Chapter 376: Little brat, you still know how to question the teacher
"Classmate Xiao Chen, come in." Luo Hao waved.
"Professor Luo, has there been any change in my condition?" Chen Jiao asked seriously, "I can accept it if you tell me the truth. I am a medical student. If you are not detailed enough, I will I think I will lose sleep."
Luo Hao looked at Chen Jiao seriously, and this girl actually started to threaten him.
"Well, there are indeed changes." Luo Hao told the truth, and came to the computer, opened the enhanced CT image, and began to explain to Chen Jiao.
A few minutes later, after Luo Hao finished talking about the special characteristics of metastatic tumors, before Chen Jiao could react, he asked, "The project I applied for for YouQing is particle implantation. Do you know why particle implantation cannot be developed nationwide? "
Chen Jiao shook her head blankly. The topic changed a bit quickly. Chen Jiao's mind was filled with the metastases in her abdominal cavity, and she couldn't keep up with her thoughts.
"Because particles are radioactive, they belong to the Department of Nuclear Medicine. And you know how expensive PET-CT is. Let me ask you, if you were the director of the Department of Nuclear Medicine, would you choose to carry out risky particle implantation? Do you want to invest in new technologies and risk being sued and have medical disputes, or can you earn money by taking pictures every day?”
Although Chen Jiao didn’t know what Luo Hao meant by this, she still made her choice. .
"Professor Luo, I choose the latter."
"Yes." Luo Hao smiled, "I, Youqing, chose particle implantation for the project, which was like stealing someone else's cake. Looking back now, Youqing's defense was full of crises. Boss Chai even invited my ancestors who joined Concorde to come out. The ancestor of nuclear medicine in the country. "
Luo Hao emphasized the situation at that time, but Chen Jiao was just a medical student. She had not even really entered the society and had no idea what Luo Hao was talking about. .
Chen Jiao was still at a loss.
Luo Hao ignored Chen Jiao and continued, "My ancestors gave me an extremely difficult problem, which is how to implant seeds into tumors behind the head of the pancreas."
said Then, Luo Hao stood up and snapped his fingers.
Swish swish swish.
Erhei climbed out of the kennel and came to Luo Hao. As soon as he arrived at Luo Hao's side, the storage layer on Erhei's back opened, and Luo Hao picked up the marker.
One person and one dog cooperated very well, with almost no pause. Chen Jiao was dumbfounded.
Luo Hao began to draw anatomical drawings.
“Here, puncture from the stomach, through the entire stomach, and then insert the needle between the duodenal artery and vein.”
"Here, this is the location of your tumor."
"Brush~~~~" The marker in Luo Hao's hand drew a dark straight line to indicate the way to insert the needle.
I can’t touch it.
Chen Jiao was a little confused.
“It is difficult to penetrate things here. There are organs above, below, left and right. The only thing that can be penetrated is the stomach. But even if it penetrates the stomach, the particles cannot be planted on the tumor.”
"Professor Luo, do you need surgery?" Chen Jiao asked.
She was a little scared, but still asked the question firmly.
"Surgery was the previous option. After you are admitted to the hospital and have an enhanced CT scan, I will contact Director Qian of Xiehe. If necessary, I will take you to the Imperial Capital for surgery."
Chen Jiao looked at Luo Hao with wide eyes.
This sentence obviously has a twist of "although, but".
"Look now, no need for the moment." Luo Hao smiled slightly.
"What should we do now?"
Luo Hao took out the projector from Erhei's back storage box, connected it to his mobile phone, and played the liquid metal promotional animation.
“Use liquid metal to send the particles in, and use the characteristics of the liquid metal to send the particles to the position where they cannot turn.”
“???”
Chen Jiao looked confused.
Is this possible? Is it really possible? Professor Luo is not joking.
A sudden turn? Do you really think it’s an American hero movie? And liquid metal, isn’t that something from science fiction movies?
Chen Jiao felt that Luo Hao was already nervous, so she took out this thing to show to herself.
"Professor Luo, I can accept it, I really can accept it." Chen Jiao tried to calm down her mood and comforted Luo Hao, "I know you worry a lot about my illness, but you also said , to treat a disease, it mainly depends on fate. My fate is not good..."
Chen Jiao said, her voice choked with sobs.
