Chapter 31 The second phase of the mission with generous rewards
"Don't worry, I'll give you a checkup first." Luo Hao comforted the man gently.
The man did not expect that he would actually be sick. He would feel dizzy whenever he worked. Not only other people, but even the man himself thought it was due to laziness.
"Doctor, I can't die."
The man seemed to be joking, but his smile was stiff and he was obviously a little scared.
"It's not a big problem if you find it." Luo Hao smiled slightly, "Follow me, I'll take you for a check-up."
"What check-up?"
The man and Wang Guohua said in unison asked.
"Vascular ultrasound, temporarily consider it to be a vascular problem in the subclavian artery."
Subclavian artery? Vascular occlusion?
Wang Guohua was silent.
Although he has rich clinical experience and high surgical skills, he is only limited to general surgery, and he only knows most of the clinical fields.
Wang Guohua didn’t know much about the subclavian artery that Luo Hao mentioned.
He did not dare to comment, fearing that he would be exposed.
The old director still wants to lose face. If he really wants Luo Hao to fight back, what will he do?
"Doctor, what happened to me?" the man asked worriedly.
He never expected that when he asked casually, something really happened.
“Have you ever seen Chinese medicine at home?” Luo Hao suddenly asked.
"I have seen it. The old Chinese doctor here said that I have no pulse."
"Yes." Luo Hao nodded, "I met a patient who was 78 years old. I felt for a pulse when it was delivered, but I didn’t feel it, so I thought he was dead.”
"Uh..."
"But the patient was obviously still breathing, so I quickly asked my teacher to check. Later, my teacher touched the patient's carotid artery, which is this location on the neck."
Luo Hao pointed to the location of his carotid artery as he spoke.
"There is blood pressure, but it doesn't mean that there is no pulse. It's just that I can't feel the pulse on my wrist."
"What's going on?" the man asked.
Wang Guohua also pricked up his ears and listened carefully.
"Generally speaking, this situation may be aortic dissection or subclavian artery steal syndrome."
"What?" The man was stunned.
Not only the man, but also Wang Guohua was stunned.
Subclavian steal syndrome? What is that?
Wang Guohua's pace slowed down and finally stopped at the corner, instead of following Luo Hao to perform an ultrasound on the man.
He hid in the corner and quickly took out his mobile phone. Before he forgot the diagnosis given by Luo Hao, he entered the diagnosis in Baidu search.
It really does!
Wang Guohua began to study carefully.
Subclavian steal syndrome refers to partial or complete occlusive damage to the proximal segment of the subclavian artery or the origin of the vertebral artery of the brachiocephalic trunk, causing siphoning of the affected side. The blood flow in the vertebral artery is retrograde and enters the distal end of the subclavian artery on the affected side, causing ischemic attacks of the vertebral-basal artery and ischemic symptoms of the affected upper limb.
This disease can cause symptoms of cerebral ischemia or upper limb ischemia.
The description in Baidu is basically similar to the situation of men. Simply put, it means that the pulse cannot be felt, and it is aggravated after activity. It is generally more common in the elderly, unilateral, and rarely bilateral.
Wang Guohua held the phone blankly, as if he wanted to absorb every word on the phone.
Every word he said to the man not long ago echoed in his mind, and Wang Guohua was a little ashamed.
I don’t know how to treat patients. These four words were the most filthy words used by doctors of his era to scold their colleagues.
There is nothing worse than scolding someone.
At this moment, Wang Guohua felt that he really “doesn’t know how to treat a doctor.”
An old face turned red from suppressing it. After being in a daze for a long time, Wang Guohua slowly walked to the B-ultrasound room.
“The diagnosis is relatively clear. There is plaque in the subclavian artery. Not many middle-aged people suffer from this disease. Based on the medical history, I think it occurred after the fracture two years ago.”
“ Doctor, what should I do?”
"Go to the vascular surgery hospital and install a stent where there is plaque."
The conversation between Luo Hao and the man reached Wang Guohua's ears.
Is it clear? So fast.
It was said that vascular color Doppler could not be done at night, so Wang Guohua was filled with doubts.
But he did not suspect that Luo Hao was lying. Luo Hao's sunny smile naturally carried the power of trust.
