Chapter 22 Old Yin Bi
“Hey, that’s too much.” After watching the girl leave angrily, Luo Hao complained softly, “What you just said gave me goosebumps, and then you used me as a shield to say If it's so disgusting, don't blame me for being rude."
"I said you can't take off the mask, but you don't believe it." Chen Yong didn't care, and started to jerk off, looking like he wasn't surprised.
Luo Hao really didn’t expect Chen Yong’s mask to have this meaning.
“It’s hard for you mortals to understand my troubles if you are not good-looking enough.” Chen Yong said lightly.
"..."
"When Cameron was filming Titanic, the male lead originally chosen was not Lao Li. Did you know?" Chen Yong suddenly asked something far away.
Luo Hao shook his head and looked at Chen Yong carefully. He looked nothing like Xiao Lizi.
“During the interview, all the female colleagues ran out to watch Lao Li. When he was young, Lao Li’s appearance could still compare with mine.”
“Uh. ..." Luo Hao was speechless.
"Lao Li was still little Li at that time. When he came, all the women on the set began to become nymphomaniacs. Cameron did not stick to his own point of view and chose to believe in the aesthetics of the majority of women."
"Then what? ?" Luo Hao asked.
"I'm telling you with examples, some things are there when they are born, and if they don't exist, they don't exist. There are some things that you just can't understand."
Luo Hao lowered his head While eating kebabs, the children next to me sat obediently, with the slap marks on their faces very conspicuous.
I really wanted to slap Chen Yong, but Luo Hao’s hand was a little itchy.
It can be seen that Chen Yong wants to find a topic, but his topic is jerky and boring.
After finishing the meal, Luo Hao scanned the QR code to pay the bill. After leaving the Pinyang BBQ, he asked, "What happened to you today?"
The words were a bit vague, but Chen Yong understood.
The mask moved, and finally a thousand words turned into a sigh, "I'm not used to talking to men."
"!!!"
Luo Hao really wanted to kick Chen Yong hard before [Energy Conversion] disappeared. This guy looked like he really deserved a beating.
[As the saying goes, a man will remain a boy until he dies, but why should a boy worry about this...]
The phone rang.
Luo Hao picked it up and looked at it. It was Lin Yuming calling.
Get on the phone immediately.
"Luo Hao."
A serious voice came from the other side of the phone, Luo Hao was awe-inspiring.
There must be something going on at the hospital, otherwise when my uncle calls at this time, the first sentence he should call me is Xiaoluohao.
【A patient with intestinal obstruction is considered to have intussusception. 】
“How old are you?” Luo Hao asked.
"42."
"!!!"
Intussusception is common in children, and it is easier to get it at that age, just like the naughty children you meet while eating.
Intussusception in adults is generally accompanied by malignant tumors.
“We are doing enhanced CT, please take a look.”
Lin Yuming's words were very strong. They were not discussing with Luo Hao, but informing him.
"Okay, I'll be there soon."
Hang up the phone, Luo Hao didn't ask why, but hurried to the CT room.
As soon as we arrived in the CT room, there was a chaotic sound inside.
Did the patient die suddenly? !
Luo Hao's heart tightened, and at the same time, a "ding dong~" mission prompt sounded in his ears.
[Emergency mission: benign or malignant
Task content: Accurately diagnose the cause of intussusception, benign and malignant, and successfully surgically treat it.
Task time: 8 hours.
Task reward: 10,000 experience points, auxiliary diagnostic AI fragments x 2. 】
The mission appeared, but Luo Hao was not happy.
I am not the director of the department, so it is not my turn to perform the surgery.
Even if he takes the initiative to ask for help, both Lin Yuming and the director of the relevant department will refuse.
Sometimes the atmosphere of "seniority ranking" in the medical system is so strong that it almost becomes an ideological stamp. There is certainly reason and logic in this, but for Luo Hao, this kind of rule is bad news.
The system issued another impossible task.
Despite this, Luo Hao still hurried into the CT room.
But something unexpected happened. Luo Hao saw a scene he had never dreamed of.
The person lying on the ground is not the patient, but... Director Wen Youren Wen.
Wen Youren covered his chest with his hands, his face turning the color of pig liver.
Lin Yuming was on the phone, asking someone from the emergency department to come immediately.
What's going on?
“Tah, just pretending.” Chen Yong whispered contemptuously behind Luo Hao.
Pretended?
Luo Hao glanced at the CT screen. The patient's enhanced CT scan had come out.
