Chapter 452 There is no upper limit
“I don’t know why I’m studying medicine. I always stay up late and get old quickly!”
Although Zhuang Yan's mother was still scolding, her tone had softened a little.
"What can you do to get ahead without having to work hard? I am considered a middle-level cadre. It is difficult for three generations of Fuyin, and I guess it is only for people of Xiaoyan's generation."
"The directors of several hospitals next door have been arrested, as well as the retired director Lao Song of your hospital. I will be satisfied if you can go home every day." Zhuang Yan's mother said with some sadness. .
After Zhuang Yongqiang heard these words, he fell silent unconsciously.
Every generation has its own troubles. Although I am fine for the time being, who knows?
So he hopes that Zhuang Yan can grow up on her own, even if one day she goes in by herself, bah bah bah~
Zhuang Yongqiang sighed a few times in his heart.
Don't think about such unlucky things, think of the good in everything.
Although I am careful in my words and deeds, there are still some things that can be found if I want to check them.
He silently looked at the book "Water of the Canglang" in front of him, and remembered that after the protagonist, a third-year graduate student, took a high position, when the unit allocated a house, even if he didn't want it, he didn't want the best house. The process cannot continue.
Human nature is like this, no way.
I am just an official, and even the elderly have not changed human nature. How can I think so much.
Zhuang Yan is already pretty good. She has an upper limit and a lower limit. This is something that others can't even dream of.
"Is Ronaldinho safe?" Zhuang Yan's mother asked.
"Steady, steady like an old dog. An old dog that has lost its teeth lies in the corner in the sun every day and eats some scraps to keep it from starving to death."
Zhuang Yongqiang gave Luo Hao such an evaluation.
"???" Zhuang Yan's mother was startled.
What is this evaluation? Asking yourself if it is stable, you can understand it by being as stable as an old dog, but what do the following words mean?
"Let's put it this way, with Luo Hao's position and what he does, not to mention in the future, even now, he can make his wealth free with just one look." Zhuang Yongqiang continued to explain.
"Huh? It's impossible. He has only been in the First Hospital for less than a year."
"I am a supporter. If you want to go up to support the border, it is necessary. This is because of the instability of Lao Maozi in recent years. Our Beijiang Province is considered a frontier. Ronaldinho can stay." Zhuang Yongqiang said lightly, looking at That book "Water of Canglang" makes me envious in my heart.
It was a great era, with barbaric growth, and most people could make a career and live a prosperous life without having to worry about so many things.
Now? Under the current circumstances, the person in the book might have been arrested.
Not to mention anything else, the first hospital of the Medical University was built a few years ago, and the person who called me never imagined that there would be any contact.
It doesn’t matter whether you agree or not, even if you don’t want some money.
Zhuang Yongqiang felt a little depressed when he thought of these things.
"I'll take a look."
"What are you looking at?"
"Look at Xiao Yan." Zhuang Yongqiang stood up, picked up the book "Canglang Water" and put it on the bookshelf.
Zhuang Yan followed Luo Hao, and Zhuang Yongqiang was relieved in Luo Hao's medical team.
"What did you mean just now?"
"Ronaldo?"
"Well, how come he is as stable as an old dog? He is not short of money?"
"Who is not short of money? Ronaldinho also drives an eight-hand 307." Zhuang Yongqiang said, "This kind of person is very scary, and he can suppress his inner desires. The level of participation is also very high. ”
"How tall?" Zhuang Yan's mother asked.
She originally imagined that Zhuang Yongqiang would say it jokingly - several stories high.
But Zhuang Yongqiang didn't say that. He hesitated and explained, "Someone released cockroaches some time ago, you know."
"I know, these people are possessed by demons. Cockroaches, let them go. Lao Zhuang, don't you think this is a disease?"
"No, it's not that simple. Ronaldinho seemed to have contacted Boss Xia after he found out about this, and then he disappeared for a while."
"What are you doing?"
"I don't know. It should be a confidential operation, and the level is still very high." Zhuang Yongqiang said, "Later, some people released cockroaches in other places one after another, but there are none here."
"???"
Zhuang Yongqiang knew that his lover didn't understand, so he didn't explain, changed his clothes and went out.
Whether something will happen to him or not belongs to Schrödinger's category. Even Zhuang Yongqiang himself is not sure.
