Chapter 663: Chapter 595: Surface Warrior_2 Chapter 663: Chapter 595: Surface Warrior_2 Director Lu looked at the case displayed on the screen. Who could figure out what this disease was, constantly performing surgeries, the best debaters were never the ones holding the scalpel.

After a while, Director Lu didn’t make heads or tails of it.

Director Zha’s case was indeed a tricky one. The research paper was already written by the graduate students and was prepared to be published in the New England Journal of Medicine based on the individual case.

If you surgeons can figure it out, I’ll let you take my position as director!

Director Zha sneered internally.

“Does anyone have any suggestions? Let’s hear them!”

The veteran internal medicine expert rose to address the room.

If even the head of the urological surgery department can’t figure this out, how are we supposed to know, at least urological surgery and nephrology have some sort of correlation.

“Orthopedics?”

The senior expert’s gaze circled and landed on Yang Ping, who was seated behind Professor Zhang: “Professor Yang of comprehensive surgery, what say you?”

This kind of on the spot questioning, if the answer wasn’t clear, it would be a loss of face.

The fellow surgeons felt it was unfair for Professor Yang.

Yang Ping had been paying attention to this case because it was indeed interesting.

Director Zha, a doctorate, who had previously spent a year as a visiting scholar in the United States, was indeed impressive.

“Professor Yang, what’s your opinion?”

Yang Ping stood up, this situation was not created by me to break your defense.

“The skin biopsy shows a large amount of calcium salt deposition. If you use a polarized light microscope, you could probably see a large amount of diamond-like crystal deposition–calcium oxalate crystal. We should consider primary hyperoxaluria, especially with further genetic testing, the AGXT gene might carry a heterozygous mutation.”

A rare disease with a one to three in a million probability and they had kept it a secret for so long, all for this moment of showing off at the hospital-wide meeting, and he broke it in a few words?

Surgeons score one for the team.

Director Zha’s smile instantly disappeared. How did that happen?

Yang Ping checked the time, there were other things to do in the department, and there were still several doctors from his department here.

——
Almost two weeks had passed already.

The list of international clinical experimental bases for new spinal orthopedic techniques will be announced soon, and there’s only one slot. Tokyo University Hospital had the most extensive preparation, and the status of the top brother of New York Special Surgery Hospital was most favorable for promoting new techniques to the world.

Meanwhile the German offer was the most enticing with their Duke Foundation funding, casually dishing out one hundred million Euros at a time, as long as it’s legitimate and reasonable, the more the better.

In the comprehensive surgery meeting room, everyone gathered around the conference table. August, Robert, and Takahashi all looked extremely tense.

The experimental base collaboration was crucial for them, although their reasons were different.

Yang Ping didn’t speak, he exchanged glances with Song Zimo who took an agreement out of his bag.

I have other stuff to do, just hurry up and pull out the agreement for them to sign, Yang Ping urged internally.

No rush, usually you’re the one showing off and I’m the one supporting you, this time you can support my showing off, Song Zimo was unhurried.

“Dr. Robert!”

As expected, it’s me, Robert sighed with relief, having successfully completed this mission.

“Congratulations to the New York Special Surgery Hospital on becoming our clinical experimental base. Please review the agreement.” Song Zimo handed over the agreement.

Robert took the agreement, started reading it line by line, unable to suppress his smile.

The Japanese and German representatives looked quite disappointed. After shaking hands with the Americans to express congratulations, they could only vie again next year.

After reading, Robert signed the contract, kept it safe, and looked ecstatic.

Song Zimo slowly pulled out another agreement from his bag: “Dr. Takahashi, given the extensive preparation of Tokyo University Hospital, we have added an extra base for you, congratulations!”

Takahashi had mixed feelings of loss and gain. August’s heart was sour. He felt like an exam candidate who had underestimated his scores and found out that the actual scores were much lower.

Song Zimo calmly said, “Congratulations to the both of you!”

“But Mr. August, don’t lose heart, because of your sincerity, we’ve decided to add another spot. Congratulations to Harald Orthopedic Hospital for becoming the third base.”

Slowly pulling the agreement out of his bag, Song Zimo pushed it in front of August.

August couldn’t believe it, he hadn’t been left out, and had finally secured the base.

The overseas deployment of the external spinal fixator has been completed, and any new techniques to be launched in the future will also be spread globally through these three bases.

—-
Yang Ping is getting ready to go to Europe, with August instructing Markus to prepare diligently.

