White armor

Chapter 621 Remote Surgery Becomes a Reality
In the noisy corridor of Beimo Commodity City, Ma Zhuang, wearing a pair of Ray-Ban sunglasses, walked slowly with his hands behind his back.

The sunlight poured through the dirty glass skylight, casting mottled shadows on his shiny designer leather shoes.

“Hello, Mr. Ma!”

"Boss Ma looks really good today!"

Merchants along the way all leaned out to say hello, with ingratiating smiles on their faces.

Ma Zhuang nodded slightly, with a faint smile on the corner of his mouth.

He could clearly feel the flattery and fear contained in those eyes - just like an infrared scanner, capturing everyone's emotional fluctuations.

"Tsk, no wonder everyone wants to climb up." He was secretly happy, and the heels of his leather shoes made a crisp sound on the marble floor. This feeling is more addictive than taking powder, making people unable to stop.

After turning the corner, a few Mexican thugs immediately put out their cigarettes and stood up straight.

Ma Zhuang waved his hand casually, his eyes sweeping across the crowded shops on both sides: fake brand-name bags, knock-off electronic products, cosmetics of unknown origin. The goods on the shelves were piled up in a disorderly manner, and the aisles were filled with the atmosphere of Yiwu Small Commodities City.

Just like in the country.

It's indeed a mess here, but there is order in the chaos.

Ma Zhuang pushed up his sunglasses, and the lenses reflected the figures of several security guards who were "patrolling" - they were all his subordinates. Unlike the constraints of rules and regulations in China, in this lawless place, he was the rule maker.

"Mr. Ma, what's the rent for shop number three?" a subordinate wearing a gold chain came over and asked in a low voice.

Ma Zhuang casually flicked the non-existent dust off the cuffs of his suit and said, "According to the old rules, add 30%." After saying that, he continued to walk forward without looking back, and behind him he heard his men say "understood" repeatedly.

On the terrace on the second floor, he stopped and looked down at the entire commodity city.

The bustling crowds of people move through the maze-like shops like ants, and he is the ruler standing at the top of the pyramid.

Ma Zhuang took a deep breath of the turbid air and felt every pore relax - this feeling of being in control of everything was so fucking great!

in the country... Ma Zhuang knows that others regard him as a young man with a lot of energy, and not a serious person.

But in Beimo, he is the best among the people.

Joaquin Guzman Lopez sent me invitations to all his parties, which helped me open up the situation in a short period of time.

If Ma Zhuang didn't dislike the taste of the food here, he wouldn't want to return home. To him, this place is a paradise on earth.

The law of the jungle and the survival of the fittest, Ma Zhuang simply loves it.

A while ago a mayor issued a decree, and the next day his head appeared on the roof of his car.

It is simple and crude to the extreme.

In China? No matter where you go, you have to act like a grandson! Ma Zhuang doesn’t understand this.

Especially the longer he was in Beimo, the less he understood.

Next to me is a Chinese named Sun Qiang, who sells pigs. Someone in China advertises on various apps, flies to the country where the interview is held, pays a certain fee, and Sun Qiang and his "agency" take this group of people to Ami.

They call it selling pigs, just like they did a hundred years ago.

Ma Zhuang looked down on this group of people from the bottom of his heart, but they were of Chinese descent after all. Ma Zhuang could not speak English or Spanish, let alone Spanish with an Indian and Aztec flavor.

He had no idea what the Mexicans were saying and could only use an app to translate.

Somewhat lame.

"Uncle Zhuang, our business is growing bigger and bigger. When will we build the factory?" Sun Qiang asked cautiously with a flattering smile on his face.

"My boss said he would not build a factory in North Mexico."

"The logistics costs must be so high! I'm telling you, if we build a factory here, we have an underground tunnel that goes directly to Amei's side. It's a one-stop service. We don't have to worry about anything. We can just sit at home and count the money."

Sun Qiang speaks very bluntly, to the point that even Ma Zhuang dislikes him.

I guess it's because I talked to pigs too much, so I can't change my tone.