Ai Luo Hao can give a clear diagnosis without the need for auxiliary diagnosis - intussusception + space-occupying lesion.
The image showed that there was a 6cm long slender structure in the intestinal lumen with uniform fat density and clear edges, suggesting intestinal lipoma.
"Director Lin, I'm here."
Luo Hao said immediately after seeing Lin Yuming finish the call.
As he spoke, he looked at Wen Youren lying on the ground.
Wen Youren's face turned the color of pig's liver and his lips were slightly cyanotic, but it didn't look like he was having a heart attack.
After all, holding your breath may cause your face to change and the color of your lips to change, but sweating profusely is difficult to fake.
On this point, Luo Hao agreed with Chen Yong - Wen Youren was deliberately pretending to be ill.
But why did Wen Youren do this?
I fell to the ground in public. After a while, the electrocardiogram showed that there was no problem. How did Wen Youren explain?
"Watch the movie first and don't worry about Director Wen's emergency treatment." Lin Yuming said solemnly.
Soon, the 120 emergency doctor came over and sent Wen Youren directly to the Department of Circulation Medicine on a stretcher.
After another full half hour, Lin Yuming came back with a sullen face.
"Luo Hao, what do you think?" Lin Yuming asked.
"Space-occupying lesions in the intestine are considered benign." Luo Hao replied.
“Benign? Are you sure?”
"Not sure, you know, only pathology is the gold standard. Before the pathology results come out, any definite statement is a lie."
"..."
Lin Yu Ming hated this typical way of doctors explaining their condition.
He would say this even when it was his turn.
"Luo Hao, I want a positive answer."
"I think it's benign, but it requires the gold standard of pathology." Luo Hao said, "Director Lin, Director Wen..."
"He suspects it is a malignant tumor. He is not qualified enough to do it, so he will be transferred to a higher-level hospital." If there is not enough time, intestinal necrosis will definitely occur, so just pretend to be dead."
Lin Yuming said harshly.
Pretend to be dead, this word is really vivid.
Lin Yuming only said the "best" guess, and there was an even worse guess. Lin Yuming was afraid of teaching the children badly, so he didn't say it.
Luo Hao did not discuss Wen Youren's matter. He didn't care about the dirty tricks of those old villains. Instead, he began to contact the teachers in the imperial capital to give a correct and definite diagnosis.
Lin Yuming looked at the busy Luo Hao and felt at ease.
Luo Hao is the bridge between mine managers and higher-level hospitals to obtain high-end medical care.
Since Luo Hao came back, he can just leave some things to him, and there is no need to worry about it himself.
High-end medical care is important to everyone.
Without Luo Hao, the vice president would be out of reach for him.
Soon, Luo Hao finished communicating with teachers from related majors in Imperial City, who agreed with Luo Hao's diagnosis - considering that the space-occupying lesions in the intestines were lipomas.
After the diagnosis was confirmed, Lin Yuming's face did not look any better.
"Director Lin, the diagnosis has been made clear and emergency surgery is needed immediately." Luo Hao suggested.
"Hey!" Lin Yuming snorted coldly, with a frosty look on his face.
Luo Hao was a little confused.
"No one in the general surgery department can perform intestinal resection except Director Wen." Chen Yong pulled Luo Hao's clothes and whispered a "secret."
"!!!" Luo Hao was surprised.
“Director Wen kept all the more advanced surgeries in his own hands, and no one else could touch them. Because of this, at least three doctors were forced to leave.”
“ Director Lin, does the Medical Department have nothing to do with this kind of thing?" Luo Hao asked.
"There are no rules within the department, and there are no complaints from patients' families. The director feels that his doctors cannot perform high-level surgeries, so how can I take care of it."
When are intestinal resections and anastomoses considered high-level surgeries? level of surgery? Luo Hao said he didn't understand.
"That's it, I'll contact you immediately and find a doctor who can perform the surgery." Lin Yuming said absently.
During the hospital-wide consultation, the medical office pointed at Wen Youren's nose and sprayed him with scolding words. It was great, but it did make Wen Youren feel resentful.
Lin Yuming also didn't expect that this guy would use surgery, treatment, and the patient's safety to threaten him. He was thinking about a response plan in his mind, and dug up the ancestral graves of Wen Youren's family thirty-six times.
However, Lin Yuming was not in a hurry. He was never afraid to speculate the worst about others. Lin Yuming had already prepared a response to Wen Youren's actions.
