Surgery Godfather-Chapter 538 - 488: Coagulation Dysfunction

The conference on the second day was packed full.

Representatives from China and Japan took turns giving presentations, intermingled with representatives from other countries, but mostly from China and Japan.

Among the other countries, an expert from Australia brought impressive research achievements.

Australia has a smaller population, but its medical strength cannot be underestimated. Familiar medical devices such as ultrasounds, cardiac pacemakers, cochlear implants, in-vitro fertilization and embryo transplantation technology, CPAP respirators, and more, were all invented in Australia.

Also, the discovery of Helicobacter pylori in the stomach and the cervical cancer vaccine are Australian achievements. The discovery of Helicobacter pylori even won the Nobel Prize.

Surprisingly, Dr. Lin Mingyuan from Singapore brought very good research results as well--a new type of biodegradable implant.

This implant is made from a biocompatible and non-toxic magnesium alloy. It has the same strength as titanium, providing excellent mechanical stability and bone support to promote healing. More importantly, over time, the implant can completely decompose in the body, which is a clear advantage over traditional orthopedic titanium alloy plates.

Actually, it is not a coincidence that Singapore has these achievements. The Singapore Central Hospital often ranks in the top ten globally.

Do you want to know which hospitals are in the top ten?

Medical powerhouses like the Mayo Clinic, Cleveland Medical Center, and Massachusetts General Hospital.

The fact that Singapore Central Hospital can join these hospitals in the top ten shows that it is indeed very strong.

Attending these academic conferences allows one to keep a good grasp of industry research trends, and prevent information blockage or isolated practice.

So Yang Ping was very serious when listening to other people’s speeches.

After the morning conference ended, as the host, Takahashi planned to use the lunchtime to take Yang Ping out for a tour, at least to Ginza.

Due to his need to prepare for Fujiwara Tani’s surgery, Yang Ping had no time for shopping.

Fujiwara Miyuki invited Xiao Su, Tang Fei, and Zhou Can to go shopping with her, but Xiao Su, reluctant to leave Yang Ping alone in the hotel, declined.

It took some coaxing and persuasion by Yang Ping to finally get Xiao Su to go shopping with Miyuki.

Not long after the girls left, Fujiwara Tani’s latest test results came out one by one, and Song Zimo sent them to Yang Ping’s phone---Coagulation dysfunction!

Coagulation dysfunction is a surgical contraindication, meaning Fujiwara Tani cannot undergo surgery due to this reason.

Never mind this type of surgery, even ordinary surgeries can be obstructed by coagulation dysfunction.

Once the surgery begins, the bleeding in the surgical area can put more pressure on the medulla than the tumor does, which is even more terrifying.

No one expected that the disease would take such a turn.

Yang Ping immediately took Takahashi, Huang Jiacai, and Old Cheng to meet with Fujiwara Masao in the doctor’s office at the intensive care unit.

Fujiwara Masao, busy tending to both ends, appeared quite exhausted.

"There had been a clotting dysfunction before, but it has been improving with treatment. The clotting indicators have returned to normal. Look, this is a test from a few days ago—it was normal. I didn’t expect this fluctuation."

Fujiwara Masao was very worried. He had just convinced the family elders not to interfere in the medical decisions on his brother’s side, and now there was this problem.

If it were any other cause, it might be possible to overcome, but this clotting dysfunction is like the Achilles’ heel of this kind of surgery.

Even the most skilled surgeons would be helpless.

Wait longer?

We don’t know when it could get better, and besides, we can’t wait that long.

If surgery is performed as planned?

It’s almost impossible. With clotting dysfunction, even an ordinary surgery could put the patient in danger due to heavy bleeding, let alone this type of medullary and upper cervical cord surgery. A little bit of bleeding can be life-threatening.

This change in the condition at this critical time...

Tokyo University Hospital is like facing a formidable enemy, and they immediately called together experts from all fields for an emergency discussion of the condition.

Ikeda, Ito, Fujiwara, Matsui, Komori, all top-notch professors, gathered together to discuss how to deal with the upcoming condition.

