Chapter 280 Doctors Without Borders
Luo Hao reset the condition as quickly as possible, then put his hand on the GW to feel the heat to determine whether there was necrosis.
Fortunately, there should be no necrosis.
Although cutting off one of them would not affect fertility, it still didn’t look good. Luo Hao let out a sigh of relief.
Time is almost on the verge of necrosis. Even Luo Hao is not sure whether the patient's GW is necrotic.
But based on the comparison with AI diagnosis, Luo Hao estimated that it would probably be good.
After reset, Luo Hao put his hand on the patient's GW and waited quietly.
"Why don't you close the door!" The head nurse rushed over fiercely.
"Hey, Ronaldinho." The head nurse narrowed her eyes after seeing clearly, and she must be smiling.
But she glanced at the twisted position of GW and immediately asked seriously, "Is it dead?"
"I don't know, probably not. I've already called Director Pei."
"I'm going to prepare things." The head nurse left in a hurry.
Then the patient was pushed in, and Chen Yan turned around in a daze and went downstairs to change clothes.
Diagnostic errors are not uncommon in clinical practice. Who hasn’t made a mistake yet?
If you could tell it at first glance... it is fiction, fantasy, and the most ideal state.
Otherwise, what is needed is multidisciplinary consultation and multidisciplinary collaboration.
But!
Luo Hao hurriedly opened the operating room door, took one look at the patient, and wanted to take off the patient's pants the next second.
Chen Yan kept this detail in mind and couldn't get it out of his mind. A typical slab-shaped abdomen, as long as it is a doctor, the attention must be attracted, but Luo Hao has to take off the patient's pants.
Luo Hao seemed to have clairvoyant eyes.
Weird.
Chen Yan was thinking about it while changing his clothes.
His movements were very slow and full of doubts.
As an old expert in general surgery, I have treated at least 2,300 patients with acute abdomen in my life.
The patient in front of me has obvious signs of acute abdomen. His belly is like a wooden board, and there are layers of fine sweat. He is the kind of abdominal muscles that girls love most.
But as a doctor, the first thing to consider is acute abdomen, and no one would think of GW torsion. After all, GW torsion is relatively rare, at least more rare than acute abdomen.
Damn, that’s weird!
Does Luo Hao have clairvoyance?
Chen Yan thought for a while and blushed. If this is the case, wouldn't Luo Hao see through him?
Luo Hao, this stinky gangster!
When you see Luo Hao in the future, do you want to wear a lead suit? I don’t know if the lead clothing that can protect against X-rays can protect against X-ray vision.
Chen Yan was thinking wildly.
"Old Chen, what are you doing?" Pei Yingjie hurriedly came to the operating room to change clothes, followed by the three leading professors and the chief resident.
Lao Pei attaches great importance to this pomp, Chen Yan thought to himself.
"Ronaldo has a patient who says he has GW torsion. He asked me to come up and take a look to rule out other abdominal diseases." Of course, Chen Yan would not tell the truth to Director Pei Yingjie, so he said perfunctorily.
Pei Yingjie changed clothes very quickly, as if he had received an order.
Chen Yan felt quite sad when he saw this. He knew that there had been a small conflict between Luo Hao and Pei Yingjie, but it had been resolved.
I didn’t expect that Lao Pei still has PTSD syndrome. Luo Hao asked him for surgery because he wanted to have his face brushed.
But this old Pei didn't care about the name at all. He only took the time to do the operation, for fear that Ronaldinho would scold him like a dog in the medical records if he was too late.
He even brought some of his most capable subordinates and a group of professors to the stage.
Chen Yan thought of that medical record. Ronaldinho's medical record was really well written.
Although he was thinking about everything, Chen Yan did not sit quietly, but followed Director Pei quickly into the operating room.
Luo Hao and Chen Yong have adjusted their positions, anesthesia is completed, and disinfection has begun.
“The right GW was twisted 270 degrees. After repositioning, we observed that in addition to the hematoma at the torsion, the GW blood supply is still there, so it should be preserved.” Luo Hao briefly reported the medical history.
Pei Yingjie took one look at the situation, turned around, cleaned his hands, and led his most capable professor to the surgery.
Chen Yan breathed a sigh of relief.
He did not ask Luo Hao directly, but waited until halfway through the operation and observed that the patient GW indeed had blood supply and was not necrotic. After everyone breathed a sigh of relief, he said with a smile, "Ronald, Your diagnosis is awesome."
