godfather of surgery
Chapter 245 New Mission
Chapter 245 New Mission
The last guest was sent to the airport, and the academic meeting officially ended.
More than 2000 participating doctors rushed back to the hospital after the two-day meeting and started busy work.
Yang Ping dragged his tired body back home, lay down on the sofa, and didn't want to get up at all.
"Ding dong, stage mission: Help Sanbo Hospital to establish the strongest trauma orthopedics department in City G, the mission is completed! Reward 50 points!"
"With a silver treasure box - the third method of the system's super training method, assisting inspection training!"
"The function of the space operating room has been expanded, and the new online function - simulated surgery."
"Ding dong! A new stage task: to win the National Golden Knife Award Competition Championship."
A series of mechanical female voices and subtitles appeared, making Yang Ping overwhelmed.
The task of the first stage was finally completed, and it was not easy to complete step by step, and it was even a bit difficult.
From this point of view, as long as you want to get something, you must pay, and the difference lies in the content of the pay.
Without any respite, the system issued a second stage task: to win the National Golden Knife Award.
The difficulty of this task has increased a lot compared to the first one.
To win the National Golden Knife Award, one must be able to perform all orthopedic operations skillfully, including scoliosis correction.
As for scoliosis orthopedics, the annual number of cases in general medical university affiliated hospitals is pitifully small, ranging from a few to more than a dozen. The winners of the Golden Knife Awards are always rotated in these hospitals, and have never fallen outside these top hospitals.
Yang Ping is very curious, what exactly is the silver treasure box - auxiliary inspection training?
He entered the system space, and checked the introduction about auxiliary inspection training through the light screen.
The so-called auxiliary examinations are such as blood routine, biochemistry, liver and kidney function, electrocardiogram, X-ray, CT, MRI, color Doppler ultrasound, etc., all with the help of laboratories and equipment.
This training covers the theory and practice of these examinations, the analytical interpretation of the data.
The system connects anatomy, physiology, pathology, disease, symptoms and signs, and auxiliary examinations, and establishes a complete logical model with basic theories such as anatomy and physiology as the core and symptoms, signs, and auxiliary examinations as external manifestations.
Through this model, doctors can develop strong logical thinking ability and be able to analyze the underlying reasons behind every symptom, sign and inspection index.
This training is long-term and gradual, and there is no rush. Yang Ping put it down for now and trains slowly in the future.
What kind of black technology is the newly launched simulated surgery function?Yang Ping wanted to try it, so he clicked the "simulated surgery" button on the light screen with his mind.
In an instant, I entered the operating space, and it was empty, with nothing in it. What's going on?
"The simulated surgery function needs to be activated by the mind, which is divided into scene simulation and free simulation. Scene simulation simulates a certain surgical scene in reality; free simulation, you can freely choose experimental objects, instruments, and equipment to simulate surgery." The mechanical female voice introduced.
"Scene simulation. When the host obtains the system binding, the operation to rescue the mutated external iliac artery rupture is a scene simulation. This operation is completely copied and repeated simulation training is suitable for patients who are undergoing surgery."
"Free simulation is suitable for patients who have not yet undergone surgery. Through simulation, you can choose the best surgical plan, or improve the surgical plan. You can independently choose a variety of equipment combinations to simulate the operation, without being limited by the real scene."
"Initiation?" Yang Ping asked.
The mechanical female voice replied: "You have simulated patients and surgery in your mind, and the system will provide experimental subjects and surgical equipment according to your ideas."
According to the system's guidelines, Yang Ping wanted to simulate Sisi's surgery—killing tumor cells with a focused ultrasound knife.
This thought clearly appeared in Yang Ping's mind. Immediately, an experimental subject appeared in front of Yang Ping, lying on a piece of medical equipment, but they were shrouded in thick fog and blurred. Moreover, Yang Ping couldn't get close, as if there was an invisible wall the wall blocking.
"This simulated surgery requires [-] points, are you sure you want to simulate it?" the mechanical female voice prompted.
so expensive?Fifty thousand points!
