Chapter 174 The first-aid level of the first-year medical students is a light-year ahead of you
"What are you thinking?" Luo Hao asked.
“Let’s see if there’s anything else missing.” Chen Yong frowned, “It’s all over the place, and the most damn annoying thing is the emergency room.”
“What else is missing?” Luo Haoyi Sitting on the sofa, he crossed his legs.
Yuan Xiaoli was pressing on the hemostatic points, Meng Liangren was cleaning up the operating room, General Manager Liu Yiyi was busy taking notes, and only Luo Hao was the most idle.
"There is nothing missing." Chen Yong finally breathed a sigh of relief after carefully reviewing the pre-operative instructions and related documents several times.
“I heard from Lao Meng that you knocked down the patient’s family members?” Luo Hao asked.
"Bi Dong? Is this what Lao Meng told you? Who taught him Chinese!" Chen Yong raised his head with disdain and glared at Meng Liangren through the leaded glass.
"Skills." Chen Yong refused to answer the previous topic.
"Percutaneous abdominal aortography + abdominal aorta balloon occlusion + abdominal aortic aneurysm covered stent implantation." Luo Hao replied.
"I said the patient was dead, and his daughter immediately went limp." Chen Yong was typing while nagging, "What can I do? When she lies down, I can only slap her a few times, is that okay? "
"Well, good job." Luo Hao smiled, "What did you say?"
"I said, there is basically no chance, but I recommend rescue and you need to sign. I know that the patient’s family members have a blank mind at this time and can only act instinctively. It doesn’t matter what they say.”
“Even if I tell her that she wants to eat KFC tonight, she needs to sign, and the patient’s family can sign. ”
Luo Hao smiled, this is an excessive metaphor, but it is not a metaphor, it is basically a line drawing.
I have seen many family members of patients who are as soft as a noodle. Chen Yong is very impressive when he can get family members of such patients to sign and agree to the operation.
“Did you take off your mask?”
“Yeah, what’s the problem?”
“No, good job.” Luo Hao looked at the operating room leisurely The doctors and nurses who were still busy inside looked back at the system panel with satisfaction.
[Emergency mission: The dying man has been completed.
Mission content: Successfully rescued a patient with ruptured aortic dissection.
Task time: 2 hours.
Task reward: Bad Luck Charm +2. 】
There are two dark talismans placed in the system space, which should be the bad luck talismans awarded to oneself.
This thing must not be tried casually. It will be of no use to doctors, nurses, patients or their families.
Maybe when Wen Youren reports him, he can use the bad luck charm to give him a shot.
Wen Youren?
Luo Hao thought of that guy.
If I had given him a shot at that time, maybe Wen Youren would have really gone to Siberia to grow potatoes by now.
It cannot be said that it is useless. Bad luck charms can be of great use at specific times and events.
But Luo Hao hopes that the system can reward him with attribute points.
Oh, it belongs to life.
"What are you doing? Are your legs weak?" Chen Yong asked.
Luo Hao moved his eyes away from the bad luck charm and forgot about it, "Take a break and lower the concentration of adrenaline in your body."
"I thought the patient couldn't do it. "I didn't expect you to get it back. Luo Hao, sometimes I doubt you have a resurrection card." Chen Yong was also quite sad.
"Just give it a try. It's best if you can save him. Well, that's it." Luo Hao was very happy.
"Fuck! Awesome!!" Chen Yong suddenly exclaimed.
"What's wrong?"
"No." Chen Yong seemed to want to hide something, but his red eyes had narrowed and his smile was revealed.
Are there new merit points? Luo Hao guessed.
This patient is different from other patients.
Other patients are living people. This patient was already dead during the countdown to death, but was not completely cold yet.
Luo Hao doesn’t want to find out Chen Yong’s secret, as long as he can continue to pray for himself.
"Chen Yong, you are responsible for communicating with the patient's family, so don't bother Lao Meng."
"Yes, I know." Chen Yong nodded, "I said it first, I am sure Communicate. Where to send the patient?”
"icu."
"Damn it!" Chen Yong cursed again.
In emergencies, doctors and nurses keep swearing. This is normal.
Luo Hao knew what Chen Yong was scolding.