"Huh? Director Chen?" Luo Hao was startled.
“Typical acute abdomen, I was stunned for a moment when you said you need to take off your pants.”
“Ham, acute abdomen must be routinely taken off pants for examination, when I was in Xiehe I encountered several patients who were diagnosed with intestinal obstruction and were transferred to our hospital. After taking off their pants, they found incarcerated hernia.”
"..."
Chen Yan was speechless and slightly confused.
Xiehe, turned out to be Xiehe again.
It turns out that it is not the legendary fluoroscopy, but clinical experience, rich clinical experience, and medical records accumulated over a hundred years.
What is heritage, this is it! The so-called mountain is not a certain person, but the legacy passed down by countless great men over countless years.
"Director Qian also encountered a similar situation."
"When he was supporting the frontier, he encountered a case of taking off his pants for diagnosis.
A local physician admitted a patient on night shift and diagnosed He was considered to have acute appendicitis, which was somewhat similar to the patient in front of him.
Jianban said that his white blood cells were normal, his physical examination showed obvious tenderness in the right lower abdomen, and he had slight rebound pain and muscle tension.
At that time, Director Qian went to check the ward, and he suspected that he was twisting his pants and pulling them down. He found that there was tenderness in the groin area and scrotum, and he was thinking of epididymitis. A color ultrasound showed that it was indeed the case. ”
"Director Qian told me about this, and he repeatedly told me to take off my pants and take a look, just in case."
Luo Hao explained logically, as if he was saying something ordinary. No more ordinary little things.
Chen Yan was silent.
Indeed, he also knew to take off his pants, but he had not encountered a similar patient in many years. In Chen Yan's opinion, taking one more look was like taking off his pants and farting.
"Excuse me, Director Pei." Luo Hao smiled and thanked him.
"The patient successfully survived the tribulation, which is gratifying!" The patient's right GW was not necrotic, and he was really happy.
"What kind of tribulation?" Chen Yong asked.
"Whether GW is necrotic or not, isn't this a tribulation for men? To be honest, I can't think of anything more important than this." Director Pei explained while performing the operation.
Indeed, Director Pei’s words were rude but not rude. This made sense. Chen Yong nodded frequently.
"Director Pei, thank you for your hard work. I'm going to explain it to the patient's family. This patient was introduced by a friend. I'm going to explain it to reassure the family."
"Go ahead." Director Pei relaxed and asked Luo Hao to do his work with a smile.
Luo Hao turned and left.
Speaking of which, the pre-operative instructions have not yet been completed. Although Luo Hao is not worried about the relationship with Boss Lou, he still needs to be as standardized as possible.
Inform the patient’s family about the good news, tell them it’s okay, and then sign.
Luo Hao did it in an orderly manner.
After they were all busy, Luo Hao asked, "What's going on in the Far East? How come it's so far away?"
The old man wiped his tears and explained, "I went there a few years ago. Didn't we talk about joint development at that time? Although we don't know how many years we can develop it, we can harvest the land year after year. That's farming!"
Luo Hao smiled, "How much land? , it’s big.”
“Our family of five grows about 1,200 hectares!”
12 square kilometers? !
"The land over there is very good and fat. It's a waste of time for me to leave such good land unplanted and it will be sick." The old man's eyes lit up when he talked about farming.
“Can you grow it?” Luo Hao asked.
"In the past, it was definitely not possible. Now it is possible, with large-scale machinery. A family of five, each person has one machine. Diesel is cheap there, and farming is easy."
" Do you use chemical fertilizers? ”
"It's okay to use weeding, fertilizers, etc. If it's available locally, use it. If it's not available, just bring it from China.
It doesn't matter if the area is larger. Nowadays, medium-sized drones are used to spray pesticides. I have Proof.”
The old man’s words were a bit confusing, but Luo Hao could understand.
What is running on the ground is large machinery, and what is flying in the sky is drone. It does not require much manpower.
This is the large farm and mechanized farming that Chinese people once envied and coveted.
Luo Hao thought about it and thought of bamboo.
"Did the people over there give you any trouble?" Luo Hao started chatting.
"What a waste, Lao Maozi is nothing anymore. People come here just to ask for money. But fortunately, they have been more restrained in recent years. They don't farm land either. Such good land is really a crime."
The old man sighed again.
If they are not allowed to farm, just farm them in the land!
Luo Hao thought of this sentence.
