Chapter 2 Xiaoluohao, not bad
In the corner of the huge and detailed skill tree, there is a sub-discipline - interventional science.
This discipline has numerous branches and is connected to almost all clinical disciplines.
Interventional studies?
Luo Hao is no stranger to this "unpopular" subject. It seems that ovarian cysts can also be treated with interventional surgery.
With a thought, the interventional subject was opened.
Two interventional discipline secondary skill trees appeared in front of Luo Hao - catheterization and puncture.
The treatment method for ovarian cysts is in the puncture skill tree, which is a level 3 skill and is bright, which means that Luo Hao can now master and complete similar surgeries.
Oh?
Luo Hao's eyes lit up.
Luo Hao knew the basic principles, even if he had never undergone similar surgery.
The principle of the operation is - puncture under B-ultrasound positioning, use a syringe to extract the fluid from the ovarian cyst, and then solidify it with drugs to reduce the leakage of fluid from the cyst.
Is it really useful?
There is a book icon behind the skill tree. Luo Hao clicked on it, and a related paper on ovarian cyst puncture and sclerosis appeared in front of him.
It’s really good. Luo Hao stopped criticizing the unreliable system and started reading the information.
In more than ten minutes, Luo Hao briefly read through relevant papers and felt that this could be done.
Because he was still in Director Lin's office, Luo Hao didn't plan to stay too long. It would be better to find a quiet place to learn this type of technique.
Just as he was about to leave, Director Lin pushed the door in with a dark face.
"Director Lin." Luo Hao observed his words and knew that his uncle was not in a high mood, so he said hello honestly and obediently, trying to make himself invisible and avoid getting into trouble.
Director Lin turned around and closed the door with a gloomy face.
There is only one word in Luo Hao's mind - close the door and beat the dog.
In front of his nephew, Lin Yuming's expression relaxed, showing a little anger.
“You’re a virgin!”
“Uncle, what’s wrong?” Luo Hao knew that his uncle must have been scolded by the leader, and now he needed an audience to vent his dissatisfaction.
“The medical insurance will not pay, and there will be fines...”
As he spoke, Director Lin held it in, sat down angrily, and picked up the teapot.
"What did the obstetrics and gynecology department say?" Director Lin took a sip of tea and temporarily suppressed his anger.
Luo Hao simply repeated the difficulties in obstetrics and gynecology. He did not give his own conclusion, but looked at Director Lin, waiting for instructions from the leader like other department members.
Director Lin looked better after scolding him a few times.
Work is just work, and there are bound to be countless unsolvable problems.
The ecological niche of the Medical Department in the hospital belongs to the role of the scapegoat. All the areas that the senior officials in the departments are unwilling to touch are thrown to the Medical Department.
To put it crudely, the medical office is the cesspool of the hospital.
Lin Yuming realized that the emotional vent just now was just a burst after the accumulation reached the extreme.
"Go ahead and do whatever you have to do." Lin Yuming waved his hand and told Luo Hao to "get out" quickly.
After Luo Hao left the office of the Medical Director, he sat down at his desk and started to "busy".
Although Luo Hao has not yet learned how to perform without physical objects, everyone is "busy" with their own things, and no one cares about Luo Hao.
Luo Hao entered the system space and began to study it carefully.
Ovarian cyst puncture and sclerosis is not difficult. After reading the paper, Luo Hao entered the system operating room and started training.
Before the system was turned on, Luo Hao used the operating room to carry out surgical training.
Unlimited general teachers are the dream of medical students, doctors, and even experts and professors.
[Benefits for newbies: The system will grant you 3 hours of system surgery training time. 】
When Luo Hao came to the system operating room, a line of words appeared in the upper right corner of his field of vision.
Originally Luo Hao didn’t think there was anything special about it, but when he started his first ovarian cyst puncture and sclerotherapy, he immediately realized the difference between the training time for systematic surgery and the previous surgery by himself.
The most abundant energy, the highest level of brainpower and understanding, which are completely different from training silently in the system operating room.
Luo Hao felt like there was a teacher in his mind, correcting his mistakes all the time.
It turns out the system is so easy to use!
Luo Hao was overjoyed.
It seems to have lived up to my expectations.
Three hours flew by in the blink of an eye, and Luo Hao gained a lot.
