From July 31st to Aug. 4th, 2023, Dr. Daniel J. Rosenthal, an international spine expert and Director of Spinal Surgery at Hochtaunus-Kliniken gGmbH Klinik Bad Homburg in Germany, served as an international visiting professor at the Third People’s Hospital of Henan Province. He has carried out a series of academic exchanges at the hospital, including outpatient consultation, ward rounds, surgical guidance, hospital management, case discussion, academic lecture, and more.
The Communication Meeting on the Construction of the Department Brand of the Third People’s Hospital of Henan Province was held on the afternoon of July 31st. The executives of the Hospital including Vice President Yuan Qidong, Associate President and Director of Disc Center Zhou Honggang, the Directors of the Orthopedics Sha Yu, and Yan Yongchang, attended the meeting. Dr. Shen Mingkui, the representative of the Disc Center gave a presentation, sharing the current situation and prospects of the department. Dr. Rosenthal regarded that people have all witnessed the achievements of the Disc Center of the Hospital in surgical techniques, international exchanges, and supporting primary hospitals and that it has a bright future. Following the report, Dr. Rosenthal addressed a lecture on the topic of The Construction of the Discipline of Spine Surgery - German Experience. He shared the cultivation system and process of spine surgeons of Germany of the German Spine Society (Deutsche Wirbelsäulengesellschaft, DWG) starting in 2006. In Germany, ‘spine specialist’ is used to call neurosurgeons and orthopedic surgeons who dedicate to the specialty of spine surgery. They enter the cultivation system of spine surgery together to learn the procedures of the cervical, thoracic, and lumbar spine, the instrumentation, and so on.
Second Visit to the Third People’s Hospital of Henan Province
July 31st marked the beginning of Dr. Rosenthal's International Academic Activities Week as an international visiting professor at the Third People’s Hospital of Henan Province. This is Dr. Rosenthal's second visit to this hospital.
The executives of the Hospital including Vice President Yuan Qidong, Associate President and Director of Disc Center Zhou Honggang, Director of the Publicity Department Chen Aiyun, Director of Ward 1 of the Disc Center Yang Hejun, Director of Ward 2 of the Disc Center Ma Haijun and other colleagues of the department hosted a welcoming ceremony for Dr. Rosenthal.
On behalf of the hospital, Vice President Yuan Qidong extended a warm welcome to Dr. Rosenthal and thanked Dr. Rosenthal for visiting the Third People's Hospital of Henan Province again from afar. He said that Dr. Rosenthal is an internationally renowned expert in minimally invasive spine surgery. During this academic week everyone should cherish the opportunity, have more discussion from Dr. Rosenthal, and courageously find ways to overcome existing shortcomings, aiming for progress and growth.
Dr. Rosenthal said that he was very impressed by his last visit. He was very honored to be invited again to the key clinical specialty of the Third People's Hospital of Henan Province--the Disc Center, and He hoped to take the International Academic Activities Week as an opportunity to initiate active exchanges with colleagues and create fruitful results.
The Communication Meeting on the Construction of Department Brand
The Communication Meeting on the Construction of the Department Brand of the Third People’s Hospital of Henan Province was held on the afternoon of July 31st. The executives of the Hospital including Vice President Yuan Qidong, Associate President and Director of Disc Center Zhou Honggang, the Directors of the Orthopedics Sha Yu, and Yan Yongchang, attended the meeting. Dr. Shen Mingkui, the representative of the Disc Center gave a presentation, sharing the current situation and prospects of the department.
Dr. Rosenthal regarded that people have all witnessed the achievements of the Disc Center of the Hospital in surgical techniques, international exchanges, and supporting primary hospitals and that it has a bright future.
Dr. Rosenthal addressed a lecture on the topic of The Construction of the Discipline of Spine Surgery - German Experience. He shared the cultivation system and process of spine surgeons of Germany of the German Spine Society (Deutsche Wirbelsäulengesellschaft, DWG) starting in 2006.
