Chapter 3 Novice Mission Completed
"Dr. Luo, I heard someone said that even minimally invasive ovarian cyst surgery requires you to lie in bed for three days. We have to go back and don't touch the incision. We will do it again in the future." What an accident.”
The patient’s family members were a little worried.
"That's right. The earliest ovarian cyst surgery required laparotomy, with an incision of about this size."
Luo Hao gestured with his hand to make an incision of about 10cm.
"Open the skin and muscles, enter the abdominal cavity to completely peel off the cyst, and achieve complete cure."
"Laparoscopic surgery began to be carried out in clinical practice more than ten years ago. This surgery is usually performed near the belly button. Make a hole and use equipment to peel off the cyst. However, after all, it is not as easy to operate by hand under direct vision, so the most commonly used surgery is decapitation and decompression.”
Decompression. The pressure technique, as the name suggests, is not difficult to understand.
Luo Hao briefly talked about the surgical techniques.
“The advantage of this surgery is that it is less invasive, but the disadvantage is that it is prone to recurrence and more expensive than open surgery.”
"What about the surgery we performed?" The patient and the patient's family looked up at Luo Hao at the same time.
“Pull out the fluid inside, and then solidify it with alcohol or drugs with similar working principles, so that the cyst will no longer leak or leak less, and achieve the purpose of treatment.”
Although Luo Hao had told these words to patients and their families many times, but when they asked, Luo Hao still took the trouble to explain them again.
Luo Hao was not impatient, as if it was his first time to explain to the patient and his family.
“The advantage of this surgery is that it is almost non-invasive, the risk is extremely low, and the postoperative recurrence rate is not high.”
"What about the shortcomings?!" the patient and his family members asked in unison.
“From my perspective and perception, there are no shortcomings.”
“…”
The patient and the patient’s family members hesitated for a moment, always feeling that Dr. Luo Haolo It is unbelievable to say that there are no shortcomings.
There is nothing without shortcomings.
"Dr. Luo, can this kind of surgery be done cleanly?"
"Whether it is open surgery, laparoscopy, or puncture and solidification surgery, there is a certain probability of recurrence. The recurrence rate of our surgery is similar to that of laparoscopic surgery. It’s not too high,” Luo Hao continued to explain, “However, no matter how minimally invasive the laparoscopic surgery is, one lens and two holes must be inserted into the incision. A forceps. ”
“It has an impact on the peritoneum and the outer membrane of the abdominal organs. There is a certain risk of intestinal adhesion and intestinal obstruction in the future. It is different with interventional surgery. A needle can be inserted into it. What impact, are you right?”
The patient and the patient’s family looked at each other, feeling that Luo Hao was right.
After thinking for a few seconds, the patient's lover asked, "Dr. Luo, please tell the truth, is it particularly easy to relapse after surgery?"
"As for the recurrence rate..."
At this time, various professional materials in the system library showed their effect.
Luo Hao cited classics, and the patient's family members took their mobile phones to look for answers online.
Obviously, the answers on the Internet with different percentages and recurrence rates from 5% to 50% do not satisfy the patients’ families.
Relatively speaking, the data cited by Luo Hao from the world's top journals and magazines is more convincing.
"The recurrence rate after surgery is not high, that's for sure. In terms of recurrence rate, the lowest is open dissection and resection, but this kind of surgery is very damaging."
"To be honest, even in the future, the recurrence rate is the lowest. If it recurs, we can just do another puncture. You see, the operation lasts twenty minutes, and you can walk back to the ward after the operation and be discharged from the hospital early tomorrow morning. I think there is little point in worrying about recurrence. "
" If it relapses within three years, just do another puncture."
"But..."
A bright smile appeared on Luo Hao's face, "I understand what you mean, no matter the doctor. Both patients and doctors hope to be cured. Please believe me, doctors are no less eager to cure diseases than patients. ”
"Unfortunately, due to the limitations of modern science, most diseases cannot be cured."
"For example, diseases such as hypertension, diabetes, and coronary heart disease can only be controlled, but cannot be cured."
“Back to ovarian cysts, Even the most damaging laparotomy has a recurrence rate of about 5%. "
Under Luo Hao's earnest explanation, the faces of the patient and his family members gradually became calmer, and they understood through the tireless explanations over and over again. A little bit.
Since recurrence cannot be avoided, treatment with the least invasive surgical method should be the best choice.
Half an hour passed.
