Chapter 151: It looks like a walnut from a distance, but it looks like a walnut up close. Take a closer look~
Chen Yan Director Chen is looking at the computer.
In the image on the computer, there is an eye that seems to be looking at Director Chen Yan’s eyes without blinking.
The three eyes looked at each other, Chen Yan stroked his heart hair with his hand, and a smile appeared at the corner of his mouth.
"Director Pei, don't worry, the diagnosis is very clear, look at those big eyes!"
"What is this?" Director Pei of the Department of Urology was confused.
"Hahaha, let me tell you, Director Pei, this is very rare." Chen Yan was proud, "In our gastrointestinal surgery department, we call it the Devil's Eye, or Roujiamo."< br>
“What is that?”
“Don’t worry, I’ll ask Ronaldinho to take a look at something rare.” Chen Yan was sitting on a chair, his legs too short to touch the ground. , dangling in mid-air.
Plus he has a full beard, and he looks like a big monkey.
Director Pei of the Department of Urology said dissatisfied, "Why are people talking about Luo Hao everywhere these days?"
"He is so awesome!" Chen Yan smiled while stroking his beard and looking at the eyes in the image. , "Little Luo may not have seen this thing before, I have to show him."
Director Pei is a little unhappy, feeling that many people are spoiling the young man named Luo Hao in the intervention department. It's really Don't understand why.
"Director Chen, I don't care, you have to do the surgery yourself, you can't let others do it!"
He used the word "other people" very seriously, and the meaning was obvious.
"Don't worry, Ronaldinho doesn't like this kind of surgery. He's better than me."
"What?"
"It's harmful, abdominal cocoon syndrome, I'll take it...it will take three points." , Xiaoluo went up and finished it in a swish. Don’t worry, you have come to me. I will do all the sewing myself from beginning to end.”
With Chen Yan’s promise, Director Pei was relieved.
"Then I'm leaving. If I don't go on stage with you, I'll go and tell the patient's family."
"Well, don't worry, I will definitely say everything to the point."
To say it to the point means to repeatedly mention how caring Director Pei is, so that the patient's family members know how to appreciate it.
The two of them had a tacit understanding.
Chen Yan did not send Director Pei off, but looked into that eye with a smile.
Feng Zixuan, Director Feng and Luo Hao went to India. Anyone who is interested in the first hospital of the Medical University knows this.
Invited to participate in the Phase 4 clinical trial conducted by an internationally renowned manufacturer, Director Chen Yan has never seen a similar doctor. None of the doctors he knows, including himself, have reached this level.
Chen Yan Director Chen had contact with Luo Hao and got along well with each other. Luo Hao left an excellent impression on Chen Yan.
Especially that time Luo Hao asked someone from the manufacturer to send consumables to the operating room to solve the problem of interventional surgery. He was willing to take "huge" risks to allow the patient to undergo the surgery safely. From that time Director Chen Yan and Chen admired Luo Hao very much from the beginning.
Looking at the "eye" on the screen, a smile appeared on Chen Yan's lips.
Smoothing the hair on his heart, Chen Yan blew out a hair stuck to his hand, and then picked up the phone.
"Xiao Luo? Are you busy? Come to my place and show you a rare thing." Chen Yan showed off.
"Okay, I'm about to tell the doctor in the department. Let me take a look and gain clinical experience."
"It's dead."
Looking Chen Yan was very satisfied with that "eye".
There will only be benefits and no harm if you have a reason to interact with Luo Hao.
Yesterday, the department admitted a female patient with intestinal obstruction. After examination, the imaging showed abnormality. Chen Yan explained to the doctors in the department before going into surgery that this was a very rare "evil eye".
About 5 years ago, Chen Yan saw a case of "evil eyes" and was deeply impressed.
Call the doctors and gather in the doctor's office except for those who work the night shift or go out.
Chen Yan did not use a computer, but inserted the patient's film into the reader.
"Director, the operating room has already received the patient."
"Okay, let's talk for ten minutes and I will perform the surgery myself." Director Chen Yan said.
"What kind of intestinal obstruction is this? The movie looks so weird."
"Haha." Chen Yan smiled slightly, and his beard spread out like a spear and a spurge. generally.
After waiting for two minutes, Luo Hao and Chen Yong rushed over.
“Woooooo~~~”
There was a whimpering sound in the corridor.
Luo Hao listened, feeling a little strange, but didn't care and went straight to the doctor's office.
But Chen Yong stopped, "Luo Hao, it seems someone is crying."
"Hospital, isn't it normal for someone to cry?" Luo Hao didn't care and opened the doctor's door Office door.