Looking at the tasks issued by the system, Luo Hao felt that it was nothing.
He recalled the technical details of puncture and sclerosis of ovarian cysts and already had a plan in mind.
Arrived in front of Lin Yuming's office door, Luo Hao knocked on the door and entered.
Lin Yuming was drinking water from an enamel jar. The words "Commemorative of Flood Fighting" that had peeled off the paint on the jar seemed to be covered with the dust of history.
"Xiao Luohao, what's wrong?" Lin Yuming asked.
Hearing his uncle call him Xiaoluohao, it is obvious that he is in a good mood now.
But when it came to business, Luo Hao stood up straight and formally, "Director Lin, I have found a way to solve some obstetrics and gynecology problems."
"Oh?" Lin Yuming looked up while holding the enamel jar. Luo Hao.
Luo Hao recounted the conversation he had with Director Sun of the Obstetrics and Gynecology Department and the patient with ovarian cysts earlier in the morning, and then proposed the solution of puncture sclerosis.
“With little money, judging by DIP reimbursement standards, almost all patients with ovarian cysts can receive proper treatment.”
Director Lin did not speak, but held the enamel in both hands The jar was in a daze.
Luo Hao thought that Director Lin would agree with his point of view without hesitation.
But now Director Lin's wandering state made Luo Hao feel Director Lin's silent rejection.
Is there something wrong with what I just said?
Luo Hao started to scratch his head.
This is a plan that benefits all three or even four parties, so there should be no problems.
"Director Lin, look..."
"Do you think this is a plan that benefits everyone." Director Lin asked directly as if he saw Luo Hao's thinking.
Luo Hao nodded blankly.
"The plan is feasible, but it depends on how to do it." Director Lin said with a straight face, still looking absent-minded, "You go back first, I will think about it."
Luo Hao I took a look at the novice tasks given by the system and felt a little helpless.
It would be great if, like what is said in the novel, if you have a system, you will be invincible, and you will worship no matter who takes the lead.
But in fact something seems to be wrong.
Just as he was about to turn around, Director Lin suddenly asked, "Xiaoluohao, how is your B-ultrasound level?"
"It should be similar to the level of the director of our B-ultrasound room."
Director Lin waved his hand again, chasing Luo Hao away like a fly.
...
Director Lin didn’t find Luo Hao for three days.
In the past three days, Luo Hao entered the system countless times, and he had a more accurate understanding of the system.
"Luo Hao, come here."
After work one day, Lin Yuming called Luo Hao to his office.
"Director Lin." Luo Hao put his hands on his legs, acting obediently like an old clinical attending.
“A relative of a leader had an ovarian cyst and originally wanted to undergo laparoscopic surgery.”
Luo Hao’s eyes lit up, “I’ll do it!”
"I want to eat shit." Lin Yuming looked at Luo Hao with disdain.
Luo Hao instantly understood what his uncle Lin Yuming was thinking.
"Director Lin, do you want to invite experts?"
"Of course. You said you can do it, and I believe you can do it, but can Director Sun be convinced? Can the patient and the patient's family agree?" Lin Yu Ming did not answer Luo Hao's question directly, but gave a serious sermon, "First invite experts from outside to open an opening. Experts from the province will perform puncture and sclerosis, and Director Sun will not be able to say anything, so it will be easier for him to accept it."< br>
Luo Hao nodded repeatedly.
This is indeed the best way to deal with the problem.
“Get ready and take advantage of the opportunity of inviting external experts to lead a working group to the Department of Obstetrics and Gynecology.”
"Ask Director Sun for the phone number of the patient who was refused hospitalization. You are responsible for contacting him."
"The experts are here anyway, a small treatment, and it is not enough to do a few cases."
< br>A sunny smile appeared on Luo Hao's face, "Director Lin, you are wise."
"Shit!" Lin Yuming glanced at Luo Hao, "If you can pick it up, help the obstetrics and gynecology department If you can't pick it up, you have to go another way."
He said it vaguely, but Luo Hao probably understood what he meant.
Luo Hao accompanied the leader's relatives to go through hospitalization procedures and communicated with the obstetrics and gynecology department. Everything went smoothly.
The next afternoon, Lin Yuming and Director Sun went to the high-speed rail station to pick up Deputy Director Liu Haisen and Liu from the B-ultrasound room of the First Hospital Affiliated to the Provincial City.
