Chapter 323 Close the door and let the dogs out! (Silver League 37 Unparalleled in the World plus 4 updates)
Wang Di was stunned.
Especially the mechanical dog next to Luo Hao, with its green eyes, as if it was just a light on, but it also seemed to be sane, staring at him viciously, and would pounce on him anytime, anywhere. Bite yourself.
Wang Di felt cold all over and his muscles were stiff.
He took half a step forward, and there was a rustling electrical sound. The mechanical dog seemed to twist its neck, keeping its eyes on him.
"Good morning, Director Feng." Wang Di was not stupid either. He knew that Luo Hao's appearance in the neurosurgery department was most likely related to his passing the blame that day.
But the thing is that there is a problem in the anesthesiology department. Do you blame yourself?
Wang Di felt aggrieved, but did not dare to say a word.
"Oh? Professor Wang is here." Feng Zixuan smiled, "Go and change clothes. The medical office will review medical records every day this year, nothing else."
Damn it!
daily? Only a ghost can believe it!
Wang Di cursed in his heart.
Even the dog was brought, and he still had the nerve to talk about daily life!
But Wang Di didn’t dare to speak out, and he didn’t even dare to change his expression at all.
Arrived at the duty room, Wang Di changed clothes uneasily.
"Why did Luo Hao come here?"
"I don't know. Did any of us offend him? He also brought the medical office with him, saying it was for daily review of medical records, but Director Feng came here in person before. "
"It must be wrong. I'm just here to find fault. Have you written down your medical record?"
There was an aura of restlessness in the duty room.
Medical Director Feng Zixuan arrives in person, who can not panic?
Director Dong? He hasn't come to work yet. If he comes, he will probably chat and laugh with Feng Zixuan, and scold anyone who has problems with their medical records.
Wang Di was most afraid because he saw Luo Hao and knew that this wave was aimed at him.
However, because there is a problem, Wang Di has been very careful these days. He has been urging the subordinate doctors to complete the medical records as soon as possible.
He had heard that the elderly people who were close to Luo Hao were very protective of their calves. He and Liu Yiyi had "a little" conflict, so he was very careful about Luo Hao's protective calves.
What is supposed to come will still come, it will always come.
Professor Wang did not complain with others, but quietly changed his clothes and mingled with the crowd, trying his best to hide his figure and turn himself into a little transparent.
He made up his mind not to show off, so as not to give Luo Hao a chance to seize the opportunity.
Professor Wang Di and Wang were even sure that as long as he said a word, Luo Hao would find his medical records and start finding faults.
Damn it!
Don’t you just say that Liu Yiyi took the wrong medicine? As for that!
The patient was all right, but Luo Hao came to the door.
No trouble!
Wang Di cursed in his heart.
But he just cursed in his heart, not daring to show any emotion on his face, lowering his head and almost inserting it into his crotch.
Don’t see me, don’t see me, don’t see me, don’t see me, Professor Wang even started chanting a mantra in his heart.
"To say that surgeons are in good health, doctors who are involved in interventional surgeries are in better health."
When everyone came to the office, Wang Di stood in the corner and suddenly heard Professor Luo Haolo talking and laughing. .
What does this mean?
"Don't be kidding, Ronaldinho." Director Dong smiled awkwardly, "Wearing a lead suit to perform surgery is exhausting."
"Recently I was watching Mr. Moduou's Sky Bridge Live broadcast, he broadcasts until 1 a.m. on weekends, and takes the high-speed train to nearby cities and counties to fly knives at 7 o'clock.”
"Live broadcast? Surgery? Let's do it?"
"Singing in the overpass live broadcast is ugly." Luo Hao laughed, "But Teacher Ou used to be a surgeon, but now he is also putting on a big show and eating a little x With the light, my body suddenly felt better, and I wasn’t tired even after all the hard work.”
“…”
“…”
Young people are really bad at talking, all neurosurgery. People think in their hearts.
But only Wang Di was shocked and almost cried. Was Luo Hao threatening him to transfer him to the neurointervention team?
Neurosurgery also performs interventional surgeries. In the past, middle cerebral artery hemangioma, which was one of the watershed cases, is now performed through interventional surgeries, in which coils are inserted and embolized.
