Chapter 20 I gave you a chance but you didn’t use it
“I won’t say much else. They are all our old mine managers. Everyone here is my senior. You can see the changes in these years. . "
" Talking about medical treatment, talking about treating diseases. Director Wen, you are a famous doctor at the provincial level. It’s hard to understand that the medical records written by the old director are gathering dust in the medical record room. I think there are several reasons, one of which is!”
Said Luo. Hao paused for a moment and looked around at the doctors attending the meeting.
At this moment, all the directors and attending physicians in the lecture theater were in a daze.
Standing on the podium, Luo Hao is so young. Although his words are heartbreaking, his smile is still sunny.
The look in his eyes just now was completely different from everyone's inherent understanding of Luo Hao. Everyone seemed to see the shadow of Lin Yuming in Luo Hao.
No, he is sharper than Lin Yuming when he was young, and even as sharp as Director Lin who is now mature and feared.
“The old director was worried that the patient would have complications after surgery, and complications would occur many years later when he had retired or even was no longer alive. So! He was afraid that the junior doctor could not write the operation records well, so he wrote them by hand himself , record the key points of the operation at that time.
If the patient develops complications in the future, the treating doctor will be able to deal with them in a targeted manner. "
After speaking, Luo Hao looked at Wen Youren, "The old director taught me the surgery step by step, why didn't Director Wen learn the old director's caution and seriousness? "
At this point, Wen Youren's face turned from red to black.
Luo Hao smiled, "Director Wen, calm down. Now let's go back to the case. To be fair, The Medical Office believes that Director Wen's opinion is correct. ”
???
! ! !
Everyone except Lin Yuming was confused by Luo Hao's words.
Pointing at Wen Youren’s nose and scolding him, he almost had his family’s ancestral graves raised. In Wen Youren’s family tree, it was written that Luo Hao’s visit here was just as bad as Sun Monkey’s peeing.
But Luo Hao turned around and said Wen Youren's opinion was right!
What is Luo Hao doing?
What is the medical office doing? !
“For cesspool syndrome, surgery was the first choice in the past, but now, times have changed.”
“ERCP+ESD surgery is the first choice.”
With that said, Luo Hao turned around and looked at Lin Yuming.
Lin Yuming slowly put down the enamel jar in his hand.
"Bah~"
He sighed softly and spit out the tea leaves in his mouth.
"Everyone has heard the diagnosis and treatment opinions of the medical office. Do you have any different opinions?"
Lin Yuming asked.
It was quiet in the lecture theater.
Luo Hao had just given out the basis for diagnosis, differential diagnosis, and final diagnosis. He was well-founded and even brought out the surgical records handwritten by the old director in order to prove his correctness.
Opinions?
No comments.
Who dares to have an opinion!
Some people have already lowered their heads, holding mobile phones in their hands, searching for content related to cesspool syndrome on CNKI.
Lin Yuming waited for a few seconds and then said slowly, "ERCP has not been implemented in our hospital. We bought the equipment a few years ago, but there is a shortage of people. Director Wen, Director Li, you two, please tell me, should the patient stay in the hospital?" General surgery or gastroenterology?”
Wen Youren’s face turned the color of pig liver.
"Director Lin, please stay with us." Director Li stood up and said, "The gastrointestinal endoscopy room itself is under our control, and the business is similar. It was my fault that this patient was sent to the general surgery department. I'm here to apologize to Director Wen."
Director Li just finished speaking and turned to apologize to Wen Youren.
Lin Yuming's words have made it very clear that whoever takes this patient will be responsible for carrying out ERCP surgery in the future.
Normally, Director Li might think about it and weigh the pros and cons before making a decision.
But he had just been scolded severely by Wen Youren, and he was full of anger. The medical office helped him to scold Wen Youren back, and he must catch this cake.
Even if it is not a cake but a weight, Director Li is willing to do it as long as it makes Wen Youren feel uncomfortable.
"Where is Director Wen?" Lin Yuming asked calmly.
Wen Youren was silent, with a wonderful expression on his face.
Seeing that Director Wen was silent, Lin Yuming knocked on the table and arranged many subsequent matters.
"It turns out that the medical office has already found an expert who is a first-year medical student..."
In the lecture theater, a responsible doctor lowered his voice in surprise and said to his director.
