Chapter 228 Young people are impulsive
Blood potassium 6.93mmol/L!
Yang Jinghe glanced at it and said calmly, "Beds 2-6, please consult."
"Okay, director." The doctor in charge of the beds immediately took action.
Luo Hao moved the medical records to beds 2-6, and after reading them, he compared the massive medical records in the Xiehe Medical Records Library and thought about it, "Director Yang, let me take a look at this patient."
"???" Yang Jinghe was stunned.
It’s just a critical point. Consult the relevant departments to avoid hyperkalemia causing cardiac arrest and corresponding side effects. What’s good about Luo Hao?
Isn’t it also hyperkalemia? Is it okay just because you take a look?
That's what he said and what he thought in his heart, but Yang Jinghe didn't stop him. Instead, he stood up with a smile, "Let's go and take a look together."
"Professor Luo wants to What are you looking at?" the little doctor whispered.
"I guess he's trying to find fault. Is there something wrong with the 2-6 medical orders?"
"No problem, but there are problems. It's just to show off. Why did he run away and our department is showing off?"
Yang Jinghe heard the whispers of the young doctors behind her, turned around, and glanced around with a cold face.
The eyes are like knives and cold.
Everyone was silent.
Luo Hao had sharp ears and eyes, and could hear more clearly than Yang Jinghe, but he didn't care what others said.
The patient's condition was a bit strange, and Luo Hao thought of a possibility.
When I came to the ward, the diagnostic assistant AI gave a lot of diagnoses, but the only one it didn’t include was [hyperkalemia].
The laboratory department reported a critical value, but the diagnostic assistant AI did not give a relevant diagnosis.
Luo Hao frowned and looked at the patient and the system panel.
Bacteremia, Luo Hao stared at this diagnosis and thought about it for a few seconds.
The diagnostic assistant AI can give a diagnosis and make treatment according to the system's diagnosis. But what if there is no diagnosis?
Which diagnosis is correct that is not consistent with the auxiliary examination?
Luo Hao didn’t even have to think about it, he definitely believed in the system’s diagnostic assistance AI.
Soon, [Fusion]’s skilled diagnostic assistant AI listed 2139 similar medical records.
Luo Hao looked at one at random, and it was almost the same as his guess, and he felt reassured.
"Report the medical history." Yang Jinghe was somewhat dissatisfied and reprimanded in a deep voice.
"No need, I took a look at the medical records just now." Luo Hao smiled, "Has the nurse who took the blood taken off work?"
"The nursing department is on inspection, and she hasn't gotten off work yet. "said a young doctor.
Nursing Department?
Luo Hao's eyebrows frowned.
What Luo Hao disliked the most in the hospital was the nursing department.
When he was in Xiehe, he had little contact with it and didn’t think anything of it. But when he returned to Donglian Mine as the director of the medical department, Luo Hao had a lot of interactions with the nursing department.
It can be said that every director of the nursing department is basically not a human being.
Women are the ones who embarrass women the most. This sentence is more appropriate when it comes to hospital nurses.
Those low-level guys in the agency just share some money, and let their performance bonuses and the bonuses of the top three clinical departments be averaged.
The other thing is that when I go to do errands, I have to ask for a card, and if I don’t give you some money, I just put it off.
Luo Hao can understand these.
But!
The nursing department is different.
They show their presence all the time and are active in the clinic every day. Various assessments make it difficult for young nurses to even leave the night shift.
Assessments, insults, all kinds of PUA techniques. People in the nursing department are very skilled in using them. Luo Hao even feels that PUA is the exclusive skill of the nursing department. No matter who is the director of the nursing department, he will activate the skill and quickly fill it up. .
"Go find the blood collection nurse." Yang Jinghe was a little dissatisfied with the attitude of the doctor in charge of the bed.
Compared with Meng Liangren under Luo Hao, his little doctor had no eyesight at all, which made Yang Jinghe a little angry.
When the doctor in charge of the bed heard what Yang Jinghe said, he immediately turned around and ran to find the nurse.
Luo Hao walked to the door of the ward and took a look. The doctor in charge of the bed knocked on the door of the treatment room, and vague curses could be heard from inside the door.
The curses were sharp, violent, and violent.
I wonder which little nurse is being scolded again, Luo Hao thought to himself.
