398 I can do it with my eyes closed
"You have too many things to do, just like my second aunt." Professor Rudolf Wagner despised, "Is it difficult to cure the primary lesions of liver cancer?"
"..." Cheng Lixue was speechless.
How could I not know about such a thing?
But what the hell is my second aunt?
When an interventional physician has undergone interventional surgery for more than ten years, there are at least thousands of patients with hepatitis cancer. There are dozens of patients who have recovered from the primary lesions.
Although there are not many, Cheng Lixue does not lack this kind of experience.
But the patient's front tablet is such a big tumor... Cheng Lixue believes that the patient is already terminally ill and cannot be cured. What he can do is to try to prolong the patient's survival.
"Mr. Zheng, what are you going to do now?" Cheng Lixue didn't mind the professor's contempt. It wasn't it normal to be scolded by the top professors in the world.
"Radio frequency ablation, burn it directly." Zheng Ren said.
"Then you should have 3-4 needles." Cheng Lixue estimated.
"Well, 3 pieces are enough. The position of the needle is Fuguier, please remember it." Zheng Ren said: "The 10th intercostal position on the right side, at 4 o'clock. The midline of the right upper ventral clavicle is 1.5cm on the right side, and the direction of the needle is clockwise 15°. Zheng Ren said.
"What about another one?" Professor Rudolf Wagner carefully wrote down everything Zheng Ren said, of course in German.
If a professor can practice Chinese oral language well in a short period of time, he is already a language genius. However, if he wants to learn Chinese characters, it is not enough to read for the time being.
"I have 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 phase of the crown jewel, and then talk about it after he obtained 3,000 radiofrequency ablation experience and a passive attribute of +2 success rate of interventional surgery.
Zheng Yunxia only delayed the operation for a few days, but if Zheng Ren guessed, the benefits Zheng Yunxia gained from the operation would be several times more.
It's better to wait.
"Director Cheng, what movie are you carrying?" Zheng Ren finished watching Zheng Yunxia's movie. Seeing Cheng Lixue's expression on his face, he seemed to have forgotten the movie he was carrying in his hand, so he reminded him.
"Uh..." Cheng Lixue woke up in a trance and remembered what he did when he came over.
"This is a film and information for patients who meet the conditions and can undergo TIPS surgery. Please take a look at it." Cheng Lixue put the film on the table.
Before he knew it, he stood there with the film for half an hour, and Cheng Lixue's arm was sore.
But before he could even knead it for a few times, he saw that Zheng Ren had already picked up the first piece bag and took out the patient's information.
The professor took the film behind Zheng Ren, found out the patient's liver MRI and inserted it into the reader.
It was time for me, and Cheng Lixue was energetic and found a good position, staring at the film.
"The patient's condition is not bad." Zheng Ren glanced at the case and said Lei Ran.
"Boss, the film is also very typical. Just insert the needle 25° back and it's enough." Professor Rudolf Wagner said.
"It's OK between 24-28°. In this case, the error tolerance rate should be higher. But be careful to insert the needle against the left back wall. Do you have any other supplements? Fuguier."
Professor Rudolph Wagner quickly recorded what Zheng Ren said on paper.
Hearing Zheng Ren asks himself, he said without raising his head: "No more, boss. This patient's condition is typical. I feel that I can succeed with my eyes closed."
"Well, it's very simple, but you can't be careless." Zheng Ren said: "Then let's replace the next patient."
Hum? It's over? Cheng Lixue was stunned when he saw Professor Rudolph Wagner start to put the patient's film, Zheng Ren's information and the paper he recorded in the film bag.
What did they say?
It seems that he said nothing.
No!
They said...they can successfully pierce with one needle with your eyes closed.
One week ago, if he told Cheng Lixue that he could successfully perform a TIPS surgery, Cheng Lixue would definitely slap him and let him wake up.
However, last time Zheng Ren went to the Second Hospital of the City for TIPS, all of them were successfully aspirated with one needle.
With facts in front of him, Cheng Lixue couldn't help but disbelieve it.
But... what did you learn? I didn't learn anything!
What should I do?
Cheng Lixue immediately became anxious and quickly grabbed Professor Rudolph Wagner's arm and said, "Professor, wait."
"What are you doing with Zhang Fei?" The professor was displeased and his eyes were straightened, which scared Cheng Lixue so much that he shivered.
Zheng Ren smiled and said, "Fuguier, take out the movie."
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're right, boss." The professor shook his head, "but soon you'll find yourself wrong."
"You mean he has a foundation that is not enough? I can't master it quickly?" Zheng Ren understood.
"Of course, there are only three people in the world who can get started with the MRI image just by saying it once, except for me." Professor Rudolf Wagner said proudly.
Cheng Lixue's sweat immediately came down.
How can a TIPS surgery start with the image? This is completely different from his previous expectations.
Shouldn’t the operation start with the operation? How could it start with the imaging film or the MRI diffusion image that the interventional department never uses...
Cheng Lixue was immediately stupid.
"Director Cheng, how much do you know about the magnetic resonance diffusion image?" Zheng Ren asked in Cheng Lixue's eyes.
"The diffusing image is the Brownian movement using water molecules..." Cheng Lixue stammered and couldn't continue.
The doctor in the interventional department specializes in X-ray.
For example, interventional embolization is operated under X-ray. In the past decade, with the rise of radiofrequency ablation, many doctors have begun to understand CT imaging, but for nuclear magnetic resonance, it is still very directed by nuclear magnetic dispersion...
Cheng Lixue really doesn't understand.
"So, what can you tell at this location?" Zheng Ren inserted the diffusion of the first patient into the video viewer, pointed at a location, and asked.
"..." Cheng Lixue was confused.
"Here, a gradient pulse with a length, amplitude and position that is the same on both sides of the 180b pulse in the SE sequence is symmetrically applied to diffusion-sensitive gradient pulses. You try to reduce the pulse of a sequence, and think about it." Zheng Ren has tried to simplify the professional noun.
But Cheng Lixue's expression betrayed his soul.
The director of the interventional department of the Second Hospital of the Municipal Hospital was completely confused.
"That's it." Zheng Ren was a little regretful, thought for a while, and said, "Director Cheng, how many days should you study in the MMA?"
“…”
Zheng Ren sighed, feeling a little regretful.
Chapter completed!