"Arrange DSA for thoracic spinal cord vessels for Mr. Guo." Lin Mingyuan confessed to Dr. Huang in private.

Now Lin Mingyuan is very clear about Guo Jingyao's next diagnosis and treatment plan, and he will not have the slightest doubt about Yang Ping's suggestion, and his memory of the academic meeting of Sanbo Hospital is still very clear.

"I agree with Dr. Yang that further thoracic spinal vascular DSA examination should be performed to confirm the diagnosis." Lin Mingyuan loudly announced the results of the discussion.

"I agree, fully support Dr. Yang." August raised his hand, his face flushed, and he seemed excited.

Milton's facial muscles changed a few times, and he stopped talking, and slowly raised his hand, acquiescing to this result.

A young Chinese doctor changed the outcome of the discussion in a few words, negating their previous discussion. Atsushi Kobayashi was very reluctant to accept this result, but he couldn't refute it, and he couldn't always refute it with "lack of sufficient evidence", so he had to raise his hand.

The other doctors around the round table were all in formal attire, some loosening their ties, some pretending to drink water, and some bowing their heads to ask the people next to them. One after another, everyone raised their hands.

"I haven't seen a patient yet?" Yang Ping remembered to enter the venue for discussion, and there was no clinical visit to the patient.

Before the meeting, the other experts were arranged to see the patients in the inpatient unit at about half past eight o'clock, and then come back for the meeting after seeing the patients.

Yang Ping and Director Zhu did not know about it and did not receive relevant notices.

"Arrange it now—" Dr. Huang immediately called the resident doctor on the ward.

At the end of the consultation meeting, Dr. Lin and Dr. Huang accompanied Yang Ping to see Guo Jingyao, and the other doctors naturally joined them.

Although everyone has seen the patient, the analysis of the condition has completely changed.

Guo Jingyao lives in the best suite ward of Gleneagles Hospital, about more than 300 square meters, with very good lighting, divided into wards, living rooms, conference rooms, escort rooms, guard rooms, nurses' rooms, and all kinds of furniture and household appliances.

The young doctor in charge of the bed was also Chinese, and the nurse was a Malay girl, and they took everyone to the ward.

Guo Jingyao is sixty years old, in the shopping mall, when he was still in the prime of life, his hair is a little gray, but he is in good spirits, there are not too many wrinkles on his face, and he looks like he is only in his forties.

"Mr. Guo, this is Dr. Yang that we have invited from China, the top expert in orthopedics, and he wants to see you now." Dr. Huang introduced Yang Ping to Kwok King Yiu in English.

"Hello, Dr. Yang, I'm sorry for your trouble." Guo Jingyao shook hands with Yang Ping and greeted him in Chinese.

When he was a child, he studied at a Malaysian Chinese school, and naturally he was able to speak Chinese, although he was not fluent, but it was enough.

"What you need to do, feel free, I'll cooperate." Guo Jingyao switched to English again.

As always, Yang Ping carefully asked about the medical history, examined the body, and re-read the auxiliary examinations one by one.

In accordance with the norms of spine surgery, each dermatome and sarcomere were carefully examined, the skin sensation of both lower limbs was reduced, most of the muscle strength was only level 1, some muscle groups were only level 0, several superficial and deep reflexes were reduced, pathological reflexes such as Babinski's sign were not elicited, the muscle strength was already so poor, and the operation was imminent!

August, a strict German, stood beside Yang Ping, Yang Ping finished the examination, straightened his waist, and returned the percussion hammer to Dr. Huang, who immediately took it and forwarded it to Dr. Huang.

"How? Dr. Yang! August asked cautiously.

In fact, for all kinds of titles and titles, people in Europe and the United States prefer to call doctor so-and-so, because they believe that doctor is the most honorable title.

"I suggest that DSA be arranged immediately to obtain clear angiography images, for a long time, it will cause partial vascular embolism, resulting in spinal cord degeneration, at that time, permanent paralysis is really coming, and more dangerously, spinal cord edema continues to spread upward, once it affects the respiratory muscles, and finally seriously affects the respiratory ---。."

All kinds of knowledge are organized in Yang Ping's mind and connected by logic, and a map of the occurrence and development of diseases is clear in his heart.

"Dr. Huang, please be sure to follow the rules!" August took a deep breath, thinking that he was in Munich and could call the shots.

When the order was issued, August felt a strong sense of guilt in his heart, as an authority in spine surgery, he actually fell into the trap of disease and could not come out, if it were not for the arrival of this Chinese doctor, this patient would be paralyzed in a daze, permanently paralyzed, and no one will ever unravel the truth again.