Moreover, the cultural level of the Mexicans is generally low. If Sun Qiang speaks in a more complicated way, the Mexicans will not understand him. This is also an important reason.

"The boss said no." Ma Zhuang said, "Sun thief, why do you act like you don't understand what I'm saying?"

"Master Zhuang, your boss... I just feel bad for you. On our side, you saw how good those Mexicans are. Let me tell you, the people who came here have been brainwashed into thinking that they are hardworking and will definitely crush everyone here."

"The Mexicans work 16 hours a day. Who can do that?! The level of competition in China is simply incomparable to that of the Mexicans."

Ma Zhuang admitted this.

The Mexicans who come here are really cool. Although they are not well educated and cannot do some delicate work, they can still wash dishes and assemble.

Especially when standing on the assembly line, they are almost the same as the factory girls back then, or even worse.

Even the plates in the restaurant can spark when wiped off.

Ma Zhuang also felt a little sorry that the quality of the people in Africa was really low... Although the quality of Mexican workers was not as good as that in China, they were more diligent and better than those in Africa.

From any perspective, building a factory in northern Mexico has more advantages than disadvantages.

Unfortunately, the boss disagrees.

"The boss said that it involves some high-tech, but that's not the main point. The main point is that the people in control of the situation here don't have a deep relationship with the company, which is different from Africa."

"You have been to Mr. Joaquin Guzman Lopez's banquet. He is the de facto king of Mexico. Mayors and others would not dare to take office without Joaquin's approval."

"It's different." Ma Zhuang was a little distressed.

But Sun Qiang kept persuading him, and even though Ma Zhuang made his intention very clear, Sun Qiang still tried to fight for it.

A girlfriend robot was sold for $3 before it was routed to North Mexico, but it was sold directly for $13 after it went through the tunnel to the north.

This is simply money falling from the sky.

Moreover, the market will not be saturated in the short term. If it is saturated, the price can be lowered, which is a hundred times better than selling pigs.

Ma Zhuang was tired of listening to this and ignored him. Isn't the feasting and drinking and three thousand beauties in the harem enough for him to enjoy?
He had seen the boss's ruthless methods, so Ma Zhuang had no other thoughts in his mind.

There is also an assembly plant on the African side. All parts are purchased domestically and shipped to Africa for assembly before coming to northern Mexico.

The real first batch of goods is on the way and will arrive in half a month.

Ma Zhuang held a cigar in his mouth and squinted his eyes at the sea.

You can no longer see the man riding a great white shark on the ocean today.

……

……

Two months passed and the weather gradually became warmer.

This year's spring came exceptionally early. It is only mid-March and you can already see the faint green.

Luo Hao feels that global warming is real, and it has been particularly obvious in recent years.

In December last year, there were still some places in Inner Mongolia that had green grass growing. Chen Yong said this was called "spring in winter", but Luo Hao didn't believe it.

Retracting his gaze, Luo Hao looked back at the engineers assembling the machine.

"Brother, is this really possible?"

"Just install it first." Luo Hao gave a vague answer.

"If it can be used, can I perform interventional surgery?" Zhuang Yan asked excitedly.

"Of course. Actually, you can do it now, but I'm afraid your father will get angry. If you can't do it, it won't be too late to be exposed to radiation when you get married and have children."

"Is this a disguised way of urging me to get married?" Zhuang Yan said disdainfully.

"No, I'm just stating a fact." Luo Hao said, "The machine cadaver has been customized for you. From now on, you will use the machine cadaver to perform surgery here every night. When you have successfully performed 1000 cases, you will be allowed to perform interventional treatment for liver cancer."

"1000!"

"what happened?"

"Brother Yong was..."

"Xiao Zhuang, you can't compare." Luo Hao said with a smile.

Zhuang Yan also knew that she could not compare with Chen Yong. Chen Yong's hands might have been made from too many talismans, and their dexterity did not seem like that of a normal person.

This is talent.

It’s not time for me to compete with talent yet, hard work alone is enough.

However, 1000 surgical trainings seemed a bit too much. Zhuang Yan particularly hoped to be able to perform surgery herself, rather than just writing medical records and taking care of patients.

