Chapter 56 Reward - Wishful thinking turns into stone (big)
"Speaking of Chen Yong, when you were in school, did you still feel that your mind was blank after you finished studying? You couldn't answer such a simple question?" Luo Hao asked.
Chen Yong knew that Luo Hao definitely didn't want to talk properly, but remembering his master Jiang Wenming's instructions, he reluctantly nodded.
"Later, you took apart large pieces of knowledge. In the words of the teacher at the time, you broke it apart and crushed it into pieces to learn."
"Yes, what's wrong?" Chen Yong Li asked confidently.
"The reason why you don't know anything is because the molecules of knowledge are too big to pass through the blood-brain barrier, so your mind goes blank after learning." Luo Hao sneered.
Luo Hao himself didn't notice that he was a little bit bitter when talking to Chen Yong.
“Huh?” Chen Yong was startled.
Because what Luo Hao said was so professional, Chen Yong believed it for a moment.
Before he could react, Luo Hao continued, "Break it open and mash it into pieces. It can pass through the blood-brain barrier, but it is a pity that because the molecular diameter of the knowledge points is too small, all of them pass through the renal corpuscles. The ball filtered away and was peed out by you.”
"Fuck!" Chen Yong finally realized that Luo Hao was hurting him and cursed angrily.
"I asked you such a simple question, and you can't even answer it. You're still not happy, so you don't want to lose face." Luo Hao said scornfully.
"Then tell me, if your answer is a brainteaser, don't blame me for falling out." Chen Yong said forcefully in front of Luo Hao's gaze.
Luo Hao's question just now was a brain teaser, Chen Yong can be sure.
The answers to this kind of question are all nonsense, but it would be good to tell it to girls. Thinking of girls, Chen Yong's heart began to beat, and he wanted to hear Luo Hao's answer.
He turned on his prime state, preparing to copy every word Luo Hao said, not even missing the punctuation marks.
“The mechanical gated channel at the top of short cilia.” Luo Hao said lightly.
“What?” Chen Yong was stunned.
Mechanically gated channels at the tips of short cilia?
What the hell is that!
"Luo Hao, you lied to me!" Chen Yong raised his fist angrily.
“The little frog heard these 7 knocks on the door. The sound waves passed through the sound collection of the middle ear → the inner ear, which involves the cochlear sound transduction.
The auditory receptors are located in the basilar membrane :At rest, the resting potential of hair cells is about -80mV.
When the basilar membrane vibrates and bends the short cilia toward the long cilia side, the "mechanical gated channel at the top of the short cilia" opens, causing K+ to enter. The flow depolarizes the membrane, and the change in membrane potential causes the voltage-gated calcium channels at the bottom of the hair cells to open, triggering transmitter release.
At the same time, it also activates the calcium-activated potassium channels at the bottom of the hair cells, causing. The outflow of K+ returns the membrane potential to the resting potential level
This is the mechanism by which all hair cells in the cochlea and the vestibular organ generate receptor potentials. ”
“The first paragraph + the auditory receptors are excited, generating auditory nerve action potentials, which then transmit information to the auditory center and produce hearing. Then the little frog can make the subsequent response, so the correct answer should be: a mechanically gated channel at the tip of the short cilium. "
"During the biochemistry and physiology classes at the university, were you always sleeping, or were you and your girlfriend flirting with each other and not paying attention to the class at all? "
Luo Hao asked disdainfully.
Chen Yong recalled what Luo Hao said at a loss.
Although that passage was complicated, Chen Yong remembered every word clearly.
But when I tell girls about this, they don’t understand it either. It’s such a pity.
As soon as he thought of this, Chen Yong saw Luo Hao's eyes staring at him.
He instantly felt ashamed and even a little scared. But Chen Yong couldn't explain why he had this emotion.
No, I was beaten by Luo Hao!
Chen Yong realized this in the next second.
"Do the surgery well and focus more on your specialty."
"Tsk." Chen Yong whispered.
"At the end of the year, we will go to the provincial capital to start a school. If nothing unexpected happens, I will work in the provincial capital for a period of time after the new year. If your level is not good enough and you can't keep up with my pace, the medical team will fall apart. "
"Provincial capital?" Chen Yong wondered, "Is it difficult to transfer personnel relations?"
"Why are you being transferred there? What a waste of time. It's just for further study, not for personnel relations." Luo Hao said, "There are more patients in the provincial capital, and there are many more difficult and complicated diseases. I want to increase my clinical experience."
