Chapter 802: Medical Academic Tyrant Chapter 799: Hasty but Orderly!

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Protagonist:

Fang Ziye

Obviously, Fang Ziye's team researching spinal cord injury treatment was not common knowledge; even Tang Xiaoping, as Director of Vascular Surgery, had not been given any information.

Fang Ziye's team already had members from Vascular Surgery, so there was no need to seek help from this hospital.

"At present, the patient's medulla oblongata and intracranial area have no injuries; the heavy object did not strike the head, but fell sideways, causing the right shoulder, pelvis, and spine to be the main injury sites!"

"Currently, after more than three hours of rescue work, the patient's vital signs are stable, and the burst fractures of the lumbar and thoracic vertebrae have not yet been treated……"

"The bleeding points in the chest and abdomen have been treated, with no obvious organ damage……" Professor Wang Ou reported the situation to Fang Ziye after finishing his phone call.

Fang Ziye nodded, then looked at anesthesiologist Lin Hua and asked: "Professor Lin, Director Liao should be at the hospital now, right?"

Lin Hua nodded upon hearing this, with a slightly displeased tone: "What's wrong, do you want to change anesthesiologists midway?"

Lin Hua guessed Wang Ou and Fang Ziye's intentions, but did not know how determined the two were.

Wang Ou ignored Lin Hua's 'courtesy' and replied: "If convenient, please trouble Professor Lin to call Director Liao Pei; if not convenient, I'll call myself."

Lin Hua's expression was uncertain for a while; after struggling for a moment, Lin Hua still gave some face to the people Wang Ou had called.

Professor Liao Pei entered the operating room about ten minutes later; after entering, he stood on tiptoe to look at the patient lying flat on the operating table.

He asked: "Professor Wang, are you planning to just open up and go in directly?"

"For this kind of acute injury, does it really need to be treated with spinal cord decompression during the emergency period?"

"After opening the spinal cord, the internal pressure drops, possibly making control of the lower operation even more out of control."

Liao Pei knew what Wang Ou wanted to do, so he turned to look at Lin Hua: "Lin Hua, go to Operating Room 2 first."

Lin Hua was speechless upon hearing this; he really wanted to say in his heart that he called Teacher Liao to support him, not to chase him away.

But since Liao Pei had already made his decision, Lin Hua could only nod sullenly: "Okay, Director Liao."

Liao Pei then patted his student: "What are you standing there for? Everyone else has cleared the field……"

Liao Pei had originally planned to chat with Fang Ziye and the others, but suddenly heard Lin Hua from his own department losing his temper like this; his expression became uncertain: "Eh… Lin Hua, what you said is a bit…"

Lin Hua had already left the door, quite dissatisfied with today's events.

Liao Pei chased after him for nearly half a minute, then quickly returned, rubbing his forehead and said: "This team is really hard to lead; any little thing might make them explode."

"Sigh……"

Wang Ou and Fang Ziye looked at each other, also deeply agreeing; even in Fang Ziye's place, there was actually a bit of a mess, not as harmonious as it appeared on the surface.

Professor Liao Pei was also a clever person; knowing he had seen through Wang Ou and Fang Ziye's thoughts, he did not pursue it: "Professor Wang, Professor Fang, didn't we agree last time that the next step of clinical treatment would start in May?"

"How did it suddenly move up to today?"

"That's a difference of nearly two months!"

Wang Ou said: "Better to choose a day than to hit the day; originally Professor Fang and I planned to continue the next step of clinical trials in May, but today the emergency room just happened to encounter this case."

"This case can be considered quite classic, and it is spinal cord injury caused by double-sided spinal fractures in clinical practice, with a paralysis rate almost close to one hundred percent."

"According to data from our basic research project, it can be confirmed that after spinal cord injury, the potential channels will be in a closed state; through continuous microcurrent stimulation from needle electrodes, the channels can be reactivated."

"But we have not proven what state the potential channels will be in at the time of spinal cord injury, nor whether we can use microcurrent stimulation from needle electrodes to make the number of closed channels fewer."

"In our animal experiments, we also cannot specifically quantify how much function is lost in which rabbits; we can only look at the cure rate."

"So, I had some ideas before: that is, to first admit several emergency spinal cord injury patients, then replicate a fresher spinal cord injury rabbit model, hoping to find an effective treatment method during the emergency injury period."

