Chapter 313 The most unreliable intern in history
“Oh? It’s not convenient for you too?”
“Intervention is a marginal department, so I chose to intervene with a little bit of trickery. At least The competition will not be as big as other departments." Luo Hao smiled, "For example, Director Pan of my Union Medical College is an expert in the health care team. He was not selected by the doctoral supervisor many times before 50 years ago. Union Medical College is very different from the medical department. ”
Accidentally being shown off by Luo Hao again, Shen Zizai sighed.
As for what he was showing off, Shen Zizai couldn't tell.
"Director, boy or girl?"
I just remembered to ask the gender? Shen Zizai laughed dumbly. It seemed that Luo Hao really didn't want to take care of the graduate student.
"Boys, women can't wear lead clothes." Shen Zizai said.
"Well, let's take a look and tell Dean Jin." Luo Hao smiled, "Where is he?"
"It should be the operating room, let me ask. ”
Shen Zizai made a call, asked for details, and then went away with his phone in his hand.
Luo Hao did not follow.
Listen to what you should hear, but Luo Hao won't listen to anything you shouldn't.
"Head nurse..."
"In the interventional department, why did you come to the operating room? Did you pick up the order?"
On the phone, the head nurse in the operating room didn't give Shen Zizi any face and pushed him back.
Shen Zizai glanced at Luo Hao not far away.
"Little Luo is going, I will take him for a look."
"Professor Luo?"
When talking about Luo Hao, the voice of the head nurse in the operating room They are all a little gentler.
"Yes."
"Has Professor Luo got married? Some people say he has, some say not. Old Shen, please give me a sure idea."
Nurse One of my long-standing hobbies - introducing people.
If Shen Zizai had not asked the head nurse of the operating room for something, he would definitely have gone over to it.
"I have a partner who is raising pandas in Ha Dong. It is said that Professor Luo will return to the imperial capital in a few years and she will go to Beidong with him."
Speaking of this, Shen Zizai yearned for it. It would be great if he could raise pandas in Ha Dong.
"Really, it's a pity." The head nurse sighed.
“Dean Jin has a friend’s child who wants to take the postgraduate entrance examination of Ronaldinho. I just asked, and Ronaldinho doesn’t want to take him. It took me a long time before he agreed to take a look.”
"That's it, come on. Lao Shen, let me tell you, it won't happen again."
Shen Zizai sighed deeply in his heart. It's not easy for him. He can just ask Luo Hao. .
What's the matter!
I am an old director who has worked for decades, but I am not as proud as Luo Hao.
"Let's go Ronaldinho." Shen Zizai only cursed for 0.5 seconds,
turned around and gave Luo Hao a smile.
“Here we come, director.”
When Luo Hao saw Shen Zizai begging for help, he knew he wouldn't be able to enter the operating room, and was enjoying himself in his heart.
Shen Zizai couldn't get in because he had placed an inside line in the operating room.
In the operating room, Lao Liu, the head nurse had to give herself a bit of a thumbs-down.
Changing clothes, Shen Zizai was shocked to see the sunburn on Luo Hao's body, and resisted asking what happened during this time.
After changing clothes and walking out of the dressing room, Luo Hao saw Liu Yiyi standing at the door.
"Professor Luo." Liu Yiyi smiled like a flower.
"Waiting for me?"
"Well, the child had an operation with someone else today, and I have been watching secretly." Liu Yiyi hesitated to speak.
Luo Hao noticed the change in Liu Yiyi's mood, but didn't ask. Liu Yiyi had already conveyed some words to herself silently, it was enough to know them, there was no need to explain them clearly.
Trainee, intern, regular trainee, Luo Hao has gone through the regular training step by step.
Back then, I was scolded terribly by my boss.
Even myself is the same. Students only have to be satisfied with the clinical teachers.
Especially Liu Yiyi has a bit of perfectionism, as you can tell by looking at her body care and her eye for choosing a boyfriend.
“Let’s go to the eye. What kind of surgery?”
“Orthopedic, open fracture of left calf, tibial plateau fracture, preparation for elective open reduction of fracture under combined spinal-epidural anesthesia. Internal fixation. ”
Liu Yiyi said competently, as if reporting a medical history.
Shen Zizai watched Liu Yiyi reporting the situation to Luo Hao. He was completely useless and his mood changed slightly.