The high-speed rail is very convenient. The journey that used to take only half a day now takes about an hour.
Not even Lin Yuming arranged accommodation for Deputy Director Liu. After the operation, Deputy Director Liu had a meal together and caught the last high-speed train back to the provincial capital.
At the exit of the station, Lin Yuming raised his hands high.
"Old Six!"
"Boss Lin, long time no see." Deputy Director Liu walked over quickly with a smile, opened his arms and gave Lin Yuming a hug.
Lin Yuming introduced, "Haisen is the director of the B-ultrasound room of the First Affiliated Hospital, and he is also the brother who sleeps on my upper bunk."
A familiar melody vaguely sounded in the ears of several people.
“You drank a lot of my instant noodle soup back then.”
"Who said you were rich? You could afford Master Kong at that time. By the way, now I am tired of eating delicacies from mountains and seas. Looking back, the most delicious thing I have ever eaten in my life is your leftover instant noodle soup."
" I'm not hiding it, Master Kang is under the bed, you can take it if you want."
Seeing the two of them holding each other's backs, Director Sun was extremely enthusiastic and followed them silently into the car.
"Lao Liu, is the operation okay?" Lin Yuming asked after saying a few words.
“It’s a small operation, it’s okay.” Deputy Director Liu said casually.
Immediately, he stopped talking.
Lin Yuming could understand what Deputy Director Liu meant, and he had nothing to be embarrassed about. He said with a smile, "We don't do many interventional surgeries, so if you have anything to say, just say it."
" After all, it is one of the top five tertiary hospitals in the province. Ten years ago, your hospital was ranked fourth in all indicators. Except for the three affiliated hospitals of the Medical University, even the provincial hospital cannot compare with you." "That's all from the past. ." Lin Yuming said, "Most of the doctors who were involved in this field in their early years...were poached by hospitals in the south at high prices. Our hospitals are in constant decline."
Deputy Director Liu nodded and asked a few questions about the patient's basic situation. He knew what was going on and would not continue talking about this topic.
When they arrived at the hospital, after getting off the car, Lin Yuming leaned into Deputy Director Liu's ear and whispered, "Sixth, my nephew is here, please give me a slap."
"Damn it, Boss Lin, you said that. What is it?" Deputy Director Liu curled his lips, "If it works, you can find someone in the province. I can handle everything at the First Affiliated Hospital. Come to me to do B-ultrasound, and I guarantee that you will be an expert in the province in three years."
Lin Yuming knew that Deputy Director Liu would be wrong, but the fact that people talked about it to such an extent showed that the love between classmates had not diminished.
Also, the older people get, the more nostalgic they become.
Thirty years after graduation, in the blink of an eye, all the classmates and teenagers who were in their prime are about to retire and go home to see their grandchildren.
"Ha, it doesn't matter whether it's useful or not, I'll thank you in advance." Lin Yuming said with a smile, "My nephew is a bit weird."
"What about his character?"
"There is absolutely no problem with his character. , there is no problem with his talent, he has been studying for eight consecutive years at the Xiehe University."
"!" Deputy Director Liu looked at Lin Yuming in surprise.
Young people who have studied for eight consecutive years at Xiehe University are basically geniuses among geniuses in the medical circle. I didn’t expect that Boss Lin’s nephew would be so promising.
But...
The Ph.D. students of Peking Union Medical College are all geniuses among geniuses. Most of them skipped grades in primary school, junior high school, and high school, so they did not graduate at a very young age.
The young doctors are 23 or 4 years old, usually around 25 years old.
Although it is difficult to keep Concorde, who will score. The young doctor who holds a master's degree in eight years bears the label and brand of Union Medical College. He belongs to the direct lineage of Union Medical College and is the one to be passed down from generation to generation.
It is said that except for doctors who have a bachelor's degree from Peking Union Medical College, no matter how good they are, they will be labeled as having insufficient basic knowledge at Peking Union Medical College Hospital, and may even be ostracized.
Why would such a promising young man return to his hometown if he didn't stay in Xiehe?
"Boss Lin, why didn't the child stay in Xiehe?"
"Forget it, it is said that an old academician of Xiehe wanted to keep him, but this bastard actually refused. I thought it was a broken love. Don't worry, he will stay with me in the clinic when he comes back."
