Chapter 27 It happened by chance
"If you have anything to do, go ahead and do your thing. I will write the medical records for you." Luo Hao said with a gentle and honest smile.
"No." Chen Yong put on a mask, "Come with me, I'll treat you to dinner."
"???"
Luo Hao had a question mark on his face .
"When you go out, just think of it as doing me a favor."
Luo Hao was infinitely curious, changed his clothes and went out with Chen Yong.
“I’m going on a blind date.”
After going out, Chen Yong no longer concealed it and said bluntly.
“Huh? Don’t you have a girlfriend?”
"No."
"Where's the one who delivers the food?" Luo Hao asked.
He felt that Chen Yong was a typical scumbag.
“First of all, that’s not my girlfriend, she’s been chasing me. Secondly, I’m not a scumbag.”
Chen Yong seemed to have read Luo Hao’s heart. When Luo Hao said anything, he denied it.
"Haha." Luo Hao smiled.
"What kind of attitude do you have!"
"Haha."
Chen Yong wanted to say something, but when he thought that he had something to ask Luo Hao, his attitude became a little loose. .
"I'll go on a blind date later. I'll call you in half an hour and you can come in and see me."
"You know it's not suitable before you even read it? If it's not suitable, just don't go."
"The task given by the website."
"???" Luo Hao's world and Chen Yong's world It was definitely different, he couldn't understand Chen Yong's words.
"I am a VIP of a blind date website. The website gives me a membership fee of 300,000 yuan a year."
"Wait!" Luo Hao interrupted Chen Yong, "You said the opposite. Well, you should pay a membership fee of 300,000 yuan a year. Where do you get so much money?”
Chen Yong looked at Luo Hao like a country bumpkin with disdain on his face.
“It was the website that begged me to give me money to become a VIP.”
“!!!”
“But I have to go on blind dates 20 times a year, really. What the hell." Chen Yong sighed, "It's not easy to make some money. You think I, a great doctor, have to rely on blind dates to make a living? "
Why? Did it involve the medical office? Luo Hao thought for a while and immediately understood what Chen Yong meant.
This guy is just a trustee, a trustee for a blind date website.
He was embarrassed to say it clearly, so he started to find faults with himself.
"Your side job... is really creative." Luo Hao sighed.
"If I don't go, someone will go. At least I won't cheat money or sex. Well, I can comfort myself. By the way, doesn't your medical office claim to think about doctors in everything? When will you improve it? What about the income?”
Is it all the fault of the Medical Department? Luo Hao knew that Chen Yong was excusing himself and laughed.
"The annual salary is 300,000, which is really high."
"My income on the website is marked as 350,000 per year. Apart from the 300,000, I only earn 50,000 in the hospital. How do you do that? ." Chen Yong said without thinking.
"Let's go." Luo Hao was a little curious and drove Chen Yong straight to a hotel in the city center.
Arrived at the entrance of the hotel, Chen Yong got off the car and Luo Hao found a parking space by himself.
Luo Hao saw a girl about 1.65 meters tall standing at the door of the hotel from a distance. Chen Yong went up and chatted with her for a few words.
It should be a blind date.
It looks pretty good, but the quality of the hotel is a bit high and the cost is not cheap.
Luo Hao suddenly remembered those jokes about evading the bill. Could it be that Chen Yong was looking for him to evade the bill.
If you can’t do it, just buy the order yourself, Luo Hao thought to himself.
But unexpectedly, the two of them did not enter the hotel, but went to a lottery shop next to them side by side.
What is this for?
Luo Hao suddenly felt a little bit interesting.
A few minutes later, the two walked out of the lottery station, talking and laughing.
Chen Yong took off his mask, and Luo Hao saw a sincere smile on his face for the first time.
This girl is amazing! Luo Hao carefully looked at the girls next to Chen Yong.
Although the system does not explicitly digitalize vision, nor does it have any enhancements, Luo Hao always feels that his vision is better than before.
Although it was far away, Luo Hao could still see that the girl next to Chen Yong was not glamorous, but she was very approachable.
The two walked to the nearest spicy hot pot restaurant and went in to eat.
