godfather of surgery

Chapter 415 Three Eagles with One Arrow

Massimo was about to spurt blood, and the effect of Johannesson's words was equivalent to pressing Massimo's head to the ground.

Yang Ping waited for the next opportunity. If he forcibly took the risk of voltage instability to perform surgery, it was not in line with his personality. The surgery must be done steadily, with a fluke mentality, and it would mean failure at the beginning.

Sometimes there is no way, and the risk that should be taken must be taken. When there is a way, he is absolutely unwilling to increase the risk for no reason.

When he replicated Steven's case to perform simulated surgery, he had already made in-depth research on Steven's condition, and he could last more than five hours.

If the engineer can fix the electrical system, give him half an hour and he can complete the operation.

This kind of operation must be done under the best conditions, if you don't do it, it will be fine, if you do it, it will be a one-hit kill.

If the power system is still not repaired at the last moment, Yang Ping can only be forced to gamble, but if there is a glimmer of hope, Yang Ping does not want to gamble.

Sometimes, life and death are just a matter of thought. Although there is no guarantee that everything will go wrong, Yang Ping will strive for the greatest probability for the patient.

The technical support for Steven's illness has not stopped either. His information has been sent to the artificial intelligence doctor of GG and also to Watson, the artificial intelligence doctor of IBM.

The artificial intelligence of GG Company simulated the evolution of Steven's condition, repeated the simulation, and finally came out with the final result.

Steven was only able to last seven hours, before dying of a burst aneurysm seven hours later.

"Why hasn't he acted yet? There are only seven hours. If you don't act again, once the time is wasted, it will be too late." Massimo didn't understand why Yang Ping waited. The voltage was unstable, and at least he could still control the machine. It was a risky thing.

It would have taken five or six hours for this operation to be performed. If the accessories were delivered and David Hawley was out of the cabin for maintenance, it would be gone in five or six hours. There would be no time left for the operation.

"Dr. Yang has his own plan. One surgery, four cardiac arrests, one arrest and 21 defibrillations before successful cardioversion, but he is still calm and confident. Let's not try to use our own thinking Understand what he does, Massimo, you are a genius, I admit it, but you and I are in the same dimension after all, Dr. Yang is already a dimension higher than us, because he is still young, so you have not yet appreciated his achievements, Believe that in the near future, he will suffocate you, believe in him more than yourself." John Mason told Massimo to be calm.

Yang Ping stayed in the operation room all the time, he could not leave, and he did not dare to leave. Once Steven was in danger, he would direct Susan to give first aid, and he could even use the remote surgery robot to perform some operations.

IBM's Watson's diagnosis report on Steven came: "Steven has more than one aneurysm in his brainstem, and there is also an occult microaneurysm."

Compared with GG's artificial intelligence, IBM's Watson is more powerful and mature in medical treatment.

Especially in the aspect of artificial intelligence reading films, GG company is simply overwhelmed. Of course, it can crush human doctors. No matter how powerful a doctor is, the limit of reading films in a day is a few hundred, but Watson artificial intelligence can read hundreds of thousands in a few seconds. Millions of films.

On the video and pictures, some subtle places can be enlarged and screened by artificial intelligence in the computer host, and precise measurement and big data calculation can also be carried out.

Steven has two aneurysms!There is another hidden one.

This was a far cry from the initial diagnosis, which, at this point, no one questioned Watson.

When Johannesson received the news, he couldn't sit still immediately. He was about to tell Dr. Yang the news. If only one aneurysm embolization was performed, it would be equivalent to dismantling only one of two time bombs, and it still wouldn't work.

In the lobby of the ground control center, the nerves that the doctors had just relaxed became tense again. Two aneurysms directly doubled the difficulty of the operation.

The last ounce of confidence in Massimo's heart was destroyed. If there was only one aneurysm, he could still try it, and bet on the probability of a few percent that was theoretically better than nothing. Two aneurysms in the brainstem did not even have the chance to dream of gambling. .

The medical team couldn't control it, and there was a commotion. Johannesson rushed to Yang Ping's operating room immediately, followed by Massimo.

Yang Ping was drinking tea with Lao Cheng and Mr. Huang when he saw the nervous Johannesson: "Is the power system repaired?"

Johannesson shook his head, his face livid: "Dr. Yang, the diagnosis of IBM Watson just now: Steven has two microaneurysms in the brainstem, both of which are in the complex vascular network, and the other is hidden, straddling the blood vessels cross section."

Yang Ping didn't seem to be in a hurry: "Sit down, I'll tell you slowly."

"Old Cheng, bring that picture." Yang Ping greeted Old Cheng.

Boss Cheng immediately brought over a pencil drawing drawn by Yang Ping. Yang Ping pointed to the picture and said, "Look, there are actually more than two, and there is one more. There are three in total, but the other two are extremely hidden and have not been shown. In the microgravity environment, the venous return slows down and the arteries become congested. The first one is the easiest to show. The other two, one is very hidden, and the third one is not shown at all. It is not clear that this is Steven’s original existence. Vascular defects, or vascular lesions in a microgravity environment."