Could it be that he happened to catch up with the superior doctor before he got off work?
Wang Guohua walked over and saw the patient was getting dressed, and he looked around.
Except for the doctor on duty, there was no one else in the B-ultrasound room.
"Director Guohua, who are you looking for?" the doctor in the B-ultrasound room asked.
“Who performed the patient’s vascular color Doppler ultrasound?” Wang Guohua didn’t hide anything and asked directly.
"I did it." Luo Hao walked up to Wang Guohua with a smile as usual on his face, "Director Guohua, the diagnosis is relatively clear, it is left subclavian artery steal syndrome. I have recommended the patient to go to the vascular department for continued treatment. ”
“You?”
“Hmm.”
“You can do color ultrasound of blood vessels?” Wang Guohua was stunned.
Color ultrasound of ovarian cysts and liver cysts and vascular color ultrasound are two different things.
Being able to do it is completely different from evaluating vascular ultrasound to give a definite diagnosis.
“I understand a little bit.” Luo Hao replied modestly.
“…”
Wang Guohua fell silent.
"Director Guohua, it's getting late, why don't you go home? I'm going to order some food, will you eat with me?" Luo Hao asked.
"No, no." Wang Guohua waved his hand, "I'll go back soon, why don't you leave?"
"Did you just see a patient? It's him." Luo Hao looked at the man, "I'll go back and make up for it. Outpatient medical records, examination orders for patients, a lot of procedures."
Wang Guohua was awe-inspiring, and his evaluation of Luo Hao had improved a lot again.
He knows how to see a doctor. After Luo Hao gave the patient a satisfactory diagnosis, he even carefully filled in the outpatient medical records!
B-ultrasound can be free, but a charge sheet must be issued.
Although this is all about judging a gentleman's belly with a villain's heart, only by doing this can we ensure that the man will produce strong evidence if he makes a complaint.
You can be a good person, but the prerequisite is to ensure your own safety.
Wang Guohua looked at Luo Hao carefully.
Young, sunny and energetic.
These beautiful words can be applied to Luo Hao, but his behavior is as sophisticated as a slippery old doctor who has been in the clinic for many years and has seen countless medical disputes.
Several different figures circled in Wang Guohua's field of vision, and finally merged into one and became a part of Luo Hao.
Call.
Wang Guohua said nothing, waved his hand and turned to leave.
If Wen Youren had half...one-third of the cleverness of Luo Hao, his current achievements would not be just like this.
Wang Guohua was a little regretful, even more emotional, and a little regretful.
[People say that a man remains a boy until he dies, but a boy...]
Luo Hao's cell phone rang.
He took a look and answered the phone.
"Mr. Luo, your car is due for maintenance. I will send it to the provincial capital on a convenient day."
"The provincial capital." Luo Hao pondered, thinking of Liu Hai Sen and Director Shi's invitation.
You should go to a "superior hospital" and take a walk.
“I’ll check the time. You don’t need to come and get it. I’ll drive over.”
……
……
With Wang Guohua’s help, The ercp surgery was carried out smoothly.
Wang Guohua is worthy of being the first surgeon in Donglian City back then and even now. He has a high level of surgery, a solid theoretical foundation, and a wide range of people.
Patients with refractory gallstones and bile duct diseases were admitted one after another, and relevant examinations and surgical treatments were completed.
System tasks are completed very quickly.
On a weekend a few weeks later, as an ERCP operation was completed, Luo Hao heard a "ding-dong" sound in his ears.
System task completed!
[Main mission: smaller damage, more possibilities (first phase) to be completed.
Task content: Complete 100 interventional surgeries.
Task time: three months
Task reward: random attribute point +1, 100,000 experience points. 】
Random attribute points were added to the spirit, and Luo Hao’s mental power became 15.
A warm current flowed through his limbs and bones, just like the protagonist in a fantasy novel who ate treasures from heaven and earth. Luo Hao felt like he couldn't use up all his energy.
Even,
Luo Hao felt vaguely in a trance that he could hear the voices of the people next to him.
This is too outrageous!
Luo Hao glanced at Chen Yong, who was working as a handyman next to him, could it be that this is how the magician feels?