Smiling, Luo Hao raised his hand and patted the old man's shoulder, "It's not easy to see a doctor there."
"Well, I ran to a nearby place to take a picture, but it took a long time. "
Luo Hao asked some more about the local situation. Seeing that the patient's family member's mental state improved, he asked him to sign and then returned to the operating room.
"Brother, you are such a gossip." Zhuang Yan came out with him. She didn't interrupt when Luo Hao was chatting with the patient's family. She didn't joke until the door of the operating room was closed.
"Did you only see the gossip?" Luo Hao asked.
"Huh? What else?"
"To calm the nervousness of the patient's family, didn't you see that the veins on his forehead were bulging?"
"... "Zhuang Yan recalled carefully, it seemed like this, but she didn't notice it.
“Although the blood pressure was not measured, I estimate that the blood pressure of the patient’s family members is already over 170, and cardiovascular and cerebrovascular problems may occur at any time. Lower his blood pressure to avoid exploding his cardiovascular and cerebrovascular diseases.”
< br>
"Uh..."
This is the first time Zhuang Yan has heard about the treatment of lowering blood pressure.
"When the patients inside are pushed out, and the families of the patients outside are pushed in, it will be lively."
Luo Hao said calmly.
Zhuang Yan is shy, but she is eager to learn. She carefully wrote down what Luo Hao said and prepared to observe and practice it in the clinic.
"Sometimes, treatment is not just for the patient, but also for the patient's family members."
After Luo Hao finished speaking, he strode back to the operating room.
Zhuang Yan hesitated and did not enter the operating room with Luo Hao. Instead, she turned around and went to the nurse station to ask for a mercury sphygmomanometer.
The blood pressure of the patient's family was measured. Just as Luo Hao said, the blood pressure was 165 mmHg.
Tsk.
This was still the blood pressure after treatment. How dangerous was the situation that I didn't notice at the time? Zhuang Yan's admiration for Senior Brother Luo increased.
After asking about the medical history, the patient’s family members did not have a history of hypertension. It was simply caused by driving for several days and nights and being anxious.
Zhuang Yan wrote it down silently.
This is all rich clinical experience!
After this battle, Zhuang Yan felt that she had made progress. If I encounter a similar situation in the future, I will definitely be able to handle it.
Although it seems that there is no result, after all, it is just the patient's family and has nothing to do with the treatment, but Zhuang Yan knows what it means to be a good fighter without great achievements.
Senior Brother Luo is really awesome. The relationship between Zhuang Yan and Luo Hao has naturally been admired, and they look at everything with colored glasses.
Few people are willing to do this kind of thankless and small work that almost no one can see, but Brother Luo Haolo still doesn't forget to fill in similar loopholes even in his busy schedule.
Zhuang Yan's admiration for Luo Hao cannot be increased.
But these are all her inner dramas. Luo Hao doesn't know and has no interest in knowing.
After the operation, the patient was sent to the Department of Urology. Luo Hao called Boss Lou to explain the situation.
“Senior Brother Luo, there are so many people coming to you for treatment. I heard my teacher say that as a doctor grows up, more and more people will come to you for treatment, until finally they are too busy, right? . ”
“It’s okay, otherwise so many big bosses wouldn’t be able to leave the imperial capital or the magical capital. The health is one thing, the lack of money is another, and the more important thing is that they are too busy.” Luo Haohan. Said vaguely.
Except for this incident, it was a calm day today.
After coming to the medical team for a while, Zhuang Yan has become accustomed to Meng Liang taking care of the medical records, and her skill in writing medical records has also improved rapidly. Now Zhuang Yan leaves after get off work and comes back to revise the medical records the next morning.
When she got home, Zhuang Yan kicked off her shoes and jumped onto the sofa with her bare feet.
"You are such a young girl, but you still have no integrity at all." Zhuang Yongqiang was holding his mobile phone to read today's news, lowered his head and raised his eyelids to glance at Zhuang Yan.
"Dad, let me tell you!" Zhuang Yan excitedly recounted what happened today.
“My senior brother is so awesome!” Zhuang Yan said proudly.
Zhuang Yongqiang's lover sighed and went to work alone, but Zhuang Yongqiang put down his mobile phone, took off his glasses, and looked at Zhuang Yan formally.
"Dad, what's wrong?"
"Luo Hao is awesome, right."
"Well!"
"Something related to this in the future You want to report to me," Zhuang Yongqiang said in a deep voice.
