White armor

Chapter 628: Heaven and earth are connected, years and months are connected, days and hours are connected!
Arriving at the operating room, Luo Hao and Shen Zizai chatted, "Director, I plan to apply to the hospital to build a separate remote surgery center."

"You won't be in our operating room anymore?"

"Director, there's really no need to make a special trip." While debugging the equipment, Luo Hao described the vision of future medical care to Shen Zizai. Shen Zizai listened attentively, and in a trance he even had the illusion of traveling through time and space.

According to Luo Hao's description, Shen Zizai even felt that even if someone told him now that the Nantianmen Project had been completed and the lunar base had begun to receive tourists, he would believe it without hesitation.

This reminded him of the time capsules buried during the U.S.-Soviet space race decades ago - people's visions of the future back then seemed so conservative and limited now.

"Do you still remember those time capsules?" Luo Hao suddenly asked, "People back then racked their brains to imagine the future, but who could have imagined that medical technology would develop to this point?"

Shen Zizai couldn't help but smile.

Yes, those letters full of longing back then have become nostalgic relics when read now. Just like the unmanned hospital they are discussing now, perhaps in the near future, it will also become an "antique" in the eyes of future generations.

"The operation is about to begin." Luo Hao's voice brought Shen Zizai back to reality.

He took a deep breath, looked at the operating room images that had been successfully connected on the screen, and suddenly felt truly: the future has really arrived.

Let alone those visions, some things have not only not made progress, but have regressed.

Until... it seems that the beginning of the epidemic was a dividing line, and after the epidemic, all kinds of things emerged like mushrooms after rain.

Although there has not yet been a qualitative change in people's lives, Shen Zizai is convinced that day is not far away.

When he arrived at the operating room, Chen Yong had already changed his clothes.

He stood in the operating room, opened his arms and shouted, "Heaven and earth are connected, years and months are connected, days and hours are connected!"

"The sky and the earth are connected, the years and months are connected, the days and hours are connected!"

"The sky and the earth are connected, the years and months are connected, the days and hours are connected!"

Chen Yong shouted three times.

"What are you doing?" Luo Hao was curious and walked over to ask.

It feels like Chen Yong is hysterical and a little crazy.

"My master told me that if something big happens, I should shout this sentence before I go out. I have been unlucky these past few days, so I should shout this sentence even more. He called me specially last night."

"Heaven and earth are connected, years and months are connected, days and hours are connected? These nine words are enough?"

"Yes."

"What's the use?" Luo Hao wondered.

Chen Yong explained with great enthusiasm: "This is an auspicious phrase after all. I asked my master the same question before, and the old man said - just say it and it will be right! I have always believed it without a doubt."

"Okay." Luo Hao couldn't help but nodded and turned to go to the locker room to change into surgical clothes.

Shen Zizai couldn't help but mutter in a low voice: "The sky and the earth are connected, the years and months are connected, the days and hours are connected." He looked so serious that he looked like a little Taoist priest who was just learning a spell.

"Director." Luo Hao looked at him, not knowing whether to laugh or cry.

"Hey, that sounds auspicious!" Shen Zizai said with a beaming smile, "Xiao Luo, I've made a note of that. When my kid takes the college entrance exam, I'll have him repeat that to me, too."

A burst of relaxed laughter suddenly rang out in the operating room, and the tense surgical atmosphere was unconsciously eased a lot.

Luo Hao sweated profusely.

These weird and supernatural things that Chen Yong created are indeed deeply rooted in the hearts of the Chinese people. They sound auspicious, just like greeting the new year.

I just don't know if the operation went well.

Contact Fan Dongkai, he and Dr. Jason were already in place, the patient was sent to the operating table, and Fan Dongkai personally performed the preliminary steps.

Puncture, arterial sheath placement, etc.

Chen Yong has closed his eyes and meditated for a while. It seems that he is very concerned about this remote surgery.

Luo Hao didn’t understand why. In his opinion, this was just a very ordinary “small” operation.

The doorbell rang, and Feng Zixuan brought 9 professors from various departments to visit the remote surgery.

Seeing Chen Yong meditating intently, Feng Zixuan touched Luo Hao's arm and said, "Xiao Luo, is this also part of the remote surgery?"

"No, no, Chen Yong is a little nervous today."