"Then what? Work as a cow or a horse outside, and continue to work as a horse or a cow when you come back?" Chen Yong habitually kept saying strange things.
Luo Hao looked at Chen Yong like he was an idiot.
“It’s so difficult, isn’t it?”
“Definitely not.” Luo Hao said firmly, “If everything goes well, there is a high probability that I will return to Union Medical College at this time the year after next, and I will be transferred to the Imperial Capital for work reasons. , what’s the point of going back to the mines?”
"!!!"
After hearing the name Xiehe, Chen Yong's eyes lit up.
It’s the same look as when you see a beautiful girl.
"I really hope you can follow my footsteps, although I also know that I walk very fast, this request is difficult."
Gan!
Chen Yong felt uncomfortable when he saw Luo Hao showing off.
But he knew that what Luo Hao said was true.
At that time, Mr. Chai came to see Luo Hao, and his eagerness for him to return to the imperial capital was beyond words.
Chen Yong can be sure that Luo Hao can definitely go back to Xiehe as long as he wants to, without any surprises.
Thinking about it, he suddenly panicked.
"You want to take me back?"
Unconsciously, Chen Yong also used the word "go back".
"Of course, who doesn't want his assistant to be a great mage." Luo Hao smiled.
The Great Magister...
Chen Yong was speechless.
But the disgust towards Luo Hao was overwhelmed by the yearning for Concord in his heart.
For a doctor or medical student, Peking Union Medical College is the highest palace of all.
That's all Luo Hao can do. If Chen Yong doesn't take it seriously, Luo Hao can't do anything.
Under Luo Hao’s supervision, Chen Yong was obviously interested in studying hard and completing the interventional surgery.
Looking at the increase in the number of surgeries, Luo Hao realized the happiness of capitalists.
There are some things that you don’t have to do yourself at all.
Unknowingly, Chen Yong had already started to act like a cow, but he didn't know it.
As the days passed, the weather became colder and colder. After several heavy snowfalls, the entire Northland was covered in silver.
Seeing that the long-term main mission of the second phase is about to be completed, Luo Hao is looking forward to it more and more.
The massive experience points are enough to jump the surgical skill from level 4 to level 5. What is that experience like?
If his surgical level is raised to the provincial level, he can really return to the imperial capital openly.
One day.
Luo Hao got up leisurely early in the morning.
Lin Yuejuan prepared breakfast. Luo Hao was snoring and eating deliciously when his cell phone rang.
[People say that a man will be a boy until he dies, but how can a boy worry about two or three money? 】
"Uncle, what's wrong?" Luo Hao answered the phone and asked vaguely with a bun in his mouth.
"Orthopedics Ward 4, come quickly." Lin Yuming said in a stern tone.
"Okay!" Luo Hao replied immediately.
As soon as he heard it, he knew something was wrong. Luo Hao didn't have time to ask what happened, so he responded directly.
At this time, Lin Yuming's words were the clarion call, and Luo Hao was the warrior waiting to charge. How could there be so many problems? After going there, he knew everything.
"Your uncle came to see you for a consultation?" Lin Yuejuan asked.
"Yeah." Luo Hao hurriedly put on his clothes with half a steamed bun in his mouth.
“I was shopping for groceries early in the morning, and I heard from people that there seemed to be a mining accident last night. Two people died and more than a dozen were injured, and everyone was sent to your hospital.”
“! !" Luo Hao immediately knew why his uncle Lin Yuming sounded serious.
For larger accidents, the limit is 3 to 10 people.
Two people have already died. Once one more dies, it will be classified as a major accident.
The mining area will be greatly affected by then.
No wonder my uncle is so serious.
It is probably due to the huge pressure from the mining area.
Although the mine manager has left the mining area and is under the name of the municipal government, it used to be an affiliated hospital of the mining area. Broken bones and tendons, a lot of pressure is real.
"Mom, I'm going to the hospital." Luo Hao rushed out with a steamed bun in his mouth.
Get in the car, press the clutch, shift gears, kick the accelerator and the sign 307 flew out.
As long as he is willing to step on the accelerator, Luo Hao's 307 can race on Germany's unrestricted highways, no less than any other car.
But Luo Hao is usually only willing to drive 60 miles, any more would be dangerous.
Today Luo Hao drove at the speed limit and rushed all the way to the hospital. After changing his clothes, he hurried to the 4th Ward of Orthopedics.
The hospital-wide consultation has begun. Luo Hao opened the door of the doctor's office and walked into the office quietly.
Dean Li was here, and Luo Hao knew that his guess was right.
