Chapter 352 The sweeper took a look - Rheumatism Immunity is on the 7th floor
"That's a national policy, what are you thinking about." Zhuang Yongzhi sat on the sofa, "Xiao Yan, mind your business."
"Dad~~" Zhuang Yan used her special skill - transform and summon her daughter slave.
The shout of "Dad" was so melodious and soul-stirring that Zhuang Yongzhi's originally iron heart suddenly turned into softness around his fingers.
"Xiao Yan, be serious." Zhuang Yongzhi sighed, "Let me tell you, can Luo Hao be so smart and not know that I can't touch this matter?"
"But senior brother asked me to come back and do your work."
"This matter is the chief director's concern. He runs up and down, submits materials, and then the hospital acquiesces, playing a little sideline within the scope allowed by the rules. "
"What kind of sidekick?" Zhuang Yan asked.
"For the operation, use two kinds of catheters." Zhuang Yongzhi thought that his daughter really didn't understand, so he started talking, "Maintaining the quantity of centralized procurement and completing the operation is a test. is the basic ability of a clinical director”
“Can...”
"There's nothing wrong with it. If you can do it, do it. If you can't do it, resign. If you don't do it, there are people who are willing to do it." Zhuang Yongzhi said the words that everyone is familiar with.
"Dad, why did you say that?" Zhuang Yan expressed regret that such words came from her father's mouth.
"Facts." Zhuang Yongzhi glanced at Zhuang Yan's head, "Now that Shen Zizai is leaving, the professors under him will have to trample the threshold of our family."
" Our family has no threshold.”
“For example, a few years ago, a professor at the hospital next door wished that the director would die, and he even made a wish when he went to worship God.” Zhuang Yongqiang laughed.
"!!!"
"Not to mention these ghosts and ghosts, the director of the otolaryngology department of a nearby prefecture-level hospital was quite mean and very resentful. Later, one day, a deaf-mute man came in See him for treatment on weekends."
Zhuang Yan listened carefully.
The clinical and social aspects are completely different from what Zhuang Yan imagined.
“The director was in his forties and in the prime of life. Later he was hooked into bed and was caught on camera.”
"Camera?!"
"It happened many years ago." Zhuang Yongzhi said, "In a few days, the videotape was placed on the disciplinary inspection table."
"Gah!"
"Society is like this. This is just the department director of a prefecture-level hospital. Shen Zi has no idea how many vice-deans of prefecture-level hospitals have switched jobs and come to our provincial capital to become deputy directors?"
Zhuang Yongqiang scolded, "I go to raise giant pandas every day, and I think he is as calm as a giant panda. If you really want to go, you can go, the hospital is not short of him."
"Real or false?" Zhuang Yan couldn't imagine it yet and murmured.
"Of course it's true." Zhuang Yong said forcefully, "Don't worry, what happened today must be that Luo Hao thought it was inconvenient to take you with him, so he found an excuse to get you away."
"Dad~~Senior Brother has never arranged anything for me." Zhuang Yan put on a pitiful posture.
"Well, you tell Luo Hao tomorrow, you told me, I know, I told you with a smile."
"Huh? Is that okay?"
"Well, he must understand." After Zhuang Yongqiang finished speaking, he looked at Zhuang Yan, "You have finished talking about your business, what about mine?"
"Dad, I just came to clinical work, I don't want to do it yet. Blind date." Zhuang Yan denied with a pout.
"Is there any connection between work and blind dates?" Zhuang Yongqiang looked serious and said with a straight face, "This young man is very good. My classmate introduced me to him."
Zhuang Yan pursed her lips. Mouth, expressed his opposition with silence.
But Zhuang Yongqiang continued as if he didn't see it, "If it were anyone else, I would still say that I am useful. This young man is no worse than your senior brother."
"How is that possible! My senior brother is the most powerful!" Zhuang Yan immediately retorted.
Zhuang Yongqiang felt a little aggrieved.
It’s a pity that Luo Hao, due to some combination of circumstances, was only half a year away! If Luo Hao could become his son-in-law, I am afraid that his father-in-law would also benefit from it.
What a shame.
But the person in front of me is indeed no worse than Luo Hao.
If he were an ordinary person, Zhuang Yongqiang would still feel that he could help him to some extent. Even in the various hospitals in the imperial capital, he can still help to some extent.