They didn't dare to touch the real big guys behind the scenes, and they could only stand up to petty officials like themselves.
A few years ago, the boss of a listed company illegally reduced his holdings and went to Po County. He also posted a provocative video and said a lot of things in a subtle way.
There is actually no difference between him and himself. To the gods in the sky, he is only a little demon who can resist thunder. Zhuang Yongqiang knows this.
It seems that the scenery is endless, but in fact it is very dangerous.
Zhuang Yan is pretty good, Zhuang Yongqiang thought to himself. It's a pity that Luo Hao has a girlfriend, otherwise...
This thought surfaced again, making Zhuang Yongqiang a little regretful.
I thought that if Luo Hao married into my family, I would have an extra layer of protection.
After driving to the hospital, Zhuang Yongqiang came to the ICU with his hands behind his back.
The little nurse opened the door and was shocked to see Zhuang Yongqiang. She was dumbfounded and didn't know what to say.
"It's okay. I'll change my clothes and go in to see the paraquat poisoned patients." Zhuang Yongqiang smiled and calmed the little nurse's mood.
"Dean Zhuang..."
The little nurse squatted down to change Zhuang Yongqiang's shoes.
Zhuang Yongqiang took half a step back and refused to change his shoes.
"..." The little nurse squatted on the ground, at a loss. Seeing that this is what the head nurse does, why can’t it be done by myself?
The battle between heaven and man just now, and she instantly lowered her face and squatted down to change Dean Zhuang's shoes was her limit. No matter how much, the little nurse doesn’t know what to do.
"I can do it myself."
Zhuang Yongqiang smiled and had a humble attitude.
A few years ago, when the First Hospital of the Medical University performed liver transplantation for the first time, President Lao Song paid great attention to it. He wanted to carry out the operation on a large scale, so he kept a close eye on it.
Icu made one trip every day. Zhuang Yongqiang was still the deputy dean at that time.
Upon entering, the scene of the Director of the Nursing Department squatting down to change Dean Song's shoes always lingered in front of Zhuang Yongqiang's eyes and could not be forgotten.
It's so dazzling.
A few years later, President Lao Song retired and went to a private hospital and poached some people from the First Hospital of the Medical University. The job was successful at first, but because the director of the nursing department was reported by his real name, he was directly turned over.
The question of men's and women's styles serves as an introduction and leads to a lot of things.
Zhuang Yongqiang looked down on the generation of Dean Lao Song from the bottom of his heart.
No matter what, the director of the nursing department might have gone through menopause when he attacked him, right? That's it? No loss or loss.
Learning from others, Zhuang Yongqiang refuses this opportunity for others to flatter him. Although the little nurse definitely wanted less, Zhuang Yongqiang still refused to let go.
So he hasn't fallen down yet, which has something to do with it.
After changing his shoes, putting on sterile clothes, hat and mask, Zhuang Yongqiang walked in the corridor of ICU.
"There is a man who was drugged, comatose, and was judged to be clinically dead. According to his 'living' will, his organs were donated."
"???" Zhuang Yongqiang was startled.
Luo Hao's voice was as gentle as sunshine. Even if he heard it from a distance, he felt warm in his heart.
"Isn't it coma? How do you judge clinical death?" Zhuang Yan's voice came immediately.
"Hey, please continue to listen." Luo Hao said with a smile, "Go on stage and prepare to cut the organs. The person wakes up, crying, fussing and struggling. The doctor saw that the person was okay, gave him a sedative and sent him to the ICU."< br>
"Saw by Koda officials halfway..."
"koda is the Organ Donation Alliance, I heard they are quite good."
"Well, yes." Luo Hao said, "After he saw it, he still gave instructions to continue organ recovery.
Koda officials claimed that the man's movements were just a reflex reaction and pushed him into the operating room anyway. ”
"Gah~~~" Zhuang Yan made a familiar voice to Zhuang Yongqiang.
Although the topic was heavy, Zhuang Yongqiang still showed a knowing smile.
"The funny thing is, this process is called the Honor Walk, and employees stand by to show respect for the organ donors."
"What happened next?" Zhuang Yan asked.
Zhuang Yongqiang stood outside the office and listened.
The smell of food wafted out. It seemed that Zhuang Yan and Ronaldinho had just finished their meal and were chatting for a while.
But why did you bring up this topic?