"You—always knew?" Johannesson wondered.

Yang Ping nodded: "Because no matter whether it is everyone reading the film or GG's artificial intelligence reading the film, I can't convince everyone if I say it. It will waste a lot of time. Anyway, I have to do surgery. There is no difference between one place and three places."

"But—Watson's diagnosis is only two aneurysms?" Massimo was confused and unbelievable.

Yang Ping had no choice but to explain to them: "The ability of artificial intelligence robots like Watson depends on all the medical knowledge of human beings in the past. Yes, it cannot be obtained, so it is inferior to us in exploring the unknown. It can only find two from the difference in the images, and we can deduce the third from the mechanism of the disease. Just like the French Le Viller and the Englishman John Adams calculated the existence of Neptune by mathematical deduction based on the abnormal orbit of Uranus, and calculated its trajectory."

"You mean, the aneurysm hasn't shown any signs of imaging so far, so you figured it out?" Johannesson finally understood.

"How can you put an extra coil in his skull just by guessing?" Massimo asked.

Yang Ping's tone was calm, but not negotiable: "Why not? It will be too late if it changes in image, we have to predict its existence in advance and solve it in advance, just like if there is a large amount of Helicobacter pylori in the stomach, we have to It is predicted that it is very likely to cause gastric cancer, and we cannot wait until gastric cancer occurs, but solve Helicobacter pylori in advance.”

"And its hemodynamic performance has been abnormal, but now no one observes it from a dynamic perspective, Watson naturally won't, but I will, isn't all medical diagnosis a kind of evidence inference? Aneurysm is not based on imaging Inferred from the performance? It’s just that the basis of my inference is unfamiliar to everyone. I don’t deduce it from static images, but from dynamic changes. This is a very high reading skill. Angiograms are different. You not only need to see static differences, but also the continuity of changes between them, the logic of internal driving, their basic principles are governed by physical laws, and physics is their underlying logic, understand? "

"I understand!" Johannesson didn't want to waste Yang Ping's time. He talked to this high-dimensional creature. How could he figure it out? He can ask for advice slowly. Isn't there an online forum? In the future, Yang Ping will be invited to Forum posts explaining.

Massimo didn't understand: "Did you understand?"

"Okay, we can't figure it out in a short time, now is not the time for academic discussions, accept this diagnosis obediently." Johannesson whispered in Massimo's ear.

However, Watson only saw two?Where is the other one?
If there are really three, this operation cannot be done.

"I didn't hear him say, one, two, three, it doesn't make any difference to him." Johannesson didn't think about it at all, it turned out that Dr. Yang already knew about it.

"But there are three microaneurysms. This kind of operation will take several hours, and the remote surgery system is used. Now he has no intention of doing it, and is still drinking that damn thing." Back in the hall, Massimo Ramble.

Johannesson comforted Massimo: "Don't worry, he should have made arrangements."

But how can we not be in a hurry, Maximo is sitting on pins and needles, watching the movement of the "safe house" from time to time.

If you have to wait for the power system to be repaired, the time left for the operation will not exceed one hour. What is terrible is, what if, what if the blood vessel bursts halfway.

This kind of surgery that kills three birds with one stone, how can one hour be enough, no matter what, it is not enough. Could it be that Dr. Yang is a demigod, and he plans to complete the operation within an hour?

One hour?Things you can't even think about.

Massimo shivered, similar to the shiver after peeing in winter.

The Soyuz rocket launched from Baikonur, Kazakhstan, and the spacecraft will complete docking with the International Space Station about three hours and four ten minutes later.

David Hawley is going to go out, he is going to do a space walk, repair the MDM, if it can't be repaired, it can only be replaced.He calculated the time for leaving the cabin, and if it was determined that it could not be repaired, the delivery spacecraft would just finish docking at that time.

The Russian friends wore their Seahawk space suits, exited the cabin through another exit hatch, sent the accessories, and then the two of them completed the replacement of the accessories together.

What a nuisance, Steven has been having bad luck these days.

David Hawley thought, maybe it was the last time I chatted with him, and when we talked about returning to Earth, Steven actually said: "I will miss this place."

Damn guy, how can you say such a thing.

Yang Ping used the time of drinking tea to continuously calculate the operation, enter and exit the system space, and simulate the operation of the duplicated cases almost without interruption, so as to maintain the latest simulation status.

The brainstem vascular network extending in all directions becomes thinner step by step, forming an extremely complex world by itself.

In the replica experiment body, the guide wire went deeper step by step, deep into the deepest part of the medulla oblongata, and entered the nerve nuclei. In the last part of the journey, the guide wire advanced almost against the blood vessel wall, bit by bit, slowly and steadily.

Coil in place, release!The process is repeated numerous times.

(End of this chapter)