The director looked solemn and looked at Lin Yuming, who was holding an enamel jar, and his lips moved.
"Director, the Medical Office is hanging Director Wen up and beating him."
"So what." The director said in a voice that only he could hear.
"Huh?"
"Old Wen is not honest in his work. No wonder the medical office is so ruthless. After more than ten or twenty years of running rampant, he finally hit a wall."
"How will Director Wen meet people in the hospital from now on."
"You don't know how to treat a doctor, so why blame others? For us doctors, food is the original sin!"
In the lecture theater, there was a buzz of discussion. The doctors were talking quietly while looking at Lin Yuming and Wen Youren.
Lin Yuming's arrangement was very simple, and he announced the adjournment of the meeting in less than two minutes.
In a unique hospital-wide consultation, the directors of each department turned into monkeys, and Wen Youren was the chicken that was killed.
The meeting was over and everyone left.
"Old Wen, wait a minute." Lin Yuming greeted with a smile.
Wen Youren saw Lin Yuming greeting him with a smile as if nothing had happened. The knife under the smile pierced his chest, and he almost had a heart attack on the spot.
Lin Yuming is not a good person at all. He hides his knife behind his smile, and when he really stabs himself, he will hit him hard.
The most important thing is that after he stabbed himself, he still called himself Lao Wen with a smile, as if nothing had ever happened.
"Old Wen." Lin Yuming walked to Wen Youren holding an enamel jar, "Originally, I was planning to let the general surgery department take over the ercp, and the gastrointestinal endoscopy department will be shared by the two departments. After all, it is In the surgery department, if there is an accident, we need emergency treatment."
Director Li felt as if he had been whipped on the back and was shocked.
"It's a pity that you didn't use the opportunity given to you."
Lin Yuming patted Wen Youren on the shoulder and left with regret.
If I give you a chance, you will fail!
These words were like a sledgehammer hitting Wen Youren's coronary artery.
Eighty~
Eighty~~
Eighty~~~
Dong~dong~~dong~~~
Wen Youren's eyes were dazzled and he almost fell down.
Precordial angina and difficulty breathing, Wen Youren felt that his three coronary arteries were spasming at the same time.
......
......
"Xiaoluohao, you did a good job discussing the case."
In the office of the medical director, Lin Yuming was generous with his praise.
“It’s okay, I always did similar things when I was in school, I’m used to it.”
"But some things are better for an old guy like me to come forward. You can be a little gentler. Just now, it was a bit sharp. It was too offending. I should be the one to say the curse words." Lin Yuming said.
"I have thought about it, but it feels useless. I have already broken my skin, and there is no point in worrying so much." Luo Hao said calmly, "And Wen Youren encouraged the patient's family to sue Mr. Liu who flew the knife. This kind of I can't accept this. If I don't scold him, my heart will be unstable."
Lin Yuming looked at Luo Hao up and down, holding the enamel jar in his hand, smiling without saying a word.
“By the way, uncle, I have something to report to you.”
“Say it.”
"Our mine has equipment for ERCP surgery, but not the consumables."
"I'll contact Director Shi and ask him to bring it."
Luo Hao nodded, not mentioning that he and What Mr. Yin told me.
Just to make up for it, Luo Hao has always been cautious, cautious and low-key in doing things.
"Uncle, the last sentence you said almost made Director Wen suffer from a heart attack." Luo Hao said with a smile.
"To tell the truth," Lin Yuming said, "If the cardiac surgery department doesn't do interventional surgery, then the circulatory department does it. If the general surgery department doesn't do gastrointestinal endoscopy, then the gastroenterology department does it. The boundaries between internal medicine and surgery and surgical and non-surgical departments are becoming increasingly blurred. I think you know better than me. Times are different.
It was possible to see clearly twenty years ago, but what age are we in now? ”
Luo Hao nodded.
Wen Youren was indeed given a chance, but he failed.
“That sentence also tells the directors of other departments that there will be opportunities in the future, and I hope they can seize them.”
"Uncle, prepare..."
"There is too much pressure on medical insurance. The treatment of many diseases cannot rely on the previous path. Now you have to change even if you don't want to, and you have to change even if you don't want to."
"It's useless to complain, just try another way. The earlier you change, the better days will be longer. As for the future, who knows. Maybe one day the United States will suddenly become more than a dozen countries, and our Maybe life will be better. "
Well, the responsibility lies with the United States, Luo Hao thought with a smile.
