I, Tomoya Aki, am not a bootlicker

……

"Mrs. Omi, given your current condition, you will need surgery as soon as possible. As for the surgical plan, we have a preliminary plan."

As Mrs. Omi's attending physician, Yoshida Aoba needs to explain the matter of the surgery in person.

At the same time, he also brought Aki Tomoya over.

"Dr. Yoshida, please go ahead."

"The person next to me is Dr. Aki. After examining your condition, he has already thought of a surgical plan."

As Yoshida Aoba spoke, Mrs. Omi looked towards Aki Tomoya.

There was some doubt in her eyes as she looked at the young face, feeling a little worried.

The surgical plan was not proposed by Yoshida Aoba, but by that much younger doctor?

"Please don't worry, Mrs. Omi. Dr. Aki is my junior at the University of Tokyo. Like Dr. Sasaki and me, his surgical plan has also been approved by Dr. Sasaki."

After Yoshida Aoba saw what the other party was worried about, he slowly explained, trying to dispel Mrs. Omi's doubts.

Yoshida Aoba expected the other party to have such a reaction.

Since she was her attending physician, she naturally assumed that even if she needed surgery, the surgical plan would be made by Yoshida Aoba.

However, in fact, Tomoya Aki's proposal to replace both valves again and perform curtain reconstruction at the same time is not important to anyone as long as it is feasible and suitable for the patient's condition.

Mrs. Omi looked at Yoshida Aoba and nodded again with some hesitation.

"Mrs. Omi, I have read your medical history. You have had two previous surgeries. First, it was mitral valve separation, and then a double valve replacement five years ago. However, your aortic pressure gradient has been increasing over the years."

Mrs. Omi nodded as if she understood what was said.

And Aki Tomoya continued, "The biological valve No. 19 is obviously no longer suitable for your current situation. So in addition to replacing the new double valve for you, do you need to perform another operation this time?"

"Another surgery?"

"That's right. We need to help you with aortic curtain reconstruction. That means depending on the situation, we need to enlarge your aortic valve ring so that when a larger artificial valve is implanted, it can avoid mismatch and other complications. Implanting a larger artificial valve will improve your aortic pressure gradient."

“Is this operation dangerous?”

She asked the question that worried her most.

"Surgery is definitely risky, but with Dr. Aki, who proposed the surgery, in charge, and Dr. Sasaki and I assisting, we will do our best to perform the surgery."

This time it was not Aki Tomoya who answered, but Yoshida Aoba who spoke.

Even Tomoya Aki was surprised by his words, not to mention Lady Omi.

Chapter 485 This is under our consideration

Yoshida Aoba's addition alleviated Mrs. Omi's worries a little.

But it will obviously take some convincing to fully accept it.

"For the surgery, the one who formulated the surgical plan will be the lead surgeon, and I, Dr. Sasaki, and Dr. Nakagawa will assist. This is what I am considering—"

Yoshida Aoba said this and looked at Aki Tomoya next to him.

"As the one who proposed the surgical plan, there is no problem for Dr. Aki to perform the surgery, and Dr. Sasaki and I will also work together to complete the reconstruction of Mrs. Omi's curtain."

"Even if you don't trust Dr. Aki, please trust me and Dr. Sasaki. We won't joke about the safety of our patients."

Although the number of surgical team members has not been announced yet, it has basically been determined after discussions with Sasaki Kazuichi.

He hoped that Tomoya Aki would perform the surgery, while the more experienced himself, Ichiru Sasaki, and Dr. Nakagawa would assist and supervise.

With him and Sasaki in charge, they can take over at any time.

Of course, Yoshida Aoba knew that he could not let Mrs. Omi feel that he was using this operation to train Aki Tomoya.

Regardless of the surgery or the patient, they trust experienced and senior doctors more than young doctors.

But experienced doctors also started out as rookies.

"Although Dr. Aki is very young, he has performed many operations with me. You don't need to worry too much about his surgical experience."

Yoshida Aoba is telling the truth.

In terms of surgical experience, since Tomoya Aki's rotation ended, he has been taking Tomoya Aki to participate in the operations he is responsible for.

What Tomoya Aki lacks now is the opportunity to perform surgery as the lead surgeon.

He definitely has more experience than those doctors who have just determined the direction of their department.

Yoshida Aoba knew Aki Tomoya inside and out, so he had the confidence to let him perform the surgery. Otherwise, he wouldn't have wasted his breath.

"Doctor Yoshida, I have no doubts about what you said. After all, both of you graduated from the prestigious Tokyo University School of Medicine. It's just that..."

Dongda is indeed a golden brand.

Rumor has it that only aliens can enter the Science Class 3, so it's not an exaggeration to say that everyone there is a genius.

Although there is some exaggeration, such as the statement about aliens, it has to be said that Japanese people value local universities more, especially unique ones like the University of Tokyo.

Mrs. Omi was willing to believe that Aki Tomoya was a genius, but she still had some doubts in her heart.

"Mrs. Omi, if you have any concerns, please speak up and don't worry about us."

"You're welcome. I'm just worried. Just like the surgery five years ago, the situation has not improved at all. If the servants hadn't discovered it early, I would have almost died at home!"

It seems that Mrs. Omi is more concerned about the quality of life after the operation than who will perform the surgery.

After hearing her words, Aki Tomoya finally spoke again at this time: "It is precisely because of your quality of life that I proposed curtain reconstruction. Because only a size 19 bioprosthesis could be implanted, your aortic pressure difference has increased year by year. In order to avoid the same situation again and prevent complications, it is necessary to expand and implant a larger bioprosthesis."

What Mrs. Omi is worried about is also something that surgeons like them have to consider.