This is something that many people have done, find a son-in-law and provide resources and channels. But the resources this person can leverage are beyond his imagination.
“Luo Hao is capable, I admit this, but there are countless talents in the world.”
“That’s why senior brother is the strongest.”
“Some time ago, Luo Hao I’m not here to evaluate Qingba, but Qingba will be evaluated normally, remember.”
"Yes, Teacher Yuntaiyun did the defense in the end and passed successfully." Zhuang Yan answered as it should be.
“This year’s Qingqian defense was supposed to be held in June or July, which month is it now?”
“Yes! I heard that Teacher Zheng from Shanghai Magic City wanted to help my senior brother Operation Qingqian tried to get a certificate through connections with overseas companies, but was rejected by his senior brother."
Zhuang Yongqiang nodded, ignoring the fact that his daughter was Luo Hao's little crush, and continued. Said, "There is a reason for Qing Qian's delay. The main reason is to wait for him to return to China."
"Waiting for someone? That's Qing Qian! Dad, stop making trouble."
"I'm not making trouble, you are a young talent in the field of neurosurgery. People don't look down on me as a dean from a remote country. You are just the right age and have time to take a look."
"It depends on what time is convenient. "Zhuang Yongqiang emphasized.
Zhuang Yan was a little unhappy, but she could feel her old man's attitude. The worst thing I can do is deal with this matter.
Okay, let’s just deal with it.
“Neurosurgery is the most chaotic.” Zhuang Yan complained.
"Huh? What's the mess?"
"The academician who was recommended as the successor by Academician Wang before his death..." Zhuang Yan repeated the gossip Luo Hao said.
Zhuang Yongqiang has heard a little bit about this, but he is not a neurosurgeon and doesn’t know much.
"Academician Lao Wang has passed away many years ago, forget all these things."
"Boss Zhang is very powerful, Dad, have you ever heard of someone who is willing to accept other people's surgery? The rest is done.”
That's true, Zhuang Yongqiang nodded.
"After the senior brother finished speaking, I also asked my teacher, and he said that he had a friend with an acoustic neuroma, which was severely adhered to the brain stem. I found many big names, including the big guys from Shenwai People like him said it was impossible to perform surgery, but in the end, Boss Zhang did it.”
When Zhuang Yan talked about these things, her eyes lit up.
"What happened next? The operation was successful, right?" Zhuang Yongqiang was unwilling to spoil his daughter's interest and continued to ask.
"The operation was not only successful, but also very successful." Zhuang Yan was a little proud of herself.
But it only took a moment before Zhuang Yan continued, "Dad, the patient after Boss Zhang's surgery didn't feel any pain."
"???"
Zhuang Yongqiang was stunned. , there is no pain after surgery, what the hell is this?
“It’s true. The patient found it incredible at the time, thinking that Boss Zhang didn’t perform any surgery on him after general anesthesia and just pushed him away. For this reason, the patient’s family members even specifically asked Boss Zhang to understand the situation. In fact, it was I'm almost falling out."
"!" Zhuang Yongqiang suddenly felt fascinated when he heard Zhuang Yan describe what happened to Boss Zhang in the Imperial Capital.
Neurosurgery is extremely difficult. If you can perform operations that others dare not do, you are already considered a boss among the bosses, reaching a level that others look up to.
Is there no pain after the operation?
Zhuang Yongqiang has never heard of it.
"It's true. I didn't believe it even after knowing it. I checked with my senior brother. He said that the neurosurgery was done well. This situation may indeed occur. Not only neurosurgery, but also day surgery in thoracic surgery. Laparoscopic resection of small nodules is also painless.”
Zhuang Yongqiang was silent.
He knew about the latter that Director Xu of the Department of Thoracic Surgery had mentioned day surgery, but the team had discussed it and had not carried out a similar project on a large scale because of fear of problems.
Only a few similar day surgeries have been performed, so just publicize it. No one will really trust that patients under general anesthesia will go home after 6 hours.
Where did he go, Zhuang Yongqiang was startled.
Yes, it doesn’t hurt. Luo Hao told Xiaoyan how strong Boss Zhang was at Imperial Capital Tiantan Hospital.
"Are Luo Hao and Boss Zhang familiar?" Zhuang Yongqiang asked with a thought.