……
...
"Master, you didn't go to the hospital-wide consultation. Director Lin is so awesome!!" Chen Yong said to Jiang Wenming with excitement on his face.
“Haha.” Jiang Wenming looked at the outline in the document and smiled absently.
"I didn't expect that Master, you were right. Director Lin is not a coward, but looks for opportunities to give Director Wen a hard blow."
"I saw it." Jiang Wenming said, “I just finished the meeting and I received a lot of WeChat messages.”
"Ah?"
"I have worked in the hospital for more than ten years, and I have a few bad friends. They told me." Jiang Wenming smiled, "This little guy Luo Hao is quite interesting."< br>
Speaking of Luo Hao, Chen Yong fell silent.
Only this time, his neck was a little soft and unrestrained.
“I made a ppt in such a short time. It was well-founded and well-founded. Director Wen was speechless. This was a crushing of basic medical knowledge and a dimensionality reduction blow. Director Wen had a bad temper. Well, Luo Hao pointed at his nose and scolded him, it was really fun!”
"By the way, Chen Yong, have you gone to the Internet cafe with Luo Hao?"
Chen Yong grimaced and shook his head.
"Luo Hao doesn't play games. He is more miserable than you, Master."
"Am I miserable? Otherwise, I would live a more comfortable life." Jiang Wenming said, " Besides, how can young people not play games... So how is your relationship with Luo Hao?"
Chen Yong felt bitter when he remembered that he had just scolded Luo Hao in the fire escape.
"You." Jiang Wenming knew his little apprentice, and he sighed, "Trust me, go find Luo Hao and try to join his medical team."
"He is still in the medical office, where is he? There is a medical team."
"Just be stubborn." Jiang Wenming looked away from the document and looked deeply at Chen Yong, "First, the cyst was punctured, and then Director Lin vigorously promoted ercp. I guess it’s caused by too much pressure on medical insurance.”
“This is a good opportunity. When I was young, I didn’t have such a good thing. You have to be prepared. It's a pie, otherwise... what did Director Lin say? "
"You will not use it if I give you a chance."
! ! !
Chen Yong was stunned.
Why is there something of my own here?
Opportunity, is this an opportunity?
……
...Three days later, the patient's condition stabilized after anti-inflammatory and symptomatic treatment.
Lin Yuming contacted Director Yi Shi of the Medical University to perform the surgery.
Because the mine boss only had machines and no consumables, Director Shi took the manufacturer's sales team to Donglian City.
It was normal a few years ago to sell flying knives with manufacturers. With the deepening of medical anti-corruption, very few people do this anymore.
Director Shi and the factory manager were sitting in the high-speed rail business cabin, and he felt awkward all over.
If he hadn't been thinking about Luo Hao, Director Shi would definitely not have come. At most, he would have left a bed for the patient to come to the provincial capital for medical treatment for Liu Haisen's sake.
After getting off the train, Director Shi saw Luo Hao's sunny smile.
The anxiety along the way disappeared.
Luo Hao is a really good kid, no matter how you look at him, he is pleasing to the eye.
"Hello, Teacher Shi." Luo Hao came forward.
He took a look and took Director Shi's backpack instead of picking up the trolley case sold by the manufacturer.
"Xiao Luo, how are you preparing?"
"Teacher Shi, the last time our mine manager did ercp was 5 years ago. We also hired a professor, and he only did one case. . Everything is ready now. If you have any requests, we will do our best." Luo Hao replied.
Director Shi knew that Luo Hao's basic skills were quite solid, and he had communicated with him in the group for a long time. The patient's information was detailed, and he had surgical indications and no contraindications.
Luo Hao is worried about consumables.
"I brought the manufacturer's sales." Director Shi whispered, "It's just this one time, it won't be the same in the future. If people grasp this, it will be difficult to explain in the future."
"Okay. "Okay, Director Shi, don't worry," Lin Yuming said.
Director Shi found it funny to treat a disease and perform an operation like a thief.
He and Lin Yuming chatted for a few words, and then pulled Luo Hao into the car.
"Ronaldinho, come and set up the stage for me today, and let me see how good you are."
"I've never done it." Luo Hao replied modestly.