It seems to be more intuitive and larger than the lucky value, and an idea appeared in Luo Hao's mind.
But Luo Hao smiled immediately.
15 points of mental power can give you such a strong intuitive feeling, but what about 34 points of luck?
It works secretly, but I am not aware of it for the time being.
“Ding Dong~”
[Main mission: smaller damage, more possibilities (second stage).
Task content: Complete 1,000 interventional surgeries.
Task time: six months
Task reward: random attribute points +15, lucky draw +1, experience value 1,000,000 points. 】
Oh, the rewards given by the second stage of the continuous mission are so rich that Luo Hao is stunned.
Not to mention random attribute points and lucky draws, experience points alone can level you up.
Seeing that the level 4 surgical skill bar was only less than halfway up, Luo Hao's heart palpitated.
Level 5 surgery should be equivalent to the top level in the province, and even if you get Union Medical College, you can do it alone.
Have surgery!
Have surgery! !
Luo Hao thought happily.
He directly ignored the exponential increase in the number of surgeries. The number of 1,000 was imaginary, but the goal was real.
"Dr. Ronaldinho, I think I can try the next Nets stone removal surgery." Wang Guohua said.
Chen Yong lowered his head on the side.
He wanted to try it too.
After more than a dozen or twenty operations, not only Wang Guohua, but also Chen Yong was eager to try it.
But whether it was a comparison of qualifications or something else, Chen Yong knew that he would definitely be ranked behind Wang Guohua.
Fight?
Master Jiang Wenming’s example is right in front of us.
Besides, Master didn’t argue, he just knew more and could do more, so he was assigned to the outpatient clinic.
"Director Guohua, please come off the stage and do the surgery. I will help you." Luo Hao said with a smile. Although faced with the "enormous volume" of 1,000 surgeries, Luo Hao did not "gather" all the surgeries in his own hands.
Although Luo Hao has not been practicing medicine for a long time, he has seen many types of doctors, including Wen Youren-style doctors who never give up and use various means to monopolize the " High-end surgery.
This approach works well, but if there is a backlash, the parties involved will face great pressure.
Moreover, Luo Hao has a cheerful personality and doesn't care about such trivial matters. In addition, the patients were all admitted by Wang Guohua, so he would definitely not be able to justify doing the surgery by himself.
The trance caused by the mental power that had just been increased by 1 point has already faded away like a tide, and Luo Hao no longer has the feeling of being able to hear other people's voices.
But after talking to Wang Guohua, Luo Hao seemed to notice something. He smiled and said to Wang Guohua, "Director Guohua, Dr. Chen's level has also improved very quickly."
Wang Guohua curled his lips. , "Can I compete with you for surgery?"
His eyes were like daggers, but Chen Yong's eyes were narrowed into slits, and the blue waves were rippling.
“I will give you as much of a platform as you are capable of. I’m just afraid that you don’t have this ability!” Wang Guohua continued.
Having said this, he suddenly realized that he was no longer the director of the general surgery department of the mine.
Luo Hao also "perceived" Wang Guohua's emotional fluctuations and said with a smile, "Director Guohua, we still need your protection."
"Tch, just say it nicely. "Wang Guohua despised.
"It's true. When I was studying in Imperial Capital, during the exam at the College of Traditional Chinese Medicine next door, a buddy came up and gave himself two injections, and he was paralyzed."
"!!! ”
"This incident alarmed the vice president of their affiliated hospital. He is from our area and a very high-level veteran Chinese medicine practitioner. He personally took action and treated the patient for seven days before he was brought back."
"Wu Changen from the provincial capital?" Wang Guohua asked.
"Yes, it's Dean Wu. I said Director Guohua should know." Luo Hao has been coaxing Wang Guohua to talk.
"Are all Chinese medicine students so cruel? They even stabbed themselves to paralysis! This is too much." Chen Yong was surprised.
"It must have been an accident. I don't know exactly where he was stabbed. I even went to visit him at the time. But he will be fine after a week. Let's jump out of the wall and go to the Internet cafe to have fun."
"How can you play games!" Chen Yong stared at Luo Hao with wide eyes.
"Well, I played occasionally when I was in school, but my level was not good enough, so I stopped playing."
