Surgery Godfather-Chapter 309 - 0293: Only One Can Understand

Chapter 309 -0293: Only One Can Understand

“Doctor Yang, is this case really so complicated?” Doctor Lin asked quietly.

“It’s far beyond everyone’s imagination. My verbal expression ability is limited and cannot truly convey the difficulty of this case.” Yang Ping spoke very clearly.

Doctor Lin had witnessed Yang Ping’s capabilities and trusted him deeply. He whispered a few words to Dr. Huang beside him.

As a leading authority in orthopedics in the Southeast Asian medical sector, Lin Mingyuan was highly respected and trusted by Dr. Huang. At this moment, Dr. Huang relied on Lin Mingyuan to make decisions. Yingge Hospital invited Lin Mingyuan to preside over the consultation meeting for this purpose.

“Doctor Yang, I’m puzzled. Why are you so confident that this patient should be handled by your team? Neither you personally nor Sanbo Hospital have any international reputation. Your opinions are hard to convince others. Can you explain your reasons more clearly?” Kobayashi Takeshi’s tone carried a trace of sarcasm.

“I apologize, considering the difficulty for everyone to understand and accept in a short time, I just mentioned part of the condition. If you insist, I will continue.” Yang Ping was a bit embarrassed, they hadn’t digested the double situation, and now they had to talk about the triple situation.

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“Doctor Yang, please tell us your valuable thoughts in full so we can learn from them.” Kobayashi Takeshi sounded sarcastic, as if he was waiting to see Yang Ping make a fool of himself. He didn’t even consider Yang Ping as a proper doctor.

“In my opinion, I’ve already understood what you meant by situation within a situation. It’s too marvelous. I look forward to hearing more!” Professor August became increasingly interested, he was listening and thinking, occasionally jotting down notes.

Milton remained silent, no longer speaking, quietly waiting for everyone else to comment.

The doctors from Yingge Hospital, other Malaysian hospitals, and from Canada, Switzerland, Australia were all at a loss. They didn’t quite understand what the Chinese doctor was saying.

The roundtable meeting, a serious case discussion, suddenly became somewhat awkward. The speaker and the listeners seemed isolated, with the speaker speaking earnestly and the listeners in the clouds.

“Can I draw on the electronic screen?” Yang Ping asked Doctor Lin.

“Yes, please call up the drawing board.”

Doctor Lin nodded, then motioned for Yang Ping to approach the screen. The doctor in charge of computer operations showed Yang Ping how to use the electronic pen to draw on the board.

After trying out the long-distance responsive electronic pen a few times, Yang Ping was quite satisfied. The lines were delicate, the operation was sensitive, and drawings could be made.

Whispering filled the conference room, Yang Ping focused on drawing, step by step, combining various lines and colors. Soon, a detailed three-dimensional image of a thoracic vertebra appeared.

“My God—” Professor August watched as the final image took shape, his mouth formed into an ‘O’.

“This is a thoracic vertebra anatomical atlas, this is the spinal cord, these are the arteries that supply the spinal cord. Please take a good look at the distribution of these blood vessels.” Yang Ping reminded everyone.

“The anonymous arteries have become the main blood vessels supplying the spinal cord, and the original supply arteries have an extremely narrow supply range?” Professor August asked tentatively.

“Exactly, that’s it. Everyone—” Yang Ping’s words were interrupted.

“I admit that you’re quite the artist, but are you sure you’ve drawn Guo Jingyao’s thoracic vertebra anatomy? He hasn’t undergone DSA or any other precise vascular reconstruction yet. Have you just imagined this all up? Do you want to analyze the condition based on a speculative picture?” Kobayashi Takeshi felt that Yang Ping’s claims were more and more ridiculous.

Yang Ping shook his head helplessly: “This is a hand-drawn vascular reconstruction I made based on the thoracic CT and MRI images. To clarify the problem, a picture of Guo Jingyao’s spinal vascular image is essential. Unfortunately, the patient didn’t have a precise vascular imaging examination, so I had to draw one myself. It would be great if you could understand, but if you can’t, it’s okay. Just arrange for Guo Jingyao to have a DSA as soon as possible, and everything will become clear.”

Professor August stared intently at the image on the screen. In order to see more clearly, he stood up and walked closer to the screen, muttering to himself: “Too incredible. China? Doctor Yang? Sanbo Hospital?”

The noise in the conference room slowly increased, only for Professor August to shout, “Quiet!”

