Chapter 415 Killing three birds with one stone
Massimo was about to spurt blood, and the effect of Johannesson's words was equivalent to pressing Massimo's head to the ground.
Yang Ping waited for the next opportunity. If he forced the operation to take the risk of unstable voltage, it would not be in line with his character. The operation must be stable. If he takes a chance, it will mean failure from the beginning.
Sometimes there is no way, and the risks that should be taken must be taken. When there is a way, he is never willing to add any risk for no reason.
When he copied Steven's case and performed simulated surgery, he had already made a profound study of Steven's condition, and he could still last for more than five hours.
If the engineer could fix the electrical system, he could complete the operation if only half an hour was given to him.
This kind of surgery must be done under the best conditions. If you don't take action, it will be a one-hit kill.
If the power system is still not repaired at the last moment, Yang Ping will 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 just a matter of thoughts. Although there is no guarantee that everything will go wrong, Yang Ping will strive for the highest probability for the patient.
Technical support for Steven's condition has not stopped. His information has been sent to GG's artificial intelligence doctor and IBM's artificial intelligence doctor Watson.
GG Company's artificial intelligence simulated and evolved the evolution of Steven's condition, and simulated it repeatedly, and the final result came out.
Steven was only able to hold on for seven hours before he died from a burst aneurysm seven hours later.
"Why doesn't he take action? There are only seven hours. If he doesn't take action, once 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 in the first place.
The operation originally took five or six hours. If the parts were delivered and David Hawley went out to perform repairs, the five or six hours would be gone. There would be no time left for the operation.
"Dr. Yang had his own plan. One operation required four cardiac arrests. One arrest required 21 defibrillations before successful cardioversion. However, he remained calm and confident. We should not try to use our own thinking. Understand what he does, Massimo, you are a genius, I admit it, but you and I are in the same dimension after all. Dr. Yang is already one dimension higher than us, because he is still young, so you have not yet appreciated his achievements, Believe that he will suffocate you in the near future, believe in him more than you believe in yourself." John Mason asked Massimo to calm down.
Yang Ping has been staying in the operating room. He cannot leave and does not dare to leave. Once Steven is in danger, he will direct Susan to perform first aid and even use remote surgical robots to perform some operations.
IBM's Watson's diagnosis report on Steven came: "Steven has more than one aneurysm in his brain stem, and there is also a hidden microaneurysm."
Compared with GG's artificial intelligence, IBM's Watson is more powerful and mature in medical treatment.
Especially in terms of artificial intelligence film reading, it has completely destroyed GG Company. Of course, it can crush human doctors. No matter how powerful a doctor is, the limit of reading pictures in a day is hundreds of pictures, but Watson artificial intelligence can read hundreds of thousands of pictures in a few seconds. Millions of films.
In images and pictures, artificial intelligence can enlarge and identify some subtle areas in the computer host, and can also perform precise measurements and big data calculations.
Steven had two aneurysms! There is also a hidden one.
This was a far cry from the original diagnosis, and at this point, no one would question Watson's diagnosis.
Johannesson couldn't sit still after receiving the news. He was about to tell Dr. Yang the news. If only one aneurysm embolization was performed, it would be equivalent to only dismantling one of the two time bombs, and it would still not work.
In the lobby of the ground control center, the doctors' nerves that had just been relaxed became tense again. Two aneurysms made the operation twice as difficult.
The last trace of confidence in Massimo's heart was destroyed. If there was only one aneurysm, he could still give it a try and bet on a few percent probability that was theoretically better than nothing. With two aneurysms in the brain stem, he didn't even have the chance to dream about gambling. .
The medical team couldn't control it and started a commotion. Johannesson immediately rushed to Yang Ping's operating room, followed closely by Massimo.
Yang Ping was drinking tea with Lao Cheng and Mr. Huang when he saw a nervous Johannesson: "Has the power system been repaired?"
Johanathan shook his head, his face livid: "Dr. Yang, the diagnosis results of IBM Watson just came out: Steven has two microaneurysms in the brainstem, both in the complex blood vessel network, and the other one is hidden, straddling the blood vessels. ”
Yang Ping didn't seem to be in a hurry: "Sit down, I'll tell you slowly."
"Old Cheng, bring that picture." Yang Ping greeted Lao Cheng.
Boss Cheng immediately brought over a pencil drawing drawn by Yang Ping. Yang Ping pointed at the picture and said: "Look, there are actually more than two, there is another one, there are three in total, but the other two are extremely hidden and not shown. In a microgravity environment, venous return slows down and arteries are congested. The first one is the easiest to show. The other two, one is very hidden, and the third one is not shown at all. It is not clear for the time being whether this is Steven's inherent existence. Vascular defects, or vascular lesions in microgravity environment”
"You - always knew?" Johannesson was confused. Yang Ping nodded: "Because neither everyone nor GG Company's artificial intelligence has found anything. If I tell you, I won't be able to convince everyone. This 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 one place and three places.”