Fujiwara Masao and Yang Ping hurriedly rushed to the meeting room.

As Yang Ping entered the venue, everyone stood up and bowed.

The large high-definition screen displayed Fujiwara Tani’s imaging pictures and various test reports.

Nozaki Yoshihiro, Professor of Hematology, who is in charge of Fujiwara Tani’s coagulation regulation, also found it hard to explain why this happened.

Fujiwara Tani was lying in the ICU with various tubes connected to him. These data monitors were connected to the central host in the monitoring room and then transmitted to the screen.

Any aspect of his condition could be monitored through the central host.

Even the speed of the infusion pump could be finely monitored and adjusted.

Nozaki Yoshihiro has been responsible for the blood aspects of the case. He once thought it was stabilized, but didn’t expect this sudden occurrence.

Such unpredictable changes in the condition are not uncommon.

The problem is that everyone is tense because it is happening at this critical juncture.

"If we don’t do the surgery this time, what does it mean?" Asked Ogawa, the head of the ICU, breaking the silence.

"It means that there will never be another chance. The tumor will soon bleed spontaneously. If there are no effective measures, the probability of death is 100%. All efforts will be in vain."

Komori Daisuke gave a clear answer.

"If we proceed with the surgery as planned, what does it mean?"

Again, it was Ogawa’s question.

"Coagulation dysfunction is an absolute contraindication for such surgeries. If the surgery is forced, death due to bleeding is certain, with a mortality rate of 100%."

Komori Daisuke took over the conversation.

Two one hundreds percent chances!

Never thought the consequences would be this serious. The director of the Office of Affairs looked around, then at Fujiwara Masao.

Fujiwara Masao slightly adjusted his emotions and said:

"This surgery is high-risk to begin with. Currently, Dr. Yang is the only one with a grip on success. If all goes well, perhaps, Dr. Yang can successfully complete the surgery, but now, with such unfortunate circumstances, even Dr. Yang, with his successful track record, most likely won’t be able to perform the surgery."

"What’s frustrating is that we can’t currently find the cause of the change in the condition."

Nozaki sadly said.

"Now is not the time to find the cause; we need to make a decision, to give up the surgery or continue?"

Professor Ikeda pointed out the focus of the meeting to prevent deviating from the main topic.

As for the rest, such as summarizing lessons, that’s a matter for later.

"Dr. Yang?"

Professor Ikeda hoped that Dr. Yang would say something, as he was now being asked to be the chief surgeon.

At this point, all they could do was make a symbolic effort. Whether politicians or business elites, none could escape the cycle of birth, aging, sickness, and death. Many important figures had died at Tokyo University Hospital, so such matters no longer stirred any waves in Professor Ikeda’s heart.

Yang Ping pondered for a moment, then said:

"Prepare for the surgery at eight o’clock tonight. In this condition, waiting any longer leaves no hope. Operating tonight, however, leaves a glimmer of hope."

"But I don’t know, would you all be willing to take this risk with me?"

In such a predicament, they could only take the risk of surgery. If they missed this opportunity, they would never get another one.

No matter what Fujiwara Tani’s status was, in Yang Ping’s eyes, he was just a patient. For Yang Ping, every surgery had to be carried out with full effort, fighting for the best health benefit for the patient.

"Are you saying--- despite the clotting dysfunction--- you would still perform surgery?"

Komori Daisuke was extremely surprised. This was taboo.

No one dared to do this. For surgeons, it was a devilish challenge. In the surgical site, even a slight postoperative bleed could be fatal. How could they achieve such perfect hemostasis?

Mitsui also waited for Yang Ping’s answer, wondering if he had heard wrong.

"Dr. Yang, do we definitely have to take this risk?"

Fujiwara Masao hoped Yang Ping would say this sentence, but the reality was cruel. Clotting dysfunction was definitely a contraindication!

In medicine, "absolute" means there is no room for negotiation, no exceptions.