"We should know each other, but not as well as Boss Chai."
"You!" Zhuang Yongqiang paused and suddenly remembered that today's topic was not this!
Dean Zhuang has a clinical background after all. When he suddenly heard that Boss Zhang from Tiantan Hospital was so high-level, and even almost received a complaint because the surgery was so good, his attention was drawn away.
"Xiao Yan." Zhuang Yongqiang said in a deep voice, "You can meet that young man who came back from overseas. Whether it's okay or not will be discussed later, but you still have multiple choices. Just take a look and forget it if it doesn't work. I'm not pointing out his resources. I haven't sold my daughter yet. Look at the fate. After all, he is a young talent. "
"Dad, I'm very busy every day." Zhuang Yan evaded.
"Ask for leave? I'll ask for it for you."
"..." Zhuang Yan was speechless, thought about it, and nodded in agreement.
It is said that being forced to marry is inevitable, and Zhuang Yan did not expect that her parents would force her to marry just after graduating from graduate school.
What to do... Zhuang Yan thought about it and finally decided to ask Meng Liangren the next day.
In this matter, Lao Meng is reliable, while Chen Yong is the least reliable, even though Lao Meng's family was not happy in the past.
Seeing Zhuang Yan agreed, Zhuang Yongqiang showed a satisfied smile.
My daughter is more sensible than before. I thought I would have to talk to Zhuang Yan a lot, but I never thought it would be so easy.
……
The next day, Zhuang Yan came to the hospital and found out what happened last night.
The patient with abnormal mental state actually had a myocardial infarction!
Zhuang Yan also took a special look at the patient. The patient had undergone emergency surgery last night to remove the stent and was now back to normal.
Speaking of what happened yesterday, the patient had completely "forgot" and could not remember anything.
Brother is awesome!
Zhuang Yan's admiration for Luo Hao has grown to a higher level. As for the person her old man mentioned, Zhuang Yan only plans to deal with it.
It's amazing that he is the kind of child who can delay the Qingqian selection for several months. He has great energy, but his actual level is incomparable with senior brother Luo Hao.
The shift is handed over early in the morning, ward rounds are made, and the operation begins.
Shen Zizai did not go to the operating room, but went to the hospital to run the catheter.
Seeing Luo Hao and Chen Yong concentrating on the operation through the leaded glass, Zhuang Yan asked in a low voice, "Lao Meng, my dad said that he asked me to go on a blind date recently." "A blind date, I should." Meng Liang A gentle smile appeared on the person's kind face, "Good men and women generally do not enter the blind date market. They are basically booked in school."
"???" Zhuang Yan was startled. Lao Meng told him that he should do it, but then he said that he would never show up if the conditions were good.
Meng Liangren also felt that what he said was a bit simple, "You are different. Your kind of blind date is from the upper reaches of the upper reaches. The elders in the family will let you get to know each other. If you are a good match, you will continue to get along in the future. In fact, it is not a blind date in the conventional sense. "
"Oh, I don't think so." Zhuang Yan didn't get the answer she wanted, and looked sad.
"No." Meng Liangren said seriously, "I will give you an example, let alone a first-year medical student in the province, when I was in the infectious disease hospital, every time I admitted a new person, I would A head nurse went to the personnel department to look at relevant information. "Why does the head nurse like to introduce people so much?" Zhuang Yan was puzzled.
"Haha, head nurses everywhere like to do this, there is a high probability." Meng Liangren said with a smile, but did not explain why, "Those young people who look pretty good on paper Even before he came, he was already being taken into consideration.”
"Like my current situation?"
"It's almost the same. The young people Dean Zhuang introduced to you will definitely be good.
I have a classmate who studied for a master's degree and a Ph.D. after graduation. , I was attracted by the dean of the affiliated hospital when I was studying for a Ph.D., and I stayed in the local hospital after graduation. Later, my classmate became promising and performed very well in surgery, and my father-in-law was sent to Jishuitan again. "
Zhuang Yan curled her lips, but did not refute Meng Liangren's words.
Because the catheter is not easy to use and Shen Zizai is still working hard, the department has not been confiscating new patients recently.
Today are the last two patients in the department, and the rest have to wait for Shen Zizai.
Luo Hao also gradually adapted to the new catheter, and the operation was performed a little faster than before. The two operations were completed in a short time.
