Chapter 414 Tastes like daddy
"The throat is congested, there is a white membrane, and the lymph nodes in the neck are slightly swollen. We need to draw blood for testing." Luo Hao touched Zhao Lili's neck and said lightly.
"Professor Luo, what do you think about me?"
"I was single and I recently had a boyfriend?" Luo Hao suddenly asked a weird question.
“Ah~~~” Zhao Lili’s face suddenly turned red, and she almost jumped up.
She was visibly shy, and her neck was all red, like a cooked prawn.
Why does Luo Hao ask this? Feng Zixuan was a little strange.
"Really?" Luo Hao asked.
"Yes, Professor Luo, how did you know?"
Chen Jiao looked at Zhao Lili in surprise, "Xiao Li, you have a boyfriend? Why didn't you tell us?"< br>
"I...I...I want to wait and see." Zhao Lili lowered her head shyly.
"Professor Luo, does this have anything to do with abnormal liver function?" Chen Jiao then looked at Luo Hao and asked.
She has been in contact with Luo Hao relatively frequently, so she can probably guess that her boyfriend is related to abnormal liver function.
Could it be said that falling in love will increase liver fire and cause abnormal liver function?
"Look, what is this called?" Luo Hao pointed at the skin of Zhao Lili's neck and asked.
There was a red rash there.
This doesn’t mean anything.
“Is this a mite-like rash?” Feng Zixuan was unsure and asked in a low voice.
"Director Feng is still experienced." Luo Hao praised, "Here, this is a mite-like rash. Chen Jiao, take a photo and take a good look at it when you get back."
Chen Jiao took out her phone in confusion and took a photo of the rash on Zhao Lili's neck.
"Professor Luo, is it possible that it has been raining in autumn lately and is too damp?" Zhao Lili asked.
"Do you know what I'm asking about when I saw a mite-like rash and touched the lymph nodes in your neck and knew you just had a boyfriend?"
"???"
"???"
"???"
"You have a typical kissing disease." Luo Hao explained.
“!!!”
“!!!”
“!!!”
Feng Zixuan, like the medical student, had a confused face. He could see the mite-like rash but had no idea what kissing sickness was.
"To put it simply, the initial diagnosis is infectious mononucleosis, and your symptoms are relatively typical."
"Typical symptoms of infectious mononucleosis include high fever, sore throat, swollen lymph nodes, generalized Malaise, fatigue, and feeling tired
Patients may develop a mite-like rash and an enlarged spleen. Symptoms usually last 2-4 weeks, but some cases may last longer.”
“Because it is a self-limiting disease and is mainly transmitted through kissing, it is also called kissing. Sickness. Love, headache, and body aches. Those jokes that are always used in novels are actually typical infectious mononucleosis. "
Luo Hao explained.
Uh...
There is still such a disease? Is it serious?
Even Feng Zixuan had such an idea in his mind.
“But, it’s just rare. Most children under 6 years old suffer from this disease with a recessive or mild disease; those over 15 years old usually show a typical disease.
Come on Long-lasting immunity can be obtained after one illness. ”
"Do you have a pen..." After Luo Hao finished speaking, he shook his head, took out his mobile phone, clicked on Chen Jiao's conversation, and started typing.
“Go to the outpatient clinic for these examinations. Once you have the results, just tell me on WeChat. Treatment is not difficult, it is a self-limiting disease, but I don’t want you to not even understand this.”
"Yes, yes, Professor Luo." Zhao Lili quickly lowered her head and replied.
Actually, this matter... Feng Zixuan does not think it is the fault of the two medical students.
The medical student named Zhao Lili came to the hospital to see a doctor, but the doctor who treated her didn't give a correct diagnosis.
These are all acting skills, designed to correct Chen Jiao's mental state and turn a suspected "discriminatory" attitude into a medical problem.
Very good, Professor Luo is very considerate.
Feng Zixuan smiled and thought to himself.
"Ronald, if nothing happens, I'll leave." Feng Zixuan didn't stay long.
Watching Feng Zixuan leave, Luo Hao chatted with Chen Jiao for a few more words, confirmed the review time again, and then went back to change clothes.
Luo Hao went downstairs to have a bite and returned to the office.
"Lao Meng, Xiaozhuang, are you busy?"