"Little Luo, come and take a look." Chen Yan waved.
Luo Hao walked up to Chen Yan, bowed slightly and politely, and then took a look at the film.
"Huh? Walnuts." Luo Hao was surprised, "How did the patient eat such a big walnut?"
Walnuts? Hahaha!
Luo Hao is indeed still young. When he sees a movie that looks like a walnut, he thinks it is really a walnut.
Chen Yan originally thought that Luo Hao would tell the truth - the eyes of the devil or the roujiamo.
Chen Yan Director Chen felt proud that Luo Hao was young after all, and some rare diseases were still not seen enough.
Then again, if Luo Hao knew about it, why would he come to him?
Right.
"Ronald, sit down." Director Chen Yan smiled and said, "This is not a walnut, it is gallstone intestinal obstruction."
Luo Hao's expression was slightly startled.
"This disease is rare. It is more common in female patients. The male to female ratio is about 1:10."
"Here, the ring-shaped high density surrounds the low density center, this "rougamo" Or the "evil eye" image feature is the rumored "gallstone intestinal obstruction"! "
Luo Hao squinted his eyes and watched the movie carefully.
Enhanced CT of the patient's abdomen showed: there was a 3cm high-density shadow in the lumen of the distal ileum, with a low-density area in the center, dilation of the proximal intestine and collapse of the distal intestine, without pneumobiliary tract or gallbladder wall enlargement. Thick sign.
Ultrasound examination of the liver area did not reveal any fistulas or gallstones.
If we talk about the devil's eye, it does look a bit like it, but Luo Hao still doesn't think so.
But Luo Hao did not refute Chen Yan, but sat down and listened quietly to Chen Yan's talk about "gallstone intestinal obstruction".
“The onset of gallstone intestinal obstruction is relatively insidious, and the onset of the disease is often intermittent. As for the cause, the main consideration is the abnormal passage between the biliary tract and the gastrointestinal tract, which is the reason for the occurrence of gallstone intestinal obstruction. Pathological basis of obstruction ”
“Imaging. , we cannot see hidden passages, so if you encounter similar images in the future, after surgical removal of the obstruction, you must explore it and try to find hidden anatomical abnormalities."
"Here, we need to pay attention. There are a few points..."
Chen Yan explained.
“Woooooo~~~”
Crying came from outside again.
This time it was more real, not the wind whimpering, but someone definitely crying.
Luo Hao listened intently to Director Chen Yan and Chen's explanation of gallstone intestinal obstruction, but Chen Yong pricked up his ears to listen to the crying outside and hit Luo Hao with his elbow.
"Listen carefully to the lecture. Director Chen has rich clinical experience. If you encounter similar patients after listening to it, you will not step down after only half of the operation." Luo Hao whispered to Chen Yong in a low voice.
Chen Yan smiled slightly when he heard Luo Hao's words.
Ronaldinho realized his "mistake". What about walnuts? This was gallstone intestinal obstruction. The "eye" in the middle was not a walnut but a gallstone.
Not bad, not bad.
It would be better if Xiao Luo could help write a paper. Chen Yan was thinking about writing a paper while giving lectures.
After a few minutes, Chen Yan finished his story and prepared to go to surgery.
“Woooooooo~~~”
When he walked out of the doctor’s office, the crying became clearer. Chen Yong followed the sound and looked over. It seemed that it was not coming from the ward, but from the nurse on duty. came from the room.
"Director Chen, what's going on?" Chen Yong asked confidently.
"The doctor ordered nurse Xiao Peng's lover to cheat on her, and she was crying there." Chen Yan said, striding out of the department and heading straight to the operating room.
Cheating. Chen Yong glanced at the voice and was dragged away by Luo Hao's arm.
Luo Hao knew that this guy must have cherished the idea of loving her and wanted to comfort her little daughter-in-law.
No need.
But Chen Yong was used to this, so Luo Hao dragged him away.
"Don't mind other people's housework." Luo Hao whispered.
"Tch." Chen Yong was disdainful, but still reluctantly followed Luo Hao to the operating room, turning back step by step.
"Gallstone intestinal obstruction is very rare. If Director Chen's diagnosis is correct, you should take a closer look. When you go home and show it off to your master, your master will definitely know."
One comment After seeing Jiang Wenming, Chen Yong stopped looking behind and strode behind Chen Yan.
Chen Yan has short legs. Although he kept walking in small steps, Luo Hao and Chen Yong followed him easily.
"Ronald, you just said that if the diagnosis is correct, do you still have any questions?" Chen Yan said with a smile as he walked, "Young people, in terms of experience, you still need to learn more from the old comrades."< br>
Comrade!