Although she said she had accepted this reality, who could be willing to accept it?
21 years old, the same age as a flower.
"Do you think I'm kidding you?" Luo Hao looked into Chen Jiao's eyes.
"Professor Luo, I know you care too much..."
"No, no, no." Luo Hao smiled slightly and sat in his most familiar position.
As the rustling sound came, Erhei walked up to Luo Hao, clung to the side of Luo Hao's legs, and put his head on Luo Hao's legs.
Erhei has been favored by Meng Liang for a long time, and Luo Hao is too embarrassed to say to Lao Meng, don't take advantage of him.
This is the only shortcoming of Meng Liangren. Luo Hao has gradually accepted it and doesn't think anything of it. He just thinks that if there is another mechanical dog in the future, he will leave this Erhei to Lao Meng and replace it with a new one.
Putting his hand on Er Hei's head, Luo Hao smiled slightly, "Sit down and talk."
Chen Jiao pulled up a chair and sat upright, as if she was attending the last class.
“Ten years ago, when I first entered college, the University of Technology was the only hope in the village. At that time, Benzi’s robots were among the best in the world. As for the advanced Boston Dynamics, we couldn’t even think about it.”
“Well, look at it now. Boston Dynamics has changed its research direction and begun to study electrified robots.”
“This is a robot dog deep in the clouds, which it would not have dared to do ten years ago. Think about it. As for the robot in this book, have you heard of any other company that is awesome?"
Erhei seemed to understand Luo Hao's praise of it, and raised his head affectionately, saying that he was being touched by Meng Liangren. The greasy head of his head rubbed against Luo Hao's hand.
Looking at Erhei who was full of anthropomorphism, Chen Jiao was stunned.
“Ten years ago, when I first entered college, it was an honor to invite world-renowned experts to perform demonstration surgeries; eight years ago, Director Qian took his assistant to the World Congress of General Surgery Performing demonstration surgeries.”
“Five years ago, a steady stream of experts began to come to Union Medical College to learn from Dr. Qian’s use of the Da Vinci robot to perform combined pancreaticoduodenectomy.”
"As for now, American medicine and Chinese knives have become the consensus in the industry."
"Everything is progressing. I'm not joking with you. What I said is true. In your case, I Communicated and contacted relevant experts from the University of Technology. They have finished running the data and are building relevant models.”
"Model? Does this also require modeling?"
Chen Jiao was startled.
"Don't worry, the whole process of the operation will be recorded, so you can watch it carefully after the operation. As for the pre-operation..."
Luo Hao pondered for a moment.
“It’s not impossible to give an animated explanation, but you have to hurry up during your surgery, so I won’t explain too much to you.”
"Oh." Chen Jiao said numbly.
"You little brat, you still know how to question the teacher." Luo Hao curled his lips.
"..."
Luo Hao smiled and looked at the office door, "Is that your classmate outside?"
"Well, yes."
"Come to see you? Or are you here to see a doctor?"
I walked in with bangs in the air, "Professor Luo, hello."
"Seeing that you have been sneaking around, say "Okay, what's the matter?" Luo Hao smiled.
"Teacher, I...I...I..." the girl stammered, looking at Luo Hao, but not daring to meet Luo Hao's eyes.
“Are you afraid that I will test you?” Luo Hao asked.
"Ah?"
"Ah!"
The girl made two different tones one after another, with some joy in her words. But she immediately glanced at Chen Jiao and her expression darkened.
“Look what Chen Jiao is doing, she’s fine, I said so.” Luo Hao said in a determined tone.
Chen Jiao looked a little surprised.
"You tell me, what's going on."
"Professor Luo, that's it. I applied for an insurance policy a few days ago and needed a physical examination. There were ketones in the urine routine."
" But my blood sugar was normal, but when I checked again, the ketone body was gone.”
“I was still worried that the insurance company would not approve it because of the abnormality, so I took another test and it was positive.”< br>
The girl kept talking about her medical treatment.
Luo Hao held Erhei's head, looked at the girl with a smile, and listened to her state her medical history.
The whole process is full of flaws and is no better than ordinary people.
The girls also noticed Luo Hao's expression and knew that the teacher must be finding fault with him in his heart.
“Teacher, you said you wouldn’t take my test.” The girl complained aggrievedly.
