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Surgery Godfather-Chapter 1962 - 1339: If You Can’t Play, Flip the Table (Part 2)
Tang Shun raised his head, looking directly at Horton: "So to answer your question: the boundary between regulation and interference is not pre-defined by us, but dynamically defined by the feedback of the system itself. Our role is not to impose a ’correct state’ but to provide a series of gentle adjustments, observe how the system responds, and then guide it toward a more stable equilibrium point."
He paused for a moment to give the translators time to complete their work. "The core of our theory is not for the healer to set a so-called standard, but for the body itself to find that balance line. We are merely guides to allow this process of self-regulation to occur."
"It sounds wonderful," Horton remained unmoved, his expression unchanged, "but how do you prove that the direction of your guidance is ’more stable’ and not ’more fragile’? Lele is better today, but what about in five years, ten years? Could this complex multi-system intervention plant long-term risks we are not yet aware of?"
The question delved deeper, touching on the most fundamental dilemma in medicine—the test of time.
"We cannot prove it." Tang Shun’s answer caused a stir in the meeting room, with several representatives exchanging surprised glances, "Just as we cannot prove any long-term medication is absolutely safe. Medicine is essentially about making decisions amid uncertainty. What we can do is establish a more refined monitoring system, conduct lifelong follow-ups on patients, and make all data public, including failures."
He brought up a chart showing the ongoing long-term follow-up projects. "For this case, traditional treatment plans couldn’t achieve even a few days of stability, so why demand a new treatment to be stable for five, ten, or even more years? To be realistic, whether a new plan is progress, we need to compare it with old methods on the same baseline, rather than expect the new method to achieve perfection when the old method achieves nothing."
These words were straightforward and powerful. Horton momentarily couldn’t respond, his face turned livid. A low murmur filled the meeting room, with conversations in different languages mingling through the headphones.
Tang Shun didn’t wait for Horton’s response and continued to bring up another set of data: "In fact, we are already doing long-term follow-ups. Here is Lele’s follow-up data. We have tracked over three hundred biomarkers, establishing a unique ’health baseline trajectory’ for each individual. When their system deviate from this trajectory, we can detect it earlier and intervene sooner."
Professor Manstein seized the moment: "This is precisely why we need to form an alliance. Systems medicine is not the patent of a single team or country; it requires global collaboration to establish unified data standards, safety norms, and ethical frameworks. Otherwise, we risk repeating the mistakes of the Three Nations incident."
Horton was silent for a moment, gently tapping his fingers on the desktop. When he spoke again, his tone was slightly softened, but his stance remained firm: "I understand your vision, but medical progress requires caution. An overly radical theory, if promoted too early or too widely, could cause harm far greater than its benefits. History is rife with such lessons; think of the early failures of gene therapy or the unexpected side effects of certain targeted drugs."
"So we need a ’tiered implementation certification system.’" Tang Shun opened the final Chapter of the proposal, a result of months of preparation by him and his team, "Not all doctors can implement a comprehensive system regulation plan. Primary certifiers can only conduct basic monitoring and simple interventions; advanced certification requires completing two years of training and passing real case assessments. The alliance will provide open-source education platforms and decision support tools, but each implementer’s decision responsibility for the patient is independent and clear."
The screen showed a detailed certification process diagram: from online courses to simulation training, from clinical internships to independent practice assessments, the entire process requires at least 1500 hours of specialized learning. "We are not advocating a simple therapy that is available to everyone, but establishing a new medical specialty, just like cardiology or neurosurgery, which requires specialized training."
The meeting lasted seven hours, with only a brief lunch break in between. The debate extended from the theoretical level to practical details, from ethical considerations to economic impacts.
When Dr. Anderson announced the end of the first day’s meeting, the Geneva Lake outside was already shrouded in dusk. In the distance, Mont Blanc was tinted golden in the sunset, with lights from boats on the lake, creating a tranquil scene.
"The first day went rather well." Manstein and Tang Shun walked side by side toward the hotel, their shadows stretching long on the tidy Geneva sidewalks, "Horton’s questions were sharp, but at least they were discussed within an academic framework. No personal attacks, no politicized remarks, which is a good sign."
However, Tang Shun frowned slightly, slowing his pace, "Too well. Someone like Horton would not be satisfied with just raising a few questions. Each of his questions is carefully designed, ostensibly academic discussions, but actually guiding the conversation toward directions favorable to him."
"You mean he’s probing our weakness?" Manstein mused.
"Not just probing." Tang Shun shook his head, "It’s more like collecting material. Did you notice his assistant was continuously taking notes? It wasn’t a meeting summary but focused notes. They’re preparing for something."
Manstein’s expression grew serious: "You’re right, I was too focused on the debate itself and overlooked these details."