Deputy Director Liu looked at the patient's condition and carefully performed a B-ultrasound on the patient. No problems were found. Then he and Lin Yuming accompanied the patient back to the ward and comforted the patient with a few words. Then leave.
Lin Yuming arranged the meal, and Deputy Director Liu asked Luo Hao to sit next to him and asked some details.
As for eating, he just took a few bites to make himself full.
Deputy Director Liu made an appointment to find more than 3 patients here to perform surgery again, and then sent Deputy Director Liu away.
"Xiao Luohao, have you had similar surgery at Xiehe?" Lin Yuming watched Deputy Director Liu leave and asked impatiently before the figure disappeared.
"See how many other teachers have done."
"How many? See?"
"Yes." Luo Hao nodded and smiled back.
Deputy Director Liu judged that Luo Hao had made at least several hundred units. Lin Yuming was not very surprised by such a disparity in proportion. On the contrary, he was a little happy.
Xiaoluohao is a genius, a genius! !
There is no child who can be admitted to the eight-year undergraduate, master's and doctoral program of Xiehe University without a brain.
Although my alma mater was once a medical school, this medical school is not that medical school.
People’s Union Medical College is not willing to call it a medical university, but my alma mater was still called a medical college when I was in school. How can it be the same!
"Director Lin, would you like to tell Director Sun?" Luo Hao leaned closer and whispered.
"You don't have to worry about the patients' affairs. If I can't take care of a dozen patients with ovarian cysts, my work as the medical director will be in vain."
Luo Hao felt happy when he heard what Lin Yuming said.
The system task requires that 10 ovarian cyst operations be completed within one month. The operation Luo Hao just assisted Deputy Director Liu in performing has not changed. The system panel task bar in the upper right corner of the field of view has not changed. The system should not think that it was done by itself. of.
That is to say, surgeries performed as an assistant do not count.
"Xiaoluohao, next time I will give you a chance to complete the operation independently."
"Okay!"
Luo Hao and Lin Yuming whispered softly, and Director Sun frowned and came over.
"Director Lin..."
"Director Sun, if you have any questions, just ask me."
"Light puncture, is this possible?" Director Sun hesitated He hesitated and asked after a long time.
Lin Yuming gave Luo Hao a look. Luo Hao was quietly leaving. After seeing the look, he strode away.
"Director Sun, what do you think is wrong?" Lin Yuming asked.
"Our department..."
"Director Sun, times have changed." Lin Yuming's tone was fierce, his eyes narrowed and he looked sideways at Director Sun, and said coldly, "No change, just Can be eliminated by the times”
“…”
Director Sun concluded.
"I am already forty-eight. You are five years younger than me. How come you think older than me?" Lin Yuming said.
Speaking of getting old, Director Sun was slightly startled.
"It's either a pornographic statement or a fact. Over the years, I've been reading farther and farther away, and peeing closer and closer. I can't sleep when I lie down, and I doze off while sitting. I can't forget the past things, but now I can’t remember what happened.”
Director Sun almost cried when he said this.
At that time, she was also a beautiful doctor famous in the whole hospital, but who can bear the age?
“In the past, I saw a girl wearing cool clothes, and all I thought about was all the mess. Now when I see it, I have no distracting thoughts. I just think that if my girl dares to dress like this, I will break her legs. "
"Pfft~" Director Sun felt the same and laughed.
"Director Sun, I came here a few years before you, and we are old comrades who have fought in the trenches for decades. Let me tell you from the bottom of my heart, the general environment has changed, and we will all go back. Not going.”
“If you don’t change, you will be eliminated.”
Lin Yuming said this sentence again and looked deeply at Director Sun, "Our mine manager no longer has an interventional department. I will take the lead. You and Director Li of the B-ultrasound room will cooperate and the patient will be placed in your ward. Specifically, You will definitely not suffer from sharing the accounts."
Director Sun nodded slightly.
The two got into the car separately, and Lin Yuming sighed.
"Director Lin, what's wrong?" Luo Hao asked.
"Just sighing that it's great to be young." Lin Yuming said enviously, "When I was your age, I waited hard, but now I wait hard."
"Hahaha." Luo Hao laughed.
"When people get old, they are unwilling to take risks and always like to lie in their own comfort zone. We must give them more strength..."
Lin Yuming said as he spoke He looked sideways at Luo Hao.
"Uncle, look what I am doing."
"Hey." Lin Yuming snorted, "Xiaoluohao, have you thought about your future?"
< br>
"Not yet, I'm still learning techniques, such as puncture techniques."
Lin Yuming didn't say any more and drove back to the hospital.