There is no way, if it is not simulated, I am afraid that Sisi's operation cannot be performed, because some defects of the focused ultrasound knife itself cannot be made up for by doctors' skills.
"Sure!" Yang Ping gritted his teeth.
The dense fog in front of him dissipated immediately, and the invisible wall disappeared. Yang Ping took a closer look, and found that this medical equipment turned out to be a focused ultrasound knife, which was exactly the same as the one in Sanbo Hospital. The patient lying on it was Sisi, with her right thigh Also has an external fixator.
"This is a copy of her, not the real patient. The technical information about the equipment and the patient's medical records can all be accessed through the light screen." The mechanical female voice stopped talking.
Yang Ping took his time and called up the instruction manual and other materials of this focused ultrasonic knife from the light screen, and read it word by word several times to master the principle, structure, use, precautions, etc. of this device.
I went to the Focused Ultrasound Knife Department to study the materials before, and with a certain foundation, the research this time is very easy.
It seems that this system only creates conditions for oneself. As for acquiring knowledge and abilities, one has to work hard on one's own. Without enough perseverance, one cannot play with this system at all.
Because the system space is a closed, lonely, and isolated space, in such a space, few people can learn consciously.
After thoroughly researching the Focused Ultrasound Knife, Yang Ping studied Sisi's replica. The medical records of the replica can be called up on the light screen. These medical records are edited by the system space and are more detailed than her real medical records. All her medical records from birth to the present.
Among the video data, no matter whether there are inspections that have been done in reality, or whether they have been done in reality, you can find them here. For example, if you want to copy an X-ray of a certain part of the body, you only need to select the item of X-ray.If there is one in reality, the X-ray in reality will be used; if there is none in reality, the system will take another one for her and call it out.
This function is powerful, but it is too expensive, local tyrant function, local tyrant price!
Unless it is absolutely necessary, a few simulated surgeries will consume the points accumulated in a stage of tasks.
The replicas and equipment were almost researched, and Yang Ping began to operate, using focused ultrasound to kill the tumor.
It seems that this is a very simple thing, aim at the tumor and shoot.
It is an extremely complicated thing to actually practice.
First of all, positioning is a very difficult thing. This positioning is a three-dimensional positioning, not only XY coordinates, but also Z coordinates.
It’s like hiding a big gem in the ground. After detection, a point is fixed on the surface, and a hole is drilled from this point, just to the position of the gem, not too deep or shallow, and the gem inside is taken out.
The focused ultrasonic knife bombards tumors, which is more difficult than digging gems like this. It uses the method of hitting cattle across mountains.
After the ultrasound is focused, it penetrates the skin, fascia and muscles, and hits the tumor. If it misses the tumor, it will not only fail to kill the tumor, but also burn the normal tissue.
Some people use ultrasonic scalpel for uterine fibroids, but the fibroids are not completely removed, and the abdominal skin is burned.
Therefore, it also has side effects. To achieve no side effects, the prerequisite is that there should be no errors. As long as there are errors, there will be the possibility of accidentally injuring normal tissues.
The two most fatal weaknesses of this instrument, one is the poor positioning ability, using color ultrasound positioning, it is difficult to achieve accurate three-dimensional positioning, this weakness compromises its power.
Secondly, it cannot detect the temperature of the target organ in the body. After hitting, how high the temperature is generated and whether it can kill the target cannot be detected.
This is very troublesome. This cannon is pulled out to bombard the enemy's target. The hit rate is very low, and the lethality is unknown. Even if it hits, the enemy may be unscathed. Such a cannon has very low battlefield practicability.
The concept of this device is very good, and there is still a long way to go to become a mature medical device based on the world. At least in the current state, it is difficult to play a big role.
But with Sisi's current situation, there is no other way to think about, so Yang Ping tried this method.
Yang Ping began to perform focused ultrasonic scalpel treatment on Sisi's duplicate body. With the function of simulating surgery, he could continue trial and error and accumulate data from trial and error.
Yang Ping used the computer mouse to control the high-frequency ultrasonic transmitter to focus, aim, and bombard the high-frequency ultrasonic waves.
