Surgery Godfather
Chapter 526 - 478: You’re a Student, Right?

Chapter 526: Chapter 478: You’re a Student, Right?

At seven in the morning, the regular working hours begin at Tokyo University Hospital.

By seven, all the doctors have already started their work, and some young doctors have arrived at the hospital as early as five to prepare for the day.

The case discussions twice a week typically start at seven-thirty in the morning, and end at nine. This shows how tightly scheduled each day at Tokyo University Hospital is.

Today’s discussion about Ning Yu’s case was also underway from seven thirty until eight. This was because the Asia-Pacific Orthopedics Association academic forum was starting at nine, and the time had to be tightly scheduled.

Under the guidance of Takahashi, Yang Ping arrived at Tokyo University Hospital at six in the morning. On the way, doctors could be seen everywhere rushing about, dressed in neat suits and holding document bags, including both young doctors and elderly professors.

One of the old professors, who was carrying packed breakfast while walking very fast, seemed unwilling to waste a single second.

It is said that when they arrive at the department’s break room and have breakfast, they do not make small talk but quickly get to work after they finish eating. Some even read the latest medical journals while eating, making use of every fragmented piece of time.

Yang Ping first visited Ning Yu in the Neurosurgery Intensive Care Unit.

Song Zimo and Xu Zhiliang were also with Yang Ping. The Intensive Care Unit could not accommodate many people, so the rest of the team had gone to the meeting room for the case discussion.

Many Japanese doctors had been waiting in the Intensive Care Unit to see this famous Chinese doctor who Professor Fujiwara had highly recommended.

The Intensive Care Units around the world are probably alike, with doctors and nurses bustling about, and the big screen displaying monitoring images of each ward.

All sorts of machines were running at full capacity, maintaining every life in the unit.

Ning Yu was lying on the hospital bed, his heartbeat currently sustained by a temporary pacemaker.

His tumor severely affected the central nervous system, causing the myocardium to move slowly and fail to form effective pumping forces, so it had to rely on a temporary pacemaker to maintain a normal heart rate.

In order to reduce oxygen consumption and alleviate the burden on the brain and heart, Ning Yu was in a sedative state.

Dr. Sakurai, the attending physician, stood aside with a very reluctant heart. Even if he wore a mask, his dissatisfaction could be seen in his eyes.

Mitsui and Sasaki were also waiting in the Intensive Care Unit early in the morning. Finally, they met Yang Ping, the doctor who Takahashi admired.

In addition to these three, there was a large circle of Japanese doctors surrounding them, both with intermediate and high professional titles. The experts invited by Tokyo University Hospital had to see for themselves.

Komori Daisuke, the director of neurosurgery, did not show up. He either really had something that kept him from coming, or he was unwilling to appear on this occasion, or he protested by giving them the cold shoulder.

The once almighty Takahashi stood next to Yang Ping like a primary school student, with a notebook in his hand.

Behind Takahashi, there were several young doctors, all with notebooks, ready to take notes at any time. These doctors were Takahashi’s subordinates and students.

Dr. Sakurai reported the case, his tone was rather languid, and someone couldn’t help laughing.

Song Zimo was about to speak, but Yang Ping stopped him with a glance.

"Doctor Sakurai—" Takahashi was upset. He reprimanded him in the stern tone of a superior doctor.

Takahashi was senior to Sasaki and Mitsui, and he was their senior brother. He was second only to Professor Fujiwara in orthopedics. Despite not being in the same department, Sakurai didn’t dare to cross the line and immediately corrected his tone.

No matter how unwilling he was, Sakurai finally completed the case report earnestly.

After listening, Yang Ping only said:

"I need to examine the patient!"

Takahashi immediately put away his notebook and assisted at the side, handing over gloves, percussion hammers, and helping to adjust the patient’s position.

Many doctors on the side were stunned. Was this the usually lofty Professor Takahashi?

Yang Ping didn’t say a word, and the quieter he was, the more uneasy Takahashi felt.

Was he angry?

Mitsui! Sasaki! Dr. Sakurai, these brainless guys.

After Yang Ping finished the physical examination, he took off his gloves. Takahashi received them with both hands and threw them away into the yellow trash bin.

Yang Ping’s gaze switched to the monitoring screen, a student immediately stepped forward to read the figures, but Takahashi called the student back and did it himself. He pointed his fingers at the figures on the screen, reading each one out to help Yang Ping.

Then he operated on the touch screen beside the bed and called up the image: "Doctor Yang, this is the result of the most recent head and cervical spine MR check."

Yang Ping browsed through the latest MRI images: "Takahashi, bring up the original image, just the edge of the tumor, go through it, quickly."

Even the original images of the edge of the tumor, passed by quickly.

"Stop!"

Yang Ping asked Takahashi to freeze the image, pointing at the image: "Here! This is an artifact, it must be eliminated, otherwise it will affect the surgical positioning. We will be using extremely accurate fluorescence imaging during the surgery. This slight artifact, which does not affect to a regular patient, could lead to surgical failure for this patient. Any errors would lead to a surgical failure. So, this artifact has to be removed."

"Understood!" Takahashi immediately noted it down.

"This is not an artifact, we are using Toshiba’s latest MR, which is very accurate when overlaying sagittal and coronal images. This is an image alteration caused by the tumor compressing the surrounding tissues, slowing down the blood flow. General MR can’t recognize it, but our machine can. Such knowledge is not yet discussed in the textbooks, so doctors unfamiliar with this could easily make wrong judgments, like deeming it an artifact. The ’Journal of Neurosurgery’ has published articles specifically discussing this issue. Doctor Yang, you should take the time to read them." Mitsui waited for his opportunity from the sidelines, not saying a word until now.