Chen Yong thought of Luo Hao’s joke on the night fishing day.
"Yes, Director Chen." Luo Hao said "humbly".
“Walnuts, such a big walnut, the cardia and pylorus are all trivial. The esophagus is not very elastic, so it is difficult to swallow it.” Chen Yan pointed out the mistakes in Luo Hao’s diagnosis as he walked.
Luo Hao didn't say much, but followed him to the operating room.
After changing clothes and going on stage, Luo Hao stood aside and watched quietly.
Laparoscopic surgery, prepare to cut the intestines, remove the stones, break them up and take them out.
Similar intestinal obstruction surgery has already evolved from large laparotomy more than ten or twenty years ago to laparoscopic surgery and has become routine.
To the extent that laparotomy is now a "specialty" procedure that only experienced doctors can do.
"Ronaldo, is India fun?" Chen Yan asked while performing the operation.
"It's not fun, not recommended." Luo Hao said, "We are all very careful. Chen Yong just ate some fruit and contracted the virus."
"Oh? So powerful!"
Chen Yong did not feel embarrassed and continued, "Yes, I have always paid attention to it. The water I drink is brought from Baisuishan from China. I also wash the fruits myself when I eat them, and I peel everything that can be peeled."
"That's it, I haven't escaped."
"Tsk, tsk." Chen Yan said with a smile, "I had dinner with Director Feng two days ago. He said he started to have diarrhea after taking a shower. He lasted for a day You will be sent back to the Imperial Capital to live in the Union International Department.”
"Well, Director Feng's situation is a bit dangerous. I really don't trust their safety and hygiene in India. Let's put it this way, there are big rats in the operating room. The largest one is 40cm not counting the tail. Follow the sperm "
40cm!
Chen Yan's hand paused and he subconsciously sketched in his mind how big 40cm was.
Fuck!
It doesn’t look like he’s become a sperm. He’s just a fucking sperm, okay?
"Xiao Luo, you caught it with your own hands? I can't do that. I feel sick when I see these furry and lively things."
"No, I don't dare. I found a few cats to catch mice."
“Ha, I thought you weren’t afraid.”
“I wasn’t afraid in the past. When I was a child, I went to the fields to catch voles and had nothing to fear. Then one time I met a patient who was I stuffed the mouse into my rectum and was bitten all over my stomach. From then on, I was scared."
"..." Chen Yan was startled.
Rat, rectum?
Chen Yan has extensive experience in diagnosing and treating rectal foreign bodies. Batteries, vibrators, loaches and the like are all normal items.
But what the hell is a mouse!
There must be an unknown story here.
Chen Yan wanted to ask, but he shuddered at the thought of the rat biting the rectum and nearby intestines.
Damn it!
Calm down, Chen Yan began to concentrate on the operation.
Go through laparoscopy and quickly find the location of the obstruction. Chen Yan skillfully opened the intestines and took out the "stones".
Huh? Something is wrong.
It doesn't look like a stone.
Chen Yong looked at the TV screen and looked at it carefully, Gan!
It’s not a stone, just like Luo Hao said after reading it for the first time, it’s a walnut!
Awkward.
Chen Yan looked at the walnuts and felt inexplicably embarrassed.
I originally wanted Ronaldinho to gain more clinical experience, but unexpectedly... I was given a backhand education.
Looks like a walnut from a distance, looks like a walnut up close. Take it out for surgery and take a closer look. Damn it! It’s really just a walnut!
"Ronald, it's really a walnut." Director Chen Yan was so cool that he quickly put away the negative emotions, calmly as if nothing had happened.
"Looking at the density, it should be walnuts." Luo Hao said.
"Density?"
"Well, there are various foreign bodies of mechanical intestinal obstruction in the medical records of Xiehe University. I did comparisons during my gastrointestinal internship a few years ago."
"..." Chen Yan was silent and started to ask for a knife. Extend the laparoscopic incision and remove the walnut.
This thing can't be smashed, it must fit in the mouth.
As for what Luo Hao said about the medical record database of Union Hospital, Director Chen Yan had heard about it.
It is said that almost a hundred years of medical records have been preserved, and very few have been lost.
When Luo Hao took out this treasure, Chen Yan had no idea how to deal with it.
Taking out the walnuts, Luo Hao started taking pictures.
It seems that he is also very interested in this kind of cases. Chen Yan calmed down and felt much better after suturing his intestines. It was not without gain.
It is not a shame to lose to Xiehe with a century-old foundation.
"Ronald, talking about the medical record database, your Xiehe doctor is very serious about writing medical records, right?" Chen Yan asked.
