Chapter 10: Exogenous Branches
Director Sun did not expect Luo Hao to answer so firmly, without a trace of hesitation, and she was stunned.
In her social experience, blaming others is the norm and what a "normal person" should do. It is abnormal to dare to take responsibility directly.
By the time she reacted, Luo Hao had already pushed the bedside B-ultrasound machine to the ward.
Originally, the obstetrics and gynecology department did not have bedside B-ultrasound, because a patient with ovarian cysts was recently hospitalized, so Lin Yuming coordinated with the B-ultrasound room and borrowed a machine so that Luo Hao could use it anytime and anywhere.
That's too much!
Director Sun finally came to her senses. She felt that she was being ignored and insulted, and she gritted her teeth.
She looked extremely ugly, picked up her phone and dialed Lin Yuming's number.
"Director Lin, I have a patient who suddenly convulsed for an unknown reason and is in critical condition! I want to transfer him to the ICU for further treatment. But Luo Hao insisted on giving the patient a B-ultrasound, which delayed the treatment time and also He said the decision was made on behalf of the Medical Office. "
Director Sun started to complain like a barrage of words, using harsh words.
"Who is responsible for delaying the treatment of patients!"
"If a patient aspirates and his life is in danger, can he, Luo Hao, be held responsible!"
"What working group did you send? , Is this how you came to our obstetrics and gynecology department? Are you here to cause trouble or to manage? If you don’t like me, just give me a warning!”
Director Sun asked one question after another. Every sentence was higher pitched, the voice sharper.
She was singing like a soprano.
The glass in the doctor's office began to resonate and was about to explode.
"Play the piano!"
On the other side of the phone, Lin Yuming comforted Director Sun with a dark face and told her that he would be there soon, then hung up the phone and went straight to the obstetrics and gynecology department.
The Xiaoluo account is really nonsense. How can you say that you are responsible for representing the medical department?
It is normal in hospitals to blame others. If you are responsible, few people will say, why are you trying to be a hero if you have nothing to do?
Not to mention a hospital at the mine level, what about the health care team in the Imperial Capital? Don’t we often sit down for consultations together and shoulder responsibilities together?
This is called collective decision-making! Collective decision making! !
Luo Hao is still too young, or it may be that he has been going smoothly recently and has done a few shocking things. The little brat has his tail raised.
Lin Yuming almost ran and came to the obstetrics and gynecology department.
Before entering the ward gate, Lin Yuming saw several familiar figures who should not appear in the obstetrics and gynecology department.
Director Song of the Glandular Department and his responsible attending physician. Why did Director Song come to the Obstetrics and Gynecology Department?
It was not a private matter, because Lin Yuming saw Director Song accompanied by two junior doctors.
Consultation?
On second thought, Lin Yuming thought of Luo Hao doing a B-ultrasound.
But Lin Yuming couldn't figure out what happened in a short period of time.
He slowed down his steps, took a breath, and came to the door of the ward.
"It is obvious that there is a parathyroid tumor. It is considered to be hyperparathyroidism. Now a hypercalcemia crisis has occurred. It is recommended to hydrate and lower blood calcium."
"Director Song, really Is it a parathyroid tumor?" Director Sun asked in confusion.
“The images on the B-ultrasound are very obvious, and the symptoms I just heard from you are also the same. I see that you have told the pregnant woman’s family that you will induce labor, but before inducing labor, I suggest that the parathyroid tumor be removed first. Drop it.”
“Let’s transfer it to you now, we have no experience in treating this type of patient,” Director Sun suggested in a low voice.
"What's the point of transferring this kind of medical disease to us? You need to adjust your condition before transferring it. We'll do an operation, and then you can just transfer it back to us for induction of labor."
Director Song of the Glandular Department is cunning and will definitely refuse to do so. Take over the trouble.
Although I said it was serious, the patient's condition was simply a hypercalcemia crisis, and hydration and hypocalcemia treatments were enough.
The obstetrics and gynecology department really couldn't pick it up. Although Director Song didn't say anything hurtful, there was already a little disdain in his eyes.
After he finished speaking, he suddenly saw Lin Yuming walking over.
"Lin Chu, why are you here?!" Director Song bent down, changed his attitude and said with a smile.
