Chapter 40 Food is the original sin
Drug Instructions!
The big carousel turned to the drug instructions.
Luo Hao thought, and the "prize" appeared in the system space.
This is the Chinese version of the instructions for iodized oil.
Indications - Positive contrast agent for X-ray diagnosis. It is used for bronchography, hysterosalpingography, paranasal sinuses, parotid ducts and other cavities and fistulas. It is also used for the prevention and treatment of endemic goiter, endemic cretinism and embolization treatment of liver malignant tumors.
It’s done!
Luo Hao stared at the last ten words excitedly.
Embolization treatment of liver malignant tumors! !
The reward from an emergency mission with a death countdown, coupled with the superimposed effect of turning your wishes into stone (small), and perhaps a 34-point luck bonus, finally got the drug instructions.
Then the turntable jumped again, and Luo Hao was stunned.
Can the lottery also be drawn twice in a row?
The key is that I didn’t spend 648.
The system is more conscientious than Penguin, Luo Hao thought to himself.
The second reward may be the ripples that appear under the influence of thoughts turning into stone (small), Luo Hao thinks so.
However, the big turntable was still moving and the position pointed by the pointer was still flashing. Luo Hao was not in a hurry and read the manual first.
After confirming that it was what he needed, Luo Hao breathed a sigh of relief. He believed that this instruction manual would become a reality in a short time.
Excited, Luo Hao sent Mr. Xu a WeChat message and sent Mr. Xu the indications in the drug instructions.
Finally, Luo Hao marked this as what he thought were the indications for iodized oil and recommended himself.
After finishing these things, Luo Hao was very happy.
The anxiety in my heart gradually subsided.
At this time, I returned to the system space and found that the position pointed by the pointer had settled.
Reward - Medical Team.
Medical team?
Luo Hao thinks it should be a halo-type auxiliary ability that increases the fourth dimension of everyone in the medical team.
But after reading the explanation carefully, Luo Hao was stunned.
The medical team now has 3 vacancies besides itself, but instead of enhancing the four-dimensional and abilities of the doctors belonging to the medical team, it puts the operations performed by the renamed doctor under the name of the medical team leader.
The evil capitalism,
It smells so good!
Luo Hao excitedly read the instructions from the [Medical Team] repeatedly to make sure he was not dreaming. He clenched his hands into fists and waved them hard in the air.
This skill or ability is simply unbelievable, and it is a bug in completing tasks.
Although it requires verbal confirmation from the team leader and the doctor, Luo Hao does not think it is an insurmountable difficulty.
But now that Wang Guohua is too old and Chen Yong is too unruly, Luo Hao has not thought about who the members of the medical team will be arranged for.
You still have to be careful about this matter, what if you can't change and bring in a bad guy.
Satisfied, Luo Hao came to the ward. Chen Yong was holding his mobile phone and chatting with someone unknown to him, typing quickly with his fingers.
Luo Hao ignored him and began to review medical records to prepare for today's surgery.
"I have read all the medical records." Chen Yong lowered his head to chat and said to Luo Hao, "Look at what's wrong and I'll correct it."
Luo Hao clicked He nodded, but did not disturb Chen Yong from chatting with the girls.
It was soon time to go to work, medical staff arrived one after another, and the empty and quiet office became lively.
Wen Youren had been preparing for this day for a long time, and the message he received early in the morning made him extremely happy.
There was an emergency rescue last night, but he was not notified. Wen Youren ignored it and focused on another thing - Luo Hao actually pointed at the old director of Guohua's nose and cursed.
Today’s young people are really brave.
And he is arrogant and domineering, with his tail raised to the sky.
You have just made some insignificant achievements, how dare you go against the old director of Guohua?
Isn’t this forcing the master who stabbed him in the back to turn around?
Originally, Wen Youren was a little hesitant because he knew very well how powerful Director Guohua was.
If Master is really determined to side with Luo Hao, his " trump card " may not be able to move this little brat and attack Lin Yuming by the way.
You are asking for death!
Wen Youren thought to himself.
People feel refreshed during happy events. Wen Youren changed into white clothes and pretended to go to the ward. Before handing over to the shift, he checked on the patients. In fact, he kept staring at Wang Guohua's figure.
Ten minutes later, at 7:53, Wang Guohua appeared.
Wen Youren ran a few steps quickly and came to Wang Guohua's side.
"Master, you are here."