"Okay, I won't test you, I'll tell you directly." Luo Hao smiled warmly, "Are you losing weight recently?"
"Yes, when autumn first came, I thought about not having to wear small skirts, so I ate a lot of delicious food, but it turned out that I couldn't fit into many clothes." The girl said sadly.
"Let me talk about the conclusion first. If you lose weight, you will suffer from starvation ketosis. Depending on your physical condition, you should not need treatment. Return to normal carbohydrates when you return, and check again in 3 days."
Luo Hao's determination Chen Jiao and her classmates were shocked.
Chen Jiao's classmate has been to several hospitals in recent days because of this incident. She was afraid that the teacher would see that she was a medical student, so she did not dare to go to several hospitals affiliated with the medical university.
I thought it might be a minor problem, but for this minor problem, none of the hospitals gave a diagnosis, and each one was more scary than the last.
Scary things like hidden diabetes scare people to death.
So when she came to visit, she wanted to bite the bullet and let Professor Luo Haolo take a look.
Professor Luo has a great reputation among students. Not to mention Luo Hao, there are countless girls who covet him just as his assistant.
I knew that Professor Luo could do it, but the girl didn't expect that Professor Luo didn't even look at the test results and directly gave the conclusion.
This is too good, is it just perfunctory?
Chen Jiao was even more shocked.
Professor Luo is not like this in normal times. Is it because of that sentence - little brat, you still know how to question the teacher?
Because of his doubts, Professor Luo, who has always been gentle and cautious, made a strong counterattack.
Is it really okay for him... to do this?
Luo Hao stood up, Erhei rustling behind him, following him like a shadow, his head shining like a light bulb.
"Come in, sit down, and listen to the class." Luo Hao picked up the marker on Erhei and wiped the blackboard clean.
Chen Jiao and her classmates sat on their chairs and looked at Luo Hao.
【1. What is ketosis and what is ketoacidosis? 】
Luo Hao’s writing on the blackboard appeared on the blackboard.
“Ketone bodies are the products of incomplete beta-oxidation of fatty acids in the human body, including three components: acetoacetate, beta-hydroxybutyric acid, and acetone.
Among them, acetoacetate is a strong organic acid that can react with urinary ketone body reagents. Beta-hydroxybutyric acid is a reduction product of acetoacetate and is also a strong organic acid, accounting for 70% of the total ketone bodies.
Acetone is the decarboxylation product of acetoacetate, with the smallest amount, and can be excreted from the respiratory tract with a rotten apple smell. ”
Luo Hao started to talk about the basics. From time to time, a line of writing on the blackboard fell on the blackboard, and the marker rubbed against the blackboard, making a creaking sound. By the time Luo Hao finished speaking, the blackboard was also filled with writing.
It's not like a chance encounter, but like Luo Hao has carefully prepared it.
Luo Hao held the blackboard eraser in his hand and looked at Chen Jiao's classmates with a smile, "Do you remember them all?"
"Yes." Chen Jiao's classmates replied subconsciously.
"Okay, I will test you on this part tomorrow. If you fail, prepare to study for a make-up test."
Chen Jiao's classmates were startled, "Teacher, you said you won't test me. . ”
“That’s today. I’m going to give you a private lecture on ketosis. It’s okay if you don’t take notes. I think it’s inconvenient for you. But you don’t even leave a photo on the blackboard? I can only think of you as a genius with a photographic memory.”
"..."
"A genius, are you still afraid of exams? I'm afraid you think my exam is not difficult enough to show your ability." Luo Hao started to yin and yang the girl.
Chen Jiao’s classmates quickly apologized, picked up their cell phones, took a few photos, and left the writing on the blackboard.
【2. Classification of acute ketoacidosis complicated by diabetes. 】
Another line of blackboard writing.
Luo Hao wrote while speaking. When he finished speaking, the blackboard was just full.
Chen Jiao was a little surprised.
Only a very good teacher can do this. His lectures are concise and concise, and his writing on the blackboard is as precious as gold.
The blackboard in the office is not big, and there is less content to write on. Moreover, one of my classmates came in unsuspectingly and suddenly came to see Professor Luo for treatment.
But he seemed to have planned it beforehand.
