Chapter 513 Me + You vs Questions
Meng Liangren was guarding the door and saw Luo Hao early in the morning.
He immediately came to meet him, his face full of seriousness.
"Professor Luo." Meng Liangren didn't say embarrassed, but just bent down slightly, with a strong expression on his square face, which fully explained the four words "sorry".
"Where is Xiaozhuang?" Luo Hao asked.
"This matter is not good-looking. This child is willing to see all kinds of new things, so he asked Xiaozhuang to go home first."
Luo Hao nodded. Lao Meng is still reliable in doing things.
Otherwise, Zhuang Yan would ask, and she wouldn't know how to explain to Zhuang Yan.
But Luo Hao felt that what was more likely to happen was that Zhuang Yan knew these strange things more than herself. It is said that the lace circle has extremely high requirements for education and there is a chain of contempt.
Luo Hao didn't know where the information came from, but he just remembered it vaguely as if it was happening.
Girls' dormitories are far more chaotic and unrestrained than boys' dormitories.
"How are you?" Luo Hao asked.
"The patient complained that he accidentally fell down his buttocks and fell on the ground. He was inserted into the skin around the anus by a branch on the ground, causing anal trauma. He said that the inserted branch was about 2cm in length, and was then pulled out by him."
Luo Hao smiled helplessly.
"Professor Luo, you used to joke that no matter what you inserted, you said you fell down and sat in. It's really... it's true." Meng Liangren stuttered.
After saying that, he was happy.
"You said, you fell down accidentally and were wearing pants. Now even young people don't wear vests and shorts to go out. Why did they poke their pants and make their anus broken?"
"Oh." Luo Hao sighed, "Old Meng, forget it, just pretend that what he said was true in front of the patient."
"Yes." Meng Liangren nodded repeatedly.
After sorting out his mood, Meng Liangren continued to report his medical history, "In the past two days, the patient suffered from pain in the anus, and had frequent fever, and his body temperature fluctuated between 38 and 38.5°C."
"I went to the local hospital for treatment and considered a perianal abscess. After infusion of antibiotics and anti-infection treatment, the fever symptoms disappeared, the pain in the anus slightly reduced, but it still occurred repeatedly. Today, the pain in the lower left abdomen began to appear, so I went to the gastrointestinal surgery department of our hospital for treatment and was admitted to the hospital."
"No need to be so detailed, just talk about it."
"Today, Professor Lei is on duty."
"Oh, Professor Lei."
"He means... I want to learn surgery from you. I didn't think about it carefully at that time. My colleague's condition is very serious, so I called you." Meng Liangren did not hide it and reported it all in detail.
"What do you mean by the film?" Luo Hao ignored Professor Lei's thoughts and continued to ask about his current medical history.
"CT shows abscesses on the left buttock, left groin, left anal canal and left pelvic cavity, involving the pelvic floor and sigmoid colon."
It's indeed a bit troublesome if you see it this way, Luo Hao thought to himself.
Professor Lei is an expert in scientific research. His surgery is relatively rough, so if he is asked to come on stage, he may not be able to get it.
But if it were in the past, Professor Lei would have had to bite the bullet and take surgery.
This time, because Meng Liangren is here, he dare not, so he also brought in the relationship with him.
Luo Hao instantly made an assessment of the entire situation.
"Let's go and see the patient." Luo Hao said.
Meng Liangren followed Luo Hao's side and the two came to the office to say hello to the hospitalized boss, and then Luo Hao read the film first.
It is similar to what is written on the ct report, and the situation is relatively... complicated.
It involves the sacred plane mentioned in local anatomy and the academic terms that sound particularly "unreasonable".
Luo Hao felt that Meng Liangren must not know the sacred plane and angel hair.
"Professor Luo, you are here." Professor Lei ran in quickly with his slippers.
"Professor Lei, thank you for your hard work." Luo Hao smiled.
"Uh..." Lei Jiangnan felt a little embarrassed, but he felt that Luo Hao should not know the truth, so he whispered, "Professor Luo, go to my office first?"
"???"
Luo Hao hesitated for a moment, what's wrong with Lei Jiangnan?