"Not busy, it's time to organize study." Meng Liangren had a smile on his honest face.
The resident boss felt contempt, who could like to study?
Lao Meng is really good at pretending, as if he were real.
"Let's start, Chen Yong, sit down."
Chen Yong put his phone away and sat down honestly.
I don’t know how Meng Liangren is, but Chen Yong is really unwilling to learn. But he is not stupid, and he knows that it is best not to disobey Luo Hao in this matter.
Chen Yong understands what he can and cannot do.
The robot panda rustled over, the storage box on its back opened, and Luo Hao began to lecture.
The content of the lecture has nothing to do with common diseases in the interventional department. Most of the content is about kissing diseases.
More than an hour later, Luo Hao explained the lecture and quietly sat down by the window opposite the door and took out his mobile phone to read the paper.
The robot panda squatted quietly next to Luo Hao, as well-behaved as a bamboo.
When it was time to get off work, Luo Hao took a look around the room. He and Chen Yong got off work on time.
Meng Liang and Zhuang Yan, as if they didn’t know what getting off work meant, returned to the computer and continued writing.
"Lao Meng, why does Professor Luo organize you to study every day?"
"Not every day, occasionally, only two or three times a week." Meng Liangren answered truthfully.
“Tch, what’s the difference between that and every day?” The resident manager smiled and walked towards Meng Liangren, “Do you dare to be angry and dare not speak out? You are so upset that Professor Luo is too good at being a teacher. ”
“No, I really like Professor Luo’s lectures.” Meng Liangren responded with a gentle smile.
"Don't talk nonsense, Professor Luo is gone." The resident manager smiled and walked to Meng Liangren, "Old Meng, tell the truth, don't be so tense all day long."
< br>
Meng Liangren glanced at him. He was still too young. Even if he had opinions, how could he take it seriously?
Everyone has his or her own secrets and can tell others the same thing.
It seems that the reason why I came to a top hospital in the province like the First Hospital of Medical University after graduating from graduate school was because I didn’t have enough social training.
Just like this, if you throw it into an infectious disease hospital, not even the bones and dregs will be left in two or three years.
That’s great. If it’s not necessary, who would want to go to an infectious disease hospital to be “experienced”.
"Boss, I really admire Professor Luo, really, look into my eyes."
The resident boss responded with a contemptuous expression.
The two of them looked like emoticons, and Zhuang Yan laughed.
“Can you not be funny?”
“I’m telling the truth! You see, my scientific research was done by Professor Luo, otherwise I don’t know what I would do in the future. But Professor Luo is too willing to take classes. He will perform surgery in the morning and go to the Medical University to teach students in the afternoon. If there is no class, he will give it to you. ”
"In today's young people's terms, this is called dad's taste."
"Boss, don't say that." Meng Liangren pondered, and then said seriously, "Daddy's taste means painting cakes, you can say it casually He said, act like a father. In a normal family, parents who only draw cakes and do nothing are now called the original family."
"Yes, that's right." Mawei said, "What senior brother said is really useful. Let me tell you, did you know about kissing disease before?"
"We in the interventional department don't need to know." The boss couldn't resist. Stay, and finally gave up, "What are you two having for dinner? It's my turn to order food today."
Meng Liangren paused for a moment, as if remembering something, and looked at the resident boss.
"Boss, was it you who performed the operation on the No. 3 middle bed?"
"Yes, the operation went very smoothly." The hospital manager was a little proud. The patient's liver tumor had four feeding arteries, and he found them all by himself. .
This is not easy for a doctor of his level.
Lao Meng can do it!
Even having to flatter yourself, the emotional value is so damn high.
The hospital manager gave me a look of approval, not to mention, it felt really good. For a moment, he felt like he was floating.
"Lao Meng, how do you know this?" the resident manager asked with a smile, "Did you hear what Xiao Yang said?"
Xiao Yang is the graduate student who came to the stage today. He was about to leave the hospital, and he was always diligent and hardworking. His boss asked him to go on stage and undergo an operation together.
“Emmm.” Meng Liangren pondered.
The resident boss was a little unhappy. Why did Lao Meng flatter Professor Luo so smoothly, but he hesitated when flattering himself?
I still can’t let go, the resident boss thought to himself.