A helical spine model is placed on the desk, and Yang Ping gazes at it, deep in thought.

This is a challenging scoliosis correction, due to the three-dimensional helical nature, the correction needs to be considered from three different angles, making the factors even more complex.

Considerations include the lungs in the chest, the stomach and the internal organs in the abdominal cavity, as they have adapted to the deformed space that the spiral spine has formed over the past twenty years. Now in trying to correct it, potential postoperative complications need to be considered.

At present, Nandu University’s Digital Medical Laboratory can only model simple spinal corrections and fails to take into account the impact caused by concurrent chest and abdominal organ complications.

Moreover, machines lack imagination, thus they are unable to creatively solve problems.

In other words, the computer can only solve problems within the existing framework and is unable to find creative solutions.

Along with the adjustment of the spine, all the soft tissues must be considered; which ones can tolerate tension and which ones can’t. The ones that can tolerate tension need to be loosened in advance. All these elements have to be taken into account.

If this spinal deformation correction is successful, the external spinal fixator will invisibly be pushed to the pinnacle of the world.

To achieve the best correction, it is necessary to obtain thin slice scans of all organs from the neck to the chest and abdomen, then redefine the morphological positions of the organs and all their surrounding adhesions.

In this way, changes in the position of all organs during the process of correction can be demonstrated, and the range of stretch of their adhesions measured.

Therefore, this spinal correction is no longer simply about considering changes in the shape of the spinal cord; there are many accompanying changes in numerous organs that must be considered.

Otherwise, unpredictable complications may arise.

Yang Ping constructs these images in his mind, then tries to simulate spinal corrections. As the organs undergo changes in conjunction with the spinal corrections, complications may arise even though the correction process is slow.

For instance, whether the aorta will rupture, or whether, due to alterations in external pressures, the heart will breach a certain threshold and acute heart failure will ensue.

This is the reason why all top-level doctors around the world, including August, dare not perform the surgery.

The deeper the doctor’s understanding, the more they know about the terrifying consequences.

The patient’s heart function is rated level four, which is the worst level basically rendering them unable to perform any activity. Even when they are resting, whether sitting or lying down, they may experience significant discomfort such as panting and difficulty breathing.

During the correction process, the disturbance to heart function must be considered.

“Dr. Ao–”
Yang Ping pushes open the door.

August, having received the contract, seems much more relaxed as he trots inside.

“Have your patient undergo the most detailed thin-layer CT scans, starting from the base of the skull and all the way down to the coccyx. The thoracic and abdominal areas are particularly important. I need to know the morphological location and status of all organs, then combine it with an MRI that marries both anatomy and functionality.”

Yang Ping instructs August.

Upon hearing the professor caring about his case, August eagerly agrees. This means the professor is preparing for the trip to Germany.

—
Inside the doctor’s office, an intern, who is a fan of Qin Xiaowei, is showing his phone to a few other people.

“Brother Xiaowei is going to free climb a nine-hundred-meter cliff! Look, it’s as if the cliff were cut by a knife, it’s so dangerous, it looks like the Chief, which was climbed by Alex Honnold, definitely dangerous rock.”

“He has even signed an organ donation agreement, he is fully prepared this time.”

“I heard the insurance companies dare not cover this, in the end, the sponsor promised a huge compensation if anything happens.”

“The climbs before were not as momentous as this one. This is close to making the trending list, it will be live-streamed online.”

“I heard that they are not using drones for filming, it’s a filming team following him, all the cameramen are professional rock climbers. They hang on ropes, following Brother Xiaowei the whole time to capture the moment, it’s so thrilling, my heart is pounding just thinking about it.”

“There will be no rescue if he falls. Is there any protection under him?”

“There is no protection at all, no bolts can be driven into the rockface, no mats can be placed on the ground, and Brother Xiaowei refuses to wear a parachute. He says wearing a parachute pack reduces body flexibility.”

Yang Ping sees a few interns huddled together.

The intern, looking up to see Yang Ping, is glued to his spot. Yang Ping says: “Let me take a look!”

The intern hands over his phone. It’s the promotional video for the free-climb, a montage of videos from “Point Break” and “Free Solo”, and a close-up of the sheer cliff that Qin Xiaowei is preparing to climb. Indeed, staring at this perilous climb stirs up nerves, let alone undertaking the climb.

The Hollywood blockbuster-style promotional video ends with these big words: Ground Warrior!

For such outdoor extreme sports, Yang Ping can only express his respect!

They are challenging the impossible in their own unique way.