But Miao Youfang was thrown into the emergency department by Luo Hao, but he continued to work tirelessly, making Zhuang Yan too embarrassed to say anything.

"Professor Luo." Fan Dongkai came over and said, "Is this a device similar to the Da Vinci robot?"

"So, not really."

"???"

"It's not that expensive to start up. Da Vinci is good, but it's too expensive to start up." Luo Hao said, "It's domestically produced and can be remotely controlled. Professor Fan, guess how much one costs?"

"2000?"

"90."

“!!!” Fan Dongkai’s eyebrows raised.

"Of course, that's after it's formed. Now, it's not time to discuss the ex-factory price."

"What about delay?"

"A few years ago, doctors in Hainan performed surgery on patients in the capital. Last year, obstetricians and gynecologists at West China University of Political Science and Law used the da Vinci robot to perform hysterectomy and bilateral adnexectomy on Sarah's patients, with a delay of about 40 milliseconds."

40?

The ping value was green, and this thought popped into Fan Dongkai's mind.

A delay of 40 milliseconds is hardly considered a delay, it is enough. However, Fan Dongkai did not expect that remote surgery would be implemented so soon.

"Da Vinci robotic surgery itself is a technology of the US military during the Cold War in the last century. There were no military doctors or field hospitals on the front lines. It's not true. Experts who are good at surgery and first aid are the most valuable. Going to the front lines to perform surgery? This is a fantasy."

“So the Da Vinci robot system was built, and Professor Fan should know that.”

"I know." Fan Dongkai nodded. "At that time, Dr. Jason was one of the first experts to come into contact with the Da Vinci robotic system."

"The Da Vinci robot was designed for remote surgery, which was a concept from the last century," Luo Hao said. "It's only being implemented now, don't you think it's a little late, Professor Fan?"

"..."

"The company is just thinking about driving up the stock price. Forget it, let's not talk about that." Luo Hao said, "I have made some improvements to this robotic surgery system. It's considered a national-level scientific research project. Shall we give it a try later?"

Luo Hao invited.

Fan Dongkai's mind moved, he knew that Luo Hao had been researching a robot that could replace surgeons in entering the operating room.

It seems more convenient to start with a robot similar to Da Vinci.

"Professor Luo, when can we use robots to perform surgery inside?" Fan Dongkai asked. "It should be soon, but I don't like robots." Luo Hao frowned slightly, "The human body structure is indeed great, but wouldn't eight hands be better?"

"Hahahaha." Fan Dongkai laughed. If this were really the case, the patient would probably be scared to faint first.

The unmanned hospital that Professor Luo Haoluo had always dreamed of could not be realized.

After the assembly was completed, Luo Hao tried it first and then invited Fan Dongkai to perform the operation.

With the machine cadaver teacher inside, he can do whatever he wants without worrying about various ethical issues. Fan Dongkai is quite satisfied.

If this happened in the United States, we would probably have to go to India or use some other means to accomplish it.

Dr. Jason's eyes were sharp. After hearing Luo Hao's invitation, he pushed Fan Dongkai aside without any hesitation and sat in the operating cabin.

"Brother, why does the operating room look so rustic? Not sci-fi at all." Zhuang Yan complained.

"There's no need to make it so glaring. As long as the surgery can be done, it's fine."

Zhuang Yan expressed dissatisfaction with Luo Hao's attitude. It was like playing a game, where skin was a very important point.

But my senior brother is a very practical person. He doesn’t care whether the skin is good or bad. He only cares whether it is easy to use and whether it can add attributes.

This time there is one more attribute - network delay.

Zhuang Yan looked at the operation screen and the ping value came into view.

"20 milliseconds? How can the delay be so low?" Zhuang Yan was stunned.

"I contacted the telecommunications company, and Brother Qiang helped me find their supervisor and applied for a dedicated line. I asked the experts at West China Hospital, and they said that a delay of 40 milliseconds is already very low, almost the same as a normal operation."

"The single-port laparoscopic hysterectomy and bilateral ovarian removal took only 90 minutes."

