Chapter 9 Hungry Bones
[Main mission: smaller damage, more possibilities (first stage).
Task content: Complete 100 interventional surgeries.
Task time: three months
Task reward: random attribute point +1, 10,000 experience points, diagnostic auxiliary AI fragment +1. 】
The tasks issued by the system a long time ago began to flash, as if to remind Luo Hao not to forget them.
Oh? !
Luo Hao's worries disappeared.
Originally, he was particularly afraid that the system would issue DSA interventional surgery to him.
Today, in order to perform uterine artery embolization surgery on a patient with scar pregnancy, my uncle Lin Yuming almost fell out with himself.
If he didn't know whether to live or die and continued to do it, Luo Hao had no doubt that his uncle would become an insurmountable stumbling block for him.
Stop for a while and find a chance to convince him.
The reminder of the system task is just right, as if it somehow knows its own difficulties and recommends that you perform puncture surgery for liver cysts.
The operation is easy and has almost no risks. The most important thing is that it does not require radiation.
The only problem is whether the old directors can accept the new technique.
But, with the support of the Medical Director, this is not a problem. The old director's opinions were only for "reference", and they also had to "refer to" Lin Yuming's opinions.
In the past, Luo Hao's impression of his uncle Lin Yuming was limited to doting on him. But when he returned to the mine and met his uncle at work, Luo Hao knew that he could be as fierce as a tiger and as cunning as a fox.
So Luo Hao has strong confidence in Lin Yuming.
"Do you understand what I told your family?" Dr. Jiang looked at the patient and asked word by word.
“I understand.” The patient’s family said with a sad face, “If we stay in our hospital, Director Wen will have to do laparoscopic liver cyst fenestration and drainage. Dr. Jiang, am I right about the procedure? .”
"That's right." Dr. Jiang nodded.
The patient’s family members are indeed very concerned. It is difficult for a layman to describe such a difficult-to-understand surgical procedure in one breath.
It seems that they not only listened to themselves, but also searched online. Not only did I check it, but I didn’t check it less, it was already engraved in my mind.
"Dr. Jiang, if I had money, I would definitely listen to you." The patient's family members were cramped and didn't know where to put it.
It looked like they had done something wrong, even breathing was wrong.
"You're welcome, come in and talk." Dr. Jiang was polite and reasonable when he saw the patient's family members. He was not the kind of person who would not take his family members to see a doctor because he found it too troublesome, and his words were much gentler.
The patient's family members sighed and continued, "You said that laparoscopy is also a minimally invasive surgery, but it is more expensive than the surgery you recommended. But if you go to the provincial capital, you need to queue up for hospitalization, plus take care of my family. That’s all money for food and housing.”
“A while ago, my neighbor went to the provincial capital to be hospitalized for surgery. The hospital stay cost more than 40,000 yuan, and the person who took care of him spent a total of 30,000 yuan on food and housing. ."
"Why so many?" Even Dr. Jiang was stunned this time.
“It took more than 20 days to wait in line for hospitalization. I didn’t know when the head nurse would call. I didn’t dare to leave when I stayed in the provincial capital. I was afraid that I would be hospitalized immediately if I had to wait.”
"I don't dare to live in a place that is too expensive, but it's not good for patients if they don't have a good rest... Well, it's good to be at home for a thousand days, but it's hard to go out. No matter what you do, you need money..."
"The technique you mentioned It doesn’t cost much, and there is reimbursement from the New Rural Cooperative Medical System, but we really can’t afford food, housing, etc.”
The patient’s family members seemed to feel a little guilty for Dr. Jiang, and bowed deeply to express their gratitude. Already choked with sobs.
"Thank you Dr. Jiang. Although we are from rural areas, we know who treats us well."
Dr. Jiang frowned, as if he was thinking about something but couldn't remember it for a while.
After a few seconds, he turned to look at Luo Hao.
"Ronald, did the obstetrics and gynecology department invite experts from the provincial capital for consultation a few days ago?"
"Yes." Luo Hao nodded and gave an affirmative answer.
Dr. Jiang stopped talking to Luo Hao, but stood up and patted the patient's family members on the shoulders.
“You didn’t sleep in the middle of the night. Do you feel uncomfortable and cannot sleep well?”
This sentence touched the hearts of the patient's family members, and their eyes became red.
"It's okay, you go back and have a good rest first, and we will discuss a better solution."
