"Dr. Yang, is this case really so troublesome?" Dr. Lin asked in a low voice.
"It's far beyond everyone's imagination. My language skills are limited and I cannot truly express the difficulty of this case." Yang Ping said very clearly.
Dr. Lin had seen Yang Ping's skills and trusted Yang Ping very much. He whispered a few words to Dr. Huang beside him.
As an orthopedic authority in the medical community in Southeast Asia, Lin Mingyuan was highly respected and trusted by Dr. Huang. At this time, Dr. Huang relied on Lin Mingyuan to help him make decisions. Gleneagles Hospital asked Lin Mingyuan to host the consultation meeting for this purpose.
"Dr. Yang, I'm very surprised why you are so confident. This patient must be handled by your team. Neither you nor Sanbo Hospital are well-known in the world. Your opinions are hard to convince. You
Can you explain the reason more clearly?" Atsushi Kobayashi said with a hint of sarcasm.
"Sorry, I just thought it would be difficult for everyone to understand and accept it in a short time. I only talked about part of the condition. If you must listen, I will continue." Yang Ping was a little embarrassed. He had not digested the double game just now, and now he has to talk about it again.
Triple game.
"Doctor Yang, please tell us your opinions completely and let us learn from them." Xiao Lin Du was eccentric, as if he was waiting to see a joke. He did not regard Yang Ping as a serious doctor at all.
"I feel that I have understood the game within the game you are talking about. It is so amazing. I look forward to continuing to talk about it!" Professor August became more and more interested. He listened, thought, and wrote and drew in his notebook from time to time.
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Milton remained silent, stopped speaking, and quietly waited for everyone to speak.
Several doctors from Gleneagles Hospital, doctors from other hospitals in Malaysia, and doctors from Canada, Switzerland, and Australia didn’t know how to speak. They didn’t quite understand what the Chinese doctors said.
In a roundtable meeting, a serious case discussion, the atmosphere suddenly became a bit awkward. The speaker and the listener seemed to be separated from each other. The speaker spoke seriously, but the listener was confused.
"Can I draw on the electronic screen?" Yang Ping asked Dr. Lin.
"Okay, please bring up the drawing board."
Dr. Lin nodded and then made a gesture of invitation. Yang Ping approached the screen again. The doctor in charge of computer operation taught Yang Ping how to use an electronic pen to draw on the drawing board.
Yang Ping has tested this long-distance sensing electronic pen several times, and it is not bad. The lines are fine and the operation is sensitive. It can complete drawings.
There were whispers in the venue. Yang Ping was painting carefully, step by step, combining various lines and colors. Soon, a partial anatomy diagram of the thoracic spine slowly appeared. It was still three-dimensional and the details were processed in perfect place.
"God——" August saw the final painting and his mouth formed an O shape.
"This is an anatomy map of the thoracic vertebrae. This is the spinal cord. This is the supply artery of the spinal cord. You can see clearly the distribution of these blood vessels." Yang Ping reminded everyone.
"The innominate artery has become the main blood supply vessel of the spinal cord, while the original supply artery has a very narrow blood supply range?" August asked tentatively.
"Yes, that's it, everyone -" Yang Ping was interrupted.
"I admit that your painting level is very high, but are you sure that what you drew is the local anatomy of Guo's thoracic spine? Currently, he has not done DSA or other precise vascular reconstruction. Is it your imagination? Do you want to rely on it?
Use imaginary pictures to analyze the condition?" Xiao Lin Du felt that Yang Ping was getting more and more outrageous.
Yang Ping shook his head helplessly: "This is a hand-painted vascular reconstruction I did based on thoracic spine CT and MRI images, because to understand the problem, we must have an image of Guo Jingyao's spinal cord blood vessels. Unfortunately, this patient did not undergo accurate vascular imaging examinations.
, I can only draw one by myself. It’s better if you can understand it, but it doesn’t matter if you can’t understand it. Arrange Guo Jingyao to do DSA as soon as possible, so that everything will be clear."
August kept staring at the images on the screen. In order to see more clearly, he simply stood up, approached the screen, and said to himself: "It's incredible, China? Doctor Yang? Sanbo Hospital?" p>
The noise in the venue gradually became louder, and August shouted: "Quiet!"
