Surgical artist
Chapter 422 No, Not Perfect
Chapter 422 No, Not Perfect
Mu Sisi said weakly: "Mr. Zhao, you don't mind if we eat your food?"
Zhao Peiru couldn't help laughing: "Where did these come from?"
"It's all from your fans." Mu Sisi tilted her head and thought for a while, "It seems... after the Liang Zhongyue incident, you became famous immediately, and many people sent us pennants, flowers, What to eat."
Zhao Peiru understood, it was the Liang Zhongyue incident, the social attention was too high, that's why there were so many thank you gifts.
On many pennants, it is written that Zhao Peiru is the most respected person.Looking at the mailing address, it should be a student of a certain medical university.
"How can I eat so much by myself, you all share it with the doctors and nurses outside."
Everyone immediately burst into smiles.
Took a lot of things out.
For a while, hepatobiliary and pancreatic surgery was like a new year, everyone was holding good things in their hands, even many patients and family members were all assigned a share, enjoying themselves happily.
……
The fact that Zhao Peiru used the concept of "layered anatomy" in the Second Affiliated Hospital of the University of Medical Sciences gradually spread...
Of the three founders of the pancreas, the other two have left Beijing, but Academician Xu Qin himself has stayed in the research institute in Kyoto for a long time. After hearing the news, he went directly to the Second Affiliated Hospital of the University of Medical Sciences.
When she heard that the concept of "layered anatomy" had come to fruition and was applied in clinical operations, she realized the importance.
"Academician Xu." Dean Hong of the Second Affiliated Hospital said respectfully, "These are all the materials of the complicated pancreatic head cancer case."
Xu Qin nodded and said: "Okay, you guys go to work, I will take a good look at the layered anatomy concept of our Dean Zhao Peiru."
That's what she said, but who would dare to leave, such as Dean Hong and the committee of the Second Affiliated Hospital?
They are all accompanied not far away, not daring to go far.
These deans and vice deans are considered high-status and high-status people in front of ordinary doctors.But in front of this kind of academician who is a pillar of the country, the status of both parties is reversed.
Academician Xu Qin looked through the medical records here, his eyes gradually brightened.
She had thought deeply about this concept of layered anatomy before, but she hadn't thought about it to the point where it could be maturely applied.
Now that she saw this operation case, the general thoughts in her mind before were all connected immediately.
Later, Academician Xu Qin called Zhan Kuo over and asked him about some things face to face.
I watched the video recording of this operation several times.
At this moment, Academician Xu Qin is already in a turbulent mood and excited!
"This layered anatomical concept can make the duodenal ligament, lymphatic fat, and retroperitoneal plexus of the second and third layers more easily and clearly exposed without increasing the difficulty of the operation. .”
The surgical field is extremely important to the surgeon. A surgery that can clearly expose the surgical field has a success rate several times higher than other surgeries.
This is especially true for patients with tumor foci.Only by fully exposing clear lesions can the eradication rate be increased, thereby improving the postoperative survival period of patients.
Academician Xu Qin called Academician Zou Bin.
"Academician Zou, guess what treasure I found?"
Academician Zou Bin was stunned, wondering what happened to Academician Xu Qin, who is usually very calm, why is his tone so excited this time?
"I found a technique that can clearly expose the lymphatic fat and retroperitoneal plexus!" Academician Xu Qin said with uncontrollable joy.
At her age and status, few things could make her so happy.
If there is, it must be something that can vigorously promote the development of medicine, benefit the country and the people, and be of great use to society.
Academician Zou Bin reacted quickly: "Can it achieve skeletal cleaning?"
"can."
"Can R0 resection be done?"
"can."
Academician Zou Bin was already excited on the other end of the phone: "How difficult is the operation?"
It is so rare to be able to achieve skeletal dissection and RO-level resection of pancreatic head cancer!Academician Zou Bin even thought in his heart that even if the operation is more difficult, it is enough to popularize and promote in the field of high-tech treatment.
"The difficulty of the operation has not increased. Generally, large hospitals can complete this operation in about 5 hours." Academician Xu Qin flipped through the case in hand, and she became more and more surprised the more she looked at it.
This level of surprise is comparable to that of the improved bundled pancreaticojejunostomy.
Academician Zou Bin took a deep breath: "Where are you? I'll go and have a look. Also, whose handwriting is this? Is it yours?"