The patient's family members estimate that Dr. Jiang is perfunctory, but the choice is made by himself and he cannot blame others.
The patient’s family members left after expressing their gratitude repeatedly.
Dr. Jiang closed the door of the doctor's office and looked at Luo Hao curiously.
"Dr. Jiang..."
"Call me brother." Dr. Jiang smiled and said, "Ronald, I heard the doctor in the B-ultrasound room said that some patients had it done by you."
"Yes." Luo Hao nodded, "I have done 11, and the puncture technique is not difficult. Brother Jiang, do you recommend that the patient go to the provincial capital to undergo puncture, drainage and solidification of liver cyst under B-ultrasound?"
" Director Wen insisted on laparoscopic liver cyst fenestration and drainage, but I, an old doctor, said it lightly and said nothing.”
“No way”
Dr. Jiang chatted slowly and slowly.
If others had said these words, Luo Hao would have thought they were complaining about the unfairness of the world, but when Dr. Jiang said it, even if he laughed at himself for being an old doctor, Luo Hao could hear some expectations.
The words didn’t explain it, but there was a tacit understanding between the two.
"I'll go back and ask, I'm just a junior clerk." Luo Hao didn't agree straight away, but gave a vague answer in a smooth manner.
"I have a young apprentice." Dr. Jiang changed the topic very quickly and suddenly talked about another thing, "He is the doctor who treated appendicitis on the stage tonight. He is very good and has good skills. It's a coincidence, but it's a pity that I can't do it anymore. He is... straight-tempered. Ronaldinho, if you continue to do puncture surgeries, you can take him with you if you have the chance. He is really talented."
"I'm just a little guy, we're all the same." Luo Hao said with a smile, noncommittal.
Seeing that Luo Hao didn't answer, Dr. Jiang didn't force it and started writing the operation record.
Luo Hao finished his work and said goodbye.
After going out, a young doctor walked towards me. He was wearing an isolation gown and pulling on his slippers.
It looked normal, but... Luo Hao felt something was strange.
Luo Hao showed a habitual smile to the doctor. He took out his cell phone and checked the time before leaving.
"Master, is the person who just left Luo Hao from the medical office?"
The young doctor walked into the doctor's office and asked.
"Chen Yong, keep your voice down." Dr. Jiang said, "Sit down, I want to tell you something."
Chen Yong took off a layer of the mask and still wore a mask underneath. Layers of masks.
Dr. Jiang was not surprised. He took out a cigarette and threw it to Chen Yong. He lit it and took a deep breath.
"Master, what's wrong?" Chen Yong took off another layer of mask, and there was actually another layer of mask inside.
"Nothing, what do you think of patients in beds 3-8."
"Liver cyst has affected liver function. The best way is to undergo puncture treatment." Chen Yong removed the last Wearing a layer of masks, his face is handsome and angular.
If he stood on the stage, just with this face, there would be countless shouts and applause from the audience, and he would gain countless traffic.
"The patient's family just told me that traveling to the provincial capital is too expensive, so they are still planning to stay for laparoscopic liver cyst fenestration and drainage."
"!!!" Chen Yong revealed that only young people have the skills. indignation, "Obviously Master, you are the best surgeon in the department. Why does the director have to be the second-generation doctor?”
“Don’t talk nonsense.” Glancing at the doctor's office door.
The door is closed, and through the frosted glass you can see no one outside.
Although it was quiet at night, Jiang Wenming was still very careful.
"Master, I am telling the truth."
"You can't tell the truth." Dr. Jiang said, "Laparoscopic liver cyst fenestration and drainage is also a serious procedure. Which procedure is used depends on the treatment of the disease. Judgment has nothing to do with people."
"I remember it," Chen Yong lowered his head and whispered.
Dr. Jiang looked at the young apprentice in front of him and smiled slightly, "Luo Hao graduated from Xiehe Eighth-year School."
"It's not necessarily that he is strong, he is just good at taking exams." Chen Yong rubbed his neck unconvinced.
"I will go to the outpatient clinic to report today. You should talk less in the department. If possible, for example, for patients with 3-8 beds, Luo Hao will contact experts in the provincial capital for surgery. You must have a good relationship with Luo Hao. Relationship."
Chen Yong curled his lips.
"They are all young people, go to Internet cafes to two kings, and go to drink in the end, the lively relationship goes up, is there anything easier than this!"
br>Dr. Jiang said, with severe reproach in his tone.
