Chapter 2953 Little Clever Ghost

"You mean it's too boring for me to live like this." Zheng Ren asked.

"Basically, don't you have fun?" Xiao Shitou said out of breath with a chuckle.

"Yes, performing surgery every day is entertainment. It's like you playing games, but I regard the progress of surgery as your upgrade from fighting monsters. From a personal point of view, the life expectancy of games is about 10 years. "

"Don't talk nonsense, World of Warcraft is an old birthday star." Su Yun immediately snapped back.

"It's not that you can live in the virtual world, you always have to return to reality." Zheng Ren said indifferently, "I think I am fighting monsters and upgrading in the real world, which is a bit more advanced than you 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 a small monster one by one, not even elite monsters. They are used to accumulate experience for people. If not The real world is too cruel, who do you think is stupid, willing to upgrade in online games."

"Hey." Zheng Ren felt that what Su Yun said was right, when he was in Haicheng, he was Cen Meng's mob, used to accumulate experience points.

"Speaking of which, I don't think I'm too tired, at least it looks good so far." Zheng Ren said.

"As long as you feel good, remember to be full of energy when performing surgery on me." Xiao Shitou said with a smile.

"Well." Zheng Ren said, "Don't worry, I am good at treating diseases, and how to adjust the state during surgery is the most professional."

"Shitou, you see, it's just a person like your brother who still talks about curing diseases and saving lives." Su Yun said.

"You must be right." Zheng Ren said with a smile, "The purpose of reading so many books is to find a truth in how to behave in the future. If you can't be brave enough to believe in it in the end, what's the point of being a human being? "

"Huh? Boss, what you said is strong enough." Su Yun looked at Zheng Ren in surprise and said.

"I was thinking about the truth for a while, but then I saw this sentence somewhere, and I thought it was right." Zheng Ren said, "Did Wang Sheng say that knowledge and action are one? We knew the truth when we first went to school. It's complicated. A little bit to recite the Hippocratic oath, and a little bit simpler is the four words of healing the sick and saving the sick.”

"It's just that the society is complicated. While we have to support our families, we also have to face open guns and hidden arrows. There were countless medical troubles in the past few years, so the original truth was blurred. Did the director say that he was as cautious as before, he said What I mean is Shen, and I understand that these four words are very useful.”

"After I finish the operation, do I not need to take anti-immune drugs?" Xiao Shitou asked.

Zheng Ren glanced at Su Yun, Su Yun is an expert in this area.

"No, the transplanted organs are grown from your own stem cells." Su Yun said with certainty, "It's equivalent to skin grafting after a burn. There's no reason to reject yourself."

There were some loopholes in this sentence, but Zheng Ren didn't want to scold Su Yun on it, so he just smiled and passed.

After arranging Xiao Shitou's operation tomorrow, after reading it before the operation, I have a bottom line in my heart.

After leaving the ward, Su Yun asked, "Boss, have you ever been to Wuxi?"

"No." Zheng Ren said truthfully.

"I've never been to Wuxi, who did you learn about lung transplantation from? Self-taught?"

"Lung transplantation is not difficult." Zheng Ren said it as it should be.

"Cut!" Su Yun said contemptuously, "Organ transplantation, this is organ transplantation! Can you do it? Let me be the chief surgeon. If not, let's ask Mr. Chen to do it. Autologous stem cell cloning, 3D printed lungs, I think Teacher Chen will be very interested."

"Probably not." Zheng Ren smiled and said, "Really not."

"Then let me ask you a question." Su Yundao, "A female, 7 days after the lung transplantation, suddenly suffered from epilepsy, manifested as a generalized tonic-clonic seizure, and the electroencephalogram showed that a certain part of the neurons in the cerebral hemisphere was activated first."

"Oh, you mean what to do if you encounter such a situation after surgery?" Zheng Ren asked.

"Yes, do you know how this situation came about?" Su Yundao, "I'm in Wuxi, but I've been staying for half a year, and Teacher Chen's team over there is very sneaky. Surgery is one aspect, and the nursing strength of the postoperative intensive care unit 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 mentioned was caused by taking Tacrolimus capsule FK506 after surgery." Zheng Ren looked at Su Yun, and then smiled, "This is a very common complication of anti-rejection drugs. Take this to test me?"

"The role of tacrolimus is obviously to use it to bind to cellular proteins and accumulate in cells to produce effects. The FKBP12-tacrolimus complex specifically binds and inhibits calcinurin, which inhibits T cells. The resulting calcium ion-dependent signaling pathway acts, thereby preventing the transcription of discontinuous lymphokine genes."

Seeing that Su Yun didn't speak, Zheng Ren continued to explain.

"First of all, small stones will not take tacrolimus orally after surgery. Secondly, if this happens to other patients, it is enough to adjust the oral dosage of tacrolimus while symptomatic treatment."

"Others, it seems nothing."

Zheng Ren answered extremely smoothly, as if he didn't think about it.

"By the way, generally speaking, there will not be only one epilepsy complicated by oral tacrolimus. Be careful and tell the nurses and ICU doctors to closely monitor it. I read reports that there are patients who still have epilepsy 1-2 months after surgery. "

Su Yun frowned, did the boss deduce this? Or did you read it in a book?

Reading and practicing are two different things. The so-called reading thousands of books is not as good as traveling thousands of miles. The ancients have explained the relationship between the two in simple words.

This guy is really a clever little ghost, Su Yun sighed.

He didn't even ask about the operation process, because he knew how strong his boss's operation was. Even if he had never seen his boss perform a lung transplant, Su Yun believed that his boss would have no problem getting it done.

So he only took the test for a postoperative complication, which is a relatively remote and extremely rare one.

It's really awesome, this can't test him, Su Yun is a little at a loss.

"Let's go, go see Yiren, and then go home." Zheng Ren didn't care about what Su Yun was thinking, the key was to go home, eat and sleep, and continue to hone the lung transplant operation in the system operating room.

Under constant treatment, Xiao Shitou's condition keeps improving. I hope that after the lung transplantation, there will be no more moths flying out, everything will be smooth and stable, and I can be discharged from the hospital and go home, and even go back to school. This is the best.

The days are still dull, but Zheng Ren is happy.

Seeing patients, performing operations, and step by step passed by slowly.