Chapter 406: line with translation of chapter title

"You have so many things, just like my second aunt." Professor Rudolf Wagner scoffed, "Is it really that difficult to completely eradicate the primary lesion of liver cancer?"

Cheng Lixue was speechless.

How could I not know about this kind of thing?

But what the heck is this second aunt?

Having been an interventional department doctor for over ten years, I have performed liver cancer interventional surgeries at least over a thousand times. There have also been several dozen patients whose primary lesions were cured.

Although not many, Cheng Lixue does not lack this kind of experience.

But looking at the patient's previous films, such a huge tumor... Cheng Lixue thought the patient was beyond cure, beyond help. All that could be done was to try to extend the patient's survival as much as possible.

"Chief Zheng, what are you preparing to do now?" Cheng Lixue didn't mind the professor's scorn; being reprimanded a bit by a world-renowned professor is nothing unusual, right?

"Radiofrequency ablation, just burn it out." Zheng Ren said.

"That would probably require inserting 3-4 needles." Cheng Lixue estimated.

"Hmm, three is enough. The needle insertion point, Fugui'er, remember this." Zheng Ren said: "Right 10th intercostal space, 4 o'clock position. Right upper abdomen, clavicular midline shifted right 1.5 cm, needle insertion direction clockwise 15 degrees." Zheng Ren said.

"And another one?" Professor Rudolf Wagner seriously wrote down Zheng Ren's words, of course in German.

The professor being able to practice spoken Chinese well in a short time already counts as a linguistic genius. But wanting to learn Chinese characters, for now it's still not enough.

"There's another position; I still need to calculate it." Zheng Ren said.

Actually, Zheng Ren wants to go to Eryuan to do TIPS surgery, to complete the second stage of the pearl on the crown, and after obtaining 3000 cases of radiofrequency ablation experience and interventional surgery success rate +2 passive attribute, then speak.

Zheng Yunxia only delayed the surgery by a few days, but if according to Zheng Ren's guess, the benefits she gains from the surgery would be several times greater.

Let's just wait a bit longer.

"Chief Cheng, what film are you holding?" Zheng Ren finished looking at Zheng Yunxia's film, saw Cheng Lixue with a senile foolish expression, as if forgetting he was still holding the film in his hand, and reminded him.

"Uh..." Cheng Lixue came to his senses, remembering why he had come.

"This is the film and data of a patient who meets the conditions and can undergo TIPS surgery; please take a look, Chief Zheng." Cheng Lixue placed the film on the table.

Unknowingly, standing while holding the film for about half an hour, Cheng Lixue's arms ached.

But he didn't have time to rub it a bit, when he saw Zheng Ren already picking up the first film bag, taking out the patient's data from it.

The professor took the film from behind Zheng Ren, found the patient's liver nuclear magnetic resonance diffusion, and placed it on the viewer.

His moment had arrived; Cheng Lixue rallied his spirits, found a good position, and stared intently at that film.

"The patient's condition is not bad." Zheng Ren glanced at the case and said leisurely.

"Boss, the film is also quite typical; inserting the needle from the posterolateral 25° direction would work." Professor Rudolf Wagner said.

"Between 24-28° is fine. That way the tolerance would be a bit higher. But be careful to insert the needle close to the left posterior wall; any other additions, Fugui'er?"

Professor Rudolf Wagner quickly recorded Zheng Ren's words on paper.

Hearing Zheng Ren ask him, he said without lifting his head: "Nothing, boss. This patient's condition is typical; I feel I could succeed with a single needle even with my eyes closed."

"Hmm, it's very simple, but we can't be careless." Zheng Ren said: "Then let's move on to the next patient."

"Huh? Done?" Cheng Lixue saw Professor Rudolf Wagner start putting the patient's film, Zheng Ren's data in hand, and his recorded paper into the film bag, and was stunned.

What did they say?

It seems they didn't say anything.

No!

They said... you could succeed with a single needle puncture even with eyes closed.

One week ago, if someone told Cheng Lixue that TIPS surgery could succeed with a single needle puncture, Cheng Lixue would surely slap them to wake them up.

But the last time Zheng Ren went to the city Eryuan to do TIPS surgery, all were successful with a single needle puncture.

With the facts right in front of him, Cheng Lixue couldn't help but believe.

But... what have I learned? I haven't learned anything at all!

What can we do about this?

Cheng Lixue immediately panicked, quickly grabbed Professor Rudolf Wagner's arm, and said: "Professor, wait."

"What the hell are you doing, you broken horse Zhang Fei?" The professor was displeased, gave a sideways glance, and Cheng Lixue shuddered.

Zheng Ren smiled and said: "Fugui'er, take out the film."

Professor Rudolf Wagner glared at Cheng Lixue and said resentfully: "Boss, this is simply wasting life."

"Three days ago, you weren't saying that." Zheng Ren laughed.

"Alright, I think you're right, boss." The professor shook his head, "but soon you'll realize you're wrong."

"Are you saying his foundation isn't enough? He can't master it quickly?" Zheng Ren understood.

"Of course, people who can pick up magnetic resonance imaging after hearing it once are probably no more than three in the world besides me." Professor Rudolf Wagner said proudly.

Cheng Lixue's sweat immediately poured out.

How could learning TIPS surgery start from imaging? This is completely different from his previous expectation.

Surgery shouldn't start from operation, right? How could it start from the film, or from the magnetic resonance diffusion image that the interventional department never uses...

Cheng Lixue instantly became an idiot.

"Chief Cheng, how much do you know about magnetic resonance diffusion images?" Zheng Ren looked at Cheng Lixue's eyes and asked.

"Diffusion imaging uses the Brownian motion of water molecules..." Cheng Lixue stammered a few sentences, then couldn't continue.

Doctors in the interventional department specialize in X-ray.

For example, interventional embolization is performed under X-ray. In the past ten years, with the rise of radiofrequency ablation, many doctors have begun to understand CT imaging, but regarding magnetic resonance, it's still a strongly directional magnetic resonance diffusion...

Cheng Lixue truly doesn't understand.

"So then, what can you see at this position?" Zheng Ren placed the first patient's diffusion image film on the viewer, pointed at a location, and asked.

"..." Cheng Lixue was bewildered.

"Here, in the SE sequence, symmetrical application of gradient pulses sensitive to diffusion, with equal length, amplitude, and position on both sides of the 180b pulse. Try subtracting one pulse from the sequence and think again." Zheng Ren has already simplified the technical terms as much as possible.

But Cheng Lixue's expression betrayed his soul.

The Head of Interventional Radiology Department at Eryuan Hospital is completely dazed.

"That's how it is." Zheng Ren felt somewhat regretful, thought for a moment, and said: "Director Cheng, why don't you go to the Nuclear Magnetic Resonance room to study for a few days?"

……

Zheng Ren sighed, feeling somewhat regretful.

Professor Rudolf Wagner could accept it quickly, Su Yun could too, but these are all heaven-defying experts; Cheng Lixue, the director, indeed cannot compare with them.