Chapter 191 It’s okay if there is no diagnostic auxiliary AI
“Hello, Professor Lei.”
Luo Hao ignored the strangeness in Professor Lei’s words, nodded honestly, and greeted him kindly .
Mr. Ma Liu Feifei frowned and glanced at Professor Lei.
"Professor Luo, come together." Professor Lei continued to greet him with a smile.
"It's a shame. The patient's family knows very few people. They only know me as a marginalized person. It's so troublesome. I just came to stand for a while and give an explanation to my friend." Luo Hao explained with squinted eyes.
Professor Lei was a little at a loss.
This temper is too good!
He was originally watching his relative's surgery. The bypass was successfully completed and was being flushed. If there was no bleeding, the chest would be closed.
While observing the stage, I heard that the patient’s family did not find a gastrointestinal surgeon, but Luo Hao. Professor Lei was very unhappy.
So Professor Lei was ready for Luo Hao to take the stage, and he wanted to give Luo Hao a vicious blow.
In this matter, Professor Lei felt that he had the right to do so.
Unexpectedly, Luo Haogou was in the corner. He mocked him slightly. Luo Hao was not angry at all, and even answered and explained humbly.
It was good now, he didn’t even get angry. Professor Lei felt tight in his chest, so he could only wash his hands and go on stage.
Otherwise we will go too far and we won’t be able to meet each other in the future.
Fighting without defeat is the essence, and Professor Lei feels that he has fully mastered these four words.
It's just an appendectomy. It can be done in a few minutes without delaying your own business.
Watching Professor Lei go to clean his hands, Mr. Ma Liu Feifei raised her eyes and looked at Luo Hao, "Professor Luo, you have such a good temper."
"It's hard to say that you have a good temper. Nothing happened originally. My friends and relatives asked me to take a look, otherwise I won't worry. " Luo Hao smiled.
"How good it would be to find Director Chen!" said Mr. Ma Liu Feifei.
"It's not necessary. Director Chen can't do anything with just an appendectomy."
Liu Feifei wanted to say something else, but she felt bored and yawned, sitting in front of the ventilator and watching The vital signs, which were steady to boring, started to doze off.
It’s better to be calm, no one wants to encounter an adrenaline rush rescue.
Professor Lei quickly brushed his hands and came back, got dressed and went on stage.
The surgery was done quickly.
It was just a minor surgery like an appendectomy, and with Luo Hao standing behind and watching, Professor Lei concentrated on it and performed at 120%, making the operation almost perfect.
The appendix was successfully cut out and put in a bag.
Professor Lei turned around and said, "Sew it up."
After saying that, he tore off the sterile clothes on his body.
Mr. Ma Liu Feifei yawned greatly.
Professor Luo doesn't look like a martial artist at all, he is more of a scholar than a scholar.
For what Professor Lei said just now, I wanted to slap him, but Professor Luo was able to hold back.
If it were her place, Liu Feifei felt that she would grab Professor Lei by the collar and ask him - who are you?
Ke Luo Hao... swallowing a glass of water is really boring. There is no excitement and boredom.
Mr. Ma Liu Feifei didn't want to be busy, she just wanted to squat and watch Luo Hao fight Professor Lei, and watch Luo Hao press Professor Lei to the ground and rub him.
What a pity.
Luo Hao doesn't look like a martial artist at all, nor does he have a similar temper.
Professor Lei turned around, kicked open the airtight door of the operating room, and walked out.
The moment the airtight door opened, a sharp alarm sounded.
Mr. Ma Liu Feifei was startled for a moment, and subconsciously glanced at the ECG monitor and ventilator in front of her.
The numbers on the ventilator and monitor are stable and normal.
It’s okay, it’s none of my business.
The surgery room next door!
Professor Lei was also stunned for half a second, but recalled that when he came out, the coronary artery bypass surgery had been completed, and he was checking whether there was active bleeding. It should have nothing to do with his relatives, and it should be a circuit problem.
He glanced at Luo Hao slowly, and was about to leave like an expert when he suddenly saw Luo Hao walking towards him with a frown on his face.
A death countdown appeared again in the upper right corner of Luo Hao's vision.
[Emergency mission: a fleeting opportunity.
Task content: Some rescues only take a moment. What increases the difficulty of rescue is not only the disease, but also the people.
Task time: 10 minutes.
