Seven o'clock in the morning is the normal working time of Dongda Hospital.
That is, at seven o'clock, all the doctors have started working, and some young doctors have arrived at the hospital at five o'clock to do some preparations.
Case discussions are held twice a week, usually starting at 7:30 in the morning and ending at 9:00. It can be seen that Dongda Hospital has a very tight schedule every day.
Today's discussion on Ning Jue's case also started at 7:30 and ended at 8:00, because the Asia-Pacific Orthopedic Association academic forum starts at 9:00, and the time connection must be close.
Under the leadership of Takahashi, Yang Ping arrived at Dongda Hospital at six o'clock. On the road, there were doctors everywhere in a hurry, wearing neat suits and carrying briefcases, including young and old professors.
One of the old professors was walking very fast with a packed breakfast in his hand, as if he didn't want to waste a second.
It is said that when they arrived in the rest room of the department, they did not chat while eating breakfast, and quickly got into work after eating. Some of them browsed the latest medical journals while eating, and did not miss any fragmented time.
Yang Ping first went to the neurosurgery intensive care unit to visit Ning Jue.
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 conference room for case discussion.
Many Japanese doctors are already waiting in the intensive care unit, waiting for this doctor from China to be highly recommended by Professor Fujiwara.
Intensive care units around the world are probably similar. Doctors and nurses are busy, and the monitoring pictures of each ward are displayed on the big screen.
Various machines are working desperately to maintain every life here.
Ning Jue is lying on the hospital bed, currently relying on a temporary pacemaker to maintain the beating of her heart.
His tumor severely affected the heartbeat center, causing the heartbeat to slow down and unable to form an effective pump 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 Ju is in a sedative state.
The doctor in charge, Sakurai, stood aside, feeling very reluctant. Even wearing a mask, this dissatisfaction could be seen in his eyes.
Mitsui and Sasaki were also waiting in the intensive care unit early in the morning. They finally met Dr. Yang, whom Takahashi admired.
In addition to these three, there is also a large circle of Japanese doctors surrounding them, some with intermediate professional titles, some with high professional titles, experts invited by Dongda Hospital, no matter what, they have to see each other.
Daisuke Komori, the director of the Department of Neurosurgery, did not show up, either because something really happened and he couldn't come, or he was unwilling to appear on this occasion, or he used this method to protest the silence.
The once arrogant Takahashi-kun stood next to Yang Ping like a primary school student, holding a notebook in his hand.
Behind Takahashi, there are several young doctors standing, all with notebooks, taking notes at any time. These doctors are Takahashi's junior doctors and students.
Sakurai reported the medical history, his tone was a bit lazy, and some people couldn't help laughing.
When Song Zimo was about to speak, Yang Ping stopped him with his eyes.
"Dr. Sakurai——" Takahashi was very unhappy and reprimanded him in a stern tone as a senior doctor.
Takahashi is older than Sasaki and Mitsui, and is their senior brother. In orthopedics, he is second only to Fujiwara. Although they are not in the same department, Sakurai did not dare to make a mistake and immediately corrected his tone.
No matter how reluctant he was, Sakurai reported the medical records seriously.
After hearing this, Yang Ping just said:
"I want a physical examination!"
Takahashi immediately put away his notebook and assisted by delivering gloves, percussion hammers, and helping with posture.
Many doctors on the side were dumbfounded. Is this the usually aloof Professor Takahashi?
Yang Ping remained silent, and the more he remained silent, the more uneasy Takahashi felt.
Are you angry?
Mitsui! Sasaki! Sakurai, these brainless guys.
After Yang Ping finished the physical examination, he took off his gloves. Takahashi took them with both hands and threw them into the yellow trash can.
Yang Ping's eyes turned to the monitoring screen. A student immediately went up. Takahashi called the student back and started to do it himself, pointing at the numbers on the screen with his fingers and helping Yang Ping read them out one by one.
Then he operated the touch screen next to the bed and called up the picture: "Dr. Yang, these are the results of the latest MR examination of the head and cervical spine."
Yang Ping finished browsing the recent MRI pictures: "Takahashi, bring out the original picture, just the edge of the tumor, go through it again, hurry up."
Even the original image of the tumor edge flashes by quickly.
"Stop!"
Yang Ping asked Takahashi to freeze the picture and pointed at the picture: "Here! It is an artifact and must be removed, otherwise it will affect the surgical positioning. We must use extremely precise fluorescence imaging during the operation. This kind of subtle artifact is not suitable for ordinary patients.
It has no impact, but for this patient, any error will lead to failure of the operation, so this artifact must be removed."
"Understood!" Takahashi immediately wrote it down in his notes.