"Well, today is the day of surgery." Wang Guohua was a little tired. After all, he was old and could not recover as quickly as Luo Hao.
"Master, I have something to tell you." Wen Youren invited Wang Guohua to the director's office, closed the door and said angrily, "Today's young people are simply too much! How dare Luo Hao do that to you Talk, I’m worried.”
"Huh? Who told you that?" Wang Guohua looked indifferent, knowing everything well.
"Master, Luo Hao actually used his status as a member of the medical department to point fingers at you. Does he have any clues in his heart?" Wen Youren ignored Wang Guohua's question and cursed sternly.
"It's normal." Wang Guohua said lightly.
“Normal?!”
“The patient yesterday would have died twice if Luo Hao hadn’t been here.” Wang Guohua said, “This is the first time.”
He held out a finger, as thick as a small carrot.
"I did not press the heart back, but Luo Hao did. Afterwards, I observed that the heart was not damaged by external force."
"Second, if it were me, it would definitely Portal umbilical vein devascularization is performed in the emergency. As you know, this operation is extremely difficult to perform for patients with hemorrhagic shock.”
“But Luo Hao’s gastroscopy. The bandage was done, and the bleeding was stopped in less than 5 minutes."
Wang Guohua looked deeply at Wen Youren, "Youren, being a doctor is the original sin. It's normal for me to be scolded a few times. ”
grass!
Wen Youren was stunned.
Is this the same master who usually works vigorously and resolutely, and wants to give everyone a kick in the butt when directing rescue operations?
"Do you think I am willing to curse at someone in the emergency room? There is nothing I can do about it. In order to save people last night, Luo Hao kicked open the iron door of the gastrointestinal endoscopy room. This temper is like mine When I was young."
"..." Wen Youren was speechless.
Wang Guohua stood up and patted Wen Youren on the shoulder, "Cooking is the original sin."
After saying that, he sighed softly and turned to leave.
Cooking is the original sin!
This sentence was like giving Wen Youren a hard slap in the pocket.
Master is scolding himself! Wen Youren thought viciously in his heart.
Wang Guohua left and the office door was closed, leaving Wen Youren alone.
His emotions were no longer restrained, his face was full of ferocity, and his masseter muscles bulged, as if he was biting Luo Hao.
If that’s the case, don’t blame me for being ruthless, Wen Youren had an idea in his mind.
I don’t know how long it took, but there was a knock on the door.
"Director, it's time to hand over the shift." The head nurse asked Wen Youren to hand over the shift outside.
Wen Youren responded, gathered his mood, and when he was about to go out, he stepped back and looked at his expression in the mirror.
Until the last trace of cruelty disappeared from his face, Wen Youren grinned and saw nothing unusual, then went to hand over his shift.
Nothing happened during the shift, and the patients were checked on the ward. Everything was fine, and Wen Youren was proud.
As long as the still water runs deep, I will let Luo Hao be proud first, and then I will give him a fatal blow. I hope that Luo Hao's eyes will show surprise and confusion about the backstab.
Sending the patient to the interventional catheterization laboratory, Wen Youren followed Wang Guohua as if nothing had happened, constantly asking about the advantages and disadvantages of the new treatment that combines interventional surgery with liver cancer surgery.
"Luo Hao, does Director Lin know that you are doing interventional surgery?"
On the way to the operating room, Chen Yong asked Luo Hao in a low voice.
"I don't know, there is no need for Director Lin to know such a small clinical matter." Luo Hao smiled.
"If you find out, will Director Lin be angry?"
"I have a way."
Chen Yong raised his eyebrows and glanced at Luo Hao, silently expressing distrust.
Luo Hao shrugged.
After positioning himself, Luo Hao comforted the patient and then put on lead clothes and brushed his hands to prepare for surgery.
Luo Hao, Wang Guohua and Chen Yong’s mobile phones are placed in a row in the operation room.
After closing the airtight lead door of the operating room, there was no signal in the operating room, and I also had white discharge.
Moreover, it is said that X-ray rays have an impact on the life of mobile phones, but this has not been verified.
The airtight lead door slowly closed and the operation officially began.
"Director Wen, do you also want to learn interventional surgery?" Technician Xiao Zhao took a moment and asked.
"Yeah." Wen Youren responded vaguely.