Mitsui finally spoke up when Yang Ping stated that the image was an artifact.

Doctors capable of accurately recognizing such an image could be counted on one’s fingers; most doctors directly ignore it, not even noticing the image alteration. It’s admirable that Yang Ping could find it, but deeming it an artifact shows that he still needs to improve.

Doctor Yang Ping, is just so-so.

You could gauge one’s expertise from a single move. Mitsui now had an estimation of his opponent’s skill level.

"Doctor Yang, I suggest you spend some time studying such articles. Also, always keep in touch with the world’s top experts. Only a select few have the opportunity to encounter such cases. If your image reading skills are not up to par, conducting surgery rashly could be very dangerous."

Professor Takahashi was not pleased with Mitsui’s tone. He believed that even in public academic disputes, there was no need for provocative taunts like that.

Everyone was looking at Yang Ping, especially Dr. Sakurai who felt particularly vindicated. After suffering a setback from Song Zimo, Mitsui had finally stepped up and put them in their place.

Professor Takahashi was hesitating about how to translate the conversation, but Song Zimo had already started doing it.

"This is your student, isn’t it?" Yang Ping was staring at the screen while he casually asked Takahashi sitting next to him.

It seemed as if Yang Ping didn’t care about Mitsui’s attitude at all until he spoke up. He probably wouldn’t have noticed him otherwise.

"Dr. Yang, I’m sorry, I forgot to introduce you, this is Doctor Mitsui." Takahashi introduced, feeling embarrassed.

He knew they were disatisfied, but didn’t expect them to confront him publicly.

Takahashi hadn’t originally planned on introducing people like Mitsui and Sasaki, due to their negative attitudes and prejudices. In Takahashi’s mind, these people were essentially at the student level to Yang Ping, so there was no need to introduce everyone individually.

"Doctor Mitsui! An associate professor, proficient in spine and neurosurgery ––" Sasaki was unsatisfied with Takahashi’s simplistic introduction and added more details.

In China, an associate professor would be equivalent to an associate chief physician.

"Oh, Doctor Mitsui. With limited time, let me keep it simple. The article you read is wrong. The image alteration isn’t caused by compressions on the surrounding blood vessels from the tumor, but is a result of a machine software algorithm issue."

"Of course, this problem isn’t unique to you, many doctors lack understanding in this area. Most surgeons are unfamiliar with the principle of imaging equipment, while engineers of imaging equipment don’t comprehend medical science. This naturally forms a cross-blank area, which this image alteration conveniently falls into. I believe the next generation’s algorithm improvements will avoid giving rise to such issues. If I delve too deep, it may result in difficulty in understanding, due to the blind spots in your knowledge. "

Takahashi immediately translated.

Understanding difficulty? What a joke.

Mitsui was humiliated in a way he had never been before. These words indeed treated Misui as a student.

The room was filled with doctors from Tokyo University Hospital, many of whom were young.

"This article was written by Professor John Ansen from Mayo." Mitsui responded with pride. John Ansen was one of the world’s leading professors of neurosurgery and one of his mentors.

"Professor John Ansen? I believe his next article will correct this issue. In medicine, spiraling upward is not surprising. The prefrontal lobotomy once won a Nobel Prize but was later proven incorrect." Yang Ping didn’t want to haggle with him.

The so-called Mitsui really couldn’t understand if he dove too deep into the topic.

He dared to question the ’Journal of Neurosurgery’ and even doubted Professor John Ansen. No one knew where this young Chinese doctor got the nerve.

"--"

Mitsui was furious and wanted to argue further, but Yang Ping no longer acknowledged him and continued to talk with Takahashi.

"Takahashi, contact the radiologist now and have the MR re-done. Modify the parameter to avoid this problem. I will write out the adjustments for you."

Takahashi immediately passed a notebook and pen, and Yang Ping wrote down a series of parameters.

"Do the MR according to this, and after it’s done, I will take another look. There are no other problems, only this MR needs to be redone."

Sometimes the setting of imaging machine parameters is also a high-level technique. Using some parameter combinations can avoid certain problems and capture the desired images.

"Doctor Sakurai, immediately execute this. I want to see the new image before the end of Doctor Yang’s case discussion. Carry out the shooting according to these parameters, make no changes. Understand? You, accompany him." Not feeling assured, Takahashi chose a doctor from his team to supervise the process.

Meanwhile, Takahashi immediately memorized the series of numbers. With his experience, he knew this knowledge was precious.

He could bypass the trap in the future if he encountered a similar situation. When he had time, he had to ask Doctor Yang for more information about the artifact issue, as textbooks and papers hadn’t discovered it yet. It was Doctor Yang who brought it up first.

In his opinion, Mitsui and the others were ignorant and arrogant, utterly ridiculous.

"Doctor Yang, is there anything else you need to address before the surgery? Our case discussion starts at half past seven, we need to hurry." Takahashi glanced at the clock.

Feeling that nothing was overlooked, Yang Ping replied, "There are no other issues, Takahashi. You should teach these students about imaging science when you have time."

"Understood! I will." Takahashi answered respectfully.

Wasn’t it introduced just now? Why did you treat me as a student again?

Mitsui and Sasaki both had puzzled expressions, frustrated and feeling very uncomfortable.

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