It’s all Ye Qingqing. Now Luo Hao still has holographic imaging technology in front of him. Seeing Lei Jiangnan is like one of them carrying a large sedan chair.
"Professor Luo, I did the surgery."
"Surgery?" Luo Hao was stunned, but when he heard about the operation, it was not because the patient was playing so colorfully, so he followed Lei Jiangnan to his duty room.
Before entering the door, Lei Jiangnan looked back at Meng Liangren.
"Old Meng, come in." Luo Hao saw Lei Jiangnan's expression and greeted Meng Liangren in advance.
Lei Jiangnan didn't say a single nonsense, and welcomed Luo Hao and Meng Liangren in with a little respect.
"Professor Luo, I won't talk anymore." Lei Jiangnan said directly after waiting for Luo Hao to sit down, "The patient was drainage done by me in an anorectal hospital."
Is Feng Zixuan’s anorectal hospital?
Luo Hao's mouth looked like an ak, and he couldn't even hold it down.
A few years ago, a retired old director almost hollowed out the entire hospital and dug all the backbone forces to the south.
Although all hospital leaders will say that if you don’t do it, some people are willing to do it, no hospital can withstand such a large-scale resignation, and that time I almost took the energy of the hospital.
Later, the dean was settled by Qiu Hou and sentenced him to more than ten years.
But if you don’t do large-scale things, you can do something that is allowed in other places, and as long as you don’t cause trouble, no one will bother with it.
It seems that it is going up and down, and even Director Feng has to have some of his own industry outside.
Otherwise, the money paid by the hospital can only be guaranteed to be unable to starve to death.
Everyone has something good, and they are doing it quietly.
Lei Jiangnan observed his expression and looked at his expression. When he saw that he mentioned the anorectal hospital, Luo Hao's expression became relaxed. He probably understood what was going on.
Professor Luo should have contact with him and know the belonging of this hospital.
That's good, that's good.
"Professor Luo, I was drained when the patient went there."
"Professor Lei, don't be so polite. Let's talk about the condition and be clear. The patient's condition will no longer worsen, and you will be discharged from the hospital in a few days." Luo Hao smiled, "And the patient's condition is indeed a bit special."
"You think so too! I guess it!" Professor Lei was a little excited.
After thinking about what to say, Lei Jiangnan said in a deep voice, "What I did was to cut the abscess in the rectal fossa in an arc-shaped manner and drain the abscess in the pelvic side wall of the upper levator anal muscle.
The left side of the abdomen Toldt's space abscess is also given an extraperitoneal drainage, and meets with the side wall of the left pelvic pelvic.
At the same time, in order to prevent the continued necrosis and fall off of the abscess wall after surgery, a drainage tube is also placed at the lowest point of the pelvic cavity for drainage, so as to achieve the purpose of three-pronged approach and sufficient drainage. ”
"I feel like I've done enough."
Speaking of this, Lei Jiangnan sighed, "Patient... I didn't expect that the small hole 2cm deep next to the anus would have such a big trouble."
"It's indeed not your problem, Professor Lei, don't blame yourself." Luo Hao comforted.
"Ah?!"
One sentence made Professor Lei stunned.
If it were me, I would definitely have to say two words of Yin and Yang. At least the other party felt that the operation was extremely difficult and I came to save the Taiwan Strait. Only in this way would the human relationship be solid and enlarged.
But Luo Hao didn't care about this favor at all, so he comforted himself directly.
After thinking about it for a long time, Professor Lei felt a little warm in his heart.
"The patient's condition is special, and it is considered a rare case." Luo Hao continued, "In theory, the third drainage is already the ultimate, and it has nothing to do with the previous surgery. After the operation, I will write a surgical record. If Professor Lei is interested, he can refer to it."
"Okay, okay." Lei Jiangnan never expected that Luo Hao was so generous, even taking over the postoperative record he wanted.
It has been almost a year since Luo Hao came to the First Hospital of Medical University. How well he wrote his medical records is obvious to all.
Not only does Professor Luo himself say that he is standing next to Professor Luo, but the old attendant who is diverted from the infectious disease hospital is almost becoming a metaphor, and his medical records have reached its peak.