Academician Xu Qin: "I am in the Second Affiliated Hospital of Kyoto University of Medicine and Science. This is the idea put forward by President Zhao Peiru, and it is also his main operation."
As soon as she finished speaking, Academician Zou Bin hurriedly said a few words, then hung up the phone, obviously calling Zhao Peiru directly to find out more details.
Academician Xu Qin called Academician Peng Shu who was far away abroad.
Said the same thing again.
This "revolutionary" operation that can completely change the field of pancreatic head cancer is really of great importance, so the first thing Academician Xu Qin thought of was to tell Zou Bin and Peng Shu the news.
Sure enough, Peng Shu was also shocked when he heard it.
He immediately said: "It's not safe to say these words on the transoceanic phone call. I can finish the exchange meeting and go back next week. When I go back, I want to see this new concept with my own eyes."
at the same time.
Academician Zou Bin's phone call has reached Zhao Peiru himself.
On the phone, Academician Zou Bin asked about the specific concept and operation process of "layered anatomy".
"Dean Zhao, your concept of layered anatomy is of great significance, and I am afraid it will change the future development direction of the field of pancreatic head cancer!"
"I am afraid that all the previous excision treatment methods will be eliminated."
He studied and judged this new concept of layered anatomy in his mind, and found that the systematically summarized anatomical sequence was very consistent with anatomical theory.
It seems that this is the correct path for the anatomy of the human body structure and tissue. The previous excision treatment methods seem to have gone astray.
"Really?" Zhao Peiru's indifferent voice came from the other end of the phone.
Academician Zou Bin was taken aback. Are you not proud at all with your tone?
If he created such a great and revolutionary technique, he would probably wake up laughing in his dreams, right?
As a result, Zhao Peiru's next sentence shocked him even more.
"Academician Zou, based on the concept of layered anatomy, I have a new idea... It can be regarded as an advanced version of layered anatomy."
"What do you think?" Academician Zou Bin was startled, and hurriedly asked.
Even layered anatomy is already so good, is there an advanced version?
"Total Mesangial Resection Concept."
On the phone, Zhao Peiru briefly explained his new idea.
Zou Bin was silent for a long time after listening.
What kind of amazing brain is this!It is enough to perfect the layered anatomy, but on this basis, it can be upgraded again!
If we say that the concept of layered anatomy has another origin, it is a new concept that has been discussed in the international and domestic medical circles in recent years.
The "total mesenteric resection concept" that Zhao Peiru said is a brand new thing!Completely, it was Zhao Peiru who conceived it from beginning to end!
The "Layered Dissection" represents that Zhao Peiru has the ability to perfect, mature, and concretize an abstract concept
And come up with the concept of "total mesentery resection", which is completely a demonstration of pioneering ability!
The only pity is that just listening to this prototype framework, Zou Bin is still not sure whether this new concept can really bear fruit.
There are many seemingly wonderful ideas, but in the end, it is proved that they are not feasible, or the clinical results are not satisfactory.
"You come up with this idea first." Academician Zou Bin said: "When I am free, I will go to your side. See if I can perfect this idea and apply it to the clinic."
After hanging up the phone, Academician Zou Bin rubbed his temples.
"I really want to go to Zhao Peiru's side."
"But I just came back, and I still have a few projects in hand. I guess I won't be able to leave in a short time."
At this stage of his life, he knows that the rest of his life is not long, and every day is very precious, so he must do more things to promote the development of medicine in this short remaining life.So as soon as he came back from Kyoto this time, he laid out all the projects he had planned to do before.
……
Jiangxin Hospital.
Dean Song Xiaowen found Zhao Peiru.
"Dean Zhao, the Xuri Hospital in Haishi wants to send a few people over to learn the concept of layered anatomy with you. Do you think?"
"The list has been sent, and the person leading the team is expert Xie Miao."
Dean Song Xiaowen's eyes are complicated, the top five experts in the field of pancreatic head cancer in the country actually want to come to study with them!
How dare you think about it in the past!
Zhao Peiru smiled and said, "Okay, let them come."
The other party definitely can't come here for nothing, they all have to pay "tuition fees" to come here.
Song Xiaowen went to go through the formalities happily, and for him, he could "make a lot of money".However, this big profit does not refer to money, but various favorable conditions that can be negotiated from Xuri Hospital.