It’s just that not many people are willing to undergo interventional surgery. After all, they have to eat threads and wear lead clothing... As Director Dong said, a few surgeries can exhaust people to death.
Luo Hao not only wanted to check medical records, he also forced himself to undergo interventional surgery. Wang Di grinned and almost slapped himself in the mouth without raising his hand.
I know Liu Yiyi is Luo Hao’s person, why should I mess with her!
Slutty mouth!
"Teacher Ou is full of energy and very powerful." Luo Hao raised his hand and touched the robot dog beside him, and said with a smile, "The audience was 2,000, which is more than the average small Internet celebrity. I guess Teacher Ou I have a dream of being a street singer, and my dream comes true through live streaming.”
“Ha~” Director Dong looked at the mechanical dog beside Luo Hao from the corner of his eye, his eyelids twitching.
He felt that the thing might pounce on him at some point and take a bite from him.
Is Luo Hao going to close the door and let the dogs go and bring down the entire neurosurgery department?
How come this wonderful hospital looks like a science fiction movie?
"It's almost time. Today is not the surgery day in your ward, so hurry up." Feng Zixuan said, "Don't delay Director Dong's ward rounds."
"Okay." Luo Hao smiled and picked up the printed medical record on the back of the robot dog.
"Professor Wang's medical records are well written." Luo Hao turned over a few pages and said calmly.
Sure enough!
The hair on Wang Di's whole body stood up. Luo Hao didn't even act, but just took out his medical records.
He felt the cold light flashing. Luo Hao had pulled out the fifty-meter sword, and the tip of the knife was pointed at his nose.
And Luo Hao asked himself silently - are you convinced?
“Submit, accept!” Professor Wang replied subconsciously.
“Huh?” Luo Hao was startled and glanced at Wang Di, “What did Professor Wang say?”
"..." Wang Di was speechless.
How come I am so confused that I can even blurt out whatever is on my mind?
Luo Hao stood up, making Wang Di even more panicked.
He vaguely saw Bamboo running towards him with his teeth bared.
Bamboo has been on fire recently, and even Wang Di has bought bamboo peripherals.
Especially the photo of the bamboo gun picking off the golden eagle, he also kept it himself.
A fierce guy like Zhuzi and Luo Hao can surrender, but he is nothing. Wang Di has a clear understanding of himself.
I accept it, why don’t I accept it?
Don’t come over here!
Don’t come over here! !
Wang Di's pupils shrank on both sides and he looked at Luo Hao nervously.
Luo Hao strode towards him, and the robot dog made a slight rustling sound and followed Luo Hao.
It’s like the villain from a science fiction movie has come to the world.
"Director Feng comes to me, then I will show my shame." Luo Hao did not go to Wang Di, but stood in front of the blackboard in the office, glanced at the doctors around him, "Just got it A medical record of Professor Wang, then let me say a few words about this medical record.”
A few words about it...
Why does this sound so familiar?
“Let’s get down to business. For example, Professor Wang copied and pasted the patient’s appendectomy five years ago, which was not reflected in the past history or physical examination. Mentioned it. "
"! "
Why did you say it?
Wang Di looked sad and forced a smile.
"As for the medical records..." Luo Hao shook his head.
Rustling~
The robot dog seemed to sense Luo Hao's emotions, or Luo Hao controlled it through some means, and it also shook its head and made a slight rustling sound.
“I wrote it, and it looks okay. When I was in critical condition at Xiehe University, surgeons rarely wrote operation records, even after being urged a hundred times. I really don’t know what they were busy with.” Luo Hao babbled.
“I worry about punctuation, formatting, typos and wrong sentences every day, but it doesn’t make much sense. It just so happens that this medical record is about epilepsy, let’s discuss it.”
"First."
"duang~"
The marker fell heavily on the blackboard and made a sound.
Wang Di felt the robot dog baring its teeth at him, trying to pounce.
"Indications: Suitable for intractable mesial temporal lobe epilepsy of unilateral origin."