“I heard what the patient said.”
“!!!” The hospitalized boss was surprised.
Can patients know if their surgery is good? A bit unreasonable.
“The patient said that it hurt a little at first. We heard it when we were doing ward rounds with Professor Luo just now. Professor Luo asked me to look at the patient.”
"Uh..."
The resident boss was stunned.
This patient has too many things going on. No matter how he complains, he has to file a complaint with Professor Luo. This is too much.
Meng Liangren also saw something wrong with the face of the hospital boss. He quickly explained, "I guess Professor Luo knew that Xiao Yang was out of hospital today. Considering that Xiao Yang is usually very capable, you must let him get punctured. I had an experience with inserting the arterial sheath and sending part of the guidewire.”
“Yes, Xiao Yang did a good job. He made a mistake in puncturing the femoral artery the first time and punctured it the second time. Success.”
The hospital manager suddenly remembered something. He almost leaned into Meng Liangren's ear mysteriously and whispered, "Old Meng, you learned fortune telling from Dr. Chen. Did you predict anything?"
"What the hell, what's going on here." Although Meng Liangren didn't react as strongly as Chen Yong, he was not used to talking so close. He slid his chair away a little and looked at the hospital manager, "Just be careful, you understand. "Okay."
"I understand, I understand, what did you think about Lao Meng?" The resident boss was a little nervous.
“…” Meng Liangren was speechless.
"I see you asked Dr. Xiao Chen. It is said that he is quite famous in the metaphysics world. I usually dare not talk to him for fear of causing trouble. We don't believe it, but we can't disrespect him." "Haha. Haha." Zhuang Yan laughed, "How can it be so mysterious?"
"Yes, this is a hospital." Meng Liangren said.
"One day I heard Dr. Chen chatting, and a nurse from the next door department came to ask him something."
"What are you asking?" Zhuang Yan was curious.
“My younger brother, who is a nurse, wants to go abroad and study for a master’s degree in the UK. Why is it so unreliable to study for a master’s degree in the UK? Dr. Xiao Chen said that for a junior college, you can get a master’s degree for 200,000 per year. .”
"If you want to go, just go. If you go abroad and starve to death, just think of it as losing weight." Meng Liangren smiled and said honestly.
"What were they talking about?" Zhuang Yan asked, staring at the main line.
"Nurse... I guess I wanted to talk to Dr. Xiao Chen more, so I kept pestering her for a chat. You said that being good-looking really took advantage of the right time and place, and Lao Liu always said that he must be half as good as Xiao Chen. It looks so good, it’s already done by a human being.”
“Has it been done by a human being?”
The hospital manager took one look at Zhuang Yan and thought it was not good, so he stopped talking about it.
"The nurse asked, why did you come back from the UK? Aren't you already a great magician with royal honors?"
"Brother Yong is so greedy that he is crying because he is not abroad."
"Ha, that's not what Dr. Chen said at that time. He said that the hexagrams were good for the country. He also said that five stars coming out of the east would benefit China."
"Damn, you really believe in the prophecy. Ah." Meng Liangren was helpless.
"Xiao Chen Ke said that he had a nose and eyes. He said that the captain of the scientific expedition team at that time was named Qi Dongfang. When he entered the ancient tomb, he felt that he was not courageous, so he entered holding the national flag. At that time, he found that this prophecy I didn't dare to report it, for fear of being suspicious of someone else.
It is said that Cthulhu can get blessings by offering sacrifices to auspiciousness, is that true? "
The resident boss's thinking is very erratic and his words are messy.
"It's okay, Xiao Chen is just lying to the girl. You can't deny that Xiao Chen has emotional intelligence in front of the girl. Go high. "Meng Liangren said in a determined tone.
"That's true, when I talk to the girl, I don't know where to start. But every girl chatting with Xiao Chen laughed loudly, and there was no hint of indifference at all. "The resident manager sighed with emotion.
"I haven't been able to do it recently. Brother Yong has been writing papers every day lately, and he's quite concerned about it. "Zhuang Yan defended Chen Yong.
The hospital manager took a deep look at Zhuang Yan, with an expression on his face that said, "You just look at me and I say this."