……
Soon, expert Xie Miao from Haishi Xuri Hospital led a team to Jiangxin Hospital in Jiangnan Province.
"Dean Zhao, I heard about the operation you performed at the Second Affiliated Hospital of Kyoto University of Medicine and Science."
"The concept of layered anatomy you applied is too advanced, and the eradication effect is too excellent!"
The 3-day postoperative data of that operation have been released. When Xie Miao saw the excellent data, she was so shocked that her scalp went numb.
This R0-level eradication surgery technique achieves the technique of removing lymphatic fat and skeletal nerve plexus, which is really awesome!
As soon as expert Xie Miao came, he praised Zhao Peiru severely.
Zhao Peiru smiled modestly and politely.
"This concept of layered anatomy, although advanced, is not yet perfect."
Expert Xie Miao was stunned, and the team members he led over also looked over in a daze.
Isn't that perfect?
The postoperative effect of the operation you performed yourself was so excellent that it broke through the sky. Compared with all previous radical resections for pancreatic head cancer, it is simply not at the same level.
Are you still not satisfied with this?
Zhao Peiru: "I am conceiving a new concept, which is the concept of total mesangial resection based on layered anatomy..."
Zhao Peiru briefly explained what he said to Xie Miao again.
Xie Miao was dumbfounded after hearing this!
The players behind him all opened their mouths!
Xie Miao quickly realized that his eyes seemed to be ignited, and he had a premonition that this new concept of total mesentery resection would shine brightly!
The "layered anatomy" itself already has revolutionary power, isn't the more upgraded "total mesentery resection" even more dazzling?
Zhao Peiru said to expert Xie Miao: "You guys come here this time, and you just happen to be with me to perfect this concept and try to apply it directly in the clinic."
After Zhao Peiru left, Xie Miao spent a long time writing and drawing on paper.
"The main purpose of this concept of total mesenteric resection should be to unify and standardize the retroperitoneal resection margin, and then promote the standardization and standardization of R0 pancreaticoduodenectomy."
He stared at the paper, his eyes burning.
"If we say that the concept of layered anatomy is to systematically standardize the free separation of the head of the pancreas and make it easier to expose the difficult-to-expose lymphoid tissue and nerve plexus..."
"Then the concept of total mesenteric resection is to further unify and standardize the entire retroperitoneal resection margin!"
He suddenly raised his head and looked in the direction Zhao Peiru left.
There was a look of shock in his eyes!
"Dean Zhao is going to... carry out a systematic standardization of the technique of excision and radical treatment of the entire pancreatic head cancer?"
It's a grand move.
After thinking about it, Xie Miao quickly found Zhao Peiru again.
"Dean Zhao, can I tell my colleagues and friends in Haishi about this news?"
"Let them also come to the lectures, and maybe they can also give some suggestions to contribute to this new concept."
Zhao Peiru smiled and said, "Okay, let them come, all are welcome."
Zhao Peiru's heart moved when he heard Xie Miao's words.
The application of the new concept of upgrading in [Task [-]] must be done anyway.
Since one Xie Miao is also an entertainer, and ten are also entertainers, it is better to entertain more.
Get some extra "tuition".
He planned to ask Director Ge Jianming and the others in the province to release the news to attract more people.
After Zhao Peiru left.
Xie Miao picked up the phone.
"Hello? Old Zheng, it's me."
Xie Miao's eyes were filled with excitement: "I suggest you put down your work immediately and apply for a further study at Jiangxin Hospital in Jiangnan Province!"
"Don't ask why, there will be a grand event in the field of pancreatic cancer! It would be a pity if you miss it!"
"Hello? Director Feng, it's me..."
Xie Miao made more than a dozen phone calls in a row, all of them were colleagues in the field of pancreatic head cancer in various large general hospitals in Haishi.
Such a major industry event is about to happen, and he wants more colleagues in the industry to witness it.
……
Kyoto, Second Affiliated Hospital of Medical University.
Zhan Kuo put the patient's summary data in the email and sent it to Zhao Peiru's mailbox again.
At this time, Director Zhuo from the third department came over and said, "Director Zhan, I heard that Academician Xu Qin is leaving for Jiangxin Hospital in Jiangnan Province. a new idea."
Zhan Kuo was stunned. The layered anatomy is already so good, and it needs to be upgraded?