"Ask an expert for surgery? What kind of surgery?" Chen Yong asked.
Doctor Jiang knew that Chen Yong didn't want to, and he was not that kind of person. He smiled slightly and followed Chen Yong's words to change the topic.
Tell me about the recent experience in obstetrics and gynecology that invited experts to perform puncture, drainage and solidification of ovarian cysts.
“I didn’t see it with my own eyes. I only know that Director Sun of the Department of Obstetrics and Gynecology made a few gossips when he performed the operation. I also heard that I couldn’t count. But today Luo Hao assigned me a table, and I think he did the operation. You’re doing well.”
“Oh? Better than me?” Chen Yong was like a newborn calf, wanting to hit everything he saw.
"Haha, you will know after seeing it." Dr. Jiang did not give a direct answer, "The equipment can best reflect the technique and consciousness of a doctor. Sometimes a good assistant can make the speed of the operation skyrocket." Get up.”
"Today, my surgery took off."
"!!!" Chen Yong was unconvinced and looked up at Dr. Jiang.
“These are all trivial matters. In the future, surgery...if the scientific and technological progress is not interrupted by force majeure such as war, surgery will inevitably move in the direction of minimally invasive surgery. In the current medical field, laparoscopic surgery, Da Vinci Robots have replaced a large part of surgical operations.”
“This is the general direction of the future, regardless of human will.”
“We are a small hospital, and our technical level lags behind that of the country. Average level, let alone compare with Imperial City and Magic City. If you have high talent, Luo Hao is a good choice if you want to pursue medicine.”
As he said this, Dr. Jiang smiled self-deprecatingly.
“I’m just giving you a suggestion. Who knows how far we can go? I mean, if I were your age and met Luo Hao, I would consider getting along with him. Relationship, work together."
Chen Yong frowned, a trace of stubbornness flashed on his handsome face.
......
Early the next morning, Luo Hao stood in high spirits at the door of the office of the Director of the Medical Department.
Lin Yuming was very envious.
I worked on it for most of the night and went home to catch up on my sleep. Now I can’t keep up at all.
Luo Hao was different. This kid had almost stayed up all night and was still full of energy. He didn't look tired at all.
Think back then...
Lin Yuming's thoughts drifted to more than 20 years ago.
"Director Lin, I've finished reporting yesterday's events." Luo Hao said concisely and then hesitated.
"What else do you have to do?" Lin Yuming asked.
Seeing Luo Hao's eyes looking in, Lin Yuming turned around and entered the room, and Luo Hao walked in behind him.
Close the door, Luo Hao told the patients he saw in the general surgery department.
"Uncle, I can do this surgery." Luo Hao said with a smile.
"Did you agree to Jiang Guangming?" "Uncle, I didn't agree. I'm just a little guy, I don't dare to make my own decisions. Although the operation went well, I know that it was the directors giving you face. Even so, now I feel like I've encountered resistance in the obstetrics and gynecology department. I feel it."
"You also know." Lin Yuming sat on the chair, putting his hands on his lower abdomen and rubbing his thumbs. The earth circles around each other.
"It's just a feeling." Luo Hao said with a smile, "Uncle, according to the book, what I do is called taking away people's wealth. This is the same hatred as killing the father and taking away the wife, so I don't dare Say more.”
Lin Yuming was a little surprised.
Luo Hao, this kid, has good eyesight and knows the depths of things. He can actually see so many things clearly.
And he is not ostentatious at all and extremely low-key, which is quite difficult for a young man.
Walking in Jinyi at Night is an idiom, and I don’t know how many people’s mentality it describes.
If I had solved a problem in obstetrics and gynecology when I was young, I would have had 11 surgeries in a row, and my tail would not have reached the sky.
If you see a dog in the hospital, you have to go up and kick it, let alone being unassuming and low-key.
"I'm thinking that the treatments for liver cysts, kidney cysts, and ovarian cysts are similar and can be treated together."
After Luo Hao finished speaking, he added: "Minimally invasive, less expenditure on medical insurance, and patients recover quickly. ..."
As he said that, Luo Hao saw Lin Yuming starting to make tea, and he said solemnly, "The key is not to eat the thread."
Lin Yuming looked at Luo deeply. With a glance at Hao, within a few seconds, he couldn't tell whether Luo Hao was threatening him.