"And this just happened to be encountered."

Wang Ou's words were long, but Liao Pei listened carefully; after listening, he nodded frequently: "Sounds not simple; doing it must be even more difficult. Professor Fang's research projects, I'm afraid none of them don't require racking one's brains?"

Fang Ziye said: "There are some; some nominal projects—I don't even know how the project is done, but the paper is already published."

"At most I've just looked at the proposal……"

Liao Pei and Wang Ou heard this and for a moment truly did not know whether Fang Ziye was mocking them or just stating his own inner thoughts.

Because currently, most professors do it this way.

They just lend their names; their own students or valued "research experts" are responsible for applying for projects, while most professors focus on clinical work.

After these "research experts" grow up, they will climb to a higher social status than professors who only focus on clinical work……

In this era, research is king.

This is a fact, and also the best virtuous cycle, but under such a virtuous cycle, there are actually many people's "hardships" hidden!

"Professor Fang, everyone else is on the way; shall we carefully review the films again? Or is it unnecessary to review the films?" Wang Ou simply moved the matter to specific operations.

Fang Ziye shook his head: "After an emergency injury occurs, plain films and CT of burst spinal fractures are mainly to assess whether there is injury and the approximate extent."

"The more precise ones can only be explored by oneself; what CT and MRI can provide is still too limited."

"Even if you see nerves being compressed, it's not enough; seeing deformation in the spinal cord area is not enough!"

"I think, before the instruments and other teachers arrive, we can first open the patient's spinal cord injury area and record various data and indicators of the patient's spinal cord injury emergency state at close range."

"Oh, right, we also need to contact the Neurology Department to have them come over for bedside electromyography to evaluate the patient's electromyographic response in the emergency state after spinal cord injury." Fang Ziye said.

Liao Pei took the initiative to say: "Then I'll make the call; Professor Fang, Professor Wang, you go ahead and handle things; I'll call to have Mei Bin from Neurology come over……"

Liao Pei knew this was a major project, and for this major project, the participants could not be just one person; even the final participating team was not limited to one hospital.

But even if it was just a corner, such a major project was worthy of his Liao Pei putting in enough effort.

This matter was very meaningful, and Fang Ziye indeed needed his help.

……

After Fang Ziye and Wang Ou washed their hands, disinfected, and went up to the operating table, Professor Tang Xiaoping of Vascular Surgery had already left.

He, having completed the emergency hemostasis and rescue tasks, naturally would not continue to participate in the spinal cord injury and fracture internal fixation surgery afterward.

However, after seeing Fang Ziye confirm Tang Xiaoping had left, Wang Ou once again stepped in to perform a second round of adjustments on the local hemostasis and debridement he had carried out on him, and Wang Ou raised his head and gave an "Mm."

Fang Ziye said: "Professor Wang, to do a job well, one must first sharpen one's tools."

"No matter how perfect our preoperative preparation is, it is never excessive; personally, I feel that my further refinements are just adding flowers to brocade, and might make the patient's postoperative recovery a bit better."

"Actually, what I did isn't that critical either; it counts as making trouble out of nothing……"

Fang Ziye's tone was polite, but he did it very seriously.

Wang Ou watched for a while and could intuitively sense the gap between Fang Ziye and Tang Xiaoping; even between Wang Ou himself and Fang Ziye there was a huge chasm.

He sighed, and Wang Ou said: "Professor Fang, actually you could speak more bluntly."

"Even if you said Dean Wang's basic skills are just so-so, Dean Wang wouldn't dare come to your face and talk back……"

"After all, you said it, so here it is a fact."

"What 'Dean Wang's basic skills are just so-so'?" While Wang Ou spoke, Zhang Ziqian from Urology walked in and asked.

Zhang Ziqian is stationed at the animal lab; every day he departs very early in the morning from the animal lab to go to the main hospital campus to start his day of clinical drudgery, and after completing his clinical tasks, Zhang Ziqian returns to the vicinity of the animal lab.

No one forced Zhang Ziqian; Zhang Ziqian also wouldn't feel anyone was exploiting him; on the contrary, Zhang Ziqian feels that being able to still be at a stage where effort brings reward is nothing but good.

After all, at his current position, even Wang Xinghuan can hardly help much anymore; everything depends on himself.