Task reward: Active skills - tell me one. 】
Luo Hao didn't care what the mission reward was, but followed the voice and strode out of the operating room.
The name of the mission makes it very clear - a fleeting opportunity.
And the time limit for this task is also very short, 10 minutes!
Luo Hao knew what this meant.
Walking into the surgery room next door, Luo Hao suddenly discovered something extremely fucked.
The diagnostic auxiliary AI does not rotate, there is a prompt on it, and the energy is used to generate active skills [One thing to say].
Luo Hao wanted to scold his mother.
What are you doing!
At this time, the faster the diagnosis, the higher the possibility of successful rescue. But in order to generate the active skill [One Says One], the system turned off the diagnostic assistance AI.
Is there anything more outrageous than this!
In the operating room.
On ECG monitoring, the blood pressure has dropped to 50/30 mmHg, and the anesthesiologist is frantically pushing norepinephrine and epinephrine into the three-way tube.
But even so, the patient's blood pressure is only maintained at a level that can be displayed and does not return to zero.
The sharp alarm sound echoed in the operating room. Luo Hao felt like an invisible big hand was pushing adrenaline to himself. Now the adrenaline and dopamine in his body were already overflowing.
Calm down!
calm! !
Luo Hao warned himself in his heart.
There is no diagnostic auxiliary AI, and I am a fucking doctor and professor of Union Medical College!
Taking a deep breath, Luo Hao squinted his eyes to observe the messy scene.
The surgeon and assistant are closing the chest, and have begun to twist the wire and apply bone wax on the sternum.
The equipment nurse was originally counting with the circulating nurse, but now she looked at the monitor with a blank expression, not knowing what was going on.
The circulating nurse also looked at the anesthetist in confusion, with a hint of fear in her eyes.
She is experienced and knows that something is wrong. But just now the operation went smoothly, why did the monitor suddenly alarm during the chest closing process?
The circulating nurse was stunned for 3 seconds, then got under the sterile drape and started checking the lines.
Is it acute anaphylactic shock caused by blood transfusion?
Luo Hao thought of several examples, but immediately eliminated this possibility.
Impossible.
This is not the case with allergies caused by blood transfusions.
Differential diagnoses emerged in Luo Hao's mind one after another.
And the "Death Countdown" suddenly appeared.
00:02:12:26!
Fuck!
Didn’t I say ten minutes! !
Luo Hao's pupils shrank sharply on both sides.
00:02:10:04! !
The numbers on the death countdown are decreasing rapidly.
But Luo Hao was helpless about the situation in front of him.
Luo Hao's calm heart began to waver, and impatience surged into his heart.
No!
Luo Hao immediately realized that something was wrong with him. He was in such a hurry that his thinking was affected.
00:02:01:11.
Wasting a few seconds, Luo Hao calmed down again and immediately started the [Flow] state.
This is the first time Luo Hao has started flow without surgery.
The movements of everyone in front of me became slow, almost like slow motion.
Luo Hao used the [flow] state to recount what happened and what he saw.
The coronary artery bypass surgery, splitting the sternum, went smoothly, so Professor Lei had time to come to the next door surgery room to play with himself and everyone to find fault.
According to Professor Lei, the bypass surgery had been completed when he went over, and he was checking for bleeding. If there was nothing wrong, the chest would be closed.
I didn’t see the extracorporeal circulation machine, and the heart was beating continuously to rule out a series of complications caused by cardiac arrest and ice slush.
What is the problem that arises instantly?
Allergies?
Or did the iron wire pierce the heart, causing pericardial tamponade?
Several diagnoses came to Luo Hao's mind, but each diagnosis seemed to have problems, and Luo Hao was constantly identifying them.
But even if he turned on the [Flow] state, Luo Hao still didn't give a quick diagnosis.
Damn it!
Damn it!
Luo Hao was so angry that he wanted to punch the system with his fist. How could he drain the energy of the diagnostic assistant AI at this critical moment?
"Director, the patient's stomach is bulging!" Sansuke's voice suddenly appeared.
Huh?
Belly? !
"Is the abdominal aortic dissection ruptured? Professor Lei, please do a physical examination quickly." shouted the director of cardiothoracic surgery.
Professor Lei had already panicked and hurriedly got under the sterile sheet to perform percussion.
"Drum sound or solid sound?"
"..."