Zhuang Yongqiang suddenly thought about it and thought that patients suffering from paraquat poisoning might need lung transplantation. When it comes to organs, Zhuang Yongqiang is also extremely cautious, otherwise our hospital will only carry out a few cases and not promote it on a large scale.
This thing, the water is too deep, so deep that even Zhuang Yongqiang is afraid.
"The man woke up for the third time.
On the operating table, the man was fully conscious, crying, shaking his head and trying to rip out his breathing tube.
The surgeon canceled the operation and the patient was returned to the intensive care unit. Senior officials responsible for organ retrieval tried to find another surgeon to remove the organs, but no doctor was willing to perform the procedure anymore. ”
"So, you still need to have the most basic ethics to be a doctor. Koda officials are a piece of shit. Not bad? Those are all propaganda. Xiaozhuang, you can't believe the contents of those propaganda."
Luo Hao rarely cursed.
"Oh oh oh, it's such a mess, no wonder senior brother you keep rejecting Professor Li."
"If you can't touch it, don't touch it. To implement large-scale organ transplantation, you need to wait for the cultivation of autologous stem cells and the maturity of 3D printing. But that is not necessarily how many years from now."
"Didn't you say that it has entered the animal experiment stage?" Zhuang Yan asked.
"We encountered a problem and the research was stuck." Luo Hao sighed, "Wait, I hope it will be sooner."
"I see many people have signed organ donation agreements."
"It's not enough. In China, the vast majority of doctors still have a conscience and don't touch this area at all. But there are always underground black clinics. What about surrogacy, egg retrieval, and transplantation. We don't touch this field."
"Yeah!"
"So, having said that, if the patient can survive, let him survive on his own and don't do a transplant. God knows where the transplanted organs come from."
"Huh?"
"Palestine, Eastern Ukraine, the more chaotic the place, the more this kind of thing happens. It is inconvenient at home. If you have money, you have to go to the United States, where the industrial chain is mature. In 2016, a rich man in the Middle East was raped by two people Calling him a terrorist, let alone that, the wealthy man had a heart transplant at the Cleveland Clinic and had a follow-up visit after the operation.”
Zhuang Yongqiang was stunned.
"You know where the lung transplant base is." "Yes!"
"That person was a college student with low academic qualifications, but he was smart and seized the opportunity to work under an expert in Toronto, Canada. The original donor lungs were provided by the expert in Toronto through an organization like UNOS. .”
"The operation itself is not difficult. The difficulty lies in the donor, post-operative care and treatment. Forget it, I won't go into details about this. Anyway, others can touch it however they want, but we won't touch it."
"Senior brother, are you overdoing it?" Zhuang Yan asked.
"Some time ago, my boss had a big argument at the Engineering Academy with another academician who was going to open a private transplant hospital, and he almost started a fight." Luo Hao finally gossiped about the people and things around him.
"Gah~~~" Zhuang Yan was stunned.
"Really, he is still fighting at such an old age. When I enter the Engineering Academy, I won't be able to beat him to death!"
This was the first time Zhuang Yongqiang had heard of such a secret. Especially in the last sentence, Luo Hao's young heart burst out. He no longer looked like he was swallowing warm water, and his face was always covered with a mask.
"Ronaldinho, Xiaoyan, what are you two talking about?" Zhuang Yongqiang walked into the office.
"Dean Zhuang." Luo Hao stood up.
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There are two lunch boxes on the table, both from the canteen.
Zhuang Yongqiang was a little dissatisfied. Ronaldinho was really a bitch. He was caring for paraquat poisoning patients in the ICU and didn't even eat good food. He only ate the box lunches fed to pigs in the cafeteria.
He just ate it, but his daughter also ate the pig food.
Luo Hao, this piece of shit!
"How is the patient?" Zhuang Yongqiang asked.
"The acute stage of organ failure has passed, and lung protection drugs have been prescribed. Now it seems that it has little impact on liver and kidney function."
"Keep it simple."
"Humans should be able to live." Luo Hao stopped talking vaguely and gave Zhuang Yongqiang a definite answer.
"Yes, this is the first time our hospital has successfully rescued a patient suffering from paraquat poisoning."
Zhuang Yongqiang nodded.
Luo Hao was a little surprised. He looked at the expression on Zhuang Yongqiang's face seriously, thoughtfully.
"I'll ask the publicity people to contact you and publicize this matter."
