Chapter 177 Professor Luo, does your mother know that you have such a good temper?
[Emergency mission: the endangered method of stopping bleeding with bare hands.
Task content: Successfully rescued a patient with splenic rupture.
Task time: 1 hour.
Task reward: Martial Arts Skill Book ×10. 】
Luo Hao looked at the reward and was speechless.
Do you have any points in the system to give yourself a skill book to teach martial arts?
Even if it is a skill book for stopping bleeding with bare hands, it is better than a skill book for teaching martial arts.
But...
Where is the patient?
Luo Hao hesitated and stood up to go to the emergency department.
【People say that a man is a boy until he dies...】
……
……
Five minutes ago.
"Can you do it?" General Ma Liu Yiyi glanced at the resident manager in the hepatobiliary surgery emergency room impatiently, "You want me to anesthetize you in this state?"
Arterial blood pressure is 40/15 mmHg, Liu While cursing, Yiyi pushed norepinephrine, dopamine, and metahydroxylamine along the three channels.
“To open or not to open?” Mr. Ma Liu Yiyi asked.
"Mr. Liu, can't it be numbed?"
"With blood pressure like this, you cannot give muscle relaxants, as if you give it, the person will die immediately. Hard anesthesia can also numb, and the abdominal pressure will return to zero after the operation. The blood pressure is gone, what should you do?" Mr. Liu looked at Mr. Tang from the Department of Hepatobiliary Surgery with disgust.
He was grinding and chirping, and he didn't look like a surgeon at all.
"Let me ask the director for instructions." Mr. Tang had no choice but to pick up the phone.
"Push dopamine, I'll make a call." General Manager Liu Yiyi handed the syringe to the assistant and picked up the phone.
"Professor Luo, liver and gallbladder, there is an emergency patient. B-ultrasound shows that the spleen is ruptured, the blood pressure is basically gone, and he cannot be anesthetized. Can you help rescue him?" Mr. Ma Liu Yiyi described the situation directly. .
"Okay, waiting for you!" Mr. Ma Liu Yiyi hung up the phone.
"The chief surgeon is unable to come down for the time being..." The resident manager said helplessly, "Sister Liu, why are you looking for Professor Luo?"
"Last time, a patient with aortic rupture was rescued by Professor Luo. Look at others' rescue, and then watch your rescue! Even good people will be dragged to death."
Mr. Tang was scolded, but he knew that Mr. Ma Liu Yiyi had such a bad temper.
Just bear it, what else can I do?
But what can I do? The patient's blood pressure was too low and he was bleeding all over his stomach. Now there is blood in the abdominal cavity, and the pressure is high, which can also reduce the amount of blood coming out.
Even if General Anesthetist Liu Yiyi gave me anesthesia, I was not skilled at opening the abdomen. Moreover, after the abdominal pressure returned to zero, the blood pressure would probably return to zero instantly. Nowadays, the blood pressure that can barely be maintained by a large amount of vasopressors will disappear.
It is the surgeon’s responsibility to die on stage.
If he died in the audience, it was because the patient was too seriously injured and had nothing to do with the doctors and nurses.
Mr. Tang took a deep breath and decided to shrink his head.
Soon, the sound of rapid footsteps came.
Luo Hao rushed all the way to the emergency room of the Hepatobiliary Surgery Department and opened the door.
"Professor Luo, come and see me." Mr. Ma Liu Yiyi said directly without caring about anything else.
Just look at Luo Hao, he looks like a surgeon, even if the aorta ruptures, he dares to push into the operating room, unlike others who have so many worries.
Luo Hao glanced at the arterial blood pressure, took the report, and determined that the spleen was ruptured and the liver seemed fine for the time being.
Glancing at the medicine again, Luo Hao probably knew what was going on.
If this kind of patient comes to power, 99.99% will die, and the remaining chance will be to become a vegetative state, and there will be endless lawsuits to fight.
Without going on stage and simply rescuing, the patient will still die in the end.
But as long as the rescue records are written down, the hospital, doctors, and nurses will have no trouble.
“Where are the patient’s family members?” Luo Hao asked quickly.
“There are no family members, only co-workers.”
"Lao Meng, go tell the patient's foreman that you need surgery!" Luo Hao said directly.
Unconsciously, Luo Hao's voice began to get louder.
Meng Liangren turned around and went out, "Family of the patient! Who of you has the final say!!"
As the door of the rescue room closed, Meng Liangren's voice gradually became quieter.
"Chen Yong, call Director Feng and tell him that there is an emergency rescue here. I need to stop the bleeding with my bare hands."