Kicking open the airtight lead door, Luo Hao strode out of the operating room.
"Senior brother." Zhuang Yan's hand had already gone to catch the lead hat Luo Hao was about to throw on the ground.
"Finally done." Luo Hao breathed a sigh of relief, took off all his equipment, and sat down on the sofa easily.
Meng Liangren did not compete with Zhuang Yan for this opportunity to flatter and increase his presence. It was past that time. It would definitely not be good to compete with a special young man like Zhuang Yan.
"Senior brother, many classmates sent me messages early in the morning, saying that Zhuzi had a child?!" Zhuang Yan kept holding it in until Luo Hao finished his work, and then she asked with confidence.
"Yes, yes, Zhuda."
"..." Zhuang Yan was sweating profusely, "Is it really called Zhuda? Senior brother, can you improve your naming skills?"
"How about we call it Ergou, no matter what. It is the flesh and blood of my bamboo, and it is also the first giant panda in Haha."
When Luo Hao talked about Zhuda, his face glowed faintly.
“It’s been on hot searches, and it’s been on hot searches again. The whole country knows it.”
“Definitely, this is necessary to warm up for the Ice and Snow Festival.” Luo Hao smiled, “It’s really I’m looking forward to the Ice and Snow Festival, when the bamboos come back, we ride on the floats, and it snows heavily.”
[As the saying goes, a man is a boy until he dies~~~]
“Little Master, Little Master! ”
"Huh? What's wrong?" Luo Hao was a little confused when he heard Director Shen's voice.
The interventional department has little contact with rheumatism and immunology, so I didn’t see much of Director Shen after coming to the First Hospital of the Medical University.
Why are you looking for yourself in such a hurry?
"I have a patient here who cannot be cured no matter how hard he is treated. Can you come and give me a slap?" Director Shen said respectfully.
"I'll go take a look. I may not be able to make a diagnosis, Director Shen."
Luo Hao got up and went to change clothes. Zhuang Yan asked, "Brother, shall I go with you to have a look?"
"Change clothes and let's go."
Luo Hao replied simply.
With Zhuang Yan looking like a little tail, Luo Hao strode to the Rheumatology and Immunology Department.
Entering Director Shen's office, Luo Hao narrowed his eyes.
Director Shen's head was shiny like a light bulb, and Luo Hao couldn't open his eyes. The image of a middle-aged greasy man suddenly appeared in his eyes. Luo Hao was stunned for a moment and sighed in his heart. He must not be so greasy when he is in his forties.
"Uncle, you are here, sit down." Director Shen quickly asked Luo Hao to sit down.
“What patient.”
“Half a month ago, a young man woke up frequently at night, sweating profusely, accompanied by abdominal pain, fatigue, swollen lymph nodes, and red spots on his skin. Weird red bumps”
“Say it nicely, don’t be weird”
"Uncle, I'm not exaggerating. It's really weird. It's like the paw prints of some small animal." Director Shen quickly explained.
“Then what?”
“My family went to see a doctor, but it never got better.”
“When he called me to see a doctor, The patient's liver, kidneys and bone marrow were failing.
Because the immune system was out of control and the condition was serious, I admitted the patient immediately
Within two weeks, more than 30 kilograms of ascites were removed from the patient's abdominal cavity. At the same time, retinal hemorrhage caused him to lose sight in his left eye.
Now my family has become more and more convinced of those ghosts and gods. "
Zhuang Yan's eyes widened, ascites, 30 kilograms? Generally, ascites does not use this unit of measurement.
"Huh? Luo Hao listened to Director Shen's medical history and sighed.
The voice was long and seemed to be confused, but Zhuang Yan's eyes suddenly lit up.
"CT showed swollen lymph nodes all over the patient's body, which I feel is a sign of lymphoma. I asked the hematology department for consultation, and performed bone biopsy and other tests, which confirmed that lymphoma was not confirmed.
Consultation of the whole hospital...consider this It may be a severe case of systemic lupus erythematosus or mononucleosis. "
The words "hospital-wide consultation" came out of Director Shen's mouth, which was a bit hesitant.
Generally speaking, the Department of Rheumatology and Immunology is the main person invited for consultations in the first hospital of the medical university. After all, for many rare diseases, other directors do not know them, so they can only go to Director Shen for diagnosis and treatment.