But Luo Hao is not Chen Yong. He does not have the attributes of central air conditioning and is not interested in the profession of flower protector.
You can scold whomever you want to scold, but in short, you won’t scold yourself.
Past experiences told Luo Hao that the more cruel the director of the nursing department was to the young nurses, the kinder he would be to the clinical director. He knew very well who he could and could not bully, just like a mirror.
When the door opened, the first thing that came out was curses.
"If you can do it, get out if you can't do it. If you don't want to do it, there are people who are willing to do it."
"If you don't have time, why do others have time?"
"Stinky Who the hell is used to this problem?”
A series of scoldings came out like machine guns.
The doctor in charge of the bed and the head nurse who opened the door lowered their voices and whispered a few words.
"How do you do your clinical work! What are the precautions for blood collection? Come back soon to answer them one by one!"
"There must be something wrong with your blood collection, so the doctor will come to you. Go.”
“Hurry up.”
Soon, a little nurse trotted over with tears in her eyes.
A row of nurses followed behind her. The leader was in his forties, with upturned eyebrows, thin lips, and a mean look on his face.
"Don't be anxious, take your time, I'm just asking about the situation." Luo Hao gave the little nurse a gentle smile.
The little nurse said nothing, looking down at her toes.
"Tell me about the blood collection process." Luo Hao asked warmly, but when he saw the little nurse was scared, he immediately comforted her with a gentle words, "I guess it's not your blood collection, just asking a few questions, and then There are other options.”
Isn't it about blood collection?
Why call a nurse for anything other than blood collection?
Luo Hao wanted to cover up, but he didn't expect that he actually had this attribute.
Yang Jinghe looked at Luo Hao with a smile. He could see that Luo Hao had a very gentle attitude towards the little nurse, but ignored the director of the nursing department.
Young people are all like this.
Who was not a boiling sheep when he was young?
In a few years, Luo Hao will understand what's so important about a little nurse. She's not the person beside him, so why should he protect her?
Young people are passionate and cannot stand being bullied. This can be seen from Luo Hao's insistence on operating on Chen Jiao.
Yang Jinghe said nothing, just stood aside and watched the excitement. He wanted to see what kind of trouble Luo Hao was going to make.
"I...I...I..."
The little nurse stammered and couldn't speak a complete sentence.
“I am mute, and Professor Luo is asking nonsense!” the director of the nursing department sternly reprimanded.
Then, she turned to look at Luo Hao with a smile on her face, "Luo..."
Before the director of the nursing department could finish speaking, Luo Hao also smiled stylizedly. Roubuxiao said, "Keep your voice down. You are not allowed to make any noise in the ward."
"???"
"!!!"
Holy shit, Luo Hao really didn't hesitate to attack the director of the nursing department for a little ant-like nurse? !
"Relax, it really has nothing to do with you." Luo Hao turned around to comfort the little nurse.
Luo Hao and the director of the nursing department are both playing face-changing, but with different targets.
The more Yang Jinghe watched, the more interesting it became.
The little nurse's mood did not become stable, but became more and more numb, and she began to answer Luo Hao's questions in a low voice.
The expression of the director of the nursing department was also very strange, and Yang Jinghe found it interesting.
Such sharp and irreconcilable contradictions are really rare.
It is not difficult to provoke a conflict, but what is difficult is how to resolve it.
Yang Jinghe felt that she seemed to have found Luo Hao's flaw. Young people are really young people. They are always passionate and never use their brains.
Full of passion and never caring about the consequences, Luo Hao's childishness is on full display.
Finally, Luo Hao determined that the nurse's specimen collection process met the requirements, and there was no such thing as vigorous tapping of the blood collection site or excessive use of the tourniquet;
After collection, it was submitted for inspection in a timely manner and the specimens were not inspected. Refrigeration and freezing operations;
There is no mixing of EDTA anticoagulated blood collection tubes and biochemical tube specimens.
Everything is very standard, even the nurse can tell the approximate blood collection and test delivery time.
"Lao Yang, your little nurse is pretty good, very capable! No worse than my Xiehe." Luo Hao praised.
Yang Jinghe was startled.
A second ago, I was still watching Luo Hao lively, wanting to see how Luo Hao resolves the conflicts he provoked.
The next second, Luo Hao pushed the little nurse onto him with just one word.
