"Doctor Yang, is this case really so troublesome?" Dr. Lin asked in a low voice.

"Far beyond everyone's imagination, my language skills are limited, and I can't really express the difficulty of this case." Yang Ping said it very clearly and clearly.

Dr. Lin had seen Yang Ping's level and trusted Yang Ping very much, so he whispered a few words to Dr. Huang beside him.

As an authority on orthopaedics in Southeast Asia, Lin Mingyuan is highly respected and trusted by Dr. Huang, and at this time, Dr. Huang relied on Lin Mingyuan to help him make decisions, and it was also for this purpose that Gleneagles Hospital invited Lin Mingyuan to preside over the consultation meeting.

"Dr. Yang, I'm very curious, why are you so confident, this patient must be handled by your team, whether it is you personally or Sanbo Hospital, there is no international reputation, your opinion is difficult to convince, can you explain the reason more clearly?" Atsushi Kobayashi's tone was tinged with mockery.

"I'm sorry, just now I thought that it was difficult for everyone to understand and accept it for a short time, I only said a part of the condition, if you must listen, I will continue." Yang Ping was a little embarrassed, the double game just now had not been digested, and now he had to talk about the triple game.

"Doctor Yang, tell your views completely, let us learn and learn." Xiao Lin Du was yin and yang, as if waiting to see a joke, he didn't treat Yang Ping as a serious doctor at all.

"I feel like I've understood what you're talking about, it's amazing, I'm looking forward to continuing!" Professor August became more and more interested, listening and thinking, and occasionally writing and drawing in his notebook.

Milton remained silent, no longer speaking, and waited quietly for everyone to speak.

Several doctors at Gleneagles Hospital, doctors from other hospitals in Malaysia, and doctors from Canada, Switzerland, and Australia didn't know how to speak, and they didn't understand much what the Chinese doctors were saying.

The roundtable, a serious case discussion, the atmosphere suddenly became a little awkward, the speaker and the listener seemed to be isolated, the speaker spoke seriously, and the listener was in a fog.

"Can I draw on an electronic screen?" Yang Ping consulted Dr. Lin.

"Yes, please bring up the artboard."

Dr. Lin nodded, then made a gesture of please, Yang Ping approached the screen again, and the doctor in charge of computer operation taught Yang Ping how to use an electronic pen to draw on the drawing board.

Yang Ping tried this long-distance induction electronic pen several times, and it was not bad, with delicate lines and sensitive operation, which could complete the drawing.

Whispering in the venue, Yang Ping painted seriously, step by step, various lines and colors were combined. Soon, a local anatomical diagram of the thoracic vertebrae was slowly presented, which was still three-dimensional, and the details were handled very well.

"God—" August saw the final painting, his mouth shaped in an O-shape.

"This is the thoracic anatomy, this is the spinal cord, this is the donor artery of the spinal cord, and you can see the distribution of these blood vessels." Yang Ping reminded everyone.

"The innominate artery has become the main blood supply vessel to the spinal cord, and the original feeding artery is extremely narrow?" August asked tentatively.

"That's right, that's it, everyone—" Yang Ping's words were interrupted.

"I admit that your level of painting is very high, but are you sure that you are painting Guo's thoracic partial anatomy? At the moment he doesn't do DSA, and he doesn't do other precise revascularization, is that something you imagined? Do you want to analyze your condition based on a hypothetical picture? "Kobayashi felt that Yang Ping was getting more and more outrageous,

Yang Ping shook his head helplessly: "This is my hand-drawn vascular reconstruction based on thoracic spine CT and MRI pictures, because to explain the problem, there must be a picture of Guo Jingyao's spinal cord blood vessels, but unfortunately this patient did not do accurate vascular imaging examination, I can only draw a picture by myself, it is better to understand, if I can't understand, it doesn't matter, arrange Guo Jingyao to do DSA as soon as possible, so that everything will be clearly understood." ”

August had been staring at the image on the screen, and in order to see more clearly, he simply stood up, approached the screen, and said to himself: "It's incredible, China? Dr. Yang? Sanbo Hospital? ”

The noise in the hall slowly grew louder, and August shouted, "Quiet! ”