Surgery under such contraindications would have destructive consequences for both the surgeon and the patient.

Yang Ping solemnly asked: "I want to ask—do you all still wish to save him?"

"Of course!" Professor Ikeda’s words represented Tokyo University Hospital.

Yang Ping nodded:

"We have no other choice, there is only this way. In such a coagulation state, the tumor will start to bleed spontaneously very soon. The sudden bleeding will compress the brainstem, leading to immediate death. Having the surgery now, while adjusting clotting function simultaneously, there is still a glimmer of hope."

All blood vessels in the tumor were abnormal, with walls far weaker than those of normal vessels. When clotting function was impaired, the tumor was likely to bleed spontaneously.

"I’m really sorry for causing everyone trouble!"

Nozaki Yoshihiro felt guilty.

After all, an accident had occurred in the part he was responsible for.

"Professor Nozaki, there’s no need to blame yourself. The human body is complex and mysterious, not everything changes as expected. Unexplained consumption of clotting factors, the body’s special reactions to certain drugs, improper storage of clotting factors, and the unknown adverse effects of tumors could all be possible causes."

Previously when clotting function was impaired, they had been replenishing clotting factors and platelets, and everything had been improving as expected. Then suddenly, the indicators fell to this level.

"Let’s prepare for the surgery at eight o’clock tonight!" Fujiwara Masao made the decision, speaking on behalf of the family.

Bleeding!

Terrifying bleeding!

This could greatly compromise Dr. Yang’s extraordinary surgical skills, and might even prevent the surgery from proceeding.

The situation was straightforward, and the discussion ended in gloom.

Fujiwara Masao wanted to go to the meeting room to make the announcement, turning the afternoon’s meeting over to Sasaki, while he focused entirely on dealing with his uncle’s condition.

"I’ll wait for my friends!"

After leaving the meeting room, Yang Ping did not see Huang Jiacai and Old Cheng, so he called them.

Fujiwara Masao instructed Takahashi to accompany Yang Ping well, while he hurried back to the meeting room.

"Dr. Yang!"

Yang Ping turned around to find Fujiwara Miyuki standing behind him.

"Please, you must save my uncle." Miyuki had also received the news of her uncle’s changing condition.

"I’ll do my best!" Yang Ping comforted Miyuki.

"He’s a good man. The pharmaceutical company under his family’s control—Tokyo Island Life—has developed dozens of advanced drugs. He’s opened up the patents, letting countries produce generics, enabling many patients to enjoy inexpensive medicines." Miyuki said emotionally.

"I will give it my all."

Yang Ping thought that this naïve girl hadn’t realized the severity of the issue. Clotting function impairment! Was now the arch-enemy of a surgeon, and no one could say they definitely could handle it.

Just one night had passed, but the condition had changed dramatically.

"Miyuki!"

The voice of Fujiwara Wakan, his slender figure appeared from a distance, without any bodyguards by his side.

"Dr. Yang, nice to meet you!"

Fujiwara Wakan recognized Yang Ping at a glance and greeted him in Japanese, Takahashi helping with translation.

"I’ve heard of the changes in Uncle’s condition, so I rushed over." freewebnσvel.cøm

Fujiwara Wakan had just visited the special care ward and communicated with the doctor.

"The clotting function is impaired." Yang Ping told him.

"I heard that Dr. Yang still insists on the surgery. I’m deeply moved. In this world, I believe the most respectable people are doctors and teachers, the most divine professions!"

"That’s high praise."

"No, it’s true. Your profession is holy and inviolable. My brother told me that you are a rare genius doctor."

"It’s just a love for medicine, nothing to do with genius."

"The progress of the world is driven by geniuses. You’re being too modest."

"I’ve always considered myself an ordinary person."

"No matter the outcome, as family members, we are very grateful for your efforts, thank you!"

Fujiwara Wakan bowed deeply.

"Thank you for understanding. As long as we’ve given it our all and there are no regrets, that’s enough."

"Yes, as long as there are no regrets, that’ll be good. I believe Uncle would think the same."