"But - Watson's diagnosis was only two aneurysms?" Massimo was confused and couldn't believe it.
Yang Ping had no choice but to explain to them: "The ability of artificial intelligence robots like Watson depends on all the past medical knowledge of humans. All papers, books, images, etc., if they are not in the past knowledge, they have never appeared. , it cannot be obtained, so it cannot compare with us in exploring the unknown. It can only find two from the difference in images, and we can deduce the third one from the mechanism of the disease, just like the Frenchman Le. Willie and the Englishman John Adams used mathematical deductions to calculate the existence of Neptune and calculated its trajectory based on the abnormal trajectory of Uranus."
"Are you saying that this aneurysm currently has no imaging findings? You calculated it?" Johannessen finally understood.
"How could you put an extra coil in his skull just based on speculation?" Massimo asked.
Yang Ping's tone was calm, but non-negotiable: "Why not? If it is too late to wait until it shows image changes, we must predict its existence in advance and solve it in advance, just like if Helicobacter pylori exists in large amounts in the stomach, we must It is predicted that it is very likely to cause gastric cancer. We cannot wait until gastric cancer occurs, but deal with Helicobacter pylori in advance.”
"And its dynamic performance of blood flow has become abnormal, but no one is observing it from a dynamic perspective now. Naturally, Watson can't, but I can. Aren't all medical diagnoses a kind of evidence inference? Isn't aneurysm based on imaging? It's just that the basis for my inference is unfamiliar to everyone. I don't deduce it from static images, but from dynamic changes. This is an extremely high reading skill, and the whole brain is used every minute. Angiographic angiograms are different. You not only have to see the static differences, but also the continuity of changes between them, the internal driving logic. Their basic principles are governed by physical laws. Physics is their underlying logic. Do you understand? ”
"I understand!" Johannessen didn't want to waste Yang Ping's time anymore. He was talking to this high-dimensional creature. How could he figure it out all at once? He could ask for advice slowly in the future. Isn't there an online forum? In the future, Yang Ping would be invited. Post an explanation on the forum.
Massimo didn't understand: "Do you understand?"
"Okay, we can't figure it out in a short time. Now is not the time for academic discussions. Just accept this diagnosis." Johannesson whispered in Massimo's ear.
However, Watson only saw two? Where is the other one?
If there are really three, this operation cannot be performed.
"I didn't hear him say it. One, two, three, it makes no difference to him." Johannessen didn't think much about it at all. It turned out that Dr. Yang had known it for a long time.
"But for three microaneurysms, this kind of surgery takes several hours. It also uses a remote surgery system. Now he has no intention of doing it and is still drinking that damn thing." Back in the hall, Massimo Nagging.
Johannesson comforted Massimo: "Don't be so anxious, he should have made arrangements."
But how could he not be in a hurry? Massimo felt like he was sitting on pins and needles, watching what was going on at the "safe house" from time to time.
If we have to wait for the electrical system to be repaired, the time left for the operation will not be more than an hour. The scary thing is, what if, what if a blood vessel bursts during the operation.
How can one hour be enough for this kind of surgery that kills three birds with one stone? It's not enough anyway. Is this Dr. Yang a demigod who plans to complete the operation within an hour?
An hour? Things that are unthinkable.
Massimo shivered, not unlike the shivering you get after peeing in the winter.
The Soyuz rocket was launched from Baikonur, Kazakhstan. About three hours and 40 minutes later, the spacecraft will complete docking with the International Space Station.
David Hawley is preparing to leave the cabin. He will do a spacewalk to repair the MDM. If it cannot be repaired, it can only be replaced. He calculated the time to leave the cabin. If it was determined that it could not be repaired, the delivery spacecraft would be docked by then.
The Russian friends wore their Seahawk spacesuits, exited through another exit hatch, delivered the accessories, and then the two of them completed the replacement of the accessories.
What a troublesome thing, Steven has been having bad luck during this time.
David Hawley thought that maybe it was the last time he chatted with him. When they talked about returning to Earth, Steven actually said: "I will miss this place."
Damn guy, how could you say such a thing.
Yang Ping used his tea time to continuously calculate surgeries, enter and exit the system space, and simulate surgeries on copied cases almost without interruption to maintain the latest simulation status.
The brainstem blood vessel network extends in all directions, becoming thinner step by step, forming an extremely complex world of its own.
In the replicating experimental subject, the guide wire went deep step by step, into the deepest part of the medulla oblongata, and entered the nerve nucleus. In the last part of the journey, the guide wire almost moved forward against the blood vessel wall, slowly and steadily, little by little.
Spring coil in place, release! The process is repeated countless times.
(End of chapter)