"What treatment was given?" Luo Hao put aside Director Shen's embarrassment and asked directly about the treatment.
"There is no good way now. We can only give glucocorticoid shock first." The light above Director Shen's head became brighter.
Luo Hao stopped talking and began to read the patient's medical records and laboratory test orders from scratch.
After only glancing at the medical record, Luo Hao made a miserable expression, and then focused on the test sheet.
A few minutes later, Luo Hao stood up, "Let's go see the patient."
"Uncle, do you have any direction?" Director Shen asked hurriedly.
"Yes, let me take a look."
"Okay!" Director Shen grinned and smiled very happily, "I wanted to ask you to give me a slap early in the morning, but every time I felt like The laboratory tests should be more thorough, otherwise I'm afraid it won't matter what I ask for, and you will be unhappy."
Zhuang Yan stared at him, listening to Director Shen, who was in his fifties, calling him close to him.
That’s the opposite.
But Director Shen’s attitude towards senior brother is really respectful. What should Director Shen call himself? Zhuang Yan felt happy when she thought of this.
"Call me earlier next time." Luo Hao said seriously, "There are some diseases that you, Director Shen, can't understand, but when you go to my house in Xiehe, the aunt who sweeps the floor can understand them."
"..."
Zhuang Yan was stunned.
But to Zhuang Yan, the words that sounded provocative, even pointed at the nose and cursed, did not make Director Shen furious at all.
He curled his bald head and kept promising that he would not be polite in the future.
Arriving at the ward, Luo Hao took a look and confirmed his guess.
The patient’s belly is bulging, and traces of swollen lymph nodes can be clearly seen on his body.
Although he was in a recumbent position, the patient’s belly was very bulging, and he didn’t know how much ascites was inside.
"This..."
Just as Director Shen was about to introduce him, Luo Hao bumped his arm with his elbow, winked, and then began a step-by-step physical examination.
Luo Hao's movements were very simple, and the physical examination was also the most common physical examination.
After completing the physical examination, Luo Hao said nothing and turned to leave.
"Uncle, how are you doing?" Director Shen asked, circling his bald head.
"Central Castleman's disease is included in the first batch of rare diseases issued by the country. Have you never seen it?"
"Castleman's disease?!" Director Shen muttered to himself language.
"There is a group in Xiehe University that has been researching related diseases. Let me call and send them over." Luo Hao said, "I don't know how far the research is now, but without professional treatment, my life span is only two or three years, which is quite miserable. I have suffered a lot. When I was in school, I saw a patient in Teacher Liang’s group who has lived for 5 years. I hope there will be a breakthrough recently. ”
“Okay, okay.”
“I think the patient’s family condition is not good, so I’ll tell Teacher Liang and see if the cost can be used for scientific research.”
“That’s okay. Great! I'm still worried." Director Shen's head was getting brighter and brighter, and it looked like it was covered in blood.
"Director Shen, if you are unsure next time, please don't hesitate to call me directly. I will come right after the operation." Luo Hao raised his cell phone.
"Okay!" Director Shen smiled brightly.
Zhuang Yan has dew on her head, is she suffering from Castleman disease? What is that.
After returning to the ward, Zhuang Yan began to search for information.
She looked at it for a long time and didn’t understand it. She only knew that it was a lymph node disease with an unknown cause.
This is even more strange. As for lymph node disease...there is no relevant diagnostic basis at all from the patient's medical history.
I don't sleep well, wake up frequently, have pain in my abdomen, and have weird red spots on my skin.
What is related to lymph node disease?
Zhuang Yan wanted to ask Luo Hao, but when she thought of Senior Brother Luo saying that Xiehe's sweeper aunt could diagnose it, she felt angry in her heart.
Doctors from Xiehe University are good everywhere, but this condescending attitude is hard to accept.
On the weekend a few days later, Zhuang Yan went to the Imperial Capital, and the patient happened to also go to the Imperial Capital. Zhuang Yan volunteered to take on the responsibility of escorting him.
First came to Xiehe. Zhuang Yan was not very familiar with this place and looked around.
A sweeping lady passed by with a broom, glanced at Zhuang Yan, and then at the patient, "Rheumatism and immunity are on the seventh floor."
(End of this chapter)