Lin Yuming's face looked a little ugly.
Ercp surgery is first performed with an endoscope, and x-rays are also required during stone removal.
If it was Luo Hao's request, Lin Yuming would definitely deny it without hesitation, and then hang Luo Hao up and scold him.
But this was Director Shi's request, and there seemed to be other implications behind the request.
So Lin Yuming said nothing.
"Never done it? I don't believe it." Director Shi laughed, "I have read all the pre-operative preparations, they are very detailed. If the doctors under me were as careful as you, I would go to the temple on the first day of the new year Burning incense."
"..." Lin Yuming was stunned.
He did not expect that Director Shi would give Luo Hao such a high evaluation.
"If it weren't for you, I wouldn't have come to do the surgery." Director Shi said frankly, "If you say it's about treating illnesses and saving lives, in other people's eyes, it's all medical corruption. Forget it, don't talk about it, just prepare for the surgery. Please help me when the time comes.”
“Okay, Teacher Shi.”
Luo Hao didn’t show any pretense and agreed.
"Ronaldo, we have little contact, but there is one thing I still want to say, let's just say we have a simple relationship and a deep understanding."
"Teacher Shi, you are too polite, I am so kind Young people definitely need the guidance of senior teachers.”
"Are you playing games?" Director Shi asked a nonsensical question.
Luo Hao was stunned for a moment, and then replied, "Play."
"Do you want to watch the League of Legends game?"
"Look."
"In 2018, the IG team won the championship in the League of Legends S8 competition held in Incheon, you know."
"Cross this mountain and they will hear your story."
Luo Hao immediately understood what Director Shi was going to say.
Lin Yuming and the manufacturer's salesperson were all stunned.
"Everyone treats illnesses and saves lives. This is true, but with great ability comes greater responsibility." Director Shi was even more satisfied with Luo Hao. It was really effortless to talk to smart people.
"I don't know why you didn't stay in the Imperial Capital and returned to Donglian City. But after you cross this mountain, they will hear your story."
Director Shi warned.
“Thank you, Teacher Shi.”
“You’re welcome, please contact me if you have any ideas.” Director Shi said, “If you feel worried, you can go through the further training procedures first and get used to it in your first year of medical school. "By the way, what is the scope of your practicing certificate?"
Luo Hao scratched his head, "Teacher Shi, I have 7 practicing certificates."
"! ! ”
Director Shi was shocked.
He stared at Luo Hao carefully, as if he was seeing this young man for the first time.
There should be countless stories behind 7 intermediate certificates and 7 scopes of practice.
I just said it casually - after you climb over this mountain, they will hear your story. Unexpectedly, Luo Hao is really a young man with a story.
“Okay, okay! Okay!!”
Director Shi said three good words in a row.
Lin Yuming was also a little surprised. If Luo Hao was said to be sophisticated, he would not believe it anyway.
But other than that, there is no reasonable explanation.
"Depending on what you mean, the doctor's platform is still very important." Director Shi glanced at the manufacturer's sales and said reservedly, "Now not only are doctors unwilling to deal with more people from manufacturers, but manufacturers also don't want to deal with them. I’m willing to interact with doctors more.”
“After all, I want to avoid suspicion.”
"To put it bluntly, if you want to find another doctor in the province to go to Donglian City to perform surgery with manufacturer sales and consumables, it is basically impossible. Why can I do it?"
"Platform and technology "Luo Hao said, "Teacher Shi's platform and your skills are all needed by manufacturers."
"Yes, you can't leave either one," Director Shi said, "Climb this mountain. , they will hear your story. Donglian City is too small, you can easily get over it."
Luo Hao nodded thoughtfully.
Seeing that Luo Hao did not give a clear answer, Director Shi was not in a hurry. Lin Yuming was more attentive than Luo Hao and asked questions from the side, but Director Shi changed the subject.
When you come to the hospital, see the patient first as usual.
Many experts and professors arrive at the hospital with patients already lying on the operating table, but this is not compliant and is somewhat risky.
Seeing the patient before surgery is a must.
After several days of symptomatic treatment, the patient's condition has improved. After seeing the patient, Director Shi took people to the operating room.
Luo Hao helped Director Shi put on his lead clothes, and Director Shi went to wash his hands.