"Luo Hao, this is it." Lin Yuming waved.
Luo Hao came to Lin Yuming seriously and sat down to listen to the report of the doctor on duty.
The patient had a femoral shaft fracture and his condition was relatively simple. There was no serious compound injury or craniocerebral injury. He underwent emergency surgery yesterday afternoon.
However, 7 hours after the operation, the patient suddenly became confused, accompanied by dyspnea and tachypnea, with a frequency of 40 times/min, sweating all over the body, and the body temperature rose to 37.7°C. At that time, the emergency head CT scan showed no obvious abnormalities. .
The orthopedic surgeon was helpless and could only seek consultation.
“Ding dong~”
The task prompt sounded in Luo Hao’s ears.
【Selective tasks. 】
When he first saw these five words, Luo Hao was startled.
Optional mission?
What does this mean? Literally understood, it should be possible to do it or not to do it.
Keep reading.
[Selective mission: Seed.
Mission content: Reserve special healing fire for the local area
Task time: one week
Task reward: Wishful thinking turned into stone (large). 】
! ! !
Luo Hao saw his thoughts turned into stone (big). He was not excited, but became more and more serious.
The mission did not state that it was to diagnose or treat a single patient. This unusual description was a bit weird.
The content of the task is vague, but the rewards are extremely generous.
Coupled with the words "optional mission", Luo Hao was sure that the difficulty of the mission must be extremely high.
It should be related to the patient in front of me, but the relationship is not particularly big.
Luo Hao glanced at the office. Dean Li Qiubo was there. Next to him, sitting a delicate and handsome man, about 30 years old.
He was wearing casual clothes, gold-rimmed glasses, and a stern face.
"Director Lin, I want to take a look at the patient." Luo Hao whispered.
"Go." Lin Yuming whispered, "The patient is now considering pulmonary embolism. You should understand the situation and then ask your teacher if there is any good solution."
Pulmonary embolism!
Luo Hao is awe-inspiring.
Orthopedic patients are prone to thrombosis because they need to be immobilized after surgery. Small blood clots may cause pulmonary embolism, leading to death.
The probability of this complication occurring is low, but it does exist. It seemed that the person next to Dean Li should be someone from the mining area. Luo Hao understood this and quietly left the office.
The young man sitting next to Dean Li was already upset. When he saw Luo Hao coming and leaving, he was a little unhappy and snorted coldly.
"Dean Li, are your consultations so unserious?" the young man asked.
"Secretary Chu, that's Dr. Luo who graduated from Union Medical College. He's very high-level. He's probably going to see patients." Dean Li explained.
He also looked sad and had no intention of talking much.
I just hope that in the end this Lei will not turn out to be a mine manager who is so bad that even good patients will die after being sent in for surgery.
Although the two things of getting well and being sent to the hospital are unrelated to each other, everyone is willing to believe it.
Watching the fun is not too big a deal.
In the past few years, the medical industry has been used up and turned into a rat, and everyone is crying out for beatings.
When encountering such a big incident again, Dean Li didn't want to get into trouble and just wanted to get through it safely.
"What's the use of a doctor? I thought you were looking for an old director." Secretary Chu complained softly, "It seems that we can only wait for Professor Chu from the Second Hospital of the Medical University."
said Then, he raised his wrist and looked at his watch.
Luo Hao closed the door of the doctor's office and came to the ward.
The patient was in a light coma, with cyanotic lips and no response to calls.
Luo Hao listened to the patient's lungs and found a small amount of crackles. He probably had used antispasmodic and antiasthmatic drugs.
During the physical examination, Luo Hao suddenly noticed small bleeding spots on the patient's body.
There are not many bleeding spots, and they are like needle points.
If Luo Hao hadn't been careful, he wouldn't have been able to discover it.
Luo Hao was slightly startled. Normally, such small needle-like bleeding spots have no clinical significance at all, but Luo Hao thought of a possibility!
The patient had just completed the operation less than 12 hours ago. He was naked and covered with a quilt.
Luo Hao took off the quilt and saw that there were more needle-like bleeding spots on the edge of the plaster on the patient's right inner thigh, and there were similar bleeding spots on the left inner thigh.
More is more, but it is within the range that can be ignored and is not very conspicuous.
"What are you doing!" Seeing that Luo Hao was young, a co-worker accompanying him rudely grabbed the quilt and covered the patient with it, "What should I do if I catch a cold! I just finished the operation."
Luo Hao apologized and did not argue with his coworkers.