It seems that I can only help Luo Hao with surgery, but Luo Hao can handle everything else.
Even if you have surgery, you can’t do it without yourself.
If I don’t take care of myself, countless people will sell Luo Hao’s advantage.
Not to mention others, Yuan Xiaoli was eager to help Luo Hao with everything.
Luo Hao didn't pay attention to Shen Zizai's emotional changes. He and Liu Yiyi came to the door of the operating room, and Liu Yiyi kicked open the airtight door.
At first glance, Luo Hao was stunned.
To be honest, in the hospital Luo Hao is considered to be capable of literary and military skills, and is well-informed. Coupled with the careful support of the big bosses and all kinds of gossip, Luo Hao is almost a hexagonal warrior, impeccable.
However, even so, Luo Hao was shocked at first glance.
A young anesthetist was sucking liquid from the saline bottle. The sputum suction tube was still inserted below the liquid level of the saline bottle. From a distance, you could see the sputum floating on the salt water.
He drew a tube of salt water, and the salt water was filled with phlegm foam. The young man didn't even notice what he had done. After pumping out the salt water, he started the next step of his work - dispensing the medicine.
"..." Luo Hao was speechless.
What the hell is this?
I have seen students who fainted with blood, students who picked up instruments from the ground and stuffed them into the hands of teachers who were performing surgeries, and students who couldn't even write a medical record for three months.
But Luo Hao had never seen this kind of thing.
Shen Zizai was also stunned, he knew it was over.
That's it, let alone Jin Rongcan, even if Geng Qiang comes forward, Luo Hao will definitely not accept it.
Liu Yiyi also looked ugly. She walked in and kicked the anesthetist in the calf.
"Xiao Liu, what's wrong?" The anesthesiologist was selling orders. When he saw Liu Yiyi coming in, he didn't know what happened.
Luo Hao and Shen Zizai also walked into the operating room. Luo Hao stood directly in the corner without saying a word.
Liu Yiyi winked at the anesthesiologist and followed Liu Yiyi's gaze. The anesthesiologist scratched his head.
"Xiao Shao, let me do it. You have to watch it." The anesthesiologist didn't say much, took the things and put them aside, and started to prepare again.
Luo Hao had nothing to do and looked through the patient's medical records.
The medical records of the orthopedics department are very rough. In Luo Hao's opinion, every word can be used to determine a dietary accident.
Only by looking directly at the test sheet can these objective indicators be meaningful.
The patient's liver and kidney functions were normal during preoperative examination, and there was no hypokalemia, hypermagnesium, hypocalcemia, hypoalbuminemia, dehydration, acidosis, hypercapnia, or cachexia. The ECG showed I degree atrioventricular block.
"The child is too floating and not calm at all." Shen Zizai whispered.
"Haha, it's too young to be in trouble." Luo Hao commented.
"Today's children are more stubborn than the other." Shen Zizai couldn't help but start nagging, "My child still doesn't know the dangers of society. The summer vacation is over, I will find him a child during the winter vacation. Go to work in the factory.”
"You are so stubborn after 2000, and even more so after 10, useless director."
"Why is it useless? I saw a saying on the Internet that you must take your children to take a green leather train to feel the suffering of the world. ." Shen Zizai was quite concerned about this and chatted lightly with Luo Hao.
"Xiehe, the same goes for the child of a professor. He really found a factory for his son to move bricks. Green train? Compared with moving bricks, it is a blessing."
"What happened next?" Shen Zizai asked.
“His son told me before he entered the factory that if he didn’t believe that he would be allowed to work for a lifetime, it would only be a holiday at most, and then he would have to be taken to school.”
"..."
Shen Zizi was speechless.
Today’s children are all very smart.
“During the holiday, the child’s bad habits remained unchanged, and he finally learned to smoke, drink, and play cards with his coworkers. The teacher was dumbfounded, what do you think this is?”
“!!!”
"Nothing, the children are all stubborn now." Luo Hao didn't sound like a young man at all when he said this.
"Ye Qingqing from Director Ye's family is like a tomboy and has been willing to fight since she was a child. She came to visit her tutor a few days ago and found me. I guessed that she wanted to go to Lao Maozi's place to shoot guns."< br>
"Ye Qingqing, I've seen him before." Shen Zizai said following Luo Hao's words.