The patient has intussusception and there is a problem with the intestinal blood supply. Intestinal necrosis will occur if the operation is slightly delayed.
At that time, not only 10cm of intestine will be cut, but 1 meter of intestine is normal.
Mb!
Lin Yuming cursed in his heart.
Wen Youren is really nothing!
Luo Hao frowned slightly and followed Lin Yuming out quickly.
"Uncle, if you can't find anyone, I can do it."
"Huh?!" Lin Yuming looked back at Luo Hao in surprise, "Little snail, human life is at stake, don't make trouble "
Luo Hao took out a bunch of papers from his pocket, flipped through them, found one and handed it to Lin Yuming.
It is a copy of the intermediate certificate with the scope of practice on it.
"It's no use just having a scope of practice, you also have to have that technical level."
As soon as he finished speaking, Lin Yuming fell into deep thought.
If puncture and solidification of ovarian cysts and liver cysts is simple and not considered surgery at all, and it’s okay if Luo Hao can do it, then ercp is not simple.
It can even be said that there are definitely no more than 50 doctors in the province who can complete ercp.
Although Luo Hao didn't finish it by himself, Director Shi spoke highly of Luo Hao...
Maybe it can be done?
No, no, no, this matter is too serious. Even if Luo Hao is not practicing medicine illegally, Lin Yuming doesn't want to take the risk.
"Uncle, it can be like this." Luo Hao was very clever, especially when something went wrong. His whole body was running at high speed like a CPU, and he was glowing. He found and persuaded Lin Yuming in an instant. way.
"What?" "I'll take Chen Yong to open his abdomen first, open it and reset the intestines. If you can do it, do it. If you can't, just cover it with warm saline gauze. In this case, you can find a rescue operation. There is no need to rush for ten or twenty minutes.”
“???”
“!!!”
This is indeed a perfect solution.
"I have the qualifications for surgery, and there is no legal problem. I will solve the urgent need first, and other things are not important."
Lin Yuming made a quick decision. He made a fist with his right hand and hit it on the palm of his left hand.
"Okay!"
"Uncle, who are you going to find?"
"Old Director Guohua." Lin Yuming said deeply as he strode away. He said in a loud voice, "He is Director Wen's master, and he led Director Wen to undergo surgery twenty years ago. But the old man is old and may not arrive so soon."
Luo Hao nodded.
"One more thing, we have offended Wen Youren very badly. If the old director of Guohua doesn't understand and is grumpy on the operating table, you can hold back any grievances you have to me."
Luo Hao continued to nod.
Whether he feels wronged or not is one thing. Luo Hao doesn't care. It's serious to have the surgery done first.
With a slight delay, the patient will have to cut out an extra meter of intestines.
In comparison, my own grievances are really unimportant.
The diagnosis was clear, preoperative preparations were completed, and medical treatment was proceeding in an orderly manner.
……
In the single room of the Department of Circulation Medicine, Wen Youren was lying on the hospital bed with his legs crossed.
"Old Wen, what are you doing today?" Wen Youren's lover didn't understand and asked impatiently, "You lie down on the ground in front of so many people. You don't think it's embarrassing, but I do. Shameful."
"What do you know?" Wen Youren said scornfully, "Today's patient needs an operation to cut off the intestines and then anastomose it. Let me tell you, this is no exaggeration. No one in Donglian City can do it. Even if I do it, the success rate is not high.”
"Why do I remember that this was a minor operation when the old director Guohua was here?" Wen Youren's lover asked doubtfully, "When we eat together, I always hear you say that when we meet patients in car accidents, their intestines are smashed. You're full of shit, and you're just a shit picker or something like that."
"Hey." Wen Youren looked up with a proud expression, "Everyone who can do it has left. I've suppressed the doctors below in the past few years. Don't let them do it. Jiang Wenming, how many times have I tried to do this surgery? What the hell, a monkey wants to jump out of my Wuzhishan?"
"Xiao Jiang still wants to do it. That’s right, why don’t you let him do it?”
“Teach the disciples to starve the master to death,” Wen Youren said, “Just like this time, Lin Yuming, an old dog, did it in front of everyone in the hospital. His face turned gloomy to me. I would like to see who he would ask for surgery if he encounters an emergency."
Wen Youren's lover looked unbearable.
"Don't worry, I won't really skip the operation." Wen Youren said, "I will put on an intravenous drip when I get on stage. Lin Yuming will definitely be his grandson this time, hahaha!"
said When he was proud, Wen Youren burst into laughter.
