White armor

Chapter 506 This AI robot talks too much
There are not many lead vestments in the large external operating room, and generally only orthopedics doctors are exposed to radiation here. Only in the middle of the operation can an X-ray be taken to see whether the bones fit perfectly and whether the angle needs to be changed.

The rest are almost zero.

Although they are all called hybrid operating rooms, there are not many surgeries that can really be hybridized, and many of them are just to make up the numbers.

Chen Yan put on a piece of clothing first, while Yang Jinghe was still standing inside, leaving only three sets of lead suits.

"It's a surgical operation, with so many people going in, aren't you afraid of infection?" Jin Rongcan took a lead coat and handed it to Zhao Xiangming, then put on another one himself.

The others looked at each other and didn't dare to speak.

There was only one lead vest left, but no one was embarrassed to take it.

There must be redundancy in doing anything. Once something happens, the people wearing lead vests will be busy, so it is better to keep one.

Zhao Xiangming put on the lead vest and found it too heavy. With the lead skirt and other protective gear, it was difficult for him to even walk, let alone perform delicate surgery.

These guys who do interventional surgery are in really good shape!
"Director Jin, I remember that Director Zhang Chunfang from the Department of Cardiology, who was the first to perform interventional surgery, has retired now."

"She retired early and was rehired by the Southern Hospital." Jin Rongcan felt a little regretful. "Director Zhang is very capable. It is said that she went to an affiliated hospital in the mountains and brought her entire team directly to the hospital."

"It's a pity that after Director Zhang left, our technical level has regressed by at least 5 years."

"Director Zhang is capable. She endured the hardships of wearing a lead vest. She is ambitious and capable. Our economy is still backward. We cannot afford to pay so much money and retain talented people."

Zhao Xiangming weighed the lead suit and praised it.

As for where Zhang Chunfang went, it had nothing to do with him. Haven't there been a few people leaving Jiangbei Province in recent years?
Which large tertiary hospital has not poached 35 people, all of whom are 45- years old and are the real clinical backbone forces?

It’s a bit sad to think about it, but there’s nothing we can do.

Wearing lead suits, several people walked into the operating room.

The airtight lead door was closed, separating the inside and outside of the operating room into two worlds.

"We still need to be more careful during surgery. The future trend should be to do less laparoscopy. Surgery can save a lot of money compared to laparoscopy."

Opposite Luo Hao, the assistant was chatting.

He seemed not to notice the two deans came in. He lowered his head and made a pinky promise while Luo Hao was performing the operation.

“Laparoscopy is already well established.”

"Maturity is not important. Spending less money and curing the disease is the key. Penicillin costs only a few dollars a bottle. Penicillin abroad is very expensive."

"Oh no." Liu Yiyi stood beside the patient in a lead coat, staring at the values ​​on the monitor and ventilator. She didn't see who came in from behind. "I heard that skin tests are not done abroad, and the purity in China is not enough? Professor Luo, is that true?"

"No." Luo Hao gave a firm answer and then fell silent, concentrating on the operation.

“There are many types of penicillin, mainly due to the differences in side chains and the three very important chiral carbon structures on penicillin.

Only when these three carbon atoms exist in the form of 2S5R6R can they have an anti-inflammatory effect. Other penicillins with different configurations not only have no anti-inflammatory effect, but also metabolize into allergenic components in the human body. "

“Normal penicillin will hydrolyze and reconstruct at room temperature, which means that even if the penicillin you produce is 100% pure, it will produce impurities and slowly generate other types of penicillin at room temperature.

This process needs to be avoided through refrigeration.”

Liu Yiyi was stunned. Is that so?

Although she is an anesthesiologist, Liu Yiyi really doesn't know the in-depth knowledge of the pharmacology of penicillin.

Not to mention Liu Yiyi, even if the director of the pharmacy department was replaced, he couldn't explain it in as much detail as Luo Hao.

“Penicillin G is the main active ingredient, and it has been medically proven that humans are almost never allergic to it.

