godfather of surgery

Chapter 478 Are You a Student?

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

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

The case discussion twice a week usually starts at 07:30 in the morning and ends at [-]:[-], which shows that the daily schedule of Dongda Hospital is very tight.

Today's case discussion on Ning Yu also started at 07:30 and ended at [-]:[-], because the academic forum of the Asia-Pacific Orthopedic Association started at [-]:[-], and the timing must be closely connected.

Under the leadership of Gao Qiao, 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, rushing along. There were young and old professors.

One of the old professors was still carrying a packed breakfast in his hand, walking very fast, as if he didn't want to waste a second.

It is said that when they arrived at the rest room of the department, they would not chat while eating breakfast, and quickly went 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 Neurosurgery Intensive Care Unit.

Song Zimo and Xu Zhiliang also followed Yang Ping. Too many people could not enter the intensive care unit, and the rest of the team had already gone to the meeting room for case discussion.

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

Intensive care units around the world are roughly the same. Doctors and nurses are busy, and the monitoring screen of each ward is displayed on the big screen.

All kinds of machines are running desperately to maintain every life here.

Ning Yu is lying on the hospital bed, currently relying on a temporary pacemaker to maintain the beating of the heart.

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

In order to reduce oxygen consumption and reduce the burden on the brain and heart, Ning Yu was under sedation.

The doctor in charge, Sakurai, stood by, feeling very reluctant. Even though he was wearing a mask, the dissatisfaction could be seen 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 them, some with intermediate professional titles and some with high professional titles. The experts invited by Dongda Hospital have to see them anyway.

Daisuke Komori, the director of neurosurgery, did not show up, or he was unable to come due to something, or he was reluctant to appear on this occasion, or protested the silence in this way.

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

And behind Takahashi, stood a few young doctors, all with notebooks to record at any time. These doctors were Takahashi's junior doctors and students.

When Sakurai reported the medical records, his tone was a bit lazy, and some people couldn't help laughing out loud.

Song Zimo was about to speak, but Yang Ping stopped him with his eyes.

"Doctor Sakurai—" Takahashi was very unhappy, and reprimanded the senior doctor in a stern tone.

Takahashi is older than Sasaki and Mitsui. He is their senior brother. In the orthopedics department, he is second only to Fujiwara. Although he is not in the same department, Sakurai did not dare to make mistakes, and immediately corrected his tone.

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

After hearing this, Yang Ping just said:
"I want to check up!"

Takahashi immediately put away the notebook and assisted at the side, delivering gloves, percussion hammers, and helping with positioning.

It made many doctors on the side dumbfounded. Is this Professor Takahashi who is usually aloof?
Yang Ping didn't speak all the time, the more he didn't speak, the more uneasy Gao Qiao felt.

Are you angry?
Mitsui!Sasaki!Sakurai, these brainless guys.

After Yang Ping checked his body, he took off his gloves. Takahashi took it with both hands and threw it into the yellow trash can.

Yang Ping's eyes turned to the monitor screen, and a student went up immediately. Takahashi called the students back and did it himself, pointing to the numbers on the screen, and helping Yang Ping to read them out one by one.

Then he operated the touch screen next to the bed and read the picture: "Dr. Yang, this is the result of the latest MR examination of the head and cervical spine."

After browsing the latest MRI images, Yang Ping said, "Gaoqiao, call out the original images, the ones on the edge of the tumor are fine, go through them again, hurry up."

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

"stop!"

Yang Ping asked Takahashi to freeze the picture, and pointed to the picture: "Here! It's an artifact, which must be removed, otherwise it will affect the positioning of the operation. We need to use extremely accurate fluorescence imaging in the operation. This kind of subtle artifact is difficult for ordinary patients. It has no effect, but for this patient, any error will cause the operation to fail, so this artifact must be removed."

"Understood!" Takahashi wrote it down immediately.

"This is not an artifact. We use 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's compression of the surrounding tissue, which causes blood flow to slow down. Ordinary MR It cannot be recognized, but our machine can. Currently, there is no discussion of this knowledge in textbooks, so doctors who do not have this knowledge can easily make wrong judgments, such as judging that it is an artifact. Currently, there is an article in the Journal of Neurosurgery. Dr. Yang should read it when he has time." Mitsui remained silent at the side, waiting 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 just ignore it, and they can't see the change in the image at all. Yang Ping can find it, which is considered good, but as an artifact, it shows that the level is not enough.

Dr. Yang Ping, that's all.

The so-called masters make moves, and they know the depth as soon as they make a move. Mitsui probably has a bottom line in his heart.

"Dr. Yang, I suggest that you study these articles when you have time. In addition, you must maintain communication with the world's top experts. This type of case is not accessible to ordinary people. If you can't read the images, it is very dangerous to perform surgery rashly."

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

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

Takahashi was hesitating about how to translate it properly, but Song Zimo had already helped with the translation.

"This should be your student?" Yang Ping kept staring at the screen, and asked Gao Qiao beside him unhurriedly.

It seemed that Yang Ping didn't care about Mitsui's tone at all. If Mitsui hadn't opened his mouth, 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.

I knew this group of people were dissatisfied, but I didn't expect to publicly criticize them.

Takahashi originally didn't plan to introduce people like Mitsui Sasaki, their attitude was bad and prejudiced, and in Takahashi's heart, these people were considered students to Yang Ping, so there was no need to introduce them one by one.

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

An associate professor is equivalent to an associate chief physician in China.

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

"Of course, you are not alone in this problem. Many doctors do not understand enough, 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. Being in a knowledge gap, I believe that the next generation of algorithm improvements will be avoided. 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 had never been humiliated like this, and his tone really treated himself as a student.

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

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

"Professor Johannesson? I believe his next article will correct this problem. Medicine is spiraling upwards. It is not surprising that frontal lobotomy has won a Nobel Prize for the treatment of mental disorders. It was finally verified to be wrong." Yang Ping didn't want to tangle with him at all.

Going deeper, Mitsui really doesn't understand what this is.

Unashamedly speaking, he doubted the "Journal of Neurosurgery", doubted Professor Johannesson, and wondered where the courage of this young Chinese doctor came from.

"—"

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

"Takahashi, contact the radiologist now, do the 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 will check it after I finish it. If there are no other problems, this MR needs to be redone."

Sometimes the setting of video machine parameters is also an advanced technology. Using some parameter combinations can avoid some problems and get the desired image.

"Dr. Sakurai, execute it immediately. Dr. Yang will see the latest images before the case discussion is over. Take pictures according to this parameter without any changes. Do you understand? You, follow." Among the doctors you bring, choose one to supervise.

At the same time, Takahashi immediately memorized this string of numbers in his mind. Based on his experience, this is very valuable knowledge.

In the future, when encountering such a situation, I can avoid the trap, and I will ask Dr. Yang what is the cause of the artifact when I have time in the future, because it has not been found in textbooks and papers, and it was Dr. Yang who first proposed it.

The arrogant and ignorant guys like Mitsui are simply ridiculous.

"Look, Dr. Yang, if there are any questions before the operation, the case discussion will start at 07:30, and we have to rush there." Takahashi looked at the time.

Yang Ping felt that there was nothing wrong with it: "There is no other problem, Takahashi, these students, you have to give them some imaging knowledge in this area when you have time."

"Understood! I will." Takahashi replied respectfully.

Didn't you introduce it just now, why did you treat me as a student again?
Mitsui and Sasaki looked dazed, unable to vent their anger, and were very upset.

(End of this chapter)