He faced the screen, closed his eyes, thought for a while, then slowly opened his eyes and said: "Dr. Yang, listen to me, do you want to tell us: when we have worked hard to obtain a spinal dural arteriovenous fistula,
After the diagnosis, the operation was carried out happily. After many difficulties, the arteriovenous fistula was finally solved. After the operation, the patient was waiting for recovery, but what awaited him was paralysis, permanent paralysis?"
August looked at Yang Ping, and after receiving confirmation, he continued: "Don't tell me, let me say, we thought we had jumped out of the trap and solved the difficult and complicated disease, but unknowingly we fell into a brand new one.
Trap, those mutated arteries are the main blood vessels supplying the thoracic spinal cord. Unfortunately, they are blocking the surgical approach of spinal dural arteriovenous fistula. The professional common sense of spine surgery tells us that these arteries can be cut and ligated.
, we have always done this, so we did it naturally. Tragedy happened at this time. We cut off the main blood supply vessel of a section of the patient's spinal cord, and we were still complacent that the operation was successful?"
August is really smart, and he is one of the world's top spinal surgery experts. Yang Ping drew a picture and opened his mind for him, and he was able to follow the train of thought to figure out the problem.
This old man is not simple. Finally, someone can understand him. Yang Ping feels that his picture is not in vain. As for the others, he still doesn’t know if he understands it.
Milton's face turned red: "I---I still don't understand. Maybe I'm a little slow. Can you let me think about it again? Mr. August, can you explain it a little more clearly?"
"I have made it clear enough. You should be more active in your thinking. Have you ever read the Chinese "Journey to the West"? That monkey flew a long distance and thought he had reached the boundary of the world, but in fact, he was still in God's heart.
In the palm of my hand, we are facing a similar dilemma now." August sat back in his seat, and now he completely believed Yang Ping's words.
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"Milton, I suggest you cancel the flight and stay. This is a magical case." August half-squinted his eyes.
Milton was very dissatisfied with Augustus's style. Every time he held a European academic conference, he was so ruthless and always embarrassed himself. Sometimes in front of many doctors, they would quarrel red-faced. After so many years,
, no one gave in, but this time, Milton admitted that this old man was slightly better than him, and he actually understood it.
"Let me tell you another way---" August also wanted to explain to Milton.
Milton shook his head: "No! Don't tell me, I'll think about it myself. Oh, please help me cancel the flight and tell them that I can't go back until tomorrow."
Milton turned to speak to the assistant who was listening. He could not lag behind August. August actually understood it, but he had not yet started.
Is this really the case?
Xiaolin Atsushi kept asking himself.
Can he draw vascular reconstruction images by hand based on cross-sectional pictures from CT and MRI? Professor August has confirmed Yang Ping's opinion. Could it be that he didn't understand it?
"Why don't you give it a try? A DSA can solve the mystery, and everyone is still wasting time here dreaming." Yang Ping felt that instead of thinking about it here, it is better to complete the inspection quickly.
With DSA's blood vessel images, everything is easy to explain.
But Yang Ping was worried. He didn’t know what the level of DSA intervention at Gleneagles Hospital was. This was not an ordinary DSA, especially the super-selected ones with several mutated blood vessels. They had never encountered them before, and they would definitely not be super-selected. When the time comes,
Yang Ping definitely needs to be present to give them dissection instructions.
"I think we should do DSA as soon as possible, so that all the truth will be revealed." The Australian doctor finally spoke.
"Yes!" Several other doctors agreed.
They also wanted to see what was going on, but the Chinese doctor spoke in a cloudy and foggy manner, making it difficult to understand.
"Dr. Lin, I wonder what the interventional level of Gleneagles Hospital is like?" Yang Ping asked straightforwardly.
Although it is rude, it is necessary to understand clearly, not to mention that the question is Dr. Lin, not Dr. Huang.
Dr. Lin is not sure: "I don't know what level of interventional doctor Dr. Yang needs."
The doctors at Gleneagles Hospital must have very strong theoretical skills and have received international standard training, but I’m not sure about their skills because they definitely don’t do as many cases as Chinese doctors.
Yang Ping thought, why not invite Director Ji from the Interventional Department of Sanbo Hospital? At least he has cooperated with him and performed DSA of dural arteriovenous fistula. For this patient's surgery, his team must be transferred.
All surgeries are performed under a microscope, and if you don't cooperate well, things can go wrong easily.
"How about doing a DSA first?" Yang Ping suggested Dr. Lin.