Those who think of advancing from Associate Professor to Professor are no ordinary mortals.

Wang Ou said casually: "Professor Fang Ziye said it; so what? You still dare to have an opinion?"

Wang Ou thought he had Zhang Ziqian figured out, but unexpectedly Fang Ziye shook his head and said: "Brother Qian, these words were all said by Professor Wang himself; Professor Wang's thoughts are very rich."

Zhang Ziqian looked at Wang Ou, cupped his hands slightly, and suddenly realized: "Oh, okay, Teacher Wang, next time I'll tell Director Wang to vote for you in the next dean election."

"Or recommend you."

Fang Ziye glanced at Zhang Ziqian: "Brother Qian is really smart, to restore the facts so quickly."

Zhang Ziqian said: "Right? Professor Fang, you heard it too, you bear witness for me……"

Wang Ou was played crystal clear by this back-and-forth between Fang Ziye and Zhang Ziqian; he didn't even know when he had said he wanted to be dean.

……

Roughly twenty minutes later, Fang Ziye clapped his hands: "Alright alright, everyone, teachers, professors, jokes are jokes, surgery is surgery."

"Professor Wang Ou and I temporarily called everyone at this hour mainly for two purposes: first, we encountered an emergency patient most suitable for a spinal cord incision."

"It is this girl; she currently has two sites of spinal cord injury, currently assessed with a postoperative paralysis probability as high as ninety-nine point nine percent."

"Second, our research group currently needs to collect emergency observations of spinal cord injury emergency patients, using this data as a primordial embryo to establish a new animal model, to study the treatment of the primary disease types causing a series of disease types of spinal cord injury."

"After all, spinal cord injury is a category of classified disease types; due to different causes, it is divided into many etiologies of spinal cord injury; trauma is only one of the classifications……"

"Liao Jia is relatively far from here; he just messaged me he still needs ten minutes to arrive."

"And because Professor Liao Jia is the person in charge of our team's animal model production, we still have to wait until Professor Liao Jia comes over and finishes collecting the first-hand data before we can launch the exploration of treatment."

Professor Mei Bin said: "Okay, Professor Fang, we have currently solidified the electromyography status of the patient's bilateral lower limbs and abdomen."

"Because the spinal cord trauma caused spinal cord concussion, therefore the muscles below the thoracic vertebral cross-section have all lost supraspinal central domination, but the electrical conductivity of each muscle itself is good; as long as a signal can reach the local area, mobility can be restored……"

"These data are basically in a consistent state with the chronic spinal cord injury patients we collected; this proves that after spinal cord injury occurs, whether it is transient damage or permanent damage, the local potential channels will all undergo changes!"

Zhang Ziqian said: "Today Professor Wang Xinghuan can't come; on the Urology side, Professor Wang Xinghuan has temporarily entrusted me with full authority to handle it."

Even if Wang Ou personally called, Wang Xinghuan couldn't possibly be on standby twenty-four hours a day.

Luo Songyuan from Gastrointestinal Surgery immediately chimed in upon hearing this: "Professor Yang Guoliang from Gastrointestinal Surgery is on the way."

"Professor Xiong Bin said he temporarily can't come today."

Luo Songyuan is the attending physician of Gastrointestinal Surgery, a disciple of Professor Yang Guoliang; at this moment he looked at Professor Xiong Bin's doctoral student Li Mengchao with a guarded face.

He never expected that Professor Xiong Bin's PhD student Li Mengchao would actually, at this critical moment, directly draw his sword against their team, and so directly!

After Li Mengchao drew his sword, Luo Songyuan also couldn't just sit and wait for death, thinking that since Li Mengchao made a move, we should just give up; everyone completely changed their previous despondent state and did everything they could to the extreme.

He wanted to see just how Li Mengchao would "come from behind to take the lead"!

Li Mengchao stood in the crowd, utterly inconspicuous, honestly minding his own position.

This counts as a relatively normal reaction, and also a relatively confident reaction.

If Li Mengchao had only proposed to compete with Luo Songyuan's team under Professor Yang Guoliang, and Li Mengchao immediately produced a better plan, or turned on them in front of everyone saying Luo Songyuan and the others were no good.

Such a person, even if speaking facts, must be guarded against; they definitely discovered the loophole long ago, knew but didn't report it, deliberately setting a trap.

