White armor

Chapter 727 The boat has passed the Ten Thousand Mountains

From Luo Hao's perspective, Gu Huaiming saw many things.

Luo Hao focused on observing the thickness of the aortic root and whether there was any stenosis followed by dilation, as well as the degree and direction of left atrial enlargement, etc.

Simple yet professional, fast yet thorough.

Although it was just a quick glance, Gu Huaiming, an expert, immediately knew Luo Hao's skill level.

He's very capable; he could lead a team directly in 912, and even if I gave him the director's position, he would sit there steadily without showing any fear.

"This kid performs interventional surgeries every day, I never expected him to be so good at heart surgery," Gu Huaiming thought to himself.

Then a hand appeared in his field of vision. After visually inspecting it, Luo Hao reached out and touched the trembling area.

Meanwhile, the AI ​​robot has measured the pressure in the heart chambers and pulmonary artery and reported the values ​​to Luo Hao.

Gu Huaiming now understood why the surgery had been performed so quickly.

Luo Hao is practically a clone of himself; the entire operating table is surrounded by his clones. As long as he has a thought, the other AI robots will assist Luo Hao in doing things.

That's a bit of an exaggeration, because it's not real-time. Luo Hao inputs his surgical habits into the backend, and the backend then executes the commands.

Luo Hao also needs to adapt and cooperate during this process.

The ping value still exists; the transition won't be seamless.

Even if it's "just" that, it's still astonishing. It's millions of times better than what other people in the operating room are in.

Gu Huaiming knew that the boss used to have his own "dedicated" instrument nurse. Whenever the boss went on stage, the nurse accompanying him was always that one.

This is the treatment that older generation experts receive. Even though he is already a pillar of the 912 team, the anesthesiology department still won't provide him with an instrument nurse.

That bastard Luo Hao actually took a different approach, not only having one surgical nurse, but countless others. Is he building a harem?

After the examination, Luo Hao began performing extracorporeal circulation.

What puzzled Gu Huaiming was this—most practitioners probably couldn't establish extracorporeal circulation even in a little over an hour.

Luo Hao completed the entire surgery in just one hour, so how exactly did he establish extracorporeal circulation?
All venous drainage tubes require superior and inferior vena cava cannulation. Luo Hao reached out and slapped the right-angled cannula into his palm.

Incision, tube insertion, double 7-fold suture, the physical examination cycle was established in an orderly manner.

Luo Hao's movements weren't particularly fast, but a rhythmic beauty naturally flowed through them.

The AI ​​robots opposite us worked together seamlessly, and I could also see a few figures in my field of vision, which were probably anesthesiologists and extracorporeal circulation doctors working hard.

Gu Huaiming immediately noticed something—he would reach out whenever Luo Hao needed something.

The necessary equipment will be patted into your hand.

Not only that, but even the extracorporeal circulation specialists were working closely behind the scenes.

The entire operating room was like a giant machine, controlled by Luo Hao, and it had already begun to operate without him even realizing it.

Gu Huaiming stared blankly at the scene, somewhat bewildered.

A sentence flashed through Gu Huaiming's mind—the gears of fate have begun to turn.

Luo Hao was the one who turned the gears of fate, and Gu Huaiming could even faintly hear the creaking sound of the gears turning.

Add to that the fact that only bosses have dedicated medical equipment nurses, and Gu Huaiming was already drooling with envy.

The superior and inferior vena cava catheterization was completed quickly.

Arterial pump cannula is usually inserted into the ascending aorta, and Luo Hao did not try anything different, but followed the most basic procedure in a conventional manner.

Modern cardiac surgery involves two different methods of cardiopulmonary bypass—low temperature and normal temperature.

It is obvious that surgery at room temperature is more difficult, so the vast majority of people choose cryosurgery.

Luo Hao didn't show off his skills here; instead, he chose the most conventional low temperature.

Gu Huaiming frowned slightly and turned his head to ask, "Boss, Luo Hao is capable of performing extracorporeal circulation at room temperature, so why not do it?"

“AI robots are quite skilled at performing cryogenic extracorporeal circulation, so Luo Hao chose the safest approach,” Mr. Zhou replied.

"Could it be that the data from normothermic extracorporeal circulation is insufficient? Or is the patient's condition incompatible?"