In a second of thought, Director Song roughly guessed something and immediately said, "The doctor who performed the B-ultrasound is probably Luo Hao from the Obstetrics and Gynecology Working Group of the Medical Department. This level is really amazing!"< br>
Director Sun's face was red and he almost spit out a mouthful of old blood.
“Parathyroid disease is not very common, so we in the glandular department and endocrinology department know a little bit about it. Dr. Ronaldinho actually performed a B-ultrasound on the patient at the first time. It is really a hero since ancient times.”< br>
"What a heroic boy, don't talk nonsense. How is the patient?" Lin Yuming waved his hand.
Although he said this, the smile at the corner of Lin Yuming's mouth could not be hidden.
"The patient is fine. The obstetrics and gynecology department can provide hydration and lower blood calcium." Director Song said easily, "But what I just said is not a joke. If you really offend someone who doesn't understand, first Call for consultation from the whole hospital. Waiting for the endocrinologist Lao Cui to come over, the diagnosis will be confirmed in at least three hours.” % of doctors and directors would not be able to identify the parathyroid problem at the first time.”
“Awesome, I mean it sincerely. Dr. Xiao Luo is great, and Director Lin is even more awesome because he knows people well and takes care of them.” ! ”
Director Song was short and fat, and he said flattering words seriously.
These words came out of his mouth without any expression of disobedience, as if... they were all true words.
Although he knew that Director Song was flattering, Lin Yuming was still very happy.
Recently, there has been a nosocomial infection in the glandular department. I would like to take care of it myself.
"Director Lin, Dr. Ronaldinho will not stay in the medical office for the rest of his life. How about coming to our glandular department. By the way, we need a B-super large cow for glandular breast surgery, and Ronaldinho is just right for it. "Director Song said half-truthfully.
"Huh?" Lin Yuming pondered.
Glandular department seems to be a good choice.
“At Ronaldinho’s level, he can be the deputy director in at most three years. It’s time for me to retire at that time. By then, I will do the B-ultrasound by myself and perform the surgery myself after the diagnosis. There is no need to ask the boss of the B-ultrasound room. Li.”
“Let’s look at the patient first,” Lin Yuming said with a smile.
Director Sun's face turned the color of pig liver, his throat became sweet, and he swallowed back the old blood he spat out.
Villain!
mean! !
Shameless! ! !
Lin Yuming didn't have so much inner drama, so he walked into the ward.
"After giving 700-800ml of liquid, give 40mg of furosemide intravenously." Luo Hao was giving medical instructions to the nurse beside him.
"Luo Hao, why did you give furosemide?" Lin Yuming asked in a deep voice.
"Director Lin, after the patient's extracellular fluid volume is replenished, furosemide can be used to inhibit the reabsorption of sodium and calcium, promote urinary calcium excretion, and prevent excessive extracellular fluid volume replenishment."
"Use volume expansion In therapy, attention should be paid to monitoring the patient's blood biochemistry to prevent electrolyte imbalance. Drugs that inhibit bone resorption include calcitonin. , bisphosphonates, etc. "
"I will explain the relevant precautions to the obstetrician and gynecologist later, and stay at the bedside to watch the patient get out of the hypercalcemia state, don't worry." >
Luo Hao's explanation was concise and concise. Although it was not complete, the main treatment plan was explained clearly in the shortest time.
Lin Yuming nodded happily. Seeing that the pregnant woman's vital signs were stable and her convulsions were relieved, she told her to pay attention to sputum suction, then turned and left.
"Little... Doctor Luo, tell me how you made the diagnosis."
In the corridor, Lin Yuming asked impatiently.
"I have seen similar symptoms during my internship. The teacher gave me the diagnosis of bone hunger, which I remember deeply." Luo Hao replied.
“…”
“…”
"..."
Everyone was speechless.
Why do doctors become more valuable as they get older?
Because the old doctor has seen many patients and has rich experience.
Most of the cases encountered clinically are different from what is written in books. In addition, adrenaline and many hormones are secreted during emergency rescue, so doctors cannot remember many details at all.
Rapid diagnosis and rapid treatment often rely on instinct.
Just like this time, Director Sun's instinct... is to pass the blame.
A group of old doctors were taught clinical lessons by Luo Hao, a boy with no hair on his mouth.