He looked at the screen, closed his eyes, thought for a while, slowly opened his eyes and said: "Doctor Yang, listen to me, do you want to tell us: when we obtained the diagnosis of dural arteriovenous fistula with great difficulty, and happily carried out the operation, the operation went through many difficulties, and finally dealt with the arteriovenous fistula, and waited for the patient to recover after the operation, but what we waited for was the patient's paralysis, permanent paralysis?" ”

August looked at Yang Ping, and after receiving affirmation, he continued: "Don't tell me, let me say, we thought we had jumped out of the trap and solved the incurable disease, but unconsciously fell into a new trap, those few mutated arteries are the main feeding vessels of the thoracic spinal cord, unfortunately, they are just blocked in the surgical approach of the dural arteriovenous fistula, the professional common sense of spine surgery tells us that these arteries can be completely cut and ligated, we have always done this, so it is natural to do so, tragedy happened at this time, We cut off a section of the patient's spinal cord that supplies the main blood vessels, and we are still complacent that the operation was successful? ”

August is really smart, the world's top spine surgeon is strong, Yang Ping draws a picture for him, opens his mind, and he can follow the train of thought to figure out the problem.

This old man is not simple, finally there is a person who can understand, Yang Ping feels that his picture is not painted in vain, as for the others, I don't know if I understand.

Milton's face turned red: "I still don't understand ---, maybe I'm a little sluggish, can you let me think about it again?" Mr. August, can you make it clearer? ”

"I've made it clear enough, you have to be active in your thinking, have you watched China's "Journey to the West"? That monkey, who flew a long distance, thought that he had reached the border of the world, but in fact, he was still in the palm of God's hand, and we are now facing a similar dilemma. August sat back in his seat, and now, he completely believed Yang Ping's words.

"Milton, I suggest you cancel your flight and stay, it's a magical case." Auguste half-squinted.

Milton was very dissatisfied with August's style, and he was so ruthless at every European academic meeting that he always embarrassed himself. Sometimes in front of many doctors, they will quarrel with each other, and for so many years, no one will let anyone, but this time, Milton admits that this old man is slightly better than himself, and he actually understands.

"I'll tell you --- another way," August wanted to explain to Milton.

Milton shook his head: "No! Don't tell me, I'm thinking for myself, oh, please help me cancel my flight, tell them I can only go back tomorrow. ”

Milton turned to speak to the assistant who was listening, he couldn't get behind August, who actually understood, but he hadn't yet started.

Is that really the case?

Atsushi Kobayashi kept asking himself in his heart.

Can he hand-draw revascularization images with cross-sectional images of CT and MRI? Professor August has already affirmed Yang Ping's opinion, could it be that he didn't understand?

"Why don't you give it a try, a DSA can solve the mystery, and everyone has to waste time dreaming here." Yang Ping felt that instead of thinking about it here, it was better to improve the inspection quickly.

With DSA's vascular images, everything is easy to explain.

But Yang Ping was worried, he didn't know what the level of DSA intervention in Gleneagles Hospital was, this was not an ordinary DSA, especially those few mutated blood vessels were over-selected, they had never encountered them, and they would definitely not be over-selected, and Yang Ping would definitely need to be present at that time to give them dissection instructions.

"I think we should do DSA as soon as possible, so that the truth will be revealed." Australia's doctors have finally spoken.

"Yes!" Several other doctors agreed.

They also wanted to see what was going on, and the Chinese doctor was talking in such a fog that it was difficult to understand.

"Dr. Lin, I wonder how the level of intervention at Gleneagles Hospital is?" Yang Ping asked very bluntly.

Although it is rude, it is necessary to understand clearly, not to mention that it is Dr. Lin who is asking, not Dr. Huang.

Dr. Lin was also unsure: "I don't know what level of interventional doctor Dr. Yang needs." ”

The doctors at Gleneagles Hospital must have a very strong theoretical level and have received international standard training, but they are really not sure how hard they work, because the number of cases they do is definitely not as large as that of Chinese doctors.

Yang Ping thought that if he invited Director Ji of the interventional department of Sanbo Hospital, at least he had cooperated with him to do DSA for hard meningeal arteriovenous fistula. This patient's surgery must be transferred to his own team, this kind of surgery is done under the microscope, and it is easy to make mistakes.

"Let's do a DSA first, shall we?" Yang Ping advised Dr. Lin.

That's the most important thing right now.