That’s it?
Luo Hao didn't know what they had experienced and was a little confused.
More than twenty minutes later, the two of them came out of the Malatang shop without waiting for Chen Yong to call. After waving goodbye, Chen Yong stood there for a long time, watching the girl disappear before returning to look for Luo Hao.
"What have you done?" Luo Hao asked in confusion.
“This girl is interesting.” Chen Yong smiled, very happy.
"Oh? What do you mean?"
"Generally, on a blind date, you have to eat a big meal. I'm not afraid of that. In the past, there was a website that reimbursed me within a thousand yuan. Hey, VIP treatment?”
"Keep it simple and talk about the key points." Luo Hao was too lazy to listen to Chen Yong's ramble.
“The most outrageous time was when the woman called six or seven people...there was nothing we could do. This time the girl made an appointment at a big hotel, but it turned out she meant to make an appointment at a landmark so we could meet.”
"Then you..."
"aa, thirty yuan per person to buy scratch tickets. How much does it cost to meet for the first time? If we really win the jackpot, we will have a big meal."
"How much did you win?" Luo Hao asked.
Chen Yong glanced at it and said, "You really don't understand the point. Shouldn't this method be special? Money is not the point, not the point!"
"So, you guys ate Malatang?"< br>
“It’s okay, it’s quite delicious.” Chen Yong answered the question.
Luo Hao only found it interesting and didn’t know what was good about it.
Back at the hospital, the underground parking lot has been locked and cannot be entered.
Winters in the Northeast are extremely cold. When underground parking lots first came into existence, many people didn’t use their cars in the winter and used the hospital’s basement as a heating warehouse, making it impossible for people who drove to work to park.
So the hospital later stipulated that vehicles should not be driven out for 48 hours, and parking qualifications were directly cancelled, and the basement was only accessible from 4 p.m.
Managing people is the most difficult thing. There are always people looking for loopholes and taking advantage.
Parking the car at the entrance of the inpatient department, Luo Hao was about to get out of the car when his cell phone rang.
[As the saying goes, a man is a boy until he dies...]
"Your cell phone ringtone is really similar to my master's cell phone ringtone." Chen Yong said.
Luo Hao answered the phone.
"Xiaoluo, Mr. Nie's equipment will be donated to charity tomorrow morning." Lin Yuming's voice was full of exhaustion.
"Oh, thank you for your hard work, uncle."
"Why do you sound like a leader." Lin Yuming said dissatisfied.
"Hey, uncle, what do you say?"
"I'm just letting you know that the manufacturer is afraid that you won't be able to perform the surgery, so they even hired technical experts from the province to come over and put pressure on them."
"Oh, I understand, thank you, uncle."
Lin Yuming was speechless.
I informed Luo Hao, but it looked like a report.
"You second-generation doctors are really lucky." Chen Yong said sarcastically, "There are people paving the way and building bridges, so you don't have to worry about anything."
"And the most critical point." Luo Hao did not refute, but added He said, "There are some difficult choices. Elderly people have rich experience. At least they can give some constructive suggestions after seeing how others make them."
Chen Yong's eyes widened and he looked at Luo Hao.
Is my sarcastic tone not enough? Or are you saying that what you said was not straightforward enough?
That’s not possible!
"You are really thick-skinned. You are a model of not being ashamed but proud." Chen Yong praised.
“To be honest, for example, when I took the college entrance examination, I wanted to study medicine. My uncle told me that studying medicine was meaningless unless I could get into the 8-year combined master’s and doctoral degree program offered by Peking Union Medical College.” Luo Hao Smiling slightly, "By the way, Chen Yong, what score did you get in the college entrance examination?"
"..."
Chen Yong cursed in his heart.
"Does the patient need laser lithotripsy? I think Director Guohua is full of confidence." Chen Yong started to change the topic with an expressionless face.
"Need." Luo Hao did not continue the previous question, but answered affirmatively, "But you still have to listen to the old director Guohua."
"I really don't understand, since you think... ..."