His tone was a bit strange, especially when he mentioned the word report, Zhuang Yongqiang strengthened his tone.
“Didn’t I report to you? I remember dad.” Zhuang Yan smiled.
Zhuang Yongqiang sighed, Zhuang Yan didn't understand his hint at all.
It’s really sad that this silly girl Zhuang Yan only wants to cure diseases and save people, and she has been completely brainwashed by the Medical University.
Young, still too young.
Looking at Zhuang Yongqiang's expression, Zhuang Yan was startled, "Dad, do you have something to tell me?"
Although she could see it, Zhuang Yan still didn't understand.
"Tell me, is there anything else besides this matter."
Zhuang Yan thought for a long time before she remembered Yuan Xiaoli's matter.
As soon as he mentioned this matter, Zhuang Yongqiang wanted to go up and give Zhuang Yan a hard time so that her memory would be refreshed.
This is her biological daughter, otherwise she would definitely not be used to it.
“Why didn’t you say something about such a big thing?”
“Ah? Is this a big deal? Senior Brother Luo doesn’t want to go abroad. He has said before that food abroad tastes bad. Dr. Chen Yong, Chen, didn’t he go to the UK to study? He said he was as hungry as a rabbit outside, but now he becomes anxious when he talks about going abroad.”
Zhuang Yongqiang’s expression didn’t look like he was faking it. It's just simple, he sighed.
“Xiao Yan, do you know why Luo Hao doesn’t want to go abroad?”
"Dad, why?"
Zhuang Yongqiang was speechless for a moment.
There are some things that he cannot explain clearly.
After a moment of silence, Zhuang Yongqiang shook his head, "If you don't want to go, just go. It's good."
"I think Senior Brother Luo is too lazy to go. His level is too high, so It doesn’t matter how much money you pay.”
"Money?!" Zhuang Yongqiang's eyes widened and his fatigue disappeared.
"Yes, it is said that the Médecins Sans Frontières Foundation will spend at least 10 million US dollars to support Brother Luo's future medical activities."
"!!!" Zhuang Yongqiang knew something about it. His face suddenly became serious when he heard about those confidential matters.
"Dad, do you think Brother Luo is stupid? If you don't take the money from Doctors Without Borders, what can you do with the money? Maybe buy some new equipment for the laboratory."
< br>"Silly? Luo Haoxin is too smart." Zhuang Yongqiang said scornfully, "No borders, hey, can there really be no borders?"
"Yes, you don't know Médecins Sans Frontières? One of my brothers is Médecins Sans Frontières. Médecins Sans Frontières was founded in Paris on December 20, 1971. The original members were all from France who firmly believe that all human beings in the world have the right to receive medical care. Doctors and journalists."
"Later, in 1999, Doctors Without Borders won the Nobel Peace Prize."
Zhuang Yongqiang looked at his daughter's clear and stupid eyes and made a calculation. seconds.
“First, go back and take a look at who the Nobel Peace Prize winners are and what they are.”
“???”
Zhuang Yan took out her mobile phone and was about to search when Zhuang Yongqiang continued, "Xiao Yan, do you believe in no borders?"
"..."
"In the past few years, those stupid people Sweet capitalists all believe that capital has no borders, but they are stripped of their skin and bones. Don’t believe this. France, including doctors, has no borders. They usually surrender a few days later..."
"Dad. , Why do you always say this? It’s the old history of World War II.”
“Well, let me tell you something serious.” Zhuang Yongqiang said seriously, “This matter, your senior brother Luo Hao. Done right!”
"???"
"He is not stupid. That kid Luo Hao is full of tricks. You should watch more and learn more. Apart from interventional surgery, you can do as much other work as you can."
Zhuang Yan always felt something was wrong, so she knelt down beside her old father on the sofa, picked up Zhuang Yongqiang's arm, and meowed a few times like a kitten.
Zhuang Yongqiang relented, but then he remembered the confidentiality regulations.
"Xiao Yan, you are an adult now. You should pay attention to what I say to you." Zhuang Yongqiang thought for a while and changed his words.
"Yeah."
"You can find information on your own. People who have paid money are behind all the nonsense about revising textbooks. As for whose money it is, we can't say. I can’t say.”
“Huh?”
“It’s like receiving a red envelope from a patient. If you take other people’s money, you have to think about whether you will be sued.” Zhuang Yong said forcefully, "The country is not inferior to each other. If you take other people's money, hey. Shit has no borders. There is still a sponsor behind it."