A lot of first aid records need to be written, and the ICU will urge you to transfer the medical records, otherwise it will be impossible to issue medical orders.
The operation was indeed over, but there would be at least another hour or so of busy work ahead.
Get busy. Fortunately, the patient was rescued. Writing a rescue record is better than writing a death discussion.
Sitting on the sofa, Luo Hao went over the previous rescue process.
There seems to be no omissions. Not only myself, but also Chen Yong and Meng Liangren performed very well, almost impeccably.
The team was formed unconsciously, and a smile appeared on Luo Hao's lips.
Although the number of people was still small and there were no system rewards, Luo Hao just felt happy.
As for Mr. Ma Liu Yiyi, she is sassy and neat, and Luo Hao admires her very much.
It’s just that an anesthesiologist is rarely used in interventional surgeries, otherwise Luo Hao would have found various ways to bring this person into his medical team.
"Professor Luo, it's done." Yuan Xiaoli finished the pressure bandage and came out to "report" to Luo Hao.
“Okay.”
"Then I will send the patient to the ICU."
Luo Hao was not polite, nor did he say anything about hard work, and started busy again.
Everyone in the medical team went to the ICU together. Luo Hao moved a small bench and sat on the bedside to look at the patient. Chen Yong and Meng Liangren completed various records on the spot.
Although these things are "annoying" and trivial tasks, Luo Hao has worked in the medical office for 2 years after all, and he has become accustomed to completing all the homework documents, otherwise he will not feel at ease.
And I don’t know if the story of the farmer and the snake will happen, so it’s better to be cautious.
It sounds ridiculous. After completing an emergency rescue that was close to a "miracle", the doctor did not feel much sense of accomplishment or satisfaction. Instead, he was worried that the patient's family would bite him back.
But Luo Hao has long been used to it and started "defensive driving".
After a full hour and a half, all the contents of the homework documents and medical records were completed.
Icu’s resident manager reviewed it and was shocked.
This is also the first time she has seen a patient with ruptured aortic dissection in the emergency department still live in the ICU.
After writing out all the contents of the medical record and reading it from beginning to end, the ICU resident manager still seemed to be in a dream and felt that everything was so unreal.
Luo Hao did not leave directly. Instead, he checked the medical record and modified a few places until he was satisfied before leaving.
After the three members of Luo Hao’s medical team left, the ICU resident boss took out his mobile phone.
【Have you ever seen a patient with abdominal aortic dissection and ruptured aneurysm being rescued? ! 】
After writing, the ICU hospital manager felt something was wrong, and after thinking about it, he added another sentence - [It broke in the emergency department. 】
[Fuck, don’t make trouble. If you break someone, he will die. Can you save him? Are you too busy and are you dizzy? 】
【Have you seen a shocking article in any self-media? Please, please have some professional qualities. 】
【How can self-media do this? I guess I just dreamed about it. 】
The usually quiet group immediately became active, replying almost instantly, and several critical care doctors appeared in front of them.
Everyone was joking and ridiculing in their words, but they did not take those words seriously.
Can aortic dissection and aneurysm be rescued after rupture? It's simply impossible!
No treating physician who has been in clinical practice for several years would say this.
But this is the effect that the ICU resident boss wants.
Let’s all have our jaws dropped together.
How happy they are sarcastically now, and how surprised they will be later.
[The technical level of our First Hospital of Medical University is one light-year ahead of the whole province! Okay! 】
Icu’s hospitalized boss replied proudly.
【Don't talk nonsense, there is no truth without pictures! 】
【That is, yesterday I had a patient with thoracic aortic dissection who refused elephant trunk surgery, and the patient's family asked for automatic discharge. Sit up and get dressed, then just lie down and the person will be gone. 】
【I think I wrote it wrong, it's not aortic dissection, it's dissection in other locations. 】
There were countless splashes in the quiet WeChat group.
Icu’s resident manager had an uncontrollable smile on his face.
She immediately posted the image of Luo Hao's hair using a pig tail tube, and then posted her physical signs at that time.
Aorta, abdominal aorta!
That’s right!
The image of a dissecting aneurysm is so dazzling. The angiogram of a single shot smokes next to the aorta. There is no doubt that it is broken, not just a little bit, but completely broken.