“I didn’t expect that Director Lin has been thinking about it for so many years, and our mine will finally be able to see interventional surgery again one day.” Technician Xiao Zhao looked through the leaded glass at Luo Hao, Chen Yong and Luo Hao who were undergoing surgery inside. Wang Guohua, who was standing behind them while watching the operation on a footstool, was chattering.
"The interventional department is useless, even dogs don't do it."
"Who said that!" Wen Youren scolded.
“I don’t understand either.” Technician Xiao Zhao heard Wen Youren’s unkind tone and immediately explained, “But I see that there are many people doing vascular and circulatory interventional work, but there is no one in the interventional department at all. It’s probably because there is no oil and water. "
Someone spoke for Luo Hao. Although the words "dogs can't do anything" are a bit unpleasant, Wen Youren was still particularly unhappy.
Because Wen Youren was there, the operation room quickly fell silent, and everyone was doing their own work.
Technician Xiao Zhao looked at the operation and soon became excited.
The operation was not easy because the patient’s blood vessels were tortuous, but the guide wire operated by the surgeon reached the designated location smoothly as if it had eyes.
This level is much higher than the previous director of the interventional department and the professors. Technician Xiao Zhao was about to applaud, but when he turned around, he saw Wen Youren's livid face.
It’s really special. If you don’t want to see it, don’t come. Technician Xiao Zhao sneered.
[People say that a man will be a boy until he dies, but how can there be a boy...]
The phone rings.
"Huh? Ronaldinho's cell phone ringtone is very nice." Technician Xiao Zhao picked up the phone and took a look with a smile.
The call prompt is marked [Uncle].
"Xiao Luo, Director Lin called you. Can I answer the call for you?" Technician Xiao Zhao pressed the intercom button.
"..." Luo Hao was startled.
He originally wanted to perform an interventional surgery secretly, but he didn't expect Lin Yuming, who rarely called him during work hours, to call him at this time.
"Take it." Luo Hao said helplessly.
Turn off the intercom and technician Xiao Zhao answered the phone.
"Director Lin, Ronaldinho is undergoing surgery. If you have anything to do, I will give him a message."
"He is undergoing interventional surgery?!"
A burst of anger instantly emerged from the phone. Technician Xiao Zhao felt that Luo Hao's phone was like a fire-breathing dragon, and his ears had been scorched.
"Little boy, now you have learned to obey the rules and violate the rules, #￥@&*" Director Lin had already begun to curse.
Technician Xiao Zhao sighed.
Dogs don’t undergo interventional surgeries. This is not a lie. Director Lin has been thinking about finding someone to perform interventional surgery for so many years, and is preparing to resume some emergency first aid and treatments similar to uterine fibroids, but the surgeon is his nephew, and his attitude is very clear.
well.
After cursing someone on the phone, the voice suddenly stopped, and then a blind tone of "beep beep beep" came out.
Seeing Lin Yuming angry, Wen Youren had a happy smile on his face.
Soon, Lin Yuming appeared in the operation room of the interventional catheterization laboratory.
He did not stop the operation.
Halfway through the operation, I have to finish it both emotionally and rationally.
Ke Lin Yuming's dark face showed his true emotions.
This meant that Luo Hao was still undergoing surgery, and Lin Yuming resisted the urge to kick him hard.
But this kick must not be avoided, technician Xiao Zhao guessed.
The operation was performed very quickly. Technician Xiao Zhao estimated that the two-hour operation would be over in less than 50 minutes. Luo Hao walked out of the operating room wearing a lead coat.
"Director Lin!" Luo Hao stood at attention obediently, his eyes narrowed to a slit.
"Come with me." Lin Yuming called Luo Hao away with a dark face.
Wen Youren watched the two of them leave with a smile. Just as he was about to say something sarcastic, he saw his master Wang Guohua also walking out.
“What’s the matter with Director Lin’s visit?”
“I don’t know.”
"I've known it all day long. It's okay to wear lead clothing and get some thread. After getting married, you can just avoid the thread for half a year. It's a waste of worry." Wang Guohua scolded.
“Master, you are right.” Wen Youren praised.
“Do you understand the operation?” Wang Guohua asked.
“You see, Ronaldinho found all the tumor-feeding arteries, filled them with iodized oil, and then embolized the feeding arteries. After a week, we can perform surgical treatment. There are several pre-interventional surgeries. Advantages. First, it is easier to identify the tumor boundary during surgery..."