"Later, when I played Barrett, Boss Lou was shocked, but he still sent him back without any problems." Luo Hao said and smiled, "It's okay, just grow up and it will be fine .”
“Ronald, when did you grow up?”
"When I was young, my father passed away and I grew up." Luo Hao replied calmly.
“…”
Shen Zizi was silent.
Luo Hao didn't seem to want to think about it anymore. He lowered his head and flipped through the medical records, making a brushing sound.
"Doctor, I...I can't breathe."
The patient's voice is hoarse.
Luo Hao glanced at the patient and then at the ECG monitor.
Blood oxygen saturation fluctuates between 95-97%.
"It's okay, it may be caused by nervousness." The anesthesiologist also took a look at the blood oxygen saturation on the ECG monitor. He didn't think there was anything wrong.
"What's your name?" Luo Hao walked over and asked.
"Ma Jianguo." The patient replied.
"How old are you?"
"35 years old."
"How did you get injured?"
Luo Hao asked one question after another, Liu Yiyi felt something was wrong.
Generally speaking, Professor Luo rarely does anything for others. He even performs some surgeries, but on the surface he only says he is helping.
In Liu Yiyi’s impression, Professor Luo is a good at pretending to be confused.
Professor Luo has captured the essence of the four words "rarely confused".
But now he directly bypassed the anesthesiologist and started chatting with the patient.
It looks like chatting, but it can actually verify many problems.
After only answering a few questions, the patient's voice became softer and softer, and he was out of breath.
"Old Liu." Luo Hao greeted.
"Professor Luo." Liu Yiyi saw something was wrong and walked to Luo Hao.
"Check the vecuronium bromide to see if it was the wrong recommendation."
"!!!" Liu Yiyi was startled.
Vecuronium bromide for injection is mainly used as an auxiliary drug for general anesthesia, used for tracheal intubation during general anesthesia and muscle relaxation during surgery.
This drug cannot be used in combined spinal-epidural anesthesia at all.
Seeing that the patient struggled to speak and kept complaining that he had difficulty breathing, Liu Yiyi concluded that it might indeed be caused by vecuronium bromide.
She immediately took the anesthesiologist to the operating table to find an empty medicine bottle.
Just as Luo Hao guessed, Liu Yiyi quickly found the bottle of vecuronium bromide in the trash can. The anesthetist on stage turned ugly and wanted to curse a few words, but he forced himself to endure it in front of the patient.
RR23 times/min, NIBP120/75mmHg, HR78 times/min, blood oxygen saturation 92%.
Luo Hao glanced at the ECG monitor and said, "Mask giving oxygen."
The anesthesiologist on stage was a little confused. He was not used to Luo Hao giving medical orders in the operating room.
Liu Yiyi immediately found the mask and connected the oxygen tube.
"Pure oxygen?"
"Yeah."
Switching to pure oxygen, Luo Hao put the mask on the patient's face.
"It's okay, relax, breathe normally. This is a side effect of anesthesia, it's normal. Don't be nervous, relax, relax." Luo Hao comforted softly.
But faced with the horror of hypoxia, the patient was a little panicked.
Usually air is everywhere and is the most important thing, but it is ignored.
Suddenly, I couldn't breathe. No matter how hard I tried, I couldn't take in air. The suffocation reached the extreme, and the patient's hands began to move restlessly.
"Intravenously inject 2 mg of midazolam and 2 ml of flufen mixture."
"5 mg of neostigmine and 0.5 mg of atropine."
Luo Hao is very plain. Give medical advice.
The patient was still struggling after the medicine was administered, but within a minute, the intravenous administration took effect and his struggle became much lighter.
The doctors who were performing the operation also realized that something was wrong with the anesthesia. They were cutting "stick and stick" while observing the ECG monitoring.
20 minutes later.
The patient's breathing was 16 to 19 times/min, blood pressure was 123/78mmHg, heart rate was 65 beats/min, and blood oxygen saturation was 98%.
The dyspnea disappeared and he fell into a deep sleep.
Luo Hao took off his mask, looked at it for a few minutes, then turned around and left when he saw nothing else.
"Luo..." The anesthesiologist on stage was about to call Luo Hao when he saw Liu Yiyi chasing him out. He sat down awkwardly, his isolation suit already soaked through.
The intern still doesn’t know what happened, and is confused and helpless.
