"You have too many things to do, just like my second great-aunt." Professor Rudolf Wagner scorned, "Is it difficult to cure the primary focus of liver cancer?"
"..." Cheng Lixue was speechless.
How could I not know this kind of thing
But what the hell is my second aunt
I have been an interventionalist for more than ten years and have performed at least thousands of interventional surgeries for liver cancer. There are dozens of patients who have recovered from their original tumors.
Although it was not much, Cheng Lixue did not lack this kind of experience.
But the patient had such a large tumor on his anterior film... Cheng Lixue believed that the patient was terminally ill and could not be cured. All we can do is try to prolong the patient’s survival period.
"Mr. Zheng, what are you going to do now?" Cheng Lixue didn't mind the professor's disdain. It was normal to be scolded once or twice by the world's top professors.
"Radio frequency ablation, burn it directly." Zheng Ren said.
"Then we should insert 3-4 needles." Cheng Lixue made an estimate.
"Well, 3 needles are enough. Please note the location of the needle insertion, Fugui'er." Zheng Ren said: "The 10th intercostal space on the right side, at 4 o'clock. The mid-clavicular line of the right upper abdomen is 1.5cm to the right, the direction of needle insertion 15° clockwise." Zheng Ren said.
"Where is the other one?" Professor Rudolf Wagner carefully wrote down everything Zheng Ren said, in German of course.
If a professor can practice speaking Chinese well in a short period of time, he is considered a language wizard. But if you want to learn Chinese characters, reading is not enough for now.
"There is another position that I have to calculate." Zheng Ren said.
In fact, Zheng Ren wanted to go to the second hospital for tip surgery, complete the second stage of the crown jewel, and then get the passive attributes of +2 interventional surgery success rate and 3,000 radiofrequency ablation experience.
Zheng Yunxia only delayed the operation for a few days, but if it was as Zheng Ren guessed, the benefits Zheng Yunxia gained from the operation would be several times greater.
Let's wait.
"Director Cheng, what film are you carrying?" Zheng Ren reminded him after finishing watching Zheng Yunxia's film and seeing Cheng Lixue's senile expression on his face, as if he had forgotten the film he was carrying.
"Uh..." Cheng Lixue woke up in a daze and remembered what she was doing here.
"This is the film and information of patients who meet the conditions and can undergo tip surgery. Please take a look at it, Mr. Zheng." Cheng Lixue put the film on the table.
Unconsciously, after standing with the film in hand for half an hour, Cheng Lixue's arms ached.
But before he could knead it twice, he saw that Zheng Ren had already picked up the first film bag and took out the patient's information.
The professor took the film behind Zheng Ren, found out the MRI diffusion of the patient's liver, and inserted it into the reader.
When his moment came, Cheng Lixue worked up a hundredfold, found a good seat, and stared at the picture closely.
"The patient's condition is not bad." Zheng Ren glanced at the case and said leisurely.
"Boss, the film is also very typical. The needle is inserted at 25° laterally and posteriorly, and that's it." Professor Rudolf Wagner said.
"Anything between 24-28° is fine. In this case, the fault tolerance rate is higher. But be sure to insert the needle close to the left posterior wall. Do you have anything else to add, Fuguier?"
Professor Rudolf Wagner quickly wrote down what Zheng Ren said on paper.
Hearing Zheng Ren ask himself, he said without raising his head: "No, boss. This patient's condition is typical. I feel like I can succeed with just one injection with my eyes closed."
"Well, it's very simple, but don't be careless." Zheng Ren said, "Then let's change the patient."
Um? Finished? Cheng Lixue was stunned when she saw Professor Rudolf Wagner starting to put the patient's film, the information in Zheng Ren's hand and the paper he recorded into the film bag.
What did they say
Nothing seemed to be said.
No!
They say... you can get a needle puncture with your eyes closed.
A week ago, if she had told Cheng Lixue that tip surgery could be successful with one needle puncture, Cheng Lixue would have slapped him in the face to wake him up.
But the last time Zheng Ren went to the Second City Hospital for tip surgery, all the punctures were successful.
With the facts in front of him, Cheng Lixue couldn't help but not believe it.
But... what have I learned? I didn’t learn anything at all!
This is how to do
Cheng Lixue immediately became anxious and quickly grabbed Professor Rudolf Wagner's arm and said, "Professor, wait."
"What are you doing for being such a loser?" The professor was displeased, his eyes widened, and Cheng Lixue trembled in fright.
Zheng Ren smiled and said, "Fugui son, take out the film."
Professor Rudolf Wagner glared at Cheng Lixue and said aggrievedly: "Boss, this is simply a waste of life."
"That's not what you said three days ago." Zheng Ren smiled.
"Okay, I think you are right, boss." The professor shook his head, "But soon, you will find that you are wrong."
"Are you saying that his foundation is not enough? He can't master it quickly?" Zheng Ren understood.
"Of course, there are only three people in the world besides me who can get started with MRI imaging just once," Professor Rudolf Wagner said proudly.
Cheng Lixue sweatdropped immediately.
How do you start with imaging when learning tips for surgery? This was completely different from what he had expected.
Surgery, shouldn’t it start with the operation? Why start with imaging films, or MRI diffusion images, which are never used in interventional departments...
Cheng Lixue suddenly became stupid.
"Director Cheng, how much do you know about MRI diffusion imaging?" Zheng Ren looked into Cheng Lixue's eyes and asked.
"The diffusion image is the use of Brownian motion of water molecules..." Cheng Lixue stammered for a few words and then couldn't continue.
Interventional doctors specialize in X-rays.
For example, interventional embolization is performed under X-rays. In the past ten years, with the rise of radiofrequency ablation, many doctors have begun to understand CT imaging, but for MRI, they are still highly directional diffusion MRI...
Cheng Lixue really didn't understand.
"So, what can you see at this position?" Zheng Ren inserted the diffusion image of the first patient into the reader, pointed at a position, and asked.
"..." Cheng Lixue was at a loss.
"Here, a dispersion-sensitive gradient pulse with the same length, amplitude, and position is applied symmetrically on both sides of the 180b pulse in the se sequence. Try subtracting one sequence of pulses and think again." Zheng Ren has tried his best to put it into perspective. Simplification of professional terms.
But Cheng Lixue's expression betrayed his soul.
The director of the interventional department of the Second City Hospital was completely confused.
"That's it." Zheng Ren felt a little regretful, thought for a while, and said, "Director Cheng, how about you go to the nuclear magnetic field and study for a few days first?"
“…”
Zheng Ren sighed, feeling a little regretful.
Professor Rudolf Wagner could accept it quickly, and so could Su Yun, but these were both heaven-defying powerhouses, and Director Cheng Lixue really couldn't compare with them.