"This is not an artifact. We are using Toshiba's latest generation MR, which is very accurate when stacking sagittal and coronal images. This is the image change caused by the tumor's compression of the surrounding tissue, causing the blood flow to slow down. Ordinary MR
It cannot be recognized, but our machines can. Currently, there is no discussion of this knowledge in textbooks, so doctors without this knowledge can easily make wrong judgments, such as judging it as an artifact. There is currently an article in the "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 simply ignore it and cannot see the change in the image at all. Yang Ping can detect it, which is pretty good, but treating it as an artifact shows that his level is not good enough.
Dr. Yang Ping, that’s all.
As the saying goes, a master knows the depth of a move as soon as he makes it, and Mitsui probably knew it.
"Dr. Yang, I suggest you read this kind of article 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 the image reading is not up to standard, it is very dangerous to perform surgery rashly."
Takahashi was very dissatisfied with Mitsui's tone and believed that in such public occasions, even academic debates should not have such a hint of provocation and ridicule.
Everyone looked at Yang Ping, Sakurai was especially angry. After being angry with Song Zimo, Mitsui finally came to help and taught these guys a lesson.
Takahashi was hesitating about the appropriate translation, but Song Zimo had already helped with the translation.
"This should be your student, right?" Yang Ping kept staring at the screen and asked Takahashi beside him unhurriedly.
It seemed that Yang Ping didn't care about Mitsui's tone at all. If Mitsui hadn't spoken, he might not have realized that there was such a person standing next to him.
"Dr. Yang, I'm sorry, I forgot to introduce you. This is Dr. Mitsui." Takahashi introduced with a blush.
Knowing that this group of people was dissatisfied, I didn't expect that they would openly attack.
Takahashi did not originally intend to introduce people like Mitsui Sasaki. Their attitude was bad and biased. In Takahashi's heart, these people were already considered students to Yang Ping, so there was no need to introduce them one by one.
"Doctor Mitsui! Associate professor, proficient in spinal and cranial surgery -" Sasaki was dissatisfied with Takahashi's simple introduction and helped to supplement.
A quasi-professor is equivalent to a deputy 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 an image change caused by the compression of blood vessels in the surrounding tissue, but an artifact and a problem with the machine software algorithm.
Caused."
"Of course, you are not alone in this problem. Many doctors do not know enough about it, because most surgeons do not understand the principles of imaging equipment, and imaging equipment engineers do not understand medicine. The two naturally form an intersection blank area, and this image change is just right.
If you are in a knowledge blank area, I believe that the next generation of algorithm improvements will avoid it. If you talk too much, your knowledge blind spots will be involved, which will cause difficulty in understanding."
Takahashi translated immediately.
Difficulty understanding? Joke.
Mitsui has never been humiliated like this before, and his tone really makes him think of himself as a student.
We are surrounded by doctors from Dongda Hospital, many of whom are young doctors.
"This article was written by Professor Johannessen from Mayo." Mitsui is very proud. Johannessen 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 an upward spiral. It is not surprising that frontal lobe removal has won the Nobel Prize for treating mental disorders, but it was finally proven to be wrong." Yang
Ping doesn't want to tangle with him at all.
To be honest, Mitsui really doesn’t understand what this is.
He is so brazen that he doubts the "Journal of Neurosurgery" and Professor Johannesson. I wonder where this young Chinese doctor got the courage.
"——"
Mitsui was very angry and wanted to argue, but Yang Ping ignored him and was talking to Takahashi.
"Takahashi, contact the imaging doctor 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. I will take a look after it is done. If there are no other problems, this MR needs to be redone."
Sometimes the setting of imaging machine parameters is also an advanced skill. By using some parameter combinations, you 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 ends. Take pictures according to these parameters without any changes. Do you understand? You, follow." Takahashi was worried and asked himself from behind.
Among the doctors you bring, choose one to supervise.
At the same time, Takahashi immediately wrote down this string of numbers in his mind. Based on his experience, this is very valuable knowledge.
If you encounter such a situation in the future, you can avoid the trap yourself. When you have time in the future, you will have to ask Dr. Yang what exactly is the artifact, because it has not been found in textbooks and papers, and it was Dr. Yang who proposed it for the first time. p>
Arrogant and ignorant guys like Mitsui are simply ridiculous.
"Dr. Yang, look, are there any questions before the operation? The case discussion starts at 7:30, and we have to rush there." Takahashi looked at the time.
Yang Ping felt that there was nothing omitted: "No other questions, Takahashi, these students, you have time to teach them some imaging knowledge in this area."
"Understood! I will." Takahashi replied respectfully.
If you didn’t introduce me just now, why do you treat me as a student again?
Mitsui and Sasaki looked confused, unable to express their anger, and very unhappy.