What causes allergies are the products of hydrolysis during production, transportation, and after injection into the body, as well as metabolites of other chiral penicillins. These products will combine with lysine in the human body to become allergens, which are the impurities in other answers. "

"In theory, as long as the product is transported and stored in a cold chain throughout the process, and as long as it costs a lot of money, there is definitely no need for allergy testing."

"That's not right. I've seen people who had no problems with skin tests but developed allergies after the application." Liu Yiyi argued.

"That's because something changed during the infusion. This is rare."

Zhao Xiangming was stunned.

Is the First Hospital of Medical University so high-end?

It is normal for people to chat on the surgical operating table. If no one chats, it means something serious has happened. And the content of the chat is almost always about driving and making dirty jokes. This is human nature and everyone likes to hear it. No one should stand on the moral high ground to criticize others.

But the assistant and the anesthesiologist were talking about the pharmacology of penicillin, which was a bit too advanced.

Zhao Xiangming felt mixed emotions.

"Do you think you can get away with not doing skin tests abroad? You'll need to be observed for three hours after the drip, and you can go home if everything is ok, but you have to pay for the observation. If you're allergic, congratulations to the hospital, they'll have a lot of money for the rescue."

“……”Liu Yiyi had never been abroad and didn’t know what the situation was like there.

"In China, we believe in universal access. You can see the world's top doctors for just over a thousand yuan. This doesn't exist in other industries. Look at Lei Jun. When he was selling cars, he was praised by everyone just by opening the door."

"You talk too much, say less." Luo Hao said lightly.

His assistant shut up instantly.

"Professor Luo, are you nervous?" Liu Yiyi asked.

"No, it's all about Lei Jun. My car was hit and sent to be repaired. I plan to change the trunk to a transparent one, just like the Xiaomi SUN. I will wait for Mr. Chai to come fishing at the annual meeting and give him a big gift."

"Driving on Central Avenue to show off the fish you caught?!" Liu Yiyi laughed.

"It doesn't have to be Central Street, other places are fine. Anyway, the more people see the boss, the happier he is." Luo Hao said, "Get ready."

The assistant looked up and turned around.

The moment he looked up, Zhao Xiangming felt cold all over and his blood seemed to freeze instantly.

Luo Hao's assistant was wearing a pair of sunglasses and his movement of turning around was a little slow.

He is not he, but it!
Robot, Luo Hao actually uses a robot as his assistant!

The instrument nurse was not there, and there was a box on the instrument table.

Luo Hao's assistant opened the box, took out a cylindrical object from it, and placed it in the patient's abdominal cavity.

At the same time, Luo Hao, Liu Yiyi and Yang Jinghe turned around and saw the people behind them. Luo Hao nodded slightly and then came to the corner of the operating room.

"Xiao Luo, what is this?"

"There is radiation, and a machine is needed to fix the radiation therapy beam barrel. So bring it to the surgery and let it fix directly."

"Robot?! You used a robot?"

"Yes, the movements are not difficult. The difficulty lies in the high dose of radiation, which is harmful to the operator. Although it is okay once or twice, if you want to roll out this technique, you have to consider the damage caused by radiation to the operator."

"You can wear lead gloves, but they are clumsy, so it's better to let the AI ​​robot put them in place. No problem, I'll watch from the side, and I'll change the position immediately if anything happens."

Everyone watching the operation in the operating room fell silent.

Especially Zhao Xiangming, he knew that Luo Hao was doing very well in scientific research in the First Hospital of Medical University, but he didn't expect that it would be applied in clinical practice so soon, and it was such a high-end intraoperative radiotherapy procedure.

AI robots are even used to do some "simple" tasks.

“Normally, we need a robotic arm or something else, but we already have a robot. We can just let it hold the light bucket and do radiotherapy directly.” Seeing that no one spoke, Luo Hao repeated it in a different way.

Zhao Xiangming felt his head buzzing.

He then realized one thing - the "person" he had just talked about with the anesthesiologist about penicillin allergy, and finally extended the discussion to the fundamental issue of universal medical care, was actually not a person, but just a robot.

If the turning movement hadn't been a little awkward, I really wouldn't have been able to tell from the conversation alone.