This guy...
Yang Jinghe remembered the possibility that Meng Liangren mentioned in the interventional catheterization laboratory-reverse flying knife to solve the problem of no radioactive particles.
He became more and more certain that the possibility was not Meng Liangren’s idea, but Luo Hao’s idea.
Yang Jinghe was stunned for a moment, but Luo Hao had already taken out his mobile phone to make a call.
"Chen Yong, radiotherapy, Ward 2."
After saying that, Luo Hao hung up the phone.
"Old Yang, you think you should take another tube of blood." Luo Hao looked at Yang Jinghe and said an affirmative sentence.
Collecting again, under the gaze of Luo Hao and Yang Jinghe, the nurse's hands began to tremble.
"I'll do it." Luo Hao gently took the blood collection equipment from the nurse and started collecting blood like a textbook.
The movements were standard, as if Luo Hao was giving an open class and explaining the key points of blood collection to medical students.
Yang Jinghe watched quietly, not knowing what Luo Hao was going to do.
Are you showing off your blood collection?
But does it make sense to be more skilled than a nurse?
Yang Jinghe doesn’t understand.
If it were before going to the imperial capital, Yang Jinghe would be disdainful, and would even say a few words when he was in a bad temper.
But after going to the Imperial Capital once, Yang Jinghe witnessed many things with his own eyes.
The surgical plan for the difficult case was decided by Luo Haoding, and he even came on stage to help Director Pan and successfully completed the operation.
These all show that Luo Hao already has his own place in the medical field.
Behaving at a higher level than a nurse, Luo Hao would not do such meaningless things, Yang Jinghe was sure of this.
After the blood collection, Luo Hao looked up and saw Chen Yong and Meng Liangren.
He handed the blood collection tube to Chen Yong. Chen Yong glanced at the people in the room, felt an undercurrent, and handed the blood collection tube to Meng Liangren.
"Lao Meng, hurry up."
Meng Liangren said nothing, nodded, took the blood collection tube and trotted away, and his figure disappeared in an instant.
"Professor Xiao Luo, what do you think?"
When the blood samples were sent away, Yang Jinghe asked. "I suspect that the patient does not have hyperkalemia. Let's see the reexamination results." Luo Hao smiled.
The director of the nursing department, the head nurse and the young nurse suddenly looked ugly.
Luo Hao means the problem of blood collection by the nurse!
In one sentence, all the nurses were offended, and Yang Jinghe also felt strange.
Professor Ronaldinho's emotional intelligence is not so low. Even when it comes to blood collection, he has countless ways to speak clearly without offending others.
But Luo Hao chose the most annoying method.
"Okay, let's wait for the results first." Luo Hao patted the patient, chatted a few words with the patient, comforted him out of habit, and turned to leave.
At this time, Yang Jinghe noticed that Chen Yong was standing at the door of the corridor without wearing a mask, talking and laughing happily with the director of the nursing department.
“…”
Yang Jinghe was speechless.
But he noticed that the atmosphere just now was not tense, but also awkward.
But as Chen Yong and the director of the nursing department began to talk, the atmosphere relaxed a little unconsciously.
Luo Hao called Chen Yong here. Is this the purpose?
Yang Jinghe didn’t know, he just observed quietly.
Even Yang Jinghe had forgotten the original purpose. He was confused by the few words Luo Hao repeated.
Back in the office, Luo Hao sat down in front of the computer calmly.
"Sister, come in and take a look." Chen Yong's voice came, "You check eight hundred times a day. All the nurses in the hospital are very good at all basic skills. Luo Hao didn't mean that. Come on, come in and wait."
"No, that side of me is still there..."
"It's too hard to check on the nurse every day. Sometimes I have to be more approachable and communicate more with the doctor."
>
Chen Yong pulled the director of the nursing department in.
The few words Chen Yong just said had no sparkle, they were gentle at best. But paired with the appearance of Xiao Lizi, who is at the peak of his appearance, Chen Yong’s whole person was glowing. As others walked in, The office lit up.
Luo Hao seemed to have forgotten what happened just now. He was quietly looking at the medical records and communicating with the doctor in charge of the bed from time to time.
Yang Jinghe sat next to Luo Hao, looked at Luo Hao, and then at Chen Yong.
