Chapter 41 Isn’t it a malignant tumor?
Luo Hao couldn't laugh or cry at Lin Yuming's question.
"Uncle, look at the movie, 99% of the possibility is that the cancer is late. The directors are absolutely right, and I think so too."
"But, I There are other things... It is a differential diagnosis, which is a chance of survival. But you know, the chance of survival is only a possibility, less than 1%."
Luo Hao said, touching the picture drawn by Chen Yong on his chest. That formula.
Impermanence is black, medical care is white. The thirteen black ones seize the soul, and the twelve white ones guard the Yang Yuan. The fierce plague and haze in Guizhou have exhausted all their skills, but Bai Yuyizi has a wonderful rejuvenation.
I hope the patient has better luck.
There are some things that doctors cannot decide and can only rely on luck.
If it’s about technology...
There is a saying to describe Xiehe Hospital - The King of Hell tells you to die at the third watch, but Xiehe will keep you until the fifth watch.
Even if you try your best, you can only stay for a few more hours. This is an exaggeration.
Lin Yuming saw Luo Hao's strange movements and sighed without asking him what he was doing.
"Uncle, what are you hiding after things like this? His level is not enough even if he doesn't reveal his secrets." Luo Hao asked.
“Don’t talk nonsense.” Lin Yuming scolded, “It will definitely not be qualified in the history books, but it is enough for us. I have had contact with him before, and he always takes good care of the mine. He is that kind of person. A leader who does practical things."
Luo Hao smiled helplessly, "Uncle, whether I go to Xiehe or Dongfang Hepatobiliary, I have to see if the patient is not clear when reporting the medical history to the teachers. Will lose his temper.”
Lin Yuming knew that Luo Hao was right. He hesitated and asked Luo Hao to wait for him before turning around to negotiate.
Although Luo Hao is young, he has met many more senior leaders than Lin Yuming.
Everyone in the handsome manor has a higher level than this one. Luo Hao has heard of similar things.
There was once a big boss who was facing a change of leadership and was delayed for half a year. In the end, the change of leadership was successful, and his cancer reached an advanced stage.
Sometimes Luo Hao really doesn’t know what they are planning.
Maybe it’s a lifelong pursuit.
But Zhuge Liang has regrets and cannot act against heaven. Who can really defeat heaven?
But Luo Hao didn't think much about it. The patient's thoughts were all kinds of strange, and the only thing the doctor could do was try his best.
[People say that a man is a boy until he dies, but how can there be a boy...]
Luo Hao picked up the phone without looking at his phone.
"Doctor Luo, the door to the gastrointestinal endoscopy room has been repaired."
Wang Jiani's voice came.
Gan!
I put the salesman sent by Mr. Nie at the door of the endoscopy room and then forgot about it!
Luo Hao was a little embarrassed and was silent for a few seconds. Luo Hao apologized, "I'm sorry, I forgot that you were always watching the door."
"Ah? It's okay. It's an honor for me to be able to do something. In fact, the security came last night, and I didn't do anything. I played games all night, and the power bank didn't have enough power."
"After the door is repaired, you should hurry up and go home." Luo Hao said, "Get some sleep. You can contact me at any time tomorrow and the day after tomorrow. I will treat you to dinner."
"Thank you, Doctor Luo, I will go back first." "It's really terrible that the power bank is out of power, I'm already starting to get anxious," Wang Jiani said carelessly.
Hang up the phone, Luo Hao shook his head, he had truly forgotten this matter.
Perhaps you subconsciously want to have less contact with manufacturers?
Just as he was thinking about it, Lin Yuming came back.
“Let’s go.” Lin Yuming waved.
Luo Hao didn't say much, changed clothes with Lin Yuming, got in the car and went to the red brick family building behind the city hall.
This place looks inconspicuous, but everyone in Donglian City knows who lives inside.
Arrived at the door of a house, Lin Yuming rang the doorbell.
A cold voice came from inside, and Lin Yuming signed up and the back door opened.
"Director Lin, please come in." A middle-aged woman said politely. Although she tried hard to control her emotions, she could still see the sad face and couldn't hide it.
She should be the patient’s lover. When such a big thing happens in the family, it’s good to be polite and treat others.
"Uncle!"
As soon as Luo Hao entered the room, a man suddenly came out and stretched out his hands enthusiastically.