"Preoperative evaluation: Two factors should be paid attention to when selecting SAHC. The most important thing is that the epileptogenic focus should be located in the medial temporal lobe, and the second is to evaluate the neurological damage caused by the operation and weigh the pros and cons.
Preoperative should A comprehensive evaluation is performed, including a detailed medical history, comprehensive neurological examination, ictal and interictal EEG, high-resolution MRI, and neuropsychological evaluation.
For patients with negative MRI, Bilateral deep electrodes were implanted before surgery to determine whether it originated from the medial temporal lobe."
"Professor Wang, can you tell me about the preoperative evaluation?"< br>
Luo Hao looked at Wang Di.
Wang Di shivered, and the small green eyes of the robot dog also looked at him, like a hungry wolf.
He has regretted countless times why he had to criticize Liu Yiyi that day.
I talked about Liu Yiyi and provoked Luo Hao behind her. Isn’t he sick? At that time, it was better to talk honestly with Liu Yiyi about how she was doing after the surgery, and encourage her to summon Luo Hao.
Wang Di's intestines were filled with regret. Next time, if there is a next time, he must use the Great Summoning Technique politely.
“Professor Wang?”
"Professor Wang??"
Luo Hao greeted twice.
"Ahem~" Director Dong looked embarrassed, "Medical records from the surgery department... Ahem, the patient was a semi-emergency, and he had another surgery before going on stage that day. Maybe Professor Wang didn't have time. Wang Di, look back. Take the time to make up for it!”
“Hey, eh.” Wang Di responded in a low voice.
Director Dong helped himself solve an embarrassing problem, but what happens next?
Wang Di and the robot dog looked at each other with green eyes, and he suddenly thought of what the bastard said about looking at mung beans.
Luo Hao did not hesitate and began to write the patient's relevant preoperative evaluation on the blackboard.
His handwriting is small, leaving large spaces.
Professor Wang Diwang felt uncomfortable when he saw the blank space on the blackboard, which meant that he would be delayed even longer.
“There are many approaches to AHC, and the three most common and effective ones are the transcortical approach, the transsylvian approach and the subtemporal approach.” Luo Hao’s expression became serious, and Wang Di was a little bit In a daze, he even felt that the "expression" of the robot dog became serious.
“I have different opinions on the choice of approach.”
“Click~”
Luo Hao opened the reader.
“Brush~”
Luo Hao took out the patient's MRI film.
“Card~”
Luo Hao inserted the film into the reader.
Nowadays, most hospitals use computers to read images. Wang Di did not expect that Luo Hao would prepare the patient's imaging data early in the morning.
If you are provocative, do you need to be so clear and not cover up at all?
Wang Di was a little confused.
She threw the blame away. It is human nature, and Liu Yiyi didn't care much. Isn't the patient doing well?
As for such a big battle!
"There are a few points about the choice of approach."
Subsequently, 1, 2, 3, 4, and 5 appeared on the blackboard.
Luo Hao explained how to choose the surgical approach while referring to the imaging data.
This is an academic field of neurosurgery. No one expected that an interventionalist would stand in front of the reader and blackboard and start giving lectures.
Everyone, including Director Dong, was gearing up to refute.
Professor Luo Haolo challenges his major academically!
In an instant, even Feng Zixuan could not suppress the fighting enthusiasm of everyone present.
But!
After hearing what Luo Hao said, they were all at a loss.
Luo Hao seems to be right.
Although Wang Di chose transcortical SAHC (TC-SAHC), which is a method that traverses the lateral structures of the temporal lobe and reaches the temporal horn of the lateral ventricle, hippocampus, amygdala and hippocampus. It cannot be said that the method of bypassing is completely wrong.
But there is clearly a better surgical approach.
Director Dong looked at Luo Hao blankly.
Young, sunny and dazzling.
“The choice is personal. I think patients through the Sylvian fissure entrance will get greater benefits.”
“But the operation has been completed, and it is useless to talk about it now. Let’s continue talking about Professor Wang’s surgery.”
Shashasha~
The robot dog bent its knees and straightened up. Luo Hao picked up the projector it carried and placed it on the table.
Wang Di's eyes almost fell out.