Luo Hao lost his mind and explained.
"Not good enough? I see that your hand speed is very fast. Do you not understand the game well enough? It's okay. Tell me what you want to play and I'll tell you. There are indeed many details in the game. Just rely on your hands. There's nothing we can do about it..."
Chen Yong wanted to continue talking, and Luo Hao explained when he saw that he had misunderstood him.
"I participated in the club's training camp, but I didn't get first place. Later, the club said that I could participate in official competitions, but I had to be a substitute. At that time, I happened to be on probation, and I refused."
Fuck!
Chen Yong cursed fiercely in his heart.
It turns out that this level is not enough.
Accidentally, Luo Hao pretended to do it again.
%￥&%￥%
Chen Yong began to curse in his heart.
The patient's vital signs were stable, and several people carried the patient onto a flat car and returned him to the ward.
Wang Guohua took the removed stones to explain to the patient’s family. Luo Hao asked Chen Yong to accompany Wang Guohua and took the patient back to the ward.
Along the way, Luo Hao carefully considered the second phase of the long-term main mission.
It’s impossible not to be greedy for such a generous reward.
But the operation is not performed by one person. Others also want to perform the surgery, which creates a conflict.
Luo Hao wants to avoid conflicts.
But that conflicts with the goal of completing the operation quickly.
Life is like this, Luo Hao is indifferent and can only watch while walking.
Plans definitely don’t change quickly.
After returning the patient to the ward, Luo Hao habitually stood in front of the ECG monitor to observe the patient's vital signs to avoid accidents during the transport.
While looking at the values on the ECG monitor, Luo Hao searched for new techniques in the system.
There are so many minimally invasive surgeries. After just a few glances at Luo Hao, he found three or five surgeries that could be performed at the mine.
The main reason of the Mine Boss is that the brain drain is so serious that many new techniques cannot be implemented at all.
It takes years to train a doctor.
If a pilot is as valuable as a body of gold, then an experienced and qualified doctor should be similarly valuable, or even more valuable.
After all, doctors’ level and rich clinical experience are cultivated with human lives.
Talent is lost, and it will take another ten years to train again, which gives Luo Hao a blue ocean.
We should find time to chat with Wang Guohua and start more new projects so that the second phase of the long-term main mission can be completed as soon as possible.
Although Luo Hao is peaceful and indifferent, he has a dream - to one day reach the top level in surgical skills and return to school.
This is the return home.
Luo Hao stood beside the patient's bed, staring at the numbers on the monitor and "daydreaming".
Before he could chat with Wang Guohua, someone had already arrived first.
……
...
"Master, I have been discharged from the hospital. I have worked hard during this period." Wen Youren pulled Wang Guohua into his office, "You said you are too, doesn't this office belong to you whether I am here or not? Why are you still dealing with them in the doctor's office? "
"Here are the rules. The director can be approachable, but there are some things he can't do." Wang Guohua said casually, "Youren, just come back. I've been working on it for a while, and nothing happened. You need to take good care of yourself and do the surgery well."
"I know, Master." Wen Youren's lips moved, but there were some words left unsaid.
Wang Guohua felt clear in his heart that he did not sit in the position he had occupied for decades.
The butt determines the head. This may not be understood by 20-year-olds, but Wang Guohua understands it.
If you retreat, you will retreat. It is not good to covet this position again.
Wang Guohua sat on the bed and said calmly, "I won't touch the surgical aspect as much as possible. You can do your surgery safely and boldly."
He said very clearly. Come up with your own ideas.
Wen Youren was startled.
If possible, try not to touch. What does try to mean? !
"Recently, I have cooperated with Luo Hao on more than 20 ERCP surgeries, and I have gained a lot of insights. Don't worry, I won't do any normal surgeries, but once there is a problem with ERCP, the surgeon will have to come on stage to wipe the butt."< br>
"..." Wen Youren saw light in his master's eyes.
Especially when it comes to Luo Hao.
“There’s a sentence I’ve just mentioned – it’s time to learn some new techniques.” Wang Guohua said lightly.
"Master, you..."
Wen Youren did not expect that Master would be "incited to rebel" by Luo Hao in just ten or twenty days, he said sarcastically.