Next Luo Hao saw the energy of Lin Yuming, the medical director.
Turn on the computer, Lin Yuming skillfully pulled out the database and entered the ovarian cyst.
"Xiaoluohao, do you know why I refuse to leave the physical examination center alive or dead?" Lin Yuming asked while screening patients.
"They said the bonuses at the physical examination center are high and fat." Luo Hao said.
"Shit!" Lin Yuming scolded, "That's just the outside. The physical examination center will be one of the driving forces in the future and the source of patients. You will understand slowly."
Luo Hao stood behind Lin Yuming and nodded.
Soon, Lin Yuming selected the patients and personally called each one to communicate.
In addition to the ten patients who paid experts for surgery, Lin Yuming also screened more than ten patients to see if they could get the surgery.
For some people, 2,000 yuan is just a meal, but for another group of people, it is a year's income.
For this kind of people who have no money, Lin Yuming pats his chest and guarantees that the mine general doctor will perform the operation. Although the external experts will not lend a hand, they will supervise the whole process. The overall surgical level will not be lower than that of the experts. How many. Once there is a problem, experts will come to solve it without incurring excessive costs.
This is a compromise solution that many patients readily accept.
This is not enough. Lin Yuming understands the patient's condition in advance with "acquaintances" from various places, and first screens out those who are troubled, pretentious, and may have trouble.
Lin Yuming acted extremely slyly and was heartbroken for Luo Hao.
It was his uncle who missed him, Luo Hao knew it. Without my uncle, it would be difficult for me to complete the first novice task.
After screening the patients and contacting them for hospitalization, Lin Yuming worked tirelessly and did countless tasks. There were some things that Luo Hao didn't quite understand.
At the weekend, Deputy Director Liu came over again.
This time he was obviously close to Luo Hao after seeing him. Technology is close to technology. Who wouldn't like a high-level assistant with a smile on his face?
The ten patients were finished quickly. When the next patient came in, Deputy Director Liu automatically stood aside and gave Luo Hao a wink.
Luo Hao picked up the B-ultrasound probe and began to perform B-ultrasound on the patient to determine the position.
In the system operating room, Luo Hao has performed more than a hundred similar puncture and solidification surgeries, and now he can do them very smoothly.
Positioning, Luo Hao looked back at Deputy Director Liu.
"Yes." Deputy Director Liu nodded, without any mistakes. Even if he did it himself, it would only be as good as this.
Deputy Director Liu did not perform puncture, but took the B-ultrasound probe and held it down for Luo Hao, letting Luo Hao do it. "The operation is very fast, don't worry." Deputy Director Liu watched Luo Hao's movements while comforting the patient, "I performed about 2,000 similar surgeries every year in my first year of medical school."
The patient was a little nervous and her face was pale. She tried her best to smile after hearing Deputy Director Liu's words.
“Minor surgery, not even surgery, just a minor treatment.”
“Director Liu, you did it for Sister Ma in our village when you were a freshman in medical school. It has been five years. Nothing happened, I’m relieved.”
“That’s right, I went to your clinic for an infusion.”
The patient nodded.
Deputy Director Liu watched Luo Hao puncture and extract the light yellow ovarian cyst fluid, and said lightly, "It's the same as infusion, just a needle. I heard Dr. Luo said you can drink well?"
"Hey, even the gentlemen in our village can't drink from me, two bottles of white is no problem."
"That's good."
Deputy Director Liu and the patient were talking casually While chatting, he was originally going to free up a hand to help, but Luo Hao's operation was meticulous, and every step looked fast, but he was not in a hurry.
Even if he wanted to help, Deputy Director Liu didn't know where to start, so he simply held up the probe and concentrated on chatting with the patient.
Twelve minutes later, the curing was completed and Luo Hao pulled out the needle.
Deputy Director Liu carefully used the B-ultrasound probe to repeatedly scan the location of the ovarian cyst.
There was no accumulation of fluid or signs of bleeding, and the operation was quite clean.
If I hadn’t witnessed it with my own eyes, I wouldn’t have believed that this surgery was performed by a young doctor in his twenties.
"When you're done, go out and sit for a while and wait for me to take a look before returning to the ward." Deputy Director Liu said.
“Done?!” The patient was surprised.
"Minimally invasive surgery, do you think it's a big surgery?" Deputy Director Liu said, "If you feel it, I don't do two thousand surgeries a year in vain."
That's right. , Luo Hao felt a little embarrassed.
But Deputy Director Liu spoke for him, not to take credit, Luo Hao knew it.