"Professor Luo." Liu Yiyi caught up, "Is the patient okay?"
"Yes, he's okay." Luo Hao replied in a deep voice.
"Xiao Luo, what happened just now?" Shen Zizai didn't know what happened and asked in confusion.
"I guess the intern took the wrong medicine. He took vecuronium bromide. The teacher who took him didn't check it, so he just gave the local anesthetic into the epidural cavity." Luo Hao described it calmly. .
“!!!”
Shen Zi was startled.
This is really terrible!
One dared to pull, the other dared to push, but no matter how many times I checked, there were no pairs. This pair of master and apprentice were really sleeping dragons and phoenixes.
"What the hell!" Shen Zizai scolded in a low voice.
Although pushing a dose of vecuronium bromide may not be a big deal, at most you will have some difficulty breathing before the drug is metabolized, but what if.
The patient had no strength to speak just now, and the symptoms are already obvious. If it gets more serious, he may stop breathing.
It is said that intubation can be done at any time in the operating room, and the patient's life should not be in danger, but that is not the case.
"Vecuronium was accidentally injected into the epidural space because after drawing out the drug with a syringe, the name of the drug, dosage and other information were not marked on the syringe in time. This is another typical case of failure to strictly implement anesthesia rules and regulations."< br>
"Laoliu."
"In."
"Anesthesiologists strictly implement the medication verification system in clinical work and must be familiar with the performance, adverse reactions, and Usage, conventional dosage and interactions between different drugs.
Once an error occurs, it should be dealt with promptly, treated symptomatically, and the condition should be closely observed to ensure the safety of the patient. ”
"This is your request."
"Yes."
"It sounds like nonsense, but in fact not a word is superfluous." Luo Hao said as he walked away, "This Child, forget it, I'll talk to Dean Jin. "Lao Liu, you should pay more attention and be careful at work."
"It's really dangerous." Liu Yiyi nodded.
I almost had a medical accident.
"It's okay. I took a look when you were looking for the medicine bottle. Vecuronium bromide for injection is produced by Zhejiang Xianju Pharmaceutical Co., Ltd."
"???" Liu Yiyi was stunned.
“The national drug approval number is H19991172.” Luo Haoping said calmly.
Show off, show off unabashedly! Shen Zizai thought in his mind when he heard Luo Hao say the national drug approval number H19991172.
What's the use of this?
"After intravenous injection of 0.08~0.10mg/kg, the effect is obvious within 1 minute, reaches the peak in 3~5 minutes, and lasts for 30~90 minutes. In fact, it was the most serious level at that time. No medication was needed, and the patient was fine."
" Is it the characteristic of this medicine from Xianju Pharmaceutical?" Liu Yiyi asked.
“Well, clinically speaking, it is the characteristics of this company’s medicine. But I can’t guarantee that the child knows how to dispense the medicine according to the kilogram of body weight. If too much is given, the consequences will be disastrous.”
“ Although there are not many children who are such tigers, we have to guard against them.”
When Luo Hao mentioned tigers, he thought of the Siberian tiger taking a bath in the septic tank.
"I didn't expect this kid to be so unreliable." Shen Zizai said contemptuously.
"Forget it." Luo Hao smiled, "The substitute teacher is still a bigger problem. I am new to clinical practice, who knows."
? ? ?
? ? ?
Luo Hao actually helped the intern speak. Shen Zizai thought about it and smiled and stopped talking.
It's definitely not because of Dean Jin. The reason why Professor Luo said this is because the other person is just an intern.
How can young people not make mistakes?
But that young man had no concept of sterility at all, and he even added the wrong medicine. Careless, can't understand the importance at all.
Shen Zizai was disdainful.
I guess Luo Hao just wanted to be polite and save some face for others, instead of pointing directly at his nose and spraying.
It seems that Ronaldinho has matured since returning from the United States? Shen Zizai suddenly thought of this.
If it were him, in the same situation just now... Shen Zizai smiled, then the student would definitely not accept it, but he would not fall out. Luo Hao's approach was right.
"Director, are you familiar with the oncology department?"
"It's okay. Some of our liver cancer patients were transferred from them. But, Ronaldinho, I suggest you just talk to Just contact Director Yang. The relationship between the oncology and radiotherapy departments is a bit tense."
"Oh? What do you mean?" Luo Hao didn't know about this and turned to change his clothes.