"What?" Mr. Tang's eyes widened.
Luo Haoli ignored the resident boss. If he had a way, he would have used it long ago. Why did Mr. Ma Liu Yiyi call him.
The patient's condition is critical and there is no time for consultation with the whole hospital.
Luo Hao put on sterile gloves directly after opening the things he wanted to use.
The left hand pulls the leather sheath on the edge of the glove. After putting it on, it is habitual to stretch it, let go, and make a snap.
This sound was like a rescue horn, and the air in the entire rescue room froze. The seriousness level was +3, and the urgency level was once again raised to a higher level.
Luo Hao picked up the blade and made an incision directly on the edge of the patient's left rectus abdominis muscle.
"You..." Mr. Tang was dumbfounded.
"Mr. Liu, tell the operating room to prepare for the operation." Luo Hao directly incised the skin, subcutaneous tissue, and muscles.
Although the knife was very deep and the blade twisted between Luo Hao's fingers had been deeply penetrated, there was still no blood flowing out.
The skin, subcutaneous tissue, and muscles were pale and pale.
Luo Hao made a 10cm incision on the patient's abdomen, cut into the peritoneum, picked up the hemostat with his left hand, inserted it along the incision, and then pulled up the peritoneum.
The blade made a small incision in the peritoneum, and then the thread scissors were inserted in, slightly raised, and the peritoneum was cut open.
Huh~~~
A dark red spring water gushes out.
As abdominal pressure decreases, arterial blood pressure also decreases.
The patient was motionless. Even without anesthesia, he would have lost consciousness at this time.
Luo Hao put his hand in without hesitation.
"Hurry up the liquid and give me some colloid."
"Mr. Liu, 1 mg of epinephrine, 20 dopamine...no, 40 mg."
"Is the blood ready? Please urge me again!"
The doctor's orders were issued one after another.
As Luo Hao's hand reached into the patient's abdominal cavity, the patient's blood pressure rose rapidly in less than 1 minute.
60 mm Hg!
65 mm Hg!
70 mm Hg!
Ms. Liu Yiyi, who had just made a call to the operating room, saw this scene and glared at Mr. Tang fiercely.
"Professor Luo, come on now."
"Let's go." Luo Hao put one hand in the patient's abdominal cavity, supported the flat car with the other hand, sat on it, and used an awkward Position half-lying on the patient.
“Push the cart, let’s go, let’s go!” Mr. Ma Liu Yiyi shouted quickly.
Apart from Luo Hao, she has the loudest voice.
"Mr. Tang, ask for the elevator!" Luo Hao commanded while sitting on the flat car.
The flat car was pushed out, and Luo Hao saw Meng Liangren explaining the patient's condition to his coworkers.
When they witnessed the scene of their hands reaching into the patient’s abdominal cavity, they were all stunned.
Even Meng Liangren was stunned and looked directly at himself.
The flat car roared and rushed all the way to the operating room.
The door to the operating room opened, and the patient and Luo Hao rushed in on a flat cart.
Behind him, blood dripped down the edge of the flat car, leaving an obvious trace.
The family members of the patient who were waiting for the operation were dumbfounded. Is this the legendary emergency rescue?
"Disinfection, anesthesia, making orders, Mr. Tang, don't be stunned, the patient is fine." Luo Hao pinched the spleen pedicle with his hand to comfort Mr. Tang, who was already numb.
Arriving at the operating room, Luo Hao felt relieved.
Furthermore, the patient's blood pressure rose rapidly under the influence of a large amount of vasopressors and fluids, which meant that the only organ that had the bleeding point, or at least massive bleeding, was the spleen.
"Uh...Professor Luo...I..."
"Have you ever had laparoscopic surgery?" Luo Hao sighed and asked.
“Did it.”
"Laparotomy is almost the same. It doesn't matter if you haven't done it before. I'll teach you. You wash your hands first, disinfect them, and then lay out the sheets."
Mr. Tang was like a puppet, with a sad face.
Chen Yong couldn't wait and was ready to brush his hands.
"Chen Yong, look at Lao Meng and contact the patient's foreman." Luo Hao stopped Chen Yong from preparing to wash his hands and disinfect them.
"Okay." Chen Yong stopped and turned around to go out.
"Professor Luo, how about I ask the director?" Mr. Tang still didn't wash his hands and wanted to ask the director first.
Luo Hao is not his immediate boss, and no one will take the blame if something goes wrong. Mr. Tang, even Liushenwuzhu, understands this clearly.
