Under the guidance of the fighter plane, the plane entered the sky over Alaska, made contact with the Fairbanks airport tower, and landed smoothly.

The manager of the airport boarded the plane with a few staff members, explained his intention to Yang Ping, and led Yang Ping to transfer to the special plane that had been prepared, which would fly directly to Houston.

They were very warm and thoughtful, I heard that there were three people, and prepared three coats, so that Yang Ping and the three of them temporarily sheltered from the cold, there was still a little distance from one plane to another, and there were coats to keep warm on the way, so as not to suddenly arrive too cold.

Fairbanks is close to the North Pole, and the average air throughout the year is relatively low, so it is indeed cold when you get off the plane.

The emergency in international space is now the hottest news in the United States, and even in Fairbanks, which is far away, everyone knows about it.

Knowing that Yang Ping would go to Houston to participate in the rescue of Steven on the International Space Station, the black manager told Yang Ping that after completing the mission, he would definitely come to Fairbanks to play, he took everyone to see the Northern Lights, invited everyone to eat red venison and king crab, and enthusiastically left Yang Ping's phone number.

It was already a little dark, and everyone raced against time and didn't dare to delay time, so they immediately boarded the special plane and rushed to Houston.

By the time I arrived in Houston, it was already late at night, and Jim Bassa was waiting at the airport with Johanneson and several other officials.

This is the world's top expert recommended by Mayo Johannesen, who is even more top than Johannesen, and is regarded as a teacher by Johannesen.

With Johannathan's status in neurosurgery in the United States, he strongly recommended Yang Ping so much, and Jim Bassa dared to rely on Yang Ping to fight hard.

The van drove them to Space City, the Johnson Space Center ground control center, which was lit up all night.

The emergency rescue team has set up their marching bunks here, and those who want to rest can lie down for a while, and everyone takes turns to work 24 hours a day.

Yang Ping walked into the lobby of the ground control center, large and small screens, busy staff, and the sound of keyboard tapping, all indicating that this is the contact center between the United States and the International Space Station.

I heard that Dr. Yang had arrived, and there were more than 100 doctors, engineers, and ground control center staff.

Finally saw this expert, whom Johannathan highly admired, was only much younger than he imagined.

In extraordinary times, I didn't waste time to do anything to introduce each other, and my illness came and went to communicate many times, Johanneson went straight to the point, brought Yang Ping to a screen, and the doctor also surrounded him.

"Blood pressure 8540mmHg, heart rate 38 beats, currently using nifedipine for controlled blood pressure, head ice cap cooling." Johannathan chose the most important and said.

As soon as Yang Ping sat down, he entered the state, he had already checked Steven's medical records on the plane, and now it was just a review.

On the special plane to Houston, Yang Ping has copied Steven's experimental subjects in the system space to perform simulated surgery, and the system space has strong replication capabilities, which can not only replicate cases, but also replicate surgical equipment and environments.

Yang Ping has simulated two scenarios, using telemedicine surgical equipment and surgery directly on the space station.

It is also the first time that Yang Ping has encountered this strange case, in the history of mankind, Steven is probably the first astronaut in space to need surgery, and there are many things to explore.

"This is a whole-brain DSA that our astronaut Dr. Susan did for Steven on the space station, and the imaging quality is not very good." Johannathan opens DSA picture.

"The image quality is too poor, but it is enough to diagnose, the small aneurysm, this artery is too dangerous, it crosses the heartbeat center of the medulla, once it explodes, it is immediately fatal, and interventional surgery is immediately required to embolize the aneurysm." Everyone is a doctor, or a first-class doctor, Yang Ping is straight and straight, there is nothing to detour.

"The physical examination on the ground MRI and CT cerebral angiography did not find any abnormalities, it should be a occult cerebral aneurysm, the initial symptoms were a slowing of the heart rate, and only a few days ago there was a headache, dizziness, and a feeling of hypoxia suffocation." Johanneson continued to describe the condition.

"Yes, occult cerebral aneurysm, in a microgravity environment, loses normal gravity on the earth, the venous return of the head becomes difficult, and there is relative venous stasis and arterial congestion, and the occult aneurysm appears at higher blood pressure, it interferes with the heartbeat center and causes myocardial depression, which is central myocardial depression, to arrange surgery as soon as possible, what drugs, equipment and medical conditions are on your space station, give me a detailed list, be quick!" Yang Ping didn't have time to give a lecture, and Steven couldn't afford to wait.

Interventional surgery must be carried out, if there is a drug-loaded microsphere in this regard, it is better, especially the flexible stent drug-loaded microsphere, adsorbed coagulation drugs, sent to the location of the hemangioma, the coagulation drug carried by the microsphere gradually triggers the coagulation mechanism locally, forming a thrombus, there is no blood flow through, the aneurysm will naturally not have the impact of blood flow, and there will be no rupture, two weeks later, the thrombus becomes an old thrombus, the stability increases, and it can withstand the impact of a high-speed fall when returning to the earth.

