Chapter 1612: Chapter 1612

"Can you recommend me to join that social software group?"

"You need recommendations from two existing members. I can recommend you, but you need a second one. See if John Ansen can be your referral."

"Even though I haven’t done any further study, I learn a lot by watching their conversations in the group every day. I’m sure it’s the best online medical community in the world, where you can always find the most cutting-edge medical knowledge, which you can’t learn from literature. For instance, very soon, they’ll share the surgery case of the conjoined twin sisters for study."

Raymond is quite eager now, and he can’t hold back: "How can I get into that community? What can I do? Just tell me, and I’m willing to make any effort, even money?"

"As I mentioned earlier, two requirements: recommendations by two members, and passing the fourth level of the Chinese language exam. I became a section moderator of the interventional section then because they lacked one, so I went through the green channel, requiring four referrers and later passed the Chinese level four. But you don’t have such an opportunity now, because the neurosurgery moderator position is already taken by John Ansen."

"Why not open it up?"

"Because we discuss knowledge that isn’t covered in existing literature and textbooks. If non-qualified members get in, it could easily lead to misunderstandings. If they recklessly mimic, it could cause disaster to patients."

"I’m curious, during the surgery just now, I was only focusing on the brainstem separation. After the two patients were separated, they were missing so much skin and muscle. I saw they completely repaired it with skin and muscle. Where did this skin and muscle come from?"

Raymond suddenly thought of another question, a second one emerged while he hadn’t figured out the first.

"They integrate research and clinical work. They have several laboratories, one of which is a stem cell laboratory. They can use the patient’s stem cells and clone a large amount of skin and muscle using localized cloning technology."

"Localized cloning technology?"

As a neurosurgeon, Raymond isn’t very concerned with progress in the field of basic medicine, so he doesn’t know what localized cloning technology is. The latest_epɪ_sodes are on_the novèlfire.net

"In a laboratory environment, using special techniques to clone single organs or a piece of tissue."

"Such technology exists?"

"Professor Yang’s Nobel Prize-winning academic achievement is the spatial orientation gene. The so-called spatial orientation gene is the gene responsible for spatial construction in cells. Professor Yang has mastered the method to activate these spatial orientation genes in some organs, using these factors to cultivate the skin and muscle of the entire body in a laboratory environment."

Raymond felt like he was listening to a science fiction story. The world has such technology. He knows the recent academic achievement that won the prize is related to genetics. He thought it was still at the theoretical stage, needing twenty to thirty years for practical application. But to his surprise, it is already being applied in practice. It’s truly amazing.

If this surgery were performed by other doctors, even if the brainstem could be separated, it would be impossible to proceed further. The skin might be barely covered using skin grafting technology, but what about the muscle and bone tissue? Muscle and bone tissues couldn’t be obtained. Without them to fill the gaps, the separated vertebrae couldn’t be reconstructed, nor could a stable vertebra be achieved.

The more Raymond thought about it now, the more complicated the surgery became—it was a massive engineering task. Yet, Professor Yang resolved it all effortlessly, overcoming numerous unsolvable problems.

Charité Hospital in Germany.

It’s morning time in China, but in Germany, the sun hasn’t yet risen.

Nevertheless, the doctors haven’t left the meeting room yet. They won’t leave all day today because, under the chairmanship of Professor Mainshtan, they’re replaying the surgical video slowly for review, having a collective first-time study session.

"From today’s surgery, everyone can see the importance of basic medical knowledge in solving clinical problems. Of course, for solving ordinary clinical issues, this knowledge isn’t necessary, but for creatively solving high-difficulty problems, we must have this knowledge."

"Did everyone notice that the biggest challenge of this surgery was that the brainstems of the conjoined twins were also joined together? Their neural nuclei were intermingled and extremely chaotic. No one could pinpoint their exact location, which is why other surgeons around the world avoided it. Yet Professor Yang was different; he discovered the distribution of the neural nuclei."

"Do you know how he found it? I pondered over it for a long time without figuring it out, but now I understand. I just confirmed with Professor Yang, and his method aligns with my hypothesis."

"What exactly is the method? I have been in touch with this case. The Americans once sent it to me, but even until now, I couldn’t find their precise distribution. I have thought about and used all imaging techniques, including the latest cell marker tracking technology. Unfortunately, I haven’t been able to do it." Neurosurgery department director Felix posed his question.

Manstein said: "They employed a very clever method, using genetics and embryology knowledge to simulate the complete process of a fertilized egg differentiating into two identical twins, then found the moment it stopped dividing, finally obtaining the fetal anatomy at this moment. They continued to simulate how the conjoined sisters formed after ceasing division. This way, they acquired the precise distribution of the neural nuclei."

Felix thoughtfully pondered for a moment, suddenly enlightened: "It’s really a clever method. They abandoned all simple imaging means to find the interface and used another more thorough and direct way. But why didn’t I think of it? If you hadn’t told me now, even if time turned back, I still wouldn’t have thought of it."

Professor Mainshtan said: "That’s why we need to deeply reflect on our medical education courses. While we emphasize clinical education, we neglect the education of basic medicine, resulting in a flawed knowledge structure for doctors."

August immediately commented: "Actually, I think compared to the training mode of American doctors, our emphasis on basic medicine is still relatively good, but you’re right, it’s far from enough. We must emphasize the foundation of medical knowledge for doctors in the future."

"Therefore, everyone, we need to quickly establish a project to study our physician training curricula and come up with a reform plan as soon as possible. We must reform to revitalize medical education again."

"This is one problem we’ve discovered, but there’s another very big issue we’ve missed," Professor Mainshtan asked seriously.

A young doctor raised a hand: "After observing the entire surgery, I found that apart from the chief surgeon’s superb surgical techniques, they have a scientific research system supporting this surgery. For example, where did the skin, muscle, and bone tissues they needed come from? It certainly wasn’t from using the patient’s own skin flaps and muscle flaps to fill in, as I didn’t see any steps for taking those. There must be other technologies involved."

"Your observational skills are strong; you’ve seen the root of the problem. Yes, that’s what I wanted to say. All of the muscles, skin, come from their Stem Cell Laboratory. Their stem cell laboratory and the operating room are in the same building, integrated as one. They’re a combination of research and clinical practice, a model very rare in the world. We can be inspired by this, and we must take the route of integrating research and clinical practice—this is the future model for hospitals," Professor Mainshtan said.

He wasn’t only seeing the technical gap from this surgery but also the systemic gap. He decided to learn from Sanbo Hospital, reform the hospital, and implement research-clinical integration.

PS: I’m a bit busy today, so I’ll send out the draft first. I’ll edit it later when I have time. Thank you, everyone.