"Alright." Luo Hao nodded helplessly.
"Why are you acting like a bitch! You're just grinding and whining. The boss asked you to be a doctor. If you are like this, you might as well become a doctor." Manager Ma Liu Yiyi scolded.
Mr. Tang was stunned for a moment. The expression on his face looked like he was crying, but it was uglier than crying.
"The operation is very simple. I have stopped the bleeding. Go and ask. We still have to wait for the blood." Luo Hao smiled and said to Mr. Tang. Then Brick looked at Mr. Ma Liu Yiyi and said, "Please help me wear one." Mask."
Luo Hao's white clothes were bloody, and his hand was in the patient's abdominal cavity. It looked like a B-level movie like Saw.
But after Luo Hao smiled, his body exuded a soft light, and the terrifying and depressing atmosphere was swept away.
"Senior brother, should I wear it for you?" Zhuang Yan came behind Luo Hao holding a mask.
“Come on.”
After putting a mask on Luo Hao, Zhuang Yan asked, "Brother, what are you doing?" . To stop the bleeding with my bare hands, I pinched the bleeding artery and gave symptomatic treatment. The teacher didn’t teach me this when I was in school, but I was hospitalized. Why doesn't the boss do it? "
"Oh, they started learning surgery by endoscopic surgery, and they have never done this kind of rough work. I don't blame Mr. Tang."
The patient's blood pressure was stable, and Luo Hao was not in a hurry and explained slowly.
"Brother, what about you? There is no field of vision. How can you tell which blood vessel is bleeding after you go in? There is blood in the patient's abdominal cavity, so his senses shouldn't be very sharp after he goes in."
"You can't take everything. No one can compare with our Union students."
Zhuang Yan was startled.
She felt that Brother Luo was yin and yang himself, but Luo Hao, who had his hand inserted into the patient's abdominal cavity and was covered in blood, had a shocking power that made Zhuang Yan silent.
"Professor Luo, you are really awesome! This is what emergency first aid looks like." General Manager Liu Yiyi quickly intubated and administered medicine to the patient.
Before Mr. Tang came back, the work was almost done.
"You are not bad, you are very skillful. The key is to know how to call me." Luo Hao praised.
“Nowadays, young doctors are spoiled. They only perform laparoscopic surgeries. Our operating room has not had any major surgeries for half a year.” I had abdominal cocoon syndrome." "!" Although Mr. Ma Liu Yiyi was refuted, he continued to work, "When I was in school, the teacher stopped bleeding and opened the heart with his bare hands. Basically I can see you once a month.”
"It's different now. Doctor-patient disputes are serious. Even if it's technically allowed, it's still a bit taboo. So if you throw it around, some techniques will be lost." Luo Hao continued to help.
Mr. Ma Liu Yiyi glanced at Luo Hao, "Professor Luo, you have such a good temper, does your mother know?"
"Yes." Luo Hao narrowed his eyes, "I I have always had a good temper, but my mother has an even better temper."
As he spoke, Mr. Tang hurried back, followed by a tall and thin doctor - Director Yang of the Department of Hepatobiliary Surgery.
Director Yang saw Luo Hao's posture and movements, and with a clear mind, he raised his foot and kicked Mr. Tang's butt viciously.
"Slowly, what does it look like! Hurry and wash your hands, disinfect, and lay out the sheets! It's very tiring to pinch the spleen pedicle with bare hands. When I was young, I pinched for 10 minutes and my hands cramped for three hours."
Mr. Tang slipped away. Trot to disinfect.
"Professor Luo, what are you doing?" Director Yang asked.
"You guys are so annoying when I call you." Mr. Ma Liu Yiyi said directly, "Director Yang, the little doctor under you should seize the time to train him. He is particularly worried when he sees a patient with splenic rupture and no blood pressure. Are you waiting to die?"
Director Yang was silenced by the spray and turned to disinfect.
Luo Hao admires Mr. Ma Liu Yiyi very much.
Chen Yong's criticism depends on his mood. He is mindless and just a vent of his emotions. But Liu Yiyi has a fiery temper, is quick at work, and can attack people directly on the waist. She is well-founded and makes people speechless.
Director Yang is an example. He wanted to say something, but he knew very well that Liu Yiyi was waiting for ten words, so it was better to keep silent.
Had it not been for the fact that the system had always issued DSA surgery tasks, Luo Hao would have had the intention to bring General Ma Liu Yiyi into his medical team.
"Mr. Liu, how long have you been hospitalized?"