"I don't think it's important. The hospital has rules and regulations, and the opinions of superior doctors must be implemented. If every lower-level doctor feels that he is right and does it according to his own ideas, there is a three-level ward round system. Is it still necessary to exist?”
“Uh~”
“Besides, not everyone is as good as me. Believe me, not everyone can study for a master’s degree and a Ph.D. in eight years at Xiehe University. Passed the exam." Luo Hao said lightly.
"..."
Chen Yong was confused by Luo Hao twice in succession and fell silent.
Go back to the hospital and continue writing medical records.
There are no emergencies today and it’s very quiet. Luo Hao quickly finished his work and went home. After washing, he lay on the bed and entered the system operating room to start surgical training.
Early the next morning, Luo Hao came to the hospital.
After getting off the elevator, Luo Hao saw several people in suits and ties standing in the lobby.
"Hello, Mr. Nie." Luo Hao smiled and stretched out his hand to shake Director Nie's hand.
"Dr. Luo, according to your wishes, I brought the laser lithotripsy equipment. Because I didn't know which one you used when you were at Xiehe, I brought all the equipment on the market. "
"It's hard work."
"You are welcome, you should do it. It is really hard for you to provide medical support at the grassroots level." Director Nie said politely to Luo Hao. With.
"When will the procedures be completed?" Luo Hao asked.
"Today." Director Nie said with certainty, "Director Lin has done a lot of work overnight. We will definitely complete the task today and will not delay tomorrow's operation." As long as the operation is not delayed, Luo Hao After confirming with Director Nie, he went to change clothes, see patients, and started a busy day.
Wen Youren was "hospitalized" to recuperate, and the old director Wang Guohua naturally took charge of the work.
Almost all doctors in the general surgery department don’t think there is anything wrong.
Wang Guohua was very concerned about the upcoming operation. Instead of going to Wen Youren's director's office, he spent a day studying information in the doctor's office.
Faced with difficult surgery, Wang Guohua showed a convincing rigorous and serious attitude before surgery.
No words for one day, and early the next morning, the patient was sent to the operating room.
It seems that Wang Guohua went to bed very early last night and was full of energy. But facing a major surgery, a second and difficult surgery, he was much more silent than before.
It seems that he is introverted and ready to devote all his attention and energy to the surgery.
After all, he is an old man in his sixties and has limited energy.
"Old Director Guohua, I haven't seen you in a few years, and I miss you so much!"
Entering the operating room, the director of the anesthesiology department warmly greeted Wang Guohua.
In order to show respect for Wang Guohua and the importance he attaches to today's surgery, the best anesthesiologist was arranged.
This was not enough. Director Xu of the Department of Anesthesiology had been standing in the operating room to observe.
"Youren is ill. There have been too many people leaving in Corey over the years. I will take care of them for a few days." Wang Guohua replied.
The real reason cannot be hidden from an old man like Director Xu, but he will not expose it, so he will keep the matter vague and chat with Wang Guohua about home affairs.
After brushing his hands and taking the stage, Wang Guohua personally ordered the generals and asked Luo Hao to be his assistant.
Standing in the position of Yishu, Luo Hao was not nervous. He had been practicing this operation in the system operating room for a while, and he could be said to be familiar with it.
As soon as Wang Guohua stood in the position of the magician, his momentum alone firmly suppressed Wen Youren. Luo Hao had never seen a magician with more momentum than Wang Guohua in the mine.
This is tempered by thousands of surgeries, and it is tempered by thousands of successes or failures.
“Turn down the lamp.” Wang Guohua whispered.
The anesthesiologist behind him had already moved a footstool, waiting for Wang Guohua's words.
"Director Guohua, I haven't heard from you for a long time that the light is right." The anesthesiologist skillfully turned the spotlight rod of the shadowless lamp.
Wang Guohua requires the lights to be calibrated before every operation. This is a habit. Even if there is no problem with the lights and focus, he has to do it again.
Everyone is familiar with it.
“I haven’t had an operation for a long time, and I don’t know if my hand is alive or not.” Wang Guohua said lightly, and then stretched out his hand.
Pliers held the iodophor gauze and patted it into Wang Guohua's palm.