I don’t know how long I have been memorizing the writing on the blackboard.
Extremely skilled.
[3. Clinical characteristics of various ketoacidosis complicated by diabetes. 】
Watching and listening, Chen Jiao's anxious heart gradually calmed down. She listened quietly and immersed herself in it.
It would be great if I could keep listening to this and use this knowledge in clinical practice many years later.
"Both diabetic and non-diabetic patients can develop starvation ketosis and starvation ketoacidosis."
Luo Hao's voice was a little louder when he got to the key points.
Chen Jiao’s classmate held her mobile phone in her hand and became energetic.
“In the case of hunger, severe insufficient intake of carbohydrates, low-calorie meals, pregnancy, excessive alcohol consumption, chronic severe liver disease, and severe wasting diseases, patients may develop symptoms due to severe insufficient intake of carbohydrates and energy. Liver glycogen is depleted.
Glycogen decomposition is inhibited, gluconeogenesis is inhibited, fat metabolism becomes active, and fat is decomposed in large quantities to produce a large amount of fatty acids to provide energy for various life metabolisms of the body.
However, under starvation conditions, beta-oxidation of fatty acids is incomplete and a large amount of ketone bodies are often produced. With the accumulation of ketone bodies in the blood, ketosis will occur. "
"The cause of ketosis during pregnancy is similar to this, and it is a typical manifestation of starvation ketosis. ”
“If starvation ketosis is not corrected in time and continues to develop, it will develop into starvation ketoacidosis. ”
“Are you still eating secretly when you are losing weight, but the weight loss effect is not good? "
Luo Hao suddenly asked.
"Ah?!"
Chen Jiao's classmate was startled, then lowered his head in shame and nodded lightly.
“What’s that expression on your face?” Luo Hao smiled, “The effect of cutting out carbohydrates to lose weight is indeed very good. When it was popular in the past, many people used this method to lose weight.”
“ Among them is Prince Ma.”
“Which Prince Ma?” Chen Jiao’s classmates asked.
"Ma Boyong."
"!!!"
"It is said that when Ma Boyong cut out carbohydrates, he felt that his whole body became obviously stupid and his memory declined, so in order to write a book, he could only choose another way. Way to lose weight! ”
"Fortunately, you didn't hold back. Ketosis is not scary, but ketoacidosis is scary. When it comes to losing weight, it's actually the same thing. Just keep your mouth shut and move your legs. If you take medicine, there will be some side effects. You can't be diligent about what you say. Every morning Run 10,000 meters? "
"Teacher, I can't even run 1,000 meters. I'm asthmatic." Luo Hao is also a little helpless. He just keeps his mouth shut. Spread your legs. What should we do if Chen Jiao’s classmates can’t keep their mouths shut and can’t move their legs?
“Many of the so-called useful drugs for weight loss cannot be taken. Don’t mess around with it. It will harm your body. You will be the one to suffer in the future!” Luo Hao warned.
“Yeah, yeah, yeah.”
"Okay, that's all. Do you have anything else to ask?"
"Is my ketosis caused by hunger? Just like pregnant women?"
"That's okay. "Understood."
"Then I'll have a nice meal of rice when I go back tonight! Chen Jiao, I'll pack something delicious and we can eat together." Chen Jiao's classmate asked. .
Chen Jiao forced a smile, obviously not in the mood. Even though Luo Hao said all kinds of things, Chen Jiao still had no emotion.
"I'm not hungry."
"Professor Luo said that he has the latest solution to your problem, but you still don't believe it." Although Chen Jiao's classmates are lazy and greedy, they have enough emotional intelligence. She instantly Understanding what Luo Hao meant, he began to comfort Chen Jiao.
Although her life was at stake, Chen Jiao was still in a bad mood, but after some persuasion from her classmates, Chen Jiao also felt that it made sense.
Urine ketones come and go, and there are no obvious symptoms. I went to several second-grade hospitals but there was no diagnosis.
But Professor Luo gave the diagnosis without even looking at the test results, and it was as if he had been rehearsing for several days. Even his writing on the blackboard was flawless.
She should trust Professor Luo, Chen Jiao thought to herself.
But many things cannot be discussed, and Luo Hao did not provide more psychological counseling to Chen Jiao. Luo Hao even felt that sending Chen Yong to tell Chen Jiao's fortune at this time might have better results. .
