Chapter 71 The medical team does not support idle people
Zheng Siyuan’s eyes lit up, his wish came true!
He was extremely looking forward to going on stage for surgery soon to consolidate the insights he had just gained.
When Luo Hao hung up the phone, Zheng Siyuan did not bother to complain about Qin Chen, "Ronald, what an emergency!"
"Stomach varicose veins, vomiting blood."
"Oh." Zheng Siyuan showed a hint of regret.
"The old director thought I was having a meeting in the provincial capital and it was snowing, so he didn't dare to rush me, so he never called." Luo Hao said as he went to his locker to change into surgical clothes.
"Teacher Zheng, this is my cabinet. You put your coat in the cabinet. Put on your military coat. It's cold in the northeast at night."
"What about you?"
< br>"I'm used to it." Luo Hao said.
"Hemorrhagic shock, is there anything else?" Zheng Siyuan was not polite to Luo Hao and continued to ask.
It was just a hemorrhagic shock, completely undetectable by the top bosses in the country.
"No, the patient's current problem is that his blood pressure is extremely low. He just had a mouthful of blood in the room." Luo Hao changed his clothes and walked as fast as the wind, "Teacher Zheng, I..."
"I'll go with you. It's snowing and we can't go back tonight. I'll ask them to move the operation to tomorrow." Zheng Siyuan followed Luo Hao.
Chen Yong scratched his head, that position should be his.
But Zheng Siyuan, the top domestic endoscopist, stood there, seeming particularly harmonious and harmonious, as if a match made in heaven.
Just like Zheng Siyuan is a member of the medical team.
Chen Yong threw the bamboo stick on the table randomly and ran to the gastroenterology department after him.
……
……
See the patient first.
The diagnosis displayed on the diagnostic assistant ai is not very simple.
Hemorrhagic shock, portal hypertension...a dozen or so diagnoses are confusing.
To put it simply, the patient suffered from hepatitis B, liver cirrhosis, gastric varices and hematemesis.
This type of hematemesis is very common. Just like the emergency patients last time, they first choose internal medicine to stop the bleeding, and then go to the stage for ligation after the bleeding has stopped temporarily.
But those were patients who were not seriously ill.
The patient in front of me is obviously bleeding heavily, and it cannot be stopped with just medication.
More than 10u of blood has been poured in. Basically, I vomited out as much as I poured in, basin by basin.
The bleeding even stopped temporarily and the blood pressure increased. After that, the patient sprayed blood onto the roof.
Now there is only one solution to the problem - ligation.
Luo Hao took a look at the patient, confirmed that the diagnosis was correct, and sent the patient away.
He went directly to the endoscopy room.
After the last emergency treatment, Lin Yuming entered Luo Hao's fingerprint into the fingerprint lock, so he could enter without kicking the door.
“It’s really not easy in grassroots hospitals.” Zheng Siyuan said with emotion as he looked at the “shabby” dressing room.
“It’s good to get used to it. Ours is a relatively large hospital. Twenty or thirty years ago, the basic equipment was even comparable to that of Shanghai.”
Zheng Siyuan understood it with heart.
The economic foundation determines everything.
There was always money in the mines in those years. Although the price of coal fluctuated, generally speaking, the mining areas were large state-owned enterprises that were extremely wealthy.
Especially in the past 10 years or so, the price of coal has climbed to the sky, and the mining area has added a lot of new equipment to the mine.
Unfortunately, what I thought was the beginning turned out to be the last elegy for the mining area.
New energy sources are emerging and are overwhelmingly suppressing old energy sources, and the mining areas have lost their former glory.
As a hospital affiliated to the mining area, the Mine General Administration also transferred it to the municipal government. Since then, the equipment has not been updated for more than ten years.
So in the eyes of Zheng Siyuan from Magic City, this place is very simple.
"Ronald, how many similar emergency cases do you have here?"
"Not many, about 10 cases a year, and the rest can be solved through chronic diagnosis."
While they were chatting, the floor trembled slightly, as if an ancient giant beast had walked in.
"Director Guohua! Is the patient here?" Luo Hao knew it was Wang Guohua when he heard the footsteps.
“Here we come.” Wang Guohua said angrily.
Entering the dressing room, Wang Guohua saw Zheng Siyuan changing clothes at a glance.