Every medical record from him and his medical team can be taken out as a demonstration medical record.
Professor Lei breathed a sigh of relief.
Then, there was nothing to say, he looked at Luo Hao with gratitude.
"I have seen the patient once. I will communicate with the patient later and explain it to him." Luo Hao said, "It should be no problem. He has played a bit this time."
"That's right, I said I fell down accidentally, who would believe me? I've also encountered a patient who inserted Dyson's vacuum cleaner into the rectum before, and I also said I fell down accidentally."
“…”
Dyson vacuum cleaner?
Can everything be stuffed into the body?
Luo Hao was speechless. Fortunately, he did not stay in UnionHe to do general surgery with Boss Chai, otherwise his three views would sooner or later collapse.
What's the matter with this?
"Some time ago, I also had a patient who stuffed a forest frog in."
"Lin Frog? What are you doing?" Meng Liangren was surprised.
"I'm sorry, the patient heard that the rectum absorbs more quickly. I don't know which joke I saw online, so he believed it. Isn't Linfrog said to be a big tonic? He thought that the medicine would be much less effective if he took it, so he stuffed it directly in."
“…”
Luo Hao remembered Feng Zixuan in India, and he also persuaded him, but Feng Zixuan would rather return to China with a stomachache than refuse rectal medication.
"The key is that this person stuffed it into a living forest frog. People nowadays are so full. In the era of hungry, not to mention forest frogs, there is no way to see even grass on the mountain." Lei Jiangnan said.
"Haha, for this, an expert from my association has collected a lot of rectal foreign objects to teach students. By the way, Professor Lei, is there enough time to fast water?"
"Enough!" Professor Lei suddenly raised his spirits.
This is a big trouble. If Luo Hao can take action to solve the trouble, it would be the best.
"Then I'll go see the patient and go with me together, and I'll help you."
Professor Lei knew that Luo Hao was trying to help, so he was not polite. After all, he was the one who took the responsibility.
If you are polite at this time, you will seem to be ill-willed.
"Professor Luo, do you think it is better to open the laparoscopy?"
"There is no need to open the abdomen."
"Okay, I'll prepare. After you explain to the patient, I'll explain to the patient's family and sign it. You'll have a rest here and call you for help in the middle of the night."
"You're welcome, it's good to be able to solve the problem."
Luo Hao saw Lei Jiangnan saying politely, and knew that he was indeed panicked. Taking Meng Liangren to the ward, Luo Hao walked in and saw a white-haired old man sitting at the head of the bed wiping his tears.
"Hello, aunt." Luo Hao bowed slightly and was extremely polite and polite to the old man.
"Xiao Meng, is this?" The old man wiped his tears.
"Aunt, this is Professor Luo who I told you. I have been following Professor Luo after I was transferred to the First Hospital of Medical University." Meng Liangren explained politely.
"Oh oh oh, Professor Luo, hello." The old man quickly stood up.
Luo Hao and the old man were kind and began to check their bodies.
Lei Jiangnan said he had left three drainage services, and Luo Hao put on gloves and checked carefully.
Although Lei Jiangnan's surgery was average, it was not difficult to drain the anorectal department. It can be seen that he was still very careful at that time.
But this person's luck was a little worse and he encountered an extremely rare situation.
"Professor Luo..." Meng Liangren's colleague's face turned red and a little wilted. In addition, he had no shame in seeing people. He felt a little confused, and his voice was like a mosquito.
No mistakes, one song, one content, one in 6, one book, one bar, one reading!
"Angkor, right?" Luo Hao smiled. He still remembered that Lao Meng called this "Xiao Wu".
"No, don't, just call me Xiao Wu." The patient said shyly.
"It's normal, you're a doctor too, don't mind." Luo Hao sat down directly beside the bed, "Angkor, be careful in the future, this time it's too dangerous."
"Ah?!"
Xiao Wu lay down tentatively, forcing his position, and did not dare to press the position around his butt.
He was stunned when he heard Professor Luo Haoluo say it was dangerous.
