"You're just as troublesome as my second aunt," Professor Rudolf Wagner said disdainfully. Professor Rudolf Wagner said in disdain, "Is it that difficult to cure the primary liver cancer?"
Cheng Lixue was speechless.
How could he not know about this?
But who the hell was his second aunt?
He had been an interventional surgeon for more than a decade and had performed at least a thousand liver cancer interventional surgeries. There were also dozens of patients who had recovered from the primary liver cancer.
Although it was not much, Cheng Lixue was not lacking in experience.
However, the patient's anterior radiographic films had such a large tumor … Cheng Lixue believed that the disease was incurable. All he could do was try his best to prolong the patient's survival.
"Chief Zheng, what do you plan to do now?" Cheng Lixue did not mind the professor's disdain. It was normal to be scolded by a world-class professor.
"Radiofrequency ablation and burn it," Zheng Ren said.
"Then we should insert three to four needles," Cheng Lixue estimated.
"Hmm, three should be enough. Lil Fugui, note down the insertion position, "Zheng Ren said." Between the 10th ribs on the right side, at 4 o 'clock. The midline of the right upper abdomen is 1.5cm to the right, and the insertion direction is 15 ° clockwise, "Zheng Ren said.
"What about the last one?" Professor Rudolf Wagner wrote down everything Zheng Ren said, in German of course.
The professor was a language prodigy if he could master Mandarin in such a short time. However, it was not enough for him to learn Chinese.
"I need to calculate the last position," Zheng Ren said.
Zheng Ren wanted to go to the Secondary Hospital for the TIPS surgery and complete the second stage of the Crown Jewel. He wanted to wait until he had 3000 radiofrequency ablation experience points and the + 2 success rate in interventional surgery.
Zheng Yunxia had only delayed the surgery for a few days, but according to Zheng Ren's prediction, she would benefit from the surgery several times more.
It was better to wait.
"Chief Cheng, what scans are you holding?" After watching Zheng Yunxia's scans, Zheng Ren noticed Cheng Lixue's expression as if he had Alzheimer's. It was as if he had forgotten about the scans in his hand.
"Uh …" Cheng Lixue snapped out of his daze and remembered why he was there.
"These are the scans and information of patients who meet the requirements for TIPS surgery. Chief Zheng, please take a look." Cheng Lixue placed the scans on the table.
Cheng Lixue's arms were sore after standing there for half an hour with the film in his hand.
However, before he could knead it twice, Zheng Ren had already picked up the first bag of radiographic films and took out the patient's information from it.
The professor took the scans from behind Zheng Ren, found the diffusion-weighted MRI scan of the patient's liver, and inserted it into the radiographic film viewer.
His time had come. Cheng Lixue perked up and found a good position to stare at the radiographic films.
"The patient's condition is not bad," Zheng Ren said leisurely as he glanced at the case.
Professor Rudolf Wagner said, "Boss, the radiographic films are very typical. Insert the needle at a 25 ° angle to the back."
"Anything between 24-28 ° is fine. In that case, the margin of error would be higher. But be careful to stick the needle to the left rear wall. Do you have any other supplements, Lil Fugui? "
Professor Rudolf Wagner quickly recorded Zheng Ren's words on a piece of paper.
When he heard Zheng Ren's question, he said without raising his head, "No, boss. This patient's condition is typical. I feel like I can succeed with one needle with my eyes closed. "
"Well, it's very simple, but you can't be careless," Zheng Ren said. "Then let's move on to the next patient."
Huh? Was it done? Cheng Lixue was stunned when he saw Professor Rudolf Wagner begin to put the patient's radiographic films, the information in Zheng Ren's hand, and his notes into the bag.
What did they say?
They did not seem to have said anything.
No!
They said … they could succeed with one needle with their eyes closed.
A week ago, if he had told Cheng Lixue that he could succeed with one needle during TIPS surgery, Cheng Lixue would have slapped him to wake him up.
However, the last time Zheng Ren went to the Secondary Hospital for TIPS surgery, all of them were successful with one needle.
With the facts in front of him, Cheng Lixue could not help but believe it.
But … What did he learn? He did not f * cking learn anything!
What should he do?
Cheng Lixue immediately panicked. He grabbed Professor Rudolf Wagner's arm and said, "Professor, wait."
"What are you doing?" The professor was displeased. He glared at Cheng Lixue, scaring Cheng Lixue into shivering.
Zheng Ren smiled and said, "Lil Fugui, take out the radiographic films."
Professor Rudolf Wagner glared at Cheng Lixue and said pitifully, "Boss, this is a waste of life."
"That's not what you said three days ago," Zheng Ren said with a smile.
"Okay, I think you're right, boss." The professor shook his head. "But soon, you'll find out you're wrong."
"You're saying that his foundation is not good enough? That he can't master it quickly? "Zheng Ren understood.
"Of course. Other than me, there are at most three people in the world who can master MRI imaging after you say it once," Professor Rudolf Wagner said proudly.
Cheng Lixue immediately broke out in a cold sweat.
Why would learning TIPS surgery start with imaging? This was completely different from what he had expected.
Shouldn't surgery start with the operating procedure? Why would it start with radiographic films, and the diffusion-weighted MRI that the interventional radiology department had never used …
Cheng Lixue was dumbfounded.
"Chief Cheng, how much do you know about diffusion-weighted MRI?" Zheng Ren asked, looking into Cheng Lixue's eyes.
"Diffusion-Weighted MRI uses the Brownian motion of water molecules …" Cheng Lixue stuttered a few words and could not continue.
Doctors in the interventional radiology department specialized in X-rays.
For example, interventional embolization was performed under X-rays. In the past decade, with the rise of radiofrequency ablation, many doctors began to understand CT images, but nuclear MRI was still highly directional …
Cheng Lixue really did not understand.
"So, what can you see from this position?" Zheng Ren asked as he inserted the first patient's diffusion-weighted MRI film into the radiographic film viewer and pointed at a position.
Cheng Lixue was at a loss.
"Here, the 180b pulse in the SE sequence is symmetrically applied to both sides of the diffusion-sensitive gradient pulse of the same length, amplitude, and position. Try to subtract one pulse from the sequence and think again. "Zheng Ren tried his best to simplify the technical terms.
However, Cheng Lixue's expression betrayed his soul.
The chief of the Secondary Hospital's interventional radiology department was completely dumbfounded.
"I see." Zheng Ren was a little disappointed. He thought for a moment and said, "Chief Cheng, why don't you go to the MRI room and learn for a few days?"
"…"
Zheng Ren sighed, feeling a little regretful.
Professor Rudolf Wagner could quickly accept it, and so could Su Yun. However, they were both powerhouses who defied the natural order. Chief Cheng Lixue could not compare to them.
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