The University of Tokyo Hospital, Department of Surgery, General Conference Room.

Around the rectangular conference table, experts are discussing cases, including professors from the University of Tokyo Hospital and Juntendo Hospital, and it can be said that the top surgical professors in Japan are gathered.

Several of them are Japanese professors, such as Professor Ito, a consulting professor of spine surgery and neurosurgery at Juntendo Hospital, and the current director of spine surgery and neurosurgery are all his students.

He has always advocated that neurosurgeons should be familiar with the cranial brain and spine before they can carry out subspecialties.

In Japan, where these professors have the absolute right to speak, they have taken a back seat, and they have invited them out to participate in case discussions, either members of the imperial family, business tycoons, or political figures.

Their rich experience can be an important basis for decision-making, and more importantly, their prominent position can become a solid backing for the surgeon.

Juntendo Hospital's status in Japan is equivalent to that of Xiewa in China.

In Japan, in terms of medicine, Juntendo University has a higher status than the University of Tokyo School of Medicine, and Juntendo Hospital has a higher status than the University of Tokyo Hospital, and it is no exaggeration to say that Juntendo is the father of the University of Tokyo School of Medicine.

The case under discussion is none other than the head of the Fujiwara family--- Fujiwara Valley, the current president of the Fujiwara Foundation and the uncle of Fujiwara Masao.

Since the discovery of the tumor during a medical examination, the Fujiwara Foundation has donated $3 billion to Todai to conduct his case studies.

"Mr. Fujiwara's surgery is too risky, and even with the help of state-of-the-art navigation equipment, there is currently no success rate of less than 5 percent."

"That's right, we have conducted a lot of animal experiments, and the success rate of the operation cannot exceed 5 percent."

"Are you considering inviting the European and American sides to participate in the treatment?"

"No, the U.S. side doesn't have a higher success rate than we do, and Mayo's Johannathan, which I'm very familiar with, may be behind us in terms of details."

"Mr. Fujiwara's condition is confidential, so try not to invite other people to participate if it is not necessary."

"I agree that the surgery for such tumors, I personally believe that we are already at the forefront."

"Ladies and gentlemen, have you ever thought that if you don't perform surgery, Mr. Fujiwara Tanio won't have any chance! Professor Masao Fujiwara, what is your opinion, you are both a core member of the patient treatment team and a family member of the patient. "Professor Ito has gray hair, but he is in good spirits, especially with a straight waist and a loud voice.

Fujiwara Masao took notes while listening, and although he had a full-time secretary to take notes, he still made some necessary records himself.

"According to my student Fumiya Takahashi, who came back from a study trip to China, Dr. Yang Ping in China had a successful case." Fujiwara Masao felt that something fresh should be injected into the discussion.

"The case doesn't say anything, what is different about his surgery?" Professor Daisuke Komori, Director of the Department of Neurosurgery at Tokyo University Hospital, asked.

"He has done a lot of in-depth research on the anatomy of the upper cervical spinal cord and brainstem, especially the anatomical and functional study of the nerve nucleus, and has designed a unique surgical approach, and even in his case, the patient has had several cardiac and respiratory arrests during the operation, and the surgery is continued after resuscitation, and the most incredible thing is that the operation was performed during the cardiac respiratory arrest." Fujiwara Masao did not see it with his own eyes, so he could only describe it based on Takahashi's report.

"It's crazy! The heart can be operated on after it stops beating, and that is because it is supported by cardiopulmonary bypass, once the life center of the brain stops working, who can do the alternative guarantee? Who can guarantee a resurrection? Professor Komori was incredulous and spoke in a flirtatious tone.

"Are you sure Takahashi saw it with his own eyes? Based on your account, the credibility of this case is extremely low, and if we use it as a reference, we will go astray. The director of the Department of Neurosurgery at Juntendo Hospital couldn't believe it either.

"We also have a 5% success rate, so it's not surprising that there are successful cases, I'm afraid it's more of a luck component, and besides, if he has a mature surgical plan, why didn't he publish a paper?" Juntendo Deputy Director of Spine Surgery responded.

The director of Juntendo Hospital went out for a meeting, which was attended by the deputy director.

"It takes time for a paper to be submitted to the journal, this is not a reason to deny it, everything cannot be based on emotion, but should be supported by evidence, without evidence that it is not credible, this information cannot be ruled out for the time being." A gray-haired professor spoke in a steady tone.

He was a teacher of Masao Fujiwara and a consulting professor in the Department of Orthopedics at the University of Tokyo Hospital, Professor Ikeda.

"Ladies and gentlemen, we must be cautious about anything that is beyond common sense, and we must not be gullible or rashly judged to be of low credibility, so that we will miss out on some valuable information, and there is ridicule in the tone of some people, and I think such an attitude is very dangerous, blind and arrogant, and this is a harbinger of imminent backwardness!" Professor Ikeda further cautioned the audience with a stern tone.

Professor Ito immediately said, "I very much agree with Ikeda-kun that you are only one step behind!" ”

For the old professor's reminder, everyone is red-faced, and no longer dares to make fun of it frivolously.

