Seven o'clock in the morning is the normal working time of Todai Hospital.

That is, at seven o'clock, all the doctors have already started their work, and some young doctors have already arrived at the hospital at five o'clock to make some preparations.

Twice-a-week case discussions, which usually start at 7:30 a.m. and end at 9:00 a.m., show that Todai Hospital has a very tight schedule every day.

Today's case discussion on Ning Yu also started at half past seven and ended at eight o'clock, because the academic forum of the Asia-Pacific Orthopaedic Association started at nine o'clock, and the time connection must be close.

Under the leadership of Takahashi, Yang Ping arrived at Dongda Hospital at six o'clock, and there were doctors in a hurry, dressed in crisp suits, carrying briefcases, young and old professors.

One of the old professors was still carrying a packed breakfast in his hand, and he walked very fast, as if he didn't want to waste a second.

It is said that when they arrive at the rest room of the department, they do not make small talk during breakfast, and they get back to work quickly after eating. Some of them read the latest medical journals while eating, and do not miss any fragmented time.

Yang Ping first went to the neurosurgery intensive care unit to visit Ning Yu.

Song Zimo and Xu Zhiliang also followed Yang Ping, and the intensive care unit could not accommodate too many people, and the rest of the team had already gone to the conference room for case discussion.

Many Japanese doctors are already waiting in the intensive care unit, waiting for this doctor from China, who is sacred enough to be highly recommended by Professor Fujiwara.

Intensive care units around the world are about the same, doctors and nurses are busy, and the big screen shows the monitoring screen of each ward.

All kinds of machines are running desperately, maintaining every life here.

Ning Yu is lying in a hospital bed and is currently relying on a makeshift pacemaker to maintain the heart's beat.

His tumor severely affected the heartbeat center, causing the heart muscle to beat slowly, unable to form an effective pump force, and only using a makeshift pacemaker to maintain a normal heart rate.

In order to reduce oxygen consumption and reduce the burden on the brain and heart, Ning Yu is in a state of sedation.

The doctor in charge, Sakurai, stood aside, very reluctant, even if he was wearing a mask, he could see it by his eyes.

Mitsui and Sasaki also waited in the intensive care unit early in the morning, and they finally met Dr. Yang, whom Takahashi worshipped.

In addition to these three Japanese doctors, there is also a large circle of doctors around, including those with intermediate and high professional titles, and the experts invited by Todai Hospital have to see everything.

Daisuke Komori, the chief of neurosurgery, did not show up, either because something really didn't happen, or he was reluctant to appear on this occasion, or he protested in this way.

Takahashi-kun, who was once invincible, stood beside Yang Ping like a schoolboy, holding a notebook in his hand.

Behind Takahashi, there were several young doctors, all with notebooks, who were Takahashi's junior doctors and students.

Sakurai reported the medical records, and his tone was a little lazy, and some people couldn't help but laugh out loud.

Song Zimo just wanted to speak, but Yang Ping stopped him with his eyes.

"Doctor Sakurai" Takahashi was very unhappy, and reprimanded the senior doctor in a stern tone.

Takahashi is older than Sasaki and Mitsui, is their senior brother, in the orthopedic department, second only to Fujiwara's existence, although it is not the same department, Sakurai did not dare to make a mistake, and immediately corrected his tone.

No matter how reluctant he was, Sakurai took the medical record seriously.

After hearing this, Yang Ping just said:

"I want a check-up!"

Takahashi immediately put away his notebook and assisted on the side, delivering gloves and percussion hammers, and helping to set his position.

Dumbfounded by many doctors on the side, this is Professor Takahashi, who is usually high-minded?

Yang Ping didn't speak, and the more he didn't speak, the more uneasy Takahashi became.

Angry?

Mitsui! Sasaki! Sakurai, these brainless guys.

After Yang Ping finished checking his body, he took off his gloves, Takahashi took it with both hands and threw the yellow trash can.

Yang Ping's eyes turned to the monitoring screen, and a student immediately went up, Takahashi called the student back, and took it personally, pointing to the numbers on the screen with his fingers, and helping Yang Ping read them out one by one.

Then he operated the touch screen next to the bed and called up the picture: "Dr. Yang, this is the result of the latest head MR examination." ”

Yang Ping finished browsing the recent MRI pictures: "Takahashi, bring up the original picture, just the edge of the tumor, go through it, hurry up." ”

Even the original image of the edge of the tumor, there are thousands of pairs, flashing quickly.

"Stop!"

Yang Ping asked Takahashi to freeze the picture, and pointed his finger at the picture: "Here!" It is an artifact, it must be removed, otherwise it will affect the positioning of the operation, we need to use extremely accurate fluorescence imaging in the operation, this subtle artifact, has no effect on the general patient, but this patient, any error will lead to the failure of the operation, so this artifact must be removed. ”

"Understood!" Takahashi immediately wrote it down.

"This is not an artifact, we are using Toshiba's latest generation of MR, which is very accurate when carrying out sagittal coronal image stacking, here is the image change caused by the tumor compressing the surrounding tissues, causing the blood flow to slow down, ordinary MR can not recognize, but our machine can, the current textbook does not have the discussion of this knowledge, so doctors who do not have this knowledge are easy to make wrong judgments, such as judging as artifacts. There is an article in JournaloNeurosurgery that discusses this, and Dr. Yang should read it if he has time. Mitsui didn't speak on the sidelines, waiting for an opportunity to move.