Gan!
Lin Yuming was startled, who is your brother-in-law? You are older than me, how come you are called Luo Hao?
You must have called the wrong person.
"Director Shen, there is no need to be so polite." Luo Hao bowed slightly and replied politely.
"!!!" Lin Yuming looked stupidly at the bald man older than himself, messy in the wind.
His name is really Luo Hao.
When did such a person appear!
"Uncle, let's just discuss the matter. It would be unjustifiable if I didn't call you uncle." Director Shen raised his hand and crossed his bald head.
Luo Hao was somewhat resistant to this title.
"Director Shen, why are you here?" Luo Hao changed the topic.
"Lu...whose friend came to me and asked me to take a look at the situation." Director Shen suddenly thought of something, "Uncle, have you seen the movie?!"
"Yes."
"Do you also feel that there is something wrong?!"
Director Shen spoke very exaggeratedly, and his hands kept making various movements to enhance his emotions.
Even ordinary conversations give people the illusion that he is giving a speech.
It's exaggerated, but also confident and infectious.
Before Luo Hao could speak, Director Shen waved his hands and continued, "I'm not sure. There are some special circumstances here. I want to ask the big boss to give me a look, but... I don't dare."< br>
"Uncle, you are here, give the big boss a call!"
Lin Yuming was confused. He had no idea who the person in front of him was and why he said these strange things. Weird words.
The only good news is that the patient may be fine.
"Luo Hao, who is this..." Lin Yuming asked.
"He is the director of the Department of Rheumatology and Immunology of the First Hospital of Medical University, a well-known expert in our province."
"!!!" Lin Yuming knew that the bald middle-aged and elderly man in front of him must have some background. , but I never thought that his background would be so big.
No!
The director of the Rheumatology and Immunology Department of the First Hospital of the Medical University called his nephew uncle. Where was this discussed?
If Luo Hao is this uncle, what should he call himself?
Lin Yuming fell into deep thought.
He never thought that his seniority was so high.
Puffing up his chest, Lin Yuming felt slightly proud. He didn't know if this matter could be brought to the wine table to brag about.
"Director Shen, I do think there is something wrong, but I didn't see the patient or ask about the medical history. There is a lot missing." Luo Hao quickly interrupted Director Shen.
Although a bit rude, Luo Hao suspected that Director Shen had the syndrome of social bull and chatterbox.
Director Shen was stunned for a moment, but still "respected" Luo Hao's suggestion and took Luo Hao to the back room to see the patient.
Lin Yuming and the patient's lover looked at each other, not knowing what to say for a moment.
The only good news is that neither the old man nor the young man seemed to think that the patient's disease was a malignant tumor.
But who is the big boss?
"Director Lin, this is..."
"He is my nephew."
"..." The patient's lover was speechless.
"He..." Lin Yuming wanted to explain, but at this point he realized that he didn't know much about Luo Hao's past.
Want to explain, Lin Yuming didn't even know what to explain.
"Uncle, this is my brother-in-law."
After entering the room, Director Shen first introduced the middle-aged man to Luo Hao, and then said to the man, "Xiao Lu, this is my brother-in-law."< br>
"Brother-in-law?" The patient was a little surprised.
“My teacher’s teacher wanted to accept him as a student a few years ago, but something happened and he couldn’t get anything done. The big boss has always been grudges about it. This is what I heard from my teacher.”
< br>The middle-aged man looked at Luo Hao blankly.
"Hello, I am the doctor of the general manager of the mine. My name is Luo Hao. Old boss, you can just call me Xiao Luo." Luo Hao briefly introduced himself and began to ask about the medical history.
The patient's medical history is not complicated, and no problem was found during the unit's physical examination less than half a year ago. Some time ago, he suddenly had abdominal pain. At that time, he thought it was due to a bad meal and didn't pay attention.
The pain subsided quickly, but the pain recurred and I lost weight, so I went to the hospital for a check-up.
The result of the examination was something he never dreamed of - terminal pancreatic cancer.
The diagnostic assistant AI started to run as the medical history was entered one by one, and a suggestion soon appeared - perform an EUS examination.
It’s not a malignant tumor!
In other words, the possibility of malignant tumors is not 100%! !
Luo Hao suddenly became energetic.
