Chapter 489 According to the original plan
In order to prepare for Fujiwara Tanio's surgery, Song Zimo and his team stayed in the special care ward.
Song Zimo, who is proficient in English and Japanese, has no pressure in communication.
Moreover, Mr. Song had a short-term training at Dongda Hospital back then, so he was quite familiar with this place.
It's just that the Japanese are weird, and there is often some German mixed in the case histories.
Fortunately, this qualified assistant is even familiar with German, so I can't help but accept it.
The Japanese doctor following behind him saw Song Zimo encountering a German word and wanted to help translate it, but he didn't need help at all. The German word he pronounced had a round pronunciation, which made the Japanese instantly ashamed.
The assistant of an awesome person is also an awesome person.
With such a capable assistant, Yang Ping feels much more relaxed. He doesn't have to worry about trivial matters. He regularly browses the sent report materials on his mobile phone, and then sends the instructions on his mobile phone.
Yang Ping stayed in the hotel and studied Fujiwara Tanio's condition behind closed doors.
Huang Jiacai, Lao Cheng, and Gao Qiao were always with him.
Lao Cheng served tea, poured water and peeled apples. When it was time to eat fruit, the apples had already been delivered to Yang Ping.
Takahashi helped search for medical records. Whatever Yang Ping wanted to see, it was called up on the dedicated screen. If Yang Ping wanted to enlarge the picture, he would enlarge it, and if he wanted to rotate it, he would rotate it.
I can almost memorize the medical records, and study the images and pictures countless times.
Huang Jiacai is responsible for overall planning and maintaining contact with the Ning family. For example, for their return trip, Ning Qi has arranged a special plane and is ready to board the plane at any time.
After supplementing a large amount of coagulation factors, the coagulation function was temporarily stabilized, but immediately showed a downward trend.
Obviously, the survival time of coagulation factors in the body becomes shorter and their consumption is accelerated.
Moreover, coagulation factors cannot be replenished without limit. Once excessive, it will also bring bad consequences.
The latest CT and MRI pictures are coming one after another like snowflakes, making people overwhelmed.
"Would you like to take a rest?"
Lao Cheng couldn't bear it. This was high-intensity mental work.
Takahashi also suggested: "Let's take a rest."
Take a break and take a break!
I will definitely not attend the afternoon meeting. I will just rest in the hotel and wait until the surgery at 8pm.
Yang Ping took off his shoes, curled up on the sofa, and took a rest.
Lao Cheng took out a thick quilt from the room and covered Yang Ping. Takahashi pointed to the temperature displayed on the room control screen: "The heating is set to 30 degrees, and the cover is so thick."
Lao Cheng put on a thin quilt again.
When Dr. Yang is resting, everyone should not disturb him and keep quiet. Lao Cheng is very familiar with Yang Ping's living habits.
So the three of them sat in the living room of the hotel suite, guarding Yang Ping, looking at each other without speaking, and the atmosphere was a bit awkward.
——
Coagulation dysfunction and horrific bleeding have become the biggest obstacles to surgery.
Stop the bleeding! Stop the bleeding! Perfect for stopping bleeding! Systems space in the operating room.
A familiar operating table, a familiar robotic arm assistant, and a replica of Fujiwara Tanio’s experimental body lay on the table.
The cases copied by the system are real cases that copy the instantaneous state.
That is, the laboratory now lying on the operating table is exactly the same as the one Fujiwara Tanio had just copied at that moment.
The coagulation time is prolonged, and even if a needle pricks the same small hole, bleeding will continue for more than five minutes.
The drapes were sterilized and draped as usual, and then Yang Ping began the operation.
Cutting the skin and opening the spinal canal and skull base are all too familiar.
The scalpel cut open the upper cervical spinal cord and medulla oblongata, and blood immediately appeared from the cross section. The bipolar electrocoagulation in Yang Ping's hand accurately clicked through the cross section at an extremely fast speed.
All bleeding points have been eliminated. This hemostasis point has been reached. The position of bipolar electrocoagulation contacting the bleeding points must be accurate without error, and the duration cannot be too long, otherwise it will cause burns to the surrounding tissues.
This is too difficult. Even if the bleeding can be stopped quickly, it cannot avoid burning the medulla oblongata tissue due to the severity of the technique.
The principle of double-click electrocoagulation to stop bleeding is to shrink and carbonize the end of the bleeding blood vessel, and then occlude it. If the control is not good enough, it may cause burning and carbonization of the surrounding tissue.
There are so many bleeding points, and each bleeding point increases the burn. When all the bleeding points are added together, the damage caused to the medulla oblongata is fatal.
This is not a fucking surgery done by a human being.
Even if a super computer controls the laser for spot welding, it cannot be so precise and delicate.
Yang Ping calmed down, steadied his hands, and managed to finish the operation.
The hemostasis was satisfactory, but far from the requirements for success.
The subject was declared dead due to a small amount of bleeding after the operation.
Yang Ping was not discouraged and continued the operation.
After five operations in a row, the patient either died during the operation or died after the operation, and there was almost no possibility of success.
You know, one cannot step into two identical rivers.
Similarly, there must be differences in the experimental subjects every time. Even if the differences are very small, Yang Ping cannot guarantee that the cross-section of the tissue will be exactly the same every time.