Li Mengchao doesn't do this, making it all the more apparent he has the confidence to ignore the "desperate resistance" of the group led by Luo Songyuan!

"Orthopedics is here too!" Today Hu Qingyuan was on duty, so the one who rushed over here was Fang Ziye's other student Feng Junfeng.

Compared to Tian Yao, Feng Junfeng's qualifications might be a little bit worse, but Feng Junfeng is relatively more low-key and honest in conduct, and is a Zhongnan Hospital native, so Fang Ziye treats him relatively better. "Since everyone has more or less arrived, let's begin. First, we will follow the previous plan and conduct step one: open the spinal cord and observe the internal morphology of the spinal cord at the time of injury……"

"The current time is thirteen seconds past one oh five in the early morning; we prepare to incise the spinal cord dura mater on the dot at six minutes past one in the early morning……"

As Fang Ziye's words fell, everyone else's voices grew quieter and quieter, and then their gazes all converged in the direction where Fang Ziye was.

The reason Fang Ziye could lead and preside over all this is because Fang Ziye has experience managing two major clinical research projects; this management experience can suppress everyone.

Those who have participated more times than Fang Ziye don't have projects as big as Fang Ziye's; those who have done bigger projects than Fang Ziye don't have as strong a sense of participation as Fang Ziye.

"Seven minutes past one, formal incision, pay attention to intracranial pressure. Pay attention to cerebrospinal fluid changes." Fang Ziye said.

"Currently intracranial pressure is normal, 120mmH2O (millimeters of water column)!" Someone responded.

"Good!"

Fang Ziye and Wang Ou continued deeper; Fang Ziye very meticulously dissected open the spinal cord dura mater, then said: "Professor Wang, actually even with this kind of severe lumbar burst fracture, the spinal cord segments weren't tangled into paste; it is still protected."

"It's just that at the moment high-energy violence occurred, a concussion appeared inside the spinal cord."

"Completely different from what I imagined — that after this kind of high-energy injury occurs, the spinal cord would directly spurt out of the lumbar vertebral end, a scene of spinal cord transection."

Wang Ou heard this and said: "This patient was just the one who got crushed; if it were the jumper, you could see that kind of situation."

"Although he crushed a person and got a certain buffer, I estimate he couldn't be saved either."

"Currently, the spinal cord concussion after experiencing this kind of super-violence will cause a part of the circuit channels in the spinal cord region to be in a closed-living state; the specific reason is unknown……"

"Could it be that there are actually different one-to-one connection pathways inside the spinal cord region, and after the concussion, the alignment between pathways is off, leading to obstruction of electrical signal conduction?"

"After subsequent recuperation, some recovery is possible — is it because new pathways have reconnected?"

The conjecture Wang Ou wanted to express was precisely that the electrical signal pathways inside the spinal cord are like tunnels or underground passages.

Originally the tunnels were connected, but because an earthquake occurred, it might cause local tunnels to change direction, so the downward-transmitting tunnels got blocked, and the tunnels responsible for guiding also got blocked.

Relative to real geology being a real earthquake, for the patient, spinal cord concussion is an 'earthquake'!

"We cannot rule out Professor Wang's conjecture, but we also have no way of knowing; currently, we also temporarily have no way to obtain electrical signal information during the spinal cord pathway conduction process like an electrocardiogram."

"After all, the circuit conduction inside the spinal cord is not the same as cardiac electrical activity; it is not continuous!" Fang Ziye shook his head.

Fang Ziye, speaking here, suddenly paused his hand and said: "That's enough, Professor Wang, don't pull anymore!"

Wang Ou's hand was still slightly half a beat slow, but the outcome didn't hurt the overall picture; it only caused local small blood vessels of the spinal cord to deform.

Fang Ziye took a light breath: "The length we've opened is already enough; next we have to go inside and perform dissection."

"This way we'll have the opportunity to understand layer by layer..." Fang Ziye spoke out, encouraging everyone's confidence.

In reality, Fang Ziye still felt some regret in his heart.

An assistant is ultimately just an assistant, not one's own hand. Professor Wang Ou's skill was already strong enough, much more formidable than his other team members; even Nie Mingxian and the others didn't have Professor Wang Ou's level of height in spine surgery.

So what Fang Ziye had to do was absolutely not complain that Wang Ou and the others weren't excellent enough, but to think about how to lead these people, whom he considered not excellent enough but who had actually reached a relatively high-quality level nationwide, to do the research project well and finish it.