He always thought that the accessory was the accessory of the robot dog itself, but he did not expect that Professor Luo Haoluo actually brought a projector.
Luo Hao quickly clicked play, and everyone’s eyes widened after seeing the content.
Animation!
Surgery animation! !
Although it is a little rough, how much does it cost to make such an animation? How much trouble will it take?
"Professor Wang, this is the surgical procedure I deduced based on the patient's post-operative film. If you think something is wrong, just say so." Luo Hao smiled.
Wang Di didn’t even dare to say anything.
He really didn't expect that Luo Hao would be so cautious that he would even use animation to simulate his surgery.
But this is not important. Being able to reversely deduce the surgical process based on postoperative imaging data is a powerful ability in itself.
“The patient is placed in a lateral or supine position, and the shoulder on the same side as the surgical site is elevated. The head is fixed and rotated to the opposite side, so that the longitudinal axis of the temporal lobe is parallel to the horizontal plane.”
"Choose a straight tragus incision or a frontotemporal curved incision to open the zygomatic bone and separate the temporal muscles. In craniotomy, especially minimally invasive craniotomy that cannot fully expose the lateral temporal lobe anatomy, stereotactic navigation will It plays a big role.
The skull is cut and an incision of about 2 to 3cm is made parallel to the superior temporal sulcus. "
"In this step, Professor Wang has a problem with the choice of incision. These are photos of the patient’s incisions. Let’s compare them.”
A picture appeared, which Luo Hao took when changing the dressing. One screen and two fields. Wang Di's incisions are compared with the standard incisions in the animation. The difference is clear at a glance.
“There is a small problem, but not a big one. But similar small problems pile up, which prolongs the operation time, and finally the problem becomes bigger.”
Wang Di grinned and tried to hold back his words. cry.
Luo Hao has already pointed out the problem - the operation time was prolonged, which eventually led to an overdose of milk, and the patient was unable to wake up.
Although he figured it out and Luo Hao clearly showed his trump card, Wang Di did not dare to take the move.
"Next, the white matter fibers are separated in the anteroposterior direction under the microscope until the temporal horn of the lateral ventricle is clearly exposed, and the retractor exposes the surgical field. The hippocampus, choroid plexus, choroidal fissure, and amygdala can be exposed on the inferior wall of the lateral ventricle."
"From an imaging point of view, Professor Wang's performance in the microsurgery part is a bit rough."
Luo Hao continued to explain.
He actually knows a lot about microsurgery in neurosurgery!
Director Dong was a little unhappy at first, but he fell silent when he saw this scene.
They brought the medical director to cause trouble, but as far as this matter was concerned, I could fight back.
Even if it comes to Dean Zhuang, I can still say one, two, three without saying anything about it.
Ke Luo Hao used medical technology to speak up and even made surgical animations. What else could he say?
The most important thing is that Luo Hao said everything that can be understood.
Director Dong knew what was wrong with Wang Di's surgery.
Luo Hao was not a shrew, but he carefully "discussed" the impact of Professor Wang Diwang's surgery on the procedure, so that in the end the surgery took too long, causing the patient to develop propofol syndrome.
All words favored Liu Yiyi. Although the syndrome was caused by propofol and the patient could not wake up after the operation, the root cause was that Wang Di's operation was too slow and too rough.
Forty minutes later.
"That's about it." Luo Hao put down the marker and touched the head of the robot dog. The robot dog made a rustling sound, which seemed to be responding to Luo Hao.
“The operation was so rough that the operation that could be completed in 1 hour and 40 minutes was extended to nearly 9 hours. Professor Wang, am I right?”
"Yeah." Wang Di squeezed out a voice from his nose.
Indeed, if Luo Hao said it, the operation would go smoothly.
The responsibility lies with you?
Wang Di was dissatisfied, but did not dare to say anything, for fear that Luo Hao would roll up his sleeves and go on stage to perform a demonstration operation on himself.
It is said that Professor Ronaldinho has seven practicing certificates, and Wang Di is not sure whether he has a neurosurgery practicing certificate.
But looking at the surgical animation, he believed that Luo Hao's neurosurgery must be very good.
"Okay, the surgery is over. I hope Professor Wang will not make some mistakes again in the future." Luo Hao looked directly at Wang Di.