"Okay, Xiaozhuang, come and receive me." Luo Hao said immediately.
Zhuang Yongqiang smiled slightly, Ronaldinho is really considerate and makes people feel comfortable when he does things. If you raise your head, others will be able to follow suit.
"Me? I..."
"There will be various societies at the end of the year, so we have to get in touch now." Luo Hao said, "And I have other things to do early tomorrow morning. You will be taking care of the patients in the ICU."
"Huh? Xiao Yan, okay?" Zhuang Yongqiang was shocked. Luo Hao must have done too thoroughly. You know, that was a paraquat poisoning patient!
"Of course, Xiaozhuang has a master's degree from Peking University, so he has a solid foundation, so you can rest assured. And now the patient's condition has stabilized. Brother Che from Qilu and I gave the same assessment." Luo Hao smiled.
"Dean Zhuang, take a look at the patient?" Seeing Zhuang Yongqiang's hesitation, Luo Hao invited.
"Let's go."
Arriving at the hospital bed, Luo Hao said nothing and asked Zhuang Yan to introduce the condition and treatment process.
Listening to Zhuang Yan's eloquent explanation, it was clear and logical, surpassing ordinary attending doctors and hospital bosses.
Zhuang Yongqiang felt relieved.
Suddenly, he heard the name of a drug—cyclophosphamide.
"Wait a minute, Doctor Zhuang." Zhuang Yongqiang directly interrupted Zhuang Yan's report and called her Doctor Zhuang.
Zhuang Yan shut up and waited for Zhuang Yongqiang to ask questions.
"Isn't cyclophosphamide a drug for treating bone marrow malignancies and leukemia?"
"That's right. In the prevention and treatment of pulmonary fibrosis in acute paraquat poisoning, clinicians have explored several drugs that can prevent pulmonary fibrosis." Zhuang Yan looked as usual and answered fluently.
She didn't read the information and introduced it from memory.
"The first one is propranolol, which is propranolol that is usually used. Propranolol should be used early. It can compete with the receptors bound in the lungs to release toxins in the lungs and minimize paraquat exposure. Absorption of toxic ingredients into muscle, fat, and lung tissue ”
“The second is glucocorticoids.
Hormone drugs have powerful anti-inflammatory effects, can effectively maintain the stability of cell membranes, and prevent late-stage pulmonary fibrosis. They should be used in high doses early.
The administration time is determined based on the evolution of the condition, and methylprednisolone, dexamethasone, or hydrocortisone can also be used. ”
"The third type is immunosuppressants, such as cyclophosphamide, cyclosporine A, colchicine and other drugs that have immunomodulatory effects and reduce inflammatory reactions, and should be used as early as possible."
“Professor Luo has considered the patient’s treatment carefully. He initially used silvelestat sodium, a drug used to improve acute lung injury caused by systemic inflammatory response syndrome, and combined it with anti-inflammatory drugs. Anti-pulmonary injury treatment such as oxidation, phlegm reduction, and improvement of lung clearing capacity. ”
"Sivelestat sodium is effective and has low side effects, but at the same time it is only moderately effective."
"Under the premise that the patient's inflammatory storm is controllable, Professor Luo and Professor Che from Qilu Medical University consulted three times and decided to use cyclophosphamide for treatment."
Zhuang Yan then opened the computer workstation and found the patient's medical records.
Zhuang Yongqiang looked carefully.
The medical records were written in a standard, and they should have been written by Luo Hao.
There were records for each of the three consultations, with appropriate details and sufficient reasons.
Zhuang Yongqiang understood it at a glance.
This work is so meticulous, Zhuang Yongqiang sighed in his heart.
Zhuang Yan was still reporting, but Zhuang Yongqiang's mind was not on the patient or the medical records, but far away.
"President Zhuang, mainly because Dr. Chen and Dr. Zhuang kept inducing vomiting on the helicopter, and because paraquat has expired and contains other chemical components, it is now initially determined that the inflammatory storm is controllable and the organ failure has passed. The acute stage.”
Luo Hao added.
The rest are not important, the main thing is to add the three words Dr. Zhuang.
Zhuang Yongqiang knew that Zhuang Yan vomited out her overnight meal on the helicopter and had to be protected by Chen Yong to get off the plane safely.
The more he looked at Luo Hao, the more pleasing he became. Zhuang Yongqiang nodded, "How long will it take?"