"Professor Luo, has voice conversation developed to this extent now? Why do I always have problems with the voice recognition in my car?" Zhao Xiangming asked.

"Dean Zhao, this is the simplest. Didn't we have Xiao Ai at home 10 years ago?"

“Yes, there is, but it doesn’t work.”

"That's because there is no need. Smart homes always need profits. I'm doing scientific research. I don't ask for profits in this area. I just want the best." Luo Hao smiled.

He didn't look at Zhao Xiangming, his eyes were fixed on the robot.

The robot was holding a radiotherapy beam bucket in its hand. The bucket was made of lead and was quite heavy, but in the robot's hand it was like a piece of paper.

It holds a barrel of radiation therapy light in a certain position.

"Professor Luo, what dose should I give?" asked the robot.

"12 Gy."

The robot starts working.

It was very obedient and kept silent.

"You can talk, but don't digress." Luo Hao thought for a moment and said to the robot.

"I don't know what you like or don't like yet."

Zhao Xiangming even heard a hint of distress in the robot's tone.

It is thinking about how to provide emotional value to Professor Luo? !

"Then is there any penicillin that does not require skin test and observation?" Zhao Xiangming asked tentatively.

"Yes, drug designers modified the side chain R1 to prevent the hydrolysis of the core structure and the binding with lysine. Thanks to the biological sciences of the 21st century, it's a pity that related experiments cannot be carried out on a large scale in China."

“…” Zhao Xiangming seemed to understand something, but he didn’t understand it at all.

"World-class pharmaceutical companies all go to India or Africa to conduct related experiments, which minimizes costs. We can't do that unless there is a Type 055 docked at the port."

"That's too much. Just talk about the medical stuff. Who told you that, 055?"

"Doctor Chen." said the AI ​​robot.

"What else did he say?" Luo Hao asked.

"He said a lot, but he couldn't say it on the operating table."

The robot was obviously following the most basic rule - listening to Luo Hao.

"Professor Xiao Luo, this is... too awesome." Zhao Xiangming exclaimed.

As for the survival time of patients with advanced cancer, it is no longer important to Zhao Xiangming.

The fact that Professor Luo can use robots to perform surgery is enough to shock the entire medical community.

Even if it is just doing the simplest job, it is just holding a radiotherapy beam bucket to perform intra-abdominal radiotherapy on patients.

Conversation is not important?
That was Professor Luo showing off! If a robot that could talk and provide emotional value appeared on the market... Zhao Xiangming didn't dare to think about it anymore.

Zhao Xiangming thinks it is a waste to use it in the medical system. This kind of robot is simply a gold mine. Just by thinking about it, one can think of n+1 uses for it.

A few minutes later, Luo Hao made a gesture, and the robot picked up the radiotherapy beam bucket. Luo Hao walked forward and took a look.

"How much radiation did you receive?"

"Not much. It's a little harmful to the human body, but it's fine for me."

"Here, continue, still 12 Gy, give it 3 minutes."

"it is good."

Luo Hao did not come back this time. He stood in the operator's position and watched the robot give radiotherapy to the patient.

Radiotherapy lasts a long time since many parts of the body are affected, but everyone who had questioned this procedure before the operation now understands its significance.

Clinical radiotherapy actually has serious side effects. The initial radiotherapy has a lot of scattered rays, which can lead to complications such as radiation pneumonia.

But with the advancement of machines, radiotherapy is becoming more standardized and the energy is becoming more concentrated, but it is expensive.

Performing surgery and irradiating the tumor directly is a brilliant idea.

The effect is definitely great, and by removing part of the tumor, the patient's quality of life will most likely be improved.

About half an hour later, the robot collected the radiotherapy beam barrels and carried them into a lead box.

"Okay." Luo Hao looked at Chen Yan, "Director Chen, shall we go together?"

"it is good."

Chen Yan came on stage.

Luo Hao walked to the assistant's position very consciously, and Chen Yan was not polite either, as he knew what Professor Luo was thinking.

Although he had a practicing certificate and was qualified to perform surgery, he was still very careful to avoid any trouble and not give anyone an excuse.

