Chapter 229 There are not many good people in the nursing department
"It should be a false increase in potassium caused by an increase in white blood cells." Luo Hao then said firmly.
The voice was calm and firm, as if he knew the result early in the morning and had everything under control.
“???”
“???”
"Collect another blood."
Yang Jinghe felt a little irritated, what was Luo Hao doing?
Just as he was about to stop Luo Hao from "making nonsense", Yang Jinghe's eyes fell on Chen Yong and Meng Liangren.
The expressions of the two of them were peaceful, as if what Luo Hao said was taken for granted.
Yang Jinghe swallowed back what she was about to say.
After the experience in the imperial capital, Yang Jinghe owed Luo Hao a huge favor, but this was secondary.
Yang Jinghe witnessed with her own eyes that Luo Hao's status in Union Hospital was more than just a doctoral student who "did not stay" after graduation.
Not only can he participate in a hospital-wide consultation with big bosses and personally chaired by Director Lang, an academician of the Academy of Engineering, but he can also go on stage to help Director Pan of the Union Medical College of Interventional Medicine to successfully complete the operation.
Wait?
Yang Jinghe had an idea in his mind.
Let Luo Hao just mess around. Anyway, the most serious consequence is that he will be transferred to another department a few hours late, so there won't be any big mistakes.
No, it’s not nonsense, Yang Jinghe even had a bold idea in her mind.
“Collect blood.” Yang Jinghe withdrew his thoughts of dissuasion.
"Director Yang, that's not necessary." The director of the nursing department looked at Yang Jinghe in surprise, with a hint of disdain. She and Yang Jing had the same idea as before, thinking that Luo Hao was fooling around. .
Having collected blood twice in a row, how much more blood does Luo Hao need to collect?
If there is no problem with the instruments in the laboratory department, everyone will understand that if the test fails once, it will be rechecked just to be sure.
But he was still not satisfied with the same result twice, so Luo Hao wanted to try it a third time!
Isn’t this nonsense? !
"Huh? Are you teaching me how to do things?" Yang Jinghe glanced sideways at the director of the nursing department.
"Uh..." The director of the nursing department has always bullied the weak and feared the strong. Ordinary department directors would not dare to offend, let alone the strange person among department directors - Yang Jinghe.
"I just said it casually." Director Ma of the Nursing Department explained in a panic.
"When will your nursing department come to the clinic to give advice? Who taught you? Otherwise, my office will be given to you in the future?" Yang Jinghe asked lightly.
Luo Haoyi raised his eyebrows.
Yang Jinghe is good. When I gave him a pot, he didn’t hide at all and just carried it on his back.
Lao Yang is very capable!
"..." The director of the nursing department was speechless.
“I’ll give you face and call you Director Ma. If I don’t give you face, you’re nothing! A foot-washing girl?”
I’ll call you a foot-washing girl and call you Director Ma. Director Ma of the Nursing Department scolded him until his face turned red.
"Sit down!" When Yang Jinghe saw Director Ma of the Nursing Department standing up and wanting to leave, he immediately scolded him in a deep voice, "Wait for the results. Don't you dare to step out of the office and try before the results come out."
Fuck!
Even Luo Hao exclaimed in his heart that Yang Jinghe was indeed cruel and domineering, scolding Director Ma of the Nursing Department without any explanation.
That kind of ferocity is completely unreasonable.
No one doubted that if Director Ma of the Nursing Department took a step out of the office, Yang Jinghe would immediately turn against her and kick her to the ground.
A mental patient? What can Director Ma of the Nursing Department do to Yang Jinghe?
Director Ma of the Nursing Department sat down aggrievedly and tried not to cry.
When she encounters someone who is aggressive, she immediately becomes intimidated, and her usual bullying attitude is gone.
"Little Luo, should the nurse collect the blood or do you come in person?"
"Chen Yong, go ahead." Luo Hao nodded.
"Okay, what kind of blood?"
"Arterial blood, take a blood gas needle and send it directly to the laboratory after collection. The results will be centrifuged as quickly as possible. I'll wait."
Chen Yong didn't say "no", turned around and went out, and started talking busy.
"Ronald, tell me what's going on." Yang Jinghe looked calm. What he had just "reprimanded" Director Ma of the Nursing Department seemed to him to have never happened. He began to wonder about Luo. Hao's operation.