"Director Guohua, this is Professor Zheng Siyuan from Shanghai Magic City, the top endoscopy expert in the country." Luo Hao introduced.
Wang Guohua's eyes lit up.
"Hello, Professor Zheng." Wang Guohua and Zheng Siyuan shook hands briefly and began to change clothes.
The patient's blood pressure was as low as 60 mm Hg and there was no time for small talk.
Being able to chat a few words while changing clothes is considered a good thing by Wang Guohua. If the doctor cares for him with a slightly inferior level, the patient will probably be cold by now.
Luo Hao walked into the endoscopy room while wearing a mask.
Zheng Siyuan just followed Luo Hao, looking left and right, as if he was here to visit.
The smell of blood in the endoscopy room and the adrenaline-soaking atmosphere of emergency care seemed to have no effect on Zheng Siyuan.
Wang Guohua hesitated again and again and came to Luo Hao who was preparing equipment.
"Xiao Luo, Professor Zheng is already here. The patient is still very critical. Let's see if we should..." Wang Guohua hesitated.
"It's okay, Director Guohua, I'm here." Luo Hao interrupted Wang Guohua and squinted his eyes, "Professor Zheng can just give me a small surgery like this. I'll go up and try it once. If it doesn't work, try again." Please come in, Professor Zheng.”
Wang Guohua was stunned for a moment, a little unhappy.
There is obviously a better magician on the side, but Luo Hao insists on doing it himself!
The key is that Zheng Siyuan has no intention of taking action at all. He just watches and stays out of the matter. What the hell.
If Wang Guohua hadn't been able to do it himself and couldn't get it off, he would have wanted to kick Luo Hao and Zheng Siyuan aside.
If you don’t like it, then get out!
It's a pity that Wang Guohua couldn't say it out loud.
Cooking is the original sin.
Luo Hao was very agile and had all the necessary equipment and consumables. Wang Jiani communicated smoothly and prepared a copy of the relevant consumables early on and left them in the endoscopy room.
While the patient was vomiting blood, Luo Hao sent in the gastroscope.
It was all red, but there was still no surgical field under the camera.
Seeing this scene, Zheng Siyuan no longer looked around, but looked at the screen intently.
Not only is it red, but you can also see black and red blood spurting out on the screen.
It feels like you are in a volcano that is about to erupt, with lava everywhere. The hot and tense feeling has overflowed the screen.
There was bleeding everywhere, but even Zheng Siyuan couldn't tell where it was.
Surgery is so difficult!
Zheng Siyuan looked at the screen intently, preparing to see how Luo Hao operated.
“Hurry up!” Luo Hao scolded.
"Come on, come on." Chen Yong was a little slow in his movements and was scolded by Luo Hao.
However, in the emergency room, Chen Yong had no time to slander Luo Hao.
The red and dark red blood had already stimulated Chen Yong's adrenaline. Although he was not nervous, his hands were shaking.
This is a side effect of high levels of adrenaline.
Luo Hao did not scold Chen Yong because his hands were shaking. He took the gastroscope and put it in a position for Chen Yong to hold.
The ligation device is inserted and retracted in less than 2 seconds.
The second ligation device went in and was retracted in less than 2 seconds.
Five minutes later, the suction device sucked out the residual blood trapped in the stomach, and the operation was over.
"Hey~"
Luo Hao breathed a sigh of relief.
【Flow】A feeling of weakness lingers throughout the body after use.
Unlike ercp, there is no [energy conversion] this time, and I feel extremely weak after the surgery.
You still have to add attribute points. Alas, your own attribute life, I don’t know when it will come to an end.
But [Flow] is so easy to use, Luo Hao is reluctant to use it even if he faces strong side effects.
Luo Hao did not finish the finishing work, but dealt with it bit by bit despite his weakness.
The hand speed before and after was extremely different, but no one thought there was anything wrong with Luo Hao, Zheng Siyuan pondered.
When Luo Hao turned around and left the stage, Zheng Siyuan came to Luo Hao and said, "Ronald, I have an annual meeting over the country. Can you do a demonstration operation?"
Luo Hao was exhausted, his legs seemed to be filled with lead, and it was difficult to take even one step.
Zheng Siyuan's eager eyes were at his side, but Luo Hao whispered, "I'm sorry, Teacher Zheng, I have a lot of things to do recently, so I might not be able to go."