"He must be inappropriate."
"You don't understand." Wen Youren waved his hand, "Those who work in the clinic have all been brainwashed by treating diseases and saving people. They are all very stupid."
< br>Wen Youren’s lover was stunned.
"I'll rest for a while. Then I'll go to the operating room with my intravenous drip. Lin Yuming will have to kneel down and beg me!"
...
Fifteen minutes later.
The patient has been positioned properly, and the anesthetist has completed the anesthesia. He looks at Luo Hao and Chen Yong undergoing surgery, his eyes full of worry.
"Chen Yong, where is your master?" the anesthesiologist asked.
"I'm at home." Chen Yong said weakly, without any energy at all.
"Lao Wen is sick. The only one in your department who can cut the intestines is your master. Ask him to come!" the anesthesiologist suggested.
"Brother Guan, do you remember there was a car accident the winter before last year? You were also anesthetized. At that time, I had just returned from the UK to enter the clinic and performed the first rescue."
Luo Haoshu Lift the ears.
Chen Yong is still an international student in the UK? Which pheasant university is it?
"Remember, Lao Wen drank too much that day and couldn't get on the operating table. Your master cut out the intestines and then performed an anastomosis. To be honest..."
When the anesthesiologist said this, he glanced at the operating room. Air tight door.
There was no one outside, it was quiet.
"Your master is better than Director Wen. The surgery is not fast, but he is very precise and quick. How can he be like Lao Wen? Mr. Guohua has taught so many surgeries step by step. The result is Some common surgeries were not performed well. "
"Just because my master did it, Director Wen found a reason to suspend him from his job as a teaching secretary the day before the patient recovered and was discharged. "
"Huh? Is this why he became a teaching secretary?"
"Well, I guess so." Chen Yong gritted his teeth and said, "Now if my master dares to go on stage, he won't even be able to leave the clinic tomorrow."
"Tsk tsk..." The anesthesiologist was speechless.
He turned to look at Luo Hao and said helplessly, "Then you can't take Ronaldinho for surgery."
Chen Yong was startled for a moment. There was some skin between the mask and the hat. Hong, after holding it in for a few seconds, said humbly, "I am an assistant and Luo Hao's junior doctor."
"!!!"
"!!!"
The anesthesiologist, circulating nurse, and equipment nurse were all stunned. The two nurses who were counting had forgotten how many they had counted and couldn't believe it. looked at Chen Yong.
"Ronaldo, have you ever had a similar operation?" the anesthesiologist asked in surprise.
"I have done it. I did dozens of cases when I was in school." Luo Hao replied while getting dressed.
go to school.
The anesthesiologist sighed inwardly.
Does that count?
The current mine hospital no longer has the same enthusiasm as it did more than ten years ago. Back then, the mine hospital was the number one hospital in the eastern region of the province, and it was only slightly worse than the three affiliated hospitals of the Medical University in the province. , almost all are far ahead of other hospitals.
But now, all kinds of smelly fish and rotten shrimps...
well.
The anesthesiologist made no secret of his disappointment and sighed deeply.
Luo Hao stood on the operating table, the shadowless lamp light was a bit white, and the white was dazzling.
This is like a stage, there is no applause, only endless responsibility.
Luo Hao didn’t have any artistic ideas. After looking for the place to open the skin, he stretched out his hand and whispered, "Disinfection."
Pat the iodophor gauze over.
The force was a bit strong, and Luo Hao knew very well that the instrument nurse was dissatisfied with him as the surgeon.
However, Luo Hao didn't care. Instead, he raised his head, narrowed his eyes, and gave the equipment nurse a smile.
After disinfecting the surgical area with iodophor gauze, Chen Yong wiped it with dry gauze. Luo Hao stretched out his hand and said, "Knife."
A scalpel was slapped in the palm of Luo Hao's hand.
Use the pen-holding method to incise the skin and press dry gauze on the surgical incision immediately.
After the electrocautery stops the bleeding, blunt dissection is started.
After writing the time on the anesthesia record sheet, the anesthesiologist looked up at the values on the ECG monitor and ventilator, then lowered his head to continue writing the anesthesia record sheet.
But he said "Hey", put down his pen and stood up, looking from the patient's head to the surgical area.
When it’s time to write a record, have you started peritoneal protection? !