“For patients, there is not much difference between normal temperature and low temperature extracorporeal circulation, so Luo Hao chose low temperature circulation, which has a higher degree of certainty.”

Gu Huaiming nodded slightly, but when he turned his head, he was shocked to see that the AI ​​robot extracorporeal circulation specialist had already begun to infuse the cold crystal extracorporeal circulation fluid.

Luo Hao only spoke a few words to the boss, and then he had already set up the extracorporeal circulation?

Gu Huaiming was stunned. This was too fast!

Watching Luo Hao perform surgery, I felt that his movements were unhurried and I was so absorbed in it that I didn't think Luo Hao did anything particularly outstanding. I just felt that his surgery was performed in a very proper and textbook manner.

However, when I was distracted and said a few words, I looked back and found that the light boat had already passed ten thousand mountains.

Gu Huaiming dared not be distracted any longer and focused intently on watching the holographic projection.

Luo Hao used a standard dose of 10-15 ml/kg to induce cardiac arrest.

At this moment, Gu Huaiming noticed the ice mud used for cooling.

The ice slurry is really well made. It's even and clear, with no hard ice blocks or melted ice water due to insufficient temperature. It's all crushed ice slurry.

This is the most typical type of ice mud that practitioners find most pleasing.

Even though Gu Huaiming has performed thousands of heart surgeries and countless cardiopulmonary bypass surgeries, he has rarely encountered such perfect ice mud.

It would be wrong to say that it never happened, but you absolutely cannot expect that the slush handed to you by the scrub nurse will be in perfect condition.

Gu Huaiming was immediately filled with envy.

Without wasting any time, the heart stopped beating, and Luo Hao switched to coronary sinus cannulation, continuously perfusing with oxygenated cold blood cardioplegic solution.

Luo Hao then began the mitral valve replacement surgery.

Luo Hao made a right atrial incision, opened the interatrial septum, exposed and removed the chordae tendineae anterior and inferior to the mitral septum, preserved the mitral ligament, and then inserted the chordae tendineae using a continuous 2-0 Prolcne suture method...

Normally it should be a bio-valve, but what Luo Hao is holding looks like a bio-valve, yet it doesn't.

Gu Huaiming immediately clicked pause.

He remembered the lesson he had just learned: the light boat had already passed ten thousand mountains.

"Boss, what kind of petal did Dr. Luo use?" Gu Huaiming asked.

"It's a 3D-printed bio-valve, custom-made."

Gu Huaiming sighed. Custom-made valves certainly don't have a manufacturer or hygiene inspection standards.

These are all non-compliant practices, no wonder they have to be done in an unmanned hospital.

The patient's family is being pressured by the boss to make connections, a desperate measure. Dr. Luo is walking a tightrope.

It was also because of Dr. Luo's unconditional trust in his boss that, with just one phone call, this scoundrel actually overturned all the rules, took the imaging data, printed out the consumables, and rushed over to perform the surgery.

What if it were me?

Gu Huaiming asked himself these questions.

With the boss involved, it should be possible. But I can only contact manufacturers myself; my relationship with the lab isn't deep enough, so I'm afraid I won't be able to get specially printed valves.

"Little Snail trusts me, it's alright," Boss Zhou said calmly, as if he could hold up the sky if it fell.

Gu Huaiming nodded, but the question in his heart remained unanswered in the end.

Click to start and continue watching the video.

Luo Hao's coordination with the AI ​​robot was exquisite. At this point, Gu Huaiming was basically certain that Dr. Luo's surgical technique was at least the same as his own. As for whether it was a level higher than his own, he would have to wait and see.

The continuous suturing with 2-0 Prolcne sutures was effortless.

Luo Hao rinsed the heart chambers with saline solution and tested it.

The 3D-printed bioprosthetic valve opened and closed well. The left atrial appendage was then ligated and the atrial septum incision was sutured.

An incision was made at the root of the aorta, and the diseased aortic incision was removed. The aortic ring was intermittently sutured with 2-0 padding and sutured with additional sutures. The aortic valve was still 3D printed. The valve ring was sutured and knotted carefully. After confirming that the artificial material could open and close properly, the aortic incision was sutured back and forth with 4-0 prolene sutures.

Afterwards, Luo Hao used a 2-0 pad-filled flap replacement suture to perform tricuspid key reconstruction until the apex was two finger widths wide. Water injection showed that the tricuspid closure was good.