Although Luo Hao graduated from Xiehe University and the teacher he was talking about must be a top student at Xiehe University, everyone still felt that something was wrong.
"How many patients can I see in an internship? That's nonsense." Director Sun retorted in a very low voice.
"Director Sun, Union Medical College has the medical records of patients who have visited the hospital since its establishment." Luo Hao explained with a smile, "For example, Academician Yuan Longping was delivered by Mr. Lin Qiaozhilin back then, and the medical records can be found in the electronic system."
! ! !
! ! !
Now everyone has nothing to say, they only have admiration and admiration for the highest medical institution in the country.
"Is the pregnant woman sure to be fine?" Lin Yuming calmed down and no longer thought about leaving as many patients' medical records as possible in the long river of time, so as to accumulate clinical experience for future generations. The fine work of the needle.
"It should be fine. I will stay here and watch the patient's condition to avoid accidents. After the patient's condition improves, he can be transferred to the glandular department for surgical treatment."
Lin Yuming was extremely fond of Luo Hao. Satisfied, but still deliberately told Luo Hao to be careful and wait with a straight face.
Everyone dispersed, and Luo Hao reported the patient's condition to Director Sun like a little doctor, and explained how to treat the patient in the future. He also requested an endocrine consultation to finalize the plan.
Director Sun saw that Luo Hao was doing things flawlessly and the patient's condition was gradually stabilizing, but her heart was spinning all over and was extremely complicated.
Back in the office, Director Sun sat silently at his desk, with a dip file on his computer.
She looked at the paid documents without moving, and it was already dark before she knew it.
The light from the screen shines on Director Sun's face, reflecting a faint blue. Sometimes she gritted her teeth, sometimes looked ferocious, and sometimes smiled warmly.
I don’t know how long it took, but the cell phone rang, interrupting Director Sun’s contemplation.
She picked up her phone and was shocked to find that it was getting late and that she had been wandering around for four or five hours.
“Hello.”
"Sister, I will come to go through the hospitalization procedures tomorrow. Do you want to take blood directly without eating early in the morning?" Director Sun's cousin asked on the phone.
"..." Director Sun hesitated.
"Sister? Hello, hello? Is the signal so bad?"
"Well, don't come to the hospital tomorrow."
"Ah? What's wrong?"
"I thought about it, and in your case, puncture is the most suitable." Director Sun turned 180° and began to slap himself crazily a few hours ago.
“!!!”
Countless exclamation marks and question marks seemed to pop up on the phone.
"But the level of our mining institute is not good. All the old experts have left, and the remaining people have average skills. In this way, I will invite famous experts from the province for you." Director Sun could only look for supplements like crazy.
After explaining for a long time, Director Sun’s cousin hung up the phone in doubt.
Director Sun held the phone and couldn't tell what he was feeling.
What's wrong with me?
But whenever she thought about this problem, she saw Luo Hao's sunny smiling face.
Although she still believed that puncture and solidification and laparoscopic decompression had their own pros and cons, Director Lin and Luo Hao from the Medical Department were forcing the former procedure.
On the cusp of the storm, one of my relatives performed another technique, which was to apply eye drops, which caused great discomfort to myself.
Sighing deeply, Director Sun didn't want to think any further.
I changed my clothes and came to the ward. Luo Hao was not there. The patient's vital signs were stable and he was sitting on the bed in a daze.
Director Sun said a few words of comfort and then turned and left.
When passing by the doctor's office, Luo Hao's hearty laughter came from inside.
“When I buy things online, the names registered on different websites are different. On Taobao, I register as Luo Taobao, and on JD.com, I am called Luo Jingdong. In the future, when harassing calls come in, it will be clear what they call me.”
"Is that okay?"
"Of course, but almost all websites leak personal privacy. I rarely buy things online now."
Director Sun walked over and saw Luo Hao and the person on duty Doctors and nurses are eating.
"Director Sun, why are you here?" Luo Hao stood up and greeted with a smile.
"Eat, eat." Director Sun said, "Xiao Luo, have you asked Director Liu, a first-year medical student, to make preparations for surgery recently?"
"I don't know. I have no source of patients. Director Lin contacted me." Luo Hao was also helpless.
"What do you think?" Director Sun asked confusedly.
"Think." Luo Hao replied decisively.