"It will take about ten days to be transferred out of the ICU."
"Okay." Zhuang Yongqiang glanced at Luo Hao, "You are all fine."
"Thank you, Dean Zhuang, for your recognition."
"Then I'm leaving, Ronaldinho, what are you going to do? Corey's surgery?"
"No, there is a red-crowned crane in the Changnan Zalong Nature Reserve. It lost a fight with other red-crowned cranes some time ago. Its lower beak was broken and it was about to starve to death. After sending it to me, I asked Junior Sister Ye from the University of Technology to make one for it. 3D printed alloy lower beak ”
"!!!" Zhuang Yongqiang was stunned.
Are they all that advanced now? 3D printed alloy lower beak, sounds so sci-fi? But when the words came out of Luo Hao's mouth, they were as ordinary as eating and drinking.
"But, after it got its alloy lower beak, it became arrogant and bullied other red-crowned cranes. One red-crowned crane had no food to eat and didn't know what it ate, causing severe intestinal obstruction."
"Uh..." Zhuang Yongqiang was speechless.
Professor Ronaldinho is really busy.
"I'm going to do an operation on that red-crowned crane and try to remove the obstruction in a minimally invasive way. If it doesn't work, I have to do surgery."
"You really work hard if you are capable." Zhuang Yongqiang couldn't hold it back and commented.
"I also need to teach that red-crowned crane a lesson so that it will be more honest in the future."
"Lesson?!" Zhuang Yongqiang was confused.
"No need for me to take action, just lock it with the bamboo for a few days."
"!!!"
"The Ice and Snow Festival has to be rehearsed in advance, so this red-crowned crane should be here to promote Changnan. There will be a lot of passenger traffic at that time. If you visit the provincial capital, go to Changnan to see the red-crowned cranes and have a barbecue, the economy will always improve. ”
Zhuang Yongqiang sighed in his heart.
Professor Ronaldinho really has a lot to worry about.
"Okay, then go ahead and call me if you need anything."
"Okay, I will certainly not trouble Dean Zhuang less." Luo Hao said politely.
"Can Xiaoyan do it?" Zhuang Yongqiang asked Luo Hao in a low voice.
His voice was very low, as if he was talking to himself.
"No problem. Dr. Zhuang is very qualified and attentive. He is actually more suitable than me." Luo Hao gave Zhuang Yan a very high evaluation.
For a moment, even Zhuang Yongqiang didn't know whether Luo Hao was bragging about his business.
But hearing Luo Hao's words made Zhuang Yongqiang feel sweet and full of emotional value.
Moreover, Luo Hao "threw" the patient who was poisoned by paraquat into the ICU and asked Zhuang Yan to take care of it. His actions also showed his trust in Zhuang Yan.
This is not just empty talk that provides emotional value.
Luo Hao also changed his clothes and walked out of the ICU with Zhuang Yongqiang.
"Ronald, you are too busy." Zhuang Yongqiang said with a smile.
"Fortunately, it's mainly because of the great work of the medical team. Even though I'm covered in iron, I can still drive a few nails. There are Chen Yong, Lao Meng, Xiaozhuang, and now Professor Fan and Professor Jason in the surgery. I'm very good at the medical team. Stop worrying.”
Strong soldiers and strong horses!
Zhuang Yongqiang had such an idea in his mind.
In less than a year, Luo Hao came to the provincial capital from a place he was unfamiliar with and got through everything directly from top to bottom.
This young man is really strong.
From the boss of Jiangbei Province to his own girl, everyone seems to be talking about the good things about Professor Xiao Luo.
Alas, people are really incomparable, Zhuang Yongqiang sighed in his heart.
"Dean Zhuang, I shouldn't ask a question." Luo Hao said in a low voice.
"Huh?"
"Is there a problem on your end?"
"Little brat, I need you to take care of me." Zhuang Yongqiang laughed, "I know you have all the skills in the empire, but you haven't been elected as an academician yet. When you are elected as an academician, I will go to your doorstep to set up a snowstorm in case of disaster. ”
Luo Hao also smiled and did not continue the topic.
After sending Zhuang Yongqiang away, Luo Hao let out a sigh of relief, sat directly on the steps in front of the hospital, took out his mobile phone, opened the app at random, and started smoking online.
"Luo Hao, that crane won't die."
(End of chapter)