The Godfather of Surgery

Seven o'clock in the morning is the normal working hours of Dongda Hospital.

That is, at seven o'clock, all the doctors have started to work, and some young doctors have already arrived at the hospital at five o'clock to do some preparatory work.

The twice-weekly case discussions usually start at 7:30 in the morning and end at 9:00. It can be seen that the daily schedule of Dongda Hospital is very tight.

Today's case discussion about Ning Yu also starts at 7:30 and ends at 8:00, because the Asia-Pacific Orthopaedic Association Academic Forum starts at 9:00, and the timing must be closely connected.

Under the leadership of Takahashi, Yang Ping arrived at Dongda Hospital at six o'clock. On the road, there were doctors in a hurry, dressed in neat suits and carrying briefcases, including young and old professors.

One of the old professors was carrying a packed breakfast and walked very fast, as if he didn't want to waste a second.

It is said that when they arrive at the rest room of the department, they will not chat during breakfast, and they will quickly go to work after eating. Some read the latest medical journals while eating, not letting go of any fragmented time.

Yang Ping first visited Ning Yu in the neurosurgical intensive care unit.

Song Zimo and Xu Zhiliang also followed Yang Ping. Not too many people could enter the intensive care unit. The rest of the team had already gone to the conference room for case discussions.

Many Japanese doctors are already waiting in the intensive care unit, waiting for this doctor from China, who is so sacred that Professor Fujiwara can strongly recommend it.

Intensive care units around the world are about the same, doctors and nurses are busy, and the monitoring images of each ward are displayed on the big screen.

Various machines are running desperately to maintain every life here.

Ning Yu was lying on the hospital bed, currently relying on a temporary pacemaker to maintain the heartbeat.

His tumor seriously affected the heartbeat center, causing the heart muscle to slow down and unable to form an effective pumping force. He could only use a temporary pacemaker to maintain a normal heart rate.

In order to reduce oxygen consumption and reduce the burden on the brain and heart, Ning Yu was in a sedative state.

Sakurai, the doctor in charge, stood beside him, very reluctant. Even wearing a mask, he could see the dissatisfaction in his eyes.

Mitsui and Sasaki were also waiting in the intensive care unit early in the morning, and they finally met Dr. Yang, whom Takahashi admired.

In addition to these three, there is also a large circle of Japanese doctors around, with intermediate titles and senior titles. The experts invited by Dongda Hospital should know everything.

The director of neurosurgery, Daisuke Komori, did not appear, or he really couldn't come, or he was reluctant to appear on this occasion, or protested the cold scene in this way.

The once mighty Takahashi-kun stood beside Yang Ping like a primary school student, holding a notebook in his hand.

Behind Takahashi, stood several young doctors, all with notebooks to record at any time. These doctors were Takahashi's lower-level doctors and students.

Sakurai reported the medical record, his tone was a little lazy, and some people couldn't help laughing.

Song Zimo just wanted to speak, but Yang Ping stopped him with his eyes.

Doctor Sakurai— Takahashi was very unhappy, and the higher-level doctor reprimanded in a stern tone.

Takahashi was older than Sasaki and Mitsui. He was their senior brother. In orthopedics, he was second only to Fujiwara. Although it was not the same department, Sakurai didn't dare to make a mistake, and immediately corrected his tone.

No matter how reluctant, Sakurai seriously reported the medical records.

Yang Ping just said:

I want a medical examination!

Takahashi immediately put away his notebook and assisted him, delivering gloves, percussion hammers, and helping with posture.

It made many doctors beside him dumbfounded, is this Professor Takahashi who is usually aloof?

Yang Ping didn't speak, and the more he didn't speak, the more uneasy Takahashi felt.

Are you angry?

Mitsui! Sasaki! Sakurai, these brainless guys.

Yang Ping finished his body check, took off his gloves, Takahashi took it with both hands, and threw it in the yellow trash can.

Yang Ping's eyes turned to the monitoring screen, and a student went up immediately. Takahashi called the student back and started to do it himself, pointing his finger at the numbers on the screen and helping Yang Ping to read them out one by one.

Then he operated the touch screen beside the bed and read out the picture: Dr. Yang, this is the result of the most recent MR examination of the head and cervical spine.

Yang Ping browsed the recent MRI images: Takahashi, transfer the original image, just the edge of the tumor, go through it, hurry up.

Even the original image of the edge of the tumor flashed quickly.

stop!

Yang Ping asked Gaoqiao to freeze the picture and pointed his finger at the picture: Here! It is an artifact and must be removed, otherwise it will affect the surgical positioning. We must use extremely accurate fluorescence imaging during the operation. This kind of subtle artifact is very difficult for ordinary patients. No effect, but in this patient, any error will lead to the failure of the operation, so this artifact must be removed.

Understood! Takahashi immediately took notes.

This is not an artifact. We are using Toshiba's latest generation of MR, which is very accurate when stacking sagittal and coronal images. Here is the image change caused by the tumor compressing the surrounding tissue, causing the blood flow to slow down. Ordinary MR It can't be recognized, but our machine can. At present, textbooks do not have this knowledge, so doctors without this knowledge can easily make wrong judgments, such as judging artifacts. Currently, there is an article in Journal of Neurosurgery about this. After a special discussion, Dr. Yang should read it when he has time. Mitsui remained silent and waited for an opportunity.