"It's bad, don't mention it. Just like our hospital, the Department of Internal Medicine is okay, but the Department of Surgery basically doesn't write medical records." Luo Hao said while taking pictures.
“I am in the critical care rotation, and the patients thrown in from the surgery department sometimes don’t even have surgical records. They make them up when they are discharged, which is similar to what we have here. Who wants to write medical records when they are doctors?”
Chen Yan laughed.
Luo Hao was "exposing himself ugly", but his last words touched Chen Yan's heart.
Who is willing to write medical records when he is a doctor?
"It's better to be in India. You don't have to worry about so much at all, just do the surgery. I took a look at the patient after the operation, and the patient was so moved that he almost knelt down and kissed my feet."
Luo Hao left ten pictures from different angles. After taking several photos, Chen Yan asked, "Ronald, are you going to publish an article?"
"If it's just walnuts... it's probably too much. If there are more than a dozen walnuts, it's still possible. In the past few years, new There was a case report published in an English magazine about a patient who swallowed 5 pounds of iron nails."
"..."
Chen Yan sighed inwardly.
Recalling that I was sitting in the director's office staring at the "Devil's Eye", who would have thought that it turned out to be a walnut.
However, the operation went smoothly. It was not a gallstone intestinal obstruction, and there was no need for exploration or consultation with the hepatobiliary surgery department. The operation was declared to be completed successfully.
"Ronald, when the patient recovers, you can help me do a gastroscopy to take a look at the esophagus." Chen Yan said.
"Okay, it's still necessary to take a look."
Luo Hao readily agreed.
Mr. You sent the patient back to the ward. While Chen Yan went to change clothes, he chatted with Luo Hao for a long time.
Chen Yan was a little surprised by the customs and customs in India and the shabby chain hospitals.
"I'm just saying, how can free medical care be so easy? Your butt determines your brain, and your words are rough and your reasoning is not rough." Chen Yan sighed, "But the operating room is in such a shabby state? No one cares about sterility? "
"There are rats running around, it's worse than what we had in the 1980s," Luo Hao said, "But the private hospital over there is really good. The person I pulled out alive among the dead was later. Send it to a private hospital. Let’s put it this way, the conditions are better than those of my family’s Union Medical College.”
“Tsk”
"Don't listen to their nonsense. There are so many people in India. The official said there are 1.4 billion people. Let me observe. I feel that even 2 billion people can't stop them."
While chatting, a few people Step down and return to the ward.
Just as Luo Hao was about to say goodbye, he saw three people rushing out in a hurry.
"Sister Li." Luo Hao greeted the head nurse.
"Yes." The head nurse winked at Chen Yan. Chen Yan felt embarrassed and stroked his beard.
Luo Hao had a clear mind and said with a smile, "Director Chen has just undergone surgery and is still busy. If we need help, Chen Yong and I can help?"
Chen Yan breathed a sigh of relief.
This young man Luo Hao is really sensible. He said quickly, "Ronald, please don't make a big fuss! Stop it when the time comes. By the way, pay attention to your own safety."
" Okay, don’t worry, Director Chen.”
Luo Hao and Chen Yong followed the head nurse and the other three people to leave.
The person who is crying is Sister Peng, the medical nurse. She was the one who had been crying before.
A young and strong nurse followed.
"Sister Li, what's going on?" Luo Hao first understood the situation, which was similar to asking for a medical history.
“Don’t mention it, isn’t your sister Peng and her husband in business? Business has not been easy in recent years, as you know.”
“But he goes on a business trip once a month. , it’s been more than a week at a time, and it’s still like that, so you, Sister Peng, started to be suspicious, mainly because the old guy said he was on a business trip and didn’t answer his phone calls or WeChat messages after he left.”
"Tell me, is everything okay?"
Luo Hao scratched his head, as if something was really wrong.
"What happened next, Sister Li." Luo Hao asked.
"Later, you, Sister Peng, began to think about it. Women's intuition is very accurate. She found that her husband bought a house in the suburbs. Every time he said he was on a business trip, he actually went to that house." The head nurse said angrily. Said, "Keep a mistress outside! Dog man!"
"..." Luo Hao spread his hands.
You really need to hold on tight and don't make things too big.
The big deal is divorce, or just turn a blind eye and just don’t kill anyone.
"Not necessarily." Luo Hao comforted.
"Xiao Luo, you still say nice things, but men don't have any good things." The head nurse was so angry that she started to scold Bald Lao in front of Luo Hao.
Luo Hao didn't feel embarrassed. He laughed and turned his head to see Chen Yong chatting happily with the little nurse.