"That's right." Luo Hao began to say with his fingers, "The treatment done in the anorectal hospital at that time was already in place. Even if I was there, I could only do this level, and it would not be better."
Outside the door, Lei Jiangnan hid behind the wall and eavesdropped.
Hearing Luo Hao and the patient explain this, he suddenly breathed a sigh of relief and burst into tears.
Professor Luo is righteous and does not cheat himself.
At this time, if you say a few words, even if you just say something lightly and not do it properly before the surgery, the patient will become troublesome.
But Professor Luo didn't hesitate at all, and even said that if he had changed his words, he would have at most done this level.
This cannot be described as just righteousness, he can never say this.
"I'm not kidding, you are also a doctor. I'll tell you some local anatomy."
"Yes." Xiao Wu looked at Luo Hao and nodded.
The last time he took out the foreign body in the rectum, Luo Hao, and later he heard that some left-behind doctors in the hospital had consulted Professor Luo, especially the girl from whom. Professor Luo Haoluo cut the routine film and found the pulmonary flukes.
In the infectious hospital, Professor Luo has been blown away in a magical way.
So Xiao Wu believes in Luo Hao very much.
Especially when he encountered such shameful troubles, he was even more willing to Luo Hao appear, not others.
When others hear their clumsy excuses, they will give them strange eyes, only Professor Luo will be different.
Xiao Wu barely cheered up and looked at Luo Hao as if he was looking at the savior.
"Angkor, first of all, I'll tell you that you need to have surgery later. After the operation, you need to order antibiotics and provide some nutritional support. It should be fine for 3 days."
Xiao Wu's eyes finally emitted light.
"Of course, from Lao Meng's perspective, as a friend, I am not a doctor from the First Hospital of Medical University."
"I know, I know, Professor Luo. Will you go to the surgery later?" Xiao Wu was looking forward to it.
"I'll take a look, and you know that I'm not a general foreign doctor. Although I have a certificate, I can at most help you help me get off the mirror."
After hearing what Luo Hao said, Xiao Wu understood in an instant.
If you don’t understand this, the doctor has been working for so many years in vain.
"Okay, OK, Professor Luo, thank you, thank you, you continue."
"Due to the anatomical characteristics of the retroperitoneal space, the inside is mostly loose connective tissue, without obvious gaps, once the infection is difficult to limit, it is easy to spread to different planes, and its ability to resist bacteria is poorer than the abdominal cavity, so the condition is generally more critical."
Luo Hao said again what he said to Professor Lei just now.
Xiao Wu nodded repeatedly.
"The trauma of the ventral anus causes injury to the rectal fossa, which is infected and becomes pus, which then penetrates the levator anus muscle, spreads to the potential gap between the viscera and the wall fascia of the pelvic floor, and continues to spread upward to the left Toldt's gap and reach the left retroperitoneal gap."
"And because the abdominal abscess is still limited to the left Toldt's gap, it has not yet ulcerated and contaminated the abdominal cavity, which is also the reason why you have not had peritoneal irritation. Angkor is a blessing in disguise."
Angkor!
I heard the word Angkor again.
Professor Lei was moved and almost cried.
I have been in the First Hospital of Medical University for nearly a year. Who did Professor Luo Haoluo call me brother? Brother Qiang, this is what everyone knows.
Geng Qiang did not hide it, and Luo Hao did not hide it.
He is Director Geng Da from the province!
Now, for a possible medical dispute, he actually called the other party Angkor.
When he called for the first time, Professor Lei was a little dazed and didn't hear it clearly. This time, he could hear it clearly.
"Angkor."
Just as Professor Lei was still sighing, Luo Hao shouted again.
"Ah?"
"You are also a doctor. I'm more professional. If you don't understand something... I don't have time to explain it to you."
“…”
"Most perianal abscesses originate from anal gland infection, and generally do not exceed the plane of the pubic rectal muscle. If there is no timely treatment and control, the literature reports that the probability of spreading to the upper gap of the levator anal muscle is 0-7.5%, but it spreads to the retroperitoneal space, which is only seen in sporadic case reports."
"We're just catching up with the occasional case, what's going on?"
"And you have to hurry up, you know."
we!
