The last guest was sent to the airport, and the academic meeting officially ended.
More than 2,000 participating doctors finished the two-day meeting and hurried back to the hospital to start their busy work.
Yang Ping dragged his exhausted body back home and lay down on the sofa, not wanting to get up at all.
"Ding dong, stage mission: Help Sanbo Hospital build the strongest orthopedic trauma department in G city. Mission accomplished! Reward 500,000 points!"
"Comes with a silver treasure box - the third method of system super training, auxiliary inspection training!"
"The functions of the space operating room have been expanded, and a new function has been launched - simulated surgery."
"Ding dong! New stage mission: win the championship of the National Golden Knife Award Competition."
A series of mechanical female voices and subtitles appeared, leaving Yang Ping overwhelmed.
The first phase of the task was finally completed. Step by step, it was not easy, and even a little difficult.
From this point of view, as long as you want to gain something, you must pay. The difference lies in the content of the pay.
Without any chance to breathe, the system promulgated the second phase of the task: to win the championship of the National Golden Knife Award.
The difficulty of this task has increased a lot compared to the first one.
If you want to win the National Golden Knife Award, you must be able to skillfully perform all orthopedic surgeries, including scoliosis correction.
As for scoliosis correction, the number of annual cases in general medical university-affiliated hospitals is pitiful, ranging from a few to more than a dozen. Most of the cases are concentrated in several top hospitals in Shanghai, Imperial Capital and the west. Therefore, every year
The Golden Knife Award winners always rotate in these hospitals and never fall 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 looked up the introduction to auxiliary inspection training through the light screen.
The so-called auxiliary examination refers to all examinations such as blood routine, biochemistry, liver and kidney function, electrocardiogram, X-ray, CT, MRI, color ultrasound, etc., all with the help of laboratories and equipment.
This training includes the theory and operation of these examinations, and the analysis and interpretation of data.
The system connects anatomy, physiology, pathology, patients, symptoms and signs, and auxiliary examinations. It takes basic theories such as anatomy and physiology as the core and symptoms, signs and auxiliary examinations as the external manifestations to establish a complete logical model.
Through this model, doctors can develop strong logical thinking skills and be able to analyze the underlying reasons behind each symptom, sign and examination indicator.
This training is long-term and step-by-step. There is no rush. Yang Ping will put it down for now and train slowly in the future.
What kind of black technology is the newly launched simulated surgery function? Yang Ping wanted to try it, and he clicked the "simulated surgery" button on the light screen with his mind.
In an instant, I entered the operating space. It was empty and there was nothing. What happened?
"The simulated surgery function requires the activation of thoughts, and is divided into scene simulation and free simulation. Scene simulation simulates a certain surgical scene in reality; free simulation allows you to freely choose experimental objects, instruments, and equipment to simulate surgery." The mechanical female voice introduced. "Scene simulation. When the host obtains system binding, the operation to rescue the mutated external iliac artery rupture is scene simulation. This operation is completely copied and repeated simulation training is performed. It is suitable for patients 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 various combinations of instruments and equipment to simulate surgery, without being restricted by real scenarios." p>
"The idea is activated?" Yang Ping asked.
The mechanical female voice replied: "You are thinking about simulated patients and operations in your brain, and the system will provide experimental subjects and surgical equipment based on your thoughts."
Following the system's guidance, Yang Ping wanted to simulate Sisi's surgery---use a focused ultrasound scalpel to kill tumor cells.
This idea clearly appeared in his mind. An experimental subject immediately appeared in front of Yang Ping, lying on a piece of medical equipment. However, they were shrouded in thick fog and blurred. Moreover, Yang Ping could not get close. There seemed to be an invisible wall.
The wall blocks.
"This simulated surgery requires 50,000 points. Are you sure you want to simulate?" the mechanical female voice prompted.
So expensive? Fifty thousand cents!
There is no way, if there is no simulation, I am afraid that Sisi's surgery cannot be performed, because some of the shortcomings of the focused ultrasonic scalpel itself cannot be made up for by the doctor's skills.
"Sure!" Yang Ping gritted his teeth.
The thick fog in front of him immediately dissipated, and the invisible wall disappeared. Yang Ping took a closer look and saw that the medical equipment turned out to be a focused ultrasonic scalpel, exactly the same as the one in Sanbo Hospital. The patient lying on it was Sisi, with her right thigh
It also comes with an external fixator.
"This is a copy of her, not a real patient. Technical information about the equipment and the patient's medical records can be accessed through the light screen." After the mechanical female voice finished speaking, she stopped talking.