The appropriate surgical plan and the patient's quality of life after surgery are all taken into consideration.

The suggestion of curtain reconstruction was not because the operation was challenging, but because Mrs. Omi's physical condition required such an operation.

Consideration for the patient comes first.

"...Then please let me see the complete surgical plan first."

Mrs. Omi thought for a moment and said.

Aki Tomoya and Yoshida Aoba looked at each other and knew that Mrs. Omi was half convinced.

What we need now is to come up with a complete surgical plan, have her sign a consent form, and then arrange the surgery for her as soon as possible.

Given her physical condition, we can't delay any further and have to arrange surgery as soon as possible.

After saying goodbye to Mrs. Omi, Aki Tomoya followed Yoshida Aoba out of the ward.

"Thank you, Dr. Yoshida."

Aki Tomoya looked towards Yoshida Aoba with emotion.

He originally thought that he would not be the one to perform the operation, but he did not expect that Yoshida Aoba would be so nice to him and trust him so much.

How could he not be moved by this?

Originally, he thought that Yoshida Aoba would be the surgeon instead of himself for safety reasons.

But before that in the ward, Yoshida Aoba had been canvassing for him and supporting him.

This is probably what my teacher is like!

With Yoshida Aoba's support, no matter whether he could perform the operation or not, Aki Tomoya felt that he had followed the right person.

"Tsk, why are you so touched now? You don't know when you will return to the university hospital, and you don't know if anyone will be so kind to you then..."

Yoshida Aoba curled his lips and said indifferently.

Who knows, one day Akito might run away.

After all, this kid was able to come here because of Professor Yano's arrangement.

Not to mention that his heart was originally with the university hospital, just because Professor Yano provided him with so many conveniences, it was natural for Aki Tomoya to return the favor.

Whether or not to stay in Kanto General Hospital does not entirely depend on what Tomoya Aki thinks.

"Anyway, let's discuss this with Sasaki and the others first, come up with a complete surgical plan, and arrange the surgery as soon as possible. This is the most important thing."

We need to discuss and consult to develop a more complete surgical plan.

Mrs. Omi needs a final reassurance.

After following Yoshida Aoba to find Sasaki Ichiru, Yoshida Aoba first explained.

Upon learning that Mrs. Omi was not obviously opposed to having Tomoya Aki be the chief surgeon, Sasaki Ichiru's expression was obviously a little conflicted.

"Doctor Aki, regardless of whether you can perform the surgery or not, I think it is important to tell you one thing now. If Dr. Yoshida and I feel there is a problem during the surgery, you must follow our instructions. If necessary, let us take over as the surgeon."

First of all, in order to prevent chaos from happening, Sasaki Ichiru felt it necessary to tell Aki Tomoya about this first.

His position as the chief surgeon is not 100% stable.

"I understand that, of course."

Aki Tomoya nodded without much reaction.

Because it seemed natural to him.

The first surgery was very difficult. Not to mention whether he could perform the surgery, if he could, among the people who would participate in the surgery would be Yoshida Aoba and Sasaki Kazuiri.

If they feel there is a problem and want to take over, Akitomo has nothing to say and just has to follow their orders.

Chapter 486: Surgeon: Tomoya Aki

Sasaki Ichiru did not have much objection to him being the chief surgeon.

What I just said was only to be expected.

However, what Aki Tomoya least expected was that Yoshida Aoba would owe Sasaki a favor.

In the eyes of most people in the department, the relationship between Yoshida Aoba and Sasaki Ichiru is really awkward.

Most of the time, it really feels like they are incompatible.

But just like Yoshida Aoba said, the most important thing at the moment is the surgical plan.

First of all, a complete surgical plan must be developed. Akitomo also has a general direction, and now it is time to perfect it.

So naturally he was among those who participated in the seminar or consultation.

Among the staff, there are Yoshida Aoba from the Department of Cardiac Surgery, Sasaki Ichiru, Nakagawa, Aki Tomoya, and Dr. Aoki from the Department of Anesthesiology.

Basically, these are the people who have already been scheduled to participate in the operation.

Since Yoshida Aoba is the attending physician, he should be the first to explain the patient's condition.

However, he wanted Tomoya Aki to perform the surgery, so he naturally threw the matter to Tomoya Aki.

Akitomo took over the explanation without any objection.

The patient's data had already been agreed to be released in several copies and distributed to all the doctors present. Aki Tomoya also gave Mrs. Omi's condition another complete explanation.

With the data in hand, Aki Tomoya responded to every question they raised.

This can be considered a test. Aki Tomoya and Yoshida Aoba have to convince not only the patients, but also the doctors.

It is necessary for Aki Tomoya to demonstrate his ability to perform this surgery.

Basically, all their questions were within Aki's consideration, so Aki answered them without much hesitation.

"The curtain is being rebuilt... so we're all going to join the commando team?"

Dr. Nakagawa held his chin in his hand and looked carefully at the report on Mrs. Omi's condition in his hand.

From Tomoya Aki's previous explanation, he also understood that curtain reconstruction was now the most suitable surgical option for Mrs. Omi.

Conventional double valve replacement is no longer suitable for Mrs. Omi now.

As the person who once served as the guiding physician for Tomoya Aki when he was rotating, Dr. Nakagawa looked up at the junior who had grown a lot and had immeasurable potential, and felt quite emotional.

"I once participated in such an operation when I was at Toronto Hospital in the Land of Maple Leafs. It was not a big problem for me."

The one who spoke was Dr. Aoki from the Department of Anesthesiology.

He is a good friend of Yoshida Aoba, and he is present in almost every operation performed by Yoshida Aoba.

Yoshida Aoba and Dr. Aoki also work best together.