"But the lower the latency, the better." (Note)
Zhuang Yan felt that her senior brother was a little excited, and his logic was starting to erratic today.

But who wouldn’t be excited to see a machine capable of performing interventional surgery appear in the First Hospital of Medical University?

Dr. Jason tried for a while, and under the constant urging of others, he insisted on performing an operation before Fan Dongkai sat on it.

"Jason, how is it?" Luo Hao asked him.

"It's great!" Jason was a little excited, "Sometimes I can even feel the existence of the guidewire through the remote control device!"

This is a bit exaggerated, but Luo Hao did not point out the inaccuracy of this statement.

"Now I can perform some simple surgeries. This is a brand new surgical mode. I think after hundreds of surgeries, I can reach the current level.

Luo, it's great that I don't have to wear a lead suit weighing dozens of kilograms during surgery! You know, the weight affects my technical level, and I have hated lead suits for many years. "

Dr. Jason chattered on and on.

After Fan Dongkai came down, Chen Yong tried it. He didn't seem that excited. He just gave his position to Luo Hao after a simple try.

Luo Hao knew the performance of the machine and had done relevant tests recently. He knew the machine like the back of his hand, but he also had a rough idea of ​​what it could do.

It is still possible to perform at 80% of your level.

Luo Hao tried it and found no mistakes, so he was satisfied.

"Luo Hao, what's next?" Chen Yong pulled Luo Hao aside and asked as he watched Zhuang Yan doing surgical training while swinging her high ponytail.

“The idea now is to install one in Changnan City.”

Chen Yong had an expression that said, "I knew it would be like this."

"Changnan, Donglian, both can be installed. Director Yuan will be at home at night, so we won't be needed for emergency cases. For chronic cases, it doesn't matter."

Chen Yong smiled contemptuously. No need for emergency treatment? Luo Hao was fooling around.

This was the first time I saw someone who was even more capable than Luo Hao. He opened up the path to Changnan by himself and installed remote surgery equipment so that he could receive emergency treatment without leaving his home.

As for the charging issue, does Luo Hao need that little money?
Chen Yong is not bad, and Luo Hao has various scientific research funds, so he is naturally not bad either.

"In the future, we can use smart surgery to eliminate doctors. Doctors won't be busy even if they want to." Luo Hao suddenly said softly.

“You may not be able to do that even after you retire.”

"Not always."

"As for Changnan, how do you convince them?" Chen Yong asked.

"Didn't I organize a scientific research seminar before the New Year while the boss was here? Director Fang of Changnan took advantage of me, so he should give some back to me."

Chen Yong laughed, "I knew Fang Xiao would definitely return the money with interest."

"It's not that utilitarian. This is a major national scientific research application. If Director Fang Xiaofang misses this opportunity, I'm afraid he will never be able to experience this level of scientific research in his life."

"I don't want it." Chen Yong said disdainfully.

"Director Fang has been researching interventional + surgical resection for liver cancer for several years, and he can perform the surgery. But his level is limited, and his focus is still on surgery. With this, his project can move forward."

Chen Yong stopped talking and just watched Zhuang Yan performing the "operation".

Although Zhuang Yan had been folding paper cranes for half a year and her hands were very dexterous, she was still a little clumsy during her first interventional surgery.

Fortunately, Zhuang Yan had seen this many times, so she was able to "clumsily" complete a simple interventional embolization surgery for liver cancer.

It takes too long. After watching it, Luo Hao feels that 1000 surgical trainings are basic, otherwise Zhuang Yan cannot perform surgery for the time being.

After all, the medical team is strong, whether in a broad sense, including Jason and Fan Dongkai's medical team, or in a narrow sense.

"Okay, I'll contact Director Fang and have the Provincial Science and Technology Commission issue a document. There will always be a chance when he and Donglian Mine come to the rescue. We can give it a try."

……

"Director Fang, has your research project made any progress?" asked the dean of Changnan.

"..." Fang Xiao stood at attention, remained silent.

He had just received a call from Luo Hao. Fang Xiao understood what Professor Luo said on the phone, but it was too sci-fi, so he was a little confused.

I didn't expect the dean to call me over to ask about this matter.

