Chapter 30: Reaching the Realm
“Hydrogen peroxide?” Lin Yuming asked knowingly, “Director Guohua, I haven’t heard that hydrogen peroxide has any side effects.”
“That’s you No clinical exposure.” Wang Guohua said in a deep voice, "Not to mention my experience, it is clearly stated in the literature that hydrogen peroxide is not allowed to be used abroad."
Lin Yuming concentrated, if this is the case, if something happens to the mine manager using hydrogen peroxide, it must be a major medical issue ACCIDENT.
There is such a thing!
"Director Guohua, could you please tell me more carefully?" Lin Yuming asked sincerely, his attitude completely different from before.
“When I was young, I used hydrogen peroxide or dilute iodine for rinsing. Dilute iodine can cause intestinal adhesion and intestinal obstruction, which has serious side effects, so I am willing to use hydrogen peroxide for disinfection. But research in recent years has found that Hydrogen peroxide may cause air embolism. "
"In so many years, I have only encountered one case. The ventilator started to alarm within 10 minutes of disinfection with hydrogen peroxide, and the patient did not get off the stage." >
“!!!”
“I later searched for information and summarized my experience. Not to mention this, Luo Hao had to use hydrogen peroxide during the operation, so I started to pay attention. It turned out that the process he used was completely consistent with process to minimize risks.”
"Can I not use it?" Lin Yuming asked.
"No? A full stomach, postoperative bacteremia, postoperative severe intestinal adhesions and intestinal obstruction, and a very low probability of air embolism, you choose one."
Wang Guohua directly Lin Yuming's words were thrown back.
Lin Yuming scratched his head.
He wouldn't choose either one, if possible.
"There are many similar small details, and you won't understand even if I tell you."
"Director Guohua, are you overthinking it? Luo Hao has not had an operation for at least nearly two years. This But I saw it with my own eyes.”
“Think too much?” Wang Guohua said with disdain, “Let’s put it this way, I wanted to teach Luo Hao about the whole operation. I can't say a word."
"!" Lin Yuming was stunned.
“It gives me a feeling that the person in the position of surgeon is not Luo Hao, but a professor from Xiehe University. And he is not a cutting-edge young professor, but an old guy who has been doing surgery all his life. ”
"Really?" Lin Yuming was surprised and happy.
"Of course, why did I lie to you? Even if I lied to you, I can't joke about the surgery." Wang Guohua said.
Lin Yuming chirped.
"Your nephew is quite good. No wonder the first-year medical student wants him to further his studies and work illegally."
"Hey." Lin Yuming was even happier than when someone praised him.
"I'm home. Youren is in the hospital. If you need anything, call me." After Wang Guohua finished speaking, he began to change clothes without any thought of continuing to communicate with Lin Yuming.
……
……
Luo Hao stood at the bedside of the patient and watched for a full 20 minutes.
The task of treating constipation has been completed, and the diagnostic auxiliary AI fragments have been obtained. However, the system confirmed that the patient's operation was successful, but Luo Hao was not sure.
Even though the operation was flawless, Luo Hao still stared at the monitor for a long time.
"Luo Hao, do you have obsessive-compulsive disorder? Have you been to a mental hospital?" Chen Yong came to Luo Hao twice and couldn't help but ask the second time.
“No, I just look at it twice more and feel at ease.”
“This is not obsessive-compulsive disorder or something.”
“You can understand it as being serious and treating the patient Responsible.”
"Stop talking nonsense." Chen Yong pulled Luo Hao out. "At midnight, you can order milk tea. This is what the nurse asked for."
As he said that, Chen Yong handed Luo Hao a piece of paper. There are several kinds of milk tea written on it.
"You're not short of money." Luo Hao glanced at Chen Yong, took out his mobile phone and started ordering takeout.
"How dare I buy milk tea for the little nurse? It's safer to have someone like you do this kind of thing. If you order milk tea, call me Nuan Nan."
"What about you? ?" Luo Hao asked.
"I drink Bingmei." Chen Yong ignored Luo Hao's question.
"The order is finished." Luo Hao put away his mobile phone, "Drinking Bingmei in the middle of the night, you don't want to sleep?"
"Why don't you continue to ask?" Chen Yong asked.