"That's right." Luo Hao stood up, walked to the blackboard in the office, and adjusted his position to face Yang Jinghe.
Yang Jinghe leaned back, her whole weight pressed on the back chair, and the chair creaked.
"Pseudo-elevated serum potassium caused by leukocytosis" is a phenomenon of pseudo-electrolyte imbalance. Patients often present with elevated serum potassium ions but normal or reduced plasma potassium ions without corresponding symptoms. Causes, clinical manifestations and ECG changes of hyperkalemia, no treatment is required. ”
"I was not on ECG monitoring just now, but when I chatted with the patient, the patient did not feel weak. I felt the radial artery and found no arrhythmia from the pulse."
" Therefore, the possibility of false elevation of blood potassium caused by leukocytosis is very high."
Luo Hao is like a man in science and engineering, writing on the blackboard and making sense.
At the beginning, there were still whispers in the office.
But as Luo Hao said one, two, three, four, five, his voice gradually became lower, and finally there was silence.
Yang Jinghe didn't know when she sat up straight and stared at the writing on the blackboard.
“The reasons for the false increase in potassium caused by leukocytosis are mainly divided into two aspects: on the one hand, it is believed that the white blood cells are destroyed during the coagulation process of blood, causing intracellular potassium ions to be released outside the cells..."
“On the other hand…”
"If clinically it is found that there is a false increase in potassium similar to that caused by leukocytosis, collect venous blood first and send it to the laboratory for centrifugation immediately. But if the result is still positive, collect arterial blood and send it to the laboratory quickly."
Luo Hao explained the truth from beginning to end.
Ten minutes later, the phone rang. Luo Hao answered the phone and turned on the speakerphone.
"Luo Hao, blood potassium 4.2!"
Chen Yong's voice came from the mobile phone.
"Okay." Luo Hao smiled and turned off his phone.
"That's probably it. If I encounter similar patients in the future..."
Luo Hao started talking from the perspective of prevention, diagnosis and treatment.
He is not verbose, his words are concise and concise, and he is full of useful information. At first, the radiation oncologists were disdainful, but upon hearing this, they all began to pick up their pens and record Luo Hao's writing on the blackboard.
Yang Jinghe sighed deeply after hearing this.
I am right to be cautious!
It seems that Luo Hao's behavior is not logical, but that is because he is not good enough and does not understand some relatively rare situations deeply enough.
Clinically, they are all - indecision in times of trouble, rheumatism and immunity.
Yang Jinghe knew full well what attitude Director Shen of the Department of Rheumatology and Immunology had towards Luo Hao.
Every time the little uncle screams, even if you don’t have diabetes, he will call you ketoacidosis.
It seems that there is no love without reason in this world, and there is no hatred without reason. Anyone who can make Director Shen kneel down and lick him must be very strong.
As soon as Yang Jinghe thought about it, a smile of "admiration" appeared on his face.
"Ronaldinho, you're awesome!"
"You're welcome." Luo Hao smiled, "The patient will be transferred to the ICU. Hyperkalemia has been ruled out. The ICU will just give him symptomatic treatment, and he doesn't need to be in our department."< br>
Director Ma of the Nursing Department sat in a chair in a daze, looking at the clearly logical and cleanly written writing on the blackboard in a daze.
She didn't fully understand what Luo Hao said, but Director Ma of the Nursing Department only knew one thing - what Luo Hao said made sense.
“Transfer to another department.” Yang Jinghe turned around and made arrangements.
There were no more objections in the office.
Luo Hao smiled, sat down and began to read the medical records of other patients.
"Ronald, you have X-ray eyes, how do you know there is something wrong with the patient?" Yang Jinghe asked with a smile.
"Lao Yang, this is a routine operation of my Xiehe family. There is nothing surprising." Luo Hao replied calmly.
“What? Routine operation?”
"Patients with suspected hyperkalemia need to draw blood for review. If there are no signs of hyperkalemia, arterial blood needs to be taken." Luo Hao looked at the screen and said calmly.
“!!!”
Yang Jinghe was stunned.
"We have received many similar patients, and everyone has formed a habit. It's okay, we have encountered them, remember them, and we will know how to deal with them next time." Luo Hao said lightly.