When Yang Ping said that the image was an artifact, Mitsui finally spoke.

There are only a handful of doctors who can accurately identify this kind of image. Most doctors ignore it and cannot see the change in the image at all. Yang Ping can find it, which is good, but as an artifact, it shows that the level is not enough.

Dr. Yang Ping, but that's it.

The so-called master makes a move, and he knows the depth as soon as he makes a move, and Mitsui probably has a bottom line.

Dr. Yang, it is recommended to study these articles when you have time. In addition, you must maintain communication with the world's top experts. These cases are not accessible to ordinary people. If you can't read the images, it is very dangerous to have surgery.

Takahashi was very dissatisfied with Mitsui's tone, and believed that in such public occasions, even academic debates should not have such hints of provocation and ridicule.

Everyone looked at Yang Ping, Sakurai was especially relieved, and after Song Zimo's anger, Mitsui finally helped and taught these guys a lesson.

Takahashi was hesitating about the appropriate translation, but Song Zimo had already helped translate.

This should be your student, right? Yang Ping kept staring at the screen and asked Takahashi beside him casually.

It seemed that Yang Ping didn't care about Mitsui's tone at all. If Mitsui didn't speak up, he might not have realized that there was such a person standing beside him.

Dr. Yang, I'm sorry, I forgot to introduce you, this is Dr. Mitsui. Takahashi introduced with a blushing face.

Knowing that this group of people is dissatisfied, I didn't expect that it would be publicly harassed.

Takahashi did not intend to introduce people like Mitsui Sasaki. They had a bad attitude and prejudice. In Takahashi's mind, these people were already students of Yang Ping, and there was no need to introduce them one by one.

Dr. Mitsui! Associate professor, proficient in spine and craniocerebral surgery— Sasaki was dissatisfied with Takahashi's simple introduction and helped to add.

An associate professor is equivalent to a deputy chief physician in China.

Oh, Dr. Mitsui, time is limited. I can only briefly say that the point of view in the article you read is wrong. It is not the image change caused by the compression of the surrounding tissue blood vessels, but the artifact, which is a problem of the machine software algorithm. caused.

Of course, you are not alone in this problem. Many doctors have insufficient knowledge, because most surgeons do not understand the principles of imaging equipment, and imaging equipment engineers do not understand medicine. The two naturally form a cross blank area. This image change is just right In the knowledge gap, I believe that the next generation of algorithm improvements will avoid it, if you talk too much, it will involve your knowledge blind spot, which will cause difficulty in understanding.”

Takahashi translated immediately.

Difficulty understanding? Joke.

Mitsui has never been humiliated like this, and this tone really makes him a student.

Surrounded by doctors from Dongda Hospital, many of them are young doctors.

This article was written by Professor Johanneson of Mayo. Mitsui is very proud. Johanneson is one of the world's top neurosurgery professors and one of his teachers.

Professor Johanneson? I believe his next article will correct this problem. Medicine is spiraling upwards. It is not surprising that frontal lobectomy has also won a Nobel Prize for the treatment of mental disorders, but it was finally proven wrong. Yang Ping didn't want to mess with him at all.

Going deeper, Mitsui really doesn't understand this.

Outrageously, I doubted the Journal of Neurosurgery, I doubted Professor Johannesson, and I wondered where the courage of this young Chinese doctor came from.

—

Mitsui was very angry and wanted to reason, but Yang Ping ignored him at all and was talking to Takahashi.

Takahashi, contact the radiologist now, do MR again, and modify the parameters to avoid this problem. I will write the parameters to you.

Takahashi immediately handed over the notebook and pen, and Yang Ping wrote down a series of parameters.

Do the MR according to this, and I'll take a look after it is done. There is no problem with other things, just this MR needs to be redone.

Sometimes the setting of imaging machine parameters is also an advanced technology. By using some parameter matching, some problems can be avoided and the desired image can be obtained.

Dr. Sakurai, execute it immediately. Before the end of Dr. Yang's case discussion, you will see the latest image. Shoot according to these parameters, do not make any changes, understand? You, follow. Among the doctors brought, choose one to supervise.

At the same time, Takahashi immediately wrote down this string of numbers in his heart. Based on his experience, this was a very valuable knowledge.

When encountering such a situation in the future, I can avoid the trap, and I will ask Dr. Yang when I have time in the future, because I have not found it in textbooks or papers, and it is the first time Dr. Yang has proposed it.

These arrogant and ignorant guys like Mitsui are simply ridiculous.

Dr. Yang, look, if there are any problems before the operation, the case discussion starts at 7:30. We have to rush over. Takahashi looked at the time.

Yang Ping felt that there was no omission: There are no other problems, Takahashi, these students, you have time to teach them about imaging knowledge in this area.

Understood! I will. Takahashi replied respectfully.

I wasn't introduced just now, so why are you treating me as a student again?

Mitsui and Sasaki looked dazed, unable to express their anger, and were very upset.