After Fang Ziye finished speaking, the onlookers said in soft voices: "What Professor Fang said doesn't need to be recorded; don't take random notes."

"Content unrelated to the profession, don't record any of it; you're not doing live text broadcasting..."

Fang Ziye froze for a moment upon hearing this, but didn't find it unexpected.

Team members taking more notes is for the convenience of subsequent organization; Orthopedics also dispatches people to take notes during surgery, operation, and discussion.

"Professor Fang, because time was still too rushed, we couldn't design needle electrodes in advance; we could only bring a batch most suitable for the patient based on some of your preoperative estimates."

"At this point, even overtime wouldn't make it in time."

"And for emergency surgery, there's no way to do on-site individualized design." Li Nanlong of Smith & Nephew Company rallied his spirit and said very politely.

Fang Ziye had never thought individualized needle electrodes could serve emergency patients!

Unless technology develops to an extremely extreme level, otherwise, those who serve emergency patients in time are all sacrificing others' rest time to work overtime.

"It's fine, we'll make do; we also decided on the spur of the moment."

"Professor Wang, we've already confirmed that these two injuries did not cause fracture, rupture, twisting, or other deformities of the spinal cord's upper and lower positions locally, right?"

"So, spinal cord injury patients — currently the vast majority of such spinal cord injury patients — are all due to internal collision and concussion of the spinal cord causing functional loss, not anatomical structural loss!" Fang Ziye and Wang Ou very rigorously defined the injury.

Yes, this definition must be rigorous.

Lumbar and thoracic burst fractures with accompanying spinal cord rupture burst fractures — their nature is not the same.

Generally speaking, if a patient's spinal cord has burst out of the body, there's no need to save them; King Yama has long since reserved their spot.

"Yes, because the spinal cord is very important, so the spinal cord has undergone multiple protections, and the degree of protection is not less than brain tissue, even surpassing brain tissue."

"Currently, only very few and extremely extreme cases would have anatomical structural rupture of the spinal cord, for example large-scale vehicle crushing injuries of the chest and abdomen, for example thoracolumbar injuries caused by ultra-high-speed violent sudden collisions, etc."

"These patients mostly accompany direct death phenomena and do not possess clinical research significance."

"The objects we want to concentrate on researching are spinal cord injury patients with non-spinal-cord anatomical structural deformation or rupture, and they are living bodies." Professor Wang Ou cautiously gave the definition another framework.

Fang Ziye said: "Professor Wang, actually this is a very good vegetable dish; it has two segments of injury — thoracic and lumbar — so if we can prove these two injuries are connected in series like a circuit, then we can better prove that the transport process of our signal pathways inside the spinal cord is electrical signals."

"Come, needle electrode to me! ~" Fang Ziye said.

"No, that's wrong; last time I corrected its terminology; from now on it must be called needle-piercing bridge device, not needle electrode anymore."

"Yes! Professor Fang, you said last time it had to change its name, to be named by its function; although it originates from the needle electrode, it has already undergone its own generational change."

"Professor Fang, you're a genius! ~" Li Nanlong of Smith & Nephew Company said especially fawningly.

Fang Ziye didn't want to struggle more on the territory of whether his qualifications were good or not: "Needle-piercing bridge device placement complete; now begin microcurrent stimulation with needle electrode."

"And detect! ~"

"First time! ~ Thoracic spine needle-shaped bridge device connection state, lumbar spine needle-shaped bridge device in disconnected state." After Fang Ziye ordered, someone immediately turned on the needle electrode current.

"Current release! ~" The circulating nurse said immediately after turning it on.

"Frequency 110, duration two seconds, end release!" The circulating nurse precisely pinched the time.

Two seconds' time, passed in a flash.

No one can read all data states in this time, except machines, and moreover multiple machines' joint collaboration.

Professor Mei Bin immediately began detecting the electrical signals at different places just now in those two seconds.

"Thoracolumbar segment feels point activity, lumbar segment below no activity! ~ Bilateral lower limb muscles and pelvic muscles, no electrical signal conduction signals seen! ~"

"Could be series state." Mei Bin said delightedly.

So-called series means the thoracic and lumbar spinal circuit is one body; as long as one place has a problem, other places also have problems.