Even if Director Dong wanted to say something for Wang Di and protect his calf, he did not dare to speak out at this time.
Is this kind of calf-guard who sees red bayonets really that bad?
Director Dong is a little confused.
"After talking about the surgery, let's go back and look at the medical records. Director Feng divided the medical records into 5 levels, and I think the classification is particularly good."
He didn't forget to flatter Feng Zixuan, Director Dong. Speechless.
"Level 1, now medical records can be copied in full. I hope you will not make mistakes that can be picked out by passers-by between the ages of five and ninety, such as men and women, such as having an appendectomy. , but there was no incision in the right lower abdomen.”
“The patient did not undergo laparoscopic surgery, but underwent surgery in the county. I asked about this and saw the patient’s surgical incision.”
"This is a small thing, just pay attention next time, bad review."
"The second level is materials for litigation. The first page of the medical record is the most important. The chief complaint and history of current illness must indicate how the patient got the disease, what is the past history, and everything from the time of onset to the time you see him. What happened is very important, especially for surgery.”
“Professor Wang did not do a very good job at this point.”
Director Dong’s face was a little red.
“The third point mainly refers to social security and commercial insurance. When dealing with social security, we should strive to comply with the rules of DIP/DRG. Here, Professor Wang did not notice something.”
Luo Hao immediately began to list the relevant terms of DIP/DRG.
"The payment standard for the main diagnosis should be basically consistent with the payment standard for DIP/DRG, preferably a little higher."
"Here, what we need to pay attention to is commercial insurance. Patients with commercial insurance must be highly Pay attention to the writing of past history, personal history and personal information. If you write it wrong, it will be really troublesome. You will refuse to pay the insurance and put the responsibility on the clinician."
"Professor Wang did a very bad job here. Okay, a bad review among bad reviews.”
Director Dong was dumbfounded. Most clinicians would study DIP/DRG, but he didn’t expect that after Luo Hao finished speaking, he would have a new understanding.
If Luo Hao was arrogant and nit-picking about the previous matters, when it came to commercial insurance, Director Dong had to pay attention to it no matter what.
"About half of the recent medical disputes are caused by the failure of commercial insurance to reimburse." Feng Zixuan said in a low voice.
“What is patient commercial insurance?” Director Dong asked.
Wang Di looked troubled.
Director Dong was a little unhappy. He wanted to help him but he didn’t even give him a chance. What the hell.
Luo Hao smiled, "HSBC Life, I don't know how the patient's family obtains insurance, but this commercial insurance sounds high-end, but the rating is CC level, which is very low. They will find various reasons, Excuse for refusing to pay insurance money”
"In the end, the responsibility lies with the hospital."
"Professor Wang, you don't know this, right?" Luo Hao looked at Wang Di and asked seriously.
"..." Wang Di really wanted to raise his hand and slap his own pussy.
I was a bitch that day.
I should have thought that Liu Yiyi would call and shake people off, and Professor Luo would come to calm things down. Why should I be a villain?
But Wang Di didn't want to resist.
I resisted once and threw the blame on Liu Yiyi, which attracted the evil star Luo Hao. He also brought a dog with him.
Now, it is an internal matter within the department.
If I really don't admit it and resist, I may have to appear at the hospital's doctors' meeting next.
When the time comes, I will lose all my face and even Director Dong will be embarrassed.
"It's my fault. I took note of everything you said, Professor Luo." Wang Di took out his reading glasses, put them on, and took notes with a pen and paper.
For a moment, Wang Di saw a hint of disappointment in Professor Luo Haolo's eyes.
He is expecting himself to resist!
He wants to make things bigger!
Wang Di felt awe-inspiring. He couldn't afford to offend him, so he couldn't afford to hide from him? If you can't resist, won't you enjoy it?
Not to mention, what Luo Hao talked about was full of useful information, especially when it came to commercial insurance.
"Professor Luo, HSBC Life's rating is cc. Can you tell me about other commercial insurance? I'll pay more attention to it in the future."
Wang Di knelt down directly.
Luo Hao is very sorry.
(End of this chapter)