(End of this chapter)
Mu Sisi said weakly: "Mr. Zhao, you don't mind if we eat your food?"
Zhao Peiru couldn't help laughing: "Where did these come from?"
"It's all from your fans." Mu Sisi tilted her head and thought for a while, "It seems... after the Liang Zhongyue incident, you became famous immediately, and many people sent us pennants, flowers, What to eat."
Zhao Peiru understood, it was the Liang Zhongyue incident, the social attention was too high, that's why there were so many thank you gifts.
On many pennants, it is written that Zhao Peiru is the most respected person.Looking at the mailing address, it should be a student of a certain medical university.
"How can I eat so much by myself, you all share it with the doctors and nurses outside."
Everyone immediately burst into smiles.
Took a lot of things out.
For a while, hepatobiliary and pancreatic surgery was like a new year, everyone was holding good things in their hands, even many patients and family members were all assigned a share, enjoying themselves happily.
……
The fact that Zhao Peiru used the concept of "layered anatomy" in the Second Affiliated Hospital of the University of Medical Sciences gradually spread...
Of the three founders of the pancreas, the other two have left Beijing, but Academician Xu Qin himself has stayed in the research institute in Kyoto for a long time. After hearing the news, he went directly to the Second Affiliated Hospital of the University of Medical Sciences.
When she heard that the concept of "layered anatomy" had come to fruition and was applied in clinical operations, she realized the importance.
"Academician Xu." Dean Hong of the Second Affiliated Hospital said respectfully, "These are all the materials of the complicated pancreatic head cancer case."
Xu Qin nodded and said: "Okay, you guys go to work, I will take a good look at the layered anatomy concept of our Dean Zhao Peiru."
That's what she said, but who would dare to leave, such as Dean Hong and the committee of the Second Affiliated Hospital?
They are all accompanied not far away, not daring to go far.
These deans and vice deans are considered high-status and high-status people in front of ordinary doctors.But in front of this kind of academician who is a pillar of the country, the status of both parties is reversed.
Academician Xu Qin looked through the medical records here, his eyes gradually brightened.
She had thought deeply about this concept of layered anatomy before, but she hadn't thought about it to the point where it could be maturely applied.
Now that she saw this operation case, the general thoughts in her mind before were all connected immediately.
Later, Academician Xu Qin called Zhan Kuo over and asked him about some things face to face.
I watched the video recording of this operation several times.
At this moment, Academician Xu Qin is already in a turbulent mood and excited!
"This layered anatomical concept can make the duodenal ligament, lymphatic fat, and retroperitoneal plexus of the second and third layers more easily and clearly exposed without increasing the difficulty of the operation. .”
The surgical field is extremely important to the surgeon. A surgery that can clearly expose the surgical field has a success rate several times higher than other surgeries.
This is especially true for patients with tumor foci.Only by fully exposing clear lesions can the eradication rate be increased, thereby improving the postoperative survival period of patients.
Academician Xu Qin called Academician Zou Bin.
"Academician Zou, guess what treasure I found?"
Academician Zou Bin was stunned, wondering what happened to Academician Xu Qin, who is usually very calm, why is his tone so excited this time?
"I found a technique that can clearly expose the lymphatic fat and retroperitoneal plexus!" Academician Xu Qin said with uncontrollable joy.
At her age and status, few things could make her so happy.
If there is, it must be something that can vigorously promote the development of medicine, benefit the country and the people, and be of great use to society.
Academician Zou Bin reacted quickly: "Can it achieve skeletal cleaning?"
"can."
"Can R0 resection be done?"
"can."
Academician Zou Bin was already excited on the other end of the phone: "How difficult is the operation?"
It is so rare to be able to achieve skeletal dissection and RO-level resection of pancreatic head cancer!Academician Zou Bin even thought in his heart that even if the operation is more difficult, it is enough to popularize and promote in the field of high-tech treatment.
"The difficulty of the operation has not increased. Generally, large hospitals can complete this operation in about 5 hours." Academician Xu Qin flipped through the case in hand, and she became more and more surprised the more she looked at it.
This level of surprise is comparable to that of the improved bundled pancreaticojejunostomy.
Academician Zou Bin took a deep breath: "Where are you? I'll go and have a look. Also, whose handwriting is this? Is it yours?"