The person handling the table is a capable nurse who is in her mid-thirties and has worked with Wang Guohua in the past.
After disinfection, wipe with dry gauze and cut the skin with a dermatome.
Electrical cautery is used to stop bleeding and is applied layer by layer into the abdomen.
Wang Guohua’s movements were very steady, accurate, simple and clear, and it didn’t look like he had not had surgery for several years.
Just like before, he steadily opened the abdominal cavity step by step and began to explore the liver.
There was very little bleeding in the pre-step. Luo Hao judged that Wang Guohua's surgical level was around level 4, which was similar to his own.
It’s really awesome!
Especially since Wang Guohua had not had surgery for several years, he could still show such a high surgical level, which amazed Luo Hao even more.
In less than half an hour, Wang Guohua stopped during the laparotomy.
"Director Lin."
"Director Guohua, I'm here." Lin Yuming responded from the side, "How is it?"
"The patient's condition ...There is some trouble." Wang Guohua frowned, "There is a stone that is very deep and cannot be removed."
Lin Yuming glanced at Luo Hao.
Luo Hao told him about this the day before yesterday.
At that time, Lin Yuming subconsciously believed that Luo Hao's judgment was correct, otherwise he would not have gone through the charity donation procedure in such a hurry.
“Partial liver resection may be necessary. I told the patient’s family before the operation and signed a signature. The medical office took a look at it to see if it was necessary to further communicate with the patient’s family and sign.”
Lin Yuming breathed a sigh of relief. Instead of being nervous, he said easily, "Director Guohua, the medical office has made various preparations before the operation."
"Okay, let's prepare for partial liver resection. Luo Hao, have you prepared the blood?"
"Director Guohua, listen to me." Lin Yuming saw Luo Hao was about to speak and immediately took Wang Guohua's hand. huatou.
"Huh?" Wang Guohua raised his head and looked at Luo Hao with his eyes like a knife.
Although he didn't speak, the murderous aura was already coming out.
“The medical office considered that some unexpected situations might occur during the patient’s stone removal surgery, so they made some preparations in advance.”
"Ready?" Wang Guohua was surprised.
“Laser lithotripsy.”
“Our mine always has equipment?”
“We didn’t have it before, but there happened to be a company making charity donations, and we just finished it this morning. The procedure is available now.”
Wang Guohua was silent.
"Director Guohua, your opinion must be the main consideration, but before performing partial liver resection on the patient, can you give it a try? What if..."
"Why bother with the equipment!" Wang Guohua angrily rebuked, "Who is willing to do partial liver resection if we can do lithotripsy? I applied for it for several years but was not approved. How could it be such a coincidence this time?"
" Director Guohua is very lucky. He has treated patients all his life and has been blessed. Everyone around him is blessed. Not only us, but also the patients are blessed." Lin Yuming flattered him stiffly.
Wang Guohua said nothing and looked at Luo Hao with a frown.
"Luo Hao, can you do laser lithotripsy?" Wang Guohua asked without hesitation.
"Director Guohua, the blood is ready, 800ml of red blood cells and 1000ml of plasma." Luo Hao first answered Wang Guohua's previous question, "Partial liver resection can be done at any time, and the ICU bed is also prepared. When explaining before the operation, I specifically used the medical department's I have made a special statement with the patient’s family, so you can rest assured.”
Wang Guohua’s expression was solemn, exposed between the sterile cap and the sterile mask.
“I can do lithotripsy, and the manufacturer has invited a relevant expert from the province to help. We can give it a try first, and if it doesn’t work, we will change the technique immediately.”
"Gravel!" Wang Guohua said without hesitation.
Normal intrahepatic bile duct lithotripsy also needs to be done through laparotomy or laparoscopy. Just now, Wang Guohua’s surgery just became a preoperative procedure.
Nothing superfluous.
The equipment for laser lithotripsy was already ready. Director Shi, a first-year medical student, came in and chatted directly with Luo Hao.
"Doctor Xiao Luo, what you did is quite big."
"Harm, Teacher Shi, you see what you said." Luo Hao said politely.