In this way, there is no guarantee that the bleeding points in each section will be exactly the same.
As long as there are new and unknown bleeding points, it is impossible to achieve optimal hemostatic techniques.
If you want to achieve truly perfect hemostasis, unless you do the current training, when incising the medulla oblongata and upper cervical cord, every cut should be done the same, and the bleeding points on the cross section should be the same. In this way, muscle memory can be formed when hemostasis is done.
How difficult it is!
It's like quickly stacking dozens or hundreds of smooth iron balls one on top of the other and keeping them stable.
Yang Ping didn't want to give up, as long as there was a glimmer of hope, he didn't want to give up.
He calculated the points and it was enough. So I continued to buy replica experimental bodies, five, ten, twenty -——
Just repeat this.
The terrible thing is that this kind of repetition is to minimize the difference and maximize the similarity between each cut, so it can only be repeated over and over again, which is extremely boring.
Yang Ping truly understood the process of water dripping through stone.
No matter how different Fujiwara Tanio's experimental subjects are each time, his anatomical structure will not change, only the state and function will change.
The anatomical structure remains unchanged, and naturally the distribution of large and small blood vessels will definitely not change.
As long as each incision is truly reproducible, the bleeding points will be fixed, and you can achieve perfect hemostasis.
Yang Ping became more and more confident, and the brain's memory and muscle memory gradually formed memories through repetition.
The treatment of bleeding has improved every time.
The experimental subjects were constantly consumed, and I don’t know how many operations were performed. Every time I made an incision, I didn’t need to look at it or think about it. The bipolar electrocoagulation was directed towards the bleeding point with very precise position and intensity.
Finally, the operation was completed.
Yang Ping saw that the vital signs on the monitoring equipment were stable, and Fujiwara Tanio was finally alive.
Yang Ping continued surgery to strengthen this memory.
Moreover, after each operation, he observed the experimental subjects for one, two, and three days—all the while observing that they were out of danger and ensuring that there would be no postoperative bleeding.
After I was satisfied, I didn't know how long I stayed in the system space. I was extremely mentally exhausted and was close to the edge of collapse.
After coming out of the space operating room, Yang Ping curled up on the sofa and really started to sleep.
Mental fatigue in the system space can be relieved by rest in reality. This is the law of the system.
——
Fujiwara Tanio's coagulation factor infusion is close to the limit and must be suspended to ensure that he can continue to infuse coagulation factors to regulate coagulation function after surgery.
When Yang Ping woke up, it was already five o'clock in the afternoon.
The Asia-Pacific Orthopedic Association Forum has ended. Professor Liang, Professor Su, and Professor Qin all returned to the hotel and began to prepare to leave Japan early the next morning.
They heard that Yang Ping was resting and it was not easy to disturb him.
I knew that Yang Ping had another surgery that night, and that he was going to do it despite the absolute contraindications for surgery.
"What time is it?"
Yang Ping woke up.
"Half past five!"
Lao Cheng has been sitting in the living room, guarding Yang Ping, not even daring to blink.
"Is everything okay?"
Yang Ping rubbed his eyes and had a good rest.
"It's okay!"
Lao Cheng has been keeping watch. If Song Zimo calls him for something, he must know.
Yang Ping took out his phone and looked at it. Xiao Su and others had returned from shopping and bought some gifts for him. They knew that Yang Ping was resting and did not come in.
"Teacher Fujiwara called. The supercomputer of the University of Tokyo has been simulating President Tanio's surgery today -" Takahashi looked a little embarrassed.
"What was the result?"
Yang Ping asked.
"All died due to uncontrollable bleeding during the operation. It is said that it was simulated ten thousand times, without exception!"
Takahashi frowned, waiting for Yang Ping's reaction and whether the surgery would still be done.
"Ten thousand times? So many? A waste of electricity!"
Yang Ping's tone was very calm, and he was not surprised at all.
Using supercomputers to simulate surgeries is nothing new.
Americans and Germans are doing this.
After all, the human body is so complex, and many parameters are not understood. The computer modeling will definitely be distorted, no matter how much it is simulated, it will just look like that.
"Dr. Yang? Professor Fujiwara will come to see you soon and bring you the information of today's simulation? Surgery - according to the original plan?"
Takahashi was cautious, thinking that Yang Ping had just woken up and was a little confused.
"As planned!"
Yang Ping was very relaxed.
"Old Cheng, change the tea leaves and make a cup of fresh tea to drink."
Yang Ping put on his shoes.
"Mr. Huang, after the operation is done tonight, should we leave tomorrow morning or tonight?"
Huang Jiacai was also a little confused.
Everyone was extremely nervous for such a major surgery. Now, Dr. Yang was just like performing any ordinary surgery. The surgery hadn't even started yet, but he actually asked about the return time.
"Takahashi, that supercomputer of yours, that crappy thing, did it ten thousand times and the patient still died?"
Yang Ping told Gao Qiao again.
Takahashi felt that Yang Ping was a little abnormal, that he was highly nervous and had something wrong with his brain.
Isn't this the time to concentrate as if facing a formidable enemy? When Dr. Yang woke up, he felt a little confused.
(End of chapter)