These two people are quite interesting.
Luo Hao called Chen Yong at that time. Without any further explanation, he simply and forcefully told him where he was coming.
There was no communication between the two, but Chen Yong "saw" the situation when he arrived and "scammed" the director of the nursing department into the doctor's office.
This kind of tacit understanding is simply amazing.
What’s next?
Yang Jinghe thought about the various rumors about Chen Yong in the hospital, and found this matter more and more interesting.
A medical team with a tacit understanding and stability has no communication when encountering emergencies, and everyone gives each other enough trust.
This is absolutely impossible to be "changed" by a person with high technical level.
Awesome, the more Yang Jinghe thought about it, the more surprised she became, and her evaluation of Luo Hao and Luo Hao's medical team became higher and higher.
He can perform surgeries and diagnoses. I can only say that this doctor is very good, but I can’t say how high he will be in the future.
But to bring out such a tacit understanding of the team in a short period of time, the more Yang Jinghe thought about it, the more terrifying it became.
Yang Jinghe thought about it and thought of a weird possibility.
Luo Hao just praised the little nurse for her good "training" and her blood collection standards.
Damn it, do you want to take the blame yourself?
Yang Jinghe pondered.
"Lao Yang, this patient can try particle implantation first." After Luo Hao looked at 4 patients, he finally found a patient.
Yang Jinghe put aside her previous distracting thoughts and looked at the medical records carefully.
Indeed, this patient has reached the advanced stage of cancer. During radiotherapy, Yang Jing and herself are worried about radiation pneumonitis, which will lead to various complications.
If radiotherapy is performed, not only will the patient's life not be prolonged, but the quality of life will be reduced due to a series of complications.
During the ward rounds this morning, Yang Jinghe also explained to the patient’s family that she suggested waiting in the hospice ward.
Luo Hao doesn't just look for patients, he only picks the ones he doesn't want.
Yang Jinghe nodded inwardly, Professor Luo was indeed measured and methodical in handling matters.
It is estimated that he wants to see the curative effect on patients, and then promote it on a large scale after taking it orally.
"Ronald, Professor." Yang Jinghe wrote down the patient herself, and then asked, "What do you estimate the results of the blood collection reexamination are?"
"The patient is not hyperkalemic." Luo Hao was certain. said.
Hearing what Luo Hao said, the director of the nursing department suddenly had a smile on his face. The head nurse's facial muscles twitched a few times, as if she was constipated.
The little nurse standing in the corner lowered her head, as if she was about to cry, trying her best to hide her emotions.
“Oh? That’s it.”
"Lao Yang, it's not about collecting blood." Luo Hao added.
Yang Jinghe smiled.
Luo Hao’s excuse for the nurse should not be too obvious. The blood potassium test result was so high that Luo Hao even took the blood himself. What will Luo Hao say when the results are reported back?
Yang Jinghe shook his head and smiled silently.
There is only one final result!
Either the patient's blood potassium is high, or there is something wrong with the blood collection process by the nurse, causing hemolysis and hyperkalemia.
It is absolutely impossible to be both.
There is something wrong with what Luo Hao said.
Yang Jinghe looked up at Chen Yong. The director of the nursing department was chatting with Chen Yong again. The ugly expression just now had long since disappeared.
Pricking up her ears, Yang Jinghe listened carefully to the chat between Chen Yong and the director of the nursing department.
"Luo Hao's diagnosis is not wrong. As long as he is here, I will not see the patient. Luo Hao says whatever he says."
Chen Yong smiled and communicated with the director of the nursing department.
That’s it?
Yang Jinghe felt disdainful.
Although he had experienced some things, including the patient who initially “sent” his liver to Luo Hao to take up space, he suspected that Luo Hao was mistaking him for a horse, and was finally diagnosed with a spleen transplant.
Including Xiaonan's operation being suspended, Luo Hao directly consulted Academician Lang via video in order to make a clear diagnosis and gain trust.
Those things all prove that Luo Hao's diagnostic level is beyond imagination.
But this time, it seems that Luo Hao got excited and wanted to help the little nurse, but now he can't get off the stage.
Yang Jing and Shen Xinjing moved aside, pretending to write down the patient Luo Hao mentioned, and took the opportunity to open another computer and start looking at the patient's information.
