Vol 3 Chapter 2951: Little clever ghost


"You mean it's boring for me to live like this," Zheng Ren asked.
"Almost, aren't you entertaining?" Little Stone grinned and said out of breath.
"Yes, surgery is entertainment every day. It's just like you play games, except that I take the progress of surgery as a way to upgrade your monsters. From a person's perspective, the life of a game is about 10 years. "
"Don't talk nonsense, World of Warcraft is Lao Shouxing." Su Yun stunned back immediately.
"It's not that the virtual world can live, it always needs to return to reality." Zheng Ren said indifferently, "I think I upgrade the monsters in the real world, a little more advanced than you play games."
"That's your talent." Su Yundao, "It's so easy. Generally speaking, in the real world, everyone is a little monster, not even an elite monster. It is used to give people experience. If not The real world is too cruel, who do you think is stupid and willing to upgrade in online games. "
"Hey." Zheng Ren felt that Su Yun was right. He was in Haicheng that year, and it was Ceng Meng's mob, used to accumulate experience.
"Speaking of which, I don't feel so tired, at least until now I'm fine." Zheng Rendao said.
"You think it's good. When you do the surgery, remember to be full of energy." Xiao Shi said with a smile.
"Well." Zheng Rendao, "Relax, I'm good at treating diseases. How to adjust the state of surgery is the most professional."
"Stone, see it. People like your brother still put treatments on their lips." Su Yun said.
"I'm sure you are right." Zheng Ren laughed. "Reading so many books is to find out one of the reasons for doing things in the future. If you can't believe it bravely in the end, what's the point of being human? "
"Huh? Boss, your head is irony enough." Su Yun looked at Zheng Ren in surprise.
"I was thinking about the truth a while ago, but I do n’t know where I saw this sentence, and I feel right." Zheng Ren said, "Wang Sheng said that knowledge and action are one, we knew it when we first went to school. Complex A little bit of Hippocrates's vow is simpler than the four words "treat and save people."
"Is it just that the society is complicated? While we have to support our families, we also have to face open arrows. In the past few years, there have been countless medical troubles, so the original truth is blurred. Did the director say that Shen Shiru was the first, he said It's a word of caution, and my understanding of these four words is very useful. "
"Will I not need to take anti-immune drugs when I finish the operation?" Xiao Shitao asked.
Zheng Ren glanced at Su Yun, who was an expert in this regard.
"No, the transplanted organs are cultivated by your own stem cells." Su Yun said with certainty, "It is equivalent to a skin graft after a burn. There is no reason to reject it yourself."
There is some vulnerabilities in this sentence, but Zheng Ren didn't want to talk about Su Yun on it. He smiled and passed.
After scheduling the small stone surgery tomorrow, after looking at it before surgery, I have the bottom of my heart.
Leaving the ward, Su Yun asked, "Boss, have you been to Wuxi?"
"No." Zheng Ren told the truth.
"Haven't you been to Wuxi, who did you learn about lung transplantation? Self-taught?"
"Lung transplantation is not difficult." Zheng Ren said it should be.
"Cut!" Su Yun said scornfully, "organ transplant, this is an organ transplant! You can't, you can let me take the lead. No more, let's ask Teacher Chen to do it, autologous stem cell clone, 3d printed lungs I think Mr. Chen will be very interested. "
"Should not be used." Zheng Ren smiled and said, "really not needed."
"Then I will test you a question." Su Yundao, "Female, 7 days after lung transplantation, epilepsy, manifested as general tonic-clonic seizures, EEG indicates that some neurons in the cerebral hemisphere are activated first."
"Oh, you mean, assuming this happens after surgery, what should I do?" Zheng Ren asked.
"Yes, do you know how this happened?" Su Yundao, "I was in Wuxi, but I squatted for half a year, and Mr. Chen's team over there did a very slippery operation. On the one hand, the care of the postoperative critical care group Also super strong. "
Su Yun's problem is the diagnosis and treatment of postoperative complications. Subconsciously, he also thinks that his boss's operation is impeccable.
"I think the situation you said was caused by oral tacrolimus capsule FK506 after surgery." Zheng Ren looked at Su Yun, then smiled, "This is a very common complication of anti-rejection drugs, you just Take this test for me? "
"The role of tacrolimus is apparently to use it to bind to cellular proteins, and accumulate in cells to produce utility. The FKBP12-tacrolimus complex specifically binds and inhibits calcinurin, which inhibits T cells The resulting calcium-dependent signaling pathway acts to prevent the transcription of discontinuous lymphokine genes. "
Seeing Su Yun not speaking, Zheng Ren continued to explain.
"First of all ~ EbookFREE.me ~ After the small stones are not taken orally by tacrolimus. Second, if this happens to other patients, it is enough to adjust the oral dose of tacrolimus while symptomatic treatment. "
"Other, nothing seems to be."
Zheng Ren answered very smoothly, without seeming to think through the brain.
"By the way, in general, epilepsy with tacrolimus will not occur more than once. Be careful, and tell the nurses and the doctors of icu to take close care. I read reports that there are patients who have epilepsy 1-2 months after surgery. "
Su Yun frowned. Is this the boss's deduction? Still, reading EbookFREE.me ~ and practice are two different things. The so-called reading thousands of books is worse than traveling thousands of miles. The ancients have explained the relationship between the two in simple words.
This is really a clever ghost, Su Yun sighed.
He didn't ask about the procedure, because his boss knew how strong the operation was. Even if he hadn't seen his boss doing a lung transplant himself, Su Yun also believed that his boss had no problem with the operation.
So he just tested a postoperative complication, which is still relatively remote and particularly rare.
It was awesome. This didn't help him. Su Yun was a little confused.
"Leave, go and see the Yiren, and then go home." Zheng Ren didn't care what Su Yun thought about. It was the key to go home to eat and sleep, and continue to hone the lung transplant operation in the system operating room.
Under constant treatment of small stones, his condition continued to improve. I hope that after the lung transplantation, no more moths will fly out, everything is stable, can be discharged home from the hospital, or even go back to school again. This is the best.
The days are still dull, but Zheng Rengan is stubborn.
Seeing the patient, performing the surgery, and working step by step are passed every day.
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