Fang Ziye gazed steadily at everyone, then said: "Begin second group test, thoracic segment needle-shaped bridge device in disconnected state, lumbar segment needle-shaped bridge device in connected state, needle electrode point at thoracic segment injury site below..."

"Begin third group test, thoracolumbar segment needle-shaped bridge devices both in connected state, needle electrode point between thoracolumbar segment injury sites..."

Fang Ziye issued various commands one after another, as if playing word games.

Actually, it is precisely these concrete and minute word games that constitute a huge step in humanity's cognition of spinal cord injury, and this step is one humanity has never crossed before.

Twenty minutes later, Mei Bin, responsible for data collection, spoke with a tone happy to the point of deformity: "Professor Fang, the currently collected data is very meaningful; we have completely proven one point: that electrical signals inside the spinal cord can conduct bidirectionally and are in a series state! ~"

"This corresponds with our previous conjecture."

Fang Ziye heard this, yet said: "No no no, Professor Mei, actually, the electrical signal conduction inside our lumbar spine, single pathway is in a series state, but between multiple pathways, it is still in an intertwined state of parallel and series."

"Why say this? Because one part of the functions, after we corrected the entry point of the needle electrode current, all occurred. One part of the functions then did not appear."

"This represents that the conduction between the same set of electrical signals is meaningful."

"Moreover, different electrical signals are in a parallel state, not that the signals are different, only their positions are different; it is position that determines function, not the local pathway."

"If that's the case, I actually think our network routers are a very good reference..."

Although Fang Ziye negated Mei Bin's proposal, he didn't completely negate it, so Mei Bin was still happy.

Mei Bin asked, "Professor Fang, since it's like this, how much confidence do you have in the functional recovery extent that spinal cord injury patients in this acute injury state can achieve through microcurrent stimulation?"

Fang Ziye shook his head: "Hard to say!"

"I only hope my speculation isn't correct, otherwise our research this time might disrupt our research plan."

"If the point pathways inside the spinal cord are truly in an unfixed state, that's trouble; conversely, if they're fixed, we can still think of a way to swap and supplement."

The reason Fang Ziye said this was because there are similar phenomena inside the human body.

For example, nerve injury — as long as it's confirmed nerve injury, there's still a way to treat it.

But if it's damage at the cerebral cortex location, there's no way to do replacement.

The more one-to-one corresponding things are, the more rigid the rules, but although the rules are rigid, handling them is also simpler.

Professor Mei's transparency regarding the research project was higher than most people's; he understood Fang Ziye's meaning and said, "No way? Professor Fang, during our previous discussion process, we already killed off this chaotic possibility, didn't we?"

"If the signal transduction inside our bodies is this chaotic, changing randomly, then normal people might all experience sensory or functional disorders."

"I'm actually more expecting that we can discover our spinal cord internal pathways' potential is far higher than the pathway potential we need to use; if that's the case, spinal cord injury patients' treatment effects will be even better in the future."

Hearing this, Fang Ziye said, "Professor Wang, Professor Mei, let's stop here for today; we've already confirmed two things."

"The remaining speculations, let's not continue them; doing so would be a violation."

Actually the research project still has more that can be carried out clinically, but further speculations are inferences based on taking all of today's speculations as true!

For any research project, you absolutely cannot jump two steps at once, because if one step has impossibility, it will cause the next step's choices to change.

In humanity's developmental history, the losses from jumping two steps simultaneously have been too many, so generally very rigorous researchers would rather have slower progress than urge their own research project.

Mei Bin nodded and said, "I think it's fine, Professor Fang; the patient we treated last time was continuous treatment with needle electrodes, this time we only added a needle-shaped bridge connector."

"This is a very normal inch-by-inch advance; each time there's only one small mutant factor, which can form a good before-and-after contrast."

"It's just that we still lack animal experiment basic data."

Hearing this, Liao Jia said, "There aren't even emergency-related animal models; where would emergency-related animal experiment data come from?"

"The state after spinal cord injury and the spinal cord acute injury state caused by spinal cord fracture are completely different!"

"The human body is truly interesting!" After Liao Jia finished speaking, he lowered his head carefully again, looking at the spinal cord internal situation Fang Ziye had opened up.

He closed his eyes, as if memorizing this scene, and also as if enjoying this moment... (Chapter End)