"Okay, then I'll contact Director Lin. I happen to have a few patients on hand who have been unwilling to undergo laparoscopic surgery. I'll bother you then."
"Director Sun, you're welcome."
After speaking, Director Sun waved his hand again and left the ward.
The air outside was very cold, and Director Sun was shocked. What's wrong with you? Are ghosts hitting the wall?
Luo Hao was sent by the Medical Office to rectify the clinical department. Why was he being so polite to him?
For things like puncture, he could find experts from the provincial capital to do it himself, and it was not impossible without Luo Hao.
Director Sun is still struggling.
I returned home dejected, had a meal, washed up and went to bed.
Director Sun and his wife have been sleeping in separate rooms for a long time. She habitually calls up Himalaya and finds Guo Degang's cross talk. Lao Guo has been sleeping with me for more than ten years. Now it is difficult to fall asleep without listening to his voice.
Lying in bed in a daze, Director Sun heard Lao Guo say while half asleep - he is guilty of disobeying the superior.
Woke up suddenly, Director Sun sat on the bed and gasped for air as if he had a nightmare.
She finally knew what she was thinking subconsciously.
Luo Hao is young and has a high technical level. Behind him is Lin Yuming, his uncle who will most likely be the deputy dean in the coming year.
If you don’t want to have a good relationship with Luo Hao, why do you have to be stubborn and offend him?
The brain is sick!
It is a crime to disobey the superior.
Director Sun suddenly became enlightened and had a clear mind.
...
...
Luo Hao called his mother and said that there were serious patients in the ward who needed to be taken care of by him, and he would not be going home for the next day or two.
After the patient's blood calcium was adjusted, his condition became stable, but Luo Hao still stayed in the hospital cautiously.
He is worried that doctors in the obstetrics and gynecology department have not experienced similar patients and will not be able to deal with them correctly at the first time if the condition changes, which will delay the patient's treatment.
The patient was fine and had fallen asleep. Luo Hao checked the ECG monitor every half an hour.
Back at the doctor's office, Luo Hao counted the number of people, ordered milk tea for the doctors and nurses on duty, and then sat at the desk and pretended to read a book. In fact, he was staring at the system panel in the upper right corner of his career, sorting out his gains.
Emergency mission: Bone Hunger has been completed, Luo Hao successfully received the reward experience points and fragments of the diagnostic assistant AI.
I used the diagnostic assistant AI today and it was very easy to use.
Luo Hao glanced at the progress bar. It took 20 fragments to fill up the diagnostic assistant AI.
Luo Hao is also looking forward to seeing what qualitative changes there will be.
As for the "acting skills" that he won in the lottery, Luo Hao had long forgotten about it.
"Is Dr. Luo here?" A voice interrupted Luo Hao's thoughts.
There was a doctor standing at the door, wearing white clothes and a mask.
"Brother Chen! Why are you here?" The obstetrician-gynecologist was so excited that he stood up so fast that his chair almost fell over.
Chen Yong didn't even look at the doctor on duty in the obstetrics and gynecology department. He walked to Luo Hao and looked down at Luo Hao, with his hands in the pockets of his white clothes.
"Hello, my name is Chen Yong, and my master is Dr. Jiang Wenmingjiang from the Department of General Surgery."
"Hello." Luo Hao stood up and extended his hand.
But no hand reached out. Chen Yong looked at Luo Hao coldly, his hands still in the pockets of his white clothes.
"Bed 3-8, a patient with liver cyst. Director Wen said he needs to do a puncture and invites an expert who is a freshman in medicine."
Luo Hao was not offended by Dr. Chen Yongchen's arrogance and let it go. , smiled slightly.
"Let me tell you, if you have any special needs before surgery, please contact me in time."
Chen Yong finished speaking coldly, looked at Luo Hao again, and left the woman. obstetrics.
An inexplicable guy, Luo Hao scratched his head.
"Doctor Xiao Luo, don't worry about it." The doctor on duty at the obstetrics and gynecology department sent Chen Yong away, and came back a few minutes later to comfort Luo Hao.
"Hehe." Luo Hao smiled.
"Brother Chen is like that."
"Why is he wearing a mask? He has bronchitis and can't stand the cold air?" Luo Hao asked.
