The Godfather of Surgery

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

Yang Ping is waiting for the next opportunity. If he is forced to take the risk of voltage instability to perform surgery, it is not in line with his character. The operation must be stable. With a fluke, the beginning means failure.

Sometimes there is no way, the risk that should be taken must be taken, and when there is a way, he is never willing to add the slightest risk for no reason.

When he replicated Steven's case for a simulated operation, he had already made a profound study of Steven's condition, and he could survive for more than five hours.

If the engineer can fix the electrical system, he can complete the operation with only half an hour left.

This kind of surgery must be done under the best conditions.

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

Sometimes, life and death are in the blink of an eye. Although it is not guaranteed to be foolproof, Yang Ping will strive for the greatest probability for the patient.

The technical support surrounding Steven's condition has not stopped. His information was sent to the artificial intelligence doctor of GG Company, and also to Watson, the artificial intelligence doctor of IBM.

The artificial intelligence of GG company simulates the evolution of Steven's condition, repeats the simulation, and finally comes out the final result.

Steven was only able to survive for seven hours before dying of a burst aneurysm seven hours later.

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

It would have taken five or six hours to get the operation off. If David Hawley went out for repairs after the spare parts were delivered, there would be no more time for the operation in five or six hours.

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

Yang Ping stayed in the operating room all the time. He couldn't leave, and he didn't dare to leave. Once Steven was in danger, he would direct Susan to give first aid, and he could even use a remote surgical robot to perform some operations.

IBM's Watson's report on Steven's diagnosis came: Steve had more than one aneurysm in his brain stem, but also a hidden microaneurysm.

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

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

On the images and pictures, some subtle places, artificial intelligence can be enlarged and screened in the computer host, and can also be accurately measured and calculated with big data.

Steven has two aneurysms! There is also a hidden one.

This was a far cry from the initial diagnosis, at which point no one would question Watson's diagnosis.

When he received the news, Johanneson couldn't sit still. He was about to tell Dr. Yang the news. If only one aneurysm was embolized, it would be equivalent to only dismantling one of the two time bombs, or it would not work.

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

The last bit of confidence in Massimo's heart was destroyed. If there is only one aneurysm, he can still give it a try. I bet the probability of theoretically better than nothing. With two aneurysms in the brainstem, there is no chance to even dream of gambling. .

The team of doctors couldn't control it and became agitated. Johanneson immediately rushed to Yang Ping's operating room, followed by Massimo.

Yang Pingzheng was drinking tea with Lao Cheng and Mr. Huang, and saw the nervous Johanneson: Is the power system repaired?

Johanneson shook his head, his face ashen: Dr. Yang, just the results of IBM Watson's diagnosis: Steven has two microaneurysms in his brain stem, both are in a complex vascular network, and the other is hidden, riding across the blood vessels. the intersection.

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

Lao Cheng, bring that picture. Yang Ping greeted Lao Cheng.

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

You—always knew? Johanneson wondered.

Yang Ping nodded: Because neither everyone's reading, nor GG's artificial intelligence reading has found it, if I say it, I can't convince everyone, it will waste a lot of time, anyway, I have to do surgery, I will solve one surgery at a time. There is no difference between a place and three places.”

But--Watson's diagnosis was only two aneurysms? Massimo was confused and couldn't believe it.

Yang Ping had to explain to them: The ability of an artificial intelligence robot like Watson depends on all the medical knowledge of human beings in the past. , it cannot be obtained. Therefore, in the exploration of the unknown, it is no match for us. It can only find two from the difference of the image, and we can deduce the third from the mechanism of the disease. Just like the Frenchman Le Willie and the Englishman John Adams, based on the abnormal trajectory of Uranus, used mathematical deduction to calculate the existence of Neptune and calculate its trajectory.

You mean, this aneurysm has not been realized on imaging at present, did you calculate it? Johanneson finally understood.

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

Yang Ping's tone was calm, but it was not negotiable: Why not? If it is too late to wait for its image changes, we must predict its existence in advance and solve it in advance, just like if Helicobacter pylori exists in large quantities in the stomach, we must It is predicted that it is very likely to cause gastric cancer, and we cannot wait for gastric cancer to be processed, but to solve Helicobacter pylori in advance.

And its blood flow dynamic performance has been abnormal, but no one is observing it from a dynamic point of view now, Watson naturally won't, but I will, isn't all medical diagnosis a kind of evidence inference? Aneurysm is not based on imaging It’s just that the basis of my inference is unfamiliar to everyone. I did not deduce it from static images, but from dynamic changes. This is a very high reading skill, and every minute of the whole brain Angiographic angiograms are different. You must not only see static differences, but also see the continuity of changes between them, the logic of internal driving, their basic principles are governed by physical laws, and physics is their underlying logic, understand?

I understand! Johanneson didn't want to waste Yang Ping's time. He talked to this high-dimensional creature. How could he figure it out at once? He can ask for advice later. Isn't there an online forum? Forum post explaining.

Massimo didn't understand: You understand?

Okay, we can't figure it out in a short time. Now is not the time for academic discussions. Obediently accept this diagnosis. Johanneson whispered in Massimo's ear.

However, Watson only saw two? Where is the other one?

If there are really three, this operation cannot be done.

I didn't listen to him, one, two, three, to him, there is no difference. Johanneson didn't think about it at all, it turned out that Dr. Yang knew it long ago.

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

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

But how could he not be in a hurry?

If you have to wait for the power system to be repaired, the time left for the operation will not exceed an hour. The scary thing is, if the blood vessel bursts in the middle.

Such a one-shot operation, how can one hour be enough, no matter what, is this Dr. Yang a demigod, and he intends to solve the operation within an hour?

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

Massimo shivered, similar to the shivers after urinating in winter.

The Soyuz rocket will launch from Baikonur, Kazakhstan, and the spacecraft will dock with the International Space Station in about three hours and forty minutes.

David Hawley is about to get out of the capsule. He's going to take a spacewalk to repair the MDM. If it can't be repaired, it can only be replaced. He calculated the time to get out of the cabin, and if it was determined that it could not be repaired, the delivery spacecraft would just complete the docking.

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

What a hassle, Steven has been unlucky all this time.

David Hawley thought, maybe the last time I chatted with him about returning to Earth, Steven actually said, I will miss this place.

Damn guy, how can you say such a thing.

Yang Ping used the time of drinking tea to continuously calculate the operation, enter and exit the system space, and the simulated operation of the replicated case was almost uninterrupted, so as to maintain the latest simulation state.

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

In the replicated experimental body, the guide wire penetrated step by step, the deepest part of the medulla oblongata, and entered the nerve nucleus. In the last part of the journey, the guide wire advanced almost against the blood vessel wall, little by little, slowly and steadily.

Spring coil in place, release! The process is repeated countless times.