"What else could there be, it was done by robbing patients. In the past, the radiotherapy department did not do chemotherapy, and patients were transferred here and there. Yang Jinghe sent people to the Cancer Hospital of the Chinese Academy of Sciences for further training. After returning, they went to the hospital to obtain the qualifications for chemotherapy."
An ordinary director cannot do this kind of thing, but Yang Jinghe is not an ordinary person.
Luo Hao nodded. Yes, Yang Jing and the patients over there have already fed him enough. If there is a conflict between the two departments, there is no need for him to get involved.
Seeing Luo Hao nod slightly, Shen Zizai was even more sure that Ronaldinho's temper had become much gentler after returning from the United States.
This person still needs to grow up.
Luo Hao can be regarded as growing up overnight.
Originally Luo Hao is mature, smooth in dealing with things, and occasionally shows his sharp edge.
Looking back now, Luo Hao has almost lost his edge. Even the intern who was messing around just helped to smooth things over without saying a word of scolding.
Mellow!
Those who have been troubled by life should be swollen.
"Ronaldinho, when are you going to return to Xiehe?"
"The situation has changed, and you may not return to Xiehe." Luo Hao replied.
"What?" Shen Zizai asked casually, similar to a daily inquiry.
But Luo Hao's answer completely shocked Shen Zizai.
Not returning to Xiehe?
What does this mean?
Xiehe, Luo Hao, Luo Hao's eyes light up every time Shen Zizai hears Luo Hao talk about these four words.
Why don’t you go back to Xiehe?
"It's not confirmed yet. Once there is confirmed news, I will definitely report to the director as soon as possible."
Luo Hao wants to stay!
Shen Zizai had long since lost his wariness against Luo Hao. He wished Luo Hao would stay, even if it cost him nothing.
Does Ronaldinho care about Corey's money?
Shen Zizai heard with his own eyes that Luo Hao rejected the US$10 million sponsored by Doctors Without Borders.
You can have wealth and freedom with just one thought.
That's it, Ronaldinho refused without hesitation. He would definitely not care about the three melons and two dates that Corey earned through hard work.
Shen Zizai couldn't figure out why Luo Hao didn't return to Xiehe, but this matter must have something to do with before.
Maybe Ronaldinho made a mistake and was assigned to Ning Guta.
That’s great, let’s keep him in Ning Guta for the rest of his life, Shen Zi said with a smile on his face.
Being able to see the mature Luo Hao, who is more mature but not greasy than before, Shen Zizai felt... Luo Hao's sin was not in vain.
It's just that Shen Zizai didn't know what happened to Luo Hao recently, and he didn't dare to ask.
After changing clothes and leaving the stage, Shen Zizai thought for a while and prepared to tell Luo Hao to have dinner together in the evening.
Although it’s not about catching up, we still have to get together.
During the time when Luo Hao "died", he cried a lot.
Arriving from the director's office to the doctor's office, Shen Zizai frowned when he saw a few people handing out leaflets at the door.
Those people should be from the church. Their movements were jerky, but their faces were pious.
Can the Chinese people believe it? If you come to attend the class, you can get it done by just giving 10 eggs. I don’t believe how pious and comfortable I am.
What the hell.
The security guard really said that they would not be allowed to enter the hospital casually, but the result was a mess.
Shen Zizai walked over with a sullen face, ready to chase people away.
Just as he was about to speak, Shen Zizai heard Luo Hao's voice coming from the doctor's office.
"Auntie, which sect are you from? Eastern? Catholic? Or Protestant?"
"Protestant, we are..." someone answered.
"Protestant." Luo Hao interrupted her, "If that's the case, are you an Episcopalian or a Baptist?"
"Huh?" The woman was stunned for a moment.
She probably has never heard of what Luo Hao said.
Shen Zizai's steps staggered.
He knew what Luo Hao was doing.
Similar to doing surgery or writing a paper, Luo Hao wanted to show off his aunt's face.
This child, Shen Zizai sighed.
But why does Ronaldinho still have research in this area? But having said that, it would be a good thing if the person could be driven away so easily.
The most annoying thing about this kind of people appearing in the hospital was that Shen Zizai thought that if he had the ability to send holy light from heaven and cure all the patients, he would believe it.
It’s not like that.
"Are you an Anglican or a Baptist?" Luo Hao repeated.
(End of this chapter)