He actually said we!
Professor Lei burst into tears.
It is said that Lao Meng in Luo Hao’s medical team is good at medical communication and gets along with the patients and their families. He doesn’t want to have a good relationship.
Not to mention that Professor Luo did not have a medical accident during surgery, even if there was a medical accident, the family members of the family would not sue.
This is a rumor from the First Hospital of Medical University.
Now, Professor Lei doesn’t know what Lao Meng looks like. Luo Hao’s communication level with the patient is really high.
Inadvertently, using tone and expression, I will stand with the patient and become a comrade-in-arms.
There is a problem, it is not me vs you, but me + you vs.
Professor Lei was filled with emotion.
Professor Luo Haoluo can shy his face, and sit down to call him brothers and brothers to that "unreasonable" patient, and resolve the problem invisibly.
Awesome!
The key is that they are really good to him. Although Professor Lei also knows that Luo Hao is likely to settle the problem for Feng Zixuan, he is still willing to raise himself to a certain level.
"Professor Luo, do you think this disease can be named after me?" Xiao Wu asked in a daze.
"It's not that. My Union Medical Records library only has more than 300 similar cases. You know, this has been accumulated over a hundred years, and all the difficult and complicated diseases across the country have gone to Union Medical College. There are only more than 300 similar cases."
Xiao Wu nodded seriously and signaled that he knew.
"Why did I encounter such a rare complication?" The patient was a little worried.
Meng Liangren glared at him fiercely.
"In general, there was nothing wrong with the previous treatment. The first principle is drainage. Don't worry, I'm not here today. If I can't cure it, if you want to go to the imperial capital, I'll contact you. If you want to be here, I'll invite Director Qian."
Xiao Wu and Professor Lei were inexplicably moved.
Not only them, but even Meng Liangren remained silent and listened quietly to the communication between Professor Luo and Xiao Wu.
Professor Luo is not unable to do his own life, but he just doesn’t have time. Meng Liangren kept repeating this sentence in his heart, trying to form a seal of thought in his mind.
"That's it. Let's have an explanation to my aunt before surgery. Don't worry, Angkor, although the situation is rare, to be honest, the operation is not difficult." Luo Hao added.
"Don't worry, don't worry, I must be relieved." The patient said repeatedly.
Luo Hao stood up with a smile, asked trivial questions such as the time of fasting water, and then nodded, "Then I will go to the operating room to prepare the equipment first, and see you in the operating room later."
"Okay, okay." The patient nodded hurriedly.
"I'll do pre-operative explanation later." Meng Liangren took the initiative to take over the job.
Meng Liangren is the most suitable thing to do, and he will take it as his own initiative.
Professor Lei saw that all the troubles were cleared, and an accident that might happen was strangled in the bud by Luo Hao. With just a few words, the patient was very grateful and felt particularly grateful.
Although Professor Lei cannot see the patient's heart, he also has clinical experience and can sense what the patient thinks from the details such as micro-expressions and tone.
Luo Hao walked out and saw Professor Lei head-on.
"Professor Lei, let Lao Meng and the patient's family give preoperative explanations later. I've finished it."
"Professor Luo, I'm really troubled you." Lei Jiangnan was convinced.
Although Ronaldo is young, he is unambiguous in his work and does his best. It is hundreds of times better than those erotic bitches who say it nicely but actually do nothing.
Lei Jiangnan knew this well and felt that Professor Luo Haoluo was indeed generous and righteous, and he must be close to each other in the future.
"You're welcome, is it just for the treatment of the disease?" Luo Hao smiled. "I've only heard of this rare infection. I'll help you later. I'll be considered an experience of rising and rising. After all, it's a rare complication, and I'm curious."
He is polite, but Lei Jiangnan cannot really take it seriously. He knows this very well.
When Luo Hao was about to turn around and leave, Lei Jiangnan bowed deeply.
"Professor Lei, what are you doing?" Luo Hao quickly made way aside.
"Professor Luo, it's all in his heart, thank you." Lei Jiangnan said in a deep voice.
"Get the surgery quickly, get it done early, I'll go home early."
(This chapter ends)