Although the system did not issue a task, Luo Hao did not neglect it at all.
"Old leader, although I have not ruled out tumors in your case, the main consideration now is not malignant tumors." Luo Hao said after asking about the medical history and physical examination.
"I want to make a phone call and contact my teacher."
"Please." After hearing what Luo Hao said, the patient's spirits were lifted and his illness became three points lighter.
Luo Hao nodded, walked out of the bedroom and came to the living room.
He first asked the patient’s name, logged into the cloud platform, and sent the cloud platform to Mr. Zhao.
Then Luo Hao made a call.
"Hello, Teacher Zhao, sorry to bother you," Luo Hao said gently.
"Xiao Luohao, what's wrong?" The moment Mr. Zhao's voice came out, Director Shen suddenly stood upright and made a weird gesture with his hands in front of him.
Lin Yuming could tell that he was holding an old-fashioned medical record folder in his hand.
"Is it convenient for you?" Luo Hao asked.
“It’s convenient, let’s use video. I haven’t seen your weird thoughts in a long time.”
Through the video connection, a neatly groomed and meticulous old man with white hair appeared on the screen.
Luo Hao waved.
"Hello, Teacher Zhao."
Director Shen approached, but he did not dare to push Luo Hao away, but said excitedly from the corner of the camera, "Hello, big boss! "
"Who are you?" Mr. Zhao looked at Director Shen with half of his face showing in confusion.
"I am a student of Teacher Zheng, and my surname is Shen."
"Oh." The old man nodded kindly, "So I am Xiao Zheng's student, hello. Xiao Luohao, you haven't changed."< br>
Lin Yuming felt complicated.
Although the old man opposite was polite, he obviously did not know the director of the Department of Rheumatology and Immunology of the First Hospital of the Medical University. However, he was kind and kind to Luo Hao, and even looked more like Luo Hao's immediate family member than himself.
What the hell, Lin Yuming cursed in confusion.
Luo Hao briefly reported the patient's medical history and physical signs. The old man in the video smiled slightly after listening, "The image is on the PTZ, right."
"Yes, Teacher Zhao."
< br>"Let me take a look at the image first before we continue."
The old man in the video put on a mirror, fumbled for a magnifying glass, and then closed the video.
A few minutes later, the video call rang again and Luo Hao answered.
"Xiao Luohao, this patient is very typical, I want to test you." The old man in the video said seriously.
For an instant, both Lin Yuming and Director Shen seemed to be back in the classroom decades ago, with a cold wind blowing on their backs. Surprise exam!
If you don’t do well in the exam, the teacher will be angry and the consequences will be serious.
"Teacher Zhao, that's it." Luo Hao's face remained unchanged, his smile was still bright and sunny, "The pancreatic lesions were flaky, with no obvious masses, and the distal pancreas atrophied significantly and the pancreatic ducts were dilated..."
Diagnostic assistance AI is just assistance, at least for now.
Luo Hao relied on his solid basic skills to start analyzing the condition and making differential diagnosis.
One by one, one by one, one by one.
Clear and logical.
Five minutes later.
"Teacher Zhao, I judge that it is unlikely that the patient has a malignant pancreatic tumor, and I recommend an EUS examination."
"Consider what typical characteristics the EUS results will have." The old man in the video continued to be serious. asked.
“Objectively speaking, every possibility can be used. If you talk casually, I feel that there should be a sausage sign around the pancreas, and you will see typical sandwich-like changes near the bile duct.”
“Just do it. , I agree with your preliminary diagnosis," the old man in the video said with a smile.
"Thank you, Teacher Zhao." Luo Hao bowed, showing respect as always.
"Why are you at the mine manager now?" The old man in the video started chatting about home affairs. She was like an old grandmother, with a bit of complaint in her tone.
He even reprimanded many people in Xiehe by name.
Luo Hao explained for a while, then made the old man happy and hung up the video.
Lin Yuming felt wet when he heard this, but when he saw Director Shen also wet his face, he felt much more balanced.
Is the level of Xiaoluohao so high-end? Lin Yuming was a little confused.
I have always regarded Xiaoluohao as the link between high-end medical care, but I never expected that my nephew is a part of high-end medical care.
Hidden it deep enough, it has been two years and I didn’t even notice it.