Meng Liangren sat in the corner with an expressionless face, quietly watching Luo Hao "pretend".
This is something Chen Yong always yells about, but Meng Liang and Chen Yong think differently.
Isn’t this normal?
Why else would the Union Medical College Hospital, which is number one in the country, be number one in the country? Professor Luo was just saying this as a fact.
Director Ma of the Nursing Department quietly stood up and prepared to leave dejectedly.
“Dong dong dong~” Yang Jinghe caught a glimpse of Director Ma of the Nursing Department, raised her hand and knocked on the table, “Director Ma, did I let you go? Isn’t it too much for you to just leave like this? Don’t respect me?”
"..."
Director Ma of the Nursing Department suddenly froze, and she turned around and grinned an ugly smile.
"The consultation is over. I have learned a lot. I am thinking about taking the time to go back and digest it."
"Do you think what I just said is a dog fart?" Yang Jinghe sat on a chair. Go up and look at Director Ma of the Nursing Department with a careless look.
Director Ma shivered when Yang Jinghe saw him.
"Come on, Director Ma, let me tell you a few things."
Director Ma of the Nursing Department came to Yang Jinghe honestly.
Yang Jinghe's expression was serious and she didn't even give him a chance to joke. Director Ma was also quite helpless.
What else could she do, she could only stand in front of Yang Jinghe honestly like the little nurse she scolded, asking for everything.
"First of all, don't fucking come to our department in the future. The nurses in our department are under the charge of the head nurse, and I am in charge. You, the nursing department, are domineering all day long. What the heck are you doing?"
"..."
Director Ma of the Nursing Department trembled.
Yang Jinghe pointed at her nose and scolded her, and she subconsciously wanted to retort.
But when his eyes fell on Yang Jing and the black and strong body like an iron tower, Director Ma of the Nursing Department suddenly closed his thin lips tightly.
"You come to my department and scold my little nurse. Where do you put me, the administrative director of the radiotherapy department, in my position? Do you want you to teach me? You know nothing!"
"What, you're still not convinced? This is the radiotherapy department, and I'm the director of the department. I have the final say on my territory! If you let me see you coming to my department again, yelling at me, or scolding our little nurse, I'll break your legs. Believe it or not?"
"..." Director Ma of the Nursing Department was speechless.
Provocation?
She didn’t dare at all.
Everyone knows Yang Jinghe's reputation in the hospital, and Director Ma of the Nursing Department believes and firmly believes that if he dares to talk back in front of all the doctors and nurses in the radiotherapy department, he will be slapped in the face in the next second.
It shouldn’t be possible to break your legs, but a few big pussy blows are definitely indispensable.
If the trouble really gets to that level, how will I see anyone at that time!
Director Ma of the Nursing Department bit his lower lip and tried not to cry.
"What the hell, you can scold my little nurse even though there are five or six of us? Head nurse!" Yang Jinghe became more and more severe as she spoke, her voice as low as a heavy hammer.
"Director." The head nurse stood up quietly.
"In the future, no matter who in the nursing department dares to scold you, even if you fail to do the bullshit they asked for, just tell me." Yang Jinghe looked at Director Ma of the nursing department, "I We ransacked the home of their nursing department!”
The head nurse didn’t dare to answer.
“Pa~~~”
Yang Jinghe picked up the A4 paper on the table and threw it at it.
"I'm talking to you, are you fucking deaf? You're a coward."
"Yes, yes, yes, director, don't be angry."
The head nurse didn't dare to say anything at all, just Can answer.
"Director Ma, if you dare to put on small shoes or stab my people with knives behind my back, you can try it." Yang Jinghe tapped the table with one hand, making a thumping sound, "I, Old Yang, have been doing this recently. I have gotten older and my temper has improved. Do you think you can sit on my head and poop and pee?"
"..." Director Ma of the Nursing Department was speechless.
"If you want, you can give it a try and see if your fate is tougher or my old Yang's methods are tougher."
Director Ma of the Nursing Department couldn't help but cry.
“Get out!”
The sound was like spring thunder, rolling in.
Director Ma of the Nursing Department was stunned for a moment, turned around and ran away.
"Come back." Yang Jinghe scolded like a dog trainer.
Director Ma of the Nursing Department paused like a puppet and cried "Wow".