The sterile drape was shaking. Professor Lei got in for at least 10 seconds before percussion came. sound.
Weirdly, after hearing the sound, Luo Hao's brain CPU was running at high speed and almost burned out.
00:01:32:02.
Gan!
"Solid sound in the upper abdomen!" Professor Lei said loudly, "The aneurysm is broken!"
It is estimated that the patient should have an abdominal aortic aneurysm in the preoperative examination, but it does not require special treatment. That kind of thing.
Did the operation break? !
It's possible, otherwise why are vital signs such as blood pressure plummeting?
But!
Just now Luo Hao vaguely heard that Professor Lei’s percussion sound was wrong.
Probably panicked, Luo Hao didn't dare to waste any more time. The patient's condition was extremely bad, and something big would happen if he delayed even a little bit.
Thinking of lightning in his mind, Luo Hao raised his hand, grabbed Professor Lei's clothes, pulled him out forcefully, and threw him aside.
Then Luo Hao got into the sterile drape and performed percussion.
It’s not a solid sound, but it’s also not a simple abdominal percussion sound.
It is a solid sound in the upper abdomen caused by the downward movement of the diaphragm.
Diaphragm moves downward?
Luo Hao was stunned for 2 seconds in the sterile drape.
"Drum sound! The diaphragm moves down!!" Luo Hao shouted loudly.
Getting out of the sterile drape, Luo Hao's eyes fell on the ventilator.
Blood oxygenation dropped and could only be maintained at about 70%. Countless lights flashed and alarms appeared throughout the interface.
“The blood pressure cannot be maintained!” the anesthesiologist roared hoarsely.
Wait!
In the [Flow] state, Luo Hao suddenly thought of a case - the death discussion record in the Xiehe Medical Records.
Airway pressure!
The patient’s airway pressure is increased! !
Downward movement of the diaphragm + abdominal distension + high airway pressure + sudden cliff-like drop in vital signs, all point to one diagnosis - tension pneumothorax!
Luo Hao's eyes finally landed on the spot where the wire had been screwed on and tightly sealed with bone wax.
Got it!
“Open the chest!”
Luo Hao roared in a deep voice.
“???”
“???”
Luo Hao knew that they didn't want to believe it, or they were confused and didn't know what to do.
And the countdown continues.
00:01:16:22! !
The cardiothoracic surgery department has begun to sew the skin, and it is impossible to open the fixed sternum for more than a minute. It takes several minutes just to sterilize the vise.
Luo Hao was focused on nothing else and figured everything out in an instant. He turned around and took a 50ml syringe, and put it on the instrument table.
“Puncture!”
“Puncture what?” Sansuke asked subconsciously.
"You are a fucking cardiothoracic doctor. Do the second intercostal puncture and let out the tension pneumothorax first!"
Luo Hao scolded.
"But..."
"Are you a thoracic surgeon? If it causes pneumothorax, wouldn't you know how to perform a closed type of drainage!!"
Everyone was confused, including the surgeon and assistant. .
The shrill screams of ventilators, monitors, and various frightening vital signs short-circuited everyone’s brains.
Luo Hao had no choice but to quickly tear open the sterile gloves, put them on and picked up the needle.
"What are you doing!" Professor Lei just barely stood up after being thrown to the ground by Luo Hao. When he saw Luo Hao putting on sterile gloves to go on stage, he subconsciously shouted harshly.
This does not comply with sterile operating practices!
Aseptic operating procedures have already penetrated into the hearts of every doctor. Professor Lei subconsciously asked loudly.
"Get out!!" Luo Hao raised his foot and kicked Professor Lei's leg, which was blocking the way. He staggered and hit his head on the air-tight door with a "bang" sound.
Luo Hao then bumped into the director of cardiothoracic surgery with his shoulder.
The sterile environment was completely destroyed.
Luo Hao broke into the thunder pool like a crazy bison.
"You..." Director Fang was also dumbfounded. Is Luo Hao crazy?
Director Fang was about to question, but before he could speak, a violent "hissing" sound came from the 50ml needle in the next second.
At the same time, the death countdown in the upper right corner of Luo Hao's vision began to count again.
00:09:26:27!
Xu...
The diagnosis was correct, Luo Hao let out a sigh of relief.
Nine and a half minutes, there is plenty of time all of a sudden.