"Uncle, what is the diagnosis?" Director Shen asked immediately.
"The initial diagnosis is sclerosing pancreatitis, which is a branch of autoimmune pancreatitis. As for confirming the diagnosis, you need to do eus."
"I'll say it!"
"Director Shen, please contact Director Shi to see if we can do EUS examination."
"Endoscopic ultrasound?"
"Well, our mine does not have relevant equipment, but the Medical University has If not, I can only take the patient to the Imperial Capital."
Luo Hao hesitated, and then said, "Forget it, I'll just take the patient to the Imperial Capital."
Director Shen's lips moved, as if he wanted to say something, but he didn't.
Lin Yuming felt very relieved.
The First Hospital of the Medical University will definitely not be able to meet the needs of patients. It can be done directly in one step and go to Imperial City for medical treatment and treatment, saving the hassle of going back and forth.
This is also responsible for the old leaders.
In the past, the old leader was always kind to the mine. Lin Yuming thought from the bottom of his heart that the old leader's disease was not a malignant tumor.
……
...
"Master, in such a typical film, Luo Hao actually said that it might not be a malignant tumor. Isn't this nonsense?" Wen Youren sat in the director's office and complained.
In front of Wang Guohua, he was extremely relaxed. He dared to say anything and was willing to say anything.
Even though he has been "backstabbed" by Wang Guohua now, Wen Youren has long been accustomed to this way of speaking.
"It's a bit imprudent, but it can't be wrong. After all, no matter how certain the imaging data is, it is just imaging data. Differential diagnosis or pathology is still needed." Wang Guohua replied.
Not cautious?
Wen Youren's heart felt cold. The master's butt was already sitting on Luo Hao's side. Even Luo Hao made irresponsible remarks and dismissed the diagnosis of late-stage pancreatic cancer as imprudent.
Too much!
Wen Youren snorted, "Master, if Luo Hao's diagnosis is correct, I...I..."
He wanted to "please" Luo Hao to be the director, but he was extremely worried. Reluctant to give up. Even though Wen Youren thought it was absolutely impossible, he subconsciously didn't want to take even a ten thousandth risk.
"I ate the ball pen."
"Haha." Wang Guohua smiled. He knew his apprentice so well that all the activities in Wen Youren's heart were almost transparent to him.
“He can also see doctors!” Wen Youren said disdainfully, “He is just a little guy trying to please others.”
“Youren, I see you have admitted a few patients with pancreatic cancer.” Wang Guohua Said lightly.
"Yes." Wen Youren said, "Chemotherapy first, and then we will see if surgery is possible after the tumor shrinks."
Before Wang Guohua could say anything, Wen Youren continued, "That patient is so sneaky. He is so seriously ill and pretends to be some great big shot? That's nonsense. He should come for chemotherapy. If his life is better after two or three courses of treatment, "Opportunity."
"How many cases have you done?" Wang Guohua asked.
He couldn't help it anymore, Wen Youren... Oh, why did he accept such a disciple?
Wen Youren is an Adou who cannot be supported. It can even be said that mud cannot support the wall.
Pancreatic cancer is extremely malignant. When I met patients with advanced pancreatic cancer, I asked them to go to the oncology department for chemotherapy. After a few courses of treatment, if possible, they would come back for surgery.
These are all what Wen Youren just said, there is nothing wrong with them.
But!
Even if the patient can be operated on, the operation is extremely difficult, and it is simply not something Wen Youren can handle.
Chemotherapy first, then surgery? Wang Guohua had already seen through Wen Youren's little thoughts at a glance.
He just wants to accept some chemotherapy patients.
Wen Youren seems to have forgotten that he is a surgeon. Is he really planning to turn general surgery into general internal medicine?
"I...I..."
Wen Youren's old face turned red and he even started to get angry.
“We are not in this profession, and some medications are not careful enough. Can you contact the oncology department?” Wang Guohua advised kindly.
Wen Youren blushed and kept his head down without speaking.
Wang Guohua sighed.
The atmosphere in the director's office became awkward, and Wang Guohua stood up and left.
......
"Luo Hao, there is nothing wrong with the two post-operative patients. Take a look at the medicine I gave you."
After Luo Hao came back, Chen Yong stopped him He "debriefs" on the patient's condition after surgery.
