The Godfather of Surgery

Doctor Yang, is this case really so troublesome? Dr. Lin asked in a low voice.

It is far beyond everyone's imagination. My language skills are limited and I cannot truly express the difficulty of this case. Yang Ping said it clearly.

Dr. Lin had seen Yang Ping's level and trusted Yang Ping very much. He whispered a few words to Dr. Huang next to him.

As an authority on orthopedics in the Southeast Asian medical field, Lin Mingyuan is highly respected and trusted by Dr. Huang. At this time, Dr. Huang relied on Lin Mingyuan to help him make decisions. Gleneagles Hospital invited Lin Mingyuan to preside over the consultation meeting for this purpose.

Dr. Yang, I'm very surprised, why are you so confident, this patient must be handled by your team, whether it is you or Sanbo Hospital, it has no international reputation, your opinion is hard to convince, you Can you explain the reason more clearly? Xiao Lin Du's tone was mocking.

Sorry, I just thought that it was difficult for everyone to understand and accept it in a short time. I only talked about part of the disease. If you must listen, I will continue. Yang Ping is a little embarrassed. The double game just now has not been digested, and now I have to talk about Triple inning.

Dr. Yang, tell us what you think, and let us learn. Xiao Lin was eccentric, as if waiting to see a joke. He didn't take Yang Ping as a serious doctor at all.

I feel that I already understand what you said about the middle game. It's amazing. I'm looking forward to continuing! Professor August became more and more interested. He listened and thought, writing and drawing in his notebook from time to time. .

Milton remained silent, stopped speaking, and quietly waited for everyone to speak.

Several doctors from the headquarters of Gleneagles Hospital, doctors from other hospitals in Malaysia, and several doctors from Canada, Switzerland, and Australia did not know how to speak. They did not quite understand what the Chinese doctor said.

In the roundtable meeting, a serious case discussion, the atmosphere suddenly became a bit awkward. The speaker and the listening person seemed to be separated from the information. The speaker spoke earnestly, and the listener was confused.

Can you draw on an electronic screen? Yang Ping asked Dr. Lin.

Okay, please bring up the drawing board.

Dr. Lin nodded, then made a gesture of invitation, Yang Ping approached the screen again, and the doctor in charge of computer operation taught Yang Ping how to use the electronic pen to draw on the drawing board.

Yang Ping has tried this kind of long-distance sensing electronic pen several times, and it is not bad. The lines are delicate and the operation is sensitive.

There were whispers in the venue, and Yang Ping painted carefully, step by step, combining various lines and colors. Soon, a partial anatomy map of the thoracic vertebrae was slowly presented, which was still three-dimensional, and the details were in place.

God— Auguste saw the final drawing, and his mouth was shaped like an O.

This is the anatomical map of the thoracic spine, this is the spinal cord, and this is the feeding artery of the spinal cord. You can clearly see the distribution of these blood vessels. Yang Ping reminded everyone.

The innominate artery has become the main blood vessel for the spinal cord, and the original blood supply range of the feeding artery is extremely narrow? 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 you are painting Guo's thoracic vertebrae anatomy? At present, he has not done DSA or other precise vascular reconstruction. Is it your imagination? Use a hypothetical diagram 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 my hand-drawn vascular reconstruction based on the CT and MRI pictures of the thoracic spine, because to explain the problem, it is necessary to have a picture of the spinal cord blood vessels of Guo Jingyao, but unfortunately this patient did not have an accurate vascular imaging examination. , I can only draw a picture by myself, I can understand it better, but it doesn’t matter if I can’t, I will arrange for Guo Jingyao to do DSA as soon as possible, so that everything will be clear.”

August kept staring at the image 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?

The noise in the venue gradually grew louder, and August shouted: Quiet!

He looked at the screen, closed his eyes, thought for a while, slowly opened his eyes and said, Dr. Yang, listen to me, are you trying to tell us: when we have worked so hard to obtain a dural arteriovenous fistula, The diagnosis was made, and the operation was performed happily. After experiencing many difficulties, the arteriovenous fistula was finally treated. After the operation, the patient was waiting for recovery, but the patient was still paralyzed, permanently paralyzed?

Auguste looked at Yang Ping, and after receiving affirmation, he continued: Don't tell me, let me say, we thought we jumped out of the trap and solved the intractable disease, but unknowingly fell into a brand new The trap, those mutant arteries are the main supply blood vessels of the thoracic spinal cord. Unfortunately, they are just blocked on the surgical approach of the dural arteriovenous fistula. The professional knowledge of spine surgery tells us that these arteries can be completely cut and ligated. , we have always been doing this, so it is natural to do it, the tragedy happened at this time, we cut off the main blood vessel of the patient's spinal cord, and still complacent that the operation was successful?

August is really smart, and the world's top spine surgery experts are powerful. Yang Ping draws a picture to open up his mind, and he can figure out the problem along the way.

This old man is not simple. Finally, someone can understand it. Yang Ping feels that his drawings are not white. As for the other ones, I don't know if they understand.

Milton's face flushed: I--still don't understand, maybe I'm a little dull, can you let me think about it again? Mr. August, can you explain it a little more clearly?

I've made it clear enough, you need to be more active in your thinking. Have you seen China's Journey to the West? That monkey, flying a long distance, thinks that he has reached the border of the world, but in fact, he is still in God's In the palm of my hand, we are now facing a similar predicament. August sat back in his seat, and now he completely believes in Yang Ping's words.

Milton, I suggest you cancel your flight and stay, this is a magical case. August narrowed his eyes.

Milton was very dissatisfied with August's style. Every time he was in a European academic conference, he was also so ruthless, which would always embarrass himself. Sometimes in front of many doctors, they would quarrel with red ears, and for so many years, no one would let anyone, but this time, Milton admitted that the old man was slightly better than himself, and he actually understood.

Another way to tell you— August wanted to explain to Milton.

Milton shook his head: No! Don't tell me, I think for myself, oh, please cancel the flight for me and tell them that I can't go back tomorrow.

Milton turned his head to speak to the assistant who was listening. He couldn't be behind August. August actually understood, but he hadn't started yet.

Is it really?

Xiaolin Du kept asking himself in his heart.

Can he reconstruct images of blood vessels by hand from cross-sectional images of CT and MRI? Professor August has already affirmed 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 has to waste time here thinking. Yang Ping felt that instead of thinking about it here, it is better to improve the inspection quickly.

With DSA's images of blood vessels, everything is easy to explain.

But Yang Ping was worried. He didn't know the level of DSA intervention in Gleneagles Hospital. This is not an ordinary DSA, especially those mutated blood vessels that were over-selected. They have never encountered them before, and they will definitely not be over-selected. Yang Ping must be present to give them anatomical instructions.

I think DSA should be done 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. The Chinese doctor spoke like a cloud and it was difficult to understand.

Dr. Lin, what is the level of intervention in Gleneagles Hospital? Yang Ping asked bluntly.

Although it is impolite, it is necessary to understand clearly, not to mention that it is Dr. Lin who is asking, 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 a very strong theoretical level, and they have all received international standard training, but I am not sure how good they are, because the number of cases they have done is definitely not as many as that of Chinese doctors.

Yang Ping thought that if he would invite Director Ji of the Interventional Department of Sanbo Hospital, at least he had cooperated with him and had done DSA for dural arteriovenous fistula. For the operation of this patient, he must transfer his own team. This kind of operation is done under the microscope, and if the cooperation is not good, it is easy to make mistakes.

Do a DSA first? Yang Ping suggested Dr. Lin.

The most important thing right now is this.