Luo Hao felt a little tired after sending Chen Jiao away.
Tired.
If it was an ordinary patient, Luo Hao wouldn't be so worried, but Chen Jiao was still slightly different.
"Luo Hao, are you nervous?" Chen Yong came over and asked with a smile.
"How do you know?" Luo Hao did not refute.
"I know you better." Chen Yong said, "I think what you said makes sense. It's not difficult. It just takes a turn. It's a new technology, but it's completely within the scope of imagination. "
"Harmful." Luo Hao smiled and said nothing.
Actually, Luo Hao doesn’t know if it’s possible.
Moreover, various applications must be made before the operation, especially project approval, otherwise it will be regarded as illegal practice of medicine.
This kind of nonsense made Luo Hao feel a headache. He even thought that the smell of spices and feces in the heat wave that came after getting off the plane in India was not unacceptable.
India is better, do whatever you want.
On one side are mice, mice, mice, primates, human stages 1-4.
On one side is the human body, human body, human body, human body... until it can be used clinically.
India is advanced, Luo Hao thought.
Although I think so, there are still some tasks that need to be done quickly.
Luo Hao contacted the boss and made a video to explain the situation.
Boss Chai on the other side of the video was stunned for a while.
He is a master of general surgery. Of course Boss Chai knows how heavy the pancreatic head tumor is.
Chen Jiao's condition was a taboo for surgery, but she didn't expect Luo Hao to be so willing to get liquid metal.
What the hell is that?
After the video ended, Boss Chai frowned and thought for a long time.
Then he stood up and walked for a long time with his hands behind his back, and finally decided to fool around with Luo Hao and call a car to go to the hospital.
"Boss Chai, you rarely come here recently." Qin Chen saw Boss Chai face to face and bowed to say hello.
"Well, come and see the hospital. Director Qin, your hair is getting brighter and brighter." Boss Chai said haha.
"Hey, that's it." Qin Chen put his hands on Da Bei's head and stroked it hard, "Boss Chai, you went to Gusu to ride bamboo to find the missing giant panda a while ago? "
"Huh? How do you know?" Boss Chai asked with a smile.
How do I know?
Qin Chen looked at Boss Chai and felt helpless.
On the first day that Boss Chai came back, he asked Director Qian to print out a photo of himself riding bamboo trees all over the mountain, frame it and hang it in the department.
Not only doctors and nurses, but even patients can see it.
Everyone who saw it asked who it was, when it was taken, and whether it was pornographic.
No one in the hospital knows yet.
You just had to walk from department to department holding the photo, Qin Chen cursed in his heart.
But no matter how courageous Qin Chen was, he did not dare to quarrel with Boss Chai. He smoothed his back and asked with a smile, "Boss Chai, if you have a chance, take me to play with you."
"You? No." Boss Chai walked slowly towards the elevator with his hands behind his back.
"Our annual meeting of endoscopy is scheduled to be held at Luo Hao's side this year. Will you go with us?"
"No."
Qin Chen was startled, Chai Boss, what's going on?
Ordinarily, he took the initiative to greet him with a smile on his face. Boss Chai shouldn't treat him like this.
"Boss Chai, have I made you angry? If you are unhappy, just tell me directly, I will go home and shut myself up to think about the past."
"It's not Luo Hao, just fooling around!" Boss Chai cursed angrily.
“???”
Qin Chen was stunned.
Some time ago, Qin Chen gradually heard about the incident in the Magic City. Boss Chai brought Luo Hao to the stage to perform an operation that no one dared to perform, using an endoscope.
That guy Zheng Siyuan didn't even dare to take action. It was so embarrassing that I really wanted to kick him out of the Department of Gastroenterology.
Shame on you!
But Boss Chai... Luo Hao... Qin Chen's heart moved and he followed Boss Chai into the elevator.
"Boss Chai, what's wrong with Luo Hao? I'm just about to go find him and talk about the annual meeting at the end of the year."
"Tell me what you're unhappy about, and I'll help you teach him a lesson."
"Director Qin, you said you want to teach Luo Hao a lesson? I'll help you!" Boss Chai glanced at Qin Chen coldly. .
In the elevator, there was dense frost.
(End of this chapter)