"It's almost time to get through." Mr. Ma Liu Yiyi finished his work and looked up at Luo Hao, "Professor Luo, how do you write rescue?"
"I'll do it." Luo Hao followed Liu Yiyi's words and said, he I understand that Liu Yiyi wants to be lazy. Because he has a good impression of Liu Yiyi, Luo Hao doesn't mind doing more work.
"Okay, do you want to talk to Director Feng first?" asked Mr. Ma Liu Yiyi.
Luo Hao smiled, this Men Qing'er is here.
"Senior brother, why do you want to communicate with Director Feng?" Zhuang Yan asked.
"Because I'm not a hepatobiliary surgery doctor. Although I have a practicing certificate, I can't explain it clearly if something goes wrong. Of course, I can use emergency first aid to explain it, but it's not always good. Say hello in advance. The medical office is prepared in case of an accident. The situation is such that you won’t panic.”
“If something goes wrong, then you still do it?” Zhuang Yan was confused.
"As a doctor, you must be brave. If I do it, it can save a life, but there may be trouble. If I don't do it, he will die. Zhuang Yan, if it were you, what would you do? "
Zhuang Yan was a little confused when asked.
She has been exposed to clinical practice, but only superficially, and does not understand much of the deeper things.
"I'll do it!" Zhuang Yan held out her chest and said seriously.
“Exactly.” Mr. Ma Liu Yiyi said, “Professor Luo has a good relationship with the hospital. If something goes wrong, someone will be there to take care of it. Who would dare if it were anyone else? Just you?”
Zhuang Yan wanted to reply, but hesitated and closed her mouth.
Luo Hao smiled, this girl looks good.
"Professor Xiao Luo, have you ever experienced abdominal dissection? Tiandi Mou?"
"Yes, I have been exposed to it. Nowadays, there are fewer Concorde surgeries. In the past, operations such as combined pancreaticoduodenectomy could be performed with the Da Vinci robot. There would be no severe complications after the operation, and rehabilitation exercises would begin 24 hours a day."< br>
“Awesome.” Mr. Ma Liu Yiyi praised.
“But it’s always good to get in touch. When I was at Xiehe, I always worked in the emergency department.”
“Young people, I just like these, but now I’m tired of it.”
"That's right, I've already felt numb when I saw the emergency department, otherwise I would have chosen a department that doesn't have an emergency department." Luo Hao said with a smile.
No emergency?
Mr. Ma Liu Yiyi looked up at Luo Hao.
After Mr. Tang brushed his hands, he disinfected them conscientiously and also disinfected Luo Hao's right forearm.
The order was laid, the abdomen was opened, Director Yang performed the surgery, and he avoided Luo Hao's arm.
After entering the abdominal cavity, the spleen pedicle was pinched with forceps, and Luo Hao let go.
"Professor Luo, the pinch is tight enough!" Director Yang praised, "This position is difficult to find."
"Haha, it's not bad."
Luo Hao took off his white clothes, Somewhat sad.
I guess I can’t ask for the white clothes, nor can I ask for the clothes on my body. The hospital will definitely not reimburse me.
“Have the results of the patient’s preoperative blood sample come out?”
"AIDS positive." Mr. Ma Liu Yiyi said.
“!!!”
“I lied to you, it’s okay, don’t worry.” Mr. Ma Liu Yiyi laughed.
Luo Hao breathed a sigh of relief, "I'm going to take a shower, change clothes, and then write the rescue record."
"You contact Director Feng, I can write it myself if there's no problem. "Mr. Ma Liu Yiyi said.
Luo Hao nodded.
The communication between him and Mr. Ma Liu Yiyi was extremely smooth, and there was no need to explain some little details at all.
"Then I'll go, Director Yang." Luo Hao looked at Director Yang's quick operation and knew that the difficulty was extremely low. He could just sit back and wait for the task to be completed, so he turned and left.
“How come you can’t even stop bleeding with your bare hands!”
Luo Hao stepped forward, and Director Yang started to scold Mr. Tang.
Mr. Tang was crying, lowering his head to assist in the operation, not even daring to say a word.
Director Yang cursed a few times and sighed, "Nowadays, all laparoscopic surgeries are performed, and we don't even know how to operate. When there are major laparotomy surgeries in the future, you can follow suit!"
"Yes, Director."
......
"Ding dong~~"
The pleasant sound of task completion sounded.
Luo Hao stood under the shower and washed the blood off his body.
Although he knew that the patient had no infectious diseases, Luo Hao still rushed over and over again.