“I’ll give you face by asking once. If you say anything unpleasant if I keep asking, I’ll be punishing myself.” Luo Hao smiled, “Actually, coffee and hospital go together really well.”
"In addition to drinking high-calorie milk tea to provide energy, the cows and horses also drink coffee to refresh themselves. Is that what you mean?"
"Every cause must have a fruit. Caffeine ground from coffee fruits creates a cycle of cause and effect. Treat illnesses and save people. This is your blessing."
"Tsk, tsk, this is the first time since Jack Ma that I have heard someone talk about blessings. This word is so refreshing and refined."
The two of them returned to the doctor's office as they spoke.
"Luo Hao, your surgery is so good, why can't you think of going to the medical office." Chen Yong looked casual, but actually asked the biggest question in his heart.
Luo Hao sat on the chair, "Chen Yong, what do you think is the most important thing about being a doctor?"
"Of course it's the doctor's benevolence and his technical level. Just these two points, everything else is crooked." Chen Yong replied without hesitation.
“These are all important, but there is one other thing that is also very important.”
“What?”
“Face.”
“!! !" Chen Yong looked at Luo Hao responsibly, with confusion and disdain mixed in his eyes.
"Humans are not gods." Luo Hao smiled slightly and explained, "My teacher told me that you can't be arrogant in the hospital. If you can't offend others, don't offend others."
"Why are you so greasy at such a young age. "
"You call this greasy?" Luo Hao asked.
“It’s so difficult, isn’t it?”
“Then let me assume a situation. For example, today’s patient went to the ICU after surgery. If the ICU bed is full, what are you going to do?” Luo Hao asked.
"Uh..."
Chen Yong didn't know how to answer this difficult question.
I was lucky today. There happened to be an empty bed in the ICU, and with the phone number from the medical office, the patient was pushed directly to the ICU after the operation.
But what if there is no bed?
If I were to stay in the ward, the nurses in the general surgery department were not good enough. Once I had to put on a ventilator, I wouldn’t be able to figure it out, let alone a nurse.
"Today, whether the ICU has a bed or not, I can admit the patient. It's amazing to add an extra bed. How can Director Qian of the ICU challenge my medical office over such a small matter?"
"... ”
Chen Yong was speechless.
“Don’t say that the example I gave is special, there are even more special ones. If the ICU does not have a ventilator, all machines are in use, and our patients need ventilators, I ask you what to do.”
Chen Yong’s face was expressionless, and his mask seemed to have been frozen and covered with frost.
"You can't help it. I'll make a call and Director Qian can give me an extra bed in the ICU."
"You don't have a ventilator." Chen Yong reminded unconvinced.
Luo Hao smiled, "There are 23 ventilators in the hospital, 16 are in operation now, and 7 ventilators are idle. Ordinary doctors can't adjust them, not even Wen Youren can, but I can."
"Our hospital has 23 ventilators!" Chen Yong was surprised.
"The Medical Department has data. Director Lin will report the operation of the ventilator before leaving get off work every day, so that he is well aware of it. If there is a situation where he really needs to take action, as long as the patient needs a ventilator, he can be there as soon as possible. Coordination to.”
"As for the cost issue, let the directors argue with each other afterwards. It's amazing that my medical department will be the referee." Treatment. Of course, technical level is also important, I have never denied it, but what I said is not greasy."
Chen Yong was a little confused.
He could understand what Luo Hao said, but he couldn't.
"This is the right of the medical office, not face." Chen Yong found the flaw in Luo Hao's words.
"Then let's give another example. Nowadays, patients with difficult and complicated diseases come to the hospital for treatment, and you can't understand. What should you do?"
"Look for my master." Chen Yong replied bravely.
"Dr. Jiang is good, but he can't understand it either?" Luo Hao asked.
"..."
"If it were me, I could sit down with the directors of the relevant departments and study it together. If you still don't understand, the consultation in a few hours will be at a provincial hospital Chief physicians. If you still don’t understand, I will contact the teachers, professors, and directors of Xiehe for consultation.”
"The medical office can't do this."
Chen Yong looked at Luo Hao's sunny smiling face and felt really disgusting!