"Oh, it's okay." Zheng Siyuan sighed. , not angry because of Luo Hao's rejection, just a little regretful.
The technical level shown by Luo Hao just now was seen by Zheng Siyuan with his own eyes and cannot be faked.
With the screen full of blood, if he had done it himself, the operation would have been impossible. Zheng Siyuan had a clear judgment.
But in such a bad situation, Luo Hao completed the operation quickly, which could not help but surprise Zheng Siyuan.
Going to the locker room, Zheng Siyuan was uneasy. He did not accompany Luo Hao, but said goodbye politely.
Luo Hao was in a weak state and tired to the naked eye. Zheng Siyuan refused his "kindness" to send him back to the hotel and left alone.
In the dressing room, Luo Hao took out a cigarette, put it in his mouth, leaned against the window sill and closed his eyes to relax.
[Flow] is really useful, but the feeling of weakness after ending the [Flow] state is excruciating.
Fortunately, the time for using the skill this time was not long, and the 40-minute period of weakness passed quickly.
When Chen Yong came to change clothes, Luo Hao had just recovered.
"Luo Hao, the old director of Guohua wanted Professor Zheng to come to power, why didn't you do it? It's just an operation, why bother. And Professor Zheng didn't want to do the operation, why are you stopping him?" Chen Yong asked curiously.
After all, Zheng Siyuan offered to do a chronic surgery tomorrow, and it happened to relieve the itching of his hands in an emergency, so Chen Yong was puzzled.
"Damn, he can't do this operation." Luo Hao said casually.
"!!!" Chen Yong was surprised and inexplicable.
"Let's put it this way, the more top experts are, the less they do basic surgeries. For example, when I was in school, a director wanted to teach me about sutures. After a major operation, he sewed them layer by layer with his own hands. . Uh, it's called layer-by-layer suturing."
"What's wrong?" Chen Yong looked at Luo Hao.
"Later, the patient's fat liquefied, and the medicine was changed for an extra half month. When the director saw the patient, his face was covered with black lines, and he finally swore that he would never have any skin sutures again." Luo Hao smiled.
"Uh..." Chen Yong was stunned, "It's impossible."
"They haven't sewed in many years. The simple ones are fine, but the more difficult ones will definitely not. So quick. Professor Zheng is indeed one of the best doctors in China who has done ligation, but that was in the past.”
"What now?" Chen Yong wondered.
“After not doing it for many years, Professor Zheng concentrates on doing more advanced surgeries such as esd and ercp. If he had to go on stage, he wouldn’t be able to do it, but he would definitely not be able to do it as fast or as well as I can. ”
Chen Yong smelled something was wrong.
Professor Zheng Siyuan on the front foot has just left, and Luo Hao on the back foot is here to show off.
As expected, Luo Hao would only show off to himself.
Oh shit! Gan!
Chen Yong cursed in his heart.
"Director, there are only three things you have to do. First, do the surgery well; second, do the scientific research well; third, lead the team well. Chen Yong , which one do you think is the most important?”
Chen Yong thought about it, according to his previous thinking, the most important thing was to do the operation well.
Master Jiang Wenming's surgery was just fine, so Chen Yong kept apologizing for his master.
But now...
Obviously it is more important to lead the team well.
Chen Yong has grown up slowly under Luo Hao's influence.
“To give hope to lower-level doctors, draw countless big cakes and let lower-level doctors eat them.” Luo Hao stood up and began to change clothes.
"Can you still eat the cake?"
"Sci with an impact factor of 10, Xiao Tian, I'm not kidding." Luo Hao quietly threw out a large cake.
“!!!”
“I will also give you some small operations in the future.” Luo Hao said.
“!!!”
"For example, today's emergency surgery."
"!!!"
Chen Yong's forehead was filled with exclamation marks.
When did such a dangerous condition turn into a minor illness? !
If it were Wen Youren, he would not be 100% successful in whatever he could do or know how to do, nor would he be as skilled as Luo Hao. Wen Youren could boast from the beginning of the year to the end of the year.
"We will go to the provincial capital in a while. I don't want to run back and forth. You hurry up and mature. If the mine manager encounters similar patients in the future, you will come back and throw the knife."
"!!!"
< br>Chen Yong can no longer speak.
In the past, he always complained that Wen Youren would not let go of the operation, otherwise what would happen to him.