When Yang Ping said that the image was an artifact, Mitsui finally spoke.

There are only a handful of doctors who can prepare to recognize this kind of image, most doctors ignore it directly, and they can't see this image change at all, Yang Ping can find it, which is good, but as an artifact, it means that the level is still not enough.

Dr. Yang Ping, that's it.

The so-called master makes a move, and he knows the depth as soon as he makes a move, and Mitsui probably has the bottom in his heart.

"Dr. Yang, it is recommended that you have time to study this kind of article, in addition, you must maintain communication with the world's top experts, this kind of case, not accessible to ordinary people, the image reading is not good, rash surgery, very dangerous."

Takahashi was very unhappy with Mitsui's tone, believing that in such a public setting, even if it was an academic debate, there should not be such a hint of provocation and ridicule.

Everyone looked at Yang Ping, Sakurai was especially relieved, and after being angry with Song Zimo, Mitsui finally came to the aid and taught these guys a lesson.

Takahashi was hesitating, how to translate appropriately, but Song Zimo had already helped translate.

"This should be your student, right?" Yang Ping kept staring at the screen and asked Takahashi beside him unhurriedly.

It seems that Yang Ping doesn't care about Mitsui's tone at all, if Mitsui hadn't spoken, he might not have realized that there was such a person standing next to him.

"Dr. Yang, I'm sorry I forgot to introduce you, this is Dr. Mitsui." Takahashi blushed as he introduced.

Knowing that these people were dissatisfied, I didn't expect it to be a public disaster.

Takahashi originally didn't plan to introduce Mitsui Sasaki, their attitude was bad and prejudiced, and in Takahashi's heart, these people were already students for Yang Ping, so there was no need to introduce them one by one.

"Dr. Mitsui! Associate professor, proficient in spine and cranial surgery" Sasaki was dissatisfied with Takahashi's simple introduction, and helped to add.

Associate professors are equivalent to deputy chief physicians in China.

"Oh, Dr. Mitsui, time is limited, I can only briefly say that the point of view in the article you read is wrong, it is not the image change caused by the compression of the surrounding tissues and blood vessels, but the artifact, which is caused by the problem of the machine software algorithm."

"Of course, you are not alone in this problem, many doctors do not know enough, because most surgeons do not understand the principle of imaging equipment, and imaging equipment engineers do not understand medicine, the two naturally form a cross blank area, this image change is just in the knowledge blank area, I believe that the next generation of algorithm improvement will be avoided, if you talk too much, involving your knowledge blind spots, it will cause difficulties in understanding."

Takahashi immediately translated.

Having trouble understanding? Joke.

Mitsui had never been humiliated like this, and he really thought of himself as a student in this tone.

I was surrounded by doctors from Todai Hospital, many of whom were young doctors.

"This article was written by Professor Johanneson of Mayo." Mitsui is proud that Johanneson is one of the world's top neurosurgery professors and one of his teachers.

"Professor Johannathan? I'm sure his next article will correct this question, medicine is spiraling, it's not surprising, frontal lobotomy for mental disorders also won the Nobel Prize, and finally proved to be wrong. Yang Ping didn't want to entangle with him at all.

Going deeper, Mitsui really doesn't understand this.

I am ashamed to say that I doubt JournaloNeurosurgery, I doubt Professor Johannathan, and I don't know where this young Chinese doctor got the courage.

“”

Mitsui was very angry and wanted to theorize, but Yang Ping didn't pay attention to him at all and was talking to Takahashi.

"Takahashi, now contact the radiologist, redo the MR, modify the parameters, you can avoid this problem, I will write the parameters to you."

Takahashi immediately handed over the notebook and pen, and Yang Ping wrote down a series of parameters.

"Follow this to do the MR, I'll take a look after I'm done, there is no problem with the rest, just this MR will be redone."

Sometimes the setting of the parameters of the image machine is also an advanced technology, using some parameter collocation, you can avoid some problems and get the desired image.

"Dr. Sakurai, do it right away, Dr. Yang has to see the latest images before the end of the case discussion, shoot according to this parameter, don't make any changes, understand? You, follow. Takahashi was not at ease, so he chose one of the doctors he brought behind him to supervise.

At the same time, Takahashi immediately wrote down this string of numbers in his mind, which in his experience was very valuable knowledge.

In the future, when you encounter such a situation, you can avoid the trap, and in the future, you will have to consult Dr. Yang when you have time, what is the matter with the artifact, because there are no textbooks and papers now, and it is the first time that Dr. Yang proposed it.

Mitsui's arrogant and ignorant guys are simply ridiculous.

"Dr. Yang, look, if there are any questions before the operation, the case discussion will start at half past seven, and we will rush over." Takahashi looked at the time.

Yang Ping felt that there was nothing missing: "There are no other questions, Takahashi, these students, you have time to give them a lecture on this aspect of imaging." ”

"Understood! I will. Takahashi replied respectfully.

Didn't you just introduce me, why did you treat me as a student again?

Mitsui and Sasaki looked dazed, unable to get out of breath, and were very unhappy.

The first is the latest.