“Tension pneumothorax, open the chest!”
Although time became "plentiful", Luo Hao still urged harshly.
His voice was like a whip, crackling on the backs of everyone present.
Director Fang of the Department of Cardiothoracic Surgery carefully distinguishes the sound made by the needle of the 50ml syringe.
The hissing of gas means that the pressure in the chest is extremely high.
At the same time, the patient's vital signs have recovered.
Tension pneumothorax, the diagnosis is correct!
"Open the chest!" Director Fang said in a deep voice before he had time to think of anything else, and then began percussion.
There is a drum sound in the left and right chests. It is not a unilateral tension pneumothorax, but bilateral!
Another 50ml syringe needle was inserted into the second intercostal space on the other side near the midline of the clavicle.
Similarly, there is a "hissing" sound at the needle.
00:13:22:54!
The death countdown has been extended again.
Seeing that the diagnosis was clear and the rest could be done slowly, Luo Hao came out of the [flow] state.
A wave of fatigue came over me.
Although the negative effects of [Flow] have been weakened, Luo Hao still felt sore after using it. He reluctantly walked to the stool in the corner of the operating room and sat down.
With his back against the wall, Luo Hao squinted at Director Fang and his assistants at work.
They opened the sternum again, which was wrapped and fixed with wire.
The moment the sternum opened, all sounds turned into nothingness and disappeared to the other side of the sky.
Blood pressure, heart rate, blood samples, airway pressure and other values instantly returned to normal values, and the alarm sounded as if it had never appeared.
The ticking sound sounded peacefully, just like an ordinary operation.
Diagnosis,
Correct!
Director Fang said nothing, everything proved Luo Hao was right, and he began to look for the location of the breach.
“Ding dong~”
A crisp sound.
[Emergency mission: The fleeting opportunity has been completed.
Task content: Some rescues only take a moment. What increases the difficulty of rescue is not only the disease, but also the people.
Task time: 10 minutes.
Task reward: Active skill has a saying × 1. 】
What the hell is it?
Luo Hao was extremely tired, but he couldn't expose his weakness for the time being.
He leaned against the wall of the operating room and began to think about [One thing to say].
【One thing to say - everyone has the idea of finding out each other's secrets. Maybe this little thing has a surprising effect on you. 】
This is wool!
Luo Hao was stunned for a moment, it seemed useless, but Luo Hao immediately thought of Chen Yong.
Is that guy Chen Yong really accumulating merit points in the hospital?
Try it?
Luo Hao is only interested in Chen Yong's merit. As for the privacy of him and the girls, Luo Hao has no idea at all.
Professor Lei covered his legs with his hands and stared at the monitor and ventilator with a sad face.
With all the values normal, Professor Lei also knew that Luo Hao's judgment was correct - his relatives had bilateral spontaneous pneumothorax for some unknown reason after chest closure.
Because the ventilator keeps blowing air in, and there is no outlet for the air after closing the chest, spontaneous pneumothorax quickly evolves into tension pneumothorax, which quickly leads to the deterioration of the patient's vital signs.
Professor Lei can also understand everything that happens next.
The amount of air in the chest increases, the pressure increases, the diaphragm moves downward, and the circulatory system almost stops functioning under pressure.
Without a ventilator, tension pneumothorax can last for a while. But with a ventilator constantly blowing air into the lungs, this is the most serious form of tension pneumothorax.
Everything is fine, why is it a tension pneumothorax? !
Professor Lei sat on the ground, wanting to cry but without tears.
My relatives have been brought back from death by Luo Hao, so I want to express my gratitude.
But less than a minute ago, Luo Hao cursed himself and then kicked himself away.
My head hit the door, and I'm still a little dizzy now.
Professor Lei knew Luo Hao’s subtext at that time - a good dog doesn’t block the way.
But if I want to talk to Luo Hao at this time...
Professor Lei can't help but look like this.
After all, rescuing people is like putting out fires. If you block the way, you are not a good dog.
But don’t you talk to Luo Hao? Do you still want to lose face?
It’s so frustrating, so frustrating! !
Professor Lei sat on the ground in a daze, thinking about countless things in his mind.
I am the one who was beaten. What if I sue Luo Hao? Will there be fifteen days of detention?
It seemed not possible. Luo Hao kicked himself. The damage was not high, but the insult was extremely strong.