The companies with more mature drug-loaded microsphere technology, such as Biocompatibles in the United Kingdom, BioSphere in the United States, and Hengrui in China, have embolized microspheres DCBead, HepaSphere, and CalliSpheres, all of which are used for the treatment of liver cancer.

If the beads can carry a clotting drug such as thrombin, it does not need to be released, allowing it to work locally at the target site.

Some of the company's laboratories are currently working on such microspheres, and Yang Ping does not know whether they can be developed into clinical use.

If such bead products are not available, only conventional coils can be used for embolization.

There is a risk of metal coil embolization in the future, and after solving the aneurysm crisis, Steven will always have to return to Earth, and it is impossible to stay on the space station for the rest of his life. When returning to Earth, it falls at a high speed, and once the coil moves in the brain, it is also life-threatening.

Therefore, the second method, coil embolization, after controlling the condition, in order to successfully pass the high-speed fall, craniotomy is required to ligate the artery.

Craniotomy on the space station, or brainstem surgery, is simply unthinkable.

After introducing his ideas, Yang Ping hopes to use the first method, which can be done at one time, simple, safe and minimally invasive.

"Either way, I want to know the success rate?"

Professor Massimo had not spoken, and he was disgusted by Yang Ping's assertiveness.

"This is Professor Massimo, director of the Johns Hopkins Interventional Section." Johanneson sees the opportunity to do something, and when he encounters something that needs to be introduced, he will introduce it.

"Hello, Professor Massimo!"

Many of the classic interventions that Yang Ping has seen in the system space are his works, and the latest miniature spring coils that are currently leading the direction of the industry are also designed by him.

But now Yang Ping is in no mood and has no time to praise him.

"Success rate? If you have to have a definite number, eighty percent or more. Yang Ping can only say a rough idea.

"Eighty percent?" Massimo almost couldn't help laughing on the spot, the magic stick didn't dare to blow like this, whoever Johannathan invited was a magic stick, even if he said thirty or forty percent, Massimo was willing to listen to it.

"What's wrong? Professor, what did I say wrong?" Yang Ping felt that his expression was too exaggerated.

"You're not wrong, maybe I heard it wrong, how many cases has Dr. Yang done for this kind of patient intervention?" Massimo's questioning tone.

At this time, every second counts, and the aneurysm in the sky may burst at some point, and you are still debating with me.

"Professor Massimo! Is it doubtful about my surgical ability? I don't have time to be questioned by you, so you invited me to Houston to accept your questioning? Or help deal with the crisis, if it is the former, I don't have this leisure, I believe you don't either, now either listen to me, or you solve the problem yourself, help me buy a good ticket, and I will go back to China immediately. "Yang Ping is a little impatient, life and death are at a moment's mark, so there is kung fu to talk nonsense to you.

Jim Bassa felt that although Massimo's entanglement was reasonable, it was meaningless and did not fit the emergency scene at this time, with the endorsement of Johanneson and Mayo, there was no need to have any suspicion, otherwise he would not have been invited.

"The technical implementation of medical rescue is under the command of Dr. Yang Ping, and refutation and debate are not accepted." Jimbasa stabilizes the situation.

"We immediately contacted BioSphere to ask if there were drug-loaded microspheres for blood clotting drugs." NASA's chief medical officer, Alpha, sprang into action.

The emergency rescue team, directly under the president's order, with Jim Bassa as the team leader, can dispatch all resources in extraordinary times.

This kind of flat crisis management is very efficient because of the direct dispatch of resources by the rescue team.

After a few phone calls, it was quickly implemented, and the coagulation drug loaded microspheres studied by BioSphere have not yet been successful and do not meet the clinical requirements, and there are only microspheres for the treatment of liver cancer.

Then, you can only use coil embolization, solve the most urgent problems first, and then study the problems later.

"Professor Massimo has more elaborate intracranial interventional devices." Dr. Eugene reminds everyone.

"If necessary, we'll launch another rocket and get the equipment up, but it will take eight hours." Richard felt that he could launch rockets at high density.

"Eight hours is too long, Steven can't last that long." Yang Ping denied this plan, and his simulated surgery and pathological autopsy were very accurate in judging Steven's condition.

"The Russians can send it in three hours."

"Something is in the United States, their rockets are in Kazakhstan."

"Let's get to work! Direct surgery, using the instruments you have, is ready to open the remote surgery system. Yang Ping was preparing for an overnight operation.

Once it waits until tomorrow morning, Steven won't need to be rescued, and the aneurysm will rupture.

With an 80 percent success rate, Yang Ping refers to the use of a remote surgical system.

All the doctors were stunned that there were uncertain communication delays and interruptions in the remote surgery system, and the space station was also unstable for various reasons.

In this case, intervention, the intervention of brainstem arterioles, not to mention the interruption of communication, any delay, blood vessel puncture, direct death.

But now only he has faith, and there is no other way.