"I haven't seen any emotional changes during this time. Please take a look at his B-ultrasound. If it’s possible, I’d like him to do this.”
“Okay, Boss Lin, don’t worry, since he’s been studying at Xiehe University for eight years, his foundation is definitely not bad.”
"Luo Hao, this is Liu Haisen, deputy director of the first B-ultrasound of the Medical University."
Luo Hao was called and introduced to Liu Haisen seriously.
"Hello, Teacher Liu." Luo Hao smiled and bowed.
Originally, during the morning's expert consultation, more than 30 B-ultrasounds were performed. Not to mention taking a lunch break after the busy work, Liu Haisen even ate lunch on the high-speed rail. Liu Haisen felt a little tired.
But after he met Luo Hao, Liu Haisen immediately felt very fond of this sunny young man, and even his fatigue was relieved a lot.
Luo Hao had an indescribable sense of sunshine.
"Yes." Deputy Director Liu smiled, "You're welcome, please report the medical history first."
"The patient is female..." Luo Hao blurted out the details of the report without looking at the medical record. appropriate.
Deputy Director Liu nodded frequently.
If nothing else, just the knowledge of this medical record shows that Boss Lin’s nephew is pretty good.
Moreover, Luo Hao emphasized the points that he cared about most.
After the report, Luo Hao added, "I asked three times openly and secretly. Both the patient and the patient's family are sure that the patient can drink alcohol and will not get drunk after drinking eight ounces of white wine."
< br>"Yes."
"Anhydrous alcohol and lauromacrol are ready. I will send them to the B-ultrasound room. You can use whatever you want."
Deputy Director Liu said Luo Hao's performance was even more satisfactory.
This is a novice doctor who is exposed to interventional surgery for the first time. He is just as useful as his own doctors.
After reporting the medical history, Luo Hao disappeared appropriately. Deputy Director Liu looked at the patient and went to the B-ultrasound room after seeing that there were no contraindications for surgery.
Originally, Deputy Director Liu wanted to give Boss Zulin face, so he did it himself from beginning to end.
But unexpectedly, after arriving in the B-ultrasound room, Luo Hao started to get busy automatically and consciously, positioning himself and preparing various equipment and consumables.
Deputy Director Liu simply stood aside and silently watched Luo Hao's every move.
Because it was a local anesthesia operation, everything the doctor said could be heard by the patient, so Lin Yuming didn't ask any questions and accompanied Deputy Director Liu to quietly watch Luo Hao's work.
Luo Hao’s movements are simple and clean.
Looking at his words, Lin Yuming could tell from Deputy Director Liu's expression that Luo Hao seemed to be doing a good job.
"Teacher Liu, you are ready."
Deputy Director Liu nodded, sat next to the patient and began to perform B-ultrasound on the patient.
After finding the puncture site for the ovarian cyst, Deputy Director Liu called to Luo Hao, "Xiao Luo, help me."
Luo Hao took the B-ultrasound probe and fixed it firmly on the patient's abdominal wall.
Puncture to extract the fluid accumulated in the ovarian cyst, followed by repeated flushing and solidification with lauromacrogol.
Twenty minutes later, the operation was over.
The entire operation was uneventful.
After the operation, Luo Hao explained the pathology and other matters that needed attention to the head nurse without waiting for Deputy Director Liu's arrangements.
This kid is good, Deputy Director Liu sighed again.
“After half an hour’s rest, the patient can walk back.” Deputy Director Liu said.
"Walk back? Let's push it back." Director Sun of the Department of Obstetrics and Gynecology suggested.
Lin Yuming raised his eyebrows and said, "Rest for half an hour and let the patient walk back by himself."
Walking back and pushing back are the same for doctors, but they are completely different psychologically for patients and their families.
Before the operation, the patients and their families were very nervous.
But if you walk back after the operation, as long as your IQ reaches the level of an ordinary person, you will understand that the operation was very good and the trauma was extremely small.
Asking the patient to sit aside, Luo Hao and the doctor in charge looked at the patient. Director Lin, Deputy Director Liu, Director Sun of the Obstetrics and Gynecology Department, and Director of the B-ultrasound room came to the director's office to rest.