Professor Luo has a really strong execution ability. He never makes empty promises and always delivers on his promises of a major national scientific research project.

But... Fang Xiao was thinking more about what to do if something went wrong during the operation.

This is not Professor Luo performing the surgery himself. If something goes wrong with the remote surgery, he will have to bear the brunt of the consequences.

"Director Fang?" The dean saw Fang Xiao didn't say anything. He stared at Fang Xiao seriously and said, "Speak."

"Dean, I just do odd jobs for Professor Luo."

"You have to do your chores well!" said the dean sternly.

Fang Xiao was speechless. The dean was no longer serious but stern. He knew what was going on.

With the implementation of major national scientific research, he will inevitably win a major national scientific research progress award in the future.

If his own hospital could get a piece of the pie, it would definitely be considered a political achievement, and a big one at that.

As for whether there will be any problems, there will be no problems without remote surgery? I guess the dean is so obsessed with the national major scientific research progress award that he doesn't care how much work is involved.

"This work must be completed in cooperation with the province." The dean said without question, "It's a major national scientific research project! It's national level!"

"Yes, yes, yes." Fang Xiao could only keep responding.

I received a favor from Professor Luo years ago, and now I can only go ahead with it.

But Fang Xiao had a good attitude. After all, it was a major national scientific research project. He could participate in it and he would have something to brag about to his grandchildren in the future.

Time flies. After the machine debugging and other work are completed, Fang Xiao is thinking about arranging a patient to try it out first.

But after he talked to several patients about remote surgery, the patients and their families all expressed their rejection.

Who would trust this kind of surgery?
Who will be responsible if the operation fails due to a network delay?

Fang Xiao also had his reasons for the patient and his family's refusal. He exaggerated the difficulties instead of making up stories - there would definitely be no problem if the country's top experts could perform the surgery remotely.

Fang Xiao also tried it and found that the network delay was very low, so he felt relieved.

But Fang Xiao did not dare to be the first in the world.

It would be best to let the president of Donglian Mine do this first. After all, it is Professor Luo’s hometown, and the deputy dean in charge is Luo Hao’s uncle, so it is only natural that he should have the first bite.

It's a pity that God didn't want it.

A heavy snowstorm in late spring caused frequent car accidents.

Fang Xiao was called to participate in the emergency rescue, and the consultation with one of the patients made everyone feel troubled.

Pelvic fracture, retroperitoneal hematoma.

There was no other choice, Fang Xiao could only go on stage with the director of the vascular department to give it a try.

After several unsuccessful attempts, the director of the vascular department suggested, "Director Fang, I heard that you are working with Professor Luo."

"Don't say that." Fang Xiao stopped talking immediately. "What kind of cooperation? I'm just a small fry. I just do whatever Professor Luo says. It's lucky that I can do it well."

"Don't blame me. The patient is still bleeding. It can be controlled now, but the bleeding keeps going on. Do you want to see the patient die?"

"..."

Fang Xiao sighed as others criticized him from the moral high ground.

Indeed, emergency surgery may have to be performed remotely today.

"let me try."

Fang Xiao glanced at the time, it was 1 a.m.

He dialed Luo Hao's number without any psychological burden.

"Professor Luo." Fang Xiao explained the situation here.

"Oh, OK." Luo Hao agreed directly, "Your noodle soup will be transfused, and wait for my news."

After Luo Hao hung up the phone, Fang Xiao's anxiety had reached its peak, but he was not so worried anymore.

It’s a great thing that the patient’s operation failed, but at least an attempt was made, and the patient’s family has no reason to ask for more.

Who made Changnan’s level of involvement so high?
Everyone knows that interventional embolization of pelvic fractures is difficult.

"How is it, Director Fang?"

……

……

Note: In the live broadcast room, the remote surgery performed by Boss Zheng and Brother Yun has now appeared, and the delay is acceptable. The remote single-port laparoscopic surgery performed by experts from West China is real. I asked the senior brother on that side, and he said that a delay of 40 milliseconds is acceptable.

I hope some of the ideas in White Armor can become reality soon.

(End of this chapter)