Possessed by Gang Jing, Chen Yong asked, "Xiehe is not omnipotent, what if they can't understand it?"
"Oh, what if my teacher can't understand it and can't give it to me? If the diagnosis is accurate, he will definitely be interested in this disease. The department for the next consultation will be the MDT team composed of the chairpersons of various domestic professional committees.”
Holy shit!
Chen Yong knew that Luo Hao was showing off unabashedly!
This is showing off! !
Say the most awesome things in a calm tone.
The mdt team composed of the chairpersons of various professional committees, is this the configuration to treat ordinary people?
This is the configuration of the health care group.
"It would be a pity if the diagnosis is no longer confirmed. There is a 30% probability that the disease can be named after the patient."
Chen Yong sighed helplessly.
Different institutions of graduation have different learning processes. Luo Hao has countless things to boast about.
As for myself...
"By the way, you studied as a witch doctor..."
"It's magic, magic!"
"Yes, yes, magic. Can I see a doctor?" Luo Hao asked with interest.
"Okay." Chen Yong said in a daze after being hit by Luo Hao's heavy punch.
“Oh? Give me an example.”
“Jobs came to see a doctor of mine.”
"I'll go! Is Steve Jobs delayed by your teacher?!" Luo Hao was surprised.
Chen Yong was speechless.
Foreigners believe in magic and witch doctors, which is actually the same as domestic belief in folk remedies.
Jobs is a typical example. His pancreatic cancer could have been cured with a high probability, but it was delayed for a long time and he died young.
Luo Hao asked Chen Yong with great interest what he learned when he was in school, but Chen Yong started to work expressionlessly and rejected Luo Hao's inquiry with practical actions.
……
……
Wang Guohua tossed and turned and couldn’t sleep.
"You said you are already old and still go to the hospital for emergency surgery. Are you suffering from insomnia?" Wang Guohua's lover nagged.
She simply stopped sleeping, got up and went straight to the kitchen. "Why are you going?" Wang Guohua asked.
“My friend gave me some Chinese medicine to soothe my nerves. He said it was very useful. I asked your brother not to drink it. If I drank it earlier, wouldn’t there be so many problems?”
“ No!" Wang Guohua sat up suddenly.
"You have a lot of things to do. Let me tell you, Lao Wang, this medicine is very easy to use."
"You know nothing!" Wang Guohua scolded.
"You know! Who do you think would be willing to get up in the middle of the night to get you some Chinese medicine?" Wang Guohua's lover complained.
"Come back and I'll tell you." Wang Guohua's tone softened a little, and he pulled his lover to sit on the sofa. "Most of the medicines that calm the nerves, as long as they are easy to use, contain lead cream."< br>
“What?”
“A kind of traditional Chinese medicine, it’s in the Compendium of Materia Medica, I heard Liu from the Department of Traditional Chinese Medicine say it. The main ingredient of lead cream contains lead, it calms the nerves, soothes the damn mind. , that’s lead poisoning!”
Wang Guohua’s lover was stunned for a moment.
"In the Qing Dynasty, various princes were particularly willing to take soothing decoctions. After taking them, they were really effective! But according to statistics, the average age of princes is 28 years old, and they died before they were 30."
"Is it so scary? ? !" Wang Guohua's lover turned pale, "Old Wang, don't lie to me."
"Why did I lie to you?" Wang Guohua scolded, "I usually don't want to say it, but I didn't expect you to actually do it. The medicine was brought back. If you don’t believe that we have the most powerful doctor in the city, you have to believe those heretics. I don’t know who got into it.”
Although he was scolded a few times, Wang Guohua said. But his lover didn't dare to reply, his face was full of anxiety.
"Go to sleep quickly. I encountered something today, so I just need to take a breather and it will be fine."
"Old Wang, do you think it's okay to eat a little lead?"
Wang Guohua's face suddenly dropped.
After ten minutes of tossing, Wang Guohua took all the medicine and then sat down on the sofa with a straight face.
Seeing that Wang Guohua's face was not good-looking, his lover did not dare to say any nonsense and went to bed honestly.
Although her husband, Mr. Wang, determined after consultation that the traditional Chinese medicine she took would not cause lead poisoning, and even promised to go to the hospital for a test tomorrow, she was still afraid.