Yang Ping took his time and pulled up the manual and other information for this focused ultrasound scalpel from the light screen, and read it word by word several times to master the principle, structure, use, precautions, etc. of this equipment. p>
I have gone to the Focused Ultrasound Surgery Department to research information before, and I have a certain foundation. It was very easy to research this time.
It seems that this system only creates conditions for oneself. As for obtaining knowledge and abilities, one has to rely on one's own efforts. Without enough perseverance, it is impossible to play with this system.
Because the system space is a closed, lonely, isolated space, in such a space, I am afraid that few people can learn consciously.
After thoroughly studying the focused ultrasound scalpel, Yang Ping studied Sisi's replica. The replica's medical records could be called up on the light screen. These medical records were edited in the system space and were more detailed than her real medical records. They could be called up.
All her medical records from birth to present.
Among the imaging data, whether there are examinations that have been done in reality or have not 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 X-ray item.
If there is an X-ray in reality, the real-life X-ray will be called; if there is not in reality, the system will take another picture for her and then call it up.
This function is powerful, but it’s too expensive. It’s a rich function at a rich price!
Unless absolutely necessary, a few simulated surgeries can use up the points accumulated in a phase of the mission.
The replicas and equipment were almost finished, and Yang Ping began to perform surgery, using focused ultrasound to kill the tumor.
It seems that this is a very simple matter, aim at the tumor and shoot.
It is an extremely complicated thing to put into practice.
First of all, positioning is a very difficult thing. This kind of positioning is three-dimensional positioning, not only XY coordinates, but also Z coordinates.
It's like there is a big gem hidden in the ground. After detection, you can find a point on the surface, drill a hole from this point, just to the position of the gem, not too deep or too shallow, and take out the gem inside.
It is more difficult for focused ultrasonic scalpel to bombard tumors than to drill holes and dig out gems like this. It uses the method of hitting a cow across a mountain. If you hit the cow across a mountain, you can't miss it.
After focusing, the ultrasound penetrates the skin, fascia, and muscles and hits the tumor. If it misses, it will not only fail to kill the tumor, but will also burn the normal tissue.
Some people who used ultrasonic scalpel to treat uterine fibroids did not remove the fibroids completely and burned the abdominal skin.
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 damaging normal tissues.
The two most fatal weaknesses of this instrument are that its positioning ability is too poor. It uses color ultrasound positioning, which makes it difficult to achieve accurate three-dimensional positioning. This weakness reduces its power.
Secondly, it cannot detect the temperature of target organs in the body. It cannot detect how high the temperature is generated after being hit, and whether it can kill the target.
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 not be harmed. The battlefield practicality of such a cannon is very low.<
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The concept of this device is very good. There is still a long way to go before it can become a mature medical device based on the world. At least in its current state, it is difficult to play a big role.
But in Sisi's current situation, there was no other way to think of, so Yang Ping tried this method.
Yang Ping began to perform focused ultrasonic scalpel treatment on Sisi's replica. With this function of simulating surgery, he could continue to 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. Based on these data prompts, Yang Ping will continue to make corrections 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 the best effect.
For each bombardment, not only the temperature of the target organ, but also the surrounding temperature will be displayed, so that surrounding normal tissues will not be accidentally damaged.
Yang Ping tried it bit by bit, and then recorded the data of each success. Only the tumor at the primary site of the right femur was bombarded, from the center to the edge. Yang Ping tested it thousands of times before adding the number of bombardments and each time.
The parameters should be adjusted well.
Immediately afterwards, he tested liver metastases, and it took thousands of tests before he obtained satisfactory parameters.
For metastases in the lungs, it is difficult for ultrasound to work due to the obstruction of the ribs. Yang Ping tried to penetrate the intercostal space to achieve the purpose of treatment.
After hard work, we tested the primary tumor on the right femur, liver, lung, and vertebrae metastases one by one, collected data, and then wrote down the data.
Each tumor needs to be bombarded dozens of times, and the parameters each time are completely different. There are more than 200 bombardment data for several tumors, and Yang Ping keeps them all in his mind.
Without the surgical simulation function of the system space, using focused ultrasonic scalpel to treat Sisi's tumors would probably be 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. There is no way to obtain it in reality.
After coming out of the space, Yang Ping must be confident about Sisi's tumor treatment.
A complete cure is impossible, but ultrasound treatment can be used to reduce the spread of tumor cells and maintain a temporary balance between the tumor and Sisi's body.
In this way, surviving with tumors and extending the survival time are no small successes.