Ke Luo Hao really had surgery.
Once he put it down, Chen Yong felt guilty and almost stopped crying.
I can’t pick it up myself.
Brother, can’t you let me have some cholecystectomies first? Come directly to the higher difficulty level?
"Hurry up and mature, otherwise I will find a capable person to replace you in the first year of medical school." Luo Hao threatened.
“Scumbag!”
"The first sword ashore." Luo Hao smiled, "I took you to the first year of medical school, asked you to get organized, and helped you publish your paper. If this is not enough, I really don't know what else I can do."
"You can't afford even a big operation. The medical team doesn't support idle people."
"..."
Chen Yong was speechless.
“Let’s go and see the patient.”
"Luo Hao, do you think I can do it?" Chen Yong felt guilty and asked Niao Qing. (Note)
"You should focus less on the girls and study more on the surgery. What's wrong?" Luo Hao said, "Are you questioning my vision or your ability? ”
Chen Yong cannot question either of them, but he has little confidence in either.
Things were pretty much as Master Jiang Wenming expected, but Chen Yong always felt that something was wrong.
“Normally, when doing minor surgeries, we don’t want the big boss to come on stage.”
On the way back to the department, Luo Hao continued to gossip to Chen Yong.
“For example, a big boss, who is ninety years old, still insists on performing one operation every day.”
“I’ll do it, awesome!” Chen Yong exclaimed.
“You are so awesome. The probability of something happening is very high. After all, you are already ninety. Who doesn’t have shaky hands at the age of ninety? When a boss performs an operation, there must be at least 1-2 decent people behind him. His disciples and grandsons are escorting him in his youth.”
“Whenever there is a problem, I will immediately come to the stage to help him solve it.”
Chen Yong could not understand Luo Hao's description.
In Chen Yong’s mind, the older he gets, the higher his level of expertise. Otherwise, why would doctors be said to be more and more valuable?
But Luo Hao was talking about another situation.
"In five years, you will be able to stand alone. Your energy and physical strength are at their peak. Accumulate some clinical experience. Not to mention the imperial capital, you will definitely be able to stand up in the provincial capital."
Luo Hao’s cakes are particularly well-painted and delicious.
Although the SCI with an impact factor of 10 has not yet appeared, Luo Hao's surgery and papers in "Nature" and "The Lancet" seem to be invisible endorsements.
The most important thing is that the establishment of first-year medical students has been obtained.
If Chen Yong cannot keep up with Luo Hao from now on, he can also have a provincial capital establishment. This is real and cannot be faked.
Chen Yong thought for a moment and nodded, "I understand."
The two of them took a look at the postoperative patient. The bleeding point had been bandaged and there was no sign of further bleeding.
The blood pressure is also rising steadily. As long as there are no symptoms such as DIC, this person is considered alive.
“Luo Hao.” Wang Guohua called Luo Hao out angrily, “Do you know how to perform chronic diagnosis of gastric varices?”
“Yes, sclerotherapy, chronic diagnosis is not difficult. .”
“Teach me.”
If it were Chen Yong, he might not be able to directly confront Wang Guohua.
But Luo Hao knew that Wang Guohua was straight-forward and just said what he wanted to learn without thinking about anything else.
So Luo Hao just smiled and said, "Okay, Director Guohua, you have recently admitted some related patients, and I will teach you within half a month."
"Half a month is enough, I'm old." Wang Guohua laughed at himself.
"I'm going to the provincial capital after the new year. I don't have much time."
"Provincial capital? Are you going to study further?" Wang Guohua asked.
"First-year medical student, I asked Luo Hao to go to the establishment." Chen Yong couldn't help it anymore and interrupted.
His elation did not offend Wang Guohua. Wang Guohua’s heart was focused on key words such as provincial capital, establishment, etc., so much so that he did not hear clearly the first year of medical school in a daze.
"Which hospital? Provincial hospital? I heard that they have been poached by the south recently, and they are severely short of manpower." Wang Guohua said.
"First year of medical school."
Chen Yong repeated it again.
"!!!"
Wang Guohua stopped talking, with a lot of indescribable and unclear feelings in his eyes.
Luo Hao smiled slightly, "Director Guohua, I'll go home first."
Wang Guohua didn't speak and nodded silently.
After Luo Hao and Chen Yong left, Wang Guohua was silent for a while and then made a few phone calls.