The WeChat group that had just become active suddenly exploded.
The imaging confirmed that it was an abdominal aortic dissection. Although it was not certain that it was ruptured in the emergency department, the aortic dissection was definitely ruptured.
【What then? 】
【I estimate that the patient's blood pressure has returned to zero, and the value is an error caused by the dying of vascular smooth muscle. 】
[The person is already dead. It’s useless for me, the King of Heaven, to come. Let’s go, Mo. 】
Looking at the series of replies, the ICU resident manager steadily posted the image of the balloon blocking the breach.
The WeChat group that had just become a mess suddenly became quiet.
Is this okay?
It seems...
It seems...
Almost...
Okay.
Then the ICU hospital manager posted the time and vital signs recorded in the rescue record.
It is said that the rescue records written by the doctors of Professor Luo's medical team are really detailed and are countless times better than those written by the old dogs in the surgery. The ICU resident manager felt emotional.
[Fuck, can you really live? 】
【I am speechless. 】
【If this patient survives, I plan to go to the First Hospital of your Medical University for further study. 】
The hospitalized boss of ICU held his mobile phone and laughed, extremely proud of himself.
She did not do the surgery, and the rescue had nothing to do with her, but it was a personal experience after all.
Even seeing this kind of emergency treatment that happens once in a lifetime with his own eyes would be enough for the ICU resident manager to be proud of.
【Of course he is alive, the patient can speak now. 】
Countless thumbs-up emoticons came out one after another, and then someone posted an emoticon of pandas burning incense + worshiping.
So the neatly lined up emojis of pandas burning incense and worshiping filled the screen.
The more doctors understand the difficulty of rescuing, the more they admire him. As for worship, that is right.
If you don’t worship this, what else is worth worshiping?
In fact, they didn’t want to, but it was a ruptured aortic dissection, which was ruptured in the emergency department, not on the operating table.
【Hurry up and post the surgery below. 】【Yeah, half of it made me feel itchy! As for how long the patient's brain has been deprived of oxygen, it would be better not to save him if he is left in a vegetative state. 】
[Probably not. There is time in the images and they can be matched. It is theoretically possible. 】
The ICU hospital manager did not show off too much and posted all the following information, as well as the post-operative laboratory test sheets.
Judging from the test values, the patient should be alive.
After showing off, the hospital manager of ICU held his mobile phone and smiled, waiting for everyone to pay homage.
A flood of worship and flattery.
But after two minutes, the resident from the hospital next door sent a message.
【Is it true? Or did you compile it using chatgpt? 】
【Of course it’s true! 】
【I always think it’s impossible, because everything is so perfect. I'm not saying that this kind of rescue is impossible. It's been less than 3 hours since the aortic dissection ruptured. Do you have rescue records? 】
This is indeed a "flaw".
But the hospital manager of ICU was confident, printed out medical records, and started recording videos on his mobile phone.
A series of medical records such as rescue records, operation records, various signatures, and even first course records, medical records, on-stage consultations, postoperative records, etc. are all available.
The time is marked on it.
The WeChat group fell into silence again.
The envy of all critical care doctors will flow out.
My group of Dogecoin doctors throw patients into the intensive care unit without even writing down the surgical records. No matter how many times they are urged, it is useless.
Only when the patient is about to be discharged is a copy and pasting of the surgical notes done in a hurry.
Look at the doctors at the Renjia Medical University First Hospital. They can recover a ruptured aortic dissection and aneurysm, and within just 3 hours, all the medical records and documents are ready.
No need to rush at all.
【Be careful dic. 】
Someone sent a sour message.
[Ha, Professor Luo left a medical note before leaving. 】
The hospital manager of ICU smiled and sent the medical instructions left by Luo Hao.
How to deal with any situation, down to the smallest detail.
【It's so detailed that another graduate student could handle it. 】
【This is too comprehensive. Do you have this level of medical freshman? Don’t believe it! 】
[That is, tell the truth, what is going on? 】
The crowd in the group was excited.
......
Luo Hao sat at the table, holding an unlit cigarette and looking through the documents.
Chen Yong and Meng Liangren were snoring and eating.