Luo Hao explained helplessly.

Feng Zixuan stood outside the operating room, looking at the busy scene inside through the glass window, and couldn't help but raise his eyebrows.

Nervous? He didn't see any sign of that from Chen Yong.

On the contrary, Chen Yong's posture looked exactly like a Taoist priest from Funiu Mountain who was performing a ritual - his focused expression and smooth movements were so smooth that if you didn't know him, you would think he was performing some kind of ritual.

"Interesting." Feng Zixuan whispered to himself.

He had heard some strange anecdotes in the medical circle, such as that a big surgical boss had to burn incense and pray to Buddha before surgery, and that the director of cardiac surgery had to wear a certain tie.

But these were just topics of conversation after dinner. Who would have thought that in his own hospital, in this high-tech operating room where remote surgery was about to be performed, he would actually witness such a magical realist scene with his own eyes.

"Xiao Luo." Feng Zixuan couldn't help but call Luo Hao who had just come out of the locker room, and pointed at Chen Yong who was "performing a ritual" inside, "You know what's going on, right?"

"Director Feng, it's okay. I'll be Chen Yong's assistant." Luo Hao smiled.

After the work was done on the other side, Fan Dongkai's voice was heard.

Luo Hao casually sat down in the assistant's seat, "Chen Yong, it's done."

"The sky and the earth are connected, the years and months are connected, the days and hours are connected!" Chen Yong opened his eyes and exclaimed softly.

!!!

Feng Zixuan and the nine professors were stunned.

Is this a spell?
Then, Chen Yong put his hand on the operator and the operation officially began.

The delay was not high, although it was during the day, and was slightly higher than the last emergency remote surgery at night, but it only hovered around 30 milliseconds.

From Feng Zixuan's point of view, the ping value is green.

He still remembers that when he first started playing Military Flag in Asia League, the ping value could reach 500, which was enough to burn incense and worship Buddha.

Feng Zixuan was one of the first commanders of the Asian Alliance.

Looking at the 30-millisecond ping value of the remote surgery, Feng Zixuan felt a little emotional.

Time flies, and decades have passed. In the past, it was difficult to lower the military flag, but now it requires remote surgery.

The operation was performed step by step, and the professors behind Feng Zixuan whispered about it.

Superselection was successful, and angiography revealed that only a portion of the tumor was visible.

There are other blood supply arteries, Feng Zixuan's heart trembled.

He knew a little about interventional surgery, and he learned about it because of Luo Hao. This type of surgery that only shows half of the tumor is the most difficult, because it is unknown which aorta branches off to provide blood supply to the tumor.

The heaven and earth are connected, the years and months are connected, the days and times are connected?
It seems things are not going smoothly, Feng Zixuan thought to himself.

But neither Luo Hao nor Chen Yong spoke. Chen Yong didn't even nag. He first embolized the blood vessels he saw, and then began to patiently look for the blood vessels that supplied the other half of the tumor.

Not the renal artery, not the abdominal aorta.

After 6 angiography, the phrenic artery supply was found, and after embolization and subsequent angiography, the tumor completely disappeared.

The operation was over in one hour and ten minutes without any danger.

If Chen Yong performed surgery in the catheterization room wearing a lead suit, Feng Zixuan and the experts behind him would not even look at him.

But this is a remote surgery, and the patient is in Changnan People’s Hospital, hundreds of kilometers away!
The operation was relatively difficult, and Chen Yong completed it in a little over an hour.

In this short period of time, it might be difficult to take a taxi from the First Hospital of Medical University to the high-speed rail station, especially during rush hour.

Several professors were moved by what they saw and whispered to each other.

Feng Zixuan knew that their hearts were moved.

Municipal and even county hospitals often invite experts from the provincial capital to perform surgery. The poorer the place, the more willing they are to invite experts from the provincial capital.

After all, poverty is poverty, so who should we compare our scores with? Compared with 20 years ago, we are considered wealthy.

The expert fee for the surgery is 3000 to 5000 yuan, which is affordable for most families.

But there was a problem—it was a long way to go.

After getting off the high-speed train, you still have to walk a long way.

Even though the national, provincial and rural roads are now paved, it is still impossible to get there without spending three or four hours on the journey.

Going back and forth, half a day passed.