Anesthesiologists know what they are doing, and it is not uncommon for surgeons to enter the abdomen so quickly, but it should never happen to a surgeon who is doing surgery for the "first time".
He stood behind Luo Hao with his hands behind his back, staring at the surgery area.
Luo Hao has already protected the peritoneum, gently incised it and extended it with blunt scissors.
After completely opening the abdominal cavity, Luo Hao picked up the large curved retractor, dipped it in warm salt water to open the abdominal wall, and handed the retractor to Chen Yong.
"The backhand should be higher." Luo Hao warned.
Chen Yong rarely spoke and was obviously a little nervous, but he cooperated well and exposed his skills quite well.
The incision is well chosen, the surgical field is well exposed, and the area of intestinal torsion is clearly visible.
"Intussusception is rare in adults. Can't we give him an air enema?" The anesthesiologist only took a few glances before his attitude towards Luo Hao changed.
In surgical departments and clinical departments, technology should speak for itself.
As long as people don’t fuck up, the higher their skills, the more they will be admired.
What's more, Luo Hao also had a +1 bonus from peer admiration given by the system, so the anesthesiologist's attitude changed from cold to gentle.
“Looking at the film, there is a space-occupying lesion in the patient’s intestine, but it is not considered malignant. The initial diagnosis is a benign lipoma.”
Luo Hao said.
The anesthesiologist covered his head with his hands and wailed, "Is there anyone from the pathology department?!"
"Director Lin asked the director of the pathology department to do intraoperative freezing. The machine has been started." Luo Hao Dao.
"Director Lin is sleeping at home, right?" the traveling nurse asked angrily.
Finding a "novice" to perform the surgery in the middle of the night, everyone in the operating room had objections to Luo Hao. If it weren't for the bonus of being admired by her peers, I'm afraid the traveling nurse would have been beaten and beaten.
"No, Director Lin went to the old director Guohua's house to ask the old director to come forward." Luo Hao replied while stroking his intestines and untying the intussusceptible intestines.
That’s it!
The atmosphere in the operating room suddenly became cheerful.
Luo Hao was only responsible for the preliminary preparations, and all subsequent surgeries were performed by the senior director Guohua.
That’s good!
That’s good! !
"It's too bad I didn't tell you that the old director of Guohua was coming." The circulating nurse moved a high stool for the equipment nurse so that she could sit down and rest at any time, and she also sat on the stool in the corner. " Ronaldinho, I thought you were the one doing the surgery.”
"I'm just responding to an emergency." Luo Hao smiled, "Find the location first and solve the intussusception to prevent too much intestinal necrosis. When the old director Guohua comes, he can cut the intestines directly and freeze them during the operation. It's okay. For children, the intestinal anastomosis will be done and it will be over in half an hour.”
The atmosphere in the operating room was more cheerful.
The previous depression was gone.
“Where is Director Wen?” the equipment nurse asked curiously.
"Director Wen suffered a myocardial infarction and was hospitalized in the Department of Circulation Medicine."
"Old Wen usually seems to be in good health, but why is he so brittle? He collapsed in a hurry to undergo surgery. "The circulating nurse said with a smile, "The white body has grown so big"
The circulating nurse knew a little about the rumors in the hospital, so she quickly winked at the equipment nurse because of the sudden "myocardial infarction".
Luo Hao ignored everyone's opinions about Director Wen, and after loosening the intestinal tube, he touched it for 30 seconds, "It should be fine, warm saline gauze."
"Here it comes!" The equipment nurse said briskly Agree.
It is necessary to cover the intestine with warm saline gauze to determine whether there is intestinal necrosis.
This is just enough time to wait for the old director Guohua to come to the rescue.
"Chen Yong, are you studying in the UK?" Luo Hao gently placed his hands on the gauze pad protecting the peritoneum and looked at Chen Yong.
"Yes." Chen Yong nodded.
"Which school?"
"..." Chen Yong was silent.
Luo Hao is a little strange. Even if Chen Yong graduated from a certain pheasant university, he shouldn't be embarrassed to say it.
"Hahaha, Xiao Chen is awesome." The anesthesiologist knew the details and laughed, "You can't even guess what he studied."
"Isn't he a master of medicine?" Luo Hao asked.
"Have you seen Harry Potter?"
"???" Luo Hao was full of questions. Chen Yong studied abroad. Is it possible that he can still go to Hogwarts?
Isn’t this nonsense?
"The University of Exeter in England."
(End of Chapter)