Although Wen Youren has low education, is a bit stupid, and has no talent, he has been doing general surgery for more than 20 years. , speaking clearly and logically.
"Overall, interventional surgery combined with surgical surgery is very reasonable and effective." Wang Guohua made the final decision.
The patient needs to compress the local puncture point to stop bleeding for 15 minutes.
Although the compression time is getting shorter and shorter as high-value consumables such as hemostatic plates enter clinical practice, doctors on the frontline of clinical practice are now very cautious and do not touch high-value consumables unless necessary.
It's like time flows backwards, returning to the beginning.
However, there are still changes. The elastic bandage is left, which is a powerful tool to avoid bleeding from the femoral artery puncture point after surgery.
Chen Yong pressed on, but Lin Yuming and Luo Hao didn't come back, and Wang Guohua kept looking at the time.
Ten minutes later, Lin Yuming walked in, and Luo Hao followed him dejectedly.
"Director Guohua, Director Wen, we have a consultation, but don't worry, we will wait until the operation is completed."
"What consultation?"
Wang Guohua asked.
Lin Yuming shook his head and made a silent gesture.
Oh? Wang Guohua and Wen Youren were both stunned. Why should they keep it a secret? !
However, Lin Yuming's attitude was very clear, and the two of them didn't ask any more questions.
The second operation ended an hour later, with Chen Yong still performing the compressions. Lin Yu called Luo Hao, Wang Guohua, and Wen Youren to the agency's conference room.
In addition, Director Li from the Gastroenterology Department and Director Sun from the Oncology Department also participated in the consultation.
Counting Lin Yuming, there were 6 people.
Everyone was uneasy. After everyone sat down, Lin Yuming cleared his throat, "Let's just sit together and have a casual chat."
Just chat?
Wen Youren curled his lips.
Mysterious and sneaky, you can tell at a glance that it is not a good thing.
"Just relax, just chatting."
As he said that, Lin Yuming took out the documents and put on his reading glasses.
Looking at Lin Yuming wearing glasses, Wen Youren felt that he looked like Grandma Wolf.
"The patient is male, in his forties...about forty years old. He has been drinking for 20 years (250-500g/d) and smoking for 20 years (20 cigarettes/d). He suffered from "recurrent diarrhea accompanied by soreness and swelling in the left back" In March, my weight dropped 6kg. "See a doctor."
"Director Lin, you can print out a copy of the medical record for us to read separately. It will be easier than reading it for you." Wen Youren suggested.
He now disliked Lin Yuming, and no matter what Lin Yuming did, it was wrong.
"Sorry, I just want to hear the opinions of experts and directors." Lin Yuming refused without hesitation, without any compromise.
“This is too much!” Wen Youren wanted to slam the table and stand up to confront Lin Yuming, but reason defeated his impulse and he held back.
After so many years of practicing medicine, Wen Youren has never encountered such a bizarre consultation. No one believed it when he said it was nothing.
Lin Yuming ignored him and continued reading.
"B-ultrasound showed uneven low echo in the pancreatic head."
"CT showed obvious atrophy of the pancreatic tail, dilation of the main pancreatic duct, slight local bulging of the obstruction point, and patchy soft tissue density around the celiac trunk, which enhanced The scan showed that the above lesions showed a relative lack of blood supply; the gastric wall was edematous and visible around the stomach. Numerous twisted and thickened blood vessels
The diagnosis given by the imaging department is "pancreatic head cancer invades the duodenum, retroperitoneal lymph node metastasis surrounds the celiac trunk, and tumor thrombus formation in the main portal vein-superior mesenteric vein." "
"Where is the film?" Wang Guohua asked.
"I'm not here for the time being. Let the experts express their opinions and share their opinions." Lin Yuming said.
"Finished?!"
"Well, that's all the information."
Wang Guohua was very unhappy. This was so unprofessional. He was about forty years old and didn't show the film. , isn’t this a joke?
“What can this tell us? In the advanced stage of pancreatic cancer, chemotherapy and symptomatic treatment are recommended. After treatment, check up to see if surgery can remove it.”
Although Wang Guohua was unhappy, But I still gave my own diagnosis.
"That's all? Is it possible it's benign?" Lin Yuming asked.
“I don’t dare to say anything without seeing the film, but from the description, it is a relatively typical malignant tumor, and it is still in the late stage.”
The director of the Department of Gastroenterology and Oncology also agreed with Wang Guohua’s view .