As soon as he entered the door, Deputy Director Liu took Lin Yuming's arm and asked, "Did you really not perform interventional surgery?"
"Ah?" Lin Yuming was startled.
"I think Ronaldinho is very skilled, and every step he does is impeccable." Deputy Director Liu carefully chose his words, and after pondering for a few seconds, he continued, "I feel that there are not 1,800 surgeries. With so much training, I can’t do this.”
“…”
“…”
“…”
Several people from the mine boss were surprised.
"There is another detail. I asked Ronaldinho to hold the probe for me. Boss Lin, have you noticed that his hand has moved slightly."
"!!!"< br>
Although Lin Yuming and Deputy Director Liu both graduated from the imaging major of Mudanjiang Medical College, they have been away from clinical practice for more than ten years. B-ultrasound images can be roughly understood, but the details are definitely not up to date.
“There is a small capillary there. To be honest, if you prick it, it will be punctured. It doesn’t matter. But Luo Hao moved the probe and exposed the capillary and I avoided it. This operation reduces bleeding. 5ml.”
"I thought it was a coincidence at first, but the more I thought about it, the more something was wrong."
Lin Yuming had a different thought in his heart when he heard Deputy Director Liu talking.
"Director Liu, we have never done any interventional surgery." The director of the B-ultrasound room of the Mining Hospital whispered.
"That's what I did in Xiehe." Deputy Director Liu gave a positive reply, "Boss Lin, this kid is not bad. To put it bluntly, he is a little overqualified for his use here, hahaha."< br>
Lin Yuming smiled, feeling very relieved.
"Not bad." Deputy Director Liu gave his final evaluation.
"Lao Liu, just now Xiaoluohao secretly told me that you are very skilled and asked me to ask you if you have time to fly the knife."
Deputy Director Liu was startled.
Did you get tested inadvertently?
The level of experts and professors of flying knife varies greatly, and there is also mutual evaluation between doctors in local hospitals.
"How many similar patients do you have?"
"There should be a lot, but have you paid for dip now? Laparoscopy can't be done." Lin Yuming spread his hands.
"Okay." Deputy Director Liu thought for a while and nodded in agreement.
Surgical surgery is the main practice, and B-ultrasound and interventional doctors rarely perform surgery.
Patients and their families do not have to travel; experts have to pay for flying knives; doctors in local hospitals can also have access to higher-end technologies.
All three are beneficial things, and they can be done with confidence.
Although Deputy Director Liu was not very interested in this matter, Boss Lin wanted to give him face, and he was quite interested in Luo Hao.
"Okay." Deputy Director Liu said, "Let Xiao Luo do it when the patient is brought in. I don't worry about others doing it."
"Oh? How do you say it?" Lin Yuming asked.
“The devil is in the details.” Deputy Director Liu said, “For example, Ronaldinho repeatedly emphasized that patients drink alcohol because alcohol is used for solidification. If the patient has a history of alcohol allergy, something may happen.”
"When I first started interventional medicine, I was about to go home after an operation. The clinician suddenly called me and said that the patient was in poor condition and might need to be admitted to the ICU."
"!!!"< br>
“I took a look and was dumbfounded. The patient was lying on the bed talking nonsense... just like a patient whose brain was injured in a car accident.”
“There was nothing I could do at the time. I had no choice but to call the teacher in Didu for consultation.”
“Later, it was concluded that the patient could not drink alcohol, and the solidification of dozens of milliliters of absolute alcohol would cause the patient to become drunk.”
"Is this okay?!" Lin Yuming was surprised.
“I was also worried, fearing that it was something else, so I sat on the bedside and watched all night.” Deputy Director Liu said, “The next morning, the patient woke up and everything was normal. From then on I will keep this in mind.”
“It’s a clinical experience.”
“Judging from this detail, it is definitely not the first time that Dr. Xiao Luo has encountered similar patients. This point was emphasized repeatedly when reporting the medical history.”
“Again…”
Deputy Director Liu casually said what he saw.
The smile on Lin Yuming's face grew stronger.
Luo Hao, not bad.
……
“This is minimally invasive surgery and is the direction of future medical development.” Luo Hao explained to the patient’s family, “The teachers at the Medical University are of very high standards and are at least among the best in the province. Three, this minor illness is definitely fine.”
(End of this chapter)