup stewed by the elder sister for you, you have something to eat first, are we going to fight all night without sleep?"

  Chen Qi just picked up the spoon and dropped it on the table, his face full of horror:

   "Honey, don't scare me, we are all in the middle of the night, and my old waist can't bear to fight all night."

   "Bah, what are you thinking?" Lan Lijuan blushed.

  Chen Qi smiled, picked up the spoon and continued to drink the soup, while Lan Lijuan re-read the day's course record and inspection report.

   Waited until midnight, when the handover of the night shift and the next night shift in the hospital was completed, and when the whole hospital was silent, Chen Qi stood up at this time, and then sneaked out of the ward.

   After a while, Lan Lijuan, Yang Xiuxiu, and Chen Li, who were inexplicable, saw Chen Qi pushing some kind of machine over, and the top of the machine was tightly wrapped with cloth.

   "Don't just watch, push this machine in, Chen Li, you go to guard the door, and no one else is allowed to enter or leave tonight."

  Lan Lijuan and Yang Xiuxiu just took over the mysterious machine, Chen Qi went back outside again, and after a while, pushed another machine tightly wrapped in cloth.

   Waiting for the two machines to be pushed into Fu Zhenzhen's ward, Chen Qi also took a piece of newspaper to cover the glass on the door tightly.

  Chen Li was guarding at the entrance of the inpatient department, and Yang Xiuxiu was guarding at the door of the ward. It was double insurance. There were only two people left in the ward, Chen Qi and Lan Lijuan, and Fu Zhenzhen who was in a coma.

  Lan Lijuan was confused: "Chen Qi, who are these two machines?"

  Chen Qi took off the two pieces of cloth with a swish, revealing two machines that Lan Lijuan had never seen before, with a very complicated structure.

   "Lijuan, keep it secret, I smuggled these two machines in from abroad, and they are still in the laboratory research and development stage, so they can't be seen by outsiders. If the secret is leaked, it will be a big trouble."

   Lan Lijuan nodded, Chen Qi has always been elusive, and she can get all kinds of machines and medicines, she is no stranger to it.

"Look, this machine is an artificial liver, its full name is Artificial Liver Blood Purification Technology. Its function, as you can tell from the name, is to temporarily replace the damaged liver to perform various functions. This includes cleaning the liver jaundice and toxins, and supplement the coagulation factors and proteins that need to be synthesized by the liver itself.”

   Lan Lijuan's heart was already beating wildly with excitement.

  Because she felt that she had come into contact with the world's top medical equipment, and the equipment that could replace the liver was extraordinary.

   "Chen Qi, what is the working principle of this machine?"

"This stuff is simple and easy to say, but difficult to say. Let's describe it this way. Artificial liver blood purification technology refers to plasma replacement and blood adsorption technology, which means that inflammatory substances or toxins dissolved in the blood are absorbed to a body with a rich surface area. on solid matter.

   Then remove inflammatory substances and poisons from the blood, so artificial liver technology is specially used for blood detoxification. It uses the method of exchanging blood to remove the toxins in the patient's plasma, and replaces the toxin-containing plasma of the patient with healthy plasma, and replaces about 50% of the whole body's plasma each time.

  Look at this whole set of equipment, in fact, it includes the principles of plasma exchange, hemodialysis, hemofiltration, blood plasma perfusion, molecular adsorption circulatory system, continuous blood purification treatment, etc., which is very, very complicated. "

  Actually, Lan Lijuan could only understand half of what she understood, and Chen Qi also knew that.

  Chen Qi also removed a dialyzer, which was a long cylindrical shape. When opened, it was filled with tiny white filaments, like a whisk used by a Taoist priest.

"Look, my wife, these white fibers are actually hollow inside. The principle of dialysis lies in it, just like pickled eggs. Think about it, we put salt around the eggs, After a while, the eggs will become salty, right?

  This shows that the salt molecules can cross the eggshell and enter the egg. Based on this principle, we need to remove the toxins in the blood. This is the principle of diffusion. After we draw out the blood, the blood will go through this hollow fiber.

Then the dialysate goes from the outside. The wall of the hollow fiber is like an egg shell, with holes. Then the toxins in the blood enter the dialysate outside the hollow fiber through this hole, and finally the dialysate washes away the toxins. . "

  Lan Lijuan still half-understood. She knew the general principle, but she knew how to do it. She knew that this was a very complex project.

  Chen Qi introduced himself excitedly.

"Look, my wife, this is a blood pump, this is an APF continuous blood filter, this is an albumin pump, this is a bilirubin absorber, this is activated carbon, and here, this is where the dialysate is installed, here It is the place where waste water is discharged.

  The series of devices add up, which is equivalent to a cycle, which can remove protein-bound and water-soluble toxins in the blood, etc.

  Equivalent to this machine is the liver, which removes a large amount of toxic substances in patients with liver failure, and can replace the detoxification and metabolism of the damaged liver.

  At the same time, it can also let her liver rest, and then let the liver cells slowly repair themselves.