"Don't you know how to say hello when you leave? Do you have a problem with me? Or are you born without a tutor?" Yang Jinghe scolded coldly.
"Director Yang, I'm leaving. Thank you for your teachings. I will remember them all." Director Ma of the Nursing Department turned around, bowed, and burst into tears.
“Go away.” Yang Jinghe waved her hand like a fly and drove away Director Ma of the Nursing Department.
There was silence in the room, and the sound of "click" broke the silence.
The mouse in Luo Hao's hand clicked lightly and made a clicking sound.
"Head nurse, from now on the nursing department will give you small shoes to wear, and you come to me." Yang Jinghe warned.
"Hmm."
The head nurse squeezed out a voice from her nose.
She was a little confused. She didn't know whether Director Yang had taken the wrong medicine today or something, and he actually scolded Director Ma.
Especially the dragging and pulling at the end, which made Director Ma of the Nursing Department lose face. This was out of the normal rules and procedures of the hospital.
Yang Jinghe didn’t continue to say anything, and soon Luo Hao found another patient.
An hour and a half later, Luo Hao screened the patient, checked the ward, and set the time for the operation before returning to the director's office with Yang Jinghe.
"Old Yang, your temper is a bit hot today." Luo Hao looked at Yang Jinghe and said with a smile.
"I can't stand her." Yang Jinghe didn't sell her favors, but put everything into herself and had nothing to do with Luo Hao.
Yang Jing was very close to this man, and Luo Hao's appreciation for him grew even higher.
"What's the matter?" Luo Hao looked at Yang Jinghe with a smile, and sat directly on the bed in the duty room, leaning back and supporting the bed with his hands, a bit lazy and casual.
"Xiao Luo, let me ask you, have you seen any good people in the nursing department?"
Luo Hao smiled, "Xie He doesn't know, I was still young at that time and no one followed me. I’m talking about these gossips. The nursing department of Donglian Mine is really not good, everyone has problems.”
"I'm going to be blunt, but anyone who can become the director of the nursing department has problems! This is a high probability."
"Oh?"
"You Think about it, who in the family is willing to do such a miserable job with little money and a lot to do?"
Luo Hao smiled and listened quietly.
"Director Ma, who was very clever when he was young, washed the old dean's feet when he was under special care. When his sister-in-law saw her, she kicked over the footbath and scolded him. ”
"Tsk, tsk." Luo Hao sighed. No wonder Yang Jinghe said that Director Ma of the Nursing Department was some kind of foot-washing girl. It turned out that they had something to do with it.
“But despite the scolding, she still has the energy to do things, and I am very convinced. Not long after, she just pushed the old dean away. She seemed to be only 22 years old at that time.< br>
From then on, he became the youngest head nurse in the hospital, and then became the youngest director of the nursing department in the hospital."
"But it was different after the old director retired. After all, he is from the old dean, dean Zhuang... Hahaha, let’s not talk about this.”
Yang Jinghe laughed.
His gossip is gossip, and he has a sense of propriety. He can't gossip about Dean Zhuang.
“There is always a director of the nursing department in Donglian Mine. Her path is very similar to that of Director Ma. She is also a nurse, head nurse, and director of the nursing department. However, her path is smoother and she becomes the deputy dean and supervisor. ..."
Before Luo Hao finished speaking, Yang Jinghe took over, "Is it the one who was mutilated a few years ago?"
"Yes" Luo Hao nodded.
Yang Jinghe suddenly became interested, "I heard that it was the pretty boy she raised who did it. What happened?"
"I also heard that she was pregnant at the time and didn't want it, but the pretty boy wanted it, and the two quarreled over it. Vice President Xue found an obstetrician who was familiar with her to perform an abortion. Send the bag containing the abortion to the pretty boy. "
"Damn, this guy is sick."
Even Yang Jinghe sighed, this guy is indeed sick. .
The abortion just happened, and the abortion product was given to the pretty boy to stimulate his nerves.
I sincerely treat the pretty boy I kept as a human being.
"Maybe it's because I'm used to being aloof, having everything under control, and showing the pretty boy how powerful he is." Luo Hao shook his head, "I just made a guess, Lao Yang, don't take it seriously."