"Lao Meng, tell me, I saw that Xiao Chen even pinched and pinched before the operation. When I asked him, he said no and moved his fingers. But once the patient was allergic to Lika, and he I brought fat emulsion in advance.”
The hospital manager firmly believed this.
"That's science. The patient has a history of allergies. It doesn't matter if Xiao Chen is fully prepared." Meng Liangren defended Chen Yong.
"Then tell me, why did Professor Ronaldinho ask you to keep an eye on my postoperative patients?" The hospital manager was unconvinced.
"Well, Professor Luo once gave a lecture. I don't know if you heard it or not, but he was talking about various conditions that are prone to blood clots after surgery." Meng Liangren had no choice but to say directly, "Weier Xiao's triangle."
"Weier Xiao Triangle?”
The resident boss obviously has no memory.
"Virchow's Triad proposed by German pathologist Rudolf Virchow. It is the basis for understanding thrombosis, including: vessel wall damage, blood flow stasis and blood hypercoagulability."
Zhuang Yan added.
The hospital manager was disdainful, "The puncture itself is a kind of damage to the blood vessel wall. I have been using sandbags to compress and stop bleeding after surgery for decades, and I have never seen any postoperative blood clots."
"Actually, that's right. "It's better to keep an eye on it," Meng Liangren said, "Femoral artery puncture and intravascular instrumentation will inevitably cause damage to the vascular endothelium, thereby activating the coagulation system."
"I'm not saying that puncturing twice will cause damage. The blood clot has nothing to do with Xiao Yang, I like that kid very much.”
The hospital manager felt interesting when he heard Meng Liangren talking.
Lao Meng is an old chief physician at an infectious disease hospital.
Everyone knew what the qualities of the doctors there were, but after being paired with Professor Luo, they taught themselves a lesson.
It is really contrary to Tiangang. Does he have any idea in his heart?
However, in the past six months, Lao Meng has made the hospital his home and chatted for a while every day. The hospital manager felt that Lao Meng was a good person.
Perhaps I learned it from Professor Luo. It is rather wordy and full of daddy style.
"What else?" The hospital manager did not refute Meng Liangren, but asked with interest.
"The patient had a cerebral infarction before and had been taking oral anticoagulants before the operation. I just checked the medical record and it has been stopped for 3 days."
"The probability of thrombosis is relatively high at this time, so we need to pay more attention. . But..."
Meng Liangren said and paused.
“But what?”
“I have seen similar situations before, Professor Luo didn’t warn me carefully, but your patient... is wrong!” Meng Liangren suddenly opened his eyes, “ The patient had been sleeping. When we were doing ward rounds, the patient’s family asked him something. He turned over, but was pushed back.”
Because there are sandbags on the femoral artery, it is common for patients to try to turn over but are stopped by their family members.
Pushing him back is just a way of saying that he is held down by the patient’s family members and kept in a supine position.
“Lao Meng, you think too much. It’s uncomfortable to lie flat on your back. Everyone is like this.” The hospital manager said with a smile.
He only dared to talk about Meng Liangren, not Luo Hao.
After all, the content of the promotion was mainly done with Luo Hao's help, and the resident boss couldn't do such a heartless thing.
But this patient would have problems, and he didn't agree.
"It's okay. You order the food first and I'll take a look." Meng Liangren stood up.
"Lao Meng, what are you eating?"
"Kung Pao Chicken." Meng Liangren said and walked out slowly.
Zhuang Yan did not follow. She was staring in deep thought, repeatedly recalling what Luo Hao had said about Wei Erxiao's triangle and the situation of the patient in front of her.
"Xiaozhuang, what about you?" asked the hospital manager.
"I think there is still something wrong. Boss, do you think the patient's condition can be said to be drowsiness? Well, it should be drowsiness."
Drowsiness?
The hospitalized boss was startled.
"Impossible." He immediately smiled and said, "But having said that, since Professor Luo has said it, I will take a look. It will be exactly six hours before I take down the sandbags."
In fact, the patient's family knows the time, and sandbags are just a way of saying it. When interventional surgeries first started in China, everyone used sandbags. Now they use two 500g salt bags instead.
The boss stood up, he was a little suspicious.
Professor Luo usually does not have so many things to do, stretching his hands so far to take care of patients in other groups.
Abnormal things must be accompanied by monsters, maybe...