Why are there heavy metals in soothing decoctions? Wang Guohua’s lover also couldn’t sleep at night.
Wang Guohua looked at the dark sky outside, thinking about today's surgery.
He and Lin Yuming only talked for three minutes. The reason why Wang Guohua tossed and turned was because he realized that Luo Hao's surgery contained some details that he had not discovered in his haste.
To put it simply, Wang Guohua believed that Luo Hao’s surgery was better than his own!
Do better than yourself!
It's not ercp or laparoscopic surgery, but a radical laparotomy!
When he thought of Luo Hao's "merciless" world, Wang Guohua's eyelids jumped.
Although it is simple, direct and crude, it is the best way to solve the problem.
When I was young, I also tried small incisions, but they all failed without exception, and I had to extend my mouth several times during the operation.
After many operations, Wang Guohua summed up his experience and concluded that when the incision should be made, the incision should be made. In this way, both the surgeon and the patient would benefit.
When Luo Hao came up, he went straight to heaven and earth.
Wang Guohua seemed to have an idea in his mind, but he just didn't catch it.
The sky turned slightly white, Wang Guohua squinted for a while, changed clothes and went to work.
……
……
Three days later.
In the past few days, Wang Guohua has admitted several related patients and is waiting for the day of surgery for surgical treatment.
Director Li of the Department of Gastroenterology gave Wang Guohua the green light. After all, he is a veteran in the hospital, so he needs to be respected at the very least.
Even though Wang Guohua and Wen Youren have a close relationship, Director Li still has to give the old director this face.
At the end of the day, Luo Hao sorted out various information about the patients for tomorrow's surgery day for the last time.
This information needs to be reported to the superior doctor, and Luo Hao is familiar with it.
"You can't have surgery tomorrow. You have to have surgery on the next day. Move in first. There is no reason to be hospitalized today and have surgery tomorrow."
Wang Guohua's voice came in.
Luo Hao looked up and soon saw Wang Guohua walking in, followed by two people.
"Dr. Xiao Luo, this is my new patient." Wang Guohua pointed at the woman behind him and said, "Please take it in."
Although it was hard work, there was no apology or guilt on Wang Guohua's face for the hard work.
He explained the tasks to Luo Hao in a typical tone of superior doctor.
This is normal. How can a doctor get off work on time?
Other industries can rectify their workplaces, get off work on time, and never work overtime, but doctors cannot.
As for hard work, it doesn’t exist in Wang Guohua’s eyes at all. He just talks about it casually.
"Okay, Director Guohua." Luo Hao responded.
"Director Wang, please take a look at me and see what's going on with me." The patient's family members begged in a low voice.
? ? ?
The patient didn’t say anything, but the patient’s family members asked for medical treatment. What’s going on? Luo Hao looked at the man curiously.
"You just have nothing to do." Wang Guohua curled his lips and said scornfully, "Those second-rate and lazy people in the countryside are just like you, they always get dizzy when they work."
Wang Guohua's voice was loud and full of energy, like thunder.
“…” The patient’s family members lowered their heads.
Luo Hao really admires him. There are some words that only an old director like Wang Guohua can say. If it were him, wouldn't he be complained by patients forever?
But...
The faces of the patient's family were full of dissatisfaction and confusion. Luo Hao's first feeling was that he was not pretending.
There is not much useful information now, and there is also a patient admitted to the hospital by Wang Guohua. Luo Hao is not in a hurry and calls the patient over to ask about the medical history.
After receiving the patient, Wang Guohua did not rush to change clothes and go home. Instead, he changed into casual clothes and sat in the doctor's office wearing reading glasses and reading.
His ears were propped up, listening to the conversation between Luo Hao and the patient.
Asking medical history is a science. It may seem simple, but even a veteran surgeon can find it difficult to do it in every detail.
Wang Guohua looked up at Luo Hao from time to time. Luo Hao had a smile on his face, like a spring breeze, and spoke softly. After questioning for more than 20 minutes, he took the patient to the treatment room for a physical examination.
The consultation process took an hour, and Wang Guohua found no problems.
Luo Hao's work is very detailed, comprehensive and perfect. In terms of basic skills, I don't seem to be at Luo Hao's level.
