Chapter 398 You Can Do It With Your Eyes Closed
"You have too many things to do, just like my second aunt." Professor Rudolf Wagner scorned, "Is it difficult to cure the primary lesion of liver cancer?"
"..." Cheng Lixue was speechless.
How could I not know this kind of thing.
But what the hell is Second Aunt?
I have been an interventional doctor for more than ten years, and have performed at least a thousand interventional surgeries for liver cancer. There are also dozens of patients who have recovered from the primary tumor.
Although not much, Cheng Lixue does not lack this kind of experience.
But the patient's anterior film, such a large tumor... Cheng Lixue thought that the patient was terminally ill and could not be cured. What can be done is to prolong the survival of patients as much as possible.
"Mr. Zheng, what are you going to do now?" Cheng Lixue didn't mind the professor's disdain. It's not normal to be scolded by the world's top professors once or twice.
"Radiofrequency ablation, burn it directly." Zheng Ren said.
"Then there should be 3-4 needles inserted." Cheng Lixue estimated.
"Well, three are enough. The location of the needle, Fugui, please remember." Zheng Ren said: "The 10th intercostal space on the right side, at 4 o'clock. The right upper abdomen is 1.5cm to the right of the clavicle midline, and the direction of the needle is inserted." 15° clockwise." Zheng Ren said.
"Is there another one?" Professor Rudolf Wagner carefully wrote down what Zheng Ren said, of course in German.
If a professor can practice oral Chinese well in a short period of time, he is considered a language prodigy. But if you want to learn Chinese characters, reading is not enough for now.
"There is another position, I have to calculate it." Zheng Ren said.
In fact, Zheng Ren wanted to go to the second hospital for TIPS surgery, complete the second stage of the crown jewel, and then talk about it after he has 3,000 cases of radiofrequency ablation experience and the passive attribute of interventional surgery success rate +2.
Zheng Yunxia only delayed the operation for a few days, but according to Zheng Ren's guess, the benefits Zheng Yunxia gained from the operation would be several times more.
Just wait.
"Director Cheng, what film are you carrying?" Zheng Ren reminded after seeing Cheng Lixue's demented expression after finishing Zheng Yunxia's film, as if he had forgotten the film he was still carrying.
"Uh..." Cheng Lixue woke up in a daze, remembering what she did here.
"This is the film and information of a patient who is eligible for TIPS surgery. Please take a look at Mr. Zheng." Cheng Lixue put the film on the table.
Unknowingly, after standing with the film for half an hour, Cheng Lixue's arms ached.
But before he had time to knead it, he saw that Zheng Ren had already picked up the first pouch and took out the patient's information from it.
The professor took the film behind Zheng Ren, found out the diffuse MRI of the patient's liver, and inserted it into the film reader.
When her time came, Cheng Lixue put up a lot of energy, found a good position, and stared at the film closely.
"The patient's condition is not bad." Zheng Ren glanced at the case and said leisurely.
"Boss, the film is also very typical. Needle insertion at 25° from side to side is enough." Professor Rudolf Wagner said.
"Anything between 24-28° is fine. In this case, the error tolerance rate is higher. But pay attention to inserting the needle against the left rear wall. Do you have anything else to add, Fu Guier."
Professor Rudolf Wagner quickly recorded what Zheng Ren said on paper.
Hearing Zheng Ren asking himself, he said without raising his head: "No, boss. This patient's condition is typical, and I feel that I can get a successful injection with my eyes closed."
"Well, it's very simple, but don't be careless." Zheng Ren said, "Then change to another patient."
Um? Finished? Cheng Lixue was stunned when he saw that Professor Rudolf Wagner started to put the patient's x-ray, the materials in Zheng Ren's hand, and the paper he recorded into the x-ray bag.
What did they say?
It seems that nothing has been said.
No!
They say...you can get a needle with your eyes closed.
A week ago, if Cheng Lixue had told Cheng Lixue that the TIPS operation would be successful with one needle, Cheng Lixue would have slapped him to wake him up.
But the last time Zheng Ren went to the Second Municipal Hospital for TIPS surgery, all of them were successfully punctured with one needle.
With the facts in front of him, Cheng Lixue couldn't help but not believe it.
But... what have I learned? Didn't learn anything!
This is how to do?
Cheng Lixue became anxious immediately, and quickly grabbed Professor Rudolf Wagner's arm, and said, "Professor, wait."
"What are you doing, you bastard?" The professor was displeased, his eyes widened, and Cheng Lixue shivered in fright.
Zheng Ren smiled and said, "Fugui, take out the film."
Professor Rudolf Wagner glared at Cheng Lixue, and said aggrievedly: "Boss, this is a waste of life."
"Three days ago, you didn't say that." Zheng Ren laughed.
"Well, I think you're right, boss." The professor shook his head, "but soon, you'll find out that you're wrong."
"Are you saying that his foundation is not enough? There is no way to master it quickly?" Zheng Ren understood.
"Of course, there are only three people in the world who can get started with MRI images once you just say it." Professor Rudolf Wagner said proudly.
Cheng Lixue's sweat immediately came down.
How does learning a TIPS surgery start with imaging? This is completely different from what he had expected before.
Shouldn't surgery start with the operation? How could it start with the video film, or the MRI diffusion image that the interventional department has never used...
Cheng Lixue suddenly became an idiot.
"Director Cheng, how much do you know about MRI diffusion images?" Zheng Ren looked into Cheng Lixue's eyes and asked.
"Diffusion images use the Brownian motion of water molecules..." Cheng Lixue stammered a few words, but couldn't continue.
An interventional doctor who specializes in X-rays.
For example, interventional embolization is performed under X-ray. In the last ten years, with the rise of radiofrequency ablation, many doctors have begun to understand CT images, but for nuclear magnetic resonance, it is still highly directional nuclear magnetic diffusion...
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 viewer, pointed to a position, and asked.
"..." Cheng Lixue was at a loss.
"Here, a gradient pulse sensitive to dispersion with the same length, amplitude and position is symmetrically applied to both sides of the 180b pulse in the SE sequence. You try to subtract a sequence of pulses, and think again." Zheng Ren has tried his best to put Professional nouns are simplified.
But Cheng Lixue's expression betrayed his soul.
The director of the Intervention 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, why don't you go to the NMR room to study for a few days?"
"..."
Zheng Ren sighed, feeling a little regretful.
Professor Rudolf Wagner can accept it quickly, and so can Su Yun, but they are all powerful people at the heaven-defying level. Director Cheng Lixue really can't compare with them.