“Ha!” Speaking of this, the doctor on duty in the obstetrics and gynecology department suddenly became energetic, “Brother Chen not only wore a mask, but also wore a three-layer mask.”
"..." Luo Hao was speechless.
“Brother Chen is so handsome. He wore one layer of mask for surgery, but the anesthetist couldn’t anesthetize the patient even if he gave the normal amount of medicine. Then he wore a three-layer mask, which made it better.”
< br>Fuck!
Luo Hao was surprised, what the hell is this?
“He didn’t do it on purpose, he just didn’t dare to be enthusiastic with others. When he first came here, there were several female patients who had not yet been discharged from the hospital. During the ward rounds in the morning, they prepared flowers for Brother Chen. Even for After saying a few more words, the patient refused to be discharged from the hospital, and the pressure on the bed was severe.”
"It turned out to be so embarrassing. I heard that Director Wen had a very strong opinion of him."
"It's not embarrassing."
"Think about it, after Director Wen's patient was discharged from hospital Give all the banners to Brother Chen.”
Luo Hao laughed.
If you say so, it is indeed quite embarrassing.
The doctor on duty at the obstetrics and gynecology department began to talk excitedly about everything about Chen Yong. In fact, she didn't know much, but her happy and joyful smile had spread, and the whole office was filled with the sour smell of love.
Unrequited love is also love.
Luo Hao is concerned about the diagnosis and treatment of patients with 3-8 beds in the general surgery department. He has an unrequited love for obstetricians and gynecologists, or a love similar to that of a mother fan, and does not want to understand or understand.
It was probably his uncle Lin Yuming who went to the General Surgery Department and "persuaded" Director Wen to let the patient undergo puncture treatment.
Another task was promoted, and Luo Hao was very happy.
...
Lin Yuming was sitting on the sofa at home and talking on the phone.
"Lao Liu, I have considered the situation in our hospital and think it is better to follow the previous plan."
"It's too troublesome." On the phone, Liu Haisen was dissatisfied care.
“It doesn’t matter if it’s troublesome, the important thing is to make sure nothing goes wrong.” Lin Yuming said, “Today is different from the past. Our income is indeed less, but it is better than being grabbed by the pigtails. What do you say?”
"It's not that I feel bad about the tax, Boss Lin, I just find it troublesome. However, I respect your opinion and do whatever you say."
"Okay, hurry up and get it done before the weekend. , We will contact you in the name of the medical office."
The two discussed for a while before Lin Yuming hung up.
"Old Lin, what are you and Lao Liu talking about?" Lin Yuming's lover asked.
“Come and do the surgery with the flying knife.”
"Isn't Lao Liu a doctor in the imaging department? Why do you want to throw a knife?"
"Who said we can't throw a knife in the imaging department."
"Yes, I can, let's see if you can do it." Yes." Lin Yuming's lover said perfunctorily.
"In the future, medical treatment will be mainly minimally invasive, and doctors who cannot keep up with the times will be eliminated. How about our mining hospital? In the past, when the group was rich, all kinds of prosperity happened. Patients took the mine When the film goes to the Imperial Capital, the experts in the Imperial Capital will praise how good your machines are.”
“Look at what’s going on now!”
"What does it have to do with Lao Liu's flying knife?" Lin Yuming's lover asked.
"It does matter, and Xiaoluohao is more concerned about this matter. I think he has found a future direction and is preparing to enter clinical practice."
Speaking of Xiaoluohao, Lin Yuming's lover His face was filled with the light of kindness.
This child has a hard life, but he is also lovable. No one could refuse to help him if possible.
Under questioning from his lover, Lin Yuming told everything Luo Hao had done at the mine manager during this period.
After sorting out the incident and all the statements, Lin Yuming discovered that Luo Hao had grown up unknowingly.
If he were an ordinary clinician, he would definitely be on Lin Yuming's inspection list now to see if he could stay at the mine.
If possible, Lin Yuming wouldn't mind recruiting him as one of his own.
But Lin Yuming was very relieved that his nephew, whom he had watched since childhood, had "unknowingly" reached this point.
No words for a night.
Early the next morning, Lin Yuming came to the mine manager and immediately called Luo Hao to his office.
"Xiaoluohao, do you know what you did wrong yesterday?" Lin Yuming asked.
