Tokyo University Hospital, Japan, has a history of 160 years.
This hospital, which originated in the Edo period, has always occupied the top of the Japanese medical pyramid.
Even in the world of medicine, the University of Tokyo Hospital occupies an important position. Many new technologies originated here, but everyone does not know it.
For example, arthroscopy technology originated here. The United States and Europe once sent doctors here for further training, and then the arthroscopy technology was brought to the United States and Europe and slowly developed.
Tumor infrared fluorescence imaging technology also originated here. The world's first liver cancer surgery ICG fluorescent labeling method was born in this hospital. Then, they developed an infrared 3D navigation device for liver cancer, pushing tumor surgery to digital precision.
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On Saturdays and Sundays, associate professors and professors are off, but today is an exception.
Chief Professor of Orthopedics, Masao Fujiwara, leads the university in a demonstration classroom.
In the demonstration classroom, three generations of doctors, old, middle-aged and young, sit neatly from front to back according to their professional titles and qualifications.
The academic system of Japanese universities is also vividly reflected in the affiliated hospitals. The chief professor has absolute authority in his own field and is not subject to interference from others.
Originally, case discussions were held from 7:30 to 9:00 every Tuesday and Thursday morning, but today, Saturday, everyone gathered together and never wasted time. They conducted the discussion for two full hours from 7:30 to 9:30.
A supplementary case discussion for this week.
In addition to making slides, in order to assist in explaining the cases, the speaker also needs to draw by hand on the drawing board. The hand-drawn pictures are very beautiful, because every doctor starts from college and spends an hour or two every night practicing drawing. This is
Basic skills of a doctor.
First, I draw based on anatomy books and paintings, then draw on CT films, and finally draw on actual corpses in anatomy class. Every organ, not a blood vessel, not a nerve, there can be no mistakes. Because, theory
Above, doctors are not allowed to make mistakes.
With the help of these pictures, the speaker must thoroughly explain the location of the injury, the mechanism of the injury, the extent of the injury, the pathophysiology of the human body after injury, changes in anatomical structures, the impact of surrounding adjacent organs, and the patient's local and systemic prognosis. If there is a slight loophole, the professor present will question it sternly and use tracking questions, starting from one loophole and continuing to trace and ask, and dig out all the knowledge involved.
For example, questions will be asked about pelvic fractures, the amount of bleeding, and the total amount of blood in the human body. Children of different ages, adult men, women, and the elderly will all be asked.
Every time human blood decreases by a certain percentage, what pathophysiological changes will occur, how to match the components of blood transfusion, and how to combine crystalloid and colloid for infusion.
Under the condition of ischemia and hypoxia, the pathophysiological reactions of various organs of the human body, and the medical principles hidden behind each examination indicator.
From clinical practice to anatomy, physiology, pathology, pathophysiology, tissue embryology, biomechanics, etc., we dig all the way and there is no hiding place for any knowledge loophole.
After the serious and intense two-hour case discussion ended, they took another half-hour break. At ten o'clock Tokyo time, which is nine o'clock in China, they began to watch the academic conference.
"Everyone, please concentrate. There must be a teacher among us among the three of us. We must be good at learning the strengths of everyone, so that we can become the strongest. I leave it to you."
Masao Fujiwara, in his fifties, has a thick short black beard and piercing eyes. He is also an athlete. Exercise keeps him strong and energetic.
He loves "The Book of Five Wheels" and always has a copy of "The Book of Five Wheels" under his pillow. He also requires every student to read "The Book of Five Wheels" thoroughly.
He believes that to do anything well, one must be sincere, and sincerity is the key to solving difficult problems in the world.
Throughout the morning, the classroom was silent as everyone concentrated on watching the academic conference.
"Sasaki, are you ready?" Fujiwara asked Sasaki beside him.
Sasaki is younger than Takahashi. Although he does not have as much experience as Takahashi and his academic status is not as good as Takahashi, he is slightly more talented than Takahashi. Moreover, he has abundant energy and belongs to the type of person with strong hormone secretion. He seems to be forever.
In a state of excitement, you will not feel the slightest fatigue after several operations in a row.
Therefore, he is like an intelligent surgical machine, tireless and error-free. Any difficult operation can become accurate in his hands. Fujiwara appreciates him very much.