"Go ahead ---," Professor Ito asked Masao Fujiwara to continue.

"I asked Takahashi to copy his surgical method, and then simulated surgery on the experimental monkey, unfortunately, I couldn't replicate the effect of his surgery, this doctor, I had the honor to have crossed paths with him, he once successfully completed a case of surgery for a huge complex hemangioma injury in the abdomen, this case, I once failed, but he succeeded, for this reason, I sent Takahashi to China to study with him, Takahashi came back and reported to me, this person's operation is like a ghost's work, Takahashi used to be arrogant, after returning from China, he became modest and cautious, So I think, this person is by no means simple, but he is an orthopedic surgeon, and as far as I know, in China, upper cervical cord tumors are in the orthopedic spine category, but brainstem tumors are in the neurosurgical category, and it's hard to understand why he can operate interspecially, and it's the most dangerous interdisciplinary one, in China, it's almost impossible. Fujiwara Masao did not lightly deny it, but at the same time there were doubts.

"Put this down beforehand, but don't ignore it!" Professor Ito felt that there was no point in discussing this issue again, and it was difficult to discuss it clearly.

"I heard that your inpatient department has a case very similar to Mr. Fujiwara?" Professor Ito asked.

"Yes, we are now admitting a patient in the neurosurgery ICU, which is very similar to Mr. Fujiwara's condition, and I think that if we can operate on this patient, and then accumulate experience from it, and then use the experience to operate on Mr. Fujiwara, the success rate of the operation will definitely increase a lot." Professor Komori proposed.

The professors were stunned for a moment, and then Professor Ito said, "This is a good opportunity, the success rate of surgery needs to be accumulated, ape animal experiments are very close to humans, but there is still a gap, and the tumor models are very far apart, if there is a close patient, no matter whether this person's surgery succeeds or fails, it is definitely a good opportunity for President Fujiwara, and we must cherish it." ”

"Is it necessary to --- to do so?"

"With the advancement of medicine, there will always be people who make sacrifices, which is not surprising and does not violate ethics." Professor Ikeda spoke in a serious tone.

"There's no ethics that dictates the order of our surgeries." Professor Ito stands in solidarity with Professor Ikeda.

Fujiwara Masao breathed a sigh of relief, because as a family member of the patient, he could not open his mouth to use this patient as a research case to accumulate experience for his uncle's surgery.

Now that Professor Komori has helped to bring it up, and the two professors, Ito and Ikeda, are in favor, Fujiwara Masao is of course happy, and he is most worried that the two professors will refuse.

"However--- the patient's family has informed us that they are temporarily undergoing conservative treatment, and they will invite a doctor to perform the surgery, and this doctor's information will be submitted to our hospital soon." Professor Komori was disappointed again.

Ito's tone was angry: "Is there anything more advanced than us in the field of neurological and spine surgery?" Even Mayo's Johannathan, who does not dare to say that he surpasses us in terms of surgery, who is he going to invite? Top professors in the United States and Europe, we will invite them to do surgery for exchange and learning, but do we need to ask others to do surgery? We can refuse this request, for such cases, Juntendo and the University of Tokyo Affiliated Hospital are all top existences, you should explain to them clearly, this case is the most dangerous tumor in the world, the danger is because of the location of growth, not our technology, the world can operate on him, it should be in the single digits, and we are one of them. ”

"I have patiently explained, but the other party is very resolute, this patient cannot be transported, if you want surgery, you can only operate on us, but if the other party asks a doctor outside the hospital to operate, as long as the doctor's qualifications are qualified, regardless of law or ethics, we seem to be unable to refuse!" Professor Komori was helpless.

Professor Ito was even more angry: "Ridiculous, this is contempt for us, how can there be patients who don't believe us?" ”

"He may not be clear about the medical profession, you continue to communicate with them, we must operate on it, as for asking the doctor to do the surgery, I can't think of who they want to ask, it is none other than Johannathan, this neurosurgeon at Mayo, he is not better than us." Professor Ikeda and Professor Ito are in full agreement.

"Understood, I'll do my best." Professor Komori promised.

Masao Fujiwara also said, "I will work with Komori to change the minds of patients' families. ”

"Our first generation of head Mr. Yasto Yaoran founded Juntendo University, and the third generation of head Sato Naonaka founded the University of Tokyo School of Medicine, when the Department of Medicine of Tokyo University was officially established, 20 of the 22 professors came from Juntendo and Todai Hospital, which is the best hospital in Japan, and now, Mr. Fujiwara is lying in our ward, but we seem helpless, and my heart is in pain, so everyone, you must do your best, unite and cooperate to strive for the maximum success rate of surgery, operation under the microscope, I am old, so, Please, two of you, Masao Fujiwara and Daisuke Komori! ”

Professor Ito stood up and bowed, and Fujiwara Masao and Daisuke Komori immediately stood up and saluted in return.

"Please take me to see President Fujiwara again?" Professor Ito requested.

The meeting was temporarily adjourned, and Masao Fujiwara and Daisuke Komori led Professor Ito and his group to the special ICU ward again to visit Fujiwara Tani.