Surgery to injure the spinal cord and cause paralysis will be written into the final case discussion record, which will become an iron diagnosis, and the surgeon will be questioned and investigated whether there is fault, and the conclusion that everyone took for granted two hours ago now seems ridiculous.

Whether he had made a similar mistake before, but he didn't know, Auguste shuddered in his heart.

"No harm!"

This is the first rule of the doctor, to use medical skills to help patients, not to use medical skills to harm patients.

August felt that although he did not harm the patient, because of his ignorance, he almost delayed the patient.

If everyone had just been stubborn and arrogantly dismissed the young Chinese doctors, the damage might have arisen.

Really, the more knowledge you know, the more you understand your ignorance.

"Thank you, Dr. Yang!" August said involuntarily.

"Save time, assess the risk of anesthesia immediately, and send it to the radiology and diagnostic imaging department for DSA." Dr. Wong heard Dr Yeung's words and understood what was at stake.

"The overselection of those mutated arteries is very difficult, and I have to be by my side all the time, doing dissecting and navigating the main knife." Yang Ping solemnly proposed.

Without his guidance, interventional surgeons would simply ignore these arteries and only follow the standard anatomical arteries supplying the spinal cord one by one.

Milton was still skeptical, he didn't have much concept of this so-called triple bureau case, how could Dr. Yang have studied it so thoroughly, it is not logical, and China's medical skills are so developed?

The British are more conservative than they can imagine, and many ordinary British old people have never gone abroad in their lives, and their impression of China is stuck in braids and foot bindings, and the influence of the glory of the empire on which the sun never sets is deep-rooted.

Prejudice obscures vision and prevents things from being seen as they are, and Milton is now plagued by prejudices.

From beginning to end, Kobayashi felt that Yang Ping was making a farce, waiting for him to end it, but now, how could it be a farce.

If you speak in the conference room, you can think of it as a farce, anyway, it is just a mouthful. Now he is personally in battle to instruct the interventional doctor to overselect blood vessels. Which doctor dared to treat the patient as a farce, Kobayashi Atsushi was also shaken and began to think about Guo Jingyao's condition.

Dr. Huang doesn't care what these bigwigs think, he only listens to Lin Mingyuan.

Coming out of the ward, Yang Ping has unconsciously become the center of the whole family, this is the characteristic of the technology industry, whether it works or not, you will know it with one hand.

"Everyone, forgive me, wait for the interventional operating room, the number of people can't be too many, there are only a few places, Dr. Yang, Dr. August, Dr. Milton, and Dr. Atsushi Kobayashi will follow me into the interventional operating room, and the other doctors will be accompanied by Miss Li and wait in the conference room of the imaging diagnosis department, I'm very sorry!" Dr. Wong announced that personnel would be allowed to enter the interventional operating theatre.

There is a limit to the number of people who can visit the operating theatre and must comply with the requirements of the Hospital Infection Regulations, and Gleneagles Hospital, which is accredited according to the international JCI, has a stricter sense of hospitality.

Once, British Prime Minister David Cameron went to visit patients in a London hospital, and the doctor in charge thought that they did not meet the hospital's hospital process, roared and blasted them out of the ward, knowing that he was the prime minister, and told them to "get out!" in front of the reporter's camera. ”

It's so arrogant, I'm in charge of my territory, you have violated the law, and you are forbidden to enter.

The process at Gleneagles Hospital was very smooth, and Guo Jingyao was quickly sent to the interventional operating room.

"Doctor Yang, what do we need to pay attention to, just say."

Dr. Lin took Yang Ping into the operating room of the interventional department, and Director Zhu sent Yang Ping to the door of the operating room and waited outside.

"Let the best interventional doctors come to the stage!" Yang Ping only had one sentence.

"Dr. Zhou from our hospital, a student of American intervention guru Raymond Nolan---" Dr. Huang introduced.

Everyone changed their slippers, washed their hands, wore masks and hats, wore lead suits, and entered the operating room.

This interventional operating room is a standard 100-level hybrid operating room with very high specifications.

After the anesthesia was satisfied, the body was positioned, the routine disinfection was laid out, and Dr. Zhou performed femoral artery puncture, and the movements were proficient and standardized.

Dr. Zhou's skills are really good, these doctors have a very high income, they all work alone to support the whole family, live in villas and drive luxury cars, private hospitals like Gleneagles Hospital, doctors and hospitals are not an employment relationship, but a cooperative relationship.

Doctors do surgery, all the surgery fees are the doctor's, and the hospital only makes money for beds, nursing, examinations, etc., so the doctors who can open a private hospital are very skilled, they are not bad for money, and they only focus on studying medical skills.

"I'm starting to overselect as usual?" Dr. Chow asked.

"Well, let's follow the routine first!" Yang Ping agreed.