The transparent human body on the light screen will immediately display the bombardment site, temperature, and error, and Yang Ping will continue to correct it according to these data prompts until the tumor can be accurately hit.
It was able to hit accurately, but the light screen showed that the temperature was insufficient. With the prompt of the light screen, Yang Ping boldly adjusted the parameters of the ultrasound to produce the best temperature when bombarding the tumor and achieve good results.
For each bombardment, not only the temperature of the target organ, but also the surrounding temperature will be displayed, so that the surrounding normal tissues will not be accidentally injured.
Yang Ping experimented bit by bit, and then recorded every successful data. Only the tumor in the primary part of the right femur was bombarded, from the center to the edge. The second parameter is adjusted well.
Immediately afterwards, he experimented with liver metastases, and it took thousands of experiments before he obtained satisfactory parameters.
For metastases in the lungs, because of the obstruction of the ribs, it is difficult for ultrasound to work. Yang Ping tried to penetrate the intercostal space to achieve the purpose of treatment.
After hard work, the primary tumor of the right femur, liver, lung, and vertebral metastases were tested one by one, collecting data, and then writing down the data.
Each tumor needs to be bombarded dozens of times, and the parameters are completely different each time.There were more than 200 bombardment data for several tumors, and Yang Ping memorized them all in his mind.
If there is no operation simulation function in the system space, using the focused ultrasound knife to treat Sisi's tumor is probably just an idea and cannot be realized.
Now, through surgical simulation, Yang Ping has obtained a large amount of accurate data, which can only be obtained through trial and error, and there is no way to obtain it in reality.
Coming out of the space, Yang Ping must have grasped Sisi's tumor treatment in his heart.
It is impossible to cure completely, but ultrasound treatment can reduce the spread of tumor cells and maintain a temporary balance between the tumor and Sisi's body.
In this way, survival with tumors and prolonging the survival time are not small successes.
There was something wrong yesterday and I couldn't update it, so I will add it today!Try to break out, don't say anything, code words! ! !
(End of this chapter)
The last guest was sent to the airport, and the academic meeting officially ended.
More than 2000 participating doctors rushed back to the hospital after the two-day meeting and started busy work.
Yang Ping dragged his tired body back home, lay down on the sofa, and didn't want to get up at all.
"Ding dong, stage mission: Help Sanbo Hospital to establish the strongest trauma orthopedics department in City G, the mission is completed! Reward 50 points!"
"With a silver treasure box - the third method of the system's super training method, assisting inspection training!"
"The function of the space operating room has been expanded, and the new online function - simulated surgery."
"Ding dong! A new stage task: to win the National Golden Knife Award Competition Championship."
A series of mechanical female voices and subtitles appeared, making Yang Ping overwhelmed.
The task of the first stage was finally completed, and it was not easy to complete step by step, and it was even a bit difficult.
From this point of view, as long as you want to get something, you must pay, and the difference lies in the content of the pay.
Without any respite, the system issued a second stage task: to win the National Golden Knife Award.
The difficulty of this task has increased a lot compared to the first one.
To win the National Golden Knife Award, one must be able to perform all orthopedic operations skillfully, including scoliosis correction.
As for scoliosis orthopedics, the annual number of cases in general medical university affiliated hospitals is pitifully small, ranging from a few to more than a dozen. The winners of the Golden Knife Awards are always rotated in these hospitals, and have never fallen outside these top hospitals.
Yang Ping is very curious, what exactly is the silver treasure box - auxiliary inspection training?
He entered the system space, and checked the introduction about auxiliary inspection training through the light screen.
The so-called auxiliary examinations are such as blood routine, biochemistry, liver and kidney function, electrocardiogram, X-ray, CT, MRI, color Doppler ultrasound, etc., all with the help of laboratories and equipment.
This training covers the theory and practice of these examinations, the analytical interpretation of the data.
The system connects anatomy, physiology, pathology, disease, symptoms and signs, and auxiliary examinations, and establishes a complete logical model with basic theories such as anatomy and physiology as the core and symptoms, signs, and auxiliary examinations as external manifestations.