It is easier to stop bleeding with bare hands than to perform pericardial tamponade with bare hands in the chest department. After all, the chest department has to be careful about the ribs to avoid the skin being punctured by bone stubble.
The task is completed, and there are ten more skill books in the system space.
Luo Hao clicked, and the skill book turned into light and shadow, and a warm current flowed throughout his body.
After trying it, Luo Hao felt a slight change, but it didn't help the surgery, so he put it aside.
Chen Yong took the clothes, and Luo Hao changed into new clothes and left the operating room very late.
“Your cost is high enough.” Chen Yong laughed.
“It’s okay, after all, I saved someone’s life.” Luo Hao smiled.
After walking out of the dressing room, Luo Hao did not go to see the patient, but directly contacted Feng Zixuan.
With the medical department's protection, Luo Hao can also let go.
This is because I have worked in the medical office and know the authority of the medical office and what it can do.
Otherwise Luo Hao would not dare to take action easily.
……
...
"Dad, Senior Brother Luo is so awesome!" Zhuang Yan sat at the dinner table and praised him for the nth time.
"Well, that is." Dean Zhuang replied absently.
"Can he stay in the First Hospital of Medical University?" Zhuang Yan asked.
"Normally speaking, it shouldn't be possible." Dean Zhuang said, "Everyone knows that Luo Hao must return to Xiehe in the future. After he broke the rules, he returned to the imperial capital as soon as possible, saying that he was from Xiehe. Principal Wang brought the professor appointment letter he applied for.”
"So awesome!" Zhuang Yan had little stars in her eyes.
"It's okay." Dean Zhuang was still absent-minded.
"Dad, when I come back after graduation, I want to join my senior brother's medical team."
"What?!" Dean Zhuang's eyes suddenly became clear, and he understood what he was struggling with just now. What.
I am afraid that my brothers will suffer hardship, but I am also afraid that my brothers will drive Land Rover.
This is the norm.
Dean Zhuang is both afraid that the pig Luo Hao will eat his own cabbage, and he is also afraid that this pig will not eat his own cabbage.
Go to the medical team!
Luo Hao must return to Xiehe in the future, so as not to send Zhuang Yan to Xiehe. The point is, it may not be possible to brush your face yourself.
Those guys at PUMCH are fundamentally discriminatory against those who did not graduate from PUMCH as undergraduates. If Zhuang Yan did not have overseas postdoctoral qualifications, even if she studied at PUMCH, there would only be a 30% chance that she would be able to stay.
"Okay, go to Luo Hao's medical team!" Dean Zhuang said loudly.
"Huh?" Zhuang Yan was also ready to argue with her father. After all, interventional medicine was one of the medical sub-sectors that her father marked at that time and that she should never get involved in.
"Why didn't you stop me?" Zhuang Yan asked in surprise.
“Can I stop you if I stop you?”
“Maybe.” Zhuang Yan was a little frustrated, “If I tell my senior brother, he will definitely disagree, so you can only The administration suppressed it and sent me to senior brother’s medical team.”
Oh shit!
I want to send my own cabbage in. There is not only Luo Hao in the medical team, but also a playboy Chen Yong!
Dean Zhuang’s heart sank when he thought of Chen Yong.
"Today you saw the people from Professor Luo's medical team. Let's talk about it." Dean Zhuang said seductively.
"It's nothing. The old attending, Lao Meng, has a way of explaining the condition to the patient's family. Looking at the thick eyebrows and big eyes, there are actually a lot of inducements in his words."
"What else?"
"Huh? Is there anyone else in the senior medical team? Oh, yes! There is one more!"
Dean Zhuang looked at his daughter seriously.
"That person has no impression."
"In the past few days, you will first have contact with Professor Luo Haolo's medical team, and then go back to complete the project." Dean Zhuang arranged , "Tomorrow, you go to your Uncle Feng to report."
"Okay!" Zhuang Yan agreed without hesitation, her ponytail swaying.
“Read more, talk less, come back and report to me every day.”
……
……
Early the next morning, Luo Hao came Go to the medical office.
It wasn't that there was something wrong with the patient, but that yesterday's emergency incident had to be reported to the medical office, and Luo Hao was prepared to make it clear in person.
Feng Zixuan was in a meeting yesterday afternoon and had no time.
Although he knew that Feng Zixuan would definitely agree to this kind of thing, Luo Hao still cautiously made it clear in person and gave Director Feng enough respect.
Soon, Luo Hao saw Feng Zixuan and Zhuang Yan walking in together.
“Director Feng!”
"Ronald, I'm about to find you."
(End of this chapter)