  After Lan Lijuan got excited, she heard another question:

   "Chen Qi, according to you, the artificial liver can completely replace the artificial kidney, because the whole set of equipment for the artificial liver includes hemodialysis."

  Chen Qi thought for a while and said:

   "The basic principles are similar, but when you think about it, the main function of the liver is to detoxify, while the main function of the kidney is to detoxify. There is still a difference. Moreover, artificial lungs cannot be used for a long time, and there are still certain side effects."

  Lan Lijuan is a physician, and her mind is more delicate, so she asked:

   "Now there are artificial livers and artificial kidneys, but are there artificial lungs and artificial hearts?"

   "Yes," Chen Qi replied without hesitation.

"Artificial lungs can also be called Yekemo. The English full name is Extracorporeal Membrane Oxygenation, or ECMO for short. This thing is amazing. It can completely replace the heart and lungs. Theoretically, as long as you have money and keep using Yekemo, you will never have to use it." will die."

   But expensive is really expensive. Once Ye Kemo is turned on, the start-up cost of this machine alone is 50,000.

  Then use the minimum consumption of 20,000 per day, the general median is about 60,000, and the most expensive one day is 100,000, which is trivial.

  Plan the key points and take the test. This is the fee for one day.

  If your grandfather never climbed a snow-capped mountain, or your father didn't have a coal mine, the common people simply wouldn't be able to afford it.

   There used to be a mayor in Wanwan Province, who was a doctor of intensive care medicine, and he was the famous "Ye Kemo expert".

  The major domestic hospitals later introduced a large number of Ye Kemo, but too few doctors know how to use it, and it is considered the top high-tech equipment among medical devices.

  After hearing Chen Qi's words, Lan Lijuan didn't speak for a long time, but just looked at the two machines in front of her in a daze.

  Chen Qi is relatively rough and has been fiddling with these two machines. Some dialysate and heparin need to be installed manually, so he didn't notice the abnormality of his wife.

   It took a long time for Lan Lijuan to say:

   "Chen Qi, do you think the medical and technological gap between China and foreign countries is really that big?"

  Chen Qi held the injection in his hand, and didn't know how to answer for a while, and he finally discovered his wife's loss of mood and inner self-doubt at this time.

"Well, how do you say this? If only in terms of medical equipment, our country is actually far behind. This kind of backwardness is in all aspects, and it is not only backward now, but will continue in the foreseeable next 40 years. behind.

   But in terms of medical technology, our country is not completely backward. For example, the hepatobiliary surgery conducted by Professor Wu Mengchao is absolutely world-class. Another example is the Helicobacter pylori project that you are leading, which is also a world-class level.

   In addition, look at my endoscopy level, is it also world-class? Those foreigners have to go to Yuezhong to see a doctor, so we Hua people are not stupid. On the contrary, the Chinese people are too smart, too smart.

For example, the research and development of this dialysis machine may cost hundreds of millions, or even billions and tens of billions. Some people think that since I can buy it for hundreds of thousands or millions, why should I invest hundreds of millions? 100 million to research and develop? How good it is to save this money to eat, drink, and put it in your personal pocket.

Let's use another example. Later, we were able to manufacture domestic hemodialysis instruments. The localization rate was 80% and we tried our best to brag about it. As a result, except for the outer shell, which was made by ourselves, all the core equipment inside were imported. , All of our high-tech instruments will be paralyzed. "

   (As of 2022, hemodialysis equipment and consumables mainly include dialysis machines, dialyzers, perfusion sets, hemodialysis tubing, hemodialysis powder, etc., 90% of which are imported.)

  Chen Qi is a reborn person. His memory is more than 30 years ahead of this era, so he can see it more clearly.

  The two husband and wife sat on the chair together, worrying together, and Chen Qi once again raised his **** to those "foreign compradors" who advocate trade, industry and technology.

  These traitors who lurk in the country and have a certain right to speak, finally let our country be choked by foreign countries at a critical moment and become quite passive.

   At this time, the monitor suddenly issued a "beep beep" prompt sound, which woke the couple from their deep thoughts.

  Chen Qi slapped his forehead: "Damn, I almost forgot about business because of worrying about the country and the people. Come to my wife, today I will teach you how to operate the artificial liver and artificial kidney for my husband. Let's fight all night!"

  (end of this chapter)

Chapter end

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Chapter 734
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Chapter 730
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Chapter 728
Chapter 727
Chapter 726
Chapter 725
Chapter 724
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Chapter 707
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Chapter 700
Chapter 699
Chapter 698
Chapter 697
Chapter 696
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Chapter 694
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Chapter 692
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Chapter 688
Chapter 687
Chapter 686
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Chapter 684
Chapter 683
Chapter 682
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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
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
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Chapter 50
Chapter 49
Chapter 48
Chapter 47
Chapter 46
Chapter 45
Chapter 44
Chapter 43
Chapter 42
Chapter 41
Chapter 40
Chapter 39
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Chapter 37
Chapter 36
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Chapter 34
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Chapter 29
Chapter 28
Chapter 27
Chapter 26
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Chapter 14
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