Zhuang Yan didn't agree with her father's statement. But she didn't object.
"When the time comes that I can't help myself, then I feel aggrieved. It's not peaceful recently, it's better to just stay at home, otherwise why would I agree to your coming back."
"I know~~~"
"Be serious." Zhuang Yongqiang said seriously.
Zhuang Yan showed a fierce expression.
“I know, there must be something wrong with the professor who studies giant pandas.”
In one sentence, it was like a basin of cold water was poured over his head, making Zhuang Yongqiang feel chilled all over.
"You..."
"Dad, I am a graduate student at one of the top two medical schools in the country. I have a high IQ!" Zhuang Yan curled her lips, "Ever since I met that Professor Zhang, I feel like Senior Brother Luo is hiding it when he talks to you, as if Professor Zhang doesn’t exist at all.”
“Now when you tell me about foreign funds, I will immediately think of Professor Zhang. "Dad, you underestimate me. I always tell my best friend that as long as you don't treason, I will help you with anything." , that’s all a trivial matter!”
Zhuang Yongqiang did not comment on Zhuang Yan's words and looked at his daughter with complicated eyes.
The child is not stupid, he just lacks a little social experience.
Indeed, Zhuang Yan got the top...5 master's degree in medicine in the country based on her own ability. It is impossible that her IQ is not enough.
And she is so meticulous that she can even connect these things together.
Although it is not in the target, it is not far away.
"Dad, is this something confidential? If it's not convenient to tell you, just blink."
Zhuang Yan asked with a smile.
Zhuang Yongqiang stretched out his finger and scratched Zhuang Yan's nose, laughing loudly, "No, don't think about it."
"You say no, but your body is very honest."
Zhuang Yongqiang was startled. How could this kid say anything? He didn't even know the depth of his jokes.
"If you don't say it, then it must be there, you know it!" Zhuang Yangui blinked smartly.
"What do you know?" Zhuang Yongqiang asked.
"If I encounter something related to this in the future, I will stay away immediately and don't come into contact, trouble."
Zhuang Yongqiang smiled and nodded, she really knew.
"Dad, you were right when you said that senior brother will not go to the United States."
"All the domestically produced nuclear magnets have gone to Concorde, and there are not many places that need it from abroad." Zhuang Yongqiang said, "It's nonsense."
Zhuang Yan understood what her old man meant.
Concord, that is Concord.
When the top three were evaluated, they didn’t even prepare any documents, and the relevant responsible persons in the then Ministry of Health and the current Health Commission couldn’t say a word.
No matter what others do, in the end you have to pinch your nose and let Xiehe become a tertiary hospital.
There are countless talented people in Xiehe. If any one of them speaks, the whole capital will tremble. Besides, Xiehe couldn’t even get into the top three, so is this review still meaningful?
If Union Medical College didn’t think it was okay, the quality was not much worse than foreign products, and it didn’t affect medical care, domestic nuclear magnetic resonance would be impossible to penetrate even to the extreme.
This matter is of milestone significance, and Concorde itself is part of the milestone.
Although there is still a gap in indicators such as resolution, the breakthrough from 0 to 1 has been completed, and it will be easy to catch up.
The gap between domestic and foreign countries has narrowed significantly. There is really no need for Luo Hao to go abroad.
And the risk of going abroad is too high in the current environment.
Even if we don’t take money from the sponsors behind MSF, what if we don’t understand.
Father and daughter have a tacit understanding.
“Let’s eat, stop talking.”
“Let’s go, eat.”
"Dad, I want to do interventional surgery." Zhuang Yan hugged Zhuang Yongqiang's arm and started acting coquettishly.
"Don't make trouble." Zhuang Yongqiang said seriously, "You really don't know how high Luo Hao's diagnosis level is? It's enough for you to learn for a lifetime. Let Luo Hao and Chen Yong do the interventional surgery."
< br>……
“Ah, cut~~~” Luo Hao sneezed.
“Have you caught a cold?” Da Nizi handed over a tissue.
"No, maybe someone is talking about me." Luo Hao took the tissue with a smile and wiped his fingers on the back of Da Nizi's hand.
“It’s itchy, don’t make trouble.” There was a push notification on the phone in Wang Jiani’s hand, and she clicked on it.
An AFP-style photo appeared in front of Wang Jiani.
Although Wang Jiani edited the video herself, she was still stunned when she saw this photo.
"Luo Hao! This is what you want!"
(End of this chapter)