There are not many patients in the local area, and usually one operation is performed in a day.

Experts from provincial capitals are unwilling to go to the countryside because of the low income and too much hassle.

But the equipment for remote surgery is right in front of us. In the future, we can schedule a surgery on weekends or after work on weekdays and have it done at home. It’s a wonderful thought.

Even so, considering how hard they work, completing more than 30 to 50 surgeries a month is like a piece of cake.

The prerequisite is that there must be so many patients.

Just a remote surgery device can improve the medical level in the province by 10 years! Feng Zixuan estimated.

"It's over, let's call it a day." Luo Hao said with a smile, "Chen Yong is good, and now he is doing surgeries more and more authentically."

"That's right, don't you see who I am! Who am I!!!" Chen Yong howled like a wolf, obviously very proud.

"come on."

"The sky and the earth are connected, the years and months are connected, the days and hours are connected!" Chen Yong muttered again.

Twenty minutes later, the second operation began.

The second operation was simpler and was completed in half an hour.

After finishing, Chen Yong was obviously relieved and shouted, "If I don't have 100,000 years of life, what's the point of being a human being in this world!"

???

Luo Hao glanced at Chen Yong and asked, "Can you all live 100,000 years?"

"Uneducated." Chen Yong didn't explain, but stretched himself and said, "Look at me, I'm awesome!"

"Cattle!"

Luo Hao told the truth.

Chen Yong got off the machine and said proudly, "The experts from West China performed surgery on patient Sarah, and their skills were at most my level!"

"Your surgery is even more difficult." Luo Hao said matter-of-factly, "After all, it is an interventional surgery."

"Hahaha."

……

……

Dr. Fan Dongkai and Dr. Jason watched the entire operation in silence.

Neither of them spoke, and the silence remained.

Although the operation had some flaws, that was a technical issue. If you want them to look flawless, you need to be at Luo Hao's level.

What they want to see is remote surgery.

Even sophisticated interventional surgeries can be performed in front of a remote operating table, and the robotic arm seems to make a soft humming sound, which is very much like the echo in the two people's hearts.

Then I realized what I was proud of.

"You two, the surgery is over, let's go see the patient and then have a meal?" Fang Xiao suggested. "Fan, is this what Luo has been researching?" Jason couldn't believe it.

Although he heard that an emergency first aid operation was completed by remote surgery, Dr. Jason believed that the operation must have been exaggerated and would not be so smooth.

Now seeing it with his own eyes, Dr. Jason was completely dumbfounded.

What’s the difference between this and performing surgery while wearing a lead vest!
The only difference is the patient's acceptance.

If the patient can accept it, the entire process can be done without human involvement, at least there can be no one in front of the patient.

It's even more sci-fi than a sci-fi movie.

"He studies interventional surgery. Most of the equipment and concepts for remote surgery come from West China," Fan Dongkai told the truth.

"Huaxi, I know, it's the hospital founded by the missionaries." said Dr. Jason.

"There are a lot of patients there, and they are from the plateau, so I have been thinking about these devices," explained Fan Dongkai.

Although he said so, he was still shocked.

Unbelievable, absolutely unbelievable!
All this turned out to be true.

"I want to watch the operation." Dr. Jason said.

Fang Xiao was a little helpless, but still took Fan Dongkai and Dr. Jason to the operating table to look for the video of the operation.

After reading it over and over again, Fang Xiao began to get a little impatient, but Dr. Jason and Fan Dongkai became more and more excited.

What Fang Xiao couldn't understand was that the operation was not that difficult. It was different from the emergency surgery that Professor Luo had warned him not to mess around with. The first one was a little difficult, but that was all.

Why are these two so ignorant?

They are supposed to be world-class experts, just like two children.

After they had done enough research, Fang Xiao took Fan Dongkai and Dr. Jason back to the ward to see the postoperative patients.

The patient is in stable condition, but feels pain and has been given analgesics.

The numbers on the monitor make people feel safe.

"Teachers, let's go have a meal together." Fang Xiao invited again.

Fang Xiao was sure that Changnan's barbecue would make the two of them cry. He remembered Professor Luo saying that Professor Fan ate a bunch of chive dumplings for his first meal after returning to China.

Promising.

"Okay, let's have something to eat." Fan Dongkai nodded.

Dr. Jason seemed to be thinking about something and kept staring at the patient's ECG monitor in a daze.

After changing clothes, the three were about to leave the ward. When they walked near the doctor's office, Fang Xiao heard the voice of "Xiao Meng" coming from inside.

"It is recommended to check the ions."

"The patient's ions were checked and they were normal."

"But he just had low blood sugar and used high sugar, so an emergency potassium test is necessary."

Why is "Xiao Meng" so talkative today?

Fang Xiao was a little confused.

Ever since Professor Luo brought "Xiao Meng" to his place, "Xiao Meng" seldom speaks, except when he asks it questions.

Usually "Xiao Meng" writes medical records and the like.

Its medical records are very well written, and it is usually taciturn, so it doesn't look like a robot, so no one has seen through it yet.

Today, "Xiao Meng" actually insisted on checking his blood potassium.

Does it make sense? Fang Xiao was stunned.

"Let's go, Director Fang." Fan Dongkai almost bumped into Fang Xiao's back.

"Wait a moment, Professor Fan." Fang Xiao said, "I'll go in and take a look."

"Ok?"

Fang Xiao didn't care whether Fan Dongkai was anxious or not. He felt that "Xiao Meng"'s insistence had a specific meaning.

"What's going on?" Fang Xiao walked into the doctor's office and asked.

"Director, a patient just had low blood sugar. He was given a high sugar level and his blood sugar has returned to 10.6mmol/l. I don't know why Xiao Meng is hysterical and insisted on checking blood potassium."

"Check one." Fang Xiao subconsciously believed "Xiao Meng".

“???” The doctor was stunned. He stared at Fang Xiao blankly, totally unable to understand why.

"What's so hard to understand about this?" Fan Dongkai walked in from behind. Seeing that the doctor seemed unaware of the complications after correcting hypoglycemia, he explained, "Rapidly replenishing glucose in a state of severe hypoglycemia will cause serious electrolyte disturbances in the body as blood sugar rises, especially the possibility of severe hypokalemia, which may lead to cardiac arrest."

"Ah? There is such a thing?" The attending physician was stunned.

"When the patient is hungry, the blood volume is reduced, the blood sugar is low, and the blood potassium is unstable. The cells and the extracellular space are constantly changing. Through sugar supplementation, the blood sugar once rose, and insulin worked responsively. The glucose in the blood was transferred into the cells, and the potassium ions in the blood also changed accordingly, which may cause serious abnormal blood potassium."

"This is what you should pay attention to after replenishing sugar for hypoglycemia. There are other things you need to pay attention to. You..." Fan Dongkai suddenly closed his mouth and said nothing more.

Fang Xiao sighed.

My own hospital is just a municipal-level tertiary hospital. Although they are all tertiary-level hospitals, can a municipal-level tertiary hospital be the same as a provincial-level tertiary hospital?

The top three in the provincial capital and the top three in the imperial capital and the magical capital are also different.

Not to mention the attending physician, even Fang Xiao himself didn't know that he had to check his blood potassium level after taking sugar supplements for hypoglycemia.

The role of "Xiao Meng" has been demonstrated, it is really useful.

Fang Xiao sighed inwardly, and seeing that the attending physician had not moved, he said with a serious face, "Why don't you give me some medical advice? What's the patient's blood potassium level? Call me immediately if you have any report."

"Okay, okay." The attending physician said quickly.

"Who is it? Xiao Meng?" Fan Dongkai only then noticed "Xiao Meng" wearing the white coat of Changnan People's Hospital and asked in surprise.

"Yes, Professor Luo brought it." Fang Xiao said with a smile.

Fan Dongkai looked Fang Xiao up and down, and finally nodded slightly.

Fang Xiao knew what Fan Dongkai meant.

It is estimated that "Xiao Meng" is still a prototype. Professor Luo has not sent it to many people, and his should be the first one to be delivered.

Thinking of this, Fang Xiao puffed out his chest and felt somewhat proud.

"Xiao Meng." Fan Dongkai asked.

"Hello, Professor Fan." "Xiao Meng" said respectfully and politely.

"Suppose, for example, a patient with low blood sugar suddenly dies after taking high-sugar supplements. What are the possibilities?"

Van Dongkai asked a broad metaphysical question.

"Xiao Meng" hesitated slightly, but quickly raised his head.

"In addition to hypokalemia, there are also cases where patients are in a serious infection state upon admission, and no active anti-infection and anti-shock treatment is given after admission, which leads to the development of sepsis and septic shock, leading to death."

"Another possibility is that patients already have coronary heart disease on top of hypertension and diabetes, and then suddenly develop ACS after admission, leading to cardiogenic shock and death."

"What is ACS?" the attending physician asked subconsciously.

"Acute coronary syndrome." Fang Xiao felt his face getting hot and explained quickly, "Xiao Meng, please continue."

"Forget it, Xiao Meng is still awesome." Fan Dongkai looked at "Xiao Meng" and sighed for some reason.

If Xiao Meng were to continue speaking, there was no telling how much he would say.

That’s about it, that’s about it.

Fan Dongkai only knows these three most common complications for patients with hypoglycemia after sugar supplementation. Any more would be Fan Dongkai’s blind spot.

However, "Xiao Meng" mentioned these three things first, which are probably the most common ones, and the others are very rare.

"Okay, Professor Fan." "Xiao Meng" seemed to smile.

Fan Dongkai sighed deeply, turned and left.

"Hurry up, don't rush to question what Xiao Meng says, you must tell me!" Fang Xiao said sternly.

"Oh." The attending physician was obviously not convinced, but since the director said so, he did not refute.

"I'll tell you why later." Fang Xiao took another look at "Xiao Meng" and saw that its facial expression was normal, as if Professor Luo did not input any content such as micro-expression management, so he turned and left.

I took Fan Dongkai and Jason to a nearby authentic barbecue restaurant and sat down, and the aroma filled the air.

Their barbecue is delicious, but the skewers are even better.

When you take a bite of the kebab, your mouth will be filled with oil, and the aroma of meat will explode on your taste buds, making you intoxicated.

just.

The three of them seemed absent-minded, even Fan Dongkai, who loved food, lost interest in this delicacy.

They were all absentmindedly thinking about AI robots and remote surgery.

"Fan." Dr. Jason broke the silence first.

"What's wrong Jason."

"When was remote surgery started in your country?"

"It seems that the earliest attempt was made in 16. At that time, optical fiber was used. Bandwidth was very important and limited. After all, the speed of wireless networks was still very slow, at least not comparable to today."

"2016!" Dr. Jason was surprised.

"Well, later it was mainly used for remote consultation. A number of apps appeared, and each hospital used its own app. Apart from this, remote surgery was more common during the epidemic. Due to historical reasons during the special period, remote surgery exploded."

"!!!" Jason was stunned.

He never expected that there was such a reason.

"But the one that does the most is still West China Hospital. After all, West China has its own mission. The altitude on Sara's side is more than 3,000 meters, and altitude sickness is very normal, so remote surgery is more important," Fan Dongkai explained.

A lot of the content is what Luo Hao said, plus Fan Dongkai’s recent research.

"As for the Northeast, the high-speed rail is very fast. It only takes more than 6 hours from the capital to Changnan. Unless it is an emergency, actually..." Fan Dongkai wanted to say that it didn't make much sense, but he immediately remembered the several times Yuan Xiaoli rejected the flying knives.

Yuan Xiaoli would occasionally perform flying knife surgery, but he was aloof and eccentric, so not many people came to him for help.

But the surgeries that Yuan Xiaoli refused were all in nearby counties. It took several hours to make a trip, and one operation would take a whole day.

From this perspective, it has great significance, and Fan Dongkai fell silent.

"Fan, when can robots perform surgery?" Dr. Jason asked.

"Ronaldinho is currently researching it. It should be ready, but it is a surgery after all. He is such a weak man that he won't be able to apply it in reality so soon."

"Huh~~~" Dr. Jason sighed, and then cursed in English.

Fang Xiao knew how Dr. Jason felt. Like himself, he was stunned by the new things that appeared before his eyes so quickly.

When Fang Xiao heard about port automation in the past, he didn’t think much of it. But now looking back, he realizes that he was really slow to realize it.

……

……

Changnan People's Hospital, General Surgeon's Office, the doctor on duty looked at "Xiao Meng" and said, "Hey, what is your relationship with the director?"

(End of this chapter)