The patient's condition was stable. Nausea, vomiting, and pain are normal complications after interventional surgery.
The operation went well, Luo Hao knew it.
"Chen Yong, I may have to go out recently, you can collect some patients at home."
"Huh? What patients?"
"Various interventional surgeries Patients, of course, I am talking about the interventional room in a broad sense, and endoscopic surgery is also a type of interventional surgery. When you see the relevant patient, please don’t contact Director Guohua.”
"Okay." Chen Yong responded, and then asked curiously, "What are you going to do?"
"The Medical Office is on a business trip."
"I forgot that you are still from the Medical Office. ." Chen Yong smiled.
With nothing to do, Luo Hao returned home early.
At the door of the unit, Luo Hao knocked down Zhou Tianci.
"Luo Hao! It's really rare that you got off work so early." Zhou Tianci greeted warmly, "I just happened to go to your house."
"My friend brought me a few kilograms of business committee red I queued up to buy the sausage at 3 o'clock in the morning. Pure Shangwei red sausage, guaranteed to be replaced. "
"Bring it back to Aunt Lin to try."
Zhou Tianci said enthusiastically. Luo Hao came to his house.
Luo Hao smiled, "How about Section Chief Duan's grandson?"
Zhou Tianci talked about the current situation of the child with a smile on his face, but he felt contempt in his heart, thinking that Luo Hao was "pointing" at him to remind himself of the favor he owed him.
"I'm going to the Imperial Capital tomorrow. Ask Section Chief Duan if he wants to take his grandson to have a look at Cui Mingyu."
"Oh?" Although Zhou Tianci felt contempt in his heart, he still felt sorry for Luo Mingyu. Hao's proposal was quite interesting.
Although the mine general manager said everything was fine, my parents, grandparents, and grandparents were not at ease.
If you can go to the Imperial Capital, it is best to go to the Imperial Capital.
Director Cui Mingyu's diagnosis would definitely be more effective than Luo Hao's "random" B-ultrasound.
"Then let me contact Section Chief Duan." Cui Mingyu was anxious and gave Luo Hao all the sausages in the refrigerator.
“There are too many, I can’t eat them.”
“It’s from the Commercial Committee. We couldn’t eat it when we were young, so take it.” Zhou Tianci glared at his mother fiercely as he spoke. One glance.
Aunt Wang was obviously reluctant to give up, but under her son's knife-like eyes, she could only show a distressed expression but did not dare to speak.
When Luo Hao left, Zhou Tianci complained, "Mom, it's just a few red sausages, why are you so reluctant to part with them?"
"How many are those? How many kilograms are they!"
"Alas." Zhou Tianci scratched his head, "Mom, Luo Hao doesn't care about this."
"He is a little doctor who doesn't make much money a month, so why doesn't he care? Look at him, he's not polite at all. He's really greedy!" Aunt Wang complained. With.
Zhou Tianci thought of the villa where Iron Man was born on the riverside and the big car wearing the iconic 307 shell.
He was in a daze and didn't know what to say. He went back to his room and called Section Chief Duan.
Of course Section Chief Duan is willing, especially if Luo Hao goes to the imperial capital together this time, it will probably be more convenient. As soon as Zhou Tianci said it, he agreed.
Zhou Tianci went to Luo Hao's house again to contact Luo Hao and book tickets. It was already past ten o'clock in the evening when they were all done.
Go to bed early, Zhou Tianci always felt that something was wrong.
When he arrived at the high-speed rail station the next day, Zhou Tianci saw Luo Hao getting off a Camry and jumped up and waved.
"Why didn't Ronaldinho drive his own car?" Section Chief Duan also asked for leave, holding his little grandson in his arms and asked.
However!
Next second!
Section Chief Duan saw the door of the back seat open, and a familiar yet unfamiliar figure appeared.
Rubbing his eyes vigorously, Section Chief Duan knew that he had read it correctly and grabbed Zhou Tianci.
"Section Chief."
"Shut up!"
Section Chief Duan scolded.
"What's wrong?"
"What will Luo Hao do when he goes to the emperor?" Section Chief Duan asked in a low voice.
"Uh..." Zhou Tianci thought for a moment, "He said he wanted to take someone to see a doctor."
"!!!"
It was actually him! Section Chief Duan's hands were shaking a little.
(End of this chapter)