"Sir, you're ready! Team Ogawa and Team Arai are already in place." Sasaki bowed slightly and showed respect.
"Very well, you have to go all out for every operation!" This is Fujiwara's famous saying.
Kumanide Ogawa and Hiroshi Arai are both lecturers, equivalent to attending physicians and junior doctors to Sasaki. They are the first echelon responsible for the surgical demonstration, and then the second echelon and the third echelon are all in place.
"Very well, you don't have to go on stage if necessary. This is a demonstration of friendship. Don't make it too embarrassing. Face is the most fragile thing in the world." Fujiwara reminded again.
"Sir, I understand, I will not go on stage unless necessary!" How could Sasaki go against Fujiwara's wishes?
"What do you think of their fifth-dan replantation?" Masao Fujiwara asked.
Sasaki had just been watching the live broadcast of the meeting: "Sir, this should be just a show. Amputated limb replantation originated in China. Their unique case resources can breed excellent microsurgeons, but five-segment replantation requires access to
Such an excellent effect is impossible. Even if we use the peripheral nerve identification and stimulation technology in our laboratory, it will be difficult to restore such an effect."
"However, the facts are in front of us. They put the patients on the podium to demonstrate, and I can't see any flaws." Fujiwara respects objective facts.
"Sir, please forgive me for bluntly saying that your impression of the Chinese medical community may be stuck twenty years ago. Nowadays, academic fraud is common among them. Many of their so-called cutting-edge results failed because they could not be copied; some of them were self-defeating in the end.
Papers published in top international journals were found to be fraudulent and retracted. In their medical community, paper fraud has become a norm." Sasaki explained.
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Fujiwara nodded: "Is that so? Confidence is a good quality, but arrogance can blind one's vision. We still need to be cautious. Sasaki, you'd better pay attention to this case and use scientific methods to verify the possibility of success of this case.
Don’t be arbitrary and jump to conclusions.”
"Understood, I will pay attention." Sasaki promised.
It was already afternoon, everyone had just had lunch, took a short rest, and started watching the meeting again. The speaker was Dr. Park Cunyi from South Korea.
At this time, a young doctor came in, quietly walked towards Sasaki, and whispered something in Sasaki's ear.
After hearing this, Sasaki made a gesture, and the doctor who delivered the message left the classroom.
"Sir, there was a car accident on the Sannomiya Expressway. There was a series of rear-end collisions. One of the ambulances was an ambulance from a nearby hospital. Our ambulance has already set off." Sasaki reported to Fujiwara.
"Oops! There was another car accident in this area. It happened once a few years ago." Fujiwara is very familiar with the surroundings of Tokyo.
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Takahashi received a message from the Tokyo headquarters. The ambulance there has set off and the demonstration can begin.
He communicated with Fujiwara Miyuki for a few words, then raised his hand towards Tang Fei, who was not far away. Tang Fei came over immediately. Takahashi said: "Our ambulance over there has already set off. Can we switch to the surgery demonstration session?"
Because the surgical demonstration is sudden, the two sides will not be synchronized, which is normal.
Tang Fei immediately reported it to Director Tan, who ordered to continue: "The guest speaker, Dr. Park Cunyi from South Korea, has finished his speech and will pause the speech. The screen will connect to the University of Tokyo Hospital and enter the surgery demonstration session."
Eye-catching subtitles were printed on the screen: We will enter the operation demonstration session later, and the demonstration hospital: Tokyo University Hospital, Japan.
The whole place immediately became noisy, and the most intense part of the meeting finally appeared. The Affiliated Hospital of the University of Tokyo in Japan began a trauma emergency surgery demonstration.
Many people had no intention of continuing to listen to the speech. Some drank water, some stretched, some immediately went to the bathroom, and some took off their glasses and began to clean them.
When Dr. Park Cunyi's speech ended, the suppressed noise in the entire venue immediately burst out unbridled.
"Has the surgery demonstration begun?"
"Yes, University of Tokyo Hospital."
"I heard that their ambulance has already set off."
"Hurry, hurry up, let's start!"
The screen flashes a few times and switches to Tokyo successfully.
The Internet connects the world together, and every move in distant Tokyo is actually on the screen in front of you.
In the Trauma Emergency Center of the University of Tokyo Hospital, people trembled and phones rang one after another.