It's already very late, so I have to eat a bite of Lao Nangang casserole meat to cope with a bite.
Luo Hao ate very quickly. After serving, he poured the meat into the rice. He finished the meal in 10 seconds, and then began to drink the soup slowly.
Chen Yong and Meng Liangren were not as anxious as Luo Hao.
"Luo Hao, aren't you going to give me a few compliments?" Chen Yong asked with excitement after eating.
“Everyone did a good job!” Luo Hao smiled, “Everyone works together and we will continue to work hard in the future.”
"That's it?"
"What else?" Luo Hao glanced at Chen Yong, "How can I praise you?"
Chen Yong shrugged.
"Handsome guy, add WeChat?" A mobile phone was stretched out next to her. A girl blushed, but she tried to muster the courage to ask Chen Yong for WeChat.
"Sorry, I like men." Chen Yong returned his hand and hugged Meng Liangren's arm, saying with a smile.
"Ah?"
The girl was shocked and left.
Chen Yong moved away immediately and took out a handkerchief to wipe the clothes that came into contact with Meng Liangren.
A look of disgust.
Meng Liangren didn't know whether to laugh or cry, but he didn't say a word, he was mature and steady.
Well, this is good. If only he and Chen Yong encountered this situation, he would probably have goosebumps all over his body, Luo Hao thought to himself.
"Luo Hao, in this work today, there are not many cases of letting Xiehe go." Chen Yong asked.
“It’s basically rare, after all, time is tight. But technically it’s not difficult. What’s difficult is communicating with the patient’s family. Lao Meng starts from the beginning to deal with various easily overlooked points.”
"Is that enough for one case report?" Meng Liangren asked.
“Not enough, we don’t read this in individual case reports.” Luo Hao shook his head.
"Lao Meng, work hard, Luo Hao will help you make a lot of money!" Chen Yong said with a smile.
“Be low-key.” Luo Hao glared at Chen Yong fiercely, “Be low-key when it comes to making money. These are all tricks. I can only try to offend less people, but I can’t guarantee that I won’t. It will offend people.”
“What do you mean?”
“Boss He was investigated for establishing a cancer hospital in Northern Hebei Province a few years ago, and the people behind him were strong enough to take matters into his own hands. It was suppressed. But Boss Tian from Jishuitan did not hide away, saying that he peed when he was taken away."
Luo Hao sighed.
"Really or not? I think what you said is vivid, but I still feel that it is not true."
"Really? In fact, doctors are the easiest to check. After ten years of hard work, reading a lot of scriptures, and a little bit It doesn’t matter if I scare you or not,” Luo Hao said softly, “So the bosses said that all my money must come from a clean source, pay taxes, and be able to withstand inspection.”
"Oh? Are you suffering from persecution paranoia?"
Luo Hao shook his head, a little dazed.
"What are you thinking about?" Chen Yong was curious.
"I'm thinking about the guide." Luo Hao said, "Boss Tian was a big shot in formulating the guide back then, so he naturally preferred spinal surgery. The neurosurgery department fought with him several times, but couldn't get it done."
When talking about these gossips, Chen Yong became attentive.
“There are no academic leaders in the interventional department. Whether it is Dean Xu or Boss Teng, although they are already very strong, they are still a little worse than the hepatobiliary surgery department. Otherwise, Boss Teng and Dean Xu would not be as good as None of them entered the Academy of Engineering.”
Luo Hao briefly talked about some gossip in academia and left a final paragraph.
"Isn't it pointing at you?"
"Me? Haha." Luo Hao smiled.
“It’s so difficult, isn’t it?”
“The knives at the yamen gate are very sharp.” Luo Hao said seriously, “So I don’t recommend making money casually, just save your worries, don’t When the time comes, I will catch you."
Meng Liangren nodded.
Chen Yong dismissed it.
"Actually, there are many ways to make money."
"Don't brag, tell me."
"Chairman Chen of Aier Eye Hospital has no medical background. After retiring from the army, he first went to Hainan to work The general agent of Coco Coconut Juice later started to speculate in real estate, but ended up failing.”
“After that, Hetian Pu Department established the courtyard-in-court model at the same time, and if he couldn’t compete with Putian people, he set his sights on it. In ophthalmology.”