On the system panel in the upper right corner of the field of vision, the progress bar under the novice task finally moved!
An example!
Luo Hao was particularly pleased.
The patient left with tears in his eyes, and the next patient came in.
Although he had a successful experience, Deputy Director Liu did not relax his vigilance and kept his eyes on Luo Hao's every move.
Luo Hao was the same. He couldn't be said to be nervous. He made every step cautiously, striving to reach the upper limit of his level.
Until it was getting dark and the tenth patient was finished, Luo Hao heard a crisp sound of "ding dong~".
The system gives an exaggerated picture of gorgeous celebration fireworks, and the novice mission is completed!
[Novice mission: Complete 10 ovarian treatment surgeries.
Task time: 1 month
Mission reward: random basic attribute point +1, surgical skill level +1.
Special reward: Novice gift pack × 1. 】
Random attribute points were added to the luck value. Luo Hao looked deeply at the 33 points of luck and felt that this was the best choice.
In his opinion, nothing can compare with luck. If it weren't for the 32 points of luck, he probably wouldn't even be able to see the system.
After adding points, the lucky value becomes 33 points.
In addition, surgical skill +1 is automatically generated, and Luo Hao's surgical skill has been changed from level 3 to level 4.
After the upgrade, Luo Hao felt a huge change in himself.
Hand-eye coordination has improved imperceptibly, and finger dexterity has also improved by leaps and bounds, among other things.
“Ding dong~”
After the novice mission was completed, another mission prompt sounded in Luo Hao’s ears.
[Main mission: smaller damage, more possibilities (first stage).
Task content: Complete 100 interventional surgeries.
Task time: three months
Task reward: random attribute point +1, 100,000 experience points. 】
Looking at the content of the mission, Luo Hao vaguely understood what the novice mission had given him.
Surgical skill +1, this incredible reward does not come every day. In the future, you will have to accumulate experience points before you can improve your skills.
In addition, there is a big gift package, which is currently being operated on and Luo Hao has not opened it.
He moved his fingers to adapt to the changes in his body, and then started the next operation.
Watching Luo Hao perform surgery, Deputy Director Liu felt that he was old and his eyes were a little dazzled without realizing it.
Luo Hao's previous ovarian cyst puncture and solidification surgery was really good, and he could even be said to be on par with himself... No, just a little bit worse than him.
However, after some surgical experience, Luo Hao grew extremely rapidly, and his surgical skills improved at a speed visible to the naked eye.
Now Luo Hao's surgical level has surpassed his own.
Is this genius?
Deputy Director Liu was a little confused.
Although his former alma mater was a small transparent medical school that was transformed from a technical technical secondary school to a junior college, and then from a junior college to an undergraduate degree. In 2000, it began to recruit graduate students. However, the animal husbandry and medical imaging profession was established very early and has a certain reputation even in China.
After graduation, he stayed in a first-class hospital in the province to work, and now he has become an expert in the province. Deputy Director Liu has long had an illusion - the world's heroes are nothing more than this.
Today, when he saw the outstanding learning talent of a doctoral student in the eighth-year program of the Union Medical College, it was inevitable that he would feel a little emotional, even helpless.
With this talent, I can't catch him no matter what.
Is it really that strong?
Deputy Director Liu helplessly looked at Luo Hao, who was concentrating on the operation, and his mentality changed slightly.
In the past, I used to take care of the children of my old classmates to help with the care. While treating the patients, I allowed the children to practice their skills, playing the role of teaching and mentoring.
And now Deputy Director Liu has unknowingly begun to look at Luo Hao's series of operations with a fault-finding eye.
However!
When Deputy Director Liu began to examine with a critical eye, he discovered an even more terrifying thing - Luo Hao's operation was impeccable! At least based on his level, no problems can be found.
This!
How is that possible! !
Deputy Director Liu performs surgeries, so he knows very well that surgeons also need to look at their condition when performing surgeries.
Only about 10% of surgeries are difficult for me to find fault with, but it is just difficult, not impossible.
But now there is nothing wrong with the operation of the young man in front of me!
How terrifying!
The B-ultrasound room was very quiet, except for the sound of Luo Hao's intermittent operation.
Luo Hao let out a sigh of relief after the remaining operations were completed cleanly and quickly.
"Dr. Xiao Luo, you...are really skilled in the surgery." Deputy Director Liu praised in a praising voice.
“It’s okay, okay.” Luo Hao was wearing a sterile mask, but the mask couldn’t cover his overflowing smile at all.