In the system panel in the upper right corner of the field of view, the diagnostic assistant AI flashed, and then a diagnosis consistent with Luo Hao's idea appeared - fat embolism.
It is fat embolism, not pulmonary embolism caused by blood clots!
Although fat embolism is also serious, it is essentially different from pulmonary embolism.
The needle-like bleeding spots on the patient's inner thigh and the diagnostic assistant AI gave Luo Hao an idea.
Rush back and explain the situation.
While walking, Luo Hao was stunned for a moment.
He remembered something.
The mine manager used to have the only hyperbaric oxygen chamber in Donglian City.
Recently, the hyperbaric oxygen chamber has been in a state of disrepair, and it will cost a lot of money to maintain it.
For hospitals, hyperbaric oxygen chambers are negative assets and they have to lose money every month.
It would be great if it can just run it, let alone spend millions to maintain it.
So the hospital’s weekly meeting last month decided to abandon the hyperbaric oxygen chamber.
This is a money-losing product. If the hospital is responsible for its own profits and losses, it cannot afford to support such high-end things.
Luo Hao did not agree with this decision very much, but he was not qualified to participate in the weekly meeting of the hospital, let alone make a speech.
He also learned about this from Lin Yuming's nagging.
From now on, there will be no hyperbaric oxygen chambers in Donglian City...
The chance of recovery for patients with cerebral hemorrhage and cerebral infarction has been reduced by several percentage points, and the treatment of some special diseases has simply been discontinued. .
Is the system task related to the hyperbaric oxygen chamber?
Let yourself push the hyperbaric chamber to stay? !
Luo Hao couldn't laugh or cry.
Shouldn’t the system only issue tasks for a certain patient? It really values itself.
But yes, the system promulgates optional tasks, which you can do or not, but if you don’t do them, you won’t get the task rewards.
Gan!
Luo Hao's eyes gradually became firm and he strode towards the doctor's office.
Director Tan from the hospital office came over with a middle-aged man. When he saw Luo Hao, Director Tan waved as a greeting, then bowed and opened the door, inviting the man in.
Luo Hao quickened his pace, approached Director Tan and asked, "This is..."
"The experts hired by the mining area from the Second Hospital of the Medical University."
As he spoke , Director Tan sighed in confusion.
"The mining area was anxious. The gl8 picked up someone and rushed over at speed. After getting off the bus, Professor Hou said that his legs were weak."
Luo Hao remembered a joke - just do the driving and leave the rest to the finance department.
It seems that one year a certain company was in urgent need of an official seal, so it speeded all the way and delivered the official seal in the shortest possible time. But the car was ruined and I was fined more than 8,000 yuan.
I never expected that I would encounter something similar in reality.
"Director Tan, please come in." Luo Hao said politely.
Director Tan gave way and saw Luo Hao was determined, so he walked in first.
The expert didn't waste any time after entering the hospital. He directly read the films and checked various laboratory reports. They then go to the ward to see the patient and conduct a physical examination.
After coming back again, the tall and lanky Professor Chu asked, "Where are the CT scans? Why didn't I see them?"
"I haven't had time to do it yet." The doctor on duty replied calmly.
Professor Chu was stunned for a moment. He was a little angry, but then he thought about it and realized that this was a lower-level hospital.
“Let’s do a CTA examination of the lungs first. Really, we don’t even take the time to do the gold standard examination.”
Cta angiography, also called 64-slice CT, there are no night emergencies in the mine.
Orthopedic surgeons rarely see similar patients and have no clinical experience, so even the experts have not done the examination yet.
“Wait a minute.” Professor Chu suddenly said, “Pump the thrombolytic drug on first and hurry up. If patients with suspected pulmonary embolism are not given thrombolysis first and do not undergo gold standard examinations, your mine Haven’t you seen any doctors before?”
“Hurry up!” Professor Chu said.
The boss of the mine started to get confused. Some doctors began to give medical orders, some wanted to push the patient, and some asked the professor about the concentration and speed of the thrombolytic drug.
"Teacher." Luo Hao raised his hand cleanly and refreshingly.
He is like a student in the classroom.
"Huh?" Professor Chu glanced at Luo Hao and didn't care, just treating him as an intern.
"The diagnosis is only a preliminary diagnosis. Is it better to give thrombolytic drugs later? After all, the patient has just undergone surgery, and giving anticoagulants directly will cause bleeding."
"Postoperative bleeding What's more important is pulmonary embolism!" Professor Chu said unhappily.