I didn’t even have the chance to pretend to be sick.
Besides, this is an operating room, and everyone is watching.
Professor Lei was thinking a lot when he suddenly reached out a hand.
Luo Hao shows favor to himself? Professor Lei suddenly felt relieved.
That’s right, you hit me, even though it was for rescuing me, you can’t go too far. I was anxious at the time, but afterward I made up for it and asked me to step down.
Professor Lei was still thinking when he suddenly heard the voice of Mr. Ma Liu Yiyi.
"Old Lei, why are you sitting on the ground?"
Then Mr. Ma Liu Yiyi grabbed Professor Lei’s isolation suit with his hand and lifted him up from the ground.
"What, your legs are so scared? Have you peed?" Mr. Ma Liu Yiyi asked reluctantly.
“…” Professor Lei was stunned.
"The ground is cold, and I will pee soon, and the nurse will have to clean it up. How old you are, I don't know how to pay attention. By the way, your old prostate must have been calcified a long time ago,"
< br>Damn!
Professor Lei heard that Mr. Ma Liu Yiyi was speaking for Luo Hao. He was afraid that he would have "evil thoughts", so he picked himself up from the ground and changed the topic.
You are the one being beaten, you are the victim!
Professor Lei really wanted to grab Mr. Ma Liu Yiyi’s collar and tell her the truth.
But...
Professor Lei knew that he could not defeat Liu Yiyi.
Just now, Boss Ma Liu Yiyi lifted herself up from the ground with one hand, like a little chicken.
"Why are you so sad? There was a little episode. Isn't this solved?" Mr. Ma Liu Yiyi looked at Professor Lei with disdain, "Come on, give me a smile."
This joke Not funny at all.
But Director Fang still smiled and said, "Xiao Liu, why are you here?"
"The surgery patient next door has woken up. I have nothing to do to come and check on him." Mr. Ma Liu Yiyi said, "Director Fang, what's going on?"
In fact, Mr. Ma Liu Yiyi understood clearly, especially when Luo Hao raised his foot and kicked him, it was indeed Lian Jiazi.
At this time, Luo Hao was sitting with his back against the wall, seemingly entering the sage moment after the rescue, acting unscrupulously.
Professor Luo is really true.
Mr. Ma Liu Yiyi admired him deeply.
This person is really not afraid of trouble. He doesn't care what will happen if Professor Lei has evil intentions. He is full of contempt for Professor Lei.
Manager Ma Liu Yiyi was full of inner drama. She had no idea that Luo Hao was in a period of weakness after the [flow] state, so she just speculated on Luo Hao's thoughts according to her own thoughts.
“Professor Luo, you are awesome!” Mr. Ma Liu Yiyi gave a thumbs up and praised.
Luo Hao tried his best to raise his head and squinted his eyes.
Mr. Ma Liu Yiyi saw that Luo Hao was silent, with a vague look in his eyes, and his heart suddenly jumped.
It’s over, Professor Luo is very angry, and probably wants to beat Professor Lei.
If it were him, he would probably do this, Liu Yiyi guessed.
"Old Lei, you said you are the same, a veteran professor of gastrointestinal surgery, but you can't even understand percussion." General Manager Liu Yiyi quickly picked up a basin of dirty water and poured it on Professor Lei.
Just a few scoldings and a few hits, don’t really make a big fuss, Mr. Ma Liu Yiyi thought in his mind.
Professor Lei’s eyes were red and he almost cried.
I feel terribly wronged.
But Professor Lei also knew that he could only lower his head and endure it at this time. No matter what happened, as long as he spoke forcefully, he would be despised by everyone.
The bigger things get, the harder it will be for me to stand on my own in the future.
Professor Lei has a very clear mind.
“You are really awesome.” Mr. Ma Liu Yiyi said scornfully, “If I were you, I would have gone to say thank you to Professor Luo by now, otherwise your relatives would be cold by now.”
“…”
"Damn it, you are a big girl entering the bridal chamber."
Luo Hao sighed deeply in his heart.
He knew what Liu Yiyi was thinking, but he really didn't have the strength.
Fortunately, the negative effects have been weakened.
"I'll take a look for a while, and then I'll be fine." Luo Hao said softly.
Professor Lei hesitated again and again, and could only bite back the tears and came to Luo Hao.
"Professor Luo, thank you."
(End of this chapter)