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He looked at the screen, closed his eyes and thought for a while, then slowly opened his eyes and said: “Doctor Yang, listen to me. Are you trying to tell us that after going through all the hard work to get the diagnosis of dural arteriovenous fistula, joyously conducting the surgery, overcoming numerous difficulties in the surgery, finally handling the arteriovenous fistula, waiting for the patient to recover after the surgery, but only to see the patient paralyzed, permanently paralyzed?”

After receiving Yang Ping’s affirmation, Professor August continued to say: “Don’t tell me, let me say it. We thought we had escaped the trap and solved the complicated cases. But unknowingly, we had fallen into a completely new trap. Those few malformed arteries are the main supplying blood vessels for the thoracic cord, unfortunately, they are exactly in the surgical route of the dural arteriovenous fistula. The professional knowledge of spine surgery tells us that these few arteries can be completely severed and ligated, and that’s what we have been doing. So, quite naturally, we did it, and that’s when the tragedy happened. We severed the main supplying blood vessels of a segment of the patient’s spinal cord and were even self-satisfied that the surgery was successful?”

As expected, Professor August was sharp-minded. His vast experience as a top-notch spine specialist enabled him to follow Yang Ping’s train of thought from the drawing he had prepared. It felt great to Yang Ping that his graphic illustration finally made sense to someone. As for the others, he was not sure if they got the idea.

Milton’s face turned beet red. “I—I still don’t quite understand. Perhaps I’m a bit slow. Would you mind if I took a moment to think about it? Could you please explain it a little more, Mr August?”

“I’ve made it as clear as I could. You need to be more open-minded. Have you ever watched ‘Journey to the West’, a Chinese series? The monkey in the series flew a long distance, thinking he had reached the boundary of the world, but he was still in the palm of God’s hand. That’s the kind of delimma we’re facing now.” August went back to his seat, now completely convinced by Yang Ping’s words.

“Milton, I suggest you cancel your flight and stay. This is a magically intriguing case.” August suggested, his eyes half-closed.

Milton was not pleased with August’s approach. During every European academic conference, August had always been merciless, often leading to heated debates. Although they were evenly matched over the years, on this occasion, Milton admitted, August had a slight upper hand – he actually understood it.

“Let me explain it to you in a different way–” August attempted to explain again.

Milton shook his head, “No! Don’t tell me. I want to think it through by myself. Oh, could you please help me cancel my flight? Tell them I’ll return tomorrow.”

Milton directed his words to his assistant, not wanting to fall behind August, who seemed to have a better grasp of the case.

Is that really it?

Kobayashi Takeshi kept asking himself this question.

Could Yang Ping reconstruct the blood vessel image from CT and MRI cross-sectional images alone? Since Professor August reinforced Yang Ping’s opinion, could it be that he didn’t understand it himself?

“Why not give it a try? One DSA test could unlock this mystery. There’s no need for us to waste time speculating here.” Yang Ping thought it best to expedite the examination process than to rack their brains in vain.

With the DSA imaging of the blood vessel, everything would definitely make sense.

However, Yang Ping was uncertain about Yingge Hospital’s expertise in DSA intervention. This case called for more than the regular DSA, especially for the selection of several abnormal blood vessels they had never encountered before. It was obvious that they wouldn’t be able to perform the operation without Yang Ping guiding them on-site.

“I think we should expedite the DSA procedure to clear up this confusion.” The doctor from Australia finally spoke up.

“Indeed!” Other doctors voiced their agreement.

They all wanted to see the truth. The explanations provided by the Chinese doctor were too abstract for them.

“Doctor Lin, how sophisticated is the DSA intervention at Yingge Hospital?” Yang Ping inquired bluntly.

Though it might come across as impolite, it was essential to comprehend the situation, and who better to ask than Doctor Lin, rather than Doctor Huang?

Doctor Lin could not provide a definitive answer: “I’m not sure about the required standard of an intervention doctor, Dr. Yang.”

No doubt the doctors at Yingge Hospital were highly trained theoreticians under international standardized training programs. However, their practical skills might not be up to par, considering they hadn’t dealt with as many cases as Chinese doctors had.

Yang Ping contemplated inviting Director Ji from the Intervention Department of Sanbo Hospital to come over. At least they had worked together before and conducted a DSA for dural arteriovenous fistula. A specialized team familiar with microsurgery would certainly be needed for this patient since ill-coordination might lead to serious mistakes.

“Shall we go ahead with a DSA first?” Yang Ping suggested to Dr. Lin.

This was indeed the most crucial matter right now.