He introduced that in Germany, ‘spine specialist' is used to call neurosurgeons and orthopedic surgeons who dedicate to the specialty of spine surgery. They enter the cultivation system of spine surgery together to learn the procedures of the cervical, thoracic, and lumbar spine, the instrumentation, and so on. Based on the extent of the accomplishment of their study, the number of cases, etc., DWG will issue them a certificate accordingly which has three levels: Basic, Master, and Excellence. According to Dr. Rosenthal, it normally takes 10 to 15 years for a spine surgeon to grow from Level Basic to Excellence.
In the end, Yuan Qidong, the hospital Vice President, conveyed in the ending speech that he greatly agreed with Dr. Rosenthal’s idea that talents are the most essential for specialty development, and showed his gratitude for the new inspirations from Dr. Rosenthal’s lecture on the development and talent cultivation of the hospital.
Experience World-class Spinal Outpatient Services
People can enjoy world-class medical services for difficult spine diseases without having to travel abroad. On the morning of Aug. 1st at 8:00 AM, Dr. Rosenthal arrived at the clinic and conducted an outpatient consultation together with Director Yang Hejun from Ward 1 of Disc Center. Dr. Rosenthal conducted consultations for a total of 18 patients. These patients came not only from the local Zhengzhou area but also from various regions across the country, including Ningxia, Heilongjiang, and other parts of the country. Drawn by his reputation, they came to seek Dr. Rosenthal's professional advice.
The patients' conditions varied, encompassing a wide range of spinal diseases, including thoracic spinal stenosis, lumbar degenerative diseases, spinal infections, and more. One elderly patient, who had underwent cervical spine surgery, came for a follow-up visit three months after the surgery, expressing his discomfort. After reviewing the images, Dr. Rosenthal diagnosed that the patient's discomfort was due to the loosening of the screws after the surgery. However, considering the patient's age, surgery would nor be recommended. Dr. Rosenthal said that when the pain does not significantly influence daily activities, the patient can apply warm compresses and massage himself for relief. Dr. Rosenthal's professional guidance and compassionate care have brought immense comfort to the patients.
Case Discussion
On the afternoon of Aug. 1st, a meeting on difficult cases was held at the Third People’s Hospital of Henan Province. Doctors from the Disc Center prepared five difficult cases in advance and presented them in English, discussing diagnostic conclusions and surgical options with Dr. Rosenthal.
All the attendees participated in the discussion actively. Among the cases, one patient complained of pain in the right lower limb. Doctors from the Disc Center suggested performing a minimally invasive decompression surgery. Dr. Rosenthal pointed out that besides the pain symptoms, the patient's lumbar spine CT images indicated an excessively straight physiological curvature of the spine. He recommended adding full-length spine X-rays in the patient's standing position to determine if there were compensatory changes in the hip or knee joints. If confirmed, further spinal deformity surgery might be necessary.
During the seminar, a doctor pointed out that the imaging shows compression on the left side, while the patient is asymptomatic. And he asked if this needed to be operated during the surgery. Dr. Rosenthal responded by saying that treating patients is not just about treating the disease; the treatment approach should be based on the patient's symptoms rather than performing surgery solely for the sake of achieving impressive imaging results. As soon as he finished speaking, applause filled the conference room, and everyone was greatly inspired.
Shift Report and Ward Rounds
On the morning of Aug. 2nd, Prof. Zhou Honggang invited Dr. Rosenthal to participate in the morning shift report session. Dr. Rosenthal mentioned that this was a great opportunity to facilitate communication between doctors and nurses and enhance the efficiency of the department's work.
Afterward, Dr. Rosenthal participated in the ward rounds to check on the recovery of the post-operative patients and to follow up on the new patients admitted to yesterday's outpatient clinic. During the rounds, the doctors mentioned that Dr. Rosenthal always remembers each patient's specific cause of admission and the timing, expressing their admiration for his dedication.