"Uncle, the family of the patient I saw at the general surgery department last night was sensible, but they just had no money and really couldn't go to the provincial capital. I just took a look at the dip procedure for laparoscopic liver cyst fenestration drainage. The core score is 1720. It can be solved by puncture, which can save some money for medical insurance. ”
"Don't be careful." Lin Yuming said.
"Yes, yes, yes." Luo Hao stood in front of Lin Yuming honestly and neatly.
"This matter must be fought first."
"Fighted?"
"In the afternoon I will take someone to the general surgery department to implement the medical insurance policy." Lin Yuming said, “But this is just a stop-gap measure, we must stabilize the patient flow from the root.”
"B-ultrasound?!"
"Yes." Lin Yuming said, "The B-ultrasound room is the upstream department. When I have time, I will have a meal with Director Li of B-ultrasound, and you will accompany me."
"Okay, uncle." Luo Hao looked at the task time in the system panel in the upper right corner of his field of vision and was not in a hurry.
"Now that you are in the obstetrics and gynecology department, don't think about messy things. Doctors are most afraid of empathy. For example, if you see a patient who is too poor to go to the provincial capital, once..."
Luo Hao smiled in his heart.
A few days ago, a patient was treated because of Lin Yuming's sympathy, but now he was talking nonsense in front of her.
Luo Hao did not refute, just listened quietly.
At the same time, Director Sun of the Obstetrics and Gynecology Department was sitting in the office, frowning.
"Sister, we have been playing together since childhood, don't lie to me."
A woman was sitting on the bed in Director Sun's office, with a puzzled expression on her face.
Director Sun looked at the "ungrateful" cousin in front of him, feeling bitter and unable to express his feelings.
"Sister, I heard someone said that when you perform ovarian cyst puncture surgery, after the operation..."
"How is it after the operation." Director Sun said disdainfully.
“They were talking nonsense, saying they could walk back to the ward. My sisters didn’t believe it, and I didn’t believe it either. The disease was cured without any pain or itching? But the strange thing is that she went to three places after being discharged from the hospital. After a review, they all said the cyst was gone.”
“Hmph.”
"Sister, I'm timid. I've had an ovarian cyst for several years, and it's getting bigger year by year. I can't do it without treatment. So I came to you, but..."
"Do you believe me or not?" Director Sun asked.
"Of course I believe you."
"So, her surgery was performed by the nephew of the director of the medical department of our hospital. Do you think it is better?" Director Sun said disdainfully, "If the operation is really good, why don't I do it?"
"Ah!" Director Sun's cousin was surprised.
"Of course it's true. Can I still harm you? We are all a family. I suggest you undergo minimally invasive surgery. I have done this surgery for more than ten years and have treated thousands of patients. I am very mature. I don't recommend it to you. Damn it, you have to listen to people’s nonsense.”
Director Sun’s cousin blushed.
She looked at Director Sun carefully and finally said, "Then I believe you."
"That's right." Director Sun smiled.
Director Sun's cousin has completely lost her temper, and has long lost her previous attitude of launching an attack to accuse her.
If it's not easy to talk and discuss, you have to curse a few times, Director Sun thought in his mind.
But she is also awkward.
The puncture surgery was performed by Deputy Director Liu and Luo Hao. Director Sun only knew how to do laparoscopic surgery. She also knew that this surgery might be better, but after all, she didn’t know how to do it, so she kept doing psychological tests on herself. Implication: puncture surgery is prone to recurrence. If it is done, it means it is not done, which is irresponsible to the patient.
Md!
Director Sun cursed in his heart after sending her cousin away.
After returning, Director Sun called Luo Hao out.
"Ronald, have you asked the professor to prepare for surgery recently? How many patients do you have on hand?" Director Sun tried his best to show a kind and kind smile.
Before Luo Hao could answer, an obstetrician and gynecologist from the ward hurriedly ran out.
"Director, the patient has convulsions!"
Director Sun's expression changed and he ran to the ward without talking to Luo Hao.
Luo Hao didn't follow him immediately to see the situation. He froze on the spot.
“Ding dong~”
The sound of system tasks came into my ears.
[Emergency mission: Bone Hunger
Task content: Treat a patient with convulsions who undergoes induction of labor.
Mission time: 5 days.
Task reward: 10,000 experience points, peer worship +1. 】
This task is a bit strange. Luo Hao didn't understand what the system was saying.
What’s the use of peer worship after seeing ghosts? Luo Hao frowned slightly.