Academician Xu Qin: "I am in the Second Affiliated Hospital of Kyoto University of Medicine and Science. This is the idea put forward by President Zhao Peiru, and it is also his main operation."
As soon as she finished speaking, Academician Zou Bin hurriedly said a few words, then hung up the phone, obviously calling Zhao Peiru directly to find out more details.
Academician Xu Qin called Academician Peng Shu who was far away abroad.
Said the same thing again.
This "revolutionary" operation that can completely change the field of pancreatic head cancer is really of great importance, so the first thing Academician Xu Qin thought of was to tell Zou Bin and Peng Shu the news.
Sure enough, Peng Shu was also shocked when he heard it.
He immediately said: "It's not safe to say these words on the transoceanic phone call. I can finish the exchange meeting and go back next week. When I go back, I want to see this new concept with my own eyes."
at the same time.
Academician Zou Bin's phone call has reached Zhao Peiru himself.
On the phone, Academician Zou Bin asked about the specific concept and operation process of "layered anatomy".
"Dean Zhao, your concept of layered anatomy is of great significance, and I am afraid it will change the future development direction of the field of pancreatic head cancer!"
"I am afraid that all the previous excision treatment methods will be eliminated."
He studied and judged this new concept of layered anatomy in his mind, and found that the systematically summarized anatomical sequence was very consistent with anatomical theory.
It seems that this is the correct path for the anatomy of the human body structure and tissue. The previous excision treatment methods seem to have gone astray.
"Really?" Zhao Peiru's indifferent voice came from the other end of the phone.
Academician Zou Bin was taken aback. Are you not proud at all with your tone?
If he created such a great and revolutionary technique, he would probably wake up laughing in his dreams, right?
As a result, Zhao Peiru's next sentence shocked him even more.
"Academician Zou, based on the concept of layered anatomy, I have a new idea... It can be regarded as an advanced version of layered anatomy."
"What do you think?" Academician Zou Bin was startled, and hurriedly asked.
Even layered anatomy is already so good, is there an advanced version?
"Total Mesangial Resection Concept."
On the phone, Zhao Peiru briefly explained his new idea.
Zou Bin was silent for a long time after listening.
What kind of amazing brain is this!It is enough to perfect the layered anatomy, but on this basis, it can be upgraded again!
If we say that the concept of layered anatomy has another origin, it is a new concept that has been discussed in the international and domestic medical circles in recent years.
The "total mesenteric resection concept" that Zhao Peiru said is a brand new thing!Completely, it was Zhao Peiru who conceived it from beginning to end!
The "Layered Dissection" represents that Zhao Peiru has the ability to perfect, mature, and concretize an abstract concept
And come up with the concept of "total mesentery resection", which is completely a demonstration of pioneering ability!
The only pity is that just listening to this prototype framework, Zou Bin is still not sure whether this new concept can really bear fruit.
There are many seemingly wonderful ideas, but in the end, it is proved that they are not feasible, or the clinical results are not satisfactory.
"You come up with this idea first." Academician Zou Bin said: "When I am free, I will go to your side. See if I can perfect this idea and apply it to the clinic."
After hanging up the phone, Academician Zou Bin rubbed his temples.
"I really want to go to Zhao Peiru's side."
"But I just came back, and I still have a few projects in hand. I guess I won't be able to leave in a short time."
At this stage of his life, he knows that the rest of his life is not long, and every day is very precious, so he must do more things to promote the development of medicine in this short remaining life.So as soon as he came back from Kyoto this time, he laid out all the projects he had planned to do before.
……
Jiangxin Hospital.
Dean Song Xiaowen found Zhao Peiru.
"Dean Zhao, the Xuri Hospital in Haishi wants to send a few people over to learn the concept of layered anatomy with you. Do you think?"
"The list has been sent, and the person leading the team is expert Xie Miao."
Dean Song Xiaowen's eyes are complicated, the top five experts in the field of pancreatic head cancer in the country actually want to come to study with them!
How dare you think about it in the past!
Zhao Peiru smiled and said, "Okay, let them come."
The other party definitely can't come here for nothing, they all have to pay "tuition fees" to come here.
Song Xiaowen went to go through the formalities happily, and for him, he could "make a lot of money".However, this big profit does not refer to money, but various favorable conditions that can be negotiated from Xuri Hospital.