When Luo Hao was putting on his lead clothes, Lin Yuming walked to the dressing room and looked at Luo Hao seriously.
"Lead scarf, lead hat."
"..." Luo Hao helplessly looked at the passive ability of [Energy Transformation], feeling helpless.
Because Lin Yuming did not allow Luo Hao to perform interventional surgery, he had not had the opportunity to try it during this period to see if this passive ability was useful.
Director Shi asked today. Lin Yuming did not say no, but still asked Luo Hao to dress neatly before taking the stage.
Luo Hao did not try to talk back to his uncle Lin Yuming, but carefully put on his lead hat and scarf.
"Director Lin, don't worry so much." Director Shi said, "The operation is very fast, and the time to take the thread is within 5 minutes."
"Haha." Lin Yuming said dryly He smiled without any compromise.
Luo Hao walked into the operating room under the watch of Lin Yuming.
The gastroscope passed smoothly through the esophagus and gastric cavity, and found the main rt in the duodenum. The rt was in the shape of rt (that’s what the surgical record said...there are also other shapes, so I won’t describe it in a long way), and the opening was Stomach villous.
Luo Hao stood next to Director Shi, looking at the position of the mirror on the screen, not missing Director Shi's movements from the corner of his eye.
As soon as Director Shi raised his hand, Luo Hao handed the imaging catheter into his hand.
The movements were so smooth that Director Shi paused, as if the frame was stuck.
After inserting the contrast catheter, 30% diatrizoate meglumine was used for imaging and bile duct imaging.
Took an The shadow can be moved.
Luo Hao used his remaining surgical training time to try treatment. The patient had stones in his intrahepatic bile duct.
The images once again prove the reliability of the system.
Out of the corner of his eye, he saw Director Shi reaching out again, and Luo Hao handed the pull-type incision knife that he had prepared long ago into his hand.
It is as if Director Shi has a pull-type incision knife in his hand, and the movements are smooth and smooth, as if Director Shi is a great magician, and the pull-type incision knife will appear when needed. The knife disappears when needed.
"Ronald Luo, look inside." Director Shi knows what he needs and has it just as soon as he raises his hand, which proves that Luo Hao's level is very high, so he appreciates Luo Hao's attitude even more and speaks kindly to him.
"There is a stone stuck in the common bile duct." Luo Hao said.
"There are not many people in the province who can take out the stones." Director Shi looked at the screen with a smile, "I am one of them."
Luo Hao will wait and see.
Director Shi stretched out his hand, and the three-claw basket fell into his palm.
He didn't even look at it, he weighed it and frowned.
"Ronald, I don't want this, give me one..."
Halfway through the words, Director Shi realized that he was not doing the surgery at home, but at the Mine General Hospital in Donglian City.
The smooth operation stopped and Director Shi looked back at the sterile table.
Only the three-prong basket net stone remover!
He thought for a while, raised his hands in front of his chest, and turned around to find the manufacturer he brought to sell.
I glanced over, but saw no one.
The smooth operation was forcibly terminated, and a trace of anger flashed on Director Shi's gentle face.
"Director Lin, ask Xiao Wei to come in." Director Shi said firmly.
Lin Yuming understood that the operation encountered difficulties and might require special consumables. He did not adhere to the rule that the consumables supplier could not enter the operating room, so he turned around and called for someone.
Soon, the manufacturer sales brought by Director Shi came in.
"Xiaowei, skylite takes the stone basket net." Director Shi said.
The salesman was startled for a moment. He opened the trolley case and looked for it one by one.
Director Shi didn’t hear the salesman’s answer to him, but he already understood that this guy didn’t bring Skylite to get the Stone Nets.
This is the most annoying thing when flying knives in other places.
The various equipment and consumables are not easy to use, and now I am not allowed to bring someone from the manufacturer, so if something goes wrong, the operation will not go smoothly.
MD!
Director Shi cursed in his heart and his face became even uglier.
Three-claw basketball nets can also be used, but that will cause the difficulty of the operation to suddenly increase, and there will be countless unpredictable risks.
“Didn’t you bring it?” Director Shi asked unhappily.
"..." Sales responded to Director Shi's question with silence.
The good-tempered Director Shi was about to curse when suddenly a clear voice came.
"Teacher Shi, if you want to use skylite to get a stone basket net, I may have the necessary supplies."
(End of this chapter)