“After all, gold ophthalmology and silver surgery.”
"Aier Ophthalmology seems to have a market value of hundreds of billions." Meng Liangren said.
“Well, Aier established a specialized hospital after being cleared out of the hospital. However, at the beginning of the 21st century, the specialized hospital had almost no patients and almost closed down. Later on, there was capital injection, including technology capital injection.”
"Who?" Chen Yong was very dissatisfied with Luo Hao's hiding.
"Haha, it doesn't matter who it is. If you want to make money, invest in technology, then list it, split it, and list it again. This is the right way. Why bother to make a small amount of money in clinical practice without cherishing feathers? "
"Making money is such a big deal!" Chen Yong didn't understand.
"Harm, after a certain level, it's just numbers. Isn't it easy to make money? The main thing is whether you can keep it." Luo Hao said with a smile, "Each city has its own richest man. How many richest men were there in the past few years because of the city's requirements? How about 'blind' loans and building buildings, including Shi Yuzhu, didn't they all sink? "
"For the city, it's just a matter of replacing the richest man, but the knife at the Yamen Gate is very sharp. What about everyone? "
"It's the same in foreign countries. In the past few years, the head of a Chinese family with roots in Ame was killed by a dump truck. "
Luo Hao has all kinds of gossip at his fingertips.
But the main point is still - making money is boring.
Meng Liangren had mixed feelings in his heart after hearing this, and his mood was inexplicable.
“There used to be a saying that the real great thing is not to get a good hand of cards, nor to play a good hand of cards, but to know when to leave the table.”
“But that’s In the past, the previous president of the First Hospital of the Provincial City Medical University was investigated after his retirement. Do you know why?"
Luo Hao asked.
Chen Yong shook his head. Meng Liangren observed for 2 seconds and said, "It is said that after retirement, he established a private hospital in Nanfang and Capital. He recruited people from this area and almost didn't dig up the foundation of the first year of medical school. Stop it.”
"Yeah, what the hell is this dual-track system? Say one thing at the time and say another thing later. In short, it doesn't matter if you make less money, don't leave too many clues. This is called giving people leverage.
If you don’t want anything to happen, don’t go to the table.”
“Stop it if you make 30 million this year.”
Luo Hao said the last thing.
Meng Liangren almost bit off his tongue.
What? 30 million?
Where to earn money?
“Are you really prepared to earn so much at Southern MicroPort?” Chen Yong was surprised.
“I don’t know, Southern Minimally Invasive’s Phase 4 clinical surgery fee is probably not very high. Chairman Shen just said that, Mr. Nie is also a wage earner and can’t make the decision. If I want to make money, I will be more willing to pay. I’m optimistic about Brocade.”
“But in order to help domestic minimally invasive companies, it’s not a big deal to perform 2,000 surgeries for Southern MicroPort.”
"!!!"
Chen Yong and Meng Liangren were silent at the same time.
Why do some things change their taste when they come out of Luo Hao's mouth?
"Let's go, go back and see the patient, and I'll listen to how you explained it to the patient's family." Luo Hao stood up.
The three of them put on their clothes and went out, got in the car and went back to the hospital again.
When he arrived in the ICU, Chen Yong took off his mask and walked over.
“Yan Zhonghua’s family, right?” Luo Hao said to a family member of a female patient who was less than thirty years old.
"Yes, yes, doctor." The patient's family has almost returned to normal.
It turned into a noodle and then collapsed. It was just a state of stress, but it is gone now.
"Let me take another look." Chen Yong said with a smile, "When I left, my condition was stable. Did the doctor in the ICU tell you anything?"
"I told you that there is a possibility of DIC after heavy bleeding, but I believe there will be no problem. Even if there is a problem, it can be solved."
"Huh?!" Chen Yong was startled, and he was confused I don’t have as much confidence as the patient’s family.
“I asked my classmates and they didn’t believe that a ruptured aortic dissection aneurysm can be saved. I also searched for some information on the Internet. I am really lucky to have met you.”
With that said, the patient’s family members bowed deeply to Chen Yong.
Chen Yong is so embarrassed.
(End of this chapter)