Through this model, doctors can develop strong logical thinking ability and be able to analyze the underlying reasons behind every symptom, sign and inspection index.
This training is long-term and gradual, and there is no rush. Yang Ping put it down for now and trains slowly in the future.
What kind of black technology is the newly launched simulated surgery function?Yang Ping wanted to try it, so he clicked the "simulated surgery" button on the light screen with his mind.
In an instant, I entered the operating space, and it was empty, with nothing in it. What's going on?
"The simulated surgery function needs to be activated by the mind, which is divided into scene simulation and free simulation. Scene simulation simulates a certain surgical scene in reality; free simulation, you can freely choose experimental objects, instruments, and equipment to simulate surgery." The mechanical female voice introduced.
"Scene simulation. When the host obtains the system binding, the operation to rescue the mutated external iliac artery rupture is a scene simulation. This operation is completely copied and repeated simulation training is suitable for patients who are undergoing surgery."
"Free simulation is suitable for patients who have not yet undergone surgery. Through simulation, you can choose the best surgical plan, or improve the surgical plan. You can independently choose a variety of equipment combinations to simulate the operation, without being limited by the real scene."
"Initiation?" Yang Ping asked.
The mechanical female voice replied: "You have simulated patients and surgery in your mind, and the system will provide experimental subjects and surgical equipment according to your ideas."
According to the system's guidelines, Yang Ping wanted to simulate Sisi's surgery—killing tumor cells with a focused ultrasound knife.
This thought clearly appeared in Yang Ping's mind. Immediately, an experimental subject appeared in front of Yang Ping, lying on a piece of medical equipment, but they were shrouded in thick fog and blurred. Moreover, Yang Ping couldn't get close, as if there was an invisible wall the wall blocking.
"This simulated surgery requires [-] points, are you sure you want to simulate it?" the mechanical female voice prompted.
so expensive?Fifty thousand points!
There is no way, if it is not simulated, I am afraid that Sisi's operation cannot be performed, because some defects of the focused ultrasound knife itself cannot be made up for by doctors' skills.
"Sure!" Yang Ping gritted his teeth.
The dense fog in front of him dissipated immediately, and the invisible wall disappeared. Yang Ping took a closer look, and found that this medical equipment turned out to be a focused ultrasound knife, which was exactly the same as the one in Sanbo Hospital. The patient lying on it was Sisi, with her right thigh Also has an external fixator.
"This is a copy of her, not the real patient. The technical information about the equipment and the patient's medical records can all be accessed through the light screen." The mechanical female voice stopped talking.
Yang Ping took his time and called up the instruction manual and other materials of this focused ultrasonic knife from the light screen, and read it word by word several times to master the principle, structure, use, precautions, etc. of this device.
I went to the Focused Ultrasound Knife Department to study the materials before, and with a certain foundation, the research this time is very easy.
It seems that this system only creates conditions for oneself. As for acquiring knowledge and abilities, one has to work hard on one's own. Without enough perseverance, one cannot play with this system at all.
Because the system space is a closed, lonely, and isolated space, in such a space, few people can learn consciously.
After thoroughly researching the Focused Ultrasound Knife, Yang Ping studied Sisi's replica. The medical records of the replica can be called up on the light screen. These medical records are edited by the system space and are more detailed than her real medical records. All her medical records from birth to the present.
Among the video data, no matter whether there are inspections that have been done in reality, or whether they have been done in reality, you can find them here. For example, if you want to copy an X-ray of a certain part of the body, you only need to select the item of X-ray.If there is one in reality, the X-ray in reality will be used; if there is none in reality, the system will take another one for her and call it out.
This function is powerful, but it is too expensive, local tyrant function, local tyrant price!
Unless it is absolutely necessary, a few simulated surgeries will consume the points accumulated in a stage of tasks.
The replicas and equipment were almost researched, and Yang Ping began to operate, using focused ultrasound to kill the tumor.
It seems that this is a very simple thing, aim at the tumor and shoot.
