Chapter 3156: with translation of chapter title
"You mean my life like this is too boring?" Zheng Ren asked.
"Pretty much, you don't have any entertainment?" Xiao Shitou gave a hehe laugh, out of breath saying.
"Yeah, doing Shou Bing every day is entertainment. It's like you guys playing games, except I treat the Progress of Shou Bing as your monster-slaying level-up. From a person's perspective, a game's lifespan is only about ten years."
"Don't spout nonsense, World of Warcraft is an old longevity star." Su Yun immediately retorted back.
"It's not like you can live in a virtual world; you always have to return to reality." Zheng Ren said indifferently, "I feel that in the real world, leveling up by fighting monsters is a bit higher than you guys playing games."
"That's because you have high talent." Su Yun said, "It's not that easy; generally speaking, in the real world, everyone is just a little monster one by one, not even elite monsters, used for people to accumulate Experience Points. If the real world weren't too harsh, you'd think who's stupid, willing to level up in online games."
"Hehe." Zheng Ren felt Su Yun was right; back then, in Hai Cheng, I was Cen Meng's little monster, used to accumulate Experience Points.
"Getting back to the point, I don't feel that tired; at least so far it's okay." Zheng Ren said.
"Hmm." Zheng Ren said, "Don't worry, I'm good at treating illness; adjusting the condition during Shou Bing is always the most professional."
"Xiao Shitou, you see, right? Your brother this kind of person still puts saving lives and healing the sick on his lips even now." Su Yun said.
"What you said is definitely right." Zheng Ren laughed, "Reading so many books is to find a principle for how to live and act; if in the end you still can't bravely believe it, what's the point of being a person?"
"Eh? Boss, your words are pretty hard-headed." Su Yun looked at Zheng Ren in surprise and said.
"I've been thinking about principles lately; later I saw this sentence somewhere and felt it was right." Zheng Ren said, "Wang Sheng said knowing and acting as one, right? The principle we knew when we first started school. A bit more complex is having them memorize the Hippocratic Oath; simpler is just these four words: treating illness and saving people."
"It's just that society is complex; one side you have to support the family, the other you have to face open and hidden attacks. A Few Years Ago there were countless medical disturbances, so the original principle became blurred. The director said, 'Be cautious from the start,' he was referring to the character 'cautious'; my understanding is that these four characters are very useful."
"After I finish Shou Bing, do I not need to take immunosuppressants?" Xiao Shitou asked.
Zheng Ren glanced at Su Yun; in this aspect, Su Yun is an expert.
"No, the transplanted organ is cultivated from your own stem cells." Su Yun said firmly, "It's equivalent to a skin graft Shou Bing after a burn; there's no reason for self-rejection."
This statement had some loopholes, but Zheng Ren didn't want to argue with Su Yun about it, smiled and let it pass.
After arranging Xiao Shitou's Shou Bing for tomorrow, having checked pre-op, I felt confident.
Leaving the ward, Su Yun asked, "Boss, have you been to Wuxi?"
"No." Zheng Ren spoke truthfully.
"You haven't been to Wuxi, who did you learn lung transplantation from? Self-taught?"
"Lung transplantation isn't hard." Zheng Ren said matter-of-factly.
"Tch!" Su Yun said disdainfully, "Organ transplantation, this is organ transplantation! If you can't do it, let me be the lead surgeon. If still not, let's invite Teacher Chen to do it; autologous stem cell cloning, 3D-printed lungs—I think Teacher Chen would be very interested."
Tsk! Su Yun said disdainfully, "Organ transplant, this is an organ transplant! Can you do it? If not, let me be the chief surgeon. If still not, let's ask Teacher Chen to do it. Autologous stem cell cloning, 3D-printed lungs—I think Teacher Chen would be very interested."
"Then I'll test you with a question." Su Yun said, "A female, seven days after lung transplantation, suddenly develops epilepsy, presenting as generalized tonic-clonic seizures; EEG indicates that neurons in a certain part of the cerebral hemisphere are first activated."
"Oh, you mean Hypothesis post-op encountering this situation, how should we handle it, right?" Zheng Ren asked.
"Right, do you know how this situation comes about?" Su Yun said, "I was in Wuxi, but I staked out there for half a year; over there, Teacher Chen's team is exceptionally skilled. Surgery is one aspect, the post-op ICU team's caregiving strength is also super strong."
Su Yun's question was about the diagnosis and treatment of post-op complications; deep down he also believed Boss's Shou Bing was flawless.
"I think the situation you mentioned is caused by post-op oral FK506 tacrolimus capsules." Zheng Ren looked at Su Yun, then smiled, "This is a common complication of immunosuppressants; you're testing me with this?"
"The effect of tacrolimus is obviously due to its binding with cellular proteins and accumulating efficacy inside the cell. The FKBP12-tacrolimus complex specifically binds and inhibits calcineurin, which inhibits the calcium-ion-dependent signaling pathway in T cells, thereby preventing the transcription of discontinuous lymphokine genes."
Tacrolimus's effect is obviously due to its binding with cellular proteins and accumulating efficacy inside the cell. The FKBP12-tacrolimus complex specifically binds and inhibits calcinurin, which inhibits the calcium ion-dependent signal transduction pathway activity produced in T cells, thereby preventing transcription of discontinuous lymphokine genes.
"First, post-op Xiao Shitou won't be taking tacrolimus orally. Second, if other patients exhibit this situation, adjusting the oral dosage of tacrolimus while providing symptomatic treatment is enough."
First of all, Xiao Shitou will not take tacrolimus orally after the surgery. Secondly, if other patients experience this situation, adjusting the oral dosage of tacrolimus while providing symptomatic treatment is sufficient.
Zheng Ren's answer was extremely smooth, as if he hadn't thought about it at all.
"By the way, generally speaking, oral tacrolimus-induced epilepsy doesn't happen just once; be careful, remind nurses and ICU doctors to monitor closely. I saw reports of patients still having epilepsy 1-2 months post-op."
Su Yun frowned, "Boss, is all this deduced, or did you see it in a book?"
Reading books and practice are two different things; the ancients simply said that reading ten thousand volumes is not as good as traveling a thousand miles, already explaining the relationship between them.
This guy really is a little crafty ghost; Su Yun sighed.
He didn't even ask about the Shou Bing process, because he knew in his heart how strong Boss's Shou Bing was. Even if he hadn't personally seen Boss perform a lung transplantation, Su Yun believed Boss's Shou Bing would be flawless.
So he only asked about a post-op complication, which is relatively obscure and especially rare.
Really impressive, he couldn't be stumped by this; Su Yun felt somewhat bewildered.
"Let's go, go see Yi Ren, then head home." Zheng Ren didn't bother with what Su Yun was thinking; going home to eat and sleep, constantly practicing lung transplantation Shou Bing in the System Operating Room is key.
Under continuous treatment, Xiao Shitou's condition keeps improving. Hope after the lung transplantation there won't be any weird mishaps; everything smooth and stable, able to be discharged home, even return to school—that would be best.
Under continuous treatment, Xiao Shitou's condition keeps improving. I hope that after the lung transplant, nothing weird will happen again, everything will be smooth and stable, able to be discharged and go home, even able to return to school—that would be the best.
Seeing patients, performing Shou Bing, days passed uneventfully, neither fast nor slow.
Seeing patients, performing Shou Bing, the days passed in an orderly manner, neither fast nor slow.
End of Chapter