My mother is a low-key person, never show off or show off. Therefore, Luo Hao has been subtly influenced since childhood and developed a low-key temperament.
Peer worship +1 does not mean much to Luo Hao.
Luo Hao doesn’t mind walking in brocade clothes at night.
What puzzles Luo Hao is the name of the task - Bone Hunger. What does it mean?
He came to the door of the ward full of suspicion and saw the nurse giving an electric shock to the pregnant woman.
The patient's vital signs were stable, but there was foam at the corner of the mouth, and his hands and feet twitched from time to time.
Director Sun stood next to the patient and seemed to be thinking intently, but that thinking expression always gave Luo Hao the feeling that Director Sun's mind was blank.
The patient's life was not in danger for the time being, and there were many people rescuing him. Luo Hao glanced at the bed number, then quietly exited and returned to the doctor's office.
Opening the medical record, Luo Hao read it carefully.
The patient, female, 33 years old, was transferred from a lower-level hospital to the Mine General Hospital for treatment due to menopause of 19+3 weeks and nausea and vomiting for 3 months, which worsened for 3 days.
The blood calcium in various examination indicators was >3.49mmol/L, the urine routine showed: urine ketone was weakly positive, and the electrocardiogram showed: first-degree atrioventricular block and STT changes in some leads.
After admission, the obstetrics and gynecology department gave her volume expansion, diuresis, and calcium-lowering treatment, but the effect was not good, and the patient developed convulsions until today.
Luo Hao read the medical records and took another look at the system task - bone hunger.
High calcium ions seem to be related to bones, but I can’t figure out what the relationship is.
The system interface did not provide relevant diagnosis. The background turned dark red and flickered slightly, and there was a line below - Insufficient auxiliary examination data, unable to diagnose.
But the difference from before is that the system gives suggestions after being unable to diagnose - it is recommended to check thyroid B-ultrasound.
Um? !
Luo Hao was startled.
Is there a problem with the patient’s parathyroid gland?
The parathyroid gland is closely related to calcium ions in the human body and regulates calcium and phosphorus metabolism. Once a problem occurs, the calcium ion concentration will change.
Because the incidence rate is low and it is not common clinically, many doctors will ignore this.
When he was in school and doing internship, Luo Hao met a tumor patient. The local hospital found that his blood calcium was high during an in-patient review. The patient's family was afraid that he might be transferred, so they called Xiehe's expert online for treatment.
At that time, Luo Hao’s teacher prescribed some laboratory tests, one of which was thyroid B-ultrasound.
It was finally determined to be parathyroid disease, and the teacher also told Luo Hao some relevant medical records.
After the reminders from the system interface and Luo Hao's thinking, he gradually got the answer in his heart.
“Inform the ICU that you have to move even if you have a bed, and you have to move even if you don’t have a bed!” Director Sun’s sharp voice came over.
She panicked!
Luo Hao could recognize the panic and helplessness in Director Sun's voice.
Transferring the patient to the ICU is also one of the common blame-shifting skills in clinical practice, and Director Sun is proficient in it.
"The ICU for such a serious patient says there is no bed! I don't care."
Director Sun's voice is getting closer and closer.
Soon, she strode in and looked at Luo Hao with a livid face.
"Ronald, please help my sister transfer the patient to the ICU." Director Sun said directly.
Luo Hao knew that at this time, the words of the medical office carry weight.
What can be divided into proportions, Luo Hao doesn’t want to.
"Director Sun, is that the convulsing pregnant woman?"
"Yes! I'm a good person, but I just smoked when I asked. It's nothing."
Luo Hao stood up, "Director Sun, I'm going to do an ultrasound on the patient, and we'll make a decision later. "
"B-ultrasound?" Director Sun was stunned.
Isn’t this nonsense? The patient had no external injuries and was convulsing inexplicably. Luo Hao actually wanted to have a B-ultrasound.
It must be that he only knows how to do B-ultrasound and can’t remember how to solve the problem at the moment, so he just uses whatever is familiar to him.
Can Luo Hao afford to take responsibility for delaying the treatment of patients?
"Luo Hao!" Director Sun's voice was a little sharper.
"Huh?"
"Did you make the decision on behalf of the Medical Office?" Director Sun asked sternly, and directly slapped Luo Hao.
“Yes!” Luo Hao replied calmly, “I am the representative of the Medical Office.”
(End of this chapter)