The patient was transferred from a municipal hospital below. He had cancer and severe infection.
The cancer was late, and Yang Jinghe judged that she could get a certain degree of relief through radiotherapy and chemotherapy, and she would have at least 2 years to survive.
But severe infection has even reached the level of bacteremia, coupled with comprehensive ion disorder and hyperkalemia.
Yang Jinghe’s first judgment was to transfer the patient to a place like ICU to adjust his condition first.
In fact, there is no problem no matter how you treat this kind of patient, but Luo Hao’s statement that it is neither, nor is there a big problem.
It’s not hyperkalemia, nor is it the nurse’s problem. Could it be that the patient squeezed lemon juice into the tube himself?
Isn't this a joke?
Or does the problem lie with the laboratory department?
Yang Jinghe thought carefully about why he thought something was wrong. Luo Hao should be talking nonsense.
"Little Luo, come here." Yang Jinghe said.
"Here we come." Luo Hao slid his chair and came to Yang Jinghe's side.
"What do you think of this patient?"
"If there is only obstructive pneumonia, seek medication from a respiratory medicine department; but now the situation is more serious. After we have a clear diagnosis, I suggest that he be transferred to the ICU to cure the bacteremia. Come back for chemotherapy.”
“…” Yang Jinghe was silent.
Isn’t Luo Hao very clear about this?
Neither, nor, it must be Luo Hao who was talking to the little nurse, and then got himself into the quagmire and couldn't extricate himself.
Yang Jinghe smiled.
Ronaldinho's method of fighting the mud is not very clever. How could he jump in and fight the mud himself? Who does he think he is? !
"Well, then I will transfer the patient to the ICU now." Yang Jinghe showed her kindness and handed Luo Hao a ladder.
Come down quickly, don’t stand up there and talk nonsense. Yang Jinghe feels that she is very kind and full of goodwill.
“Wait a moment.”
Unexpectedly, Luo Hao directly rejected Yang Jinghe's ladder.
"Huh?"
"I'm worried that I have to go to the ICU for constant check-ups, which will delay things. If I follow the treatment of hyperkalemia, I'm afraid I'll have to be rescued, so I'd better make a clear diagnosis first. It's better to turn around."
"!" Yang Jinghe looked at Luo Hao in disbelief as if he had seen an idiot.
What is he talking about! Don’t Luo Hao himself know? !
Luo Hao didn't seem to want to take the ladder he handed over, nor did he want to get down!
Did Luo Hao not realize what situation he was facing?
He seemed to be afraid that he would "die" not fast enough, so he asked his doctors to send blood and rush for results.
As a result, Luo Hao would slap himself in the face whether he had high blood potassium or low blood potassium.
Either Luo Hao's diagnosis was wrong, or the nurse had a problem with blood collection.
Do you live up to the Tathagata or live up to your Majesty? Luo Hao still wants to have both sides at this time?
Countless questions arose in Yang Jinghe's mind.
According to his understanding of Luo Hao, this kid is very smart and shouldn't be like this.
[As the saying goes, a man will remain a boy until he dies, but how can there be...]
Luo Hao answered the phone.
"Professor Luo, the patient's blood potassium is 6.54!"
Meng Liangren's voice came clearly.
Yang Jinghe sighed. It was indeed not the nurse's fault. The blood collected by Luo Hao himself still showed hyperkalemia.
Got it!
Looking for him to screen patients, Luo Hao was embarrassed.
It was obviously hyperkalemia, but he insisted on saying it was not the case and refused to transfer him to the ICU, insisting on waiting for the test results.
What did Ronaldinho think? !
To say that the word "sex" is a knife-edge, the little nurse just got scolded. Professor Ronaldinho insisted on standing up for her, but he turned over and over again and confused himself.
Just now Luo Hao refused the ladder he handed over, but now it’s up to you to get off.
Yang Jinghe felt helpless.
After having the experience in the imperial capital, Yang Jinghe became much closer to Luo Hao. It was completely different from before. He didn't want Luo Hao to be embarrassed.
How can Professor Ronaldinho come down?
Yang Jinghe looked at Luo Hao subconsciously.
But!
A confident smile appeared at the corner of Luo Hao's mouth, calm and calm. Yang Jinghe was stunned for a moment. Could it be that...she had made a mistake again?
(End of this chapter)