Wang Guohua made an accurate judgment.
Luo Hao arranged a ward for the patient and called the patient's family members to come to the doctor's office to sign.
While typing up the communication record, Luo Hao asked, "You get dizzy when you work. When did you start?"
"I forgot the specific details." The patient's family members whispered while peeking at Wang Guohua.
"Are you feeling uncomfortable while working? Don't be nervous, let's just chat." Luo Hao smiled slightly and lowered his voice.
It was a bit strange for two grown men to whisper, but Luo Hao still followed the wishes of the patient's family members and kept them from letting Wang Guohua "know".
“As soon as I start working, I will start to feel dizzy within 5 minutes. I feel weak all over, especially my arms. I can’t use any strength at all.”
As the patient’s family members spoke, they began to move subconsciously. Click the left arm.
"Reach out your hand and let me see."
The patient's family members extended their right hand.
"No, it's your left hand that feels uncomfortable. Besides, men are on the left and women are on the right."
? ? ?
The patient’s family members have questions on their foreheads, is this young doctor serious?
Luo Hao ignored the mood of the patient's family and put his finger on his radial artery.
Wang Guohua raised his head, his eyes widened, a little unhappy.
Isn’t this nonsense? If Luo Hao doesn’t take in patients well, why did he chat with the family of the patient who was too lazy to work and did a “physical examination”?
Besides, if he had done a serious physical examination, he wouldn't have said anything. A Western doctor actually took the pulse of the patient's family!
Wang Guohua was very unhappy.
However, the next second, Luo Hao didn't care about the male left and female right mentioned just now, and put his hand on the radial artery on the patient's right side.
"Have you gone to the hospital to see a doctor?" Luo Hao asked.
“I’ve been there and the doctor said I’m not sick.” The patient’s family members were a little distressed.
He had been ignored by many doctors, but now that a young doctor was treating him, he felt even more...unreliable, even a little funny.
Because Luo Hao put his hands on both of his wrists, as if a child was playing a game.
"Let's go, I'll take your blood pressure."
"Dr. Xiao Luo, hurry up and write the medical record." Wang Guohua was very unhappy. He closed the "History of the Ming Dynasty" with a "pop" and said angrily.
"Director Guohua, he may have a small problem." Luo Hao did not listen to Wang Guohua's words, but answered seriously and firmly.
"Huh?" Wang Guohua raised his eyebrows.
He stood up doubtfully, "I'm going to see what the problem is."
If it were in the past, Wang Guohua would definitely have scoffed at Luo Hao's statement, thinking that it was just a young doctor looking for trouble.
But after experiencing several things, Wang Guohua's perception of Luo Hao changed.
This young man is brave and careful, and his surgery is as good as his own.
Wang Guohua even had some self-doubt. Isn’t this man a lazy guy from the countryside?
After a second thought, Wang Guohua smiled.
As soon as I start working, I feel tired, dizzy, my head hurts all over my body, and my stomach hurts. Isn't this a typical second-rate person?
I have seen a lot of people like this myself!
Let’s see what Luo Hao says.
Wang Guohua became interested and followed Luo Hao and the man to the nurse station with his hands behind his back.
Luo Hao took out the mercury sphygmomanometer and started measuring his blood pressure.
The blood pressure of the left upper limb was 70/40 mmHg, and the blood pressure of the right upper limb was 130/75 mmHg!
The pulse pressure difference reaches 50 mmHg.
Although Wang Guohua did not bring a stethoscope and his eyesight was a little blurry, he could still see the subtle fluctuations of mercury from a distance, and he immediately realized that there was a problem!
Is it a mezzanine? !
As soon as the idea came to him, Wang Guohua was sweating profusely.
Mezzanine is a serious problem! The difference in pulse pressure between the two upper limbs reaches 50 mm Hg, which indicates a high possibility of dissection!
"Have you been injured before?" Luo Hao asked slowly.
"Dr. Xiao Luo, patient..." Wang Guohua said hurriedly.
But he only said a few words and swallowed the rest.
Luo Hao can sense the difference in pulse pressure between a man's upper limbs through pulse counting. Doesn't he know about dissection?
If he is not in a hurry, he must have a reason not to be in a hurry.
(End of this chapter)