godfather of surgery

Chapter 293 Only One Can Understand
"Doctor 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 can't truly express the difficulty of this case." Yang Ping said very clearly.

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

As an orthopedic authority 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 a decision. Gleneagles Hospital invited Lin Mingyuan to preside over the consultation meeting for this purpose.

"Dr. Yang, I am very surprised why you are so confident. This patient must be handled by your team. Whether it is you or Sanbo Hospital, it is not well-known internationally. Your opinion is hard to convince. You Can you explain the reason more clearly?" Xiao Lin Du's tone was tinged with sarcasm.

"Sorry, I just thought it was difficult for everyone to understand and accept in a short time. I only talked about part of the illness. If you must listen, I will continue." Yang Ping was a little embarrassed. Triple inning.

"Doctor Yang, tell us all the great ideas, let us learn." Xiao Lin Du was eccentric, as if he was waiting for a joke, he didn't regard Yang Ping as a serious doctor at all.

"I feel that I already understand what you said about the game in the game. It's amazing, and I look forward to continuing!" Professor August became more and more interested. He listened, thought, and wrote and drew in his notebook from time to time. .

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

Doctors from Gleneagles Hospital headquarters, 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 the round table meeting, a serious case discussion, the atmosphere suddenly became a bit awkward. The speaker and the listener seemed to be isolated from the information. The speaker spoke seriously, but the listener was in a fog.

"Is it possible to draw on an electronic screen?" Yang Ping asked Dr. Lin.

"Yes, please call up the drawing board."

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

Yang Ping tried this long-distance sensing electronic pen several times, and it was not bad, with delicate lines and sensitive operation, and could complete drawing.

There were whispers in the venue, and Yang Ping painted seriously, step by step, combining various lines and colors.Soon, a partial anatomy map of the thoracic spine slowly appeared, still three-dimensional, with very detailed processing.

"God—" August looked at the final drawing, his mouth forming an O shape.

"This is the anatomical map of the thoracic spine, this is the spinal cord, and this is the supply 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 supply vessel of the spinal cord, and the blood supply range of the original supply artery is extremely narrow?" August asked tentatively.

"That's right, that's it, everyone—" Yang Ping was interrupted.

"I admit that your drawing level is very high, but are you sure you are drawing the local anatomy of Guo's thoracic spine? At present, he has not done DSA or other precise vascular reconstruction. Could it be that you imagined it? Use imaginary diagrams 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 based on the CT and MRI images of the thoracic spine, because to explain the problem, it is necessary to have an image of Guo Jingyao's spinal cord blood vessels. Unfortunately, this patient did not have an accurate vascular imaging examination. , I can only draw a picture by myself, it’s better if I can understand it, it doesn’t matter if I can’t understand it, arrange Guo Jingyao to do DSA as soon as possible, so everything will be clear.”

August has been staring at the image on the screen. In order to see it 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 became louder, and August shouted: "Quiet!"

He faced the screen, closed his eyes, thought for a while, slowly opened his eyes and said: "Doctor Yang, listen to me, do you want to tell us: when we have worked so hard to obtain a spinal dural arteriovenous fistula The diagnosis was made, and the operation was carried out happily. After experiencing many difficulties during the operation, the arteriovenous fistula was finally dealt with, and the patient was waiting for the recovery after the operation, but what was waiting was the paralysis of the patient, permanent paralysis? "

August looked at Yang Ping, and after being affirmed, he continued: "Don't tell me, let me say that we thought we had jumped out of the trap and solved the intractable disease, but we fell into a brand new problem unknowingly. The trap, those mutated arteries are the main blood vessels feeding the thoracic cord. Unfortunately, they just block the surgical approach of spinal dural arteriovenous fistula. The professional knowledge of spinal surgery tells us that these arteries can be completely cut off and ligated , We have always done this way, so we did it naturally, and the tragedy happened at this time, we cut off the main blood vessel of the patient's spinal cord, and are we still complacent about the success of the operation?"

August is really smart, and the world's top spinal surgery experts are powerful. Yang Ping drew a picture to open his mind, and he was able to figure out the problem along the way.

This old man is not simple. Finally, there is someone who can understand. Yang Ping feels that his pictures are not in vain. As for the others, he does not know if he understands them.

Milton's face was flushed red: "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've made it clear enough that your mind should be more active. Have you ever read China's "Journey to the West"? The monkey flew a long distance and thought he had reached the border of the world, but in fact, he was still in the presence of God. In the palm of your hand, we are facing a similar dilemma now." August sat back in his seat, and now, he completely believed Yang Ping's words.

"Milton, I suggest you cancel the flight and stay. This is a magical case." August half-closed his eyes.

Milton was very dissatisfied with August's style of work. Every time he held a European academic conference, he was ruthless and always embarrassed himself.Sometimes in front of many doctors, they would quarrel with each other, and no one would give in to each other for so many years, 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 help me cancel the flight, tell them, I can go back tomorrow."

Milton turned his head and spoke to the assistant who was watching. He couldn't lag behind August. August actually understood, but he hadn't started yet.

Is it really?

Xiao Lin Du kept asking himself in his heart.

Can he draw blood vessel reconstruction images by hand with CT and MRI cross-sectional pictures?Professor August has affirmed Yang Ping's opinion, could it be that he didn't understand?
"Why don't you give it a try? A DSA can solve the mystery, and everyone has to waste time thinking about it here." Yang Ping felt that instead of thinking about it here, it's better to complete the inspection quickly.

With the vascular image of DSA, everything is easy to explain.

But Yang Ping was also worried. He didn't know how the level of DSA intervention in Gleneagles Hospital was. Yang Ping was definitely needed to be there to give them instructions on dissection.

"I think we should do DSA as soon as possible, so that everything will come to light." The Australian doctor finally spoke.

"Yes!" Several other doctors agreed.

They also wanted to see what was going on. The Chinese doctor spoke in such a cloudy manner that it was hard to understand.

"Doctor Lin, how about the level of intervention at Gleneagles Hospital?" Yang Ping asked very straightforwardly.

Although it is impolite, it is necessary to understand clearly, let alone 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 a strong theoretical level and have received international standard training, but I am not sure about their skills, because the number of cases they have done is certainly not as many as that of Chinese doctors.

Yang Ping thought, if he invites Director Ji from the Interventional Department of Sanbo Hospital, at least he has cooperated with him and done DSA of spinal dural arteriovenous fistula.For this patient's operation, I must transfer my own team. This kind of operation is done under a microscope. If the cooperation is not good, it is easy to make mistakes.

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

The most important thing right now is this.

(End of this chapter)