As the information he received became more and more accurate, Wang Guohua's expression became more and more serious, and he slowly returned to the office of the director of the general surgery department.
Taking out his mobile phone, Wang Guohua heard the beeping sound and was silently lost in thought.
"Master!" Wen Youren's voice came out, feebly.
"How about that side?" Wang Guohua asked.
"Cold." Wen Youren's words were full of tears, "Master, in ancient times, people were exiled to Ninggu Pagoda. I've already gone to Qianhe. Lao Maozi also exiled criminals to Siberia."
"You deserve it!" Wang Guohua scolded coldly.
There was silence on the other side of the phone.
"Youren, you should be able to come back after the Chinese New Year."
"!!!"
Exclamation marks and excited dopamine and adrenaline flow along A wireless signal came out of the phone.
"Really?! Master, you helped me move, right? Thank you, thank you, you still care about me." Wen Youren was surprised and happy.
"No, Luo Hao is going to be a freshman in medicine in the next year."
"Study further? That will only take half a year." Wen Youren began to worry about gains and losses again.
"It's not about studying, there is a system there. Luo Hao also brought Chen Yong with him, he also has a system."
Wen Youren was silent again.
"Today, the executive vice presidents of the first and second year medical students came to our hospital to discuss terms. Which one offers better conditions?"
When Wang Guohua said this, he felt at a loss.
In those days when transportation was underdeveloped, he would happily listen to his subordinates bragging every time they were drinking.
What is the first sword in Donglian, why is it no worse than the provincial capital.
But Wang Guohua knew in his heart that he could not keep up with the big guys in the provincial capital. Wang Guohua wouldn't even dare to dream of asking people to go there like Luo Hao, and also giving conditions such as staffing.
The master and apprentice were silent.
After a full minute, Wang Guohua said slowly, "Youren, be honest when you come back and do some business."
"Yes." Wen Youren was obviously still in a daze, Didn't react.
“As doctors, our food is the original sin, we can’t just mess around.” Wang Guohua sighed, “I learned gastric vein ligation from Luo Hao, and when you come back, I will teach you. I can do emergency first aid. "You are the only one in Donglian City who can stand firm in the future."
Wang Guohua seemed to be much older, with weakness and helplessness in his voice.
...
...
After the annual meeting, Luo Hao received some invitations to the annual meeting one after another, but he rejected them all.
Before it was time to stand out, Luo Hao knew that what he was lacking now was attribute points, and he had to get through the period of weakness after the damn [flow] state.
Time passes day by day, and Dean Jin has completed the procedures and is just waiting for Luo Hao to join the job after the year.
According to Luo Hao's request, he did not go to Director Shi's endoscopy room, but went to the interventional department.
Now Luo Hao still has a mid-term mission, and [Energy Transformation] can offset part of the weak state. The Intervention Department is Luo Hao's best choice.
The New Year is here in the blink of an eye.
There are very few patients in the department. Not only in Donglian City, but also in the system [Medical Team], Cui Mingyu’s operation volume in Anzhen has plummeted and is about to return to zero.
This is a custom, Luo Hao understands.
Although I am anxious, I am not anxious these days. Luo Hao planned to use the time before the new year to finish up the chores of Donglian City Mine Manager, and go to the First Hospital of the Medical University after the New Year.
In Xiaonian, Luo Hao came to the hospital, changed clothes and went to the department. In the corridor, Luo Hao saw Chen Yong wearing a mask and talking to people.
Chen Yong is also very interested in it recently. He can learn surgery faster than Wang Guohua, and he has good eyesight and quick hands. Not to mention his talent, he is always considered to be first-class.
In addition to completing his KPI, Chen Yong finally focused on the hospital, which made Luo Hao very satisfied.
No, communicate with the patient’s family early in the morning.
Luo Hao had a smile on his face, a child can be taught.
“I don’t see any problems.” Chen Yong said to the patient’s family, “There is no dirt in the body. I have looked at it in several ways, but there are too many things in my mind. I suggest Go see a psychiatrist.”
! ! !
Luo Hao’s head is full of black lines.
……
...
Note: Bird Quiet, used here, is quite touching. This sentence was said by an old man who resigned and went to the south during the meeting. I remembered it immediately. I haven't said these two words in many years.
(End of this chapter)