Inside the conference room.
Director Thorne scanned the table. "Everyone had a chance to review the chart? Let's hear your thoughts."
Sloane was still meticulously scanning the file.
The patient was a 53-year-old male with a skull-base tumor wrapped aggressively around the internal carotid artery. The positioning was a total nightmare, making even a pre-op biopsy impossible. It was a notoriously brutal case, the kind of surgical minefield rarely seen even in top-tier neuro-wards.
Having just returned from the island, it had been months since she had tackled a complex urban case, so she read every single line with hyper-focused precision.
Donna Davenport eagerly took the floor to speak first.
Leveraging her overseas credentials, she peppered her speech with pretentious medical jargon, casually dropping the names of foreign institutions every time she hit a complex surgical concept. If you weren't paying close attention, it sounded like an incoherent word salad.
The crux of her pitch was to import an aggressive "early artery disconnection" technique favored by elite Western hospitals to match global standards.
The second she finished, Thorne practically gave her a standing ovation. "Dr. Davenport's insight is incredibly cutting-edge! It's rare to see such advanced clinical vision in someone so young. Does anyone have any differing opinions?"
Sloane finally looked up from the chart, having processed the data. She immediately shot down the proposal.
"Dr. Davenport, I'm familiar with the surgical method you're referencing. However, the case studies you cited were strictly for tumors under three centimeters, and none of those patients had underlying atherosclerosis, did they?
"Our patient has a four-centimeter tumor. Yesterday's CT scan clearly shows extensive calcified plaques along the internal carotid artery, meaning the vessel's elasticity and resilience are severely compromised. If we attempt the early disconnection technique you're advocating, we drastically increase the risk of dislodging a plaque and triggering a catastrophic intraoperative hemorrhage."

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