The surgery went smoothly, and none of the problems Gu Huaiming had imagined occurred.

Step by step, until the aorta was separated, the blood vessels were replaced and anastomosed, the surgery was simple and easy, as if there was no difficulty at all.

Based on the previous steps, Gu Huaiming had no doubt that the surgery would be completed successfully.

He just hadn't expected Luo Hao to do it so easily.

Before suturing the left atrial incision, Luo Hao inserted a 16F urinary catheter into the left ventricle through the mitral valve orifice to keep the heart open, and then filled the left ventricle with water until the left atrial incision was closed and the lungs were expended before removing the catheter.

Then, with the head lowered position, insert the air venting needle into the root of the aorta. Use a non-invasive vascular clamp to clamp about 1/4 of the anterior wall of the aorta. At the same time, gently press the opening of the right coronary artery and then slowly release the aortic clamp.

Gu Huaiming thought to himself with admiration that Dr. Luo's surgery was both fast and excellent, and most importantly, he hadn't forgotten any of the details. He couldn't find a single fault with it.

Even when I examined the surgery with a critical eye, I still couldn't find any flaws.

The detail just mentioned is to ensure that blood flow is unobstructed in the posterior part of the ascending aorta first, and that any residual gas at the root of the aorta can also escape from the venting needle hole.

This can avoid many postoperative risks.

Many young surgeons who have just started performing surgery tend to overlook these details, but these details are one of the factors that determine whether a patient's surgery will be successful.

Although it's not the most crucial point, it's one that cannot be ignored.

Luo Hao did not overlook it. Although he only glanced at it briefly, he did so meticulously, leaving no flaws.

The next second, Gu Huaiming froze.

An AI robot has inserted an ultrasound probe into the esophagus to begin the ultrasound examination.

I am!

Gu Huaiming was completely petrified.

The reason for exploration is that the time for air removal at the aortic root is generally longer than that in single valve surgery. Usually, air removal is stopped about 10 to 15 minutes after the heart resumes pulsation and the superior and inferior vena cava are opened.

Because the surgery is lengthy, thorough examinations are necessary to avoid any heart problems.

Why would Dr. Luo Haoluo need to investigate this thing when he performed the surgery so quickly?!

In Gu Huaiming's view, it was a negligible point, yet Luo Hao went to great lengths to directly choose a transesophageal ultrasound examination.

In a flash, Gu Huaiming understood; so that's what he meant.

Since they're both AI robots anyway, Luo Hao knows exactly what programs he's programmed with. And since it won't delay the surgery, he might as well make one.

There are plenty of AI robots in unmanned hospitals, unlike in conventional operating rooms, even those with 912 operating rooms.

Compared to the operating rooms of unmanned hospitals, the operating rooms in 912 can only be considered routine.

Gan ah!

Gu Huaiming almost flipped the table and cursed.

If I want to have an intraoperative ultrasound, I have to call the head of the ultrasound department myself and pull strings to get a transesophageal ultrasound. So I rarely need an intraoperative ultrasound.

Then look at Dr. Luo; he can do it with any AI robot he wants.

The key point is that this AI robot seemed to have just been assisting with extracorporeal circulation at the extracorporeal circulation machine.

One second she's an assistant to the cardiopulmonary bypass specialist, the next she's an ultrasound expert.

Luo Hao examined the ultrasound screen for about 20 seconds and, seeing no gas, was relieved.

Gu Huaiming was overwhelmed with sorrow.

He initially thought that Dr. Luo was speeding up for the sake of speeding up, and that some steps would be overlooked.

To everyone's surprise, he actually "wasted" 20 seconds on such a completely unnecessary detail.

You're such a jerk! Is it really necessary to be this careful during surgery?

Gu Huaiming muttered a curse to himself.

With the extracorporeal circulation removed, the subsequent steps proceeded smoothly. Luo Hao didn't turn and leave, but instead followed the instructions step by step with the assistance of the AI ​​robot.

The surgery itself is extremely difficult, even more so than elephant trunk surgery, and belongs to the most advanced level of cardiothoracic surgery.

But in Luo Hao's hands, it was as simple as an appendectomy.

Gu Huaiming silently watched the holographic projection until he closed his chest cavity, at which point a flatbed cart "came to life" and ran over on its own.