Wang Guohua was sitting in the corner of the operating room. Hearing what the first-year medical expert said, his eyebrows raised involuntarily.
It is indeed Luo Hao!
“Since the beginning of the anti-corruption campaign, the connection between us and the manufacturers has been severed.” Director Shi said with a smile, “I studied several guide wires at that time, but before the manufacturers could make it, it was It’s completely gone.” (Note)
“This is the first time in the past few years that I have been invited by a manufacturer to go to another hospital. When I saw Director Nie, I knew it was your idea.”
Director Shi said with a smile.
"It happened, it happened."
"Can you perform lithotripsy surgery?" Director Shi asked.
"Yes."
"Then you do it and I will check it for you. Don't worry, I know what I know."
Director Shi is very relieved about Luo Hao, plus The "man" behind Luo Hao seemed to have a profound background. He intended to make a good relationship, so he made a smooth favor.
Holmium laser intrahepatic bile duct lithotripsy is not difficult. Director Shi was a little nervous at first and silently watched Luo Hao's operation.
But within 5 minutes, the lithotripsy was over, and the two unremovable stones embedded in the left intrahepatic bile duct were shattered. They were taken out bit by bit after being flushed with warm saline, and he finally relaxed.
"Dr. Xiao Luo, there was a society here a few years ago. If you have time, come and join it." Director Shi said.
"Is it endoscopic?"
"Well, I invited an international big shot to give a lecture and do a demonstration operation."
Luo Hao's eyes suddenly It lit up.
Demonstration surgery!
This is a good opportunity to learn new techniques.
Although it is much more convenient now than more than ten years ago, many techniques have videos on site b. If it involves prohibitions such as blood and gore, animation will be used instead.
But animation is just animation after all. It would be nice to explain the principle. To really learn something, you have to see surgery.
The boss is not only good at surgery, he has a lot of surgical experience in his mind. Just saying something casually during a chat may make a future "medical accident" disappear into nothingness.
"Okay, Teacher Shi!" Luo Hao responded.
"I knew you would definitely agree." Director Shi said, "Have you participated in the society?"
"When I was in school, the teacher took me to participate in some societies, and I helped the teacher I have prepared speeches and ppts.”
Tsk.
Director Shi sighed.
Look at people.
“This time the big boss is going to do a demonstration operation, and several doctors in our province will also perform the operation. If you have no objection, I will submit your name.”
“ This is not good." Lin Yuming stopped him immediately.
“What’s wrong, Dr. Xiao Luo is very good!” Director Shi said, “He was my assistant last time I did ercp. I’ve already felt it.”
While talking, Luo Hao had already removed all the stones from the patient's intrahepatic bile duct.
"Director Guohua, that's it." Luo Hao raised his hands flat in front of his chest, turned around and came to Wang Guohua, who was sitting in the corner, and said respectfully.
"Can you tell me how to do it?" Wang Guohua asked directly.
"Yes."
"Then let me help you, come on." Wang Guohua stood up and stood directly in the assistant's position without further explanation.
Luo Hao didn't refuse. Originally, his level was comparable to Wang Guohua's, and he would do whatever he wanted.
As for the relationship between Wang Guohua and Wen Youren and other matters, they are no longer within the scope of clinical treatment, and Luo Hao will not consider them.
The difficulty of the operation is to remove the "old" old stones stuck in the bile duct deep in the liver. No matter what method is used, as long as the stone comes out.
The remaining steps are simple.
Luo Hao has a thorough and meticulous approach to indwelling the "T" tube. The surgical procedure is the same as one taken from a textbook. The procedure is standard, clean and quick.
"Ronaldo's surgical performance is also very good." Director Shi stood behind Luo Hao and praised, "It's no worse than some of the professors over there. Surgery can be done to this extent. When I was in school, No less careful. ”
Wang Guohua's expression was serious, and while he was earnestly assisting Luo Hao in the operation, a "weird" thought came to his mind.
……
Note: I don’t know about other hospitals. Our department looks for guide wires customized by manufacturers for some rare cases. Emmm, it’s gone now.
(End of this chapter)