Whenever he performed surgery, he always had to put on an outer coat, and he himself was that outer coat.

"Xiao Luo, your robot looks really good." Chen Yan began to look for bleeding points while performing the operation and chatting.

Even though there were two deans observing from the stand behind him, Chen Yan couldn't help himself.

"It's okay, the time is still short, especially since you talk too much and too often. The appearance is not good either. I'll think about it and make some modifications. Lao Meng is good. If not, I'll make it according to Lao Meng's appearance in the future." Luo Hao stretched out the pliers and clamped the bleeding point, and Chen Yan directly used electric burns to stop the bleeding.

The two work together flawlessly.

"Just talk more, it's no big deal."

"It also needs to communicate with the patients' families. Too much talk can lead to mistakes. It's different in China and abroad. For example, if someone dies from a penicillin allergy, the patient's family can tear down the hospital."

"If it's abroad, let's not talk about abroad, there was a patient with penicillin allergy in a public hospital in Hong Kong some time ago, and he died without a sound. Let's take a look at it in China, isn't it impossible?"

"So AI voice systems still need to be cautious. There are many things to consider here. I now tend to provide emotional value."

It's just flattery.

An image has already appeared in Chen Yan's mind. When the robot is giving preoperative instructions to the patient's family, it continuously provides emotional value to the other party. Its emotional intelligence is extremely high, making the patient and the patient's family feel comfortable.

"Besides, there are many inaccuracies in its description of penicillin. Alas." Luo Hao said with a sigh.

"wrong?"

"Well, let's not talk about this. It's just some gossip during the operation." Luo Hao smiled.

"Ronaldo, can we get closer?"

"Yes, the measured spillover radiation is acceptable. The radiation source has been removed, so it's okay to come over."

Everyone came over and Chen Yan asked, "Xiao Luo, what should we do after the operation?"

"I can walk around two or three days after the operation. The pain score is probably below 3, and it can be controlled with oral medication, which improves my quality of life."

"In another two weeks, have him come to me for three sessions of interventional chemotherapy under local anesthesia. The regimen is gemcitabine + floxuridine + oxaliplatin."

"Later on, we will see if there is a chance to perform laparoscopic intraoperative radiotherapy for pancreatic body and tail tumors + pancreatic mass resection and biopsy + pancreatic repair surgery."

"Then how long do you estimate the patient can live?"

"It will probably be more than two years. No more than that. Talk to the patient's family and give them hope. The biopharmaceutical field has been developing rapidly recently. Maybe a drug to treat pancreatic cancer will appear tomorrow."

"Is the effect of intraoperative radiotherapy so good?" asked Zhao Xiangming.

"It's OK, but there are many steps involved, so I usually don't want to do it." Luo Hao said, "We have robots now, so some difficulties can be overcome. So I gave it a try, and it feels pretty good."

This is Luo Hao's affirmation of the robot.

Zhao Xiangming looked up at the robot standing in the corner not far away. He was wearing sunglasses and a surgical gown, and had the demeanor of a top surgeon.

This thing can be used in clinical practice, it's really advancing with each passing day.

"Professor Xiao Luo, have robots already been used on a large scale in the South?"

"No, there are none in the south. Aren't we closer to Gongda?" Luo Hao smiled. "Gongda's robots have always been very good and they have accumulated a lot of technology, but their main focus is on the military industry, so they have never been known to the public."

Military industry!

Under the influence of this word, everyone tactfully stopped asking related questions.

Xiao Luo was able to bring the robot from the University of Science and Technology to the hospital to perform surgeries that people had not dared to do or could not do before, and it even had other uses. Everyone knew what that meant.

After the operation, Luo Hao did not send the patient away, but went to change clothes with Jin Rongcan and Zhao Xiangming.

The two deans asked many relevant questions, and Luo Hao answered them one by one.

Moreover, Luo Hao did not hint at saying that this was a new scientific research project, but openly talked about the cooperation between the General Surgery Department and the Radiotherapy Department.

If possible, this technology can continue to be developed and promoted.