It is an extremely complicated thing to actually practice.
First of all, positioning is a very difficult thing. This positioning is a three-dimensional positioning, not only XY coordinates, but also Z coordinates.
It’s like hiding a big gem in the ground. After detection, a point is fixed on the surface, and a hole is drilled from this point, just to the position of the gem, not too deep or shallow, and the gem inside is taken out.
The focused ultrasonic knife bombards tumors, which is more difficult than digging gems like this. It uses the method of hitting cattle across mountains.
After the ultrasound is focused, it penetrates the skin, fascia and muscles, and hits the tumor. If it misses the tumor, it will not only fail to kill the tumor, but also burn the normal tissue.
Some people use ultrasonic scalpel for uterine fibroids, but the fibroids are not completely removed, and the abdominal skin is burned.
Therefore, it also has side effects. To achieve no side effects, the prerequisite is that there should be no errors. As long as there are errors, there will be the possibility of accidentally injuring normal tissues.
The two most fatal weaknesses of this instrument, one is the poor positioning ability, using color ultrasound positioning, it is difficult to achieve accurate three-dimensional positioning, this weakness compromises its power.
Secondly, it cannot detect the temperature of the target organ in the body. After hitting, how high the temperature is generated and whether it can kill the target cannot be detected.
This is very troublesome. This cannon is pulled out to bombard the enemy's target. The hit rate is very low, and the lethality is unknown. Even if it hits, the enemy may be unscathed. Such a cannon has very low battlefield practicability.
The concept of this device is very good, and there is still a long way to go to become a mature medical device based on the world. At least in the current state, it is difficult to play a big role.
But with Sisi's current situation, there is no other way to think about, so Yang Ping tried this method.
Yang Ping began to perform focused ultrasonic scalpel treatment on Sisi's duplicate body. With the function of simulating surgery, he could continue trial and error and accumulate data from trial and error.
Yang Ping used the computer mouse to control the high-frequency ultrasonic transmitter to focus, aim, and bombard the high-frequency ultrasonic waves.
The transparent human body on the light screen will immediately display the bombardment site, temperature, and error, and Yang Ping will continue to correct it according to these data prompts until the tumor can be accurately hit.
It was able to hit accurately, but the light screen showed that the temperature was insufficient. With the prompt of the light screen, Yang Ping boldly adjusted the parameters of the ultrasound to produce the best temperature when bombarding the tumor and achieve good results.
For each bombardment, not only the temperature of the target organ, but also the surrounding temperature will be displayed, so that the surrounding normal tissues will not be accidentally injured.
Yang Ping experimented bit by bit, and then recorded every successful data. Only the tumor in the primary part of the right femur was bombarded, from the center to the edge. The second parameter is adjusted well.
Immediately afterwards, he experimented with liver metastases, and it took thousands of experiments before he obtained satisfactory parameters.
For metastases in the lungs, because of the obstruction of the ribs, it is difficult for ultrasound to work. Yang Ping tried to penetrate the intercostal space to achieve the purpose of treatment.
After hard work, the primary tumor of the right femur, liver, lung, and vertebral metastases were tested one by one, collecting data, and then writing down the data.
Each tumor needs to be bombarded dozens of times, and the parameters are completely different each time.There were more than 200 bombardment data for several tumors, and Yang Ping memorized them all in his mind.
If there is no operation simulation function in the system space, using the focused ultrasound knife to treat Sisi's tumor is probably just an idea and cannot be realized.
Now, through surgical simulation, Yang Ping has obtained a large amount of accurate data, which can only be obtained through trial and error, and there is no way to obtain it in reality.
Coming out of the space, Yang Ping must have grasped Sisi's tumor treatment in his heart.
It is impossible to cure completely, but ultrasound treatment can reduce the spread of tumor cells and maintain a temporary balance between the tumor and Sisi's body.
In this way, survival with tumors and prolonging the survival time are not small successes.
There was something wrong yesterday and I couldn't update it, so I will add it today!Try to break out, don't say anything, code words! ! !
(End of this chapter)
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