“You.” Wang Guohua shook his head, but did not say some words.
After all, the two masters and apprentices have been performing surgeries for twenty years. It is enough for them to tacitly agree on many things, so there is no need to speak out.
After Wang Guohua left, Wen Youren sat in the office blankly, gritting his teeth in hatred.
In order to secure the position of director, he had spent so much effort, offended so many people, and driven away so many doctors in their prime.
Unexpectedly, when everything was stable, he was stabbed in the back by Lin Yuming from the medical department.
This knife is Luo Hao.
To this day, Wen Youren's heart is still bleeding.
I don’t believe there is nothing wrong with him! Wen Youren thought in his heart.
He thought about it for a long time, and didn't come to the medical record room until he was about to get off work.
"Director Wen, why did you come to sort out the medical records yourself?" the staff in the medical record room asked in surprise.
The job of the medical record room is to organize and file discharge medical records every day.
If there are unqualified medical records, just pile them aside and call or notify the doctors from the relevant departments in the WeChat group to make corrections.
After modification, the medical record is filed.
This is normal procedure.
Generally, junior doctors do this, up to the level of attending physician at most. Deputy directors and above rarely appear in the medical record room.
"I'm looking for some medical records." Wen Youren tried to keep his tone soothing.
"This..." The staff in the medical record room looked up at the clock.
"You get off work first, don't delay picking up the children, and lock the door when I leave. Don't worry, are you worried about losing anything?" Wen Youren forced a smile to make himself look gentler .
"Then you can read the medical records yourself. I'll change my clothes and get off work first." The staff in the medical record room greeted him cheerfully when they heard that they would not delay their get off work.
Wen Youren waited until they were all gone before he began to search for the medical records of patients Luo Hao had operated on in the obstetrics and gynecology department and general surgery department.
102 medical records!
When Wen Youren searched this number on the computer, he felt a little bad.
How long has it been before Luo Hao’s own surgeries have reached this level!
You should know that Wen Youren only performs about 200 surgeries every year. Although one is puncture and ercp, and the other is laparoscopy and laparotomy, there are still differences.
But Wen Youren's expression was serious, as if facing a formidable enemy.
A large number of surgeries can train a clinical surgeon, and Wen Youren understands this very well.
This is how he was trained back then.
After a few minutes of slowing down, a sneer flashed across Wen Youren's lips.
I don't believe that Luo Hao can have no flaws.
Medical office? How awesome can the medical office be? If there is really a serious problem, I will not hesitate to report it under my real name!
When he thought of Luo Hao standing on the stage and talking eloquently during the hospital-wide consultation, and warning himself not to do anything, Wen Youren's heart burned brightly.
He printed out all the medical record numbers related to Luo Hao and searched for them one by one.
Because there was no one in the medical record room, Wen Youren simply took away all 102 medical records, carried them into the car, and went home to study them carefully.
There is a saying in the medical field - the absence of accidents proves that less surgery has been done.
Luo Hao has completed so many operations in a short period of time, it’s surprising that nothing happened! The reason why it has always been calm is because the medical department is backing me, and I don't know many things.
The more Wen Youren thought about it, the more certain he became about this point of view.
After searching for medical records for an hour, Wen Youren returned home satisfied.
He didn't even eat dinner and studied Luo Hao's medical records in the study.
After reading the first medical record word for word, Wen Youren was dumbfounded.
He has never seen someone write such a good medical record, almost every word is carefully considered, there are no flaws, the most standard "A" grade medical record.
Impossible, absolutely impossible! !
Wen Youren paid more attention to Luo Hao and started to read the second medical record.
Still no problem.
How is this possible!
The third book...
The fourth book...
I don’t know what point he saw, Wen Youren rubbed his eyes in a daze.
He didn’t find any fault at all!
Wen Youren often said - not everyone can do surgery, but who can't find faults? This sentence is for the medical office.
But when there was really nothing wrong with the dozens of medical records in front of him, Wen Youren couldn't believe it was true.
After hesitating for a long time, Wen Youren decided not to look at the medical records but to pick up the phone.
Only you, Luo Hao, can win over others? I have more connections than you! Wen Youren thought bitterly in his heart.
(End of this chapter)