"It seems that the previous provincial leader wanted to build a heavy particle cancer treatment project, saying that the waiting list for such a project in Shanghai would take one or two years, and each project would cost 300 million yuan."

"Yes, I don't know why it didn't land in the end, which is a bit regrettable." Luo Hao said, "But the price of 300 million has nothing to do with ordinary people. It is affordable for middle-class families and above."

"What's your full name?"

"There are many types. The domestic one is called the carbon ion therapy system. In Zhoulan, this device is like an 'atomic cannon' that can fire heavy ion beams to accurately 'sniper' cancer cells. It has the advantages of good efficacy and few side effects. It is a cutting-edge weapon in the field of tumor treatment."

"Tommy, that's more accurate."

"What about you?" Zhao Xiangming asked.

"Now it can be done anytime and anywhere. It follows two technical routes with heavy particle blasting of tumors. It is hard to say which one is better. But I feel that the other one is better. But the advantage of this one is that it is cheaper and there is no need to queue."

No need to queue, universal medical care.

Although there are many shortcomings, it seems that they are not unbearable if they can be widely available.

Zhao Xiangming felt fortunate that he did not launch an attack based on his subjective ideas.

It's nonsense to come here directly to hold someone accountable. This is not a novel. How can a vice-president like me be so arrogant?

Not to mention yourself, no matter how high your level is, what can it do?

The key point is that after arriving, I saw that what Professor Luo Haoluo did was within the scope that doctors could understand, but the methods were a bit unconventional.

But the effect is definitely good. Directly pointing the radiotherapy beam barrel at the tumor is definitely better than external irradiation and has fewer side effects.

The problem is that doctors have to come into contact with radiotherapy beams, but now Luo Hao has a robot by his side, which solves this problem almost perfectly.

Zhao Xiangming looked at the energetic Luo Hao and felt regretful.

Last winter, that snowy winter, I ran to Donglian in the wind and snow, full of sincerity.

At least that's what I think.

But now it seems that my sincerity is not enough.

At that time, people thought Professor Xiao Luo was raising the price, but now it seems he is still collecting the money.

Luo Hao took off his shirt, and Zhao Xiangming saw a small bronze mirror.

"Professor Xiao Luo, what are you doing?"

"It was given to me by an elder." Luo Hao touched the bronze mirror but did not show off.

When the bronze mirror is transparent, there are the Heluo Bagua and some strange shapes.

But there is no need to tell everyone, just take advantage secretly.

Zhao Xiangming seemed to be thinking about something.

"President Zhao, Xiao Luo is now the pillar of our First Hospital of Medical University. Recently, the heads of various departments have been looking for Xiao Luo to cooperate with them."

Zhao Xiangming is very clear about the scientific research involving professional titles.

Otherwise, no one in clinical practice would be interested in scientific research.

only!

Zhao Xiangming knew very well that the reason why he was not interested in scientific research was because it was just a formality. After all, clinical practice belongs to the application stage, and it is too much to ask doctors to start from basic scientific research.

However, Professor Luo can use his wild ideas to turn many things into reality. For example, not to mention the liquid metal that is too sci-fi, direct abdominal radiotherapy is the best example.

"Xiao Luo, last year Lao Jin and I went to Donglian to recruit you. At that time, I thought your price was too high. Now it seems that I was wrong."

"No, no." Luo Hao had already changed his clothes and looked at Zhao Xiangming with a smile, "I will always remember Dean Zhao's kindness to me."

It was just a polite remark and Zhao Xiangming didn't take it seriously.

Luo Hao was very humble, and the robot beside him was also changing clothes. The robot's movements were a little awkward, and those who didn't know would think it was slightly disabled and could take care of itself, but those who knew would be quite moved.

After seeing the two directors off, Luo Hao and Yang Jinghe explained some things that needed to be paid attention to after the operation and the data collection work, and then returned to the interventional operating room.

"You don't know, it was after I went to get my ears cleaned that I opened the door to a new world!"

The voice of Technician No. 66 appeared.

"The double ear cleaning massage in South Vietnam is better. I guarantee you will never forget it if you go there once." A voice came from beside Luo Hao.

(End of this chapter)