The consultation opinions were relatively unified, and Lin Yuming sighed.
But the corner of his eye fell on Luo Hao.
Luo Hao sat with a frown, seeming to be thinking about something.
"Luo Hao, tell me." Lin Yuming said.
"I also agree with the teachers' opinions, considering it is an advanced malignant tumor."
Lin Yuming sighed inwardly.
“But to say whether it may be benign, I think it is still possible. You need to see the film.”
"Oh? Benign?" Lin Yuming's eyes lit up.
"Need a movie."
Facing Lin Yuming's question, Luo Hao gave the same answer as everyone else.
"Wait a moment, the movie won't arrive for a while."
Lin Yuming left without anyone present. Several people thought this was strange, so they didn't leave either, waiting in silence. With.
In the conference room, only the sound of Lin Yuming sipping tea from an enamel jar could be heard intermittently.
More than twenty minutes later, Lin Yuming received a call, and he walked out of the conference room.
"What's this? Just seeing a doctor and not letting him know who it is. He's so vague. I really thought he was some great big shot!" Wen Youren cursed when he saw Lin Yuming going out.
“Don’t say too much.” Wang Guohua reminded.
"Master, I am telling the truth. I am sneaky and you can tell at a glance that it is not a good thing."
Wang Guohua's eyes were sharp and he suppressed Wen Youren silently.
Luo Hao stood up, took a few paper cups and poured hot water for the directors, including Wen Youren.
"Teachers, drink some water first." Luo Hao reassured with a smile.
"Ronald, do you know what kind of patient it is?" Director Li of the Department of Gastroenterology asked.
“I don’t know.” Luo Hao shook his head.
The brief exchange came to an end, and Lin Yuming came back with two films. There was no film bag, and he didn't know where they were made.
“This is a film, please take a look.”
There was a film reader prepared in advance in the conference room. Luo Hao plugged the film in, stepped aside, and put the best The place is reserved for others.
Normally, the film will have the date, age, and name of the film, but this film is particularly weird, there is nothing, only images.
Everyone saw the strangeness and kept silent, focusing their energy on seeing a doctor.
A few seconds later, Wang Guohua clicked on the film on the reader with his hand, "The cancer is late and surgery is difficult to do. Let's do chemotherapy first."
He said with great certainty.
Several other people also nodded.
The imaging is almost the standard imaging of late-stage pancreatic cancer, except that there is no metastasis to other organs. However, the high-density shadow near the pancreas suggests implantation and metastasis, supporting the diagnosis of late-stage cancer.
There was no doubt about the consultation, and soon the directors left, leaving only Luo Hao standing in front of the film reader, still watching the film intently.
"I was dumbfounded by the X-ray." Lin Yuming said scornfully, "What are you looking at!"
"Uncle, I said it might be benign. Do you believe it?" Luo Hao asked.
“!!!”
Lin Yuming’s eyes lit up, but then he shook his head, “You don’t have to comfort me, this is not our family and has nothing to do with us.”
< br>"Uncle, I really don't want to comfort you." Luo Hao said seriously, "But I have to take a look at the patient before I can make a diagnosis."
"Oh?! Are you serious?"
"Well, looking at the movie, it is indeed late-stage pancreatic cancer, but I always feel that the high-density shadows in some locations look strange." Luo Hao said.
"What's strange?"
"Well, we can't arbitrarily think that the cancer is late. Uncle, who is he? I want to see the patient, ask about the medical history, and see if I should continue to investigate. "
Lin Yuming walked to the door of the conference room, looked around, and saw no one in the corridor, then came back mysteriously.
"A few years ago, this person was in charge of cultural, educational and health care. He was considered an old leader. Later, he moved to other positions and everything went smoothly. Recently, there is a change of leadership, and it is said that there is a possibility of correcting the situation. Didn't I lose a few kilograms recently, so I did this? An inspection found this out."
"Oh."
Luo Hao was not interested in leadership, so he responded, "It's a secret."< br>
“This is really an unpleasant thing to say.”
“There is a high probability that the survival period is only half a year to a year, so it is not an unpleasant thing to say secretly. Uncle, you can ask me. I don’t want to continue watching. If I judge that there is no problem and he is lucky, I will take him to the Imperial City for medical treatment.”
"Xiaoluohao, tell the truth, is it really not late for cancer?!"
(End of this chapter)