When Yang Ping arrived, the eting room was already full of people waiting to start. In school, he always preferred sitting in the back row for the freedom it afforded.
But now, no such freedom was possible. Director Han spotted him from a distance and imdiately rose to pull him toward the front. The front-row seat had been reserved for him long ago. In this hospital, or any academic conference nationwide or worldwide, Yang Ping unquestionably belongs in the front-row VIP seat.
Director Han is now the head of the specialist team, not only at Sanbo Hospital but also at the Clinical dical College. He has earned this position, respected by all.
"I’ve glanced through it roughly. There are a few cases today that are quite interesting. You should say a few words. Everyone waits for your speech each week," Director Han stated.
Yang Ping checked the ti; it would begin in a few minutes. anwhile, several doctors were entering the room. Except for those on duty or in surgery, most would attend the case discussion voluntarily.
Almost all major directors from orthopedics were present, indicating that this hospital-wide case discussion is taken seriously by the orthopedic departnt. Director Tan greeted Yang Ping; Director Tan is now the senior director of orthopedics, leading its well-developed progress.
The first case to discuss was an orthopedic one. The patient was initially admitted to pediatrics and later transferred to orthopedics, now staying there.
The case was reported by the graduate student on Director Bai’s team, known as "Fatty." Director Bai’s group, often referred to as the "heavyweight dical team" in orthopedics, is famously composed of no mber under 90 kilograms.
This patient is a 13-year-old girl who has experienced recurrent pain throughout her body for 11 years.
Yang Ping flipped through the brief case notes: a dical history extending 11 years, with the onset at age two. She’s been to several hospitals, yet the key issue is recurring pain at multiple skeletal sites, notably frequent at the joints. Local tenderness accompanies the pain, which worsens at night and is significantly reduced during the day. Swelling and fever occur at the painful sites. Despite these characteristics, physical examination reveals no other obvious positive signs; severe pain often impairs walking.
Nurous examinations have been conducted at Sanbo Hospital, including various blood tests and MRIs.
Blood reports show significant inflammation. MRI scans of the bilateral knee and hip joints indicate inflammation and damage in large joints.
These symptoms have been recurring over 11 years, involving systemic signs like low-grade fever, weight loss, and malnutrition appearance.
Having reviewed all this data, the graduate student reported from the platform. Once the case presentation was completed, the attending physician supplented the dical history, and Director Bai personally addressed the audience, demonstrating their high regard for this case.
"Experts, this case has been referred from pediatrics. Director Tan has also consulted on this matter internally; we diagnosed it as chronic recurrent multifocal osteomyelitis. We believe there is no issue with the diagnosis; the key lies in the treatnt. We know what orthopedic doctors fear most: osteomyelitis, especially chronic osteomyelitis, which can be catastrophic. If they could reject it, orthopedic doctors would prefer not to treat such patients."
"Though we believe the diagnosis is without issue, we would like to hear if any experts have different opinions in terms of diagnosis?"
Yang Ping recalled the dical case in his mind; indeed, the diagnosis presented no issue. However, the treatnt was a significant concern. This form of osteomyelitis is aseptic, differing from the pyogenic infections commonly encountered, which are bacterial osteomyelitis.
From a pathological perspective, this osteomyelitis is not caused by bacterial infection but is an autoimmune inflammatory disease, prompted by factors such as genetic mutations. Without infection or triggers, the immune system self-activates and spontaneously induces inflammation. This activated immune response damages the body’s tissues and could occasionally threaten life.
The current case is precisely this condition. Yang Ping reviewed the case notes again, finding no issue with the diagnosis. Under Director Tan’s leadership, the orthopedic departnt is thriving.
This case is relatively challenging to diagnose; globally, only over five hundred examples have been docunted in literature.
"Diagnosis should pose no issue; the pathology examination of bone tissue slices was conducted by ," Wen Ruzheng spoke up.
The statent was quite assertive, and stylishly delivered.
"Pathologically, there’s nothing specific, it’s mainly diagnosed through symptoms," Wen Zhong from spinal surgery imdiately added.
"There are pathological traits; I am currently researching various tissue pathology expressions of autoimmune diseases and readying for publication. Although it’s a lengthy discussion, we can discuss privately later. In summary, I find no issues with the diagnosis from a pathological perspective," Wen Ruzheng demonstrated flair, knowing extended discussions here would waste ti.
"Hmm, I agree with the diagnosis; the clinical symptoms are correct." Wen Zhong expressed his agreent.
Dr. Jin from spinal surgery comnted, "The diagnostic criteria for this disease are currently insufficient. Managing to diagnose it demonstrates remarkable skill. After reviewing the X-rays, I noted significant osteolysis on the femur’s distal end and the tibia’s proximal end, with mild periosteal reactions. Similar responses appeared at other sites, confirming the diagnosis along with clinical symptoms, which seems accurate to ."
"Professor Yang, could you confirm our diagnosis accuracy?" Director Tan turned to seek Yang Ping’s input, given the diagnostic complexity.
"No issues; combined information from dical history, physical examination, and auxiliary tests fully support the diagnosis," Yang Ping affird confidently.
Director Tan felt assured and proceeded to discuss treatnt.
"I’ve reviewed considerable literature these recent days; current treatnt outcos for this disease are not promising, particularly for less pronounced symptoms lasting longer durations; the result is poorer. Half the cases retain pronounced repercussions such as bone deformities, limb length discrepancies, limping, chronic pain, severely impacting the patient’s appearance and function."
"Has any genetic testing been conducted?"
It was Zhang Lin’s voice; he had just arrived, possibly just finished surgery.
"Genetic sequencing is optimal for this case, hoping to identify the genuine cause and solve the issue fundantally," Zhang Lin suggested, resembling a senior professor.
Previously, people might quietly laugh at him for acting grandiose but now there’s no mocking, as he and Little Five recently cracked a genetic case, preparing a paper known throughout the hospital—everyone, even the cleaning staff knows. Their topic uncovered significant findings.
Earlier laughter regarding them being the institute’s golden and silver hooks, calling them Hook Heroes under Professor Yang has ceased.
Nowadays, no mockery exists because they’ve indeed authored a monograph, already published, along with a plethora of hook-related patents. Truth be told, they are foremost global experts on hooks, having penned the world’s first monograph on hook science.
Being world-first in any specialized field is an impressive achievent.
Many doctors cast admiring glances, eager for insights from this inspirational figure.
Nowadays, no mockery exists because they’ve indeed authored a monograph, already published, along with a plethora of hook-related patents. Truth be told, they are foremost global experts on hooks, having penned the world’s first monograph on hook science.
Being world-first in any specialized field is an impressive achievent.
Many doctors cast admiring glances, eager for insights from this inspirational figure.
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