……
Soon, expert Xie Miao from Haishi Xuri Hospital led a team to Jiangxin Hospital in Jiangnan Province.
"Dean Zhao, I heard about the operation you performed at the Second Affiliated Hospital of Kyoto University of Medicine and Science."
"The concept of layered anatomy you applied is too advanced, and the eradication effect is too excellent!"
The 3-day postoperative data of that operation have been released. When Xie Miao saw the excellent data, she was so shocked that her scalp went numb.
This R0-level eradication surgery technique achieves the technique of removing lymphatic fat and skeletal nerve plexus, which is really awesome!
As soon as expert Xie Miao came, he praised Zhao Peiru severely.
Zhao Peiru smiled modestly and politely.
"This concept of layered anatomy, although advanced, is not yet perfect."
Expert Xie Miao was stunned, and the team members he led over also looked over in a daze.
Isn't that perfect?
The postoperative effect of the operation you performed yourself was so excellent that it broke through the sky. Compared with all previous radical resections for pancreatic head cancer, it is simply not at the same level.
Are you still not satisfied with this?
Zhao Peiru: "I am conceiving a new concept, which is the concept of total mesangial resection based on layered anatomy..."
Zhao Peiru briefly explained what he said to Xie Miao again.
Xie Miao was dumbfounded after hearing this!
The players behind him all opened their mouths!
Xie Miao quickly realized that his eyes seemed to be ignited, and he had a premonition that this new concept of total mesentery resection would shine brightly!
The "layered anatomy" itself already has revolutionary power, isn't the more upgraded "total mesentery resection" even more dazzling?
Zhao Peiru said to expert Xie Miao: "You guys come here this time, and you just happen to be with me to perfect this concept and try to apply it directly in the clinic."
After Zhao Peiru left, Xie Miao spent a long time writing and drawing on paper.
"The main purpose of this concept of total mesenteric resection should be to unify and standardize the retroperitoneal resection margin, and then promote the standardization and standardization of R0 pancreaticoduodenectomy."
He stared at the paper, his eyes burning.
"If we say that the concept of layered anatomy is to systematically standardize the free separation of the head of the pancreas and make it easier to expose the difficult-to-expose lymphoid tissue and nerve plexus..."
"Then the concept of total mesenteric resection is to further unify and standardize the entire retroperitoneal resection margin!"
He suddenly raised his head and looked in the direction Zhao Peiru left.
There was a look of shock in his eyes!
"Dean Zhao is going to... carry out a systematic standardization of the technique of excision and radical treatment of the entire pancreatic head cancer?"
It's a grand move.
After thinking about it, Xie Miao quickly found Zhao Peiru again.
"Dean Zhao, can I tell my colleagues and friends in Haishi about this news?"
"Let them also come to the lectures, and maybe they can also give some suggestions to contribute to this new concept."
Zhao Peiru smiled and said, "Okay, let them come, all are welcome."
Zhao Peiru's heart moved when he heard Xie Miao's words.
The application of the new concept of upgrading in [Task [-]] must be done anyway.
Since one Xie Miao is also an entertainer, and ten are also entertainers, it is better to entertain more.
Get some extra "tuition".
He planned to ask Director Ge Jianming and the others in the province to release the news to attract more people.
After Zhao Peiru left.
Xie Miao picked up the phone.
"Hello? Old Zheng, it's me."
Xie Miao's eyes were filled with excitement: "I suggest you put down your work immediately and apply for a further study at Jiangxin Hospital in Jiangnan Province!"
"Don't ask why, there will be a grand event in the field of pancreatic cancer! It would be a pity if you miss it!"
"Hello? Director Feng, it's me..."
Xie Miao made more than a dozen phone calls in a row, all of them were colleagues in the field of pancreatic head cancer in various large general hospitals in Haishi.
Such a major industry event is about to happen, and he wants more colleagues in the industry to witness it.
……
Kyoto, Second Affiliated Hospital of Medical University.
Zhan Kuo put the patient's summary data in the email and sent it to Zhao Peiru's mailbox again.
At this time, Director Zhuo from the third department came over and said, "Director Zhan, I heard that Academician Xu Qin is leaving for Jiangxin Hospital in Jiangnan Province. a new idea."
Zhan Kuo was stunned. The layered anatomy is already so good, and it needs to be upgraded?
(End of this chapter)
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