Just when I thought of this, the hospital manager suddenly heard a noise coming from outside the door.
It’s over!
His heart suddenly sank to his heels.
Could it be possible that Professor Luo Jinkou said that something really happened to the patient?
Quickly walking out of the door, the hospital manager saw Meng Liangren running straight to the ward.
An ominous premonition enveloped me.
Striding to the ward, the resident manager saw the patient lying on the ground, his head hitting the corner of the table, bleeding gurglingly.
"What's going on!" the resident manager asked tremblingly.
This is fucked. The patient fell from the bed. If he fell and suffered a cerebral hemorrhage, he would have to carry around because he couldn't eat.
In a similar situation last time, the hospital manager was scolded by Director Feng and ended up working in the dispute office of the medical office for two months.
What is this? This is called the ancient pagoda of Fapeining.
Don't be sent to Ningguta. As long as you are a normal person, no one wants to be involved in medical disputes. The hospitalized boss was panicking and thinking about countless things.
"Xiaozhuang, call Professor Luo." Meng Liangren said while giving the patient safe electrical monitoring.
Zhuang Yan’s cell phone has already dialed Luo Hao’s number.
"The patient took off the sandbag and went to the ground, suddenly had difficulty breathing and lost consciousness. Now the blood pressure is 90/54mmHg, the pulse is 115 beats/min, the respiratory rate is 35 beats/min, and the peripheral blood oxygen saturation is 89%."< br>
“Both pupils are sensitive to light reflection, and cerebral hemorrhage is not considered for the time being.”
Meng Liang and Zhuang Yan showed good "shaking" cooperation. With one examination and one report, they quickly explained the patient's current situation clearly.
"Okay, okay."
"Repeat it." Luo Hao's voice came from the phone.
When the hospitalized boss heard a familiar voice, he felt even more at ease than when he heard Shen Zizai's voice.
Actually, in this situation, you need to ask Shen Zizai for instructions and call Yuan Xiaoli for emergency treatment.
But there seems to be nothing wrong with what Meng Liang and Zhuang Yan did. At least the hospital boss didn't want to see Yuan Xiaoli or Shen Zizai at this time.
"Check the bedside ECG, echocardiography, and pay attention to the pulmonary artery pressure. If the pulmonary artery pressure is lower than 60hhmg, check the head CT to determine whether there is bleeding..."
Zhuang Yan began to repeat what Luo Hao just said Talk about treatment options.
This kind of emergency rescue is not like heavy bleeding, where tubes of medicine are pushed inside.
First of all, the diagnosis must be confirmed to see if it is pulmonary embolism. If so, cerebral hemorrhage must be ruled out.
Because thrombolytic therapy is inconsistent with the hemostatic treatment of cerebral hemorrhage, if thrombolysis is performed regardless of the stage, it may lead to more serious bleeding.
Sometimes treatments are like this, contradictory, and whether they can save the person depends on their fate.
Several examinations were quickly implemented, and the patient’s vital signs were considered stable. The hospital manager was already dumbfounded, but it was Meng Liangren who bandaged the patient's head and invited the on-duty professor of the Department of Circulation Medicine for consultation.
D-dimer was significantly increased in the coagulation results, reaching 550g/dl. The echocardiogram on review showed right ventricular dilation, and the pulmonary artery pressure increased from the normal state on admission to 50mmHg.
Under the care of doctors and nurses, the patient was sent for head CT examination, and no bleeding was found for the time being.
"Come on stage." The professor of circulatory medicine also found it difficult, but the diagnosis was still clear - pulmonary embolism.
It was still early to discover it. After all, in the hospital, no matter what examination is done, it is convenient.
Pulmonary embolism!
Sleepy!
The hospital manager was already confused. He never expected that something would happen to the patient after Professor Luo took a casual look and asked him to treat him as a snack.
Where can I explain this?
He kept talking with a sad face, hoping that nothing serious would happen to the patient and he would be discharged from the hospital well.
I am young and have a bright future. If I really fall into Feng Zixuan’s hands, I won’t be able to get out without peeling off every layer of my skin.
After explaining to the patient’s family, the patient was sent to the circulatory catheterization room. Luo Hao changed clothes and walked in.
(End of this chapter)