Chinese medicine: from rural hospitals to top three hospitals in Kyoto

"Director Chen, it seems that Country R is very confident and feels that we cannot cure this disease." He Yonghua said.

"Please check on the patient first."

Chen Yang quickly read the letter and handed it to several core members who gathered around him.

Qu Haoran took the first step and quickly glanced through the first few pages of the imaging report and the patient summary. His expression instantly became extremely solemn, and his fingers even trembled slightly. "Director Chen, look at this... This is simply..."

He Yonghua and Zhong Dongyang also immediately came over to take a closer look. Soon, their brows were tightly furrowed, and the sound of them sucking in a breath of cold air could be clearly heard in the quiet room.

The patient was a sixteen-year-old girl named Ayako Ishikawa.

Her condition is extremely rare and incredibly difficult - congenital systemic arterial malformation with multiple aneurysms!

In the imaging data, the angiography image, which should have been clear and smooth, now looked like it had been scribbled by the devil's brush.

From the patient's cerebral aortic arch, carotid artery, vertebral artery, to the thoracic and abdominal aorta, hepatic artery, splenic artery, renal artery, and even the main arteries of the limbs, they are all covered with twisted, dilated, and entangled abnormal blood vessels, as well as aneurysms that are like time bombs hidden in the shadows!

The largest aneurysm was located in the thoracic aorta, with a diameter of more than seven centimeters. The thin aneurysm wall was almost transparent on the enhanced CT image, and trembled slightly with the beating of the heart, as if it could burst with a "bang" at any time, ending everything.

What's even more terrifying is that these deformed blood vessels and aneurysms are not static. According to medical records, they seem to have their own lives, growing and changing slowly and continuously. It is as if countless mines of varying powers and unknown fuses are buried in her young body. Any one of them, if accidentally detonated, will be catastrophic and fatal.

"This... this is simply a 'ghost' weaving a web of death within her body."

Zhong Dongyang's voice was dry. He had been practicing medicine for many years, but had never seen such a complicated and desperate case. "This kind of diffuse, systemic vascular disease cannot be cured by traditional surgery.

If the surgery is too small, it will be like a drop in the bucket and will not solve the fundamental problem; if it is too large, the patient's fragile body will not be able to withstand such a huge trauma. A rupture of a blood vessel anywhere during the operation could lead to instant massive hemorrhage and death."

No wonder Xiao Ri used this tone, fearing that Chen Yang would not agree.

In He Yonghua's opinion, this disease is almost impossible to treat.

"Then, what about interventional embolization? Can it be done in stages?" He Yonghua asked with the last glimmer of hope.

Qu Haoran shook his head heavily, pointing to several images of intracranial blood vessels. "It's difficult, even hopeless. Look at these abnormal vascular nests. The structure is too complex, with numerous blood supply arteries, and many of them are nutrient vessels for important organs, such as the brain and kidneys."

"If large-scale embolization is performed, it is likely to cause multi-organ ischemia and necrosis, which is also extremely risky and tantamount to drinking poison to quench thirst. Moreover, many aneurysms are poorly located, right at the bends or bifurcations of the blood vessels, making it difficult for interventional catheters to be stabilized in place, making treatment extremely difficult."

Wen Haodong looked at the photo of the pale yet still pretty girl on the front page of the profile. A flicker of pity flashed in his eyes, and he couldn't help but curse under his breath, "These guys are so cruel. They brought up such a case. This isn't a request for help, it's clearly a deliberate attempt to make things difficult for us. They want to make fun of us!"

Chen Yang didn't say anything. Instead, he picked up the stack of films and looked at them one by one very carefully and patiently. His eyes were focused and sharp, as if he wanted to penetrate the black and white images and see directly the complex and dangerous real situation inside the patient's body.

After a long while, he gently put down the last piece of paper and slowly said, "Although it is difficult, it is also a living life."

Everyone was stunned, then nodded.

No matter what, we are all doctors. Although Country R has different thoughts, the patients are indeed sympathetic.

"Please carefully review the patient's medical records. Over the past year, he has experienced three minor bleeding episodes from aneurysms in different locations. Despite intensive medical treatment, he has barely survived, but his body is extremely weak and on the verge of collapse. It's not that the experts from Country R don't want to save him, but... they simply don't know where to start. He's in a desperate situation."

Chen Yang's slender finger pointed precisely at the image of the largest thoracic aortic aneurysm. "That spot is like a sword of Damocles against her throat, hanging by her hair, ready to fall at any moment, ending her young life."

"They were really trying to put this case on us, but it was also a difficult situation for the patient, who was desperate and trying to grasp at the last possible lifeline."

The conference room fell into silence.

Indeed, regardless of one's position, when faced with such a vibrant and tortured young life, any doctor with a conscience would first think of how to grasp even a glimmer of hope to save the person, rather than simply competing for victory.

"Director Chen, then...should we take it?"

Qu Haoran asked the most crucial question on behalf of everyone, his voice hesitant.

The risks of this case were too great. Taking it over would be like walking on a tightrope. If it failed, it would be a devastating blow to the team's newly established reputation.

"Everyone, please tell us what you want to say." Chen Yang looked at everyone with a smile.

"Director Chen, you have to make the decision on this matter. With our level, we definitely wouldn't dare to take it." Qu Haoran said.

Whether they can accept the surgery depends mainly on the doctor's level. They don't have that ability.

"catch!"

Chen Yang pondered for a moment and said, "Doctors are compassionate. It is their duty to cure illnesses and save lives. How can we stand by and watch someone die because we are afraid of the risks? Moreover, this is a great opportunity to show the world the responsibility and wisdom of Chinese doctors and the true comprehensive strength of our Kyoto International Medical Center!"

After a pause, Chen Yang continued, "For this case, a single surgical method or interventional technique is no longer sufficient. What we need is a truly multidisciplinary, in-depth, and revolutionary, even unprecedented, comprehensive treatment plan!"

"Of course, we need to communicate well with Country R."

Chen Yang said: "The patient's condition is complicated and the risks are indeed great, but for us, it's actually not as stressful as everyone imagines..."

"I shouldn't say this, but even if the surgery fails, it won't have much impact on us. With a condition like this, the risks are obvious to all."

Chen Yang glanced at everyone and said, "What we need to do is to formulate a feasible plan and go all out."

After hearing what Chen Yang said, everyone immediately gained confidence. At least Director Chen should be sure, or already have an idea.