"It's harmful, it should be. "Yang Jinghe said, "The supporter doesn't have an independent personality. If he does, wouldn't it be a support of love? So show him how good he is and tell him not to beep, just take care of me in bed."
"The pretty boy went crazy after seeing it and chopped more than a hundred times at night. But the funny thing is that Vice President Xue didn't go to work for half a month, and the hospital didn't care. It was the same with or without her. ."
"Hahaha." Yang Jinghe laughed, "It's almost the same for leaders. In the past few years, the boss and middle-level managers of a small company in the provincial capital have left, leaving only a dozen employees. After thinking about it, I started doing the work myself. It is said that the profit increased several times."
Luo Hao smiled and looked at Yang Jinghe.
"I've long disliked her. Let me tell you, why are the nurses in the nursing department not nice to me? I finally became an official. If I didn't scold you, wouldn't it be for nothing that I was slept with by those bad old men? I guess They all thought so in their hearts."
Luo Hao was amused by Yang Jinghe's straightforward words, but when he thought about it carefully, it was really such a logical thinking.
"I usually don't bother to talk to them. I just say hello when we meet. Today, we have a consultation. Does she have a say? Are you kidding me?" Yang Jinghe said calmly, without mentioning Luo Luo at all. Hao poured dirty water on himself.
“Lao Yang, you are awesome!” Luo Hao extended his hand and gave a thumbs up in praise.
"Ha, don't talk about this, the patient has been decided. When will you have time?"
"The day after tomorrow."
"Okay." Yang Jinghe said, "By the way, I have already submitted the order for CT specifically for particle implantation."
"?!" Luo Hao was startled.
So fast? Luo Hao hesitated.
Although Luo Hao didn't know how many tricks went into equipment procurement and bidding, he probably knew that something was up.
The water here is so deep that you can avoid touching it without touching it.
Seeing Luo Hao pondering, Yang Jinghe smiled and said, "Don't worry, it has nothing to do with you. Dean Zhuang is in charge of this, and no one else can get involved."
"Oh, no. Just ask. "
"I just want a ct and give Dean Zhuang a reason. It's all business, and it's impossible for Dean Zhuang to not approve it. Don't worry, the rules and procedures are formal. As for bidding and procurement. No matter how tricky it is, it doesn't matter to you or me."
"The amount of surgery needs to be increased." Luo Hao frowned, "Old Yang, do you want to do it together?"
Yang Jinghe felt relieved, Luo Hao was reciprocating love, and he knew it very well.
"I'll do it, I don't worry about the others."
Luo Hao nodded.
The two said a few more words, and Luo Hao left Yang Jinghe's office.
After leaving the door, Luo Hao saw Chen Yong lying on the head nurse's desk chatting happily with the nurse.
"Let's go." Luo Hao greeted.
"I'm leaving now. We'll chat when we have time." Chen Yong waved his hand.
Yang Jinghe sent Luo Hao, Chen Yong, and Meng Liangren to the door, watched the figures disappear, and then slowly turned around.
"Director." The head nurse stood beside Yang Jinghe very restrainedly and whispered.
"Well, what happened today is not a joke. If you are bullied, just tell me." Yang Jinghe said, "Regardless of whether she is justified or not, if she dares to bully me, I will go find her. I want an explanation.”
"Director, it's so... so... not good."
"Don't worry, she doesn't have the guts. This matter will most likely be over. Our department can be quiet for a while in the future. But quiet is quiet, Don't ignore medical safety, if something happens..." Yang Jinghe gave the head nurse a deep look.
"Don't worry, director."
Yang Jinghe smiled and slowly returned to the director's office with her hands behind her back.
……
"Luo Hao, did Director Yang take medicine today? Why are you so fierce?" Chen Yong asked with a beaming look.
"I see you are quite familiar with Director Ma." Luo Hao did not answer Chen Yong's question, but asked instead.
"It's not because of you! If it weren't for you, you think I would be willing to chat with her!" Chen Yong curled his lips and said scornfully, "Director Yang is pretty good. He is becoming more and more pleasing to my eyes."
Back in the ward, Luo Hao saw Director Shen of Rheumatology Immunology standing under the photo and admiring it carefully.
"Hello, Director Shen." Luo Haoke greeted politely.
"Uncle Junior, you are back!" Director Shen said respectfully, "Can you still feed giant pandas?"
(End of this chapter)