Luo Hao was not too worried when his uncle called him Xiaoluo and his expression was calm. He didn't seem to be scolding him.
"Director Lin, I shouldn't act like a hero yesterday. Even if I have a definite diagnosis, I should follow Director Sun's wishes and send the patient to the ICU, and then carry out diagnosis and consultation. Do it in the ICU."
Lin Yuming nodded, "It's good to know."
While "teaching" Luo Hao a lesson, he turned on his computer, pulled up a document, put on his reading glasses and looked for something.
Seeing that Lin Yuming didn't let him go, Luo Hao didn't move either. He hung his hands on both sides of his body and looked at Lin Yuming quietly.
A minute later, Lin Yuming picked up the phone.
"Brother Cui, I recently asked a first-year medical expert to perform minimally invasive surgery and observed dozens of patients. The expert performed the surgery very well and the patient walked back to the ward after the operation."
“Yes, I walked back, you can’t believe it.”
"I couldn't believe it, so I watched it for a while."
"The technology is very mature, don't worry. The expert will just give you 2,000 yuan for the consultation fee, which saves us the hassle."
"Okay, okay, I'll do it on the weekend. Are you free today? If not, I'll go to your unit to pick it up...Okay, then I'll wait for you to go through the hospitalization procedures."
After talking about the serious business, Lin Yuming I chatted with the person on the other end of the phone for another two minutes before hanging up.
Luo Hao was puzzled.
Lin Yuming didn't explain, but continued to make the call.
"Xiao Zhou, I am your brother Lin. Don't go to the imperial capital for the matter of my younger siblings. I am here recently..."
Lin Yuming told the matter of inviting experts again. .
“I’m not in a hurry to be hospitalized. I’m still observing the expert’s skills. I’ve seen surgeries done recently that are particularly impressive!”
“Yes, yes, I will ask him to do surgery this week. If there is no problem, you can bring your younger siblings to go through the hospitalization procedures next week.”
Luo Hao was dumbfounded.
What is uncle doing? Why is it so different from what everyone said?
Lin Yuming made four phone calls, then took notes on the computer and left traces in the memo on the phone, and then he breathed a sigh of relief.
He looked deeply at Luo Hao.
"Xiaoluohao, do you know what I do?" Lin Yuming asked.
Luo Hao shook his head, indicating that he didn't know.
“You must not have the intention of harming others, and you must have the intention of guarding against others.” Lin Yuming said, “I hope there will be no extraneous troubles.”
“Uncle, what on earth are you doing? ?”
“I’ll tell you later, just remember it.” Lin Yuming waved his hand, and Luo Hao understood and turned around to leave.
……
Weekend in a few days.
Lin Yuming went to pick up Liu Haisen at the high-speed rail station.
“Boss Lin, I didn’t expect you to have many patients.”
“Isn’t this all because of your arrangement, expert Liu, and the patients agree with it?”
The two were teasing each other.
College classmates have no taboos when talking to each other, unlike talking to other colleagues in the workplace who have to be hesitant.
When you come to the hospital, see the patient first, and then go to the B-ultrasound room for surgery.
As before, Luo Hao has prepared all the things that are needed, occasionally needed, and even barely used but can save lives in the event of an accident.
Deputy Director Liu felt a little regretful after reading what Luo Hao prepared.
He really wanted to get Luo Hao under him, even if it was for further training, but he would have to give him more money.
There are more than one or two people who stay in higher-level hospitals as training doctors, including Luo Hao.
The operation begins.
Same as last time, patients who paid for experts will be operated by Deputy Director Liu, with Luo Hao as an assistant.
Patients who cannot afford or are unwilling to spend money are operated by Luo Hao, with Deputy Director Liu supervising.
A few hours later, the operation was over, and Deputy Director Liu felt a little guilty.
There was less than two weeks between the two "flying knives", and Luo Hao's technical level had steadily surpassed his own. To put it simply, Luo Hao did better than himself.
This money is spent on Luo Hao, Liu Haisen thought to himself.
......
"The operation is done, Director Wen." A family member of a patient came to the office of Director Wen of the General Surgery Department and lowered his voice and said furtively.
"Okay!" Director Wen slammed the table, "Let them walk around without food! Dare to steal my patients? I really don't know how to write the word "death"!!"
(End of this chapter)