The Surgeon’s Studio

Chapter 3007: 2951 Little clever ghost

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"You mean it's too boring for me to live like this?" Zheng Ren asked.

"Absolutely. Don't you have any entertainment?" Xiao Shitou chuckled and said out of breath.

"Yes, doing surgery every day is entertainment. It's like you playing a game, but I treat the progress of the surgery as your leveling up by defeating monsters. From a person's point of view, the lifespan of a game is about 10 years. "

"Don't talk nonsense, World of Warcraft is a longevity star." Su Yun immediately shouted back.

"It's not like you can live in the virtual world, you always have to return to reality." Zheng Ren said nonchalantly, "I think my leveling up in the real world by fighting monsters is a bit more advanced than you playing games."

"That's because you have high talent." Su Yun said, "It's not that easy. Generally speaking, in the real world, everyone is a little monster, not even an elite monster. They are used to gain experience for others. If not The real world is too cruel, who do you think is stupid and is willing to upgrade in an online game?"

"Hehe." Zheng Ren felt that Su Yun was right. When he was in Haicheng, he was Cen Meng's monster to accumulate experience points.

"Having said that, I don't feel very tired. At least it looks okay so far." Zheng Ren said.

"As long as you feel good about it, remember to be full of energy when you perform surgery on me." Xiao Shitou said with a smile.

"Yes." Zheng Ren said, "Don't worry, I am good at treating diseases, and I am the most professional in how to adjust the condition during surgery."

"Shitou, you see, people like your brother are still talking about curing diseases and saving lives," Su Yun said.

"You're definitely right." Zheng Ren said with a smile, "The purpose of reading so many books is to find out a truth about how to behave and do things in the future. If you can't be brave enough to believe it in the end, then what's the point of being a human being? "

"Huh? Boss, what you said is very serious." Su Yun looked at Zheng Ren in surprise and said.

"I was thinking about the truth a while ago, and then I saw this sentence somewhere and thought it was right." Zheng Rendao, "Did Wang Sheng say that knowledge and action are one? We all knew the truth when we first went to school. It's complicated. A little bit of me reciting the Hippocratic Oath, a little bit of it just means healing the sick and saving lives.”

"Is it just that society is complicated? You have to support your family while also facing open and covert attacks. There were countless medical troubles in the past few years, so the original truth is blurred. Did the director say, be cautious as always? He said The word is Shen, and I understand that these four words are very useful."

"After I finish the operation, will I not need to take anti-immune drugs?" Xiao Shitou asked.

Zheng Ren glanced at Su Yun, who was an expert in this area.

"No, the transplanted organs are cultivated from your own stem cells." Su Yun said with certainty, "It is equivalent to a skin grafting surgery after a burn. There is no reason to reject yourself."

There were some vague loopholes in this sentence, but Zheng Ren didn't want to quarrel with Su Yun on this, so he just smiled and passed by.

After arranging Xiao Shitou’s surgery tomorrow, after reading it before the surgery, I felt confident.

After leaving the ward, Su Yun asked, "Boss, have you been to Wuxi?"

"No." Zheng Ren said truthfully.

"I've never been to Wuxi. Who did you learn about lung transplantation from? Are you self-taught?"

"Lung transplantation is not difficult." Zheng Ren said it was reasonable.

"Tch!" Su Yun said disdainfully, "Organ transplantation, this is organ transplantation! Can you do it? Let me do the surgery if you can't. If not, let's ask Teacher Chen to do it. Autologous stem cell cloning and 3D printed lungs. I think Teacher Chen will be very interested."

"It shouldn't be necessary." Zheng Ren smiled and said, "It's really not necessary."

"Then let me ask you a question." Su Yundao said, "Female, epilepsy occurred 7 days after lung transplantation, manifesting as generalized tonic-clonic seizures. The electroencephalogram showed that neurons in a certain part of the cerebral hemisphere were activated first."

"Oh, you're telling me what you should do if you encounter this situation after surgery, right?" Zheng Ren asked.

"Yes, do you know how this situation came about?" Su Yundao said, "I am in Wuxi, but I have been stationed for half a year. Teacher Chen's team there does a very good job. The surgery is on the one hand, and the nursing force of the postoperative critical care team Also super strong.”

Su Yun's problem was the diagnosis and treatment of postoperative complications. Subconsciously, he also believed that his boss's surgery was impeccable.

"I think the situation you mentioned is caused by the oral administration of Tacrolimus Capsule FK506 after surgery." Zheng Ren looked at Su Yun and then smiled, "This is a very common complication of anti-rejection drugs. You can Are you going to test me on this?"

"The role of tacrolimus is obviously to use it to combine with cellular proteins and accumulate in cells to produce effects. The FKBP12-tacrolimus complex will specifically bind and inhibit, which will inhibit all T cells. Produce a calcium ion-dependent signaling pathway, thus preventing the transcription of discontinuous lymphokine genes."

Seeing that Su Yun was silent, Zheng Ren continued to explain.

"First of all, Xiaoshi will not take tacrolimus orally after surgery. Secondly, if this happens to other patients, it is enough to adjust the oral dosage of tacrolimus while undergoing symptomatic treatment."

"Others, it seems like nothing."

Zheng Ren answered very smoothly, as if he didn't even think about it.

"By the way, generally speaking, oral tacrolimus is complicated by epilepsy more than once. Be careful and ask the nurses and ICU doctors to pay close attention. I have read reports that there are patients who still have epilepsy 1-2 months after surgery. "

Su Yun frowned, boss, is this all an act? Or did you say you saw it in a book

Reading and practicing are two different things. It is said that reading thousands of books is not as good as traveling a thousand miles. The ancients have explained the relationship between the two in simple words.

This guy is really a clever little guy, Su Yun sighed.

He didn't even ask about the procedure because he knew how powerful his boss' surgery was. Even though he had never seen his boss perform a lung transplant, Su Yun believed that his boss would be able to perform the operation without any problem.

So he only tested for one postoperative complication, which was relatively remote and extremely rare.

He was really awesome. He couldn't even pass this test. Su Yun felt a little confused.

"Let's go, go see Yi Ren, and then go home." Zheng Ren didn't care what Su Yun was thinking. He went home to eat, sleep, and practice lung transplant surgery in the system operating room.

With constant treatment, Xiao Shitou's condition continues to improve. I hope that after the lung transplant, nothing will happen again, everything will be smooth and stable, and it will be best if I can be discharged from the hospital and go home, or even go back to school.

The days are still dull, but Zheng Ren is happy.

Seeing patients, performing surgeries, and going through each day step by step, neither fast nor slow.