"Pulmonary embolism is only a preliminary diagnosis, not a definite diagnosis. A definite diagnosis cannot be made until the 64-slice CT scan is done." Luo Hao insisted on his point of view.
Professor Chu laughed in anger. He pointed at Luo Hao and asked, "Who has the final say as the manager of your mine? An intern comes out to point fingers. Does anyone care?"
"Pedantic. "Professor Chu didn't wait for anyone to answer. Then he scolded in a cold voice, "You just stand up and point fingers after learning a little bit. This is emergency first aid!"
"Director Li, how can a doctor in your hospital do this!" Secretary Chu looked very unhappy. Looking at Dean Li Qiubo, he lowered his voice and shouted.
It can be seen that Secretary Chu is already anxious.
After all, there is a natural gap between ordinary accidents and larger accidents, which may even affect the future prospects of leaders.
As the leader’s personal secretary, it would be false if Secretary Chu was not in a hurry.
Luo Hao did not argue.
Emergency first aid, only one voice can speak.
If you jump out and have a dispute with the other party at this time, it will not look good even if you win.
Luo Hao lowered his head and turned around to help carry the patient for CTA.
“It’s nonsense to imitate other people’s emergency treatment when you don’t know anything.” Professor Chu said with disdain.
Dean Li was also surprised. Normally Luo Hao should say something.
But he just left.
Dean Li quickly went to apologize and said something nice to calm Professor Chu down.
Luo Hao helped lift the patient onto the flat car, and the nurse rushed over with a micropump.
Install the micropump and adjust the dosing speed.
"I'll do it." Luo Hao smiled, "While doing the examination, adjust the speed to make it faster."
"Okay, thank you Dr. Luo." The nurse thanked her quickly.
Luo Hao held the flat car and adjusted the values of the micro pump, but closed the infusion valve.
If the 64-slice CT scan confirms pulmonary embolism, it will be too late to administer the drug again.
But Luo Hao didn’t believe it.
The diagnostic assistant AI can diagnose even extremely rare genetic diseases. Coupled with Luo Hao's own judgment, he really does not believe that the patient is not fat embolism.
There still has to be a gold standard.
Professor Chu did not accompany the patient for examination, but sat in the office waiting for the results.
Dean Li asked Lin Yuming to supervise and coordinate.
By the time Lin Yuming arrived in the CT room, the patient had already been sent to the computer room.
"Luo Hao." Lin Yuming pulled Luo Hao aside, "What were you doing just now?"
In the past, Lin Yuming would have kicked Luo Hao when he came up. What is your last name?
But after experiencing so many things, Lin Yuming already looked at Luo Hao with new eyes, and his words became more polite.
"Uncle, the diagnosis given by Professor Chu is wrong."
"Huh? It's impossible. The patient's clinical symptoms are exactly the same as what is written in the book. Not to mention what is written in the book, I have seen patients with pulmonary embolism. Similar to his performance."
"Did you see needle-like bleeding spots on the patient's inner thigh?" Luo Hao asked.
“…”
Lin Yuming was startled.
"That is a sign of fat embolism. I think it is fat embolism secondary to long bone fracture. If the judgment is not wrong, the patient's 64-slice CTA will not change significantly."
"Thrombolysis can be given Where's the medicine?" Lin Yuming suddenly became anxious.
"I turned off the infusion valve." Luo Hao smiled and whispered, "Don't worry."
Lin Yuming felt a lump in his throat.
No wonder Luo Hao was "scolded away" obediently. It turned out that he didn't want to fight, but had tampered with the source.
This bitch is a little too courageous.
At best, this is called boldness by a skilled person; at worst, it is called insisting on one's own way.
Lin Yuming did not judge, but quietly waited for the image to come out.
Twenty minutes later, amid the beeping of the machine, images appeared before Lin Yuming's eyes frame by frame.
【This is a daily novel about a seaside person going to the mountains and the sea!
There is no pretense and slap in the face, just leisurely going up the mountains and going to the sea!
Chronicles, daily life, going to sea, farming, raising children, parents are short-sighted, don’t join if you don’t like it, don’t spray! 】
Ye Yaodong just couldn't sleep and thought about going to the deck to get some air and pee. Unexpectedly, he fell into the sea and returned to 1982.
It’s still the familiar small fishing village, but he is no longer the same person he was when he was young.
After half a life of being a fool, he wants to have a good life this time, but why doesn’t he believe everyone...
He had no future in his last life, and he has no big ideals or ambitions in this life. He just wants to redeem his regrets, live a good life with his wife, and have a safe and happy family.
(End of this chapter)