After completing the novice task, ovarian cyst puncture and sclerosis has made rapid progress, how can Luo Hao be unhappy.
Seeing Luo Hao's glowing expression, Deputy Director Liu had mixed emotions.
"Liu Liu, are you watching the patients?" Lin Yuming asked in a low voice when he saw that Deputy Director Liu had been silent for fear of causing problems with Luo Hao's surgery.
"Take a look. If nothing happens, you can feel free to eat."
When Liu Haisen said about eating, Lin Yuming felt relieved.
A few people looked around at the patients who had just undergone surgery.
Some patients were lying on the bed scrolling through their phones, others were sitting and chatting with family members, and they even met someone secretly preparing to go home.
"Small trauma is sometimes not a good thing. Patients after puncture and sclerosis surgery go home directly. What if something happens." Lin Yuming commented.
“We have long classified this type of surgery as day surgery. After the operation, the patient can go home after observing for 3-4 hours.”
“Day surgery!”
“Not to mention puncture, now thoracoscopic removal of small lung nodules has become a day surgery for some mild patients.”
"Don't you want to take off the breast bottle?" Lin Yuming was shocked this time.
Looking at Boss Lin's expression, Deputy Director Liu felt that he had finally regained some ground, and said with a smile, "The trauma is small, no need to remove the chest bottle, and you can go home after 6-8 hours of observation. . ”
“! ”
Lin Yuming didn’t expect that the outside world would become something he didn’t recognize.
The lung lobe surgery does not require a chest bottle!
This was too magical for Lin Yuming.
"Boss Lin, come and take a look at my place when you have time. The technology in our province has been following that of the imperial capital, and is less than two years behind the highest level in the country."
Having said this, Deputy Director Liu had a proud smile on his face.
Comparing the technical level of high-level hospitals and lower-level hospitals is a dimensionality reduction attack. The two are not at the same level at all.
Lin Yuming was a little surprised. His bedmate, the sixth, had always been amiable, low-key and restrained.
What's going on today?
Looking for a sense of superiority in oneself.
However, Lin Yuming did not expand on this matter. After saying a few compliments, he took Deputy Director Liu to dinner.
The road went further and further, and we saw that we had reached the inaccessible urban-rural fringe.
"Boss Lin, what are you bringing me to eat?" Deputy Director Liu was confused.
"Hey." Lin Yuming smiled, "Lao Liu, I was in a hurry last time and didn't entertain you well. I'll take you to eat something good today, and I won't be polite next time you come over. I'll give you a surprise."
Deputy Director Liu took a look at the desolation around him, and coupled with Boss Lin's tone, he probably guessed something.
“Boss Lin, you wouldn’t take me to eat the kind of game that could lead to a ten-year sentence if you’re not careful.”
“You have to be from the provincial capital. I’ve eaten it before. Pass. You will know what to eat if I mention it.”
“No, I’m still alive.” Deputy Director Liu’s face suddenly turned ugly.
"Huh, that was all in the past." Lin Yuming laughed and explained, "In the past, there were shops that made game meat. They didn't have a front and only entertained regular customers. Now? A while ago, there was a fisherman fishing in the wetlands. I just happened to see a nest of bird eggs, so I took them home and cooked them to eat. "
"It was so courageous."
"It turned out that it was a national second-level protected animal and was sentenced to 8 years. "Tsk, tsk." Lin Yuming tutted twice, "The ecology is getting better and better now. The foxes in our rural village are not afraid of people, and they go to the house to eat and drink every day."
"No. Stealing chickens to eat?”
“Who would eat chickens when there are large pieces of beef and mutton?” Lin Yuming said, “When the mountains are covered by heavy snow, there are bold foxes who go directly to people in the villages. Spend the winter on the kang.”
"!!!"
"What we eat today is definitely not illegal in the place of production. You can eat it with confidence, Old Six."
Deputy Director Liu pondered Lin Yuming's words in his mind I did it once, and I broke out in a cold sweat.
“It’s not illegal in the place of origin, but it’s illegal here, right?”
“Imported from Russia, why do you ask so many things? If you don’t eat everything at the Manchu-Han banquet, you have to eat a few things, right? ”
"Boss Lin, you..."
Just as he was talking, Lin Yuming's cell phone rang.
"Hello?" Lin Yuming greeted casually, and then hurriedly took the words and started talking.
Lin Yuming's face became increasingly ugly, as gloomy as if water was dripping from his eyes.
“Boss Lin, what’s wrong?”
(End of this chapter)