Indeed, none of them are good.
"Ronald, I'm not talking about you, you are a good person."
"Don't mention it, Sister Li, I am not a good person either."
Between men and Between the lack of a good thing, Luo Hao made an instinctive choice.
"Oh." The head nurse calmed down after being teased by Luo Hao, "Tell me, your sister Peng was 23 or 4 years old when she married him. He was in his 30s at the time, and he was still a widowed old man. Bachelors, old cows eat young grass. You men are really young until you die, you only like 18.”
Luo Hao thought about it and remained silent.
Actually, some people just like to have surgery.
"How old are you! You are almost 50, and you are still so pretty, and you will die on a woman's belly sooner or later!" the head nurse scolded.
Luo Hao smiled and said, "Isn't this because technology has developed? All kinds of medicines are available, so it is inevitable. If we had it in the past... Let's talk about it, if it were another hobby, it might be quite miserable."
Chen Yong glanced at Luo Hao and knew that this guy was going to change the subject.
"My boss likes fishing. His wife is almost nowhere to be seen. I went to the Imperial Capital a few days ago and accompanied him on night fishing. Sitting in the graveyard, I was not afraid of being haunted."
"Night fishing ? Is it safe?”
The head nurse’s attention was indeed attracted by things like grave circles and night fishing.
"Safety is not a problem. Public security is good now, and the boss has guards." Luo Hao replied, "Even when we were fishing at night last time, there was a woman in red sitting across from the wild lake. I’m fishing, and it looks so weird.”
The head nurse’s attention was completely attracted.
With that said, several people got into the car, taking Luo Hao's car.
If you squeeze a little bit, you can still sit down.
Also, Luo Hao’s logo 307 may not look big, but in fact the interior space is much larger than the ordinary 307, and it can accommodate a lot of people.
"Ronaldo, your car is quite spacious."
"I'm thinking about changing it."
"What to change?"
"Audi's new drone headlights look very cool."
Luo Hao brought the topic to a lighter side and asked Sister Peng Address, navigate there.
Luo Hao started telling various stories again along the way, especially the incident at Fuwai Hospital. Luo Hao told it so vividly that even Sister Peng stopped crying.
Let's talk about driving, Luo Hao was serious; let's be serious, he took out a crooked black hair from his throat.
However, Luo Hao successfully diverted everyone's attention, which relieved the tense atmosphere a lot.
Arriving downstairs in the suburban community, Luo Hao parked the car.
"Sister Peng, stand behind and wait while Chen Yong and I go in." Luo Hao warned, "Sister Li, hold on to Sister Peng and don't make a big fuss."
" Chen Yong, prepare to take photos.”
“By the way, don’t send photos randomly, be sure to keep them confidential!”
"Luo Hao, why do I feel that you are experienced?" Chen Yong frowned and asked, "Do you need a good photo editing?"
"Don't make trouble, I'm serious."
< br>"What then?"
"Then? It depends on the situation." Luo Hao said, "I heard a few gossips from Uncle Sun. There was a man who caught his wife in bed and took pictures with her. He deleted the photo after he said he fucked his lover a hundred times. "
"That's it? "
"Well, after the incident, he deleted the photos and videos. As a result, the woman couldn't bear it anymore and stabbed the adulterer more than 20 times."
"Is this the legendary borrowed knife to kill?"
< br>"Also, a certain woman suddenly went crazy a while ago and posted a short video to all work groups."
"I remember that it was her husband who did it." Chen Yong said, "This is a cruel move, it will kill you immediately."
"You said that between men and women, that little bit of compromise. I think it makes sense."
Listening to Luo Hao's gossip, the head nurse, Sister Peng and the other three people's eyes widened.
There are so many ways to do it.
This is a hundred times better than scratching and scratching.
"But I suggest that no matter what you do, Sister Peng should calm down for three days before talking."
"Ah!" Sister Peng suddenly exclaimed.
"What's wrong?"
"Forgot to call the locksmith company, I'll call now."
"No, Sister Peng." Luo Hao scratched his head, "For a surgeon, It’s not difficult to open the door.”
? ? ?
Going upstairs, Luo Hao stretched a wire and showed his "technical ability" to open the half-opened door of the community with a pack of instant noodles.
With a click, Luo Hao breathed a sigh of relief.
There was no sound of snapping or ahhhhh inside. As long as she didn’t add fuel to the fire, Sister Peng should be able to handle it calmly.
Luo Hao raised his hand and made a silent gesture to his lips, and then opened the door.
Two tall figures appeared in front of him, and Luo Hao's hands froze.
(End of this chapter)