All information in the unmanned hospital is shared. If a flatbed cart is needed, it will come by itself. Gu Huaiming knew this.

However, he was somewhat dazed after the surgery, so much so that he was startled by the flatbed that had come to him.

"Sigh." Boss Zhou sighed, "Xiao Gu, don't even mention you, I was also shocked when I was watching the surgery."

Gu Huaiming gave a bitter smile. "Boss, this is way too damn sci-fi."

"Yes, that's why I'm telling you to be more open-minded. I don't mean you should go to hotels with other people, I mean be open-minded!"

My boss was dashing and debonair when he was young, but after he turned forty, he stopped getting involved in such things and rarely cracked a joke.

Hearing this lowbrow pun, Gu Huaiming knew that his boss was pleased.

“Boss, I… Dr. Luo’s surgery is better than mine,” Gu Huaiming admitted.

“Yeah, she’s better than me,” Boss Zhou said. “But that’s something to be happy about. The younger generation surpasses the older one. If each generation is worse than the last, then what’s the point of working?”

“Yes, and the unmanned hospital is really cutting-edge,” Gu Huaiming said. “Blood tests and other procedures are all timed precisely, so Dr. Luo will have the results as soon as he needs them.”

The surgery was made up of countless details. With the help of the AI ​​robot, Luo Hao did not overlook any detail, and the surgery was completed exactly in 4 hours.

The coordination was so good that it saved countless intermediate details.

Moreover, Dr. Luo's surgical skills are impeccable, which is why such a near-perfect surgery was presented to us.

After the surgery, Gu Huaiming wanted to watch it one more time.

But Boss Zhou had already taken the USB drive out, smiled, and said, "There's nothing to see here. Get back to work."

"Boss!" Gu Huaiming rarely protested.

"AI robots are unlikely to appear in 9/12 for the time being, so don't even think about it."

Boss Zhou knew what Gu Huaiming was going to say and firmly refused without even thinking.

"Boss, you just told me to be more open-minded."

“That’s you. I’m an old-fashioned person.” Boss Zhou didn’t want to argue with Gu Huaiming and said bluntly, without any logic.

Gu Huaiming was speechless.

He knew perfectly well that his boss was showing him the surgery to brute force, pure and simple brute force!

"The conditions aren't right yet, it's temporary, let's wait. You know that the medical profession is the least favored industry."

Gu Huaiming nodded. It's normal for the medical profession to be unpopular. The director of the National Health Commission was almost kicked out of the Central Committee. Anyone who says it's popular is talking nonsense.

Gu Huaiming smiled, realizing that this was how the boss viewed the issue.

He originally thought the boss was worried about the patients causing trouble. If it were just the patients, 912 had its own special characteristics and wouldn't cause much of a disturbance.

But the boss's perspective was different, and after thinking about it, Gu Huaiming realized it made sense.

"How is the patient after the surgery?" Gu Huaiming asked.

"I don't know, you should ask Little Conch Shell yourself."

Gu Huaiming took out his phone and made a video call to Luo Hao.

"Hello, Director Gu." Luo Hao was as polite as ever.

In the video, he is sitting beside a patient's bed, and several other figures also appear in the field of vision.

The AI ​​robots were all busy, while Luo Hao was quite relaxed.

"Is the patient stable?" Gu Huaiming asked.

"The situation is stable. I estimate we can remove the tubes tomorrow morning. If it's urgent, we can transfer you back to the 912 intensive care unit in three days," Luo Hao replied calmly.

"What if we're not in a hurry?"

"Ahem~~~" Luo Hao coughed awkwardly twice. "Director Gu, I can't stay too long. It's not convenient for others to come here. I'm even more worried if only the AI ​​robot is left. The patient from the car accident was transferred after surgery."

Gu Huaiming then realized a detail that Luo Hao insisted on—that a doctor must be watching the AI ​​robot.

That's way too obsessive-compulsive.

Luo Hao sat there doing nothing, while the AI ​​robot was practically bursting with activity.

"It doesn't matter whether Luo Hao is there or not," Gu Huaiming thought to himself.

But Luo Hao was being cautious, and he was aware of this.

"Dr. Luo, is your assessment really that optimistic?" Gu Huaiming asked.

"It's not optimistic, but that's a normal assessment. If we were optimistic, we could remove the tubes now. But I think it's better to be cautious. What do you think, Director Gu?"

"That's true. Can AI robots perform surgery on their own now?"

"It should be possible, but I haven't tried. I don't usually work as an assistant much. At the First Affiliated Hospital of China Medical University, I performed two surgeries with the AI ​​robot: one was intraoperative radiotherapy, and the other was an intestinal obstruction caused by colon cancer, where a stent was inserted."

"By the way, I've recently been taking an AI robot to the vet for a spaying/neutering surgery. I'm planning to start with basic surgeries."

Gu Huaiming was taken aback.

"The AI ​​robot seems very skilled. How many scenarios have you run through?"

“I’m running around to the community hospital here every day, performing complex surgeries every day.”

"Huh?" Gu Huaiming was taken aback.

“The cost of 3D-printed patients and AI robots performing surgery on their own isn’t too high, and there are research grants available. The advantage of AI now is that as long as it doesn’t involve humans, you can just leave it there and let it run on its own, accumulating data.”

"of course."

After Luo Hao finished speaking, he added a sentence.

"AI itself is constantly simulating virtual operations, but while virtual simulation is acceptable, it's still more reassuring to actually run it around in the environment."

"It's not a wind tunnel, why are you thinking so much?" Gu Huaiming said dismissively.

"My obsessive-compulsive disorder is getting worse," Luo Hao said somewhat embarrassedly. "Overall, the rate of accumulation is very fast, and it's accelerating. In about another year, I'll be able to surpass my level."

"!!!"

If it weren't for the phone, Gu Huaiming would have grabbed Luo Hao by the collar and slapped him.

This is Versailles, shameless Versailles.

"Boss, have you spoken to the patient's family?"

"She said something that surprised Xiao Lu," Boss Zhou said with a smile. "She is in charge of technology review, but she rarely speaks, after all, she has to take care of her children."

Boss Zhou suddenly said something completely out of the blue.

Luo Hao was taken aback, but then smiled; his boss was reminding him.

But Luo Hao didn't care. What was there to care about in such a trivial matter? The surgery in the unmanned hospital was almost perfect, and that was what Luo Hao cared about.

"Boss, isn't that amazing?" Luo Hao said with a hint of pride.

"Yes, that's really impressive. Get a set of 3D printing equipment for the unmanned hospital."

"Several million yuan, I can't bear to part with it," Luo Hao admitted. "Now even hospitals without staff..."

"How could I possibly be short of your funding? You contact them, and I'll handle the paperwork."

"Boss is so generous!" Luo Hao flattered Boss Zhou without any semblance of propriety.

"Don't talk nonsense. If there's a next time, just print it in Pangkezhuang. You don't need to bring it back and forth. Printing in Pangkezhuang will reduce a lot of potential problems."

"Yes, boss," Luo Hao replied earnestly.

"And what about your sleep at night?" Boss Zhou asked.

"I've set up an alarm so the AI ​​robot can wake me up anytime. It is a bit of a hassle, but it's nothing. I can just sit and take a nap."

"I don't care if you're tired or not, the patient needs to live!"

"Boss, the surgery is already this good, it's hard to die even if you want to, unless the power suddenly goes out at Punk Manor and a bolt of lightning falls from the sky and strikes the backup power supply."

Luo Hao said with a smile.

"Say something auspicious."

"It should be fine, boss, don't worry."

"It's only natural," Boss Zhou thought to himself. "Luo Hao will never be able to get rid of this dog-like habit of his."

"Okay, I'm going home to rest. I'll come to relieve you first thing tomorrow morning."

"No need, boss, I brought Xiao Miao with me. She went to Peking Union Medical College Hospital after getting off the plane, but she's on her way here now. We'll stay here and keep an eye on things."

Miao Youfang?
Gu Huaiming's heart stirred.

"That's the young man who got first place in the postgraduate entrance exam this year from Peking Union Medical College."

"Yes, Director Gu, Xiao Miao, come and say hello to Director Gu." Luo Hao waved.

An honest-looking young man appeared in the picture.

"Hello, Mr. Zhou. Hello, Director Gu." Miao Youfang bowed deeply, making the gesture perfectly.

He seemed to be a carbon copy of Luo Hao. Boss